Respiratory CNS

Job description

Job responsibilities

Working as an integral member of the Respiratory team across Chelsea & Westminster and West Middlesex University Hospital

Identifies at an early stage, following liaison with appropriate clinical staff, patients who require support from the respiratory CNS

To apply professional nursing knowledge in order to undertake high quality assessments assisting in the diagnosis and management of patients who meet the early supported discharge for COPD criteria

To assess and interpret clinical conditions and appropriate outcomes using a patient centered approach that promotes independence and well-being

To refer to other disciplines/professions when required

To accept referrals from other disciplines e.g. medical / surgical teams

To support the patient, family and MDT in understanding any continuing care plans and treatment

To ensure that documentation is maintained to a high standard and to be a competent user of and participate in the ongoing development of the Electronic Patient Record

To support the ward/ department team to facilitate seamless transitions of care/ discharge by liaising with primary care health and social teams as required

Case-manage patients with Asthma and COPD at the Hospital. This will include respiratory and non-respiratory wards, acute and outpatient areas. Duties will include history taking, physical examination, ordering, performing and interpreting relevant investigations and coordinating discharges

As part of acute work this may involve supporting the initiation and optimisation of acute non-invasive ventilation

Admission avoidance from the Emergency Department by assessing and providing care plans for discharge.

They will work with the existing general multidisciplinary team, but be able to work independently to complement the clinical teams in this area. Work may include attending ward rounds and multidisciplinary team meetings if deemed appropriate.

To contribute to the achievement of the COPD best practice tariff

Communicate with patients and their next of kin

Promote patient and public involvement in the development of respiratory services

Undertake clinical audit and research

Provide education to students, nursing and medical staff and develop the curriculum as required

To make independent clinical decisions based upon patients needs

Undertake comprehensive assessments of patients including physical, mental and pharmacological considerations

Develop relationships with colleagues across the hospital and the inter-professional agencies

Provide education and mandatory training and contribute to the development of protocols as necessary

Keep up to date with professional development and mandatory training

Keep accurate notes and records

Maintain high standards of care

Acquire and develop new skills relevant to specialist role

Responsibility for Patient/Client Care

To act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and to be accountable for own clinical practice and professional actions at all times. Ensure continued and effective registration with the NMC

Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnoses, plan, implement and initiate changes where required. This will include monitoring and evaluating the response to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient

Respond to emergency situations, utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation for the supply and prescribing of medication

Monitor and evaluate clinical outcomes of patient centred care involving the patient and their carers wherever possible

Participate and contribute to the decision-making process in patient management

Take every opportunity to promote the health of patients and initiate health education strategies as necessary

Person Specification

Application

Essential

• Registered Nurse on NMC register
• Respiratory course
• Leadership course
• Experience at band 6 in speciality

Desirable

• Degree
• Nurse prescribing
• Assessment qualification

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea & Westminster Hospital

369 Fulham Road

Chelsea

SW10 9NH

Employer's website

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