Respiratory Clinical Nurse SpecialistinLewishaminLewishamPUBLISHED THU 17 OCT 2024
Band 7: £46,148 to £52,809 a year per annum Plus HCA
PERMANENT
CASELOAD COPD EMERGENCY DEPARTMENT MULTI-DISCIPLINARY NHS NON-INVASIVE VENTILATION
Lewisham and Greenwich NHS TrustrhyxyJZc
The Respiratory Clinical Nurse Specialist role at Lewisham and Greenwich NHS Trust involves significant professional autonomy and clinical judgment in managing patients with asthma, COPD, and those requiring non-invasive ventilation (NIV). Responsibilities include assessing patients in the emergency department and during hospital admission, initiating home oxygen therapy, conducting diagnostic clinics (including lung function tests), and educating other healthcare professionals. The specialist will coordinate care across the Trust, conducting home visits for patients unable to attend community clinics, and will serve as a key resource for the multi-disciplinary team, patients, and their families.
Additional duties involve performing complex diagnostic and therapeutic procedures under the indirect supervision of a consultant, interpreting results, and developing further treatment plans. The role also encompasses leading national audits, supporting primary care, referring patients to tertiary institutions when necessary, and engaging in research initiatives to assist in service development. Overall, the specialist will play a vital role in enhancing respiratory care within the community and hospital settings.
Additional duties involve performing complex diagnostic and therapeutic procedures under the indirect supervision of a consultant, interpreting results, and developing further treatment plans. The role also encompasses leading national audits, supporting primary care, referring patients to tertiary institutions when necessary, and engaging in research initiatives to assist in service development. Overall, the specialist will play a vital role in enhancing respiratory care within the community and hospital settings.
The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgments.
-To assess and review patients attending emergency department and who are admitted in the hospital with asthma, COPD and NIV according to the local protocols and national guidelines.
-To initiate home oxygen therapy in hospital or at home and to do follow-up reviews safely.
-To perform dignostic clinics including performing and interpreting lung function tests namely reversibility and FeNo in outpatient and community hub settings
-Discuss own patient caseload with relevant clinicians and at MDT
-Lead on audits namely national asthma and COPD ones
-Educating other healthcare professionals.
- To co-ordinate the specialty care within the Trust, including community clinics across Lewisham and home visits for patients who are unable to access the community clinics.
- To support patients with oxygen in terms of checking their ongoing needs, their safety and in the identification of risk.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. This will include spirometry, FeNo, lung function reports, and blood gas analysis.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
About us
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. This will include spirometry, FeNo, lung function reports, and blood gas analysis.
- Perform clinics independently for patients with asthma and COPD and support primary care in managing patients in the community.
- Assess patients on wards to initiate home oxygen therapy and review them at home
- Refer patients with severe asthma to tertiary institution for biologics
- Liaise with other hospitals regarding management of NIV and follow patients up at home
- Perform research and audits regularly
- assists in service development
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More about the NHS
The National Health Service (NHS) is a cornerstone of healthcare in the United Kingdom, established in 1948 with the simple yet profound principle of providing healthcare to all citizens, free at the point of use. This revolutionary system aimed to ensure that access to medical services would not depend on an individual’s financial situation, a concept that has since become fundamental to British societal values.Learn more...
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Chronic Obstructive Pulmonary Disease (COPD) is a significant public health concern in the United Kingdom, characterized by persistent respiratory symptoms and airflow limitation, primarily due to exposure to harmful particles or gases, most commonly from smoking. It encompasses two main conditions: emphysema and chronic bronchitis. COPD affects millions of people across the UK, posing challenges not only for the patients but also for the healthcare system.Learn more...
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