Clinical. To perform comprehensive assessment of a patients needs (including clinical examination, and sampling arterial blood gases where appropriate); then plan, implement and evaluate care delivery accordingly. Ensure effective lines of communication within the multidisciplinary team to achieve an optimal level of service to respiratory patients, their families and carers. Liaise effectively with community matrons, GPs and other teams to enhance the respiratory patients care pathway. Understands and recognise own limitations and refers to a more experienced specialist/ clinical lead when required. Care for patients from diagnosis through to end stage disease. Ability to display advanced communication skills to patients, their relatives and members of the public with empathy and reassurance. Promote better health expectations for patients with respiratory disease and encourage strategies for healthier lifestyles- using the every contact counts approach. Request and interpret laboratory tests, respiratory function tests, sputum test etc. when assessing patients care needs. Perform advanced clinical skills in assessment &/or diagnosis &/or treatment. Collect, collate, evaluate and report information, maintaining accurate patient records. Involve patients and carers/relatives in the planning and delivery of care and development of services. Establish and maintain effective communication with patients and carers/relatives, and professionals across health and social services. Provide specialist, expert clinical knowledge to clinical colleagues, patients, and carers/relatives. Contributes to the provision of specialist protocols and policies as required. Responsible for organising own workload within the requirements of the specialist team activities and work plan. With the wider team - evaluate service delivery, identify areas for improvement and initiate change. Monitor health, safety and security of self and others and promote best practice in Aintree Chest Centre. Education and Development. Identify learning needs, plan, implement and evaluate programmes of education to meet identified need. Provides teaching in practice to other staff and students through clinical supervision/facilitation. Participate in the education of pre and post registered nurses, and curriculum development where appropriate. Ensure own compliance and compliance of others with regard to mandatory training requirements. Clinical Governance. Participate in research & clinical audit, in order to improve effectiveness of patient care and service delivery. Participate in the development and implementation of policies, procedures and guidelines relevant to own area of work. Promote patient and public involvement activities in the specialist area, leading to service improvement. Promote peoples equality, diversity and rights. Registered Nurses at Aintree have a responsibility to: Maintain active status on NMC register. Act always in accordance with NMC Code of Conduct and guiding documents Adhere to Trust Policy and Procedure. Maintain up to date skills and knowledge and maintain awareness of professional issues. Maintain a professional portfolio.