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Senior Clinical Nurse Specialist Paediatric Respiratory with King's College Hospital NHS Foundation Trust in London
We are a specialist paediatric respiratory service and helped pioneer the development of the specialty in the UK. We diagnose and treat infants and children with all types of respiratory problems, and specialise in complex illnesses. We see children referred by local GPs as well as by hospitals in south London and south east England. Our outpatients clinics include general respiratory, asthma, difficult asthma, tuberculosis, non-CF bronchiectasis, ventilation (NIV and invasive), and a weekly rapid access clinics. Lead anddeliver an expert nursing service within the paediatric respiratory service, and manage a caseload of patients. Assessing patients, planning and implementing care, providing specialist advice; maintaining associated records. Be the lead specialist in a defined area of nursing care; provide specialist education and training to other staff and students Use knowledge and skills as a basis from which further to develop practice, understanding the implications of the social, economic and political context of health care, including the assessment and management of risk. This will be achieved by engaging in flexible, cross-boundary partnership working facilitating the care of this group of people in the community. Develop evidence based clinical nursing practice by undertaking research and lead on clinical audits in own specialist area. To work as an autonomous senior clinical nurse specialist to co-ordinate and deliver expert nursing care effectively to a defined caseload of children and young people and their families across both the acute and community setting. To lead in the development of evidence based clinical nursing practice in line with current research and guidelines. To maintain clear lines of communication with primary healthcare teams in order to increase knowledge and facilitate the care of this group of children, young people and families in the community. To act as a key resource and source of specialist support to colleagues across primary/secondary/tertiary care settings. Particular emphasis is put at Kings on the need to ensure that all staff recognize their responsibility to deliver services in a high quality, courteous, patient focused manner maintaining patient confidentiality at all times. About us Provide specialist nursing service for babies, children, and young people with specialist respiratory care needs. Provide expert nursing advice and support to patients, families and other healthcare professionals following diagnosis and through treatment. To accept responsibility for own patient caseload, ensuring all patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made. Assess health, health related and nursing needs of the children and young people, families and other carers by identifying and initiating appropriate steps for effective care for individuals and groups. This can include: managing a patient caseload; ordering/advising ondiagnostic tests; making and receiving referrals; admitting and discharging patients for specified conditions and within agreed protocols; running clinics; prescribing medicines and treatment Attend/run outpatient clinics to follow up patients and ensure all relevant information is available to enable patients to make informed choices about their treatment Assess and manage critical and clinical events to ensure safe and effective care. Support and empower patients, their families and other carers to influence and participate in decisions concerning their care by providing information on a range of specialist nursing care and services. Facilitate learning in relation to identified health needs for patients and carers. Implement programmes of education and training in according to the identified health needs of patients, carers and other involved in their care Provide counselling and psychological support for individuals and their carers. Act independently within a multi-disciplinary/multi-agency context Promote children well-being and safeguarding them from harm, and work within agreed policies for reporting concerns including concerns about colleagues. Challenge existing boundaries of practice where patient care can be enhanced by broader nursing roles