Respiratory specialist nurse

Job description

Job responsibilities

Responsibility for Patient Care

Clinically assess, manage and review respiratory patients, identify and advise on risk factors and act to prevent avoidable hospital admissions where possible.

Responsibility for caseloads, focusing particularly on the complex needs patients with respiratory illness, ensuring all patients have an accurate management plan, reflecting assessments and incorporating the issues and recommendations made.

Practice as an autonomous professional in self-directed manner with confidence, authority and expertise, undertaking comprehensive range of clinical skills within specialist area.

Promote health and wellbeing, empowering patients to make lifestyle changes and self-manage, offering the appropriate health education information to advice to patients, relatives and carers.

Provide expert nursing advice and support to patients, their families/carers following diagnosis and through treatment process, identifying particularly complex clinical needs.

Use professional judgement and clinical experience in managing complex and unpredictable patient events. Learning from situations to improve future patient care and service delivery.

Critically evaluate and challenge current practice and processes of respiratory care and management, identifying and initiating appropriate steps to assist with innovative solutions to modernise and develop services to achieve Practice objectives.

Help with the identification, development and evaluation of clinical protocols and strategies to standards of specialist respiratory disease management whilst ensuring equity of access into the service via numerous pathways/referral routes.

Collaborate with IT to ensure full understanding of QOF recall systems and to ensure smooth running of clinics.

Collaborate with palliative care services and other professional disciplines to provide a seamless service for patients who are end of life. Assist in the management of patients in the terminal phase by joint working with community/neighbourhood care healthcare professionals and palliative care services following end of life discussions and offer appropriate specialist opinion in relation to the management of respiratory illness.

Assist to implement nurse led clinics for respiratory management using advanced specialist skills and knowledge to ensure consistent high standards of care.

Contribute to PCN meetings and Projects.

Delivering a Quality Service

• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• 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 as an individual and Nurse Team according to NSF, NICE guidelines and evidence-based care
• Assist with the assessment of effectiveness of care delivery for the Nursing Team through peer review, benchmarking and formal evaluation
• Assist on the maintenance of quality governance systems for the Nursing Team
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, suggesting improvements where required
• Evaluate patients response to health care provision and the effectiveness of care
• Actively participate in shared learning across the Practice
• Understand and apply policies that support the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedures and local guidance
• Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Leadership - Personal and People Development

• Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model
• Support the development of others in order to maximise staff potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Assist in the planning and implementation of changes within the area of care and responsibility
• Assist and participate in the development of local guidelines, protocols and standards where appropriate
• Promote the role of the Nursing Team in the provision of care

Team Working

• Understand own role and scope in the Practice and identify how this may develop over time
• Delegate appropriately, adopting the principles of safe practice and assessment of competence of nurses
• Ensure clear referral mechanisms are in place to meet patient need
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery
• Support nursing team activities that create opportunities to improve patient care
• Participate in and support local projects as agreed with the Nurse Manager

Management of Risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure the safe storage, rotation and disposal of vaccines and drugs
• Act as a role model to support members of the Nurse Team to undertake mandatory and statutory training requirements
• Apply infection-control measures within the Practice according to local and national guidelines
• Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

• Participate in the local implementation strategies that are aligned to the values and culture of general practice

Utilising Information

• Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes
• Manage information searches using the internet and local library databases
• Understand the responsibility of self and others regarding the Freedom of Information Act

• Collate, analyse and present clinical data and information to the Practice Team, (using appropriate visual aids etc.), to enhance care

Learning and Development

• Act as mentor for more junior staff and students, assist in assessing competence against set standards
• Disseminate learning and information to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences)
• Assess own learning needs and undertake learning as appropriate
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Equality and Diversity

• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
• Enable others to promote equality and diversity in a non-discriminatory culture
• Support people who need assistance in exercising their rights
• Monitor and evaluate adherence to local chaperoning policies
• Act as a role model in the observance of equality and diversity good practice
• Accept the rights of individuals to choose their care providers, participate in care and refuse care.
• Assist patients from marginalised groups to access quality care

This job description is not an exhaustive list of duties but is designed to give a general indication of the range of work undertaken and will vary in the light of changing demand and priorities within the Practice.

Substantive changes in the range of work undertaken will be carried out in consultation with the post holder.

Person Specification

Experience

Essential

• Experience working in a primary care setting.
• Evidence of working autonomously or as part of a team.
• Understanding and knowledge of healthcare provision in general
• practice, including QOF and enhanced services.

Desirable

• Good knowledge of clinical IT system such as Systm1.

Skills

Essential

• Ability to communicate complex and sensitive information effectively with people at all levels by telephone, email and face to face.
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet.
• Ability to promote best practice regarding all nursing matters within your scope of practice.
• Ability to follow legal, ethical, professional and organisational
• policies/procedures and codes of conduct.
• Effective time management and adaptability.
• Demonstrate personal accountability, emotional resilience and work well under pressure.

Desirable

• Flexibility to work outside of core office hours.

Qualifications

Essential

• NMC Registered Nurse.
• Diploma Level or equivalent in Respiratory.

Desirable

• Educated to Degree Level.
• Independent Prescriber Qualification.

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

Rosebank Health

Address

Kingsway Health Centre

Rudloe Drive, Kingsway

Gloucester

Gloucestershire

GL2 2FY

Employer's website

https://www.rosebankhealth.nhs.uk/ (Opens in a new tab)