Job overview
The StaffBank for Epsom and St Helier NHS Trust are seeking enthusiastic Community Nurses to join our pool of Staff Bank workers, there are many full time roles available but as they are ever-changing - the exact roles available will be provided once your Hiring & Recruitment is complete. We can give you an idea of the type of roles available at the time of contact, but we cannot guarantee set roles as your hiring time may vary. Depending on previous relevant experience & previous NHS experience, higher banding/rates can be discussed.
Main duties of the job
Surrey Downs Health and Care (SDHC) deliver care closer to people’s own communities through our Primary Care Networks and our innovative partnership of local NHS organisations.
Surrey Downs Health and Care has a track record of providing person centric care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:
· The three GP federations representing practices that operate in the Surrey Downs area
· CSH Surrey
· Epsom and St Helier University Hospitals NHS Trust
· Surrey Council County
Working for our organisation
1. "At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values."
2. OUR MISSION: 'TO PUT THE PATIENT FIRST BY DELIVERING GREAT CARE TO EVERY PATIENT, EVERY DAY'
3. Theres never been a better time to join the Epsom and St Helier team. Our hospitals are facing a bright and busy future, and our staff have a proven track record in providing high quality, compassionate care for our patients.
4. Boasting incredible staff benefits and dedicated training schemes, working for us will not only take your career forward, but could help to transform the lives of our patients and visitors.
Detailed job description and main responsibilities
Role Summary
This is an exciting opportunity to work as part of a well-established community multidisciplinary respiratory specialist team consisting of respiratory nurse specialists', highly specialist respiratory physiotherapists. The Respiratory MDT’s key aims are:
5. To deliver evidence-based care for patients with COPD in the Surrey Downs area
6. Develop integrated respiratory service pathways through audit and evaluation
7. Promote health through patient empowerment, health education and self-management skills
Principle Duties to include:
8. Referred to the service to enable prompt assessment, diagnosis and treatment according to agreed policies, protocols and guidelines.
9. Request and perform appropriate diagnostic and/or therapeutic interventions in order to provide a holistic assessment of the patient within agreed policies and guidelines.
10. Be responsible for prescribing such treatments as are deemed clinically appropriate, in line with local guidelines, the Nurse Prescribing Formulary and Trust protocols for Non-Medical Prescribing.
11. Lead in the professional development needs of junior team members within the service.
12. Be proactive in offering health promotion and participate in health promotion activities, including health needs assessment for the caseload and local population.
13. To manage complaints according to Trust policy and within professional guidance. Research and Development
14. To contribute to the development of evidence-based practice using audit and other tools including user and stakeholder feedback
Key Clinical Duties
1) Respiratory Nursing
15. To work independently as a respiratory nurse specialist practising holistic evidence-based, guideline management strategies
16. To prioritise workload and manage own patient caseload, including planning and evaluating care provided.
17. To be professionally and legally accountable for all work undertaken.
18. To ensure that, as a lone worker in the community, appropriate risk assessments are undertaken to ensure safety at all times.
19. To practice advanced standards of clinical assessment through history taking and physical examinations as an autonomous practitioner using highly specialised skills with advanced clinical reasoning; analyse findings, recognise and diagnose exacerbations of respiratory conditions and differentiate from other diagnoses (eg heart failure) and appropriately seeking advice from within the team or in-patient Respiratory Consultant.
20. To interpret clinical assessment findings, using medical assessment tools such as spirometry; blood tests, etc.
21. On the basis of assessment findings make recommendations to the patient and other health care professionals on the best course of intervention, and initiate appropriate treatment plan as indicated. This may be through use of independent nurse prescribing, and initiation of standby medication or via direct discussion with GPs.
22. To promote self-management of respiratory conditions, through disease specific education, Health promotion, including stop smoking (with appropriate referral to the specialist Stop Smoking Team), nutrition (with referral to the specialist dietetics and speech and language therapy teams), psychological interventions (with appropriate referral to integrated psychology service) and exercise.
23. To participate in community pulmonary rehabilitation provision where required and will encourage cross supportive working.
24. To triage and review patients referred to the service and AECOPD pathway using agreed protocols and procedures.
25. To carry out follow up assessments and treatment in patient’s homes, liaising with other team members as required. Collaborate with community based professionals such as GPs, district nurses and home carers to promote continuity of care for patients.
26. Collaboratively identify patients’ goals in relation to their respiratory condition and facilitate meeting these through education and support, empowering them to manage their long term condition effectively, seeking advice and support when required.
27. To act as a resource to all professionals involved in the care of respiratory patients
28. To be responsible for keeping contemporaneous up to date patient records by ensuring all relevant information is documented on EMIS nursing progress notes and write specific reports as required
29. To initiate and implement changes in clinical practice which improve standards of care and health outcomes for patients
30. In conjunction with other professionals, develop standards of practice against, which quality of care may be measured
31. To identify and address clinical issues and incidents within the community in order to improve the quality of care
32. To identify and resolve patient related or service problems and prioritise demanding and conflicting needs.
2) Oxygen Caseload
33. To assist and support HOSAR Nurse for patients referred for Respiratory/Oxygen Assessment, in the most appropriate setting, identifying and managing clinical risks, within a specialist field and be responsive and adaptable to the perpetual changes in patients’ clinical states.
34. To assist the delivery of oxygen services as outlined in the service specification with responsibility for related work streams.
35. To provide education and support to patients, and their carer’s, and support local development with support networks on oxygen, respiratory and pulmonary rehabilitation
36. To actively engage with GP practices in delivering care to patients requiring oxygen, providing specialist advice and support when required to primary health care professionals on their patients’ treatments and on-going management.
37. To assist when required in conducting regular reviews of the Oxygen patients on the Concordance report
38. To assist and provide support when required maintaining high standards of clinical care throughout the oxygen service team by keeping up to date with clinical developments, analysing current research, critiquing new guidance, lead audit and service evaluation within specialist area and implement changes in clinical practice dependent on results
39. To use professional judgement when dealing with patients who display adverse behaviour towards the use of oxygen and the removal of oxygen where appropriate.
40. To undertake Capillary Blood Gas analysis as appropriate to the patient’s needs.
41. To provide specialist clinical advice, teaching and instruction to patients, relatives, carers and other professionals, regarding the management of patients within the area of Oxygen therapy
42. To ensure patients with conditions requiring Oxygen get timely access to appropriate services and care/treatment in the most appropriate setting for the individual – primary or secondary liaising with other appropriate services as necessary.
43. Liaise and develop communication links with other health professionals/specialists around other disease areas where patients require oxygen therapy to ensure continuity and holistic care is seamless, eg pulmonary rehabilitation.
44. Plan for emergency situations to make sure that oxygen supplies are continued for patients in line with service specification and contingency planning policy.
45. To assist in the development of care pathways to ensure that patients requiring oxygen therapy flow seamlessly between the different levels of care according to their needs and this will involve linking with other related respiratory services.
46. To be responsible for the safe use of equipment used in assessment or implementing oxygen therapy and ensure all team members adhere to trust and departmental medical devices policies, including competence to use equipment through teaching, training and supervision
3) Education
47. To be responsible for identifying own training and development needs to maintain expert level of practice and to maintain CPD portfolio to reflect this.
48. Identify the training needs of other professionals in relation to Chronic Respiratory Care, both within primary and secondary care and plan, implement and evaluate teaching programmes.
49. Employ a range of methods in education and training appropriate to the topic, participants, facilities available and event.
50. To lead in the development of University based respiratory training courses for pre-registration nursing students within the specialist (respiratory) area when requested.
51. To organise and provide respiratory training session for GP's, nurses and allied health professionals as requested
52. Lead in the use of research based practice linking this to relevant service development.
53. Act as role model and mentor to other team members and students. Identify and attend any personal and relevant training for this role.
54. To participate in appraisal using reflective practice.
4) Management
55. Manage own respiratory clinical diaries and templates.
56. To act as a change agent and innovator, planning, instigating and evaluating change through robust cycles of audit.
57. To lead in the development and maintenance of collaborative relationships, partnerships and networks aimed at influencing and improving health outcomes for respiratory patients
58. To assist and develop COPD services to improve practice and health outcomes are underpinned by local and national guidance, patient and carer needs and utilisation of multidisciplinary skills to formulate and test new developments
59. To contribute to measuring the effectiveness and productivity of respiratory/COPD disease management provided through the collection and correlation of data for the team annual reports
60. To develop and implement evidence based clinical practice within the team
61. To be responsible for the upkeep and maintenance of equipment used in the respiratory service reporting all equipment defects in order for them to be repaired or replaced.
5) Communication/Collaboration
62. To work collaboratively with members of the respiratory team and other clinical specialities, i.e. ILTs, GP practice, palliative care team, in order to provide seamless, high quality care in the borough
Person specification
Experience
Essential criteria
63. 6 Months Experience
Professional Registration
Essential criteria
64. Professional Registration
Our mission: ‘to put the patient first by delivering great care to every patient, every day.’
There’s never been a better time to join the Epsom and St Helier team. Our hospitals are facing a bright and busy future, and our staff have a proven track record in providing high quality, compassionate care for our patients.
Boasting incredible staff benefits and dedicated training schemes, working for us will not only take your career forward, but could help to transform the lives of our patients and visitors.
We offer all employees some fantastic staff benefits, and are the only hospitals in Surrey to offer staff the London high cost area supplement. Our hospitals also benefit from great locations, so whether you're attracted to the bright lights of the city or the countryside of Epsom Downs, both are within easy reach.
FURTHER INFORMATION
**PLEASE NOTE THAT THIS POSITION MAY CLOSE EARLIER THAN THE STATED CLOSING DATE IF A SUFFICIENT NUMBER OF APPLICATIONS ARE RECEIVED. IF YOU WISH TO APPLY FOR THIS POSITION, YOU ARE ADVISED TO SUBMIT YOUR APPLICATION AS SOON AS POSSIBLE**
**PLEASE NOTE THAT WE CONTACT ALL APPLICANTS VIA EMAIL AND NOT BY POST. YOU ARE ADVISED TO CHECK YOUR RECRUITMENT SYSTEM ACCOUNT ON A REGULAR BASIS. YOU CAN ACCESS THIS ACCOUNT VIA OUR WEB SITE> Work for Us > Current Vacancies > My Job Account**
For new entrants into the NHS, your pay under the Agenda for Change or Medical & Dental Pay Bands, will normally be set at the minimum of the pay band as advertised.
If you apply for this position and do not hear from us within 4 weeks of the closing date, please assume that you have not been short-listed for interview on this occasion.
ESTH values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.
As a Disability Confident Employer we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.
Internal applicants from underrepresented minority groups are encouraged to seek development support such as work shadowing and interview skills coaching.