Specialist Nurse

Clinical and Professional: As part of the Respiratory Inreach team manage caseload of patients in both the clinic, the Respiratory wards and across the Trust. Provide specialist advice on Respiratory conditions with a focus on Chronic obstructive Pulmonary Disease and asthma. Works as part of the Multidisciplinary team. Communicates highly sensitive, complex and contentious information to patients, relatives. Assess new and established patients with Respiratory conditions, identifying their psychological, physiological, emotional spiritual and cultural needs in relation to their disease and proposed treatment, providing a pathway of nursing care for the patient through liaison with other agencies, ie Long Term Condition nurses, GP, Community Respiratory Teams. Act as a patient advocate when relevant and be able to educate on all the treatment options to enable a patient to make an informed choice, negotiating with the medical team to agree a pathway of care. Provides continuity of care throughout the patient journey and liaising across organizations. Develop specialised programs of care and provide individualised advice including written and oral information to patients with Respiratory conditions, their relatives and careers. The Respiratory Inreach team acts as an expert resource within the Trust. Develop a progressive and dynamic approach to practice thus ensuring a responsive, quality up to date service. Provide clinical advice and support to junior and senior health care professionals within Plymouth Hospitals NHS Trust Provides clinical advice and support to health care professionals including General Practitioners across local primary care trusts and other community organizations. Provide education and implementation of Management plans for patients with asthma and COPD in accordance NICE/BTS/SIGN guidelines Identification of patients suitable for early supported discharge. Act as a role model for nursing excellence within COPD and Asthma and as a role model for excellence within other respiratory pathologies. To provide support for distressed patients / careers and bereaved relatives and identify patients at risk and refer to appropriate agencies Reviews patients with other respiratory pathology independently and initiates changes in management of care in a variety of settings including, inpatient areas, CNS clinics. Participate in case conferences in relation to future management or discharge arrangements. Maintain accurate patient records and ensure all relevant information is documented in accordance with Trust policies. In collaboration with multidisciplinary team members assess the needs of patients their families and careers and provide specialist advice.