As a Specialist Practitioner you will work across the four pillars of advanced practice. You will lead and deliver Nurse led respiratory clinics for patients in our Brownlow Central practice. The focus will be Asthma management within our large student population as well as review of patients with other respiratory conditions such as COPD, Bronchiectasis and Pulmonary Fibrosis. You will also provide support to our homeless population with bi-monthly clinics.
Whilst working within your own sphere of competence you will work autonomously to proactively target high risk patients to provide an assessment of their needs and provide an appropriate management plan. The post holder will have a high level of expertise and experience in this field and the ability to manage complex cases including first contact assessment, examination and management of patients presenting with acute respiratory problems.
You will provide support and mentorship to our less experienced Practice nurses whilst also supporting in education to the wider team.
Main duties of the job
1. In line with targets within the Quality Outcome Framework and NICE guidelines, the post holder will review patients with asthma and COPD using relevant EMIS clinical templates to ensure assessments are completed and coded to meet QOF requirements.
2. Use of non-medical prescribing to review medications including maintenance therapy and acute self-management plans.
3. Assessment of inhaler technique and optimization of inhaler therapy, giving consideration to greener respiratory care such as low carbon inhalers, over usage, overprescribing.
4. Provision of a written personalised asthma/COPD action plan.
5. Review of patients admitted to an emergency care setting with an acute asthma attack or exacerbation of COPD within 2 working days of discharge.
6. Review of patients admitted to hospital with symptoms of breathlessness related to any other underlying respiratory problem or LRTI.
7. Ensure patients coded COPD have had spirometry performed to confirm diagnosis.
8. Ability to interpret spirometry testing as required.
9. First contact assessment, examination and management of patients presenting with acute respiratory problems including potential Covid 19 symptoms.
10. Review patients diagnosed/suspected with long Covid.
11. Administration of relevant health prevention vaccinations.
12. Provide home visits to ensure our housebound respiratory patients receive a timely review.
13. Request and interpret relevant blood tests and investigations.
About us
Brownlow prides itself in being an exceptional employer. We have a dedicated staff wellbeing team and offer numerous staff benefits and incentives including protected study leave with financial allowance.
You will receive a 6-month mentorship/induction package. Brownlow is an organisation that is committed to equality and diversity, and we strive for our workforce to be representative and inclusive of the complex and diverse community which we are proud to serve.
Job responsibilities
Job title: Respiratory Nurse Specialist- General Practice
Accountable to Nurse Managers
Day and Hours per week: Temporary 12 month maternity post
Person Specification
Personal Qualities
* A complete finisher
* Resilience and drive
* Personal and professional integrity and confidence
* Flexibility
* Self-motivated and enthusiastic
* Calm under pressure
* Team player
Experience
* Able to independently review Asthma and COPD patients
* Able to order and interpret relevant blood results and investigations
* Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
* Ability to interpret spirometry results
* Leadership in quality initiatives
* Teaching/supervising/mentorship experience
* Knowledge of the local and national health policy and wider health economy
* Experience of working within primary care
* Experience of initiating protocols and clinical guidelines, implementing them and evaluating the effectiveness
* Willingness if required/appropriate to assess a pregnant woman with a non-pregnancy related respiratory condition (in line with BGP policy/ RCN guidance)
Skills
* Clinical leadership
* Advanced communication skills
* I.T skills to support clinical work, research and audit
* Research, innovation and audit skills
* Driver with full license
* Advanced negotiation and conflict resolution skills
* Working knowledge of EMIS
Qualifications
* Registered Part 1 NMC
* Independent / supplementary nurse prescriber
* Specialist respiratory qualification- level 6 and above
* Clinical examination
* MSc Advanced Practice
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.
£43,742 to £57,349 a year Band 7/8a dependent on experience
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