Job summary
We have an exciting opportunities to join our rapidly expanding community respiratory team as Band 6 Respiratory Nurses. If you consider yourself to be dynamic, flexible, enthusiastic, and able to work on your own initiative and as part of a team, with a passion to develop your knowledge and career in respiratory, then please apply.
The successful candidates will complement the existing Community Respiratory team which is multidisciplinary and includes Respiratory Nurse Specialists. We are seeking applicants with experience within respiratory / acute medical / community, at Band 5 or above and appropriate post registration qualification / relevant experience.
You will be expected to be an autonomous practitioners providing specialist assessment and treatment of patients with chronic respiratory disease who have complex needs and support them to self-manage their condition.
The service provides expert advice, guidance and information to patients, health and social care professionals, carers, relatives and other non-professionals with regards to respiratory care.
You will also support patients on the education component of pulmonary rehabilitation. As your experience grows and you develop the necessary competencies the role will progress within pulmonary rehabilitation delivery.
In return we will offer the opportunity to further develop your career in a friendly & supportive environment.
Main duties of the job
Manage a caseload of complex patients with Chronic Respiratory Disease including Chronic Obstructive Pulmonary Disease (COPD), Bronchiectasis and Interstitial Lung Disease (ILD) in the community.
To assess, plan, implement and evaluate individualised patient care in the most efficient and clinically effective way whilst maintaining the patient's privacy and dignity.
To provide a multidisciplinary approach to triage, support, treatment and when required to refer patients with Chronic Respiratory Disease onto other services as appropriate within the community setting.
Provide specialist advice, support and education to other health care professionals in the management and treatment of patients with Chronic Respiratory Disease
The team also has strong links with both Primary and Secondary Care liaising with Respiratory Consultants and Respiratory Specialists Nurses.
To participate in the delivering of organised respiratory educational sessions to health care professionals
On a rotational basis will support Pulmonary Rehabilitation (PR) delivering education sessions on respiratory exacerbation and Self-Management planning and other topics included in the PR programme which the post holder has competency to deliver. Additionally, with further training the post holder will be the qualified member of staff supporting the delivery of the exercise component of the PR programme.
About us
The purpose of DCHS is to provide community health services to a patient population of over one million people in Derbyshire and Derby, as part of Joined Up Care Derbyshire.We employ around 4,200 substantive staff, caring for patients in 11 community hospitals and more than 30 health centres, as well as in clinics, GP practices, schools, care homes and, increasingly, in people's own homes and via virtual consultations.
The primary purpose of the Community Respiratory Service is to provide a holistic, proactive approach to managing patients with chronic lung disease, to work in an integrated way with Community Services, Primary and Secondary Care. The service provides evidence-based, streamlined, structured care within the community, and is responsive to patient need. The service works as part of a wider respiratory pathway for acute and chronic respiratory disease management and work is in line with the strategic objectives set out in the NHS Long Term Plan.
The Community Respiratory Service focuses on individual care planning and enabling patients to effectively manage their own care and therefore, reduce the number of emergency admissions.
The Community Respiratory Team shares the Quadruple Aim of the over-arching DCHS Clinical Strategy:
- Improve population Health Outcomes
- Improve People's experience of care
- Improve staff experience of delivering care
- Provide high value care
Job description
Job responsibilities
PLEASE NOTE: Please see attached Job Description and Person Specification. To apply, please click APPLY FOR THIS JOB - this link will take you to the TRAC Recruitment Site. You will need to register if you do not already have an account
Patient Care
- To provide expert clinical management for patients with Chronic Respiratory Disease who are at risk of deteriorating health that may result in declining quality of life or avoidable hospital admission
- To provide clinical assessment, initiate medical or nursing treatment, refer appropriately and lead co-ordination of care, working with partner agencies and key professionals
- Continuing responsibility for a caseload of patients of varying dependency needing complex Respiratory management.
- Working across primary and secondary care and liaising with social care services as needed
- Supporting and working with family members and liaising with carers
- Undertake comprehensive assessment of the health and psycho-social care needs of patients with Chronic Respiratory Disease. Gathering and interpreting information and analysing the results.
- Establish an individuals functional capabilities with regard to Respiratory clinical management.
- Manage patients with Chronic Respiratory Disease and be able to identify and escalate common problems
- Support medicine management, using local policies to titrate inhaled medication under supervision from prescriber, identifying and referring on potential medications for de-prescribing
- Facilitate understanding and concordance of medicine management with patients and carers
- Develop an evidence-based holistic nursing plan in conjunction with medical and other health care colleagues
- Prioritise individuals for assessment and management according to their health status and needs, referring for specialist assessment, diagnostic tests and programmes of support as appropriate
- Arrange early review after discharge from secondary care for patients identified for active follow up
- Work proactively with patients and their families to plan for and improve end of life care, ensuring that high level of communication choices are reflected on Respect forms and communicate with others involved in their care
- Use of effective communication with patients and carers, in particular the advanced skills needed for physical assessment and assessing mental health status
- Refer individuals to mental health and/or other services
- Enable individuals to access psychological support
- Ensure patients needing palliative care receive high quality care aligned to the Gold Standard Framework
- Challenge prejudice and inequalities in access to mainstream provision for individuals with long term conditions
- Establish effective working relationships with patients, their families and carers. This will include promoting individual rights and recognising and respecting their contributions to care planning and delivery
- Interpret and discuss assessment outcomes and goals with patients, carers and other health and social care professions
- Work with patients and carers to teach and educate them about self-management in order to facilitate rapid management of complications or crises
- Enable patients to be as independent as possible by facilitating a range of self-management strategies
- Will require knowledge of PR equipment used with patients, weight limits and appropriate use
Clinical
- Effectively managing patient information and analyse data from a clinical perspective
- Functioning as an advisor to other clinicians as needed (e.g. GPs, matrons, district nurses, ANPs)
- Improve clinical outcomes for patients by enabling them to function independently by increasing their choice to remain in their own home/community and reduce the need for, or prevent inappropriate hospital admission
- Develop an extensive knowledge of COPD by completion of COPD diploma, Bronchiectasis and ILD processes and management and educate, support and advise groups and individuals on best practice
- Undertake training relevant to the service which has been identified via the appraisal process including spirometry interpretation
- Ensure the case management service is integrated into other services provided for patients with chronic disease
- Establish and maintain excellent communication with individuals and groups, exploring complex issues relating to care options and decisions and sustain effective working relationships across all health and social care service organisations
- Be aware of national and local policy that impacts upon the health and well-being of patients with Chronic Respiratory Disease
- Act as a champion for designated service area as required
- Acknowledgement of exercise restrictions & modifications and patient progression
Professional
- Reflect and critically evaluate ones own practice, including the values, practices and interests that underpin it and the effectiveness of case management and share learning with practitioners and across organisations
- Provide and receive clinical supervision in order to continuously improve the quality of care to patients
- Establish communication networks with other specialist clinicians, community matrons, and social workers to share good practice
- Promote philosophy of life long training for themselves and the team
- Constantly strive to identify training needs for self and others
- Accept responsibility for teaching professional colleagues, nursing auxiliaries, pre registration student nurses, patients and carers
- Maintain confidentiality at all times
- To fulfil the requirements for maintaining professional registration
Managerial
- Use evaluation techniques including clinical audit to monitor the impact of the service on quality of care and cost effectiveness
- Contribute to the development and clinical standards with benchmarking and audit processes (Essence of Care) monitor quality and effectiveness of nursing care through audit and research
- Contribute to the audit service in relation to user expectations, appropriateness and effectiveness of the service and continuous improvement
- Deliver interdisciplinary team working to support the common goal of safe, efficient care delivery
- Chair meetings related to service delivery or case management for individuals or groups of patients
- Work effectively with local health and social care sectors
- Collaborate with service providers, patients and carers to develop and review integrated patient pathway
- Challenge existing knowledge, current poor practice
Job description
Job responsibilities
PLEASE NOTE: Please see attached Job Description and Person Specification. To apply, please click APPLY FOR THIS JOB - this link will take you to the TRAC Recruitment Site. You will need to register if you do not already have an account
Patient Care
- To provide expert clinical management for patients with Chronic Respiratory Disease who are at risk of deteriorating health that may result in declining quality of life or avoidable hospital admission
- To provide clinical assessment, initiate medical or nursing treatment, refer appropriately and lead co-ordination of care, working with partner agencies and key professionals
- Continuing responsibility for a caseload of patients of varying dependency needing complex Respiratory management.
- Working across primary and secondary care and liaising with social care services as needed
- Supporting and working with family members and liaising with carers
- Undertake comprehensive assessment of the health and psycho-social care needs of patients with Chronic Respiratory Disease. Gathering and interpreting information and analysing the results.
- Establish an individuals functional capabilities with regard to Respiratory clinical management.
- Manage patients with Chronic Respiratory Disease and be able to identify and escalate common problems
- Support medicine management, using local policies to titrate inhaled medication under supervision from prescriber, identifying and referring on potential medications for de-prescribing
- Facilitate understanding and concordance of medicine management with patients and carers
- Develop an evidence-based holistic nursing plan in conjunction with medical and other health care colleagues
- Prioritise individuals for assessment and management according to their health status and needs, referring for specialist assessment, diagnostic tests and programmes of support as appropriate
- Arrange early review after discharge from secondary care for patients identified for active follow up
- Work proactively with patients and their families to plan for and improve end of life care, ensuring that high level of communication choices are reflected on Respect forms and communicate with others involved in their care
- Use of effective communication with patients and carers, in particular the advanced skills needed for physical assessment and assessing mental health status
- Refer individuals to mental health and/or other services
- Enable individuals to access psychological support
- Ensure patients needing palliative care receive high quality care aligned to the Gold Standard Framework
- Challenge prejudice and inequalities in access to mainstream provision for individuals with long term conditions
- Establish effective working relationships with patients, their families and carers. This will include promoting individual rights and recognising and respecting their contributions to care planning and delivery
- Interpret and discuss assessment outcomes and goals with patients, carers and other health and social care professions
- Work with patients and carers to teach and educate them about self-management in order to facilitate rapid management of complications or crises
- Enable patients to be as independent as possible by facilitating a range of self-management strategies
- Will require knowledge of PR equipment used with patients, weight limits and appropriate use
Clinical
- Effectively managing patient information and analyse data from a clinical perspective
- Functioning as an advisor to other clinicians as needed (e.g. GPs, matrons, district nurses, ANPs)
- Improve clinical outcomes for patients by enabling them to function independently by increasing their choice to remain in their own home/community and reduce the need for, or prevent inappropriate hospital admission
- Develop an extensive knowledge of COPD by completion of COPD diploma, Bronchiectasis and ILD processes and management and educate, support and advise groups and individuals on best practice
- Undertake training relevant to the service which has been identified via the appraisal process including spirometry interpretation
- Ensure the case management service is integrated into other services provided for patients with chronic disease
- Establish and maintain excellent communication with individuals and groups, exploring complex issues relating to care options and decisions and sustain effective working relationships across all health and social care service organisations
- Be aware of national and local policy that impacts upon the health and well-being of patients with Chronic Respiratory Disease
- Act as a champion for designated service area as required
- Acknowledgement of exercise restrictions & modifications and patient progression
Professional
- Reflect and critically evaluate ones own practice, including the values, practices and interests that underpin it and the effectiveness of case management and share learning with practitioners and across organisations
- Provide and receive clinical supervision in order to continuously improve the quality of care to patients
- Establish communication networks with other specialist clinicians, community matrons, and social workers to share good practice
- Promote philosophy of life long training for themselves and the team
- Constantly strive to identify training needs for self and others
- Accept responsibility for teaching professional colleagues, nursing auxiliaries, pre registration student nurses, patients and carers
- Maintain confidentiality at all times
- To fulfil the requirements for maintaining professional registration
Managerial
- Use evaluation techniques including clinical audit to monitor the impact of the service on quality of care and cost effectiveness
- Contribute to the development and clinical standards with benchmarking and audit processes (Essence of Care) monitor quality and effectiveness of nursing care through audit and research
- Contribute to the audit service in relation to user expectations, appropriateness and effectiveness of the service and continuous improvement
- Deliver interdisciplinary team working to support the common goal of safe, efficient care delivery
- Chair meetings related to service delivery or case management for individuals or groups of patients
- Work effectively with local health and social care sectors
- Collaborate with service providers, patients and carers to develop and review integrated patient pathway
- Challenge existing knowledge, current poor practice
Person Specification
Education and training
Essential
- Registered General Nurse with current NMC registration
- Evidence of post registration clinical professional development
- Module in COPD either diploma or degree level
Desirable
- Spirometry Interpretation Module
- Teaching qualification
- Independent non- medical prescribing
Experience and Knowledge
Essential
- Post registration experience of Respiratory patients
- Experience post qualification as RGN
Desirable
- Previous experience at Band 6 level in Respiratory
- Community experience
Other
Essential
Person Specification
Education and training
Essential
- Registered General Nurse with current NMC registration
- Evidence of post registration clinical professional development
- Module in COPD either diploma or degree level
Desirable
- Spirometry Interpretation Module
- Teaching qualification
- Independent non- medical prescribing
Experience and Knowledge
Essential
- Post registration experience of Respiratory patients
- Experience post qualification as RGN
Desirable
- Previous experience at Band 6 level in Respiratory
- Community experience
Other
Essential
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
