Specialist Respiratory Integrated Nurse/AHP

Job description

Job responsibilities

***Preference will be given to internal Trust staff, as well as Priority and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

Clinical

Deliver specialist respiratory care within the Acute Respiratory Assessment Unit and/or community settings

Provide clinical assessments of patients with respiratory issues, including physical examination, ordering and interpreting investigations, and developing individualised patient centred treatment plans

Willingness to work towards / act as an independent prescriber, initiating and adjusting treatment plans in line with clinical guidelines and capabilities

Support admission avoidance strategies and facilitate early supported discharge.

Utilise criteria-led nurse discharge processes.

Provide respiratory education, self-management plans, and personalised care planning for patients and their families.

Support the coordination of patients within the ARAU and throughout their journey back into the community.

Deliver evidence-based care, including non-pharmacological interventions such as pulmonary rehabilitation support, and oxygen management.

Work in partnership with hospital teams, GPs, community services, and other allied health professionals to ensure continuity of care.

Participate in collaborative decision making

Act as patients advocate in raising concerns around health and social care when required

Ensure patients views are considered in the decision-making process

Recognise and support the needs of carers and family members

Ensure documentation is accurate and up to date, recording all activities and communications. Consistent with legislation, policies and procedures and utilising all necessary paper and electronic forms.

Be responsible for and facilitate others in the knowledge and awareness of appropriate use of digital health/care solutions for patients with long term conditions

Advises and supports other staff in their planning of patient care.

Provides support and advice to patients carers and relatives (with consent) on patients conditions and prognosis where appropriate.

Works as part of a multi-disciplinary team lLead on service development initiatives and contribute to quality improvement projects

Communicate effectively with all staff across the MDT, community teams and patients

MANAGEMENT AND LEADERSHIP

Have on-going responsibility and duty of care for patients, staff, self and others in all aspects of Health, Safety and Risk

Act as a role model, promoting good performance and practice.

Report all incidents and near misses

Support team manager in investigations of incidents

Inform managers of any on-going nursing/management issues affecting patient care or working capacity

Deputise for line manager in absence

Place the patients experience at the core of service delivery through implementation and continued monitoring of Essence of Care Standards, Patient Involvement & Experience Strategy and Patient Satisfaction Surveys

PROFESSIONAL

Work within the NMC code and or HCPC code of practice

Remain updated and competent and ensure that clinical practice is evidence based

Have an up to date personal development plan and professional portfolio

Participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed and objectives set. In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role

EDUCATION AND TRAINING

Support the team manager in providing and maintaining a learning environment and maximise opportunities for education and development in the clinical are to enhance individual development and performance in the delivery of high standards of care

Take responsibility for your own personal and professional development; maintain competence, knowledge and skills commensurate with role

Maintain attendance at mandatory and statutory training as per organisation guidelines. Integrate theory into practice by bringing new knowledge around acute care from training into the practice environment

Act as a mentor for students and fulfil requirements of a practice placement

Facilitate induction for new members of the team

Act as a link nurse for speciality to enhance team education

RESEARCH

Actively participate in audit and research as directed by the Team Lead

Collect, collate and evaluate a range of information to support clinical and service audit

Maintain accurate and up to date patient records, data bases and specialist reporting in accordance with organisation policy and professional guidance

Support the team manager in working towards the achievement of specific performancetargets related to the team

COMMUNICATIONS & WORKING RELATIONSHIPS

Use a high level of communication skills on a daily basis with patients, carers and relatives to encourage concordance with care planning and agreed outcomes.

Use a high level of communication/negotiation skills on a daily basis with other health and social care professionals. To inform each, as appropriate, of the highly complex and sensitive information related to patients condition required to achieve the best outcomes and care pathways.

Person Specification

Knowledge and Experience

Essential

• oPost registration experience in respiratory nursing across acute and/or community settings
• oUnderstanding of Clinical Governance
• oProven ability to work autonomously and within multidisciplinary teams
• oExperience in managing long-term conditions such as COPD, asthma, bronchiectasis
• oUnderstanding of integrated care models and admission prevention strategies

Desirable

• oClinical and/or line management experience
• oKnowledge of Oxygen assessments
• oKnowledge of Secondary & Primary Care Sector
• oWillingness to undertake respiratory management including ability undertake ABGs, spirometry, FENO
• oUnderstanding or previous involvement in early supported discharge, or admission avoidance pathways

Qualifications

Essential

• oNMC Registered Nurse (Adult) or HCPC Registered Paramedic
• oRecognised teaching or mentorship qualification

Desirable

• oDegree (or working towards) in healthcare Completion of or working towards completion of respiratory assessment module/s, for example: Diploma module in asthma / Diploma module in COPD
• oNon-medical prescribing (or willingness to work towards)

Aptitude & Abilities

Essential

• oHighly effective communication skills - verbally and written to staff, patients and relatives, including in situations of conflict or distress.
• oInformation technology skills
• oThe ability to work well in a busy environment.
• oAbility to lead and have clinical management skills
• oAbility to act as facilitator, mentor and supervisor to colleagues / students
• oExcellent communication and interpersonal skills
• oAbility to discuss complex patient care with senior clinicians

Desirable

• oAble to assist on and implement improvements to the quality and efficiency of care for patients in department.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital

Plymouth

PL6 8DH

Employer's website

https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)