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Practice Nurse
1 month ago
Job summary
The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. The post holder is accountable for nursing service delivery. They will working closely with the Lead Practice Nurse and GPs to deliver the practice priorities. Clinically, the focus of the role is the delivery of evidence-based care for patients with long-term conditions and the provision of appropriate nursing interventions to all patients. As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making. They will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery of policy and procedures.
Accountability
To the Lead Practice Nurse for day to day issues To Partners of the Practice for clinical and professional issues To Practice Manager for employment issuesOverall purpose of role
To advise the partners on nursing matters and contribute to the wider development of the practice
To co-ordinate the care of patients with attached community nursing colleagues including the community matrons, district nurses, health visitors and specialist teams
To help develop and implement the recall system for those patients on the Chronic Disease Registers.
To assess patients with complex health needs or who may require specialist interventions
To develop plans, including those for specialist interventions, to meet the health needs of patients
To plan, implement and review programmes to improve health and wellbeing and meet the specific needs of individuals and groups
To contribute to analysing, interpreting and reporting factual data and information on the health and wellbeing needs of the practice population
To contribute to developing, implementing and monitoring policies, standards and guidelines within own sphere of practice
To have regard to the effective and efficient use of practice and NHS resources
To contribute to the development of students and staff
To promote the health, safety and security of colleagues and self
Key responsibilitiesClinical practice Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being Assess, plan, implement and evaluate individual treatment plans for patients with a known long-term condition Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including using non-drug-based treatment methods, in line with national and local policies and practice needs Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence based practice and national and practice protocols Work with patients in order to support adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care Support patients to adopt health promotion strategies that promote them to live healthily, and apply principles of self-care Assess, identify and refer patients presenting with mental health needs in accordance with the NSF for Mental Health as required Promote and deliver evidence-based care for patients presenting with aural conditions Meet the needs of patients presenting for opportunistic wound care Communication Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment Communicate with and support patients who are receiving bad news Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Anticipate barriers to communication and take action to improve communication Estimate and maintain effective communication within the practice environment and with external stakeholders Act as an advocate when representing patients and colleagues Participate in practice team meetings, delivering the nursing agenda Produce written documents that evidence the contribution of the nursing team to the practice priorities Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate Delivering a quality service Recognise and work within own competence and professional code of conduct as regulated by the NMC Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own and others workload in a manner that maintains and promotes quality Deliver care as an individual and team according to NSF, NICE guidelines and evidence-based care Assess effectiveness of care delivery for the nursing team through peer review, benchmarking and formal evaluation Implement and review the application of evidence-based practice in nursing Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required Respond to local and national policies and initiatives as appropriate Evaluate patients response to health care provision and the effectiveness of care Participate in shared learning across the practice and wider organisation Review of patient complaints, and identify learning from clinical incidents and near-miss events utilising a structured framework (eg root-cause analysis) Assess the impact of policy implementation on care delivery Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance Work within policies regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice Team working Understand own role and scope in the practice and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Delegate appropriately, adopting the principles of safe practice and assessment of competence of nurses Ensure clear referral mechanisms are in place to meet patient need Prioritise own and others workload and ensure effective time-management strategies are embedded within the culture of the team Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in nursing team activities that create opportunities to improve patient care Participate in and support local projects as agreed with the practice management team Management of risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines Ensure the safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements Act as a role model to support members of the nursing team to undertake mandatory and statutory training requirements Apply infection-control measures within the practice according to local and national guidelines Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all Participate in the local implementation strategies that are aligned to the values and culture of general practice Person Specification
Qualifications
Essential
Essential Registered nurse
Desirable
Desirable Post graduate diploma or degree (Chronic Disease Management) Nurse prescriber
Experience
Essential
Essential Experience of working within a nursing team Experience of dealing with vulnerable patients
Desirable
Experience of working in primary care Experience of working in a GP practice
Knowledge and Skills
Essential
Understand the importance of evidence based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understand when to refer to GPs Understanding of infection prevention and control measures Understand the requirement for PGDs and associated policy Good interpersonal and communication skills Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Effective time management (planning and organising) Ability to work as a team member and autonomously Ability to follow clinical policy and procedure Experience with clinical risk management Problem solver with the ability to process information accurately and effectively, interpreting data as required Ability to work under pressure/in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Effectively utilise resources Punctual and committed to supporting the team effort Evidence of continuing professional development (CPD)
Desirable
Wound care/removal of sutures and staples Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly