Registered Nurse (Respiratory)

Job description

Job responsibilities

Our Vision

To support our practices and patients by being a lead provider of innovative, responsive and high-quality GP-linked primary care services in North West Surrey, delivering equitable access to primary care services and improving the healthcare of our population.

Our Mission

To support our practices and their patients by providing high quality, responsive and compassionate health care services. We do this by working collaboratively with our practices and other health providers across Surrey.

Our Values

Our values are at the heart of everything that we do and inspire us. Our responsibilities and personal interaction with patients and with others are guided by our core values of working together for our patients, commitment to quality of care, ensuring everyone counts and improving lives.

Job Purpose/Main responsibilities of role:

Service Provision:

• Running spirometry clinics from NICS Acute Illness sites and outreach clinics.
• Numerical and clinical Interpretation of adult and paediatric spirometry and FeNO results for the service.
• Provide support to Administration Team with triage of referrals.
• Troubleshoot problems occurring on clinic days with spirometers and connection errors.
• Provide on-call support to HCA team when clinics are running, via teams WhatsApp group.
• Liaise with Respiratory Nurse Specialist.
• Liaise with other services to support joined-up working with outside agencies as part of the development of the service.

Quality Assurance:

• Quality control and verification of interpretations carried out by other clinicians.
• Maintain quality and standard required for all testing performed.
• Ensure spirometer settings at each location are in line with correct protocols.
• Identify patients requiring urgent onward referral to secondary care.
• Remain up to date with guidelines for performing spirometry and FeNO and feedback to team.

Line Management:

• Supervise and support HCAs both in person on-site and via on-line training.
• Feedback any concerns to Clinic lead /Clinic co-ordinators
• Participate in team meetings.

Governance:

• Ensure service is providing ARTP/BTS standard spirometry testing.
• Check calibration ranges / equipment maintenance for each location.
• Conduct IPC monthly audits.
• Ensure clinic data results and history is accurate on EMIS.
• Support with Standard operating procedure updates

RADAR:

• Report Safeguarding concerns arising in clinic
• Report IT issues encountered by service
• Report IPC concerns

Requirements:

• Asthma Diploma or equivalent
• ARTP or similar accreditation
• Working and up to date knowledge of Asthma and COPD
• Performing and Interpretation of spirometry certificate or similar
• Enthusiastic and innovative team player who can work autonomously.
• Specialist interest in Respiratory disease

Supervisory experience

The post holder is responsible for the delivery of Asthma and COPD investigations and reviews. The post holder will support patients to better manage their long term conditions, using a personalised care planning approach.

They will work collaboratively with the Multi-Disciplinary Team to meet the needs of patients. They will support the clinical team as well as the Health Care Assistants providing advice and guidance where applicable.

• To initiate investigations for patients on respiratory pathways
• To carry out FeNO/Spirometry if indicated, and interpret the results (where qualified to do so)
• Implement and evaluate individual care plans for patients with Asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms
• Identify and manage appropriately patients at risk of developing respiratory disease
• To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control.
• Provide patients with teaching to ensure good inhaler technique
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care
• Support patients to adopt health promotion strategies that encourage good health, deliver opportunistic health promotion at all times and support the principles of selfcare
• Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload that maintains and promotes quality
• Deliver care according to the NSF and National Institute for Clinical Excellence (NICE) guidelines and Evidence based care
• Understand and apply the legal policy that supports the identification of vulnerable and abused adults and children being aware of local policies, guidelines and procedures
• To keep up to date with changes in guidance.
• Recognise and work within their own competence and professional code of conduct.

Confidentiality

• Everyone working in or for the NHS has the responsibility to use information and data in a secure and confidential way. Staff who have access to information about individuals (whether patients, staff, or others) need to use it effectively, whilst maintaining appropriate levels of confidentiality. You must be aware of the data protection legislation in relation to data security (confidentiality, integrity and availability) and ensure strict adherence to the provisions therein at all times.
• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, NICS staff and other healthcare workers. They may also have access to information relating to NICS as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of NICS may only be divulged to authorised persons in accordance with the NICS policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Health & safety

Health & Safety policy and NICS Infection Control policy and published procedures. This will include (but will not be limited to):

• Maintaining an up-to-date knowledge of health, safety, and infection control statutory and best practice guidelines and ensuring implementation across the business.
• Using personal security systems within the workplace according to NICS guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across the business.
• Making effective use of training to update knowledge and skills,
• Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
• Undertaking periodic infection control training (minimum annually)
• Routine management of team areas, and maintenance of workspace standards
• Demonstrate due regard for safeguarding and promoting the welfare of children.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner that is welcoming to, of the individual, is non-judgmental, and respects their circumstances, feelings priorities and rights.

Personal/Professional development

The post-holder will participate in any training programme implemented by NICS as part of this employment, with such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.
• Recognise peoples needs for alternative methods of communication and respond accordingly.

Contribution to the implementation of services

The post-holder will:

• Apply NICS policies, standards and guidance.
• Discuss with other members of the team how the policies, standards and guidelines will affect their own work.
• Participate in audit where appropriate.

Person Specification

Knowledge and Skills

Essential

• Good communication and interpersonal skills
• Ability to cope with and manage change.
• IT literacy with experience in using electronic health record systems (EHR) and image management software. (Cerner / EMIS preferable)
• Must be prepared to undertake all mandatory/essential training.
• Must be prepared to undertake further training as required by the service.
• Knowledge of the respiratory system

Desirable

• Experience of operating NHS IT Systems

Personal Qualities

Essential

• Flexible approach to the needs of the department/service
• Flexibility to be able to work a full range of shifts
• Willingness to undertake training and development, particularly in the area of clinical photography and dermatology care.
• A genuine desire to make a real difference in peoples lives

Qualifications

Essential

• Evidence of ongoing professional development

Other

Essential

• Ability to travel between sites as required
• Driving license

Experience

Essential

• Registered Nurse
• Respiratory experience/education or relevant clinical experience.
• Be willing to undertake further training in respiratory education.
• Awareness of, and commitment to, continuing professional development relevant to the post.
• Experience of working in community setting.

Desirable

• Asthma/COPD Certificate
• ARTP or equivalent
• Performing and interpretation of Spirometry/ adults and paediatric
• FeNO diagnostics

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

North West Surrey Integrated Care Services

Address

St. Peter’s Hospital

Guildford Road

Chertsey

Surrey

KT16 0PZ

Employer's website

https://www.nicsfed.co.uk/ (Opens in a new tab)