Job summary
West Hertfordshire community respiratory service provided by CLCH is looking for an enthusiastic nurse who is interested in respiratory care and wants to develop into a respiratory nurse specialist. Come and join our friendly expanding multi-disciplinary team, and receive the support and training you require to develop.
The post holder will provide patient centered integrated care over 7 days a week, providing specialist services including admission avoidance and be part of the new integrated Airways Virtual Hospital with West Herts Hospitals Trust. You will also learn about and become proficient in providing specialist care to patients with COPD, Asthma, Bronchiectasis, OSA and ILD as well as managing those who require home Oxygen. You will be part of a large experienced community respiratory team and will be supported by a team of Band 7's, Band 8a's and a Consultant Respiratory Physiotherapist as well as Respiratory Consultants.
Main duties of the job
To work within a multidisciplinary respiratory team to deliver community respiratory service in West Hertfordshire providing specialist services including hospital at home (admission avoidance and early supported discharge scheme and Virtual hospital , home oxygen assessment & review service and and home visits to provide expert specialist care to patients with OSA,COPD, Asthma, Bronchiectasis, and ILD.
About us
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&C's apply
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
- To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are evidence based and which enhance the quality of patient care.
- To undertake comprehensive assessments of respiratory patients with co-morbidities, including physical examination, and to develop treatment plans for patients using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning
- To implement specialist care programmes, including home oxygen therapy, pulmonary rehabilitation, psychological interventions and medication reviews, adhering to evidence based guidelines
- To accurately undertake specialist clinical skills including administration of intravenous medication, performing arterial / arterialised blood gases and spirometry
- To interpret and analyse clinical and non-clinical tests to form an accurate assessment and suitability for the Hospital at Home scheme, co-ordinate appropriate services to ensure safe transfer of care to the community and develop comprehensive discharge plans
- To work in a variety of clinical areas including patients homes and out patient clinics.
- To work as an autonomous practitioner accepting clinical responsibility for a specialised caseload of patients, and to organise this effectively and efficiently with regard to clinical priorities and use of time
- To provide emotional support to patients and family/carers to cope with life limiting respiratory conditions, recognising when patients are entering the terminally stages and communicating this to the patient and family/carer in a sensitive and empathic way
- Develop specialist end of life treatment plans which includes patients wishes, management of unpleasant respiratory symptoms, particularly breathlessness, anxiety and agitation are effectively managed using specialist skills including sputum clearance techniques, relaxation techniques, medication and positioning
- To demonstrate a working knowledge of guidelines for best practice, competence in physical assessment skills and treatment of chronic respiratory patients
- To provide safe practice to patients admitted into the Hospital at Home scheme and be able to identify acute deterioration and take appropriate action
- To liaise with and give specialist advice to other members of the Multidisciplinary team (MDT) regarding the medical management of patients with respiratory problems, have knowledge of disease management pathways within secondary and primary care and refer on where appropriate
- To be contactable throughout the working day via the mobile phone system and to be able to immediately change planned activity without prior knowledge, sometimes in order to respond to emergency situations
- To maintain accurate, comprehensive documentation, ensuring patients care plans / documentation is up dated to reflect changes in clinical needs, in line with legal and departmental requirements, and to communicate assessment and treatment results to the appropriate disciplines and patients in the form of reports and letters
- To take responsibility for health and safety aspects of your work and implement any policies, which may be required to improve the safety of your work area including prompt recording and reporting of incidents to senior staff
- To be responsible for equipment used in carrying out duties and to adhere to departmental policy for safety and maintenance, including competence to use equipment and to ensure its safe use by others through teaching, training and supervision of practice.
- To be responsible for the evaluation of new equipment
- To carry out risk assessment within the service, own patient caseload, equipment and environment on a daily basis (health & safety and clinical) and to minimise risk within the team
- To gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment
- To comply with the organisational and departmental policies and procedures
- Participate in the on call rota
Please refer to the attached Job Description for full list of responsibilities
Job description
Job responsibilities
- To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are evidence based and which enhance the quality of patient care.
- To undertake comprehensive assessments of respiratory patients with co-morbidities, including physical examination, and to develop treatment plans for patients using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning
- To implement specialist care programmes, including home oxygen therapy, pulmonary rehabilitation, psychological interventions and medication reviews, adhering to evidence based guidelines
- To accurately undertake specialist clinical skills including administration of intravenous medication, performing arterial / arterialised blood gases and spirometry
- To interpret and analyse clinical and non-clinical tests to form an accurate assessment and suitability for the Hospital at Home scheme, co-ordinate appropriate services to ensure safe transfer of care to the community and develop comprehensive discharge plans
- To work in a variety of clinical areas including patients homes and out patient clinics.
- To work as an autonomous practitioner accepting clinical responsibility for a specialised caseload of patients, and to organise this effectively and efficiently with regard to clinical priorities and use of time
- To provide emotional support to patients and family/carers to cope with life limiting respiratory conditions, recognising when patients are entering the terminally stages and communicating this to the patient and family/carer in a sensitive and empathic way
- Develop specialist end of life treatment plans which includes patients wishes, management of unpleasant respiratory symptoms, particularly breathlessness, anxiety and agitation are effectively managed using specialist skills including sputum clearance techniques, relaxation techniques, medication and positioning
- To demonstrate a working knowledge of guidelines for best practice, competence in physical assessment skills and treatment of chronic respiratory patients
- To provide safe practice to patients admitted into the Hospital at Home scheme and be able to identify acute deterioration and take appropriate action
- To liaise with and give specialist advice to other members of the Multidisciplinary team (MDT) regarding the medical management of patients with respiratory problems, have knowledge of disease management pathways within secondary and primary care and refer on where appropriate
- To be contactable throughout the working day via the mobile phone system and to be able to immediately change planned activity without prior knowledge, sometimes in order to respond to emergency situations
- To maintain accurate, comprehensive documentation, ensuring patients care plans / documentation is up dated to reflect changes in clinical needs, in line with legal and departmental requirements, and to communicate assessment and treatment results to the appropriate disciplines and patients in the form of reports and letters
- To take responsibility for health and safety aspects of your work and implement any policies, which may be required to improve the safety of your work area including prompt recording and reporting of incidents to senior staff
- To be responsible for equipment used in carrying out duties and to adhere to departmental policy for safety and maintenance, including competence to use equipment and to ensure its safe use by others through teaching, training and supervision of practice.
- To be responsible for the evaluation of new equipment
- To carry out risk assessment within the service, own patient caseload, equipment and environment on a daily basis (health & safety and clinical) and to minimise risk within the team
- To gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment
- To comply with the organisational and departmental policies and procedures
- Participate in the on call rota
Please refer to the attached Job Description for full list of responsibilities
Person Specification
Education/Qualification
Essential
- RN Level 1 registration with the NMC
- Teaching/Mentorship qualification or equivalent experience
- Possession of a degree or equivalent
Person Specification
Education/Qualification
Essential
- RN Level 1 registration with the NMC
- Teaching/Mentorship qualification or equivalent experience
- Possession of a degree or equivalent
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.
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).
Additional information
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.
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).
