Lead Nurse Respiratory

Job summary

We have an exciting opportunity in NMUH within the Respiratory team in the development of our newly created Respiratory CNS team. We are looking to recruit our Lead Nurse for Respiratory CNS team that is an experienced, motivated, passione in regards Asthma and COPD .

This is a clinical leadership role in the team providing scope for innovative work with various stakeholders and improve patient outcomes and experience. Within the team, supporting the development of the team of CNS role including with prescribing.

Why work for our team?

Our team consists of Respiratory consultants and the Respiratory CNS of 2 CNS Respiratory, Administrative Support and CNS Sleep Apneia that will be line management by the successful candidate

There are opportunities for flexible working as you will be provided with the tools to deliver virtual consultations, but you majority of the work will be supporting our patients in ED, Inpatient and Outpatient setting.

As this is a new Team the Lead Nurse Respiratory will be setting up the service to match the demand and capacity of the patients in NMUH with the support of General Manager/Service Manager, Respiratory Consultants and Associate Director of Nursing.

Further opportunities for training and personal development will also be available for this role.

Main duties of the job

The post holder will take devolved responsibility for the care of patients across inpatient and outpatient settings. They will be responsible for assessing care needs and carrying out all relevant forms of care without direct supervision. This will involve case management, running nurse-led clinics, a telephone "hot-line", supporting patient self-management, providing education to other healthcare professionals involved in the care of respiratory patients and strengthening links with community teams. The focus of work will be supporting the care of people with asthma and COPD.

The post holder will develop a strategy in collaboration with the medical team to improve patient experience and quality of care as well as reducing admissions and overall length of stay. Work will include supporting local and national audits, support to ward nursing staff in the care of respiratory in-patients and collaboration with community colleagues to ensure joined up care between the hospital and patient's homes and improved access to pulmonary rehabilitation.

The Lead Nurse will be involved in guideline/audit development and be expected to write and update local nursing policies and evaluate their implementation. The post holder will be expected to demonstrate excellent communication and clinical skills and support teaching for relevant healthcare professionals to improve the care of respiratory patients.

About us

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital here

Job description

Job responsibilities

Clinical

Manage and co-ordinate the care for patients referred with COPD and Asthma. Be responsible and accountable for all elements of professional nursing practice. To work autonomously in managing patients eligible for biologics and liaise with medical team and members of the multi-professional team. Maintain effective communication with patients, carers, and professionals to ensure seamless service delivery. Assist with the assessment of new patient referrals, working alongside consultants to ensure appropriate investigations are performed in a timely manner and an agreed management plan is in place. To undertake assessment of the patient which includes taking a history, physical examination, and when applicable, ordering and interpreting diagnostic tests as appropriate. Ensure all assessments are documented fully and communicated effectively to consultant, referring member of the medical team or GP and members of the multi-professional team. To review previous test results and identify any abnormalities with blood tests / imaging and instigate appropriate action or escalation to consultant. To be accountable for coordinating patient care with the consultants and administration team, in order to meet agreed standards/pathways. This will include prescriptions and updating patient and patients referring consultant or GP of the care/treatment plan. To provide specialist clinical knowledge, support and practice, to patients and carers within the department and wards. Ensure the patient and family are fully informed and understand the purpose of any investigations, treatment, and outcomes, in accordance with best practice and informed consent. To assess both outpatients and inpatients based on national standards, to determine clinically fitness for interventions/treatments. To undertake aspects of the extended role of the nurse following appropriate training. Perform and assist with agreed procedures appropriate to the role and function of the Lead Nurse Respiratory To be responsible for setting, implementing, and monitoring acceptable standards of care for patients with respiratory diseases such as COPD and Asthma. Co-ordinate and run nurse-led clinics in addition to managing and reviewing patients on an urgent basis in order to provide an expert and effective patient focused service. Review patients in the inpatient areas and ED to advise in further treatment and support needed in the community. Lead and develop standard operational procedure (SOP) for Nurse Led Discharge for patients with respiratory disease. C Working with Consultant Service Lead and other health professionals in order to achieve optimum waiting lists for respiratory medicine, reduce waiting time in ED and length of stay for inpatients. Lead and delivery of training for staff in the organization in regards managing patients with COPD or Asthma Lead and delivery of self-management strategies for patients prior to going home or in an outpatient setting for patients with COPD or Asthma

Management

Co-ordinate a nurse-led respiratory service which promotes a safe patient pathway for those eligible patients. Work collaboratively with Clinical Lead and Service teams to optimise demand and capacity within respiratory. To collect, collate and evaluate information relating to patients referred and procedural outcomes. All patient pathways are tracked, and data collated on key events such as timing of receipt of referral, date of consultations, treatment options and clinical outcomes. Work collaboratively in developing straight to test triaging/assessment models including research through data collection and analysis of key outcome measures. Present information to professional groups, analyse data and provide written reports. Data will be analysed frequently to identify risks or delays in patient care which require immediate intervention by Clinical Lead or service teams. To establish and maintain effective communication links with all relevant personnel and departments, external agencies as necessary. To liaise with the health advocacy service to book advocates as appropriate to the patients needs. Identify clinical risks and ensure appropriate escalation and action is taken, in accordance with policy, by providing expert advice. To maintain a safe environment for patients and staff within high-risk clinical areas of respiratory outpatients department and take appropriate actions. The post holder should manage complaints on a local level where possible and escalate unresolved issues to the ADoN/GM. To be conversant with Trust and department policies and procedures and ensure that these are adhered to and available to others. To monitor clinical standards of nursing care and report to the Clinical Lead/ADoN when standards are not being met. This will include the notification of problems and incidents and initiating appropriate action. Act as a patient advocate and counsel when informed discussion may lead to choices being made concerning treatment options. Possess a thorough understanding of safeguarding procedures and policies in practice. Ensure that all relevant information is accurately documented in patient health records or on electronic patient records in line with professional standards of record keeping. Implement the Trusts Corporate Governance Strategy regarding meeting the necessary standards of accountability, financial control, patient and public involvement and the delivery of clinical outcomes. To support, enable, motivate, develop nursing staff and demonstrate Nursing leadership/ supervision. Contribute to protocols, documentation systems, standards, policies and clinical guidelines for others to use in practice. Develop care protocols/pathways in conjunction with Clinical lead both locally and at a network level. Identify, develop, and maintain ways to support patient involvement and feedback of service. To take an active lead in advancing nursing/clinical practice within Respiratory Care. Undertake research and implement evidence-based practice for patients undergoing routine and interventional levels. In conjunction with multi-professional team, participate in setting objectives for service and engage with service improvement initiatives and strategies to deliver Respiratory Services. Assist in developing audit to assess compliance with national and local standards. Network within and outside of the organisation in relation to service development. Influence strategic developments in pursuit of advancement of quality of patient care, clinical outcomes, and patients experience within respiratory. Lead or facilitate the policy development for the Respiratory Service to enable active and measurable improvements. Expected to represent self in the service to assure that real improvements have been implemented. Develop and strengthen interpersonal relationships with both Medical & Surgical teams and members of the Multiprofessional team to ensure good working and collaboration within practice. Be responsible for financial control of consumables/resources including medications required for biological treatments

Education

To lead on education of patients and their carers to understand the diagnosis, treatment options and their health care needs during and following treatment. To act as a patient advocate in line with the National guidelines and to actively apply in-depth knowledge of holistic/socio-economic and cultural aspects of care to clients within specialty. Participate in teaching and supervision of new and unqualified staff, including medical staff and learner nurses. Perform the role of a mentor to trainees, within the department. Advise on the promotion of health and prevention of illness. Maintain own professional/clinical requirements to act as a role model and resource to patients, significant others and staff. Be conversant with current legislation/NICE guidance for patients requiring rheumatology care and implement as appropriate. Participate in local/national audits and research relating to respiratory patients. To use information systems to aid regular audit of the clinical role and have an awareness of how information technology can contribute to clinical practice. Lead on audit, quality, and risk management initiatives in supporting respiratory services. Utilise nursing research within clinical practice, keep up to date with, interpret and critically evaluate current literature in specialist area and within Professional arena. To ensure evidence-based practice is implemented and updates Trust guidelines to ensure high quality and effective care is delivered. To communicate and update staff on audit/research findings and to initiate any changes to practice, as required. Work with the Clinical and Nursing Lead to agree own learning objectives in order to develop both professionally and personally. To undertake clinical supervision and reflective practice and support other staff to do the same. Develop and maintain a professional portfolio, which complies with NMC recommendation and revalidation. To monitor/maintain a system for monitoring of self about the requirements of professional practice & the maintenance of NMC requirements regarding registration. To provide information and function as a resource for advice to GPs, primary care about patients requiring endoscopy with both written and verbal correspondence. Participate and contribute with staff review and appraisals and support Personal development plans for nursing and allied health professionals within Endoscopy. Act as an assessor/mentor for students and colleagues participating in induction programmes, teaching, developing and assessing competencies and support ongoing learning. Person Specification

Attributes/Skills

Essential

Registers Nurse on NMC MSc or working towards it Post registration nursing in Managing Patients Respiratory Diseases such as Athma and COPD Independent Nurse Prescriber or working towards it

Skills and Abilities

Essential

Significant experience as CNS band 7 Respiratory or worked in ARU as band 7 Management and Leadership Evidence of managing caseload of patients Evidence of participation in QI, Audits and Research

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