CDDFT Community Respiratory Nursing Service is pleased to advertise this exciting opportunity for a 0.8 wte Community Respiratory Specialist Nurse working across the South service including Durham Dales, Sedgefield and Darlington localities. The successful postholder will deliver respiratory care to respiratory patients including COPD, Emphysema, Asthma, Bronchiectasis, and Interstitial Lung Disease, in out-patient clinics as well as in their own homes, supporting the community specialist respiratory nursing service.
The successful candidate will utilise their outstanding organisation and communication skills to achieve best patient outcomes whilst being well supported by expert respiratory specialists to develop a range of competencies in delivering excellent respiratory care and support for this group of complex patients.
This post offers flexible working, Monday to Friday, 8:00am to 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 of patients with complex respiratory disease.
* Be knowledgeable in respiratory disease, pathophysiology, function and management.
* Provide specialist advice to patients/carers.
* Be skilled in diagnostics including diagnostic spirometry and oxygen assessment, review and prescribing.
* Act as an accountable practitioner.
* Maintain accurate records as an autonomous practitioner.
* Act as point of contact for the wider local community teams.
* Provide education, mentorship and leadership for junior colleagues and students.
* Skilled at assessing and managing risk.
* Accepts the responsibility for decisions made and actions taken.
* No requirement to manage/monitor budget.
About us
We 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-represented.
From 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.
Job description
Job responsibilities
Management and Leadership
* Identifies need for change and supports management of change, including service development.
* Negotiation and influencing skills.
* Provide direct management for band 5, 4 and 3 colleagues.
* Coordinate clinical work with colleagues demonstrating effective time management skills and participates in the monitoring and reviewing of team performance.
* To commit to continuous personal development/lifelong learning by attending mandatory training, use of eLearning and adhere to all trust policies and procedures.
* To understand owns role within the wider multi-disciplinary team and articulate own develop needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.
* Possess effective leadership skills by directly managing junior staff within the teams.
* Perform risk assessments and compile action plans for the service.
* Be an active part in the recruitment process including short listing and interviewing.
* Participate in and provide clinical supervision.
* Promote service development, improvements and quality expansion and efficiencies.
Clinical Responsibilities
* To case manage patients with a complex respiratory diagnosis within a community setting without direct supervision, reporting to the respiratory specialist nurse lead, as appropriate, utilising specialist history taking and examination skills.
* Holistically assess patient need and develop a plan of care that is individualised and meets the needs of patients and carers through physical assessment skills and a respiratory accredited course.
* 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.
* Possess sound knowledge of supplementary oxygen guidelines, assessment, review and prescribing through blood gas performance and interpretation.
* Perform all oxygen assessment and reviews as outlined through BTS guidance.
* Identify, manage and review adjustments in optimising medication within agreed service protocols, through non-medical prescribing.
* Assist patients to identify and manage risk factors using behavioural change to self-manage their condition.
* Provide specialist advice to patients/carers in relation to programmes of care which may be complex.
* Provide sensitive information to patients, where there may be barriers to understand.
* Decision making/clinical judgment and problem solving.
* Liase with multi-disciplinary teams, referring as appropriate.
* To contribute to the development of service specific guidelines and protocols that are evidence based.
* Work closely with key members of the team from primary and secondary care to alter the management plan as appropriate. Communicate and accurately document any 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.
* Service user/public involvement.
* Supervise the work of others clinical supervision of staff, students provides training to others.
* Work within codes of practice and professional guidelines.
* Attend mandatory training and maintain evidence based practice. Be accountable for maintaining skills and revalidation.
* 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 resources.
Educational Responsibilities
* Provide and support training for the multidisciplinary team in the management of complex respiratory disease.
* Be a role model providing mentorship and coaching to the team.
* Provide positive well-being support to the team.
* To regularly attend and participate in training, peer support and clinical supervision.
* Supporting others to develop knowledge and skills.
* Promotion of learning/creation of learning environment.
* Service user/carer teaching and information giving.
* Support local patient groups, including hospice, providing education.
* Developing service user/carer education materials.
* Acts as a resource for improving health.
* Teaching and mentorship.
* Act as a Link for TAPS, providing specialist education and training specific to the needs of patients with respiratory conditions.
Research
* Involvement in any research and service development.
* Involvement in audit and service evaluation.
* Implements policies and proposed changes to working practices or procedures in own work area.
Communications and Working Relationships
* Reports and accountable to respiratory nurse specialist lead.
* All members of the countywide respiratory team.
* Regional and national respiratory groups.
* Consultant physicians and medical staff/teams.
* Community staff including community and therapy teams.
* Multidisciplinary team including social care.
* County Council, housing, and leisure services staff.
* Primary care teams.
* Patients and carers.
* Voluntary groups/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.
Employer details
Employer name
County Durham & Darlington NHS Foundation Trust
Address
Innovation House
26 Longfield Road
Bishop Auckland
County Durham
DL14 6XB
Any attachments will be accessible after you click to apply.
C9439-25-0026 #J-18808-Ljbffr