CDDFT Community Respiratory Nursing Service is pleased to advertise a rare, 1 year, exciting secondment opportunity to join the Community Respiratory Specialist Nursing service as a staff nurse working across North Durham and develop skills in respiratory nursing including home oxygen review.

The successful postholder will deliver respiratory care in out-patient clinics as well as in their own homes, supporting the 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.

The sucessful candidate will receive mentorship and opportunities to develop their learning and skill in the specialist field.

This post offers weekday working and flexible hours can be negotiated.

Main duties of the job

To support the respiratory specialist nursing team to manage complex respiratory patients in the community.

Support community teams with complex respiratory patients.

Take responsibility for the assessment of the health needs of patients under community respiratory care and manage a caseload of respiratory patients.

Offer chronic disease management of respiratory patients including COPD exacerbation pathway patients and virtual ward.

Perform Diagnostic Spirometry.

Perform oxygen review assessments.

Signpost patients and colleagues to appropriate services and escalate as needed.

Provide specialist advice to patients/carers.

Maintain records.

Accepts the responsibility for decisions made and actions taken.

Skilled at assessing and managing risk.

No requirement 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 manager

You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks

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.

Full Job Descriptions can be found in the adverts supporting documents

Job description

Job responsibilities

MAIN DUTIES AND RESPONSIBILITIES

Management and Leadership

Contribute to creating improvement, transformation and innovation within the service in order to promote best practice.

Demonstrate effective time management skills.

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 developmental needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.

Promote service development, improvements and quality expansion and efficiencies.

Support provision for a high quality, value for money and effective service.

Effective use of IT systems to ensure accurate data recording.

Clinical Responsibilities

To co-manage a case load of complex respiratory patients, under direction of the community respiratory nursing team, across the community respiratory specialist service, within clinic and patients home environments, Monday-Friday 9am-5pm.

To undertake holistic patient respiratory assessment and review including social and psychological well-being and progress treatment interventions and adapt interventions, within set protocols, to progress treatment interventions and to meet the changing needs of the patient.

Develop, implement and evaluate patient treatment plans.

Communicate patient treatment plan changes to respiratory specialist nursing team.

Understand basic respiratory anatomy and pathophysiology and the function and management of all respiratory conditions including mental well-being.

Diagnostic spirometry performance 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.

Perform capillary blood gas testing and oxygen reviews.

Provide long term condition care following the COPD pathway.

Accurately record clinical data and understand its significance including heart rate and rhythm, respiratory rate, pulse oximetry, peak flow rate, and, blood pressure.

Complete effective record keeping which demonstrates the decision making process, care planned and given, as well as patient outcomes in accordance with trust policy and legal requirements.

Understand the benefits of non-pharmacological interventions for respiratory illness/conditions including smoking cessation, weight management and nutrition, physical activity and brief cognitive behavioral therapy (CBT).

Understand motivational skills and empathetic communication.

Promote health and healthy informed choices.

Review smoking status, provide very brief advice and refer to appropriate smoking service.

Have knowledge of the benefits of exercise and pulmonary rehabilitation and refer to appropriate local rehabilitation programs.

Review and train inhaler technique to patients, carers and other health care professionals.

Participate in service improvement and development initiatives.

Have awareness, knowledge and implementation of safeguarding processes in relation to children, vulnerable patients and carers.

Understand owns role within the wider multi-disciplinary team and articulate own developmental needs through attending clinical supervision, 1:1 sessions, undertaking appraisal preparation and contributing to objective setting and personal development planning.

Have awareness of the importance of research, audit and quality improvement and participate in the monitoring of standards of care, and audit of nursing/therapy practice which is research based and supports the clinical governance framework.

Be responsible for the safe physical environment including equipment.

Participate in and contribute to all activities associated with the teams response to current trends and changes within the NHS.

Adhere to trust clinical governance and equality and diversity policy through ethical decision-making.

Promote and support effective implementation of all Organisational Policies and Procedures, and, practice in accordance with.

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 resource.

Contribute to improving patient experience.

Work collaboratively with the existing respiratory specialist teams.

Possess good IT skills and use of systems.

Educational Responsibilities

Provide and support training for the multidisciplinary team in the management of respiratory disease.

To regularly attend and participate in training, peer support and clinical supervision.

Support others to develop knowledge and skills.

Promote learning/creation of learning environment.

Service user/carer teaching.

Support local patient groups, including hospice and the interstitial support group, providing education.

Developing service user/carer education materials.

Acts as a resource for improving health.

Research

Involvement in any research and service development.

Involvement in audit and service evaluation.

Support the implementation of local policies

Propose changes to working practices or procedures in own work area.The successful candidate should be interested in working with stroke patients to rehabilitate their communication skills. You will be committed to continuing professional development and have excellent communication and prioritisation skills.

The Speech and Language Therapy Service offers a supportive team of experienced colleagues who will help the further development of your skills.

Person Specification

Experience

Essential

• Up to date knowledge of professional practice.
• Knowledge of national and regional policies influencing respiratory disease.
• Evidence of team working.

Desirable

• Post registration experience of working with respiratory patients.
• Experience of working in a community setting.
• Experience of audit and/or service development/review.

Statutory Registration

Essential

• Nursing Midwifery Council part 1 and 2 Registration.

Special Requirements

Essential

• Able to travel independently around County Durham & Darlington.
• Flexible attitude to work.
• Able to safely move and handle loads.

Qualifications

Essential

• Registered Nurse.
• Professional knowledge acquired through degree or equivalent level of demonstrable professional knowledge/experience.

Desirable

• Cognitive Behavioural Therapy qualification.
• Accredited respiratory course.
• Diagnostic spirometry performance qualification and registration either through The Association for Respiratory Technology and Physiology (ARTP) or at certified ARTP standard.
• Knowledge of supplementary oxygen assessment and blood gas performance.

Special Skills & Knowledge

Essential

• Excellent communication and interpersonal skills, organisational and problem solving skills.
• Understand respiratory anatomy and function and conditions.
• Basic knowledge of national and regional policies influencing respiratory disease.
• Ability to undertake holistic respiratory assessment and review or willingness to learn.
• Accurately record clinical data and understand their significance: BP, heart rate and rhythm, pulse, oximetry, respiratory rate and peak flow rate.
• Phlebotomy or willing to work towards.
• Evidence of team working and care planning.
• Ability to work independently.
• 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.
• Participates in and provides clinical supervision.
• Participates in networking opportunities.

Desirable

• Understand benefits of non-pharmacological interventions for respiratory illnesses/conditions such as brief smoking cessation intervention, accurate inhaler technique, benefits of pulmonary rehabilitation, weight management and exercise.
• Knowledge of self-management.

Employer details

Employer name

County Durham & Darlington NHS Foundation Trust

Address

Chester Le Street Community Hospital

Front Street

Chester Le Street

County Durham

DH3 3AT

Any attachments will be accessible after you click to apply.

C9439-24-0958