Outreach Respiratory Nurse

Mid Yorkshire Teaching NHS Trust

Information:

This job is now closed

Job summary

Due to the relocation of one of our staff we are looking to appoint a Clinical Nurse Specialist Respiratory. This is to work in the PERT Team and to assist with the development of the Virtual Ward.

We would consider a Band 5 Registered Nurse, who has a genuine interest in respiratory medicine and is motivated to undertake further training to progress to a Band 6, as part of a development role. Experience in managing patients with respiratory conditions would be an advantage but training will be provided for the right candidate.

We are looking to appoint a highly motivated Respiratory Nurse who has a passion for delivering safe, high quality care to patients in the acute and community setting. The successful candidate would gain a wealth of knowledge and experience surrounding respiratory medicine. After a successful induction period you will be required to advise colleagues and patients in regards to acute and long term management of their condition. As part of the PERT team, you will be required to be self-motivated as the post requires some lone working, but as part of a supportive wider team.

As a respiratory nurse you will undertake all aspects of the role using advanced clinical assessment skills and respiratory evidence based knowledge. The role will involve both hospital and community based assessments.

Main duties of the job

Aims of the PERT service:

  • Admission avoidance service for patients who would usually require admission with an exacerbation of COPD.
  • Early Supported Discharge service for patients admitted with a chronic respiratory illness.
  • Home mechanical ventilation (NIV) service
  • Acute NIV service.
  • In patient Long Term Oxygen Therapy (LTOT) assessments.
  • Inpatient asthma reviews and specialist respiratory ward based patient reviews.
  • CQUIN data collection

About us

We provide care and support to over half a million people in Wakefield and Kirklees in their homes, in community settings and across our three hospital sites at Pontefract, Dewsbury and Pinderfields (in Wakefield).

Always striving for excellence, we are at the forefront of innovation and research and we invest in teaching and the development of our workforce.

We live by our values of caring, improving, being respectful and maintaining high standards. We listen and learn because we aim to make Mid Yorkshire the best place to work and the best place to receive care.

We have a clear vision, and you could be part of this! If you share our values and you want to make a difference to the lives of our patients and their families and carers, we would love to hear from you.

Date posted

26 June 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,932 to £42,618 a year Pay is pro-rated for part time positions.

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

C9377-MED0054

Job locations

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Job description

Job responsibilities

Key Responsibilities

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Clinical

  • Will undertake specialist respiratory assessment of patients nursing needs, plan, implement and evaluate care delivery using clinical knowledge and clinical skills.
  • Identify suitable patients for early supported discharge, plan and arrange discharge and provide individualised, holistic care plans to suit the patients needs.
  • Review patients in the home environment following referral for admission avoidance. You will undertake advanced clinical assessment obtaining a history, clinical examination and conclude diagnosis implementing a treatment plan. You will also make the judgement if the patient can safely be managed at home or if they require hospital admission.
  • Review patients in accident and emergency or ambulatory care unit for admission avoidance following an initial assessment by the medical team. If deemed suitable for home care you will plan and implement the patients discharge and arrange follow up at home.
  • You will undertake frequent home visits to patients who are receiving an acute episode of PERT care ensuring their clinical condition is stable, maintaining a safe alternative to in -patient hospital care.
  • You will ensure all documentation and communication is maintained to a high standard.
  • You will liaise with members of the multi-disciplinary team and refer to other services and health care professionals where appropriate ensuring holistic care.
  • Manage a patient caseload of those requiring long term non- invasive ventilation providing expert assessment, planning and evaluation.
  • You will provide specialist respiratory nurse education to patients on the wards undertaking in-patient asthma reviews, COPD management, inhaler optimisation and oxygen prescribing advice.
  • You will perform in-patient oxygen assessments in accordance with best practice guidelines.
  • You will routinely perform arterial blood gas analysis and other investigations such as Tosca monitoring within the patients own home.
  • Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements.
  • Participate in specialist nurse outpatient clinics such as the home ventilation clinic and MDT MND clinic.
  • Establish and maintain effective communication with patients and carers / relatives.
  • Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery.
  • Recognise changes in patients condition that require the intervention of others and refer on as appropriate.
  • When appropriate you will be expected to undertake a non-medical supplementary and independent prescribing qualification in order to prescribe within area of speciality for your patients.
  • Work with the CNS / Team Leader to promote the development of nurses undertaking extended roles as considered appropriate.

Job description

Job responsibilities

Key Responsibilities

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Clinical

  • Will undertake specialist respiratory assessment of patients nursing needs, plan, implement and evaluate care delivery using clinical knowledge and clinical skills.
  • Identify suitable patients for early supported discharge, plan and arrange discharge and provide individualised, holistic care plans to suit the patients needs.
  • Review patients in the home environment following referral for admission avoidance. You will undertake advanced clinical assessment obtaining a history, clinical examination and conclude diagnosis implementing a treatment plan. You will also make the judgement if the patient can safely be managed at home or if they require hospital admission.
  • Review patients in accident and emergency or ambulatory care unit for admission avoidance following an initial assessment by the medical team. If deemed suitable for home care you will plan and implement the patients discharge and arrange follow up at home.
  • You will undertake frequent home visits to patients who are receiving an acute episode of PERT care ensuring their clinical condition is stable, maintaining a safe alternative to in -patient hospital care.
  • You will ensure all documentation and communication is maintained to a high standard.
  • You will liaise with members of the multi-disciplinary team and refer to other services and health care professionals where appropriate ensuring holistic care.
  • Manage a patient caseload of those requiring long term non- invasive ventilation providing expert assessment, planning and evaluation.
  • You will provide specialist respiratory nurse education to patients on the wards undertaking in-patient asthma reviews, COPD management, inhaler optimisation and oxygen prescribing advice.
  • You will perform in-patient oxygen assessments in accordance with best practice guidelines.
  • You will routinely perform arterial blood gas analysis and other investigations such as Tosca monitoring within the patients own home.
  • Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements.
  • Participate in specialist nurse outpatient clinics such as the home ventilation clinic and MDT MND clinic.
  • Establish and maintain effective communication with patients and carers / relatives.
  • Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery.
  • Recognise changes in patients condition that require the intervention of others and refer on as appropriate.
  • When appropriate you will be expected to undertake a non-medical supplementary and independent prescribing qualification in order to prescribe within area of speciality for your patients.
  • Work with the CNS / Team Leader to promote the development of nurses undertaking extended roles as considered appropriate.

Person Specification

Qualifications

Essential

  • Registered Nurse
  • Your professional knowledge acquired at degree level will be supplemented by specialist training, experience
  • Recognised teaching qualification

Desirable

  • Asthma qualification - diploma/degree level.
  • COPD qualification - diploma/degree level.

Knowledge and skills

Essential

  • In depth specialist respiratory knowledge.
  • Participate in service development and implementation of change.
  • Ability to communicate within a variety of settings with patients of varying levels of understanding.
  • Able to present written information in a logical manner.
  • Basic IT skills in word processing and spreadsheets.
  • Able to manage own caseload and work with minimal supervision.
  • Knowledge of professional and NHS issues.
  • Ability to develop effective interpersonal relationships with colleagues in the health care setting. Team player

Desirable

  • Ability to interpret spirometry/ arterial blood gas analysis.
  • Be able to perform phlebotomy and arterial blood gas sampling.

Experience

Essential

  • Significant registration experience within respiratory speciality
  • Broad range of clinical experience and the ability to translate learning into practice.

Desirable

  • Experience of managing patients on Non Invasive Ventilation.
  • Experience of managing patients with respiratory disease in any setting

Other

Essential

  • Be able to use own car for work purposes e.g. home visits.
  • Adaptable and flexible according to the demands of the service in terms
  • of job responsibilities, hours and work patterns and working trust wide.
  • Understanding of need to maintain confidentiality
Person Specification

Qualifications

Essential

  • Registered Nurse
  • Your professional knowledge acquired at degree level will be supplemented by specialist training, experience
  • Recognised teaching qualification

Desirable

  • Asthma qualification - diploma/degree level.
  • COPD qualification - diploma/degree level.

Knowledge and skills

Essential

  • In depth specialist respiratory knowledge.
  • Participate in service development and implementation of change.
  • Ability to communicate within a variety of settings with patients of varying levels of understanding.
  • Able to present written information in a logical manner.
  • Basic IT skills in word processing and spreadsheets.
  • Able to manage own caseload and work with minimal supervision.
  • Knowledge of professional and NHS issues.
  • Ability to develop effective interpersonal relationships with colleagues in the health care setting. Team player

Desirable

  • Ability to interpret spirometry/ arterial blood gas analysis.
  • Be able to perform phlebotomy and arterial blood gas sampling.

Experience

Essential

  • Significant registration experience within respiratory speciality
  • Broad range of clinical experience and the ability to translate learning into practice.

Desirable

  • Experience of managing patients on Non Invasive Ventilation.
  • Experience of managing patients with respiratory disease in any setting

Other

Essential

  • Be able to use own car for work purposes e.g. home visits.
  • Adaptable and flexible according to the demands of the service in terms
  • of job responsibilities, hours and work patterns and working trust wide.
  • Understanding of need to maintain confidentiality

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).

Additional information

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

Mid Yorkshire Teaching NHS Trust

Address

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Employer's website

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


Employer details

Employer name

Mid Yorkshire Teaching NHS Trust

Address

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Employer's website

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


For questions about the job, contact:

Clinical Nurse Specialist Respiratory

Sara Downs

s.downs@nhs.net

01924541827

Date posted

26 June 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,932 to £42,618 a year Pay is pro-rated for part time positions.

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

C9377-MED0054

Job locations

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG


Supporting documents

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