Specialist Practice Nurse

Job summary

Toprovide and maintain a high standard of chronic disease management for patientswith chronic diseases, which includes the diagnosis, monitoring and developmentof individual management plans, and agreeing these as appropriate with thepatient and other health professionals

Toprovide and maintain a high standard of nursing care for patients as well asproviding nursing assistance to the doctors and other members of the primaryhealthcare team.

All tasks must be completed within theguidelines of the UKCC Code of Professional Practice and the Scope ofProfessional Conduct

Main duties of the job

Uphold theNursing and Midwifery Councils Code of Professional

Conduct within yourclinical practice for which you are accountable and responsible

Continue yourprofessional development in order to maintain competencies required in yourrole

Incorporate anduphold the Nursing and Midwifery Councils professional guidance

Adhere to localand professional guidance

Undertake annualupdates and training as required

Have personalprofessional indemnity from a recognised organisation, for which the Practicewill pay

To beresponsible for your own continuing self-development, undertaking training asappropriate.

Toundertake other duties appropriate to the grading of the post as required.

Must beable to work flexible hours.

About us

Beacon Medical Group Practice is a single practice, Primary Care Network (PCN), providing care to 43,000 patients across Plympton and the South Hams. We are a team of Partners, Salaried GPs, Paramedics, Clinical Pharmacists, Pharmacy Technicians, , Practice and specialist Nurses, HCAs, Phlebotomists, First Contact Physios, Social Prescribers, Advanced Clinical Practitioners, Clinical Practitioners and Administrative support staff. Our mission is to give all our patients the right care, at the right time, in the right place. We are a forward thinking partnership always looking for opportunities to improve services for our patients. We have a good reputation for delivering good healthcare, leading at scale and innovating primary care services. This is a really exciting time to be joining us as we diversify our teams, our partnership and services.

If you join our team; you will receive support, opportunities to grow in your role, training, and work with colleagues who care about you.

Job description

Job responsibilities

Management ofChronic Diseases:

Identifyingsignificant abnormalities using a holistic approach to history taking andobservation and assessment of physical systems

Diagnosis,monitoring and development of individual management plans; agreeing these asappropriate with the patient and other health professionals

Understand theaims of management and the pharmacological treatments for chronic diseases

Initiate, performand interpret diagnostic procedures as appropriate for chronic diseasemanagement

Support recallprocedures, appropriate literature and health promotion, and audit

Maximise QualityOutcomes Framework income

Management ofMedicines:

Diagnose and manage both acute and chronic conditions, integrating bothdrug-and nondrug-based treatment methods into a management plan.

Review medication fortherapeutic effectiveness, appropriate to patient needs and in accordance withevidence-based practice and national and practice protocols, and within scopeof practice.

Work with patients in order to support compliance with, and adherenceto, prescribed treatments.

Provide information and advice on prescribed or over-the-countermedication, medication regimes, side-effects and interactions

Management andAdministration:

Liaison withother Nursing staff, Doctors, District Nurses and other agencies within thehospital and social services

Treatment Room /Health Promotion and Screening :

Undertake routinetreatment room procedures for this cohort of patients as and when required,including but not limited to immunisations and recording of vital signs asnecessary. Training and updates in treatment room procedures will be providedas necessary

Safeguarding:

To be able to recognise signs of abuse invulnerable Adults and Children and reporting these as appropriate.

Effective understanding of safe clinicalpractice and whistleblowing legislation.

Health and Safety:

Ensure allmembers of staff comply with the Groups health and safety policy

Carry out riskassessments to comply with current Health and Safety legislation

Ensure any healthand safety concerns are reported to the Operations Manager

To beaware of and adhere to applicable practice rules, regulations, legislation andprocedures, national legislation (Health and Safety, COSHH, Data Protection).

Thepost-holder will implement and lead on a full range of promotion and managementtheir own and others health and safety and infection control as defined in thepractice

Health & Safety policy, the practice Health & Safety manual,and the practice Infection Control policy and published procedures.

This willinclude (but will not be limited to:

Ensure infection control guidelines aremaintained.

Ability to monitor and manage maintenance ofstock and equipment to include refrigeration, steriliser and emergency equipment.

Awareness of national standards of infectioncontrol and cleanliness and regulatory /contractual / professionalrequirements, and good practice guidelines.

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

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

Responsible for hand hygiene across thepractice.

Ownership of infection control and clinicallybased patient care protocols, and implementation of those protocols across thepractice.

Active observation of current workingpractices across the practice in relation to infection control, cleanliness andrelated activities, ensuring that procedures are followed and weaknesses /training needs are identified, escalating issues as appropriate

Identifying the risks involved in workactivities and undertaking such activities in a way that manages those risksacross clinical and patient process.

Making effective use of training to updateknowledge and skills, and initiate and manage the training of others across thefull range of infection control and patient processes.

Monitoring practice facilities and equipmentin relation to infection control, ensuring that provision of hand cleansingfacilities, wipes etc are sufficient to ensure a good clinical workingenvironment. Lack of facilities to be escalated as appropriate.

Safe management of sharps procedures includingtraining, use, storage and disposal

Using appropriate infection controlprocedures, maintaining work areas in a tidy, clean and sterile, and safe way,free from hazards. Initiation of remedial / corrective action where needed orescalation to responsible management.

Actively identifying, reporting, andcorrection of health and safety hazards and infection hazards immediately whenrecognised.

Keeping own work areas and general / patientareas generally clean, sterile, identifying issues and hazards / risks inrelation to other work areas within the business, and assuming responsibilityin the maintenance of general standards of cleanliness across the business inconsultation (where appropriate) with other sector managers.

Undertaking periodic infection controltraining (minimum twice annually).Routine management of own team / team areas,and maintenance of work space standards.

Waste management including collection,handling, segregation, container management, storage and collection. Spillagecontrol procedures, management and training. Decontamination controlprocedures, management and training, and equipment maintenance.

Using personal security systems within theworkplace according to practice guidelines

Personal/Professionaldevelopment:

Thepost-holder will participate in any training programme implemented by thepractice as part of this employment, such training to include:

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:

Thepost-holder will strive to maintain quality within the practice, and will:

Alert other team members to issues of qualityand risk

Assess own performance and take accountabilityfor own 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 improve andenhance the teams performance

Work effectively with individuals in otheragencies to meet patients needs

Effectively manage own time, workload andresources

Communication:

Thepost-holder should recognise the importance of effective communication withinthe team and will strive to:

Communicate effectively with other teammembers

Communicate effectively with patients andcarers

Recognise peoples needs for alternativemethods of communication and respond accordingly.

Contribution tothe implementation of services:

Thepost-holder will:

Apply practice policies, standards andguidance

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

Participate in audit where appropriate

Thedetails contained in this Job Description are not exhaustive and may change asthe post develops.

Equality and Diversity:

The post-holderwill support the equality, diversity and rights of patients, carers andcolleagues

Act in a way thatrecognises the importance of peoples rights, interpreting them in a way thatis consistent with group processes and policies and current legislation

Respecting theprivacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in amanner that is welcoming, non-judgemental and respects the individualscircumstances, feelings, priorities and rights

The details contained in this job descriptionare not exhaustive and may change as the post develops.

Governance:

Identify and record risks and issues, developingcontingency plans with service and contract leads

Ensure the PCN is compliant with health andsafety policies and procedures to reflect current best practice

Ensure that the PCN board and Clinicaldirector adhere to the governance structure as set out in the network agreement

Confidentiality:

Tomaintain confidentiality of information acquired in the course of undertakingduties for the practice.

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

In the performance of the duties outlined inthis job description, the post-holder have access to confidential informationrelating to patients and their carers, practice staff and other healthcareworkers. They may also have access to information relating to the practice as abusiness organisation. All such information from any source is to be regardedas strictly confidential.

Information relating to patients, carers,colleagues, other healthcare workers or the business of the practice may onlybe divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data

Person Specification

Qualifications

Essential

Registered General Nurse Recognised qualification / training in chronic disease(s) (Asthma / COPD/ Diabetes) A demonstrable commitment to professional development Keyboard and computer skills including use of clinical computer systems DBS Clearance (the successful applicant will be required to complete this)

Desirable

Nurse Prescribing Qualification Treatment room qualifications / skills Experience System1 clinical system Assessor/Supervisor Qualification

Skills

Essential

Able to demonstrate enthusiasm to developing nursing skills An understanding, acceptance and adherence to the need for strict confidentiality Ability to work under own initiative Ability to work without direct supervision and determine own workload Ability to work as part of an integrated multi-skilled team Pleasant and articulate Able to work under pressure Able to work in a changing environment Willingness to engage in the development of the role, and be flexible to the changing demands and requirements of the role to meet the best needs of the Practice

The Group Values

Essential

The candidate must demonstrate an understanding of our values.

Experience

Essential

Competent in basic nursing duties required for the post Excellent communication skills Experience of working in accordance with the NMC Code of Professional Conduct Experience of managing and monitoring the care of Chronic Disease Patients Experience of dealing with the public and patients in a healthcare setting

Desirable

Experience of Primary Care / General Practice Treatment room experience

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