Job responsibilities
Job Responsibilities:
Clinical Nursing Practice
Assess, plan, develop, implement and evaluate care that promotes health and well-being, and prevents adverse effects that are detrimental to health
Carry out holistic and thorough reviews of patients with Asthma and COPD
To initiate investigations for patients on respiratory pathways
To carry out spirometry if indicated, and interpret the results (where qualified to do so)
To Implement and evaluate individual care plans for patients with Asthma and COPD, ensuring they understand 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/other treatment 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
Provide information and advice on prescribed or over-the-counter medication or medication regimes, side effects and interactions
Advise, support and if required, administer vaccinations recommended for respiratory patients, including influenza and pneumonia vaccines.
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 BTS/SIGN, GINA and National Institute for Clinical Excellence (NICE) guidelines and Evidence based care following the Black Country ICB Respiratory Guidelines for Asthma/COPD.
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
Have an understanding and an active involvement in reaching QOF targets related to their specialty.
To be aware and work towards any current enhanced services
To keep up to date with changes in guidance, and to feed learning back to the wider team To carry out home visits for respiratory patients who are not able to attend the surgery
To offer expert advice in the management of the patients long-term condition
To undertake other Clinical Nursing at an Advanced level as directed by the Lead NurseParticipate in regular review of prescribing practice with prescribing mentor.
Request diagnostic investigations and interpret within agreed protocols e.g. Spirometry, X-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.Refer patients to other members of the multi-disciplinary practice teams, secondary care organisations and other organisations as necessary.
Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Work closely with colleagues in specialist community/secondary care health services to ensure smooth transitions between teams and services and facilitate an improved access to evidence-based interventions
Work closely with, and provide day to day support and guidance to, the Care Co-ordinators and Health Coaches to connect patients to appropriate community and voluntary sector support.
Facilitate Respiratory health assessments in practice and support the practice team in accessing appropriate level of services.
Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including fast track referrals).
Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensure other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments, and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team
Accurate and legible notes of all consultations and treatments are recorded in the patients notes
Ensure clinical systems kept up to date, recording and/or amending accurate details
Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice
Attend and participate in practice meetings as required
Restocking and maintenance of clinical areas and consulting rooms
Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level.
Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation. Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education. Participate in the education and training students of all disciplines.
Maintain Revalidation with Nursing and Midwifery Council.
Act as a mentor for junior staff, assessing competence against set standards.
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
Develop and maintain a Personal Learning Plan.
Regularly participate in clinical supervision.
Leadership personal and people development
- Act as a clinical leader in the delivery of practice nursing services ensuring that the needs of the patient are a priority
- Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC)
- Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
- Support staff development in order to maximise potential
- Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
- Critically evaluate and review innovations and developments that are relevant to the area of work
- Work with practice management/Lead Nurse to ensure sufficient staffing to provide a safe service, and that staff have the appropriate ability, quality and skill-mix to meet current and future service delivery
- Take part in recruitment processes where appropriate.
- Maintain effective communication and active involvement in the planning and processes of practice-based commissioning or similar initiatives
- Promote the role of the Respiratory Specialist Nurse in General practice.
Management Duties
Develop and maintain practice policies and protocols for Specialist Respiratory Health.
Work closely with Lead Nurse and Senior Respiratory Specialist Nurse and deputise at Senior Level as required.
Ensure agreed practice audits are carried out
Ensure Lead Nurse/ Hub Managers are aware of any matters arising or problems / potential problems
Ensure all surgery-produced nursing respiratory leaflets are kept up to date
