Practice Nurse

Job summary

We are seeking an experienced registered nurse with an interest in respiratory disease management . To be responsible for the delivery of practice nursing services in a friendly, supportive and progressive environment. To work as part of a dynamic multidisciplinaryteam, delivering a high standard of care within their scope of practice to thepractice population.

A Welsh speaker is desirable for this role, but not essential.

Main duties of the job

The duties will include all tasks normally undertaken by an experienced RGN and in addition any roles agreed between the GP Partners and Practice Manager as appropriate, having regard to current training & regulations. Please see the Job description & person specification for further information.

About us

The Practice area of Meddygfa Taf is predominantly rural, a large farming community, Welshspeaking with a practice population of 7700.

Meddygfa Taf has been a training practice for GP Registrars and medical students for over 30 years. We have a strong training and educational ethos; we understand that we learn by example and sharing of good practice. Our clinical team consists of 6 GP Partners, 2 GP Registrars, 3 Practice Nurses, 2 Health Care Assistants, Phlebotomist, Pharmacy Technician & Cluster Pharmacist. We also work very closely with several external healthcare professionals, such as: Physiotherapists, Occupational therapists, Specialist Nurses, a Social Presciber.

Job description

Job responsibilities

Job responsibilities

Professional:

Managementof the practice Respiratory Disease Patient Register

Assess,plan, develop, implement and evaluate programmes to promote health andwell-being, and prevent adverse effects on health and well-being

Implementand evaluate individual treatment plans for patients with a known long-termcondition

Identify,and manage as appropriate, treatment plans for patients at risk of developing along-term condition

Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare

Supportpatients to adopt health promotion strategies that encourage patients to livehealthily, and apply principles of self-care

Provideinformation and advice on prescribed or over-the-counter medication onmedication regimes, side effects and interactions

Supportand advise women requesting information relating to family planning needs

Supportand manage health needs of women presenting for cervical cytology consultations

Recognise,assess and refer patients presenting with mental health needs in accordancewith National/ Local guidelines for Mental Health

Advise,support and, where appropriate, administer vaccinations for patients travellingabroad

Promoteand deliver evidence-based care for patients presenting with aural conditions

Offeradvice about childhood and adult vaccinations and ensure vaccines areadministered under patient group directions

Assessingproblems presented opportunistically by patients

Able todocument consultations according to NMC guidelines

Ensuresawareness of statutory and local clinical protection procedures, includingsystems of referral. Ability torecognize signs and symptoms of abuse

Providea holistic approach to wound management and implement wound care in line withcurrent evidence-based guidelines

Able to recognizeand manage anaphylaxis according to current UK guidelines

Able toperform Cardio-pulmonary resusitation according to current UK guidelines

Assistin the provision of minor surgery

Abilityto obtain and document informed consent (either verbal or written)

Ensureinfection control guidelines are maintained

Abilityto monitor and manage maintenance of stock and equipment

Confidentialityof information gained at work must be preserved at all times

Managerial:

Contributeto the assessment of service needs

Assistpatients to identify their health needs

Contributea nursing perspective to the practice development plan

Manageand organize individual patient consultations

Aware ofidentification and reporting procedures related to professional standards

Toattend staff meetings

Ensureeffective relationships and communications with all external agencies andprofessional bodies

Supportthe Practice Clinical Governance agenda

Identifychanges to clinical practice that are required to implement evidence-basedguidelines

Educational:

Identifypersonal development and training needs in conjunction with the PracticeManager

Participatein clinical supervision

Supportothers with their training and development needs

Toparticipate in continuing education and maintain a contemporary level ofprofessional knowledge and skills

Personnel:

Takereasonable care of his/her own safety and that of other persons who may beaffected by his/her act or omission

Co-operationwith the practice to ensure all members of the team adheres to statutoryregulations/policies and codes of practice safety rules

Offerinnovative ways of working and opportunities to facilitate learning

Facilitatesa learning environment within the team

Maintainsa caring environment through the support of colleagues

Confidentiality

In the course of seekingtreatment, patients entrust us with, or allow us to gather, sensitiveinformation in relation to their health and other matters. They do so inconfidence and have the right to expect that staff will respect their privacyand act appropriately

In the performance of the dutiesoutlined in this job description, the post-holder may have access toconfidential information relating to patients and their carers, practice staffand other healthcare workers. They may also have access to information relatingto the practice as a business organisation. All such information from anysource is to be regarded as strictly confidential

Information relating to patients,carers, colleagues, other healthcare workers or the business of the practicemay only be divulged to authorised persons in accordance with the practicepolicies and procedures relating to confidentiality and the protection ofpersonal and sensitive data

health& safety

The post-holder willimplement and promote their own and others health and safety and infectioncontrol as defined in the practice Health & Safety policy and the practiceInfection Control policy and published procedures. This will include (but willnot be limited to):

Using personal security systems within theworkplace according to practice guidelines

Awareness of nationalstandards of infection control and cleanliness and regulatory / contractual /professional requirements, and good practice guidelines

Responsible for thecorrect and safe management of the specimens process including collection,labelling, handling, use of correct and clean containers, storage and transportarrangements

Awareness and use of and promotion ofPersonal Protective Equipment (PPE) for the practice including provision,ordering, availability and ongoing correct usage by staff

Promote hand hygieneacross the practice

Identifying the risksinvolved in work activities and undertaking such activities in a way thatmanages those risks across clinical and patient process

Knowledge of practice facilities andequipment in relation to infection control, ensuring that provision of handcleansing facilities, wipes etc are sufficient to ensure a good clinicalworking environment

Safe management of sharps proceduresincluding training, use, storage and disposal

Using appropriateinfection control procedures, maintaining work areas in a tidy, clean andsterile, and safe way, free from hazards. Initiation of remedial / correctiveaction where needed

Actively identifying,reporting, and correction of health and safety hazards

Keeping own work areasand general / patient areas generally clean, sterile, identifying issues andhazards / risks in relation to other work areas within the practice

Undertaking periodicinfection control training

Waste managementincluding collection, handling, segregation, container management, storage andcollection

Spillage controlprocedures, management and training

Decontamination controlprocedures, management and training, and equipment maintenance

Maintenance of sterileenvironments

Equality &diversity

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

Acting in a way that recognizes theimportance of peoples rights, interpreting them in a way that is consistentwith practice procedures and policies, and current legislation

Respecting the privacy,dignity, needs and beliefs of patients, carers and colleagues

Behaving in a mannerwhich is welcoming to and of the individual, is non-judgmental and respectstheir circumstances, feelings priorities and rights.

Personal /professional development

Personal/Professionaldevelopment: The post-holder will participate in any raining Programmeimplemented by the practice as part of this employment, such training toinclude:

Participation in an annual individualperformance review, including taking responsibility for maintaining a record ofown personal and/or professional development

Taking responsibility for own development,learning and performance and demonstrating skills and activities to others whoare undertaking similar work

QUALITY

The post-holder will strive to maintain quality within thepractice, and will:

Alertother team members to issues of quality and risk

Assessown performance and take accountability for own actions, either directly orunder supervision

Contributeto the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance

Workeffectively with individuals in other agencies to meet patients needs

Effectivelymanage own time, workload and resources

COMMUNICATION

The post-holdershould recognize the importance of effective communication within the team andwill strive to:

Communicate effectively with other teammembers

Communicate effectively with patients andcarers

Recognise peoplesneeds for alternative methods of communication and respond accordingly

Contribution tothe implementation of services

The post-holderwill:

Apply practice policies, standards andguidance

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

Participate in auditwhere appropriate

Person Specification

Qualifications

Essential

Registered Nurse Post graduate diploma or degree (Primary Care)

Desirable

Diploma in Chronic Disease Management - Respiratory

Experience

Essential

Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of chronic disease management Experience of infection prevention and control measures Clinical Knowledge & skills: Respiratory Disease Management Wound care / removal of sutures & staples ECGs Venepuncture Chaperone Procedure Requesting pathology tests Immunisations (routine, childhood & travel) Womens health (cervical cytology, contraception etc) Understanding 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

Desirable

Experience with audit and able to lead audit programmes Experience with clinical risk management Travel Medicine Diabetes Hypertension CHD Knowledge of public health issues in the local area Awareness of issues within the wider health arena Knowledge of health promotion strategies

Skills

Essential

Excellent communication skills (written & oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office & Outlook Vison / EMIS user skills Effective time management (planning & organisational) Ability to work as a team member & autonomously Good interpersonal skills Problem solving and analytical skills Ability to follow clinical policy and procedure

---