Long Term Condition Nurse

3 months ago

Kirkby Stephen, United Kingdom Cumbria Health Full time

Job summary

We are currently seeking a Long Term Condition Nurse at Upper Eden Medical Practice in Kirkby Stephen, Cumbria.

An interest in respiratory nursing would be advantageous.

Our team at Cumbria Health are friendly and adaptable, providing good support and training opportunities, as well as being open to innovative ways of working.

This role is 16 hours per week, working 2 days per week (Monday and Wednesday).

Closing Date: 23 SEPTEMBER 2024

Main duties of the job

The post holder will deliver care to Practice patients with specifiedlong term conditions, treatments, preventative care, screening and patienteducation. By providing high quality evidence based care to meet the health andsocial needs of the Practice population. Working with the boundaries set out bythe regulated standards, and working collaboratively with the General PracticeTeam, meet the needs of patients by providing quality evidence based care.

About us

All staff are expected to work to Cumbria Healths Values:

Clinically focused - Everything every one of us does is for the patient Responsive - We listen and we respond quickly in a patient focussed way One Team - We work together to provide a high quality service which is organised and consistent, and in partnership with both the local Acute and Community Trusts High Standards - We provide skilled professionals working to the highest standards who are passionate about improving patient care Job description

Job responsibilities

This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive and the role may include additional duties which are not listed here.

Clinical Skills

1) Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.

2) Undertakes the Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease providing specialist nursing care for patients.

3) Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.

4) Excellent communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a) Takes an accurate history, building rapport towards a therapeutic relationship.

b) Assess, plan and implements patient centred plan of care for patients and refer when necessary to other healthcare professionals for further specialised care.

5) Maintains disease registers.

6) Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.

7) Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.

b) Perform investigative procedures including; Performing ECGs, Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and interpreting Peak Flow,

8) Demonstrate competence in examination techniques relevant to Long-term conditions clinic spirometry. completing diabetic foot checks

9) Adapts to change within working situation managing unscheduled emergency situations.

a) Basic life support, severe breathing problems, serious cardiovascular problems, collapsed patients and seriously ill patients.

10) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.

11) Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.

12) Recognise own limitations, seek assistance and refer appropriately.

13) Deliver safe, effective evidence based care and advice to ease patient problems.

Communication

1) Communicates effectively as a member of a multi-disciplinary team.

a) Liaises when necessary with general practitioners, Practice Nurses, HCAs, Reception & Admin Team, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MDT, social workers, mental health team, and Social Care Teams.

2) With Primary care nursing team giving support and advice.

3) With reception staff regarding patient information.

4) Recognise and effectively manages situations where there are barriers to effective communication.

Professional

1) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice.

2) Actively participates in clinical meetings.

3) Ensures practice and implementation of care is evidence based by adhering to local and national guidance

4) Maintain confidentiality of information regarding patients.

5) Ensure accurate, concise documentation.

6) Report any adverse incidents or near miss events through agreed CHoC

7) system.

8) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.

9) Identify and/ or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

a) Risk management, Child and Adult safeguarding policies, Medicine management policies and Infection prevention policies.

Leadership

1) Supports Practice colleagues, particularly nursing team.

2) Act as role model to inspire and motivate others

3) Act as mentor, support and induct new staff where appropriate

4) Is a voice that challenges practise to promote best practice.

Organisational Skills

1) Be aware and comply with CH policies and procedures.

2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.

3) Ensure faulty clinical equipment is reported and repaired and adequate for use.

4) Ensure store supplies are adequately ordered and maintained.

5) Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.

6) Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education.

7) Have a flexible approach to geographical locations across county sites.

Training and Educational

1) Currently enhancing professional development.

2) Continually keeps up to date with current evidence based practice practising reflectively.

3) Is involved in lifelong learning.

4) Ensure mandatory training has been completed.

5) Participates in in-house training provided/clinical meetings/supervision

Person Specification

Experience

Essential

Post registration experience Evidence of good practice Working autonomously in a nursing role Experience of working within primary care. Management of patients with long term conditions.

Desirable

Experience of case Management Compiling protocols and clinical guidelines. EMIS experience

Qualifications

Essential

Current NMC 1st Level registration Relevant Long-term condition management qualification or experience. Evidence of recent Continual Professional Development Cytology Relevant Vaccination and Immunisation training

Desirable

998 or equivalent teaching certificate. Independent Non Medical Prescriber ILS (Intermediate Life support) Childhood Immunisations

Personal Circumstances

Essential

Positive Confident Well organised Good team player Ability to build rapport and effective relationships at all levels Demonstrate initiative Ability to maintain workload in a sometimes busy and demanding environment

Skills and Aptitudes

Essential

Demonstrate clinical knowledge in acute and Long-term condition management Able to demonstrate excellent communication and consultation skills Management of patients with complex needs. Able to work independently and effectively within a team Flexible and motivated Basic computer skills.

Desirable

Ability to adapt to change within working situation Demonstrate clinical competence in minor illness management Innovative practice to deliver patient centred care Knowledge of care of the elderly

Other requirements

Essential

Willingness to undertake further Training Keen to develop

Desirable

Current driving licence and access to own vehicle

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