Community Respiratory Specialist Nurse

Job responsibilities

Management and Leadership

Identifies need for change and supports management of change, including service development.

Negotiation and influencing skills.

Provide direct management for band 5, 4 and 3 colleagues.

Coordinate clinical work with colleagues demonstrating effective time management skills and participates in the monitoring and reviewing of team performance.

To commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.

To understand owns role within the wider multi-disciplinary team and articulate own develop needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.

Possess effective leadership skills by directly managing junior staff within the teams.

Perform risk assessments and compile action plans for the service.

Be an active part in the recruitment process including short listing and interviewing.

Participate in and provide clinical supervision.

Promote service development, improvements and quality expansion and efficiencies.

Clinical Responsibilities

To case manage patients with a complex respiratory diagnosis within a community setting without direct supervision, reporting to the respiratory specialist nurse lead, as appropriate, utilising specialist history taking and examination skills.

Holistically assess patient need and develop a plan of care that is individualised and meets the needs of patients and carers through physical assessment skills and a respiratory accredited course.

Diagnostic spirometry performance and interpretation qualification and registration either through The Association for Respiratory Technology and Physiology (ARTP) or at certified ARTP standard, is desirable but not essential as training will be provided.

Possess sound knowledge of supplementary oxygen guidelines, assessment, review and prescribing through blood gas performance and interpretation.

Perform all oxygen assessment and reviews as outlined through BTS guidance.

Identify, manage and review adjustments in optimising medication within agreed service protocols, through non-medical prescribing.

Assist patients to identify and manage risk factors using behavioural change to self-manage their condition.

Provide specialist advice to patients/carers in relation to programmes of care which may be complex.

Provide sensitive information to patients, where there may be barriers to understand.

Decision making/clinical judgment and problem solving.

Liase with multi-disciplinary teams, referring as appropriate.

To contribute to the development of service specific guidelines and protocols that are evidence based.

Work closely with key members of the team from primary and secondary care to alter the management plan as appropriate. Communicate and accurately document any changes in a timely manner.

Support service provision within the local area and wider foundation trust.

Adhere to trust clinical governance, equality and diversity policy through ethical decision-making.

Assess and manage risk.

Service user/public involvement.

Supervise the work of others; clinical supervision of staff, students; provides training to others.

Work within codes of practice and professional guidelines.

Attend mandatory training and maintain evidence based practice. Be accountable for maintaining skills and revalidation.

Promote and support effective implementation of all Organisational Policies and Procedures, and practice in accordance with them.

Support and promote a team culture which actively encourages empowerment thereby supporting and facilitating change.

Support the provision of a high quality, value for money and effective service within available resources.

Educational Responsibilities

Provide and support training for the multidisciplinary team in the management of complex respiratory disease.

Be a role model providing mentorship and coaching to the team.

Provide positive well-being support to the team.

To regularly attend and participate in training, peer support and clinical supervision.

Supporting others to develop knowledge and skills.

Promotion of learning/creation of learning environment.

Service user/carer teaching and information giving.

Support local patient groups, including hospice, providing education.

Developing service user/carer education materials.

Acts as a resource for improving health.

Teaching and mentorship.

Act as a Link for TAPS, providing specialist education and training specific to the needs of patients with respiratory conditions.

Research

Involvement in any research and service development.

Involvement in audit and service evaluation.

Implements policies and proposed changes to working practices or procedures in own work area.

11. COMMUNICATIONS AND WORKING RELATIONSHIPS

Reports and accountable to respiratory nurse specialist lead.

All members of the countywide respiratory team.

Regional and national respiratory groups.

Consultant physicians and medical staff/teams.

Community staff including community and therapy teams.

Multidisciplinary team including social care.

County Council, housing, and leisure services staff.

Primary care teams.

Patients and carers.

Voluntary groups/organisations.

Qualifications

Essential

• Registered Nurse.
• Excellent communication and interpersonal, organisational and problem solving skills.
• Professional knowledge acquired through degree or equivalent level of demonstrable professional knowledge/experience.
• Accredited respiratory course with specialist knowledge of respiratory disease including disease specific management pathways and sound skills in holistic respiratory history and examination or willingness to work towards.
• Experience of managing complex respiratory patients including specialist clinical assessment.
• Specialist knowledge of respiratory disease including disease specific management pathways.
• Physical assessment skills course or willingness to work towards within first 12 months of employment.
• Independent prescribing course and prescribing experience or willingness to work towards within the first 24 months of employment.
• Sound knowledge of national and regional policies influencing respiratory disease.
• Accredited teaching qualification.

Desirable

• Cognitive Behavioural Therapy qualification or willingness to work towards.
• Diagnostic spirometry performance and interpretation qualification and registration either through The Association for Respiratory Technology and Physiology (ARTP) or at certified ARTP standard, is desirable but not essential as training will be provided.
• Sound knowledge of supplementary oxygen guidelines, assessment, review and prescribing through blood gas performance and interpretation, is desirable but not essential as training will be provided.

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

Experience

Essential

• Post registration experience of working with complex respiratory patients.
• Up to date knowledge of professional practice and new research in management of relevant respiratory conditions.
• Audit and/or service development/review experience.

Desirable

• Experience of health improvement/promotion.
• Experience of Cognitive behavioural therapy.
• Experience of pulmonary rehabilitation/smoking cessation.
• Experience of working within a community setting.

Special Skills & Knowledge

Essential

• Evidence of team working.
• Specialist knowledge of respiratory disease including disease specific management pathways and self-management planning.
• Accurately record clinical data and understand its significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate and peak flow rate.
• Brief smoking cessation intervention.
• Assess and train inhaler technique.
• Knowledge of benefits of pulmonary Rehabilitation.
• Knowledge of self-management and exacerbation management.
• Phlebotomy or willing to work towards.
• Ability to work independently and with minimal supervision.
• Ability to act alone in an emergency situation.
• Able to prioritise work on a daily basis to meet service demands.
• Confident in the use of email and basic IT skills.
• Understand use of health related questionnaires and patient reported outcome measures.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Special Requirements

Essential

• Able to travel independently around County Durham & Darlington.
• Flexible attitude to work.
• Able to safely move and handle loads.

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).