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COPD Nurse Specialist
| Posting date: | 27 June 2024 |
|---|---|
| Salary: | £43,742 to £50,056 per year |
| Additional salary information: | £43742 - £50056 a year |
| Hours: | Full time |
| Closing date: | 03 July 2024 |
| Location: | St Helens, WA10 2DJ |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9409-24-0776 |
Summary
KEY DUTIES Demonstrate the ability to maintain a comprehensive database of patient with a confirmed diagnosis of COPD The post holder will perform a Specialised Respiratory assessment, initiate diagnostic testing including interpretation of results to ensure patient are diagnosed correctly, optimised, managed safely at home to prevent in appropriate hospital admissions and provided with a safe effective supported discharge. Demonstrate a proactive approach to identifying patients who attend secondary care but do not require a hospital admission, assess, plan, evaluate care and facilitate discharge for patients, developing a clear understanding of referral pathways and early supported discharge criterias to ensure safe effective discharge. The post holder will demonstrate Specialised Triaging making differential diagnosis, developing a care plan and treatment; negotiating with the patient on an appropriate management plan. The post holder must develop specialised skills and work autonomously to prioritising work load to maintain patient safety across primary and secondary care Specialist nurse led telephone consultations will be perform in the community; utilising history taking and interpretation of diagnostic testing to ensure appropriate follow up is arrange in thecommunity. Specialised skill are developed to direct patients to self-management and start appropriate treatment under the direction of the specialist nurse (supplementary or independent prescribing) developing care plans over the phone for appropriate patients to follow prevent hospital admission in line with national and local guidelines Working autonomously across primary and secondary care to ensure appropriate service delivery and daily case management of all patient under the rapid response team The post holder will demonstrate knowledge and skills to draw on a diverse range of experience in decision making to determine evidence based practise interventions, treatment planning, reviewing medication and actively monitoring interventions to maintain patient safety, initiating new medication and monitoring side effects Demonstrate advanced clinical knowledge & skills to obtain a respiratory assessment including a full problem orientated medical assessment as an advanced practitioner to assess, diagnose, considering differential diagnosis and instigate a treatment plan, developing skill to prescribe appropriately with competencies as a non-medical prescriber as required. Involve patients, carers and relatives in the planning and delivery of care. The post holder will develop competencies and adhere to trust policies utilising patient group direction to instigate treatment for patient experiencing and exacerbation of COPD The post holder will provide education to your patient regarding their disease to assist them to develop self-management skills at home, to prevent hospital admission; in line with national and local guidelines The post holder will perform assessments of patient, nursing and social needs in line with service policies. Plan, implement and evaluate evidence based care delivery according to changing health care needs. The post holder will make a specialised clinical decisions to prevent hospital admissions at home and obtain blood gases interpret results ; recognising Chronic and acute oxygen needs to maintain patient safety taking over all responsibility to maintain that patient safety, and a robust treatment plan and care package developed adhering to local guidelines. Demonstrate specialised skill to support hypoxic patient at home who refuse hospital admission, communicating with the GP and monitors signs of deterioration; encouraging hospital admission to maintain patient safety at all time working outside of national and local guidelines to maintain patient safety Identify appropriate resources for individual patient needs, referring to appropriate multi-disciplinary teams to prevent unnecessary hospital admissions and any further deterioration. The post holder must optimise patient treatment to ensure improvement in quality of life and reduce exacerbations through independent or supplementary prescribing Identify patient who are at risk of admission and monitor patient at home to reduce 30 day readmissions Identify patient suitable for early supported discharge and facilitate discharges at home adhering to service inclusion and exclusion criteria Demonstrate specialised skill in assessment, obtaining diagnostic tests and interpretation of result to facilitate nurse led oxygen clinics and prescribes domiciliary oxygen for patients. Exercise judgement, discretion and decision making in clinical practice, across all aspect of the role within primary and secondary care and the delivery of oxygen clinics, undertake arterial and capillary blood gas sampling in hospital and community settings in accordance with trust guidelines and protocols, interpreting results, prescribing and titrating oxygen for individual patient needs as per national guidelines. Demonstrate specialised skills in prescribing oxygen and register as a part B Home oxygen ordering Form (HOOF) across primary and secondary care for Long term oxygen therapy (LTOT) Ambulatory oxygen therapy ( AOT) and short burst oxygen therapy (SBOT) oxygen therapy to ensure delivery of oxygen clinics and appropriate follow up for all oxygen patient referred to the service. Identify patient with a history of type 2 respiratory failure and ensure appropriate follow up; Type 2 respiratory packs are provided appropriately and a computerised audit of patients provided with a pack is accurately maintained and reviewed to ensure replacement packs are replaced as required. Demonstrate skills in performing risk assessment on patient in oxygen to prevent serious untoward incidents, obtaining consent for oxygen and identifying patient who may require withdrawal of oxygen. Demonstrate the ability to escalate serious untoward incident and support the removal of oxygen to protect the public at large following local guidance, liaising with key service including fire service, police and North West Regional Lead. Adhere to trust and service policies and standard operating procedures Impart specialist knowledge, advice and support to colleagues, patients, carers and relatives across primary and secondary care & use the expertise and knowledge of professional colleagues acknowledging the boundaries of different roles. Provide formal and informal teaching sessions to community & secondary care staff involved in the care of patient with COPD. Establish and maintain continuing relationships with patients, carers and relatives which are essential to providing effective long term care. Provide sensitive, complex information to patients, carers, relatives and professionals across health and social services. The post holder must deliver education session at the pulmonary rehabilitation session as part of a multidisciplinary team The post holder must develop advance communication identifying patient entering end stage COPD, discussing end of life issues with patients, identify patient suitable for gold standard framework; specialised skills in the management of end stage COPD to palliate respiratory patient; relieve debilitating symptoms of breathlessness symptoms and complete preferred preference of care documentation, referring to specialist palliative care services and district nurses for end of life support. Demonstrate the ability to facilitate complex communication skills supporting the patient and families through diagnosis and disease progression, this includes end of life discussion and breaking bad news The post holder Attend national training programme to obtain qualifications as an independent non-medical prescriber adhering to nation and local policies and make treatment recommendation to the GP as supplementary prescriber The post holder must obtain certification ARTP Level 3 spirometry; demonstrate the ability to, request diagnostic testing, interpret results in sputum routine bloods, spirometry and pulmonary function tests to ATRP standards, attend Radiology Chest X-ray training and ensure appropriate radiology imaging is requesting and followed up with appropriate management plan; discussing abnormal results with consultants in MDT. Demonstrate the ability to facilitate weekly MDT and action outcomes for patients effectively and efficiently. Maintain comprehensive computerised equipment asset lists including a list of patient who has loan compressors (short term and long term) to ensure retrievable of short term nebulisers and support patients long term nebulisers to reduce infection control risks. Demonstrate the ability to assess, optimise, implement, monitor and evaluate effectively of inhaled and nebulised therapy; evaluating the effectiveness and appropriateness of treatment. Responsible for ensuring all service compressors adhere to infection control cleaning, replacement mask & filters and serviced in line with Medical engineering and manufacturers recommendations. Please review the full job description in attachments