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Practice Nurse
4 months ago
Job summary
We are looking to welcome a positive and proactive Practice Nurse who will join our friendly, supportive team in the delivery of high level patient care and a positive patient experience.
The successful applicant would be expected to provide nursing services to the practice population with evidence-based, quality-focused care. To assess, plan, implement, and evaluate care. To ensure clear channels of communication exist between clinical, administrative, and community teams. to project a positive and friendly image of our patients and other professionals.
You will play a vital role in providing exceptional nursing care to our patients, your responsibilities will include conducting patient assessments, administering treatments and vaccinations, managing chronic conditions and collaborating with our multidisciplinary team to ensure the best possible outcomes for our patients.
Main duties of the job
Undertake a range of nursing assessments and provide appropriate care / treatment in conjunction with GPs according to practice policy, protocols etc. Strive to improve standards of care and be involved in identifying practice population needs. Chronic Disease management is an essential part of the role as well as the mentoring of our Health Care Assistants. Knowledge of the GMS contract, The Quality and Outcomes Framework, LES/DES is a vital element of the post.
About us
Vine House Health Centre is a friendly GP practice with circa 11,000 patients, located in Abbots Langley, which is lovely village in Hertfordshire, with good schools and amenities.
The practice combines the best of traditional and innovative working, currently with 4 Partners and 2 Salaried GPs. The practice is both proactive and reactive about managing the ever-changing workload in General Practice, offering a supportive environment.
The practice is part of the North Watford Primary Care Network and is supported by ANPs, Clinical Pharmacists, Social Prescribers, First Contact Physio's, Mental Health Practitioner and Paramedic.
Job description
Job responsibilities
ProfessionalResponsibilities
Assist GPs to help deliver effectiveimplementation of management of pts with chronic diseases as detailed by theQuality and Outcomes framework.
Support the implementation of evidence-basedguidelines in conjunction with the practice nursing team.
Encourage the development of integrated serviceswithin Primary Care to include integrated practice-based teams andmultidisciplinary working.
Promote your own continuing professionaldevelopment.
Recognise the opportunities for working inpartnership with the Primary Health care team.
Participate in an annual appraisal.
Clinical
Support the practice in achieving qualityindicators and targets of the GMS contract and any relevant National ServiceFrameworks.
Experience in Chronic Disease Management or willingnessto undertake training.
Undertake opportunistic screening when clinicallyrequired.
Perform venepuncture and electrocardiography.
Undertake wound care/ management/dressingtechniques.
Perform cervical screening and promote breastawareness.
Administer adult and paediatric injections underan individualised prescription or Patient Group Direction, ensuring safestorage, rotation and disposal of vaccines and drugs.
Provide advice on lifestyle issues, assist andsupport patients in changing their unhealthy behaviours and referappropriately.
Participate in the smoking cessation service.
Provide an adult and childhood immunisationservice working to Patient Group Directions - following appropriate training ifrequired.
Deliver travel health care, including vaccinationsand advice for patients - following appropriate training if required.
Recognise the signs of child abuse, familyviolence, vulnerable adults, substance abuse, addictive behaviours, suicidaltendencies and be aware of local, referral procedures.
Ensure that current evidence-based approaches topatient are standard practice.
Apply infection control measures when collectingand handling of laboratory specimens, disposing of waste materials, dealingwith blood and body fluids spillages and report and treat sharps injuries.
Undertake first aid and management of emergencies,, burns, haemorrhage, hypo/hyperglycaemic emergencies/asthma attacks.
Undertake annual training and demonstratescompetency in anaphylaxis and resuscitation techniques.
Research,Audit and Quality
Encourage the development of a practice auditstrategy and action plan for Primary Care.
Contribute to the provision of equitable,high-quality services for patients in the locality.
Help support the integration across primary,secondary, and tertiary care services.
Ensure all care is evidence based using up to datevalidated literature.
Contribute to research and development programmeswhere required to improve clinical practice.
Educationand Training
Provide professional advice /support to healthcare professionals within the Primary health care team.
Following identified training needs, participatein training and facilitation of other practice nurses & health careassistants.
Participate in partnership programmes of awarenessraising, detection and prevention of chronic diseases.
Maintain alevel of expertise in specific chronic disease management (when appropriate)and other pertinent areas of health care and seek to develop new and improvedskills.
Advisemembers of the public on the concepts of health promotion, education,prevention, and protection
Seek out new knowledge of nursing and health byreading, enquiring and partaking in continuous education programme.
Take responsibility for personal development andeducation including in- service training.
Actively participate in multidisciplinaryeducation and training.
Monitor and maintain consistency of professionalstandards and take appropriate action if standards are not met.
Maintain professional development by attendingrelevant courses and study days to keep abreast of current knowledge anddevelopments.
Abide by the legal requirements and statutoryrules relating to practice and record and maintain periodic professionalregistration with RCN & NMC
Participate in an annual appraisal.
Completing all mandatory training modules asspecified by the Practice.
Quality
Alert other team members to issues of quality andrisk
Assess own performance and take accountability forown actions, either directly or under supervision
Contribute to the effectiveness of the team byreflecting on own and team activities and making suggestions on ways to improveand enhance the teams performance.
Work effectively with individuals in otheragencies to meet patients needs.
Effectively manage own time, workload, andresources.
Communication:
The post-holder should recognize the importance of effectivecommunication within the team and will strive to:
Communicate effectively with other team members.
Communicate effectively with patients and carers.
Recognize peoples needs for alternative methodsof communication and respond accordingly.
Competence
You are responsible for limiting your actions to those, which you feelcompetent to undertake. If you have any doubts about your competence during thecourse of your duties, you should immediately speak to the Lead Clinician inthe first instance.
Registration
Maintainregistration with NMC/ Medical Indemnity provided by the Practice.
Supervision
Where the appropriate professional organisation details a requirement inrelation to supervision, it is the responsibility of the post holder to ensurecompliance with this requirement. If you are in any doubt about the existenceof such a requirement, in the first instance advice should be sought from theLead Clinician.
RiskManagement
It is a standard element of the role and responsibility of all staffthat they fulfil a proactive role towards the management of risk in all theiractions. This entails the risk assessment of all situations, the taking ofappropriate actions and reporting of all incidents, near misses and hazards.
RecordsManagement
As an employee of the Organisation, you are legally responsible for allrecords that you gather, create or use as part of your work within theOrganisation (including patient health, financial, personal andadministrative), whether paper based or on computer. All such records areconsidered public records, and you have a legal duty of confidence to serviceusers (even after an employee has left the Organisation). You should consultthe Practice Manager if you have any doubt as to the correct management of recordswith which you work.
Health andSafety Requirements
All employees have a statutory duty of care for their own personalsafety and that of others who may be affected by their acts or omissions.Employees are required to co-operate with management to enable the practice tomeet its own legal duties and to report any hazardous situations or defectiveequipment.
Confidentiality
All employees of the Organisation are required to maintain theconfidentiality of members of the public and members of staff in accordancewith the Practice policies.
FlexibilityStatement
The content of this Job Description represents an outline of the postonly and is therefore not a precise catalogue of duties and responsibilities.The Job Description is therefore intended to be flexible and is subject toreview and amendment in the light of changing circumstances, followingconsultation.
Person Specification
Qualifications
Essential
Knowledge 1.Knowledge of needs of patients with long-term conditions 2.Knowledge of health promotion strategies of accountability of own role and other roles in a nurse-led service 4.Awareness of clinical governance issues in primary care 5.Knowledge of patient group directions and associated policy. Skills: 1.Clinical skills immunisation and vaccination, ear care, wound management Respiratory management skills and ability to support patients to change lifestyle. 3.Communication skills, both written and verbal 4.Negotiation and conflict management skills skills Experience: 1.Minimum 2 years post-registration experience 2.Management of long-term conditions 3.Involvement in implementing and using protocols and clinical guidelines. 4.Experience of audit. Qualifications: 1.Registered first level nurse. 2.Clinical supervision training and experience Other: practitioner motivated 3.Flexibility 4.Enthusiasm player 6.Ability to work across boundaries
Desirable
Knowledge: 1. Knowledge of public health issues in the local area. 2. Awareness of local and national health policy. 3. Awareness of issues in wider health economy. Skills: 1. Diabetic management. 2. Cervical Smears. Experience: 1. Relevant nursing/health degree. 2. Mentor/teaching qualification.