Job Purpose To provide specialist advice, assessment and treatments for patients being assessed for, or already on oxygen with re.....
Job Purpose To provide specialist advice, assessment and treatments for patients being assessed for, or already on oxygen with respiratory and non-respiratory conditions. To provide specialist advice, assessment, and treatment for patients with a respiratory condition within the community and to support patients in respiratory exacerbation in an aim to avoid unnecessary hospital admissions. To provide assessment and brief intervention as part of early identification of lung health initiatives where required. To work cohesively with other health professionals/agencies through the respiratory service referral process to ensure effective treatment management and planning for those with a respiratory condition. As an autonomous practitioner you will undertake comprehensive respiratory and/or home oxygen assessment for patients requiring urgent and chronic respiratory disease management or oxygen therapy. To educate and advise patients under the Integrated Respiratory and Oxygen Service patient pathway and those involved with working with the patient including other health and social care workers, students, or carers. To be responsible for maintaining high standards of clinical practice utilising evidence-based practice. Dimensions To provide line management responsibilities and mentorship to clinical staff and peers working within the specialty To work collaboratively and across organizational boundaries to provide evidence-based practice and holistic care to patients in a variety of settings. To be responsible for the safe use of equipment and physical resources in the course of clinical duties. Key Responsibilities To work closely with community and secondary care providers to identify and manage patients requiring Home Oxygen. To be based flexibly within the community whilst maintaining close links and regular communication with the hospital team. Utilize enhanced assessment skills and evidence-based knowledge to provide specialist diagnostic service delivery in the clinic/home setting in relation to accurate diagnosis, interpretation of blood results, blood gases and the management of chronic respiratory conditions. To provide information, support, and referral to the smoking cessation service. To provide assessment, support, and management of patients on Long Term Oxygen Therapy (LTOT) and Ambulatory Oxygen Therapy (ATOT). To work proactively with team admin to ensure home oxygen visits are booked in advance for all oxygen staff. To ensure training competencies for the home oxygen service clinicians are completed and staff are confident and competent to undertake home oxygen visits. To attend home oxygen network meetings and feedback relevant information to the team. To participate in identified data collection and audit collaboratively with the team clinicians and the team manager to make recommendations for service change. To undertake comprehensive evidence-based risk assessments developing risk management plans. To work as a member of an Integrated Respiratory and Home Oxygen Service Team to deliver a coordinated service to patients, in the community. To participate in Pulmonary Rehabilitation courses for patients, including patient education sessions held in a range of clinical settings. To act within the guidelines provided by the NMC Code of Professional Conduct. To contribute to the development and implementation of service protocols, standard operating procedures, and service development projects. To provide specialist care and advice to patients with a respiratory condition undertaking full respiratory assessment, chest auscultation and interpretation of findings to manage urgent respiratory exacerbations and ongoing chronic respiratory management in the community/home setting. To provide specialist care and advice to patients with a respiratory condition undertaking full respiratory assessment, chest auscultation and interpretation of findings to manage urgent respiratory exacerbations and on-going chronic respiratory management in the community/home setting. To provide clinical, emotional, and psychological support to patients and their families. To develop and co-ordinate individualized patient management plans, including a respiratory self-management plan, in partnership with the patients and their carers/family. To work closely with community and secondary care providers to identify and manage patients with a respiratory condition at risk of frequent admission into hospital. Administer medications as prescribed in accordance with the NMC standards for administration of medicine. To establish and maintain effective channels of communication throughout the integrated team and partnership agencies. To liaise with Acute and Primary Care staff and integrated teams to ensure the patients holistic needs are met. This could be in a nursing, advisory or teaching capacity. Advise Lead responsible Clinician, of any problems occurring whilst the patient is being visited at home and act upon the decision as appropriate. To take responsibility for the appropriate delegation of work according to the skills and abilities of other team members. To be responsible for own Continuing Professional Development in an aim to keep abreast of new developments through continued training/conference attendance, whilst maintaining NMC Revalidation. To organize and participate in appropriate seminars and study days, acting as a specialist resource in Respiratory and Home Oxygen care. To contribute to the education and support of other clinicians within the primary care setting. To contribute to raising awareness of the role of the Integrated Respiratory and Oxygen Service, including the education and training for patients and other health care professionals. Ensure an approach to the care of Respiratory and Oxygen patients that minimizes risk and maximizes clinical effectiveness. Assist with the investigation and reporting of all incidents relating to the service, ensuring appropriate action is taken. Ensure an approach to care, which recognizes the unique needs and views of Home Oxygen and Respiratory patients and their carers, and which places the patient at the center of all care delivery. To participate in and contribute towards any related research projects that have been formally agreed within limits of time and funding. Ensure that evidence-based findings are translated into practice. To collect and utilize data to enable monitoring and evaluation of the service, which will provide evidence of the value and effectiveness of the service. Supporting the use of clinical audit as a means of enhancing clinical practice and being receptive to the audit plans of others. To work collaboratively and flexibly within the Integrated Respiratory and Oxygen Service and provide essential cover in the absence of the other Integrated Respiratory and Oxygen Service Clinicians. To undertake supervision of peers and junior team members according to CityCare Supervision policy. To participate in any other agreed duties that may be reasonably required in addition to those above.