Community Respiratory Specialist Nurse - South Team

Job summary CDDFT Community Respiratory Nursing Service is pleased toadvertise this exciting opportunity for a wte Community Respiratory SpecialistNurse working across the South service including Durham Dales, Sedgefield andDarlington localities.
The successful postholder will deliver respiratory care torespiratory patients including COPD, Emphysema, Asthma, Bronchiectasis,and Interstitial Lung Disease, in out-patientclinics as well as in their own homes, supporting the community specialistrespiratory nursing service.The successfulcandidate will utilise their outstanding organisation and communication skillsto achieve best patient outcomes whilst being well supported by expertrespiratory sepcialists to develop a range of competencies in deliveringexcellent respiratory care and support for this group of complex patients.This post offers flexible working, Monday to Friday, 8:00amto 6pm and nominal base is Innovation House, Bishop Auckland.
Main duties of the job Undertake specialist, holistic, assessment, diagnosis,planning, implementation and evaluation of clinical care for a caseload ofpatients with complex respiratory disease.Beknowledgeable in respiratory disease, pathophysiology, function and management.Providespecialist advice to patients/carers.Be skilledin diagnostics including diagnostic spirometry and oxygen assessment, reviewand prescribing.Act as anaccountable practitioner.Maintainaccurate records as an autonomous practitioner.Act aspoint of contact for the wider local community teams.Provideeducation, mentorship and leadership for junior colleagues and students.Skilled atassessing and managing risk.Acceptsthe responsibility for decisions made and actions taken.Norequirement to manage/monitor budget.
About us If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the managerYou must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checksWe provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham.
We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-representedFrom April 1 2024 we are unable to offer sponsorship for healthcare roles that do not meet the minimum salary, If you are in the UK on a VISA please ensure you have no restrictions that would prevent you from taking this post.Full Job Descriptions can be found in the adverts supporting documents Job description Job responsibilities Management and Leadership Identifiesneed for change and supports management of change, including servicedevelopment.
Negotiationand influencing skills.
Providedirect management for band 5, 4 and 3 colleagues.
Coordinateclinical work with colleagues demonstrating effective time management skillsand participates in the monitoring and reviewing of team performance.
To committo continuous personal development/lifelong learning by attending mandatorytraining, use of eLearning and adhere to all trust policies and procedures.
Tounderstand owns role within the wider multi-disciplinary team and articulateown develop needs through attending clinical supervision, 1:1 sessions,undertaking appraisal preparation and contributing to objective setting andpersonal development planning.
Possesseffective leadership skills by directly managing junior staff within the teams.
Performrisk assessments and compile action plans for the service.
Be anactive part in the recruitment process including short listing andinterviewing.
Participatein and provide clinical supervision.
Promoteservice development, improvements and quality expansion and efficiencies.Clinical Responsibilities To casemanage patients with a complex respiratory diagnosis within a community settingwithout direct supervision, reporting to the respiratory specialist nurse lead,as appropriate, utilising specialist history taking and examination skills.
Holisticallyassess patient need and develop a plan of care that is individualised and meetsthe needs of patients and carers through physical assessment skills and a respiratoryaccredited course.
Diagnosticspirometry performance and interpretation qualification and registration eitherthrough The Association for Respiratory Technology and Physiology (ARTP) or atcertified ARTP standard, is desirable but not essential as training will beprovided.
Possesssound knowledge of supplementary oxygen guidelines, assessment, review andprescribing through blood gas performance and interpretation.
Performall oxygen assessment and reviews as outlined through BTS guidance.
Identify,manage and review adjustments in optimising medication within agreed serviceprotocols, through non-medical prescribing.
Assistpatients to identify and manage risk factors using behavioural change toself-manage their condition.
Providespecialist advice to patients/carers in relation to programmes of care whichmay be complex.
Providesensitive information to patients, where there may be barriers to understand.
Decisionmaking/clinical judgment and problem solving.
Liase withmulti-disciplinary teams, referring as appropriate.
Tocontribute to the development of service specific guidelines and protocols thatare evidence based.
Workclosely with key members of the team from primary and secondary care to alterthe management plan as appropriate.
Communicate and accurately document anychanges in a timely manner.
Supportservice provision within the local area and wider foundation trust.
Adhere totrust clinical governance, equality and diversity policy through ethical decision-making.
Assess andmanage risk.
Serviceuser/public involvement.
Supervisethe work of others; clinical supervision of staff, students; provides trainingto others.
Workwithin codes of practice and professional guidelines.
Attendmandatory training and maintain evidence based practice.
Be accountable formaintaining skills and revalidation.
Promoteand support effective implementation of all Organisational Policies andProcedures, and practice in accordance with them.
Supportand promote a team culture which actively encourages empowerment therebysupporting and facilitating change.
Supportthe provision of a high quality, value for money and effective service withinavailable resources.Educational Responsibilities Provideand support training for the multidisciplinary team in the management ofcomplex respiratory disease.
Be a rolemodel providing mentorship and coaching to the team.
Providepositive well-being support to the team.
Toregularly attend and participate in training, peer support and clinicalsupervision.
Supportingothers to develop knowledge and skills.
Promotionof learning/creation of learning environment.
Serviceuser/carer teaching and information giving.
Supportlocal patient groups, including hospice, providing education.
Developingservice user/carer education materials.
Acts as aresource for improving health.
Teachingand mentorship.
Act as aLink for TAPS, providing specialist education and training specific to theneeds of patients with respiratory conditions.
Research Involvementin any research and service development.
Involvementin audit and service evaluation.
Implementspolicies and proposed changes to working practices or procedures in own workarea.Communications and Working Relationships Reportsand accountable to respiratory nurse specialist lead.
Allmembers of the countywide respiratory team.
Regionaland national respiratory groups.
Consultantphysicians and medical staff/teams.
Communitystaff including community and therapy teams.
Multidisciplinaryteam including social care.
CountyCouncil, housing, and leisure services staff.
Primarycare teams.
Patientsand carers.
Voluntarygroups/organisations.
Person Specification Special Skills & Knowledge Essential Evidence of team working.
Specialist knowledge of respiratory disease including disease specific management pathways and self-management planning.
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.
Phlebotomy or willing to work towards.
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.
Qualifications Essential Registered Nurse.
Excellent communication and interpersonal, organisational and problem solving skills.
Professional knowledge acquired through degree or equivalent level of demonstrable professional knowledge/experience.
Accredited respiratory course with specialist knowledge of respiratory disease including disease specific management pathways and sound skills in holistic respiratory history and examination or willingness to work towards.
Experience of managing complex respiratory patients including specialist clinical assessment.
Specialist knowledge of respiratory disease including disease specific management pathways.
Physical assessment skills course or willingness to work towards within first 12 months of employment.
Independent prescribing course and prescribing experience or willingness to work towards within the first 24 months of employment.
Sound knowledge of national and regional policies influencing respiratory disease.
Accredited teaching qualification.
Desirable Cognitive Behavioural Therapy qualification or willingness to work towards.
Diagnostic spirometry performance and interpretation 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.
Sound knowledge of supplementary oxygen guidelines, assessment, review and prescribing through blood gas performance and interpretation, is desirable but not essential as training will be provided.
Special Requirements Essential Able to travel independently around County Durham & Darlington.
Flexible attitude to work.
Able to safely move and handle loads.
Experience Essential 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.
Audit and/or service development/review experience.
Desirable Experience of health improvement/promotion.
Experience of Cognitive behavioural therapy.
Experience of pulmonary rehabilitation/smoking cessation.
Experience of working within a community setting.
Statutory Registration Essential Nursing Midwifery Council part 1 and 2 Registration.