Specialist Nurse - Respiratory

Job responsibilities

JOB SUMMARY

• The post-holder will support the Team Leader in the delivery of the Breathe Service in community
• To manage a defined clinical caseload, providing specialist support, education and complex case management to people with respiratory conditions and their families and carers.
• Work as part of a wider Neighbourhood Multi-disciplinary team of nursing, therapy, mental health, social care and primary care staff.
• Liaise with primary and secondary care colleagues, providing education and support, thus developing and maintaining high quality evidence based respiratory care across Barnsley

KEY RESULT AREAS:

• Work autonomously assessing and managing own clinical caseload for all clients/patients within a designated neighbourhood (both clinic and home visits). Supporting patients with a range of respiratory conditions or on a respiratory rehabilitation pathway (including, but not limited to coronavirus rehabilitation, patients requiring End of Life support or those requiring Long Term Oxygen or nebuliser assessment and therapy)
• Use and apply specialised skills underpinned by advanced theoretical knowledge of professional practice in order to maintain professional competence and fitness to practice as a Respiratory Nurse Specialist
• To work as an expert practitioner within the Breathe Service demonstrating evidence based knowledge, investigative and analytical skills and specialised assessment techniques to triage, assess and manage a range of complex presentations, taking into account physical, psychological and social care needs.
• Formulate and implement treatment plans based on current evidence and expert clinical reasoning demonstrating a comprehensive understanding of treatments including the integration of the principles of self-management, enabling individuals to function independently by increasing their choice to remain in their own home/community, thereby reducing inappropriate hospital admissions
• Enable people to receive an early and accurate diagnosis and receive the relevant information and support to manage their respiratory disease.
• Participate in multi-disciplinary team meetings, contributing to decisions with regards to patient care.
• Work alongside Primary Care GPs and Practice Nurses and in managing patients within the respective Primary Care Network. Providing targeted support to practices, where rates of respiratory disease per practice population are highest.
• Work in collaboration with the respiratory and medical teams within secondary care to help facilitate the early supported discharge of patients following an emergency admission for an acute or chronic respiratory condition, to support the provision of seamless care.
• Manage referrals to the service from medical, nursing staff and other sources and ensure patients are seen within the required timescales based upon clinical need. This will include patients in crisis requiring urgent assessment and support, those at risk of hospital admission and End of Life patients.
• Play an active role to initiate, plan and implement induction, training and education of junior team members, the broader community nursing teams and students
• Ensure appropriate supervision and caseload support of junior members of the team
• Understand the requirements and implications for service delivery of National Standards eg NICE guidelines, National Service Frameworks, British Thoracic Society guidelines where applicable
• Lead on the development and delivery of specialised education programmes to own and other professionals to enable best practice in the care and treatment of individuals with respiratory conditions
• Adhere to and as appropriate contribute to the development and review of policies, procedures and standards relating to the service; using an evidence based approach.
• Work within and as appropriate contribute to the clinical governance framework to maintain consistently high standards of care, working from an evidence base or current best practice.
• Undertake Nurse Prescribing in response to assessed need and in accordance with trust policy.
• Ensure complete, accurate and up to date records are maintained in accordance with NMC guidelines and trust policy. Record all client contacts and activities, and input data into appropriate IT system in a timely manner in accordance with PCT protocols.
• Adhere to the NMC scope of professional practice and trust policies and procedures; ensuring professional competency and development by updating skills and knowledge; attending all mandatory training.

Communication with others:

Communicate effectively, empathically and in a cultural sensitive manner with patients, representatives, carers and their families, interpreters will be used effectively where the need is identified.

Communicate effectively with all members of the Breathe Service; providing information as necessary to provide a cohesive and effective service.

Communicate effectively with other health professionals, statutory and voluntary agencies to ensure a team approach to patient care; providing explanations of any relevant cultural issues as required.

Communicate effectively with SWYPFT GP practices and health professionals in other areas.

For full details of the role please see the supporting documents attached.

Personal Attributes

Essential

• Able to work evenings and weekends.
• Flexibility to meet the needs of the service.
• Reliable, motivated and enthusiastic.
• Ability to communicate on all levels.
• Able to be mobile on a daily basis to meet the requirements of the post.
• Able to work independently and as part of a team.
• A current driving licence and access to a car during the working day is essential (reasonable adjustments will be considered for any applicants who are unable to drive due to a disability).

Physical Attributes

Desirable

• Ability to undertake the duties and demands of the post. A satisfactory sickness record over the previous 2 years (subject to the need to act with fairness and equality of opportunity, particularly where the sickness is related to a disability and/or pregnancy).

Qualifications

Essential

• First Level Nurse.
• Educated to Graduate level and/or working towards Masters level.
• Diploma/Degree in Respiratory Disease or working towards.

Desirable

• Professional teaching qualification.

Experience

Essential

• Post registration experience.
• Recent experience of Respiratory care and clinical examination.
• Substantial experience of working as part of a nursing team and/or multi-disciplinary/multi-agency team.

Desirable

• Recent experience of working in the community setting.

Special Knowledge/Skills

Essential

• Recent up to date knowledge of COPD, Oxygen and Respiratory care including management of acute exacerbations and acutely unwell patients.
• Excellent communication and interpersonal skills.
• Excellent team working skills.
• Ability to work autonomously and prioritise and organise workload ensuring effective management skills.
• Sound understanding of clinical governance and its implications for services, including experience of quality issues and audit. Ability to apply principles to workplace.
• Ability to effectively network and form professional relationships with other healthcare/multi-agency professionals.
• Good presentation skills.
• Sound IT skills including use of Microsoft Word, Powerpoint, Outlook and accessing the internet.

Training

Essential

• ARTP accredited (or willingness to undergo accreditation upon commencement in post).

Desirable

• Nurse Independent Prescriber.

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.

UK Registration

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