Practice Nurse

Job summary

The post holder is responsible for the delivery of practicenursing care to its registered patients. Supported by senior nurses within thepractice, they will deliver care within the boundaries of their role, focusingupon supporting patients to be healthy, monitoring long-term conditions, andengaging in health prevention and screening activities including vaccinations.They will work collaboratively with the general practice team to meet the needsof patients, supporting the delivery of policy and procedures, and providingnurse leadership as required.

Main duties of the job

Assess, plan, develop, implement and evaluate individual careplans to promote health and well-being, and prevent adverse effects on healthand well-being.

Identify and manage as appropriate, treatment plans forpatients at risk of developing a long-term conditionIdentify and manage as appropriate, treatment plans forpatients with a current acute health concern.

Prioritise health problems and intervene appropriately toassist the patient in complex, urgent or emergency situations, includinginitiation of effective emergency care and referral on when appropriate.

Support patients to adopt health promotion strategies thatencourage patients to live healthily, and apply principles of self-care,including taking opportunities to promote health and wellbeing wherever theyarise.

Provide information and advice on prescribed orover-the-counter medication on medication regimens, side effects andinteractions.

Support and advise women requesting information relating tofamily planning needs and those presenting for cervical cytology consultations.

Recognise, assess and refer patients presenting with mentalhealth.

Implement and participate in vaccination and immunisationprogrammes for both adults and children- including vaccinations for thosetravelling abroad.

About us

We are a friendly, supportive, and innovative Practice ininner city Bradford, Kensington Partnership is based over 4 sites across BD8,BD7 and BD5. We have a patient list size of approximately 24,000 and passionatefor delivering high quality care.

Job description

Job responsibilities

Clinical practice

Assess, plan, develop, implement and evaluateindividual plans of care to promote health and well-being, and prevent adverseeffects on health and well-being Identify and manage as appropriate, treatmentplans for patients at risk of developing a long-term condition Identify and manage as appropriate, treatmentplans for patients with a current acute health concerns Prioritise health problems and interveneappropriately to assist the patient in complex, urgent or emergency situations,including initiation of effective emergency care and referral on whenappropriate Support patients to adopt health promotionstrategies that encourage patients to live healthily, and apply principles ofself-care, including taking opportunities to promote health and wellbeingwherever they arise Provide information and advice on prescribed orover-the-counter medication on medication regimens, side effects andinteractions Support and advise women requesting informationrelating to family planning needs and those presenting for cervical cytology consultations Recognise, assess and refer patients presentingwith mental health Implement and participate in vaccination andimmunisation programmes for both adults and children- including vaccinationsfor those travelling abroad Communication Utilise and demonstrate sensitive communicationstyles, to ensure patients are fully informed and consent to treatment-recognising the need for alternative methods of communication to overcomedifferent levels of understanding, cultural background and preferred ways ofcommunicating Communicate with and effectively supportpatients and their carers who are receiving potentially distressing information Utilise communication skills to support patientsto adhere to prescribed treatment regimens Estimate and maintain effective communicationwith individuals and groups within the practice environment externalstakeholders Act as an advocate when representing thepatients and colleagues viewpoints to others Delivering a quality service Recognise and work within own competence andprofessional code of conduct as regulated by the Nursing and Midwifery Council(NMC) Produce accurate, contemporaneous and completerecords of patient consultation, consistent with legislation, policies andprocedures Prioritise, organise and manage own workload ina manner that maintains and promotes quality Deliver care according to all appropriateguidelines including the NSF and the National Institute for Clinical Excellence(NICE) guidelines and evidence-based care Assess effectiveness of care delivery throughself and peer review, benchmarking and formal evaluation, including NMCrevalidation Participate in the maintenance of qualitygovernance systems and processes across the organisation and its activities Utilise the audit cycle as a means of evaluatingthe quality of the work of self and the team, implementing improvements whererequired In partnership with other clinical teams,collaborate on improving the quality of health care, responding to local andnational policies and initiatives as appropriate Evaluate the patients response to health careprovision and the effectiveness of care Support and participate in shared learningacross the practice and wider organisation by participating in the management,review and identify learning from patient complaints, clinical incidents andnear-miss events Participate in the performance monitoring reviewof the team, providing feedback as appropriate Understand and apply legal policy that supportsthe identification of vulnerable and abused children and adults, being aware ofstatutory child/vulnerable adult health procedure and local guidance Work within policies relating to domesticviolence, vulnerable adults, substance abuse and addictive behaviour, and referas appropriate Team working Understand own role and scope in theorganisation and identify how this may develop over time Work as an effective and responsible teammember, supporting others and exploring the mechanisms to develop new ways ofworking Delegate clearly and appropriately, adopting theprinciples of safe practice and assessment of competence of those taking ondelegated duties Ensure clear understanding and utilisation ofreferral mechanisms within the practice Accept delegation from other nurses, prioritiseown workload and ensure effective time-management strategies are embedded inown practice Work effectively with others to clearly definevalues, direction and policies impacting upon care delivery Participate in teamactivities that create opportunities to improve patient care Participate in and support local projects asagreed with the practice management team Management of risk Manage and assess risk within the areas ofresponsibility, ensuring adequate measures are in place to protect staff andpatients Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines Ensure safe storage, rotation and disposal ofvaccines and drugs is undertaken. Where appropriate, oversee the monitoring,stock control and documentation of controlled drug usage according to legalrequirements Undertake mandatory and statutory training Apply infection control measures within thepractice according to local and national guidelines Apply policies that reduce environmental healthrisks, are culturally sensitive and increase access to health care for all Participate in the local implementationstrategies that are aligned to the values and culture of general practice Utilising information Use technology as an aid to management inplanning, implementation and monitoring, presenting and communicatinginformation Review and process data using accurate Readcodes about patients in order to ensure easy and accurate retrieval formonitoring and audit processes Manage information searches using the internetand local library databases, for example, the retrieval of relevant informationfor patients on their condition Understand own and others responsibility to theindividual organisation regarding the Freedom of Information Act Collate, analyse and present clinical data andinformation to the team using appropriate charts and/or graphs to enhance care Learning and development Take responsibility for ones own learning, andidentify all appropriate opportunities for professional development Disseminate learning and information gained toother team members in order to share good practice and inform others aboutcurrent and future developments Provide an educational role to patients, carers,families and colleagues in an environment that facilitates learning When appropriate, undertake learning anddevelopment to enable to the effective teaching and assessment in practice ofthe next generation of healthcare professionals Equality and diversity Identify patterns of discrimination, take actionto overcome this, and promote diversity and quality of opportunity Enable others to promote equality and diversityin a non-discriminatory culture Support people who need assistance in exercisingtheir rights Monitor and evaluate adherence to localchaperoning policies Act as a role model in good practice relating toequality and diversity Accept the rights of individuals to choose theircare providers participate in care and refuse care. Assist patients frommarginalised groups to access quality care Person Specification

Experience

Essential

Working Interprofessionally Experience of multi-skilled approach to Chronic Disease Management Using electronic healthcare records systems

Desirable

Having worked with other members of the Primary Care Team (Community Pharmacists, Dieticians etc.) Minor illness management Triage in healthcare Knowledge and understanding of current national developments and -trends in health care

Qualifications

Essential

Registered Nurse (with a current NMC PIN or one pending)

Knowledge

Essential

Wellbeing and Health Promotion Awareness of the role of community nursing overall Knowledge of quality assurance processes

Desirable

Understanding of the General Practice Environment Knowledge of the audit process in healthcare Awareness of issues across the wider health economy

Interests

Essential

Developing enhanced and additional skills The wellbeing of the local community

Skills

Essential

Able to work alone without direct supervision when appropriate. Able to undertake and report on autonomous decisions taken in practice. Excellent interpersonal skills Excellent communication skills IT skills Time Management Problem solving

Desirable

Additional skills in areas key to General Practice, , Phlebotomy, immunisation and vaccination, wound management, health screening, travel health advice, diabetes, respiratory;

Other

Essential

COMPETENCE You are responsible for limiting your actions to those which you feel competent to undertake. If you have any doubts about your competence during the course of your duties, you should immediately speak to your Line Manager in the first instance. REGISTERED HEALTH PROFESSIONAL All employees who are required to register with a professional body, to enable them to practice within their profession, are required to comply with their code of conduct and requirements of their professional registration. SUPERVISION Where the appropriate professional organisation details a requirement in relation to supervision, it is the responsibility of the post holder to ensure compliance with this requirement. If you are in any doubt about the existence of such a requirement, in the first instance advice should be sought from the Nurse Manager. RISK MANAGEMENT It is a standard element of the role and responsibility of all staff working in the NHS that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. RECORDS MANAGEMENT As an employee of the practice, you are legally responsible for all records that you gather, create or use as part of your work within the organisation (including patient health, financial, personal and administrative), whether paper based or on computer. All such records are considered public records, and you have a legal duty of confidence to service users (even after an employee has left the organisation). You should consult the Practice Manager if you have any doubt as to the correct management of records with which you work. HEALTH AND SAFETY REQUIREMENTS All employees have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with management to enable the practice to meet its own legal duties and to report any hazardous situations or defective equipment. FLEXIBILITY STATEMENT The content of this Job Description represents an outline of the post only and is therefore not a precise catalogue of duties and responsibilities. The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder. CONFIDENTIALITY All employees of are required to maintain the confidentiality of members of the public and members of staff in accordance with the appropriate policies and UK law. EQUALITY The Employer will take all practicable steps to ensure that staff are recruited, managed, developed, promoted, and rewarded on merit and that equal opportunities are given to all staff. Each employee is responsible for their own professional and personal behaviour and there is a requirement of all staff to conduct themselves in a manner which does not cause offence to any another person.

Personal Attributes

Essential

Excellent team player Ability to work under pressure and to deadlines Flexible approach Self-motivated Ability to work core hours

Desirable

Accurate and thorough approach Strong appreciation of customer service skills Strong work ethic Positive role model Ability to work flexibly to provide cover

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