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Community COPD and Oxygen Nurse Specialist
3 months ago
Job summary
The Stockport Community COPD service has an exciting opportunity for a Band 7 Registered Nurse to join their specialist service for hours a week.
We are looking for a dynamic, motivated individual who has a specialist interest in caring for patients with COPD and has the ability to deliver high quality, evidence based care. The successful candidate will work in both the COPD and Oxygen assessment service.
They successful candidate will have excellent communication skills and will work collaboratively with other teams.
We are looking for a respiratory nurse with the relevant experience within the speciality. If you have the experience and skills, with a passion for making a difference in patients' lives then we would like to hear from you.
Main duties of the job
Act as a resource and adviser promoting evidence based practice and best management of COPD across the organisation, providing a community wide service Work as part of the oxygen assessment service, providing nurse led assessment of, and ongoing support to patients with home oxygen Incorporate skills of nurse prescribing. Utilise assessment skills such as history taking, chest auscultation, spirometry interpretation and blood results to make clinical decisions utilising expert knowledge and clinical reasoning. Work with the MDT to develop innovative and individual strategies to address unmet patient need Proactively manage patients using home based assessment and interventions, offering support to patients and their carers to improve and optimise the patients quality of life dependent upon their need Provide specialist nursing skills to the clinical management and education of Stockport patients with COPD, working in collaboration with multi-disciplinary teams in the community setting and liaising with the hospital team.
About us
We hold a unique position in the Stockport community as the provider of healthcare and we are one of its largest employers.
We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.
We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from you.
If you require support with your application please contact a member of the recruitment team, who can discuss alternative application methods.
We recognise that flexible working is important. We take requests for flexible working seriously, consider any request we receive and try to work with you, so we can explore if your request may fit with the needs of the service.
Benefits we offer to you:
o Between 27-33 days of annual leave plus bank holidays
o NHS pension scheme membership
o Salary sacrifice schemes for lease cars, home electronics and more, to make your salary go further
o NHS Staff discounts
o Cycle to work scheme
oSalary finance - for loans, savings, budget planning and tips on managing debt
o Stockport Credit Union- for local financial advice
Job description
Job responsibilities
Following referral into the service, review patients in the home, community based clinics and other appropriate environments, for example nursing or care homes, hospice. Ensure the appropriate assessment, diagnosis, clinical investigations and initiation of treatment for patients with COPD using protocols and evidence based practice Provide intensive support to patients in the community following discharge from hospital and/or post diagnosis of COPD Provide telephone consultations/triage for patients/carers who have concerns about their treatments and condition. Develop knowledge and skills to initiate and/or carry out specialist investigations/treatment for example capillary blood gas sampling, lung function tests, non-invasive ventilation Work independently across a range of settings (patients homes, nurse led clinics) to deliver patient care. Provide specialist nursing care, working in partnership with patients and their carers/families, to develop intervention plans and to promote self-care, independence and healthy lifestyleswherever possible With the support of the team leader, work innovatively with COPD patients who have frequent ED attendances/hospital admissions. Compile information and statistics, and work with the COPD MDT to develop innovative and individual strategies to address unmet needs. Work in collaboration with other community services such as Urgent Community response (UCR), Virtual work (VW) and Advanced Clinical Practitioner team (ACP) to support patients in terms of admission avoidance. Assess complex care needs and co-ordinate a team approach to try and address these needs more effectively to support patients remaining in the community environment Provide end of life care for patients as appropriate Liaise with Respiratory Consultants and/or GPwSI for advice as necessary Participate in the delivery of the pulmonary rehabilitation programme if necessary. Ensure all patient records are completed and maintained in line with Trust policy, observing patient confidentiality all the times. Ensure high quality documentation, maintenance of recordsof care and treatment plans for all patients Uphold the NMC Professional Code of Conduct at all times to ensure the safety of clients and staff ensuring that NMC registration is up to date Act as an Independent Prescriber within the framework identified by the organisation. Optimise medication prescribing eg: bronchodilators, inhaled corticosteroids combined with long actingbeta agonist, anticholinergics, mucolytics, antibiotics, steroids Deal with complaints in a positive and sensitive way in accordance with Trust policy.The Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment and promote safeguarding by implementing the Trusts policies and procedures, acting promptly on concerns, communicating effectively and sharing information appropriately.
If successful this vacancy will require an enhanced DBS check at a cost of £ This cost will be deducted from your first Trust salary
In addition to this it will be a condition of your employment that you will join the DBS update service and pay the annual subscription fee of £13.
Person Specification
Knowledge
Essential
National and local drivers for COPD Understanding of financial impact of COPD Current issues affecting care provision and delivery Chronic disease management Management of change Clinical Governance Research and audit experience
Desirable
Knowledge of community service and families, including support groups and networks. Knowledge of KPI's
Skills and Abilities
Essential
Independently assess respiratory patients and interpret findings. Interpretation of pulse oximetry, pulmonary function tests and blood gas analysis, leading to diagnosis Excellent interpersonal skills Good written skills Patient advocate and ability to negotiate with members of MDT to achieve realistic outcomes with respiratory patients. Commitment to education and health promotion regarding self management and early intervention Ability to effectively plan and implement specific education packages to meet the needs of patients/audience with varying degrees of knowledge from diagnosis to end of life care Excellent organisational skills Autonomous practitioner Patient advocate Ability to communicate effectively to other services and disciplines including primary and secondary care Commitment to self development and willing to share experience with others to influence practice Ability to formulate teaching packages and educate/teach colleagues, junior staff members and student nurse
Desirable
IT/Word Processing Advanced communication skills. Project management Audit experience
Work-related circumstances
Essential
Car driver and access to a car. Able to work flexible hours to meet service needs. Valid car insurance for business use. Transportation and handling of specimens (sputum) Team player Open and approachable Satisfactory attendance record Commitment to meet needs of dynamically changing service including continuing
Experience
Essential
Extensive experience in respiratory nursing including experience of nursing patients with type I and type II respiratory failure in chronic and acute settings Experience of leadership and developing care pathways Experience of multi-disciplinary team and multi-agency working Responsibility for own patient group which includes assessment, planning and implementation of care Lead on key roles pertinent to COPD eg: palliative care, oxygen, chronic disease management, acute care, case conferencing, teaching and education Teaching in practice Experience of initiating and participating in change management processes Palliative care experience Empowerment of patients within rehabilitation setting
Desirable
Audit process Clinical experience in community & primary health care Experience of patient assessment relating to oxygen requirements Experience of nurse led services Understanding of community based services and provision
Education & Qualifications
Essential
Current first level NMC Registration Degree in related health and social care or equivalent experience. COPD module qualification or equivalent experience Evidence of continued Professional Development Non-Medical prescribing qualification or willingness to undertake Smoking cessation experience.
Desirable
level 7 level study