Job responsibilities
Job Purpose:
The overall
purpose of this role is to co-ordinate the HOS-AR service for Worcestershire,
ensuring that the key expected outcomes outlined in the service specification
are delivered. These include provision of a systematic, responsive, integrated,
efficient HOS-AR that ensures service users have a positive experience of care.
The scope of the service is adult patients with a Worcestershire general
practitioner.
Key Duties
To develop
clinically effective practice in the HOS-AR service through care pathways,
which are integrated alongside the whole system of primary and secondary care.
Provision of
Specialist Clinical Services
The post-holder
will:
To triage all
referrals for oxygen assessment, allocating the patient to the most appropriate
assessment clinic.
To provide a
responsive, integrated, easily accessible assessment and follow up service
To carry out
specialist oxygen assessments of adult patients in both acute and non-acute
situations. This procedure may include: pulse oximetry, arterial and capillary
blood gas sampling, exercise testing and assessment, functional assessment and
measurement of psycho-social status.
Where
appropriate, it may be necessary to deal with other aspects of the patients
during oxygen assessment/review. This may include managing acute exacerbation,
nebulised medication, breathlessness, panic and fear, patient monitoring,
education of patient and carers, and link into other appropriate health care
professionals, for example neurology and cardiology.
To identify
accurately those patients who will benefit from Long term Oxygen (LTOT) and
review of existing patients to identify those who have prescribed home oxygen
but will not benefit
Patients who
retain CO2, consider non-invasive ventilation (NIV) with advice from
Respiratory Physician as required
To ensure all
assessments and reviews are undertaken in accordance with the British Thoracic
Society Guidelines
Plan, deliver and
evaluate the care of patients in partnership with other hospital and community
teams.
To develop oxygen
assessment and review pathways for patients in community settings, both the
patients home and community institutions.
To construct and
maintain a countywide oxygen database with IT assistance.
To use
communication tools (verbal and non-verbal) to gain informed consent from
patients including where there are barriers to effective communication.
Using appropriate
assessment tools ensure an appropriate level of nursing intervention so that
patients who present with additional or more complex needs are referred to the
appropriate clinician.
To discuss all
treatment options with sensitivity, knowledge and expertise and to act as
patient advocate when appropriate and respecting patient confidentiality and
privacy with respect for diverse cultural backgrounds and requirements.
To work in
partnership with the patients to empower them to make informed choices about
their health and their healthcare.
Establish and
maintain communication links with other professionals while dealing with
complex and sensitive information.
Communicate with
patients and carers using a range of communication skills to manage care and
information which may be of a complex, and distressing nature dealing
empathetically with sensitive information, including discussing patients
changing condition with patient and/or carer
Keep accurate and
up to date records in partnership with clients.
Actively respect
patients privacy and dignity and protect their property and possessions.
Education
and Training
Participate
in the Trust personal development review (PDR).
Agree
service and personal objectives with the Clinical Team Lead and be responsible
for self-audit to demonstrate both achievement of objectives and evidence of
value to the trust.
Provide
specialist advice, teaching and training of other healthcare professionals with
regard to optimal management of patients with COPD on a formal and informal
basis.
Advise,
educate and train other members of the team, as appropriate, to ensure high
quality clinical care is delivered to patients.
Commit
to a philosophy of care which has an emphasis on self-management and patient
empowerment through undertaking health education and health promotion
activities.
To
be an active member of the in-service training programme by attending and
delivering presentations at staff meetings, tutorials and training sessions
internally and by attending external courses and utilising reflective practice
to ensure continuing professional development.
To
actively participate in audit and/or research, leading in specific projects and
supporting others. Thus facilitating evaluation of services offered, quality of
care and further developing the services delivered by the HOS Team in
conjunction with the Clinical Team Lead.
Act
as a clinical educator for students within the team providing the appropriate
level of clinical supervision, education and assessment according to the
training provider standards and regulations.
Professional
Be
professionally and legally accountable for all aspects of own work; including
caseload management. Ensure a high standard of clinical care is provided to
your patients and support junior staff to achieve this also.
Demonstrate
a working knowledge of clinical governance and risk management strategies
relevant to the role.
Be
aware of Health and Safety relevant to the role and comply with any policies
which may be required to maintain and improve the safety of your work area,
including the prompt recording and reporting of incidents or accidents via the
appropriate channel e.g. Datix.
Maintain
own continuing professional development records and assume responsibility for
remaining fit to practice within your profession.
Plan,
organise and conduct own areas for practice-based research, including audit and
service evaluation, in conjunction with the Clinical Team Lead.
Maintain
accountability for practice following the Nursing and Midwifery Council Codes
of Professional Conduct.
To
act as expert practitioner and resource to colleagues offering support and
advice where needed, promoting the principles of recovery and service user
involvement and ensuring that team members
work in
accordance with all relevant policies and procedures including care planning,
risk assessment and safeguarding
Managerial
To assist in the
maintenance and update of protocols according to national and local guidelines
for the safe and effective provision of the HOS-AR service
Work as an
effective member of the department of thoracic medicine, participating in
multi-disciplinary working initiatives and contributing to the development of
organisation change.
Provide monthly
reports to commissioners and GP practices.
To contribute to
the ongoing promotion and marketing of the HOS-AR service to all key
stakeholders including patients/carers.
To organise the
monitoring, evaluation and audit of the HOS-AR service quality and develop
reporting mechanisms in order to meet the locally set targets outlined in the
service Specification.
To be responsible
for ensuring sound governance within the HOS-AR team
To attend and
chair home oxygen meetings, and ensure action, as appropriate.
Along
with other senior team members, to develop effective teamwork, cohesion and
collaborative working.
Along with other
senior team members, to use evidence, vision and creativity to design and
develop the service for the future.
Participate in
the departmental service development strategy and promote its implementation
within practice.
Utilize and keep
up-to-date with administrative systems to support work programmes.
Be responsible
for all aspects of the line management of band 6 practitioners. Assist the
Clinical Team Lead with recruitment.
Deputise for the
Clinical Team Lead and carry out team managerial duties as allocated.
Attend meetings
representing the HOS Team and engage with colleagues on the development of
services
Use trust
clinical software e.g. Bluespier, MS Word/Excel/PowerPoint to produce documents
e.g. reports, SOPs, analyses, training materials to support the delivery of the
post holders key roles and responsibilities
The post holder
may be required to undertake such other duties and training and/or hours of
work as may be reasonably required to be consistent with the general level of
responsibility of the post
