Respiratory Clinical Nurse Specialist

The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgments. -To assess and review patients attending emergency department and who are admitted in the hospital with asthma, COPD and NIV according to the local protocols and national guidelines. -To initiate home oxygen therapy in hospital or at home and to do follow-up reviews safely. -To perform dignostic clinics including performing and interpreting lung function tests namely reversibility and FeNo in outpatient and community hub settings -Discuss own patient caseload with relevant clinicians and at MDT -Lead on audits namely national asthma and COPD ones,

• To co-ordinate the specialty care within the Trust, including community clinics across Lewisham and home visits for patients who are unable to access the community clinics.
• To support patients with oxygen in terms of checking their ongoing needs, their safety and in the identification of risk.
• To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
• Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. This will include spirometry, FeNo, lung function reports, and blood gas analysis.
• Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
• , 1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability 3. Improving the experience of staff with disability 4. Improving the EDI literacy and confidence of trust staff through training and development 5. Making equalities mainstream

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations