Practice Nurse
6 days ago
Job summary
The practice is looking for a Practice Nurse to join our experienced team.
You should be a good team player and have a flexible approach to work. You will have a pleasant, approachable and caring attitude.
Hours 30 hours per week
Main duties of the job
To be responsible for the implementation of processes for theeffective management of patients with long-term conditions using evidence-basedpractice including care for elderly and housebound patients.
Working as a senior member of the practice multidisciplinary team,the post holder will ensure nursing services are delivered effectively to theentitled patient population.
The Practice Nurse will be responsible for a number of clinicalareas such as infectionprevention and control, health promotion, chronicdisease management, health promotion, well women and well man clinics, as wellas actively supporting the practice management team in the reviewing anddelivery of clinical policy and procedure.
This organisation must ensure that thepost holder has access to appropriate clinical supervision and an appropriatenamed individual in the organisation to provide general advice and support on aday-to-day basis.
About us
Patient population: 14,000
Semi-rural location
Team: 4 Partners, 4 Salaried GPs, 2 Advanced Care Practitioners, 2 Community Matrons, 1 Pharmacist, 1 Paramedic, 4 Practice Nurses, 1 Nurse Associate, 2 HCA, large admin team.
Clinical system: EMIS
Training / Teaching practice
CQC Rated Good
High QOF achievement
Active member of our Primary Care Network
Job description
Job responsibilities
The following are the core responsibilities ofthe Practice Nurse. There may be, on occasion, a requirement to carry out othertasks. This will be dependent upon factors such as workload and staffinglevels:
a.To beinstrumental in the support of the Infection Prevention Control (IPC) lead andto work to the IPC requirements by providing audits, training, support andevidence of compliance to the practice manager
b.To supportin the publication of the IPC annual statement in conjunction with the practicemanager
c.Todevelop, implement and embed an effective care management programme for thefrail and housebound patients registered at the practice
d.Toassess the needs of patients ensuring the provision of healthcare isappropriate, incorporating evidence-based practice
e.Todevelop, implement and embed health promotion and wellbeing programmes
f.Toimplement and evaluate individual treatment plans for chronic disease patientsthat promote health and wellbeing
g.Toidentify, manage and support patients at risk of developing long-termconditions, preventing adverse effects to patients health
h.Asrequired, to provide routine nursing care to patients in accordance withclinical based evidence, NICE and the NSF
i.Asrequired, to diagnose and manage acute and chronic conditions
j.Toreview patient medications to enhance compliance
k.Toprovide guidance to patients in the use of prescribed and over-the-countermedications regarding side effects and dosages
l.Toco-ordinate the provision of travel medicine services
m.Torequest pathology services and process pathology results as required
n.Tooversee the provision of chronic disease clinics, delivering patient care asnecessary, referring patients to secondary/specialist care as required
o.Tomaintain accurate clinical records in conjunction with extant legislation
p.Toensure SNOMED CT codes are used effectively by all members of the nursing team
q.Toensure the appropriate maintenance and use of chronic disease registers
r.Todevelop, implement, embed and participate in well woman clinics
s.Todevelop, implement, embed and participate in well man clinics
t.Toensure compliance with the practice chaperone policy
u.Toprioritise health issues and intervene appropriately.
v.Tosupport the team in dealing with clinical emergencies
w.Torecognise, assess and refer patients presenting with mental health needs
x.Toimplement vaccination programmes for adults and children
y.Tosupport patients in the use of their prescribed medicines or over-the-countermedicines (within own scope of practice)
z.Toliaise with external services/agencies to ensure the patient is supportedappropriately (vulnerable patients etc.)
aa. To delegate clinical responsibilitiesappropriately (ensuring safe practice and the task is within the scope ofpractice of the individual)
bb. To support the clinical team with allsafeguarding matters, in accordance with local and national policies
cc. To understand practice and localpolicies for substance abuse and addictive behaviour, referring patientsappropriately
dd.Todeliver opportunistic health promotion where appropriate
In addition to the primary key responsibilities,the Practice Nurse may be requested to:
a.Developand review audit protocols and process for the practice, effectively utilisingthe audit cycle
b.Develop,review and implement nursing protocols in conjunction with the partners
c.Supportall members of the nursing team, providing guidance when necessary, conductingappraisals and training needs analyses as required
d.Participatein local initiatives to enhance service delivery and patient care
e.Supportand participate in shared learning within the practice in order to improvepatient care
f.Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate
g.Participatein the review of significant and near-miss events applying a structuredapproach, , root cause analysis (RCA)
Support the practice team with the reviewing andimplementation of practice policies and protocols, ensuring conformance toextant legislation
Person Specification
Skills
Essential
Excellent communication skills (written and oral) Effective time management (planning and organising) Ability to work as a team member and autonomously Good interpersonal skills Ability to follow clinical policy and procedure Strong IT skills, including clinical IT system user skills Clear, polite telephone manner
Desirable
Experience with audit and able to lead audit programmes Experience with clinical risk management
Other requirments
Essential
Flexibility to work outside of core office hours Disclosure Barring Service (DBS) check Occupational Health clearance Meet the requirements and produce evidence for nurse revalidation Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse
Clinical Knowledge and Skills
Essential
Clinical knowledge in the following: ECGs Venepuncture Immunisations (routine, childhood and travel) Womens health (cervical cytology, contraception, etc.) Requesting pathology tests and processing the results, advising patients accordingly Travel medicine Chronic disease management awareness for: Diabetes Hypertension CHD Asthma Spirometry Mental Health and Learning Disability reviews Dementia reviews CKD Anticoagulation Rheumatoid Arthritis Non diabetic Hypoglycaemia Understanding the importance of evidence-based practice Understand the requirement for PGDs and associated policy Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs Chaperone procedure Broad knowledge of clinical governance Knowledge of health promotion strategies
Desirable
Clinical knowledge in the following: Clinical Triage Chronic disease management awareness for: Spirometry Interpretation Non-Medical Prescriber Knowledge of public health issues in the local area Awareness of issues within the wider health arena
Qualifications
Essential
Registered Nurse (Nursing and Midwifery Council)
Desirable
Mentor or teaching qualification Post graduate diploma or degree (Chronic Disease Management) Family planning qualification
Experience
Essential
Experience of working in a primary care environment Experience of working autonomously Experience of working as a practice nurse or community nurse Experience of infection prevention and control measures
Desirable
Experience of managing elderly and housebound patients Experience of quality initiatives, , benchmarking
Personal qualities
Essential
Polite and confident Flexible and co-operative High levels of integrity and loyalty Sensitive and empathetic in distressing situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Punctual and committed to supporting the team effort Motivated, forward thinker Problem solver with the ability to process information accurately and effectively, interpreting data as required Ability to work under pressure/in stressful situations Effectively utilise resources Car driver-
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