We are looking for two experienced nurses to join our Respiratory team, to provide excellent inpatient and outpatient care cross site (1 role is permanent and the second is to cover maternity leave for a 12 month fixed term contract). The post holders will provide clinical expertise both in inpatient and outpatient care, and will join a dynamic team based at WMUH and Chelsea & Westminster Hospital.

Main duties of the job

The respiratory clinical nurse specialist will be the main specialist nurse expert providing support to the wards with respiratory patients. This includes patients with Asthma and COPD, patients requiring non-invasive ventilation, and those requiring assessment for continuation of services in the community including long term oxygen therapy and/or pulmonary rehabilitation.

The post holder will be a key member of the multi-disciplinary team and will participate and contribute to multi-disciplinary meetings. They will act as a role model and leader to all staff dealing with respiratory patients, initiating treatment, and taking emergency action where appropriate.

The CNS will provide advanced clinical skills and advice in all areas of specialist nursing care to colleagues, patients and their families. They will demonstrate a sound understanding of the issues related to the identification, assessment, diagnosis and treatment of respiratory patients, with the formulation and alteration of treatment plans, monitoring of care and the discharge and follow up of patients. They are expected to facilitate early supported discharge scheme and will case find patients suitable for Virtual Wards. They are also expected to refer as appropriate and should be actively involve in local and national audit/s.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A& E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Job description

Job responsibilities

Working as an integral member of the Respiratory team across Chelsea & Westminster and West Middlesex University Hospital

Identifies at an early stage, following liaison with appropriate clinical staff, patients who require support from the respiratory CNS

To apply professional nursing knowledge in order to undertake high quality assessments assisting in the diagnosis and management of patients who meet the early supported discharge for COPD criteria

To assess and interpret clinical conditions and appropriate outcomes using a patient centered approach that promotes independence and well-being

To refer to other disciplines/professions when required

To accept referrals from other disciplines e.g. medical / surgical teams

To support the patient, family and MDT in understanding any continuing care plans and treatment

To ensure that documentation is maintained to a high standard and to be a competent user of and participate in the ongoing development of the Electronic Patient Record

To support the ward/ department team to facilitate seamless transitions of care/ discharge by liaising with primary care health and social teams as required

Case-manage patients with Asthma and COPD at the Hospital. This will include respiratory and non-respiratory wards, acute and outpatient areas. Duties will include history taking, physical examination, ordering, performing and interpreting relevant investigations and coordinating discharges

As part of acute work this may involve supporting the initiation and optimisation of acute non-invasive ventilation

Admission avoidance from the Emergency Department by assessing and providing care plans for discharge.

They will work with the existing general multidisciplinary team, but be able to work independently to complement the clinical teams in this area. Work may include attending ward rounds and multidisciplinary team meetings if deemed appropriate.

To contribute to the achievement of the COPD best practice tariff

Communicate with patients and their next of kin

Promote patient and public involvement in the development of respiratory services

Undertake clinical audit and research

Provide education to students, nursing and medical staff and develop the curriculum as required

To make independent clinical decisions based upon patients needs

Undertake comprehensive assessments of patients including physical, mental and pharmacological considerations

Develop relationships with colleagues across the hospital and the inter-professional agencies

Provide education and mandatory training and contribute to the development of protocols as necessary

Keep up to date with professional development and mandatory training

Keep accurate notes and records

Maintain high standards of care

Acquire and develop new skills relevant to specialist role

Responsibility for Patient/Client Care

To act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and to be accountable for own clinical practice and professional actions at all times. Ensure continued and effective registration with the NMC

Organise the clinical management of individual patients, utilising clinical knowledge and advanced skills to assess, diagnoses, plan, implement and initiate changes where required. This will include monitoring and evaluating the response to treatment through analysis and interpretation of clinical tests and investigations and the discharge of the patient

Respond to emergency situations, utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients

Initiate drug therapy/medication within the parameters of agreed clinical guidelines and in accordance with present legislation for the supply and prescribing of medication

Monitor and evaluate clinical outcomes of patient centred care involving the patient and their carers wherever possible

Participate and contribute to the decision-making process in patient management

Take every opportunity to promote the health of patients and initiate health education strategies as necessary

Person Specification

Application

Essential

• Registered Nurse on NMC register
• Respiratory course
• Leadership course
• Experience at band 6 in speciality

Desirable

• Degree
• Nurse prescribing
• Assessment qualification

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea & Westminster Hospital

369 Fulham Road

Chelsea

SW10 9NH

Any attachments will be accessible after you click to apply.

289-EI-1649