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Practice Nurse
3 months ago
Job summary
An excellentopportunity has arisen for a forward thinking, enthusiastic motivated PracticeNurse to join our friendly patientcentred practice. We are looking for 32 hours, Monday, Wednesday , Thursday and Friday. Friday will be a finish, rest of the hours will include one start and can be discussed at interview.
Weare a well established, dedicated and friendly practice. The practice offersfull support for professional development and clinical interests. We can beflexible on the sessions to offer a good work/life balance.
Ouraim is to improve the health of the community we serve by reducinginequalities, providing safe, high-quality services using innovative models ofcare while ensuring the patient is at the heart of everything we do.
Weare dedicated to improving and protecting the long-term sustainability ofprimary care - helping to meet the physical, mental and social care needs ofthe population we serve.
Main duties of the job
Registered General Nurse Current NMC Registration Evidence of continued professional development Ability to manage patient risk effectively and safely Excellent interpersonal, verbal & written communication skills Reflective practice Time management & ability to prioritise Chronic disease management and knowledge of patients with long term conditions, respiratory experience and spirometry desirable Immunisations & vaccinations. Contraception & sexual health. Cervical cytology. Wound care. Team Player
About us
Cohesive, progressive clinical team Practice population of 10900 patients Part time 32 hours Rated Good in all areas by CQC High QOF achiever TTP SystmOne Job description
Job responsibilities
To supportthe practice nursing team in the delivery of nursing services, working as partof the practice multidisciplinary team, delivering care within their scope ofpractice to the entitled patient population. The healthcare assistant will deliver and assist clinical staff in the provision oftreatment, preventative care, health promotion and patient education.
Working in accordance with the UKCC Code of Conduct, the post-holder will provide assessment, treatment, screening, health education services and advice to patients.
The post-holder will work with reference to Practice agreed protocols and guidelines, providing nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners.
The post-holder will have the required level of training and competence and will work within patient group directions where these are available. A nurse with prescribing qualifications will use them appropriately.
o Assist in and perform routine tasks related to patient care as directed by GPs
o Wound care / ulcer care
o Removal of Sutures/clips
o New Patient Medicals/Urinalysis
o Travel Clinic
o ECGs
o Venepuncture
o Hypertension Management
o Ear syringing
o Routine immunisations Adult/Childhood immunisations
o Covid vaccination administration under National Protocol
o Ordering of vaccinations to maintain stock levels and frige montoring
o Chaperoning and assisting patients where appropriate who are being examined by another clinician
o Request pathology services as necessary
o Process pathology results as required
o Performing Cervical Screening and keeping up to date with training and audit
o Contraception advice and reviews
o 24 hour BP montoring
o There will be a requirement to undertake home visits for housebound health checks/long term conditions reviews and Influenza and covid vaccination administration
o Prioritise health issues and intervene appropriately
o Recognise and refer to GP or service avaible patients presenting with mental health needs
o Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)
o Support the clinical team with all safeguarding matters, in accordance with local and national policies
o Develop, implement, and embed health promotion and well-being programmes
o Deliver opportunistic health promotion where appropriate
o Assist GPs with minor surgery when required
o Becoming a lead in choicen or given long term condition area
o Interest in Diabetes or Coronary Heart Disease
o Asthma/Peak Flow Readings/Spirometry
o Learing disability review and mental heath
o Following agreed clinical protocols with referral to GPs or secoundary services as appropriate
o Infection Control.
o Maintaining and cleaning equipment used by the nurses and GPs
o Maintaining GP and Nurses rooms, stocking and rotating items as required
o Maintain general tidiness and cleanliness of nurses and treatment room
o Hand Washing Technique Training for staff
o Manage emergency drug kit
o Participation in administrative systems in the Practice
o Task, notification and scans management
o Good at time management
o Annual updates of Clinical Policies in conjunction with the nursing team.
o Up keep of Open Exeter for Smears and Childhood Immunisations
o Attending MDT Meetings and partisaipating in monthly Palliative Care meeting with the team if required
o Maintain accurate clinical records in conjunction with extant legislation
o Support the team in dealing with clinical emergencies
o Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
o Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
o Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
o Act as the audit lead, effectively utilising the audit cycle
o Monitor and ensure the safe storage, rotation, and disposal of medicines
o Support junior members of the nursing team, providing guidance when necessary
o Participate in local initiatives to enhance service delivery and patient care
o Support and participate in shared learning within the practice
o Continually review clinical practices, responding to national policies and initiatives where appropriate
o Participate in the review of significant and near-miss events
Providing assessment, screening and treatment services and health education advice
Organise and co-ordinate the provision of nursing services for the Practice.
Provide nursing treatments to patients in participation with general practitioners or independently to agreed protocols.
Provide general and specific health screenings to the Practice patients (within agreed protocols) with referral to general practitioners as necessary.
Advise patients on general health care and minor ailments with referral to GPs as necessary.
Supplies and equipment Treatment room and other areas
Ensure the maintenance of equipment and stock levels relating to patient care.
Pathological specimens and investigatory procedures
Undertake the collection, storage and despatch of pathological specimens including intravenous blood samples, swabs, smears etc and ensure the cleanliness of any equipment so used. Perform any investigatory procedures requested by the GPs.
Management of Chronic Disease
Identifying significant abnormalities
Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals
Therapeutic Monitoring
Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach
Recognising abnormalities
Identifying the impact of treatment and implementing or recommending changes as appropriate.
Wound Care and Management
Assessing routine wounds including trauma
Assessing [and prescribing] to support good wound management in complex situations ( use of Doppler technique)
Patient Health Checks
Identifying significant abnormalities
Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues
Working with patients to develop a management plan where health problems or potential health problems are identified
Travel Health
Administering injections and providing travel advice in accordance with guidelines using NathNah as resource
Identifying problems
Provision of specialist and evidence based support to the team.
Immunisation (Adult and Child)
Administering appropriate immunisation autonomously
Working with patients with more complex immunisation issues.
Risk Assessment
Recognising issues and gathering sufficient information to refer ( drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems, safeguarding)
Person Specification
Qualifications
Essential
Registered General Nurse Current NMC Registration Evidence of continued professional development Ability to manage patient risk effectively and safely Excellent interpersonal, verbal & written communication skills Reflective practice Time management & ability to prioritise Chronic disease management and knowledge of patients with long term conditions, respiratory experience and spirometry desirable Immunisations & vaccinations. Contraception & sexual health. Cervical cytology. Wound care. Team Player
Desirable
Experience of working in a primary care environment Respiratory Experience Spirometry Competent in the use of Office and Outlook Systmone user skills
Experience
Essential
Registered General Nurse Current NMC Registration Evidence of continued professional development Ability to manage patient risk effectively and safely Excellent interpersonal, verbal & written communication skills Reflective practice Time management & ability to prioritise Chronic disease management and knowledge of patients with long term conditions, respiratory experience and spirometry desirable Immunisations & vaccinations. Contraception & sexual health. Cervical cytology. Wound care. Team Player
Desirable
Experience of working in a GP practice