Practice Nurse

Job summary

The post holder is responsible for ensuring the delivery ofsafe and effective nursing care to the whole practice population. Clinically,the focus of the role is the delivery of evidence-based practice for patientswith acute and chronic conditions and management and preventative nursinginterventions to all patients. You will work collaboratively with the leadnurse and the whole general practice team to meet the needs of patients,supporting the delivery and procedures and providing support and guidance forthe nursing team.

Main duties of the job

To help develop the nursing services offered by thepractice.

To support the lead nurse in Infection Prevention and Control

To ensure the highest standards of care are provided forpatients.

Review medication for therapeutic effectiveness, appropriateto patients needs and in accordance with evidence-based practice and nationaland practice protocols, with own limitations.

Prioritise health problems and intervene appropriately toassist the patient in complex, urgent or emergency situations, includinginitiation of effective emergency care.

To deliver a high standard of patient care using specialistpractice Nurse skills.

About us

The Birchwood Medical Practice is a Partnershipof seven general practitioners and provide a full range of NHS medical servicesby General Medical Services (GMS) contract to 10,500 patients.

Registered and Rated Good with the CareQuality Commission under the Health and Social Care Act 2008.

Quality Practice Award by the Royal Collegeof General Practitioners 2011. Accredited for a Carers Quality Award 2020.

We are a training Practice for GP Registrars, Foundation 2nd, medical students , student pharmacists , student nurses, Trainee Nurse Associates and Return to Nursing placements .

The nursing team has grown in numbers across the years - currently consisting of 6 RGN's , 2 Healthcare support workers and a Nurse Associate Trainee .

The surgery is approximately 4 miles from theCity Centre and 15 minutes from the Lincoln County Hospital. It is close to the Lincoln Bypass A46 beinglinked by Doddington Road and Skellingthorpe Road.

Job description

Job responsibilities

Key Responsibilities :

Assessing problems presented opportunistically by patients Support patients to adopt health promotion strategies that encourage patients to live healthily, and encourage principles of self care with referral to appropriate agencies as required. Perform venepuncture according to local guidelines Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines, and locally agreed formulary. Suture removal. Perform Electrocardiograms (ECG) Able to recognize and manage anaphylaxis according to current UK guidelines. Able to perform Cardio-pulmonary resuscitation according to current UK guidelines. Updates regularly provided. Offer advice about childhood and adult vaccinations and ensure vaccines are administered under patient specific and patient group directions/ Practice policy guidelines once adequate training completed. Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel including; vaccinations (once appropriate training undertaken) Perform a holistic assessment of patients attending for ear irrigation, once appropriate training completed Ensure infection control guidelines are maintained. Ability to monitor and manage maintenance of stock and equipment to include refrigeration, single use equipment and general Treatment room equipment and emergency equipment. Able to document Consultations according to NMC guidelines, updating computer by coding activities appropriately and at the time of the consultation using templates where appropriate. Comply with computer based information requirements Understand and adhere to the policies and procedures of the practice Participate in a duty rota system within the clinical team to ensure the service requirements are being met Provide cover for colleagues undertaking extra hours/shifts when required Assist in the management of patients with Asthma, COPD, Bronchiectasis, CKD, Hypertension, CHD and Stroke in line with the Practice, local and national guidelines. Undergo training in management of Asthma and COPD. Also, an interest in and willingness to train in Diabetes management. You would be expected to manage these CDM patients following agreed clinical protocols with referral to senior nurses or GPs as appropriate.

Quality:

Recognise and work within own competence and professional code of conduct as regulated by the Nursing Midwifery Council (NMC) Produce accurate, contemporaneous and complete records of patient consultation ,consistent with legislation, policies and procedures Prioritise, organise and manage own workload in a manner that maintains and promotes quality Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required In partnership with other clinical teams, collaborate on improving the quality of healthcare, responding to local and national policies and initiatives as appropriate Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance Ensure all significant events are reported and discussed as appropriate and facilitate a full understanding of clinical governance requirements within the practice Maintain records of specific adverse incidents, complaints and near misses and work with local colleagues and the clinical governance team to ensure lessons are learnt and practices adapted to avoid future incidents

Personal/Professional development

Maintain professional development in line with post registration education and practice. The post-holder will participate in any training programme implemented by the Practice asessential or beneficial to the role and take responsibility for identifying own learning needs Participation in an annual individual performance review, including taking responsibilityfor maintaining a record of own personal and/or professional development

Team working

Understand own role and scope in the organisation and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Ensure clear understanding and utilisation of referral mechanisms within the practice Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in team activities that create opportunities to improve patient care

Confidentiality:

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information Information relating to patients ,carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Information Governance

Information is vitally important for the safe clinical management of patient care and the efficient administration of services and resources, including our workforce. Information Governance is a framework to enable the Practice to handle personal and corporate information appropriately. It is the responsibility of our entire workforce, regardless of employment status, to ensure they abide by the requirements of Information Governance Person Specification

Transport

Essential

Ability to use own roadworthy vehicle and have a legal driving licence for home visiting.

Experience

Essential

RGN Registration with minimum 2 years experience To have drive and enthusiasm for continued development within the team to be able to support the delivery of services to provide the best care for our practice population and maintain the highest standards of care .

Desirable

Previous General Practice Nurse experience Previous treatment room experience Experience in managing COPD, asthma and paediatric asthma ,Diabetes, CHD, CKD Experience in reviewing and managing Long Term Conditions - a desire and willingness to do additional training in long term conditions dependant on current experience Immunisation and Vaccination trained

Qualifications

Essential

Registered General Nursing qualification with valid registration with NMC Minimum 2 years experience

Desirable

Immunisation and Vaccination trained ARTP registered Spirometry in performance and interpretation Other long term conditions qualifications Diabetes, Asthma, COPD Cervical Cytology

Knowledge and Skills

Essential

Excellent Communication skills, effective time management , ability to work autonomously and as a team member Pro active and motivated , endeavour all types of challenges

Desirable

Longer term - an interest in developing within the managerial side of leading the nursing service , supporting and development within the team . Familiar with using System One Familiar with using Ardens Templates

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