Community Respiratory Staff Nurse - Easington/North Service

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES

Management and Leadership

• Contribute to creating improvement, transformation and innovation within the service in order to promote best practice.
• Demonstrate effective time management skills.
• Commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.
• To understand owns role within the wider multi-disciplinary team and articulate own developmental needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.
• Promote service development, improvements and quality expansion and efficiencies.
• Support provision for a high quality, value for money and effective service.
• Effective use of IT systems to ensure accurate data recording.

Clinical Responsibilities

• To co-manage a case load of complex respiratory patients, under direction of the community respiratory nursing team, across the community respiratory specialist service, within clinic and patients home environments, Monday-Friday 9am-5pm.
• To undertake holistic patient respiratory assessment and review including social and psychological well-being and progress treatment interventions and adapt interventions, within set protocols, to progress treatment interventions and to meet the changing needs of the patient.
• Develop, implement and evaluate patient treatment plans.
• Communicate patient treatment plan changes to respiratory specialist nursing team.
• Understand basic respiratory anatomy and pathophysiology and the function and management of all respiratory conditions including mental well-being.
• Diagnostic spirometry performance qualification and registration either through The Association for Respiratory Technology and Physiology (ARTP) or at certified ARTP standard, is desirable but not essential as training will be provided.
• Perform capillary blood gas testing and oxygen reviews.
• Provide long term condition care following the COPD pathway.
• Accurately record clinical data and understand its significance including heart rate and rhythm, respiratory rate, pulse oximetry, peak flow rate, and, blood pressure.
• Complete effective record keeping which demonstrates the decision making process, care planned and given, as well as patient outcomes in accordance with trust policy and legal requirements.
• Understand the benefits of non-pharmacological interventions for respiratory illness/conditions including smoking cessation, weight management and nutrition, physical activity and brief cognitive behavioral therapy (CBT).
• Understand motivational skills and empathetic communication.
• Promote health and healthy informed choices.
• Review smoking status, provide very brief advice and refer to appropriate smoking service.
• Have knowledge of the benefits of exercise and pulmonary rehabilitation and refer to appropriate local rehabilitation programs.
• Review and train inhaler technique to patients, carers and other health care professionals.
• Participate in service improvement and development initiatives.
• Have awareness, knowledge and implementation of safeguarding processes in relation to children, vulnerable patients and carers.
• Understand owns role within the wider multi-disciplinary team and articulate own developmental needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.
• Have awareness of the importance of research, audit and quality improvement and participate in the monitoring of standards of care, and audit of nursing/therapy practice which is research based and supports the clinical governance framework.
• Be responsible for the safe physical environment including equipment.
• Participate in and contribute to all activities associated with the teams response to current trends and changes within the NHS.
• Adhere to trust clinical governance and equality and diversity policy through ethical decision-making.
• Promote and support effective implementation of all Organisational Policies and Procedures, and, practice in accordance with.
• Support and promote a team culture which actively encourages empowerment thereby supporting and facilitating change.
• Support the provision of a high quality, value for money and effective service within available resource.
• Contribute to improving patient experience.
• Work collaboratively with the existing respiratory specialist teams.
• Possess good IT skills and use of systems.

Educational Responsibilities

• Provide and support training for the multidisciplinary team in the management of respiratory disease.
• To regularly attend and participate in training, peer support and clinical supervision.
• Support others to develop knowledge and skills.
• Promote learning/creation of learning environment.
• Service user/carer teaching.
• Support local patient groups, including hospice and the interstitial support group, providing education.
• Developing service user/carer education materials.
• Acts as a resource for improving health.

Research

• Involvement in any research and service development.
• Involvement in audit and service evaluation.
• Support the implementation of local policies
• Propose changes to working practices or procedures in own work area.The successful candidate should be interested in working with stroke patients to rehabilitate their communication skills. You will be committed to continuing professional development and have excellent communication and prioritisation skills.

The Speech and Language Therapy Service offers a supportive team of experienced colleagues who will help the further development of your skills.

Special Skills & Knowledge

Essential

• Excellent communication and interpersonal skills.
• Good organisational and problem solving skills.
• Understand respiratory anatomy and function.
• Understand common respiratory pathophysiology and respiratory conditions.
• Knowledge of national and regional policies influencing respiratory disease.
• Ability to undertake holistic respiratory assessment and review or willingness to work towards.
• Good organisational and problem solving skills.
• Accurately record clinical data and understand their significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate and peak flow rate.
• Phlebotomy or willing to work towards.
• Evidence of team working and care planning.
• Ability to work independently and with minimal supervision.
• Ability to act alone in an emergency situation.
• Able to prioritise work on a daily basis to meet service demands.
• Confident in the use of email and basic IT skills.
• Understand use of health related questionnaires and patient reported outcome measures.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Desirable

• Understand benefits of non-pharmacological interventions for respiratory illnesses/conditions such as brief smoking cessation intervention, accurate inhaler technique, benefits of pulmonary rehabilitation, weight management and exercise.
• Knowledge of self-management.

Special Requirements

Essential

• Able to travel independently around County Durham & Darlington.
• Flexible attitude to work.
• Able to safely move and handle loads.

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

Experience

Essential

• Up to date knowledge of professional practice.
• Knowledge of national and regional policies influencing respiratory disease.
• Evidence of team working.

Desirable

• Post registration experience of working with respiratory patients.
• Experience of working in a community setting.
• Experience of audit and/or service development/review.

Qualifications

Essential

• Registered Nurse.
• Professional knowledge acquired through degree or equivalent level of demonstrable professional knowledge/experience.
• Accredited respiratory course, or willingness to work towards.
• Knowledge of supplementary oxygen assessment, blood gas performance and interpretation or willingness to work towards.
• Diagnostic spirometry ICB certification or willingness to work towards.

Desirable

• Cognitive Behavioural Therapy 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).