Practice Nurse-Prescriber

2 weeks ago

Rochdale, United Kingdom Hope Citadel Healthcare CIC Full time

Job summary

Kingsway Medical Practice in Rochdale is looking for a Prescribing Practice Nurse to join our friendly team as we look to better serve the needs of our patients. You will be supporting patients to be healthy by monitoring long term conditions, and by focusing on health prevention and screening. You will be working with a team of GPs, a Nursing team and an excellent admin/reception team that keep the show on the road. There will be professional development opportunities, including cross-practice meetings with other Practice Nurses and opportunities for further training.

Main duties of the job

The post holder will be responsible for providing a comprehensive, autonomous, efficient and professional clinical nursing service to the practice patients, including referral to other Health Care Professionals, in accordance with practice approved guidelines. To encourage the development of management and prescribing protocols. To participate in nursing needs assessment and discharge nursing responsibilities to patients when necessary.

About us

Kingsway Medical Practice is ran by Hope Citadel Healthcare, along with 9 other practices in the Greater Manchester area.

Hope Citadel Healthcare is a not-for-profit community interest company, who have been commissioned by the local ICB to provide NHS services to the local area where the practices are located.

We really care about whole person healthcare.

We want to look at our patients in their wider setting, as whole people. We know that good health is not just related to clincial matters, but is affected by lots of complex factors such as social, economic, community issues, beliefs, family circumstances, housing and employment. Because of this, we try to treat patients health issues with more than just a prescription, by working with people that can help sort out other issues wherever possible.

Job description

Job responsibilities

Screening

Undertake opportunisticscreening BP checks, height, weight, BMI, urinalysis, smoking status etc. Perform new patientregistration checks

Undertake opportunisticvenepuncture

Health Promotion

Recognise patientsreadiness to change in supporting their attempts to change unhealthy behaviour Provide healthy eatingadvice to individuals or groups including the underweight

Provide smoking cessationadvice individually in opportunistic consultations and provide nicotinereplacement therapy / champix under agreed protocol

Provide individual adviceto patients about increasing physical activity or exercise

Vaccination and Immunisation

Administer injectionsunder an individual prescription or Patient Group Directives including travelvaccinations, childhood immunisations, routine adult immunisations, B12injections and Zoladex etc

Ensure safe storage,rotation and disposal of vaccines and drugs

Regular stock taking andordering of vaccinations

Infection Control

Support patients and colleagues on adopting sound infection control measures

Apply infection control measures within the practice according to local andnational guidelines,

Cardiovascular disease

Contribute to the implementation of the National Service Framework

Contribute to themaintenance of the practice CVD register

Advise patients onlifestyle management and drug compliance for reducing the risk factors of Hypertension,Angina, Myocardial infarction, Cerebrovascular accident

Where appropriate andwhere individual clinical management plans have been agreed with the GP, thePractice Nurse will titrate medication, in accordance with practice protocols,for patients with hypertension and raised cholesterol.

Child Health/Child Protection

Recognise the signs,symptoms and categories of child abuse

Understand the importanceof recognition, observation, documentation and communication

Is aware of child healthprocedures, statutory local procedures and points of referral

Has knowledge of otherpractitioners and agencies roles

Understands basic legalissues around child abuse

Quality Outcomes Framework (QOF)

Contribute towards QOF byusing the clinical computer system effectively and inputting patientinformation during consultations

Assist the practice inachieving QOF targets by acting on major alerts/messages on patients recordsand by opportunistic collection of data

Diabetes

Support patients in themanagement of non-insulin dependant diabetes

Undertake opportunisticscreening for the diagnosis of diabetes

Support and provide basiceducation for diabetic patients

Contribute to themaintenance

Learningand Development

Make effective use oflearning opportunities within and outside the workplace, evaluating theireffectiveness and feeding back relevant information

Provide an educationalrole to patients, carers, families and colleagues in an environment thatfacilitates learning.

ClinicalDuties as an Independent Prescriber

To work as an independent non-medical prescriber within the area of COPD /Asthma taking responsibility for any clinical management required as well asresponsibility for prescribing where necessary and the appropriateness of anyprescription issued.

Independent prescribers will be responsible for prescribing a range of drugswithin their competence in accordance with Practice/CCG guidelines and the BNF.

To write prescriptions in accordance with the Practice/CCG policy taking fullresponsibility for the medicines prescribed.

Ensure the appropriate records are made in the patients records which identifyyou as the independent prescriber.

To ensure that contemporaneous records which are unambiguous and legible aremaintained and kept in accordance with Practice policy and professional codesof conduct.

To undertake auditing and monitoring of prescribing in your own designated areaof practice.

To ensure the safe handling of FP10 prescription forms and to report any lossor theft accordingly.

In the event of adverse drug reactions, to be accountable for ensuring that theGP is advised accordingly and that the incident reporting process is followed

To be accountable for ensuring that training, CPD and clinical supervision sustainsyour independent prescribing status.

To have an in depth understanding of the risks associated with NMP and themanagement of side effects and errors.

Person Specification

Qualifications

Essential

Registered First Level Nurse Successful completion of a non-medical prescribing course

Desirable

Relevant Nursing degree Courses in Chronic Disease Management

Knowledge

Essential

Knowledge of needs of patients with long-term conditions. Aware of accountability of own role and other roles. Knowledge of health promotion strategies. Awareness of clinical governance issues in primary care. Knowledge of patient group directions and associated policy. Awareness of the concept of whole person healthcare.

Desirable

Ability to identify determinants on health in the local area. Knowledge of public health issues in the local area. Awareness of local and national health policy. Awareness of issues within the wider health economy.

Experience

Essential

Minimum 2 years post registration experience. Management of long-term conditions. Involvement in implementing and using protocols and clinical guidelines. Experience of audit. Experience as an independent non-medical prescriber.

Desirable

Experience within General Practice. Nursing experience of running Chronic Disease management clinics , Asthma, Diabetes etc. Experience as an independent non-medical prescriber.

Skills

Essential

Clinical skills; immunisation and vaccination, phlebotomy, examination skills , BP, pulse, BLS. Change-management skills and ability to support patients to change their lifestyle. Communication skills, both written and verbal. Ability to communicate difficult messages to patients and families. Negotiation and conflict management skills. IT skills with clinical systems such as EMIS Web.

Desirable

Clinical skills; cervical cytology, diabetic foot checks, AED. Experience of teaching and mentorship in a clinical setting.

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