Practice Nurse

Job summary

East Barnwell Health Centre, a well-established training practice in Cambridge, seeks a highly-motivated, experienced Practice Nurse to join our dedicated team

Main duties of the job

To be fully proficient in Chronic disease management, vaccinations and immunisations, cervical screening, contraceptive reviews, wound care including compression, as well as other general treatment room duties.

To provide support to junior members of the nursing team, including healthcare assistants and GPAs and direct their work to ensure that the Practice provides high quality care.

To oversee infection control standards and cold chain compliancy.

To work within NMC Code of Conduct and to agreed Practice standards and protocols

To oversee recall systems for chronic diseases, cervical screening, immunisations, and other key areas as relevant to Practice Nursing

To deliver effective management of patients with Chronic Diseases as detailed by the Quality and Outcomes Framework, local quality schemes and national quality schemes

To Support the implementation of evidence-based guidelines in conjunction with the wider team

To encourage the development of integrated services within Primary Care to include integrated practice-based teams and multidisciplinary working

To ensure that all nurse-related Care Quality Commission evidence table indicators are compliant, demonstrating evidence, review, and audit cycle

About us

We are an established, well organised, supportive practice in Cambridge serving 7,800 patients. We have four partners, a team of salaried doctors, retainer doctors, nurses and nursing assistants, physiotherapists, clinical pharmacists and social prescribers. We have a strong interest in teaching and training medical students, nursing students and GP trainees. We play an active role in Cambridge City PCN.

We have consistently high QOF achievement and are rated good by CQC.

The four partners enjoy a close working relationship with our current practice manager, and with each other. We meet regularly to ensure the best communication and collaboration possible to meet our common goals. We prioritise staff well-being.

Job description

Job responsibilities

PURPOSE OF ROLE

To provide and maintain high standard of nursing care, in conjunction with nursing team colleagues, to the practice population.

To focus in the delivery of evidence based practice for patients presenting with long term conditions and the provision of preventative health care to the practice population.

To provide nursing care to practice patients to include primary care treatment, preventative care, screening and education.

CLINICAL RESPONSIBILITIES

Provide Chronic disease management for Diabetes, COPD, Asthma, and CHD/CVD

Perform cervical screening and promote breast awareness

Administer adult and paediatric injections

Provide adult and child immunisations, maximising achievement of targets

Ensure safe storage, rotation, and disposal of vaccines and drugs

Undertake venepuncture and electrocardiography

Undertake wound care/ management / dressing techniques

Undertake leg ulcer management, dopplers and compression bandaging

Provide advice on lifestyle issues, assisting and supporting patients in changing their unhealthy behaviours and refer appropriately

Participate in the smoking cessation service

Deliver travel health care, including vaccinations and advice for patients

Recognise the signs of child abuse, family violence, vulnerable adults, substance abuse, addictive behaviours, suicidal tendencies, and be aware of local, referral procedures

Work with safeguarding teams where relevant

Ensure that current evidence-based approaches to patient care are standard practice

Provide a comprehensive family planning service

Audit outcomes of care against standards and initiate change as necessary ensuring follow-up audit cycle

Maintain and update disease registers

ADMINISTRATIVE AND PROFESSIONAL RESPONSIBILITIES

Participate in the administrative and professional responsibilities of the practice team.

Ensure accurate notes of all consultations and treatments are recorded contemporaneously in the patient computerised record and where appropriate, in their written notes using System one.

Ensure accurate completion of all necessary documentation associated with patient care and registration with the practice.

Ensure collection and maintenance of statistical information required for regular and ad hoc reports.

TREATMENT ROOM SUPPLIES AND EQUIPMENT

Clean relevant equipment and maintain supplies of appropriate consumables in accordance with the Practice Infection Control Policy.

COMMUNICATION

Maintain effective communication and co-ordination with other members of the practice nursing team.

Maintain effective liaison with other agencies and staff concerned with patient care and all other disciplines within the practice, with appropriate regard to confidentiality.

PROFESSIONAL DEVELOPMENT

Attend and participate in meetings with other members of the practice team.

Maintain continued education by attendance at courses and study days as deemed useful. and necessary for professional development or the work being undertaken by the practice.

Undertake an annual review in according with the Practice Performance Management System.

Maintain any status/registrations required to undertake the duties of the role ( revalidation)

Ensure all mandatory training is kept up to date.

INFECTION CONTROL

Awareness of national standards of infection control and cleanliness and regulatory/contractual/professional requirements, and good practice guidelines.

Responsible for the correct and safe management of the specimens process. including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements.

Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and on-going correct usage by staff.

Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.

Safe management of sharps procedures including training, use, storage and disposal.

Use of appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile and safe way, free from hazards. Initiation of remedial/corrective action where needed or escalation to responsible management.

Undertaking periodic IPC training.

Responsible for Waste management including collection, handling, segregation, container management, storage and collection.

responsible for spillage control procedures, management and training. Decontamination control procedures, management and training, and equipment maintenance.

GENERAL RESPONSIBILITES OF ALL PRACTICE STAFF

CONFIDENTIALITY :

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this Job Description, the post holder may have access to confidential information relating to patients and their carers, practice staff and other health care workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

HEALTH AND SAFETY

The post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health and Safety Policy, to include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work, activities and undertaking such activities is such a way that manages those risks.

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work area in a tidy and sage way and free from hazards.

Reporting any potential risks that may be identified.

All accidents must be reported immediately to the Management Team, who will submit and accident/incident form.

All adverse incidents concerned with equipment or premises must be reported immediately.

EQUALITY AND DIVERSITY

The post holder will support the equality, diversity and rights of patients, carers and colleagues to include:-

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies and current legislation.

Respecting the privacy, dignity, need and beliefs of patients, carers and colleagues.

Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.

QUALITY

The post holder will strive to maintain quality with in the practice and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for own actions, either directly or under supervision.

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance team performance.

Contribute to and comply with the Practice policy for significant events and clinical audits.

Work effectively with individuals in other agencies to meet needs of patients.

Effectively manage own time, workload and resources.

COMMUNICATION

The post holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with other team members.

Communicate effectively with patients and carers.

Recognise peoples needs for alternative methods of communication and respond accordingly.

CONTRIBUTION TO THE IMPLEMENATION OF SERVICES

The post holder will:

Apply practice policies, standards and guidance.

Discuss with other members of the team how the policies, standards and guidelines will affect own work.

Participate in audits where appropriate

Person Specification

Experience

Essential

KNOWLEDGE, SKILLS AND EXPERIENCE Experience working in a busy Primary Care Setting. Experience of chronic disease management within general practice. Ability to identify own learning needs and those of other members of the practice nurse team. Ability to crucially review and communicate clinical information to both patients and health care professionals. Knowledge of Patient Group Directives and associated policy. Confident, positive attitude toward the responsibilities of the role. Methodical approach Able to take proactive approach towards health promotion in the practice to support patients in accordance with their individual needs and to promote good health to the wider practice population. Flexibility to provide cover for absences of other members of the practice nurse team and to attend training sessions outside normal working hours.

Desirable

Experience of SystmOne clinical system

Qualifications

Essential

Essential Registered nurse with sufficient demonstrable experience post qualification. GCSE GRADE A- C in English and Maths Wound dressing and leg compressions Cervical screening Venepuncture and electrocardiography

Desirable

Qualified in chronic disease management in any/all of the following areas: Diabetes, Asthma, COPD, CHD/CVD Independent prescribing qualification

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