Practice Nurse

Job summary

As a new member of our nursing team you will be undertaking a widerange of nursingassessments and care interventions in order to meet the needs of our growing practice population. Obviously if working in primary care is something that is new to you, we will fully support you to grow and develop the skills and competencies needed for the role.

You will be a member of a highly experienced nursing team that consists of two Advanced Nurse Practitioners, a Trainee Advanced Nurse Practitioners, a Practice Nurse, two Health Care Assistants and a Phlebotomist.

In return we are able to offer a competitive salary, access to the NHS pension scheme, six weeks of annual leave a year (plus generous study leave) and occupational sick pay, all in a modern purpose built care environment whilst being supported by a friendly forward thinking team.

Main duties of the job

Working as part of the multidisciplinary team to ensure high quality and consistent patient outcomes and experience for our patients, your day to day activities will include

Management of chronic diseases within own scope of practice, with a strong focus on patient empowerment Working with patients to develop and agree individual management plans Obtaining information using a lifestyle questioning approach in order to identify (and address) health promotion issues Obtaining pathological samples, including venepuncture Undertaking 12 lead ECGs Undertaking cervical screening Undertaking wound assessments, care planning and interventions Childhood and other routine vaccinations, including providing information to parents in order to improve uptake Participating in practice meetings and CPD activities relevant to the role

About us

Parkside Medical Practice is located in the purpose built Riverside Building near the centre of Bulwell, with easy access to on site parking, bus and tram stops and Bulwell railway station.

We consistently receive positive feedback from our patients. 91% of patients rated their experience of using our practice as good or very good in last months friends and family test and 93% felt that their needs had been met during their most recent consultation (which is 3% above the national average).

Job description

Job responsibilities

Job Purpose

The Practice Nurse will undertake a range of nursingassessments and care interventions in order to meet the nursing needs of thepractice population; this will be done in collaboration with other members ofthe practice team and with other partner organisations as appropriate. Careprovided will remain evidence based in line with practice, local and nationalguidelines, policies and procedures as appropriate.

The Practice nurse will strive to secure the best possibleoutcomes for the patients under their care, whilst at the same time having dueregard for the financial, ethical and organisational impacts of their activity.

Clinical Practice

Working collaboratively with the wider practice team, helpto assess, deliver and evaluate nursing care in a holistic manner to thepractice population, including

Management of chronic disease from diagnosis,monitoring and development of individual care plans, agreeing where appropriatewith the patient and other health care professionals.

Provide information and advice on prescribed orover-the-counter medication on medication regimens, side-effects andinteractions.

Obtaining appropriate information using alifestyle questioning approach and identifying health promotional issues.

Working with patients to develop a managementplan where potential/actual health problems are identified.

Undertake the collection of pathologicalspecimens including intravenous blood samples, swabs etc.

Assessing and managing routine wounds includingtrauma.

Support and advise women requesting informationrelating to family planning needs.

Support and manage health needs of womenpresenting for cervical cytology consultations.

Implement and participate in vaccination andimmunisation programmes for both adults and children.

Removing and inserting pessaries

Undertake and interpret spirometry to enable thediagnosis and monitoring of Asthma/COPD .

Advice, support and where appropriate,administer vaccinations for patients travelling abroad.

Provision of ear care as appropriate, includingsyringing.

Assisting in providing minor-surgery sessionswhen required.

To carry out appropriate domiciliary visits topatients as directed by the Partners.

Communication and confidentiality

Utilise and demonstrate sensitive communicationstyles, to ensure patients are fully informed and consent to treat.

Communicate effectively with patients andcarers, recognising the need for alternative methods of communication.

Communicate effectively with colleagues; bothwithin the practice and within the wider health and social care environment.

Recognise that information obtained and accessedthrough the role of Practice Nurse will often be confidential in nature andthat the trust of patients and the wider community in the practice and thenursing profession may be seriously damaged through breach of this trust.

Maintain patient confidentiality; whilst at thesame time recognising the situations where confidentiality may lawfully bedisregarded.

Hold information about the management andworking of the practice as confidential, unless specifically authorised todisclose such information. This does not affect your rights and obligationsunder English Law.

Administration

Ensure accurate and timely notes of allconsultations and treatments are recorded in the patients notes accurately.

Attend and participate in practice and clinicalmeetings. The only reason for not attending will be annual/study or sick leave.

Assisting in stocking, cleaning, auditing andpreparation of clinical areas as may be required.

Training and Development

Actively participate in the annual appraisalprocess, through which training and development needs may be identified in linewith the requirements of the practice.

Remain up to date with developments within theirscope of professional practice; taking into account changes in practice, localand national guidelines as appropriate.

Attendance at courses and study days as agreedas appropriate.

Maintain compliance with all elements ofstatutory and mandatory training as notified from time to time.

Undertake the supervision, training, assessmentand support of unregistered colleagues and / or students as may be requiredfrom time to time, within the scope of ones own competence.

Professional practice

The Practice Nurse shall at all times

Recognise and work within their own competenceand professional code of conduct as regulated by the Nursing and MidwiferyCouncil (NMC).

Priorities, organise and manage own workload ina manner that maintains and promotes quality.

Engage in and operate the child and adultprotection policies and procedures of the practice and local authority asappropriate to their role; ensuring that safeguarding is prioritised, includingthe escalation of concerns in a timely manner.

Comply with the policies and procedures of thepractice; with particular regard to domestic violence, vulnerable adults,substance abuse and addictive behaviour and refer as appropriate.

Health and Safety

Comply with all policies procedures andinstructions relating to Health and Safety in the Workplace.

Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines.

Maintain an awareness of national standards ofinfection control and cleanliness and Regulatory / contractual / professionalrequirements and good practice guidelines.

Ensure safe management of sharps storage anddisposal.

Recognise that there may be times where loneworking is required; when this occurs to follow the policy and proceduresrelating to lone working as provided by the practice.

Medicines management

Ensure safe storage, rotation and disposal ofvaccines and drugs is undertaken. Where appropriate, oversee the monitoring andstock control.

Unless authorised as an independent /supplemental prescriber, to only administer medications that have beenauthorised under either a PSD or PGD.

Equality and diversity

Act in a way that recognises the importance ofpeoples rights, interpreting them in a way that is consistent with practiceprocedures and policies and current legist ration.

Respecting the privacy, dignity, needs andbeliefs of patients, carers and colleagues.

Behave in a manner that is welcoming others, isnon-judgemental and respects their circumstances, feelings priorities andrights.

Research and audit

As a Research Practice, the Practice Nurse is tobe involved in Research to provide better quality of care for Patients.

Undertake audit s from time to time in order toevidence the safety of services provided and / or provide evidence to driveservice improvement.

Engage fully in service development and / orimprovement activities as may be required form time to time.

Other duties

To undertake any other duties as may from time to time berequired, which are commensurate with the role described above.

Person Specification

Qualifications

Essential

Registered Adult Nurse on the NMC Register without restrictions

Desirable

Practice Nurse Qualification (PgCert) Accredited long term condition(s) modules (diabetes, hypertension, asthma, COPD) Cervical Cytology sample takers registration

Experience

Essential

Experience of organising and prioritising own workload Experience of working as part of a team Experience of delivering compassionate care to a wide range of patients

Desirable

Experience of primary care and / or community nursing Experience of using PGDs and PSDs

Knowledge and Understanding

Essential

Able to recognise and work within own scope of practice Able to produce accurate clinical records of care and advice provided Awareness of responsibilities regarding health and safety

Skills

Essential

Competent IT skills word processing, email Effective verbal, non-verbal and written communication skills Able to analyse complex and sometimes conflicting information in order to develop an appropriate care plan

Desirable

Experience of using SystmOne ECG recording Venepuncture Experience of assessing and managing wounds

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