Community Respiratory Specialist Nurse Lead

Job responsibilities

Management and Leadership

• Provide clinical leadership and be a professional role model.
• Provide direct management for Band 6 colleagues.
• Coordinate clinical work with colleagues demonstrating effective time management skills and participates in the monitoring and reviewing of team performance.
• Lead change and supports management of change, including service development, through audit and service user feedback.
• Negotiation and influencing skills.
• Possess effective leadership skills by directly managing nursing staff and the teams, initiating evidence based strategies.
• Possess advanced communication skills and be confident to work rapidly and flexibly in the changing environment with resilience.
• To actively lead departmental meetings setting agendas, time scales and objectives and ensuring effective delivery of these. Actively lead and develop change.
• To manage complaints, or assist as required.
• Produce risk assessments and action plans for the service.
• Provide assistance to staff in dealing with difficult situations, conflict and other professional clinical issues.
• To have a working knowledge and understanding of the budget, and work within available resources.
• Be an active part in the recruitment process including short listing and interviewing.
• Initiate evidence based strategies, promoting service development, improvements and quality expansion and efficiencies, reducing waste.
• Participate in networking opportunities.
• Work closely with key members of the team from primary and secondary care to alter the management plan as appropriate whilst communicating and accurately documenting and changes in a timely manner.
• Support service provision within the local area and wider foundation trust.
• Adhere to trust clinical governance, equality and diversity policy through ethical decision-making.
• Assess and manage risk.
• Encourage service user and public involvement.
• Promote and support effective implementation of all organisational policies and procedures, and practice in accordance with them.
• 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.
• Monitor and review team and service performance and continuously strive for improvement.
• Complete risk assessments and action plans for the service.
• Participate in and provide clinical supervision, including prescribing.
• Understand use of health related questionnaires and patient reported outcome measures.
• Lead on and undertake audit, research and quality improvement initiatives.
• Be responsible for the safe physical environment including equipment and be responsible for the allocation of resources.
• Participate in and contribute to all activities associated with the teams response to current trends and changes within the NHS.

Clinical Responsibilities

• NMC nursing registration.
• To autonomously co-ordinate a case load of complex respiratory patients, across the community respiratory specialist service, within nurse led clinic and home environments, Monday-Friday 9am-5pm, being the key point of contact, and advocate, for a designated group of patients.
• Provide specialist knowledge of disease specific care pathways.
• Provide advanced understanding of respiratory anatomy and pathophysiology and the function and management of all respiratory conditions with ability to undertake a detailed holistic patient respiratory review including social and psychological well-being and progress treatment interventions and adapt interventions, within set protocols.
• Accurately record clinical data and understand its significance including heart rate and rhythm, respiratory rate, pulse oximetry, peak flow rate, blood pressure, blood gas analysis and diagnostic spirometry interpretation, plus use of health related questionnaires and patient reported outcome measures.
• Clearly understand the benefits of non-pharmacological interventions for respiratory illness/conditions including smoking cessation, weight management and nutrition, physical activity and cognitive behavioral therapy (CBT).
• Promote health and healthy informed choices.
• Assess smoking status, provide brief cessation advice and refer to appropriate smoking service.
• Possess knowledge of the benefits of exercise and pulmonary rehabilitation and refer to appropriate local rehabilitation programs.
• Assess and train inhaler technique to patients, carers and other health care professionals.
• Possess awareness, knowledge and implementation of safeguarding processes in relation to children, vulnerable patients and carers.
• Liase with multi-disciplinary teams and local stakeholders, referring as appropriate.
• Attend mandatory training and maintain evidence based practice. Be accountable for maintaining skills and revalidation.
• Understand motivational skills and empathetic communication.
• Complete effective record keeping which demonstrate the decision making process, care planned and given, as well as patient outcomes in accordance with Trust policy and legal requirements.
• Work within codes of practice and professional guidelines.
• Commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.
• Understand owns role within the wider multidisciplinary 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.

Educational Responsibilities

• Be a role model providing mentorship and coaching to the team.
• Provide positive well-being support to team.
• Support development of registered staff and students, and, other staff as appropriate, within the specialist field, through possessing relevant teaching, coaching and mentoring skills, with the ability to adapt to the audience.
• Provide and support training for the multidisciplinary team in the management of complex respiratory disease.
• 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 and information giving.
• Develop service user/carer education materials.
• Be a resource for improving health.
• Contribute to the body of nursing knowledge, through presentation.
• Support local patient groups, including hospice, providing education.

Research

• Perform 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, plus have the ability to implement research findings into practice, including use and development of policies/protocols and, digital technology, through guidelines.
• Lead service development utilising available data from evaluations, audits and assessments.
• Implement research findings into practice, including development of protocols/policies and guidelines.

Special Skills & Knowledge

Essential

• Excellent communication and interpersonal skills.
• Specialist knowledge of respiratory disease and specific guidelines.
• Sound skills in holistic respiratory history and examination assessment.
• Good organisational and problem solving skills.
• Specialist knowledge of respiratory disease including disease specific management pathways.
• Accurately record clinical data and understand its significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate and peak flow rate.
• Brief smoking cessation intervention.
• Assess and train inhaler technique.
• Knowledge of benefits of pulmonary rehabilitation.
• Knowledge of self-management and exacerbation management.
• 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.
• Advanced written and verbal presentation skills.
• Understand use of health related questionnaires and patient reported outcome measures.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Desirable

• Service standard diagnostic spirometry performance.

Qualifications

Essential

• Registered Nurse.
• Professional knowledge acquired through degree
• Professional knowledge/experience through working with community respiratory patients
• Accredited Asthma and COPD UCPD course.
• Highly developed clinical skills of managing complex respiratory patients through physical assessment skills course.
• Sound knowledge of supplementary oxygen assessment, blood gas performance and interpretation.
• Independent prescribing course and prescribing experience.
• Sound knowledge of national and regional policies influencing respiratory disease.
• Accredited teaching qualification.
• Leadership course or equivalent level of demonstrable professional knowledge/experience. Willingness to work towards in first 6 months of employment.
• Advanced communication skills.
• Confident to work in a rapidly changing environment and complex needs management.
• Autonomous working.

Desirable

• Relevant courses at level 7.
• Diagnostic spirometry performance qualification and registration through The Association for Respiratory Technology and Physiology (ARTP).
• Cognitive Behavioural Therapy qualification.

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

Special Requirements

Essential

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

Experience

Essential

• Relevant post registration experience of working with complex respiratory patients.
• Up to date knowledge of professional practice and new research in management of relevant respiratory conditions.
• Leads audit, research, and/or, quality improvement initiatives and activities.
• Leadership experience for both service improvement and workforce.
• Management experience.
• Experience of health improvement/promotion.
• Experience of audit.

Desirable

• Community experience.
• CBT experience.
• Experience of pulmonary rehabilitation/smoking cessation.

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).