A respiratory clinical nurse specialist post at St George's University Hospitals NHS Foundation Trust, based at St George's Hospital and linked to its acute assessment areas, emergency department and chest clinics. The core of the work is specialist assessment and treatment of patients with asthma, COPD and other acute and chronic respiratory conditions, through nurse-led outpatient clinics, inpatient reviews and oxygen assessment. The role is distinct for its focus on domiciliary non-invasive ventilation or severe asthma care, with the holder expected to teach and take part in research.
What the job involves
- Provide specialist respiratory assessment, diagnosis, treatment and care for patients with acute and chronic conditions
- Run nurse-led outpatient clinics for asthma, COPD and oxygen assessment
- Review asthma and COPD inpatients
- Assess patients for long-term and ambulatory oxygen
- Support patients on domiciliary NIV, or patients with severe asthma including biologic therapy, working with the severe asthma MDT (not both roles in one post)
- Develop seamless care pathways, for example from inpatient to outpatient
- Lead clinical practice and provide an educational environment for students
- Act as an expert in the field, working as a competent, autonomous advanced clinical nurse specialist
- Contribute to the strategic development of the respiratory service
- Link with South West London CCG, GPs, community MDT teams and partners such as oxygen providers
- Disseminate best practice through teaching, publication and conference presentations
- Take part in nursing research and national working parties
Qualifications
- NMC Level 1 or registered nurse
- Degree (BSc) or equivalent in a health-related subject
- Accredited advanced clinical assessment skills module, or willingness to undertake one
Experience
- Minimum of 3 years' NHS experience in acute care or a respiratory setting
- Evidence of NIV competence
- Broad range of experience at B5 and B6 level
- Knowledge of a wide range of respiratory management approaches, shown through advanced clinical reasoning
- Experience managing junior staff, and of clinical teaching and student supervision
Skills & knowledge
- Ability to lead and motivate others, and willingness to lead staff training
- Keeps up to date with professional practice and research
- Understands the legal responsibilities of the profession
- Clear written and oral presentation of information, with computer literacy
- Self-motivated and able to work independently and as part of a team
- Copes with a stressful, unpredictable environment and understands skill mix and service needs
Other
- Understanding of clinical governance, quality and audit
- Clear understanding of safeguarding procedures
Nice to have
- MSc, or willingness to undertake one
- Post-registration course in respiratory, critical care or NIV
- Non-medical prescriber
- Training in spirometry, FeNo testing and blood gas analysis (CBG)
- Leadership training
- Smoking cessation level 1 or 2
- HDU or critical care experience, or experience caring for patients on acute or domiciliary NIV
- Experience of severe or difficult asthma, research and audit, or service improvement
What’s offered
- High cost area supplement (HCAS) included in pay