Primary Integrated Community Services

Respiratory and Spirometry Nurse (Adult and Paediatric)

Information:

This job is now closed

Job summary

The post holder will undertake diagnostic spirometry tests for adults and children across Nottinghamshire interpreting and reporting on results. This testing will be for GP Practices, Community Services and initiatives led by the Integrated Care Board. The post holder will support nurses in General Practice to achieve ARTP accreditation to enable them to independently undertake spirometry.

The role will not be restricted to spirometry testing. You will be part of PICS Community Respiratory Services team that provides an ongoing caseload service within Nottinghamshire and will be very much a participant in this broader service.

The work base will be in Nottingham but this is a community role that covers both the Greater Nottingham and Mid Nottinghamshire areas. Mobility is essential for this role.

The post holder is a registered nurse with NMC and has an ARTP certification for performing and interpreting spirometry.

The role involves a great deal of working with other fellow health professionals from primary, community and secondary care.

Main duties of the job

KEY REQUIREMENTS:

  • Membership of a professional body (NMC)
  • ARTP certification for performing and interpreting spirometry
  • Knowledge of needs of patients with long term conditions

KEY RESPONSIBILITIES:

  • Support Practice Nurses / Practice Managers / care coordinators to identify adult patients who require spirometry for diagnosis of respiratory disease and to prioritise those patients whose clinical need is greatest.
  • Work with the practice team to identify times to run spirometry clinics within GP practice settings
  • Assist in the development of systems for practices to invite patients and pre-screen patients prior to appointments

About us

PICS is the employer for this role. We collaborate with patients and partners to design and deliver clinically robust health and social care solution through Community Services, Out of Hospital Services, GP Practices, and Primary Care Networks. Find out more about us: http://picsnhs.org.uk/.

Benefits of working for PICS

We offer a comprehensive package which includes:

  • NHS Pension 2015 Scheme (subject to eligibility)

  • Alternative government-based scheme (subject to eligibility)
  • Generous annual leave entitlement which references NHS Agenda for Change and recognises previous NHS service, starting 35 days pro rata (inc bank holidays)
  • Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
  • Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
  • Working in a multi-disciplinary team with support from a wide variety of professionals
  • A flexible approach to a work-life balance
  • Cycle to work scheme (subject to eligibility)
  • Access to Blue Light Card scheme
  • All staff events and conferences
  • Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
  • Free parking across many sites
  • Personalised induction into the company and job role

Details

Date posted

07 November 2023

Pay scheme

Other

Salary

Depending on experience £43,742 to £50,056 pro rata

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0220-23-0023-COMM

Job locations

P I C S Ltd

Nottingham Business Park

Nottingham

NG8 6PY


Job description

Job responsibilities

JOB PURPOSE

The post holder has a specific remit to support the GP Practices in Mid and Greater Notts to reduce the demand of diagnostic spirometry in Primary Care. This will be achieved by performing diagnostic spirometry on patients and by supporting nurses in General Practice to achieve ARTP accreditation to enable them to independently undertake spirometry.

KEY RESPONSIBILITIES

Clinical Practice:

  • Support Practice Nurses / Practice Managers / care coordinators to identify adult patients who require spirometry for diagnosis of respiratory disease and to prioritise those patients whose clinical need is greatest.
  • Work with the practice team to identify times to run spirometry clinics within GP practice settings
  • Assist in the development of systems for practices to invite patients and pre-screen patients prior to appointments
  • Care for, decontaminate and calibrate spirometry equipment provided for the post holders use in line with PICS infection control policy and spirometry protocol
  • Assess patients individually for indications and contraindications for the procedure
  • Undertake diagnostic spirometry including reversibility which will require use of beta- agonist medication administered via a PGD if the post holder not a prescriber
  • Interpret spirometry results including response to bronchodilators where applicable
  • Explain results and implications of diagnosis to the patient
  • Relay results of spirometry to the GP practice to enable them to manage the patientsrespiratory disease in line with local and national guidance
  • Respond appropriately to medical emergencies, seeking prompt assistance and utilising emergency equipment available in GP Practices
  • Deliver high standards of patient care using advanced autonomous clinical knowledge in the specific area, incorporating broad in-depth knowledge base and evidence-based practice.
Communication:

  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
  • Communicate with and support patients who are receiving a respiratory diagnosis
  • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
  • Utilise communication skills to support patients to adhere to prescribed treatment regimens.
  • Anticipate barriers to communication and take action to improve communication.
  • Estimate and maintain effective communication with individuals and groups within the practice environments.
  • Act as an advocate when representing the patients and colleagues viewpoints to others.
Delivery Quality Service:

  • Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC 2008).
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Deliver care according to National Institute for Clinical Excellence (NICE) guidelines, local guidelines and evidence-based care.
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
  • Participate in the maintenance of quality governance systems and processes across the organisation and its activities.
  • Actively participate in audit of the spirometry service, collecting and analysing data. Utilise the audit cycle as a means of evaluating the quality of the work of self, implementing improvements where required.
  • In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate.
  • Evaluate the patients response to health care provision and the effectiveness of care.
  • Support and participate in shared learning across the practices and wider organisation.
  • Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework.
  • Participate in the performance monitoring review of the service, providing feedback as appropriate.
  • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.
  • Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate.

For more information, please see the supporting documents.

Job description

Job responsibilities

JOB PURPOSE

The post holder has a specific remit to support the GP Practices in Mid and Greater Notts to reduce the demand of diagnostic spirometry in Primary Care. This will be achieved by performing diagnostic spirometry on patients and by supporting nurses in General Practice to achieve ARTP accreditation to enable them to independently undertake spirometry.

KEY RESPONSIBILITIES

Clinical Practice:

  • Support Practice Nurses / Practice Managers / care coordinators to identify adult patients who require spirometry for diagnosis of respiratory disease and to prioritise those patients whose clinical need is greatest.
  • Work with the practice team to identify times to run spirometry clinics within GP practice settings
  • Assist in the development of systems for practices to invite patients and pre-screen patients prior to appointments
  • Care for, decontaminate and calibrate spirometry equipment provided for the post holders use in line with PICS infection control policy and spirometry protocol
  • Assess patients individually for indications and contraindications for the procedure
  • Undertake diagnostic spirometry including reversibility which will require use of beta- agonist medication administered via a PGD if the post holder not a prescriber
  • Interpret spirometry results including response to bronchodilators where applicable
  • Explain results and implications of diagnosis to the patient
  • Relay results of spirometry to the GP practice to enable them to manage the patientsrespiratory disease in line with local and national guidance
  • Respond appropriately to medical emergencies, seeking prompt assistance and utilising emergency equipment available in GP Practices
  • Deliver high standards of patient care using advanced autonomous clinical knowledge in the specific area, incorporating broad in-depth knowledge base and evidence-based practice.
Communication:

  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
  • Communicate with and support patients who are receiving a respiratory diagnosis
  • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
  • Utilise communication skills to support patients to adhere to prescribed treatment regimens.
  • Anticipate barriers to communication and take action to improve communication.
  • Estimate and maintain effective communication with individuals and groups within the practice environments.
  • Act as an advocate when representing the patients and colleagues viewpoints to others.
Delivery Quality Service:

  • Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC 2008).
  • Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
  • Deliver care according to National Institute for Clinical Excellence (NICE) guidelines, local guidelines and evidence-based care.
  • Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
  • Participate in the maintenance of quality governance systems and processes across the organisation and its activities.
  • Actively participate in audit of the spirometry service, collecting and analysing data. Utilise the audit cycle as a means of evaluating the quality of the work of self, implementing improvements where required.
  • In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate.
  • Evaluate the patients response to health care provision and the effectiveness of care.
  • Support and participate in shared learning across the practices and wider organisation.
  • Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework.
  • Participate in the performance monitoring review of the service, providing feedback as appropriate.
  • Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.
  • Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate.

For more information, please see the supporting documents.

Person Specification

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide your registration number of your NMC professional registration.

Knowledge and skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.
Person Specification

Experience

Essential

  • Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Qualifications

Essential

  • Please provide details of your CPD, using examples where necessary.
  • Please provide your registration number of your NMC professional registration.

Knowledge and skills

Essential

  • Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Personal Qualities

Essential

  • Please provide details for why you would be a great fit for this role and why you have decided to apply.

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).

Additional information

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).

Employer details

Employer name

Primary Integrated Community Services

Address

P I C S Ltd

Nottingham Business Park

Nottingham

NG8 6PY


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer details

Employer name

Primary Integrated Community Services

Address

P I C S Ltd

Nottingham Business Park

Nottingham

NG8 6PY


Employer's website

http://picsnhs.org.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Services Lead

Ian Griffiths

ian.griffiths14@nhs.net

07741153209

Details

Date posted

07 November 2023

Pay scheme

Other

Salary

Depending on experience £43,742 to £50,056 pro rata

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

E0220-23-0023-COMM

Job locations

P I C S Ltd

Nottingham Business Park

Nottingham

NG8 6PY


Supporting documents

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