Trainee Practice Nurse

Job summary

An exciting opportunity has arisen for a practice nurse developmentpost within our large NHS GP practice which provides General Medical, Studenthealth, Homelessness service along with other specialist services across ourseven sites in and around Liverpool City Centre.

Initially a band 5/6 dependent on previous experience, trainingwill be provided over a 12-year period, during which time development will includea 2-year GPN fellowship/Preceptorship programme.

This post may be particularly attractive opportunity tonewly registered nurses or those nurses just moving to a general practice setting,The training and preceptorship programme will include cervical cytology,immunisations and long-term condition management.

This role requires consolidation of registrant standards ofcompetence and developing confidence to work alone without direct supervision,undertaking and reporting on autonomous decisions made in practice.

This role requires a developing knowledge of practicenursing in the broadest sense, and excellent interpersonal and communicationskills to support patients with a wide range of conditions to understand and,where possible, take on self-management of their condition.

Main duties of the job

Activelyengage in a programme of induction and preceptorship which will involve online,classroom and practice-based learning, with regular competency assessments.

Abilityto assess patients, considering their physical, mental and social statesalongside the impact of their environment and social support available to themand negotiating care plans that are person centred and focused on self-carewith clear objectives.

Using arange of assessment tools pertinent to the patients needs to inform theassessment and assess risk for both patients and staff.

Articulationof risk and strategy for risk management.

Knowledgeof a broad range of conditions, local care pathways and evidence-basedmanagement experienced by patients in general practice settings. This willinclude long term conditions, for example diabetes, coronary heart disease,heart failure, hypertension and stroke and COPD.

Anunderstanding of the presentations of multiple pathology, depression andanxiety states and frailty predominantly in older people.

In linewith Brownlow values of Quality,Teamwork, adaptable, accountable and compassion

Ensuringinformation is recorded objectively and reported back to the general practicenursing team.

A willing nessto undertake home visits.

Other job locations:

Bentley Road Liverpool L8 0SY

Peach Street Liverpool L69 7ZL

26 Argyle Street Liverpool L1 5DL

155 Edge Lane Edge Hill Liverpool L7 2PF

2 Vauxhall RoadLiverpool L3 2BG

About us

We offer numerous staff benefits and incentives includingprotected study leave with financial allowance. You will receive a 6-monthmentorship/induction package.

We are committed to equality and diversity, and strive forour workforce to be representative and inclusive of the complex and diversecommunity which we are proud to serve. Weactively encourage individuals who self-identify as having protectedcharacteristics to apply for this role. We are keen to encourageapplications from: individuals with linguistic diversity, members of the LGBTQ+community; members of black, minority ethnic, and minority faith groups; andfrom those who are disabled and / or neurodiverse. We are mindful that we maynot always be aware of structural and systemic factors, which might discourageor prevent certain minority groups and marginalised populations from applyingto join our team. If you are aware that any such barriers do exist, please letus know so that we can work to overcome and dismantle these.

Although notrequired by law we strongly recommend that all staff have received all Covidvaccinations.

Extended access will form part of your contracted hours.

If you are successful at interview and are registered with any of theBrownlow or CLPCN sites, you are required to change practices and this will bea stipulate of employment.

Job description

Job responsibilities

Facilitationof Learning:

Able torecognise personal development needs and also facilitate learning for patients,carers, other staff and students. This requires:

Ability toreflect on practice and utilise clinical supervision and other developmentopportunities and support.

Emotionalintelligence and the ability to support staff in levels 2, 3 and 4, to debriefand reflect on difficult situations experienced to improve learning and enhanceself-awareness.

Engagementwith appraisal and the development and activation of a personal developmentplan.

Providingeffective mentorship for nursing students and the maintenance of a supportivelearning environment with a range of learning opportunities.

Creativityin developing learning materials for patients and adapting care to supportindividual needs in patients.

Leadership & Management:

Part of thegeneral practice nursing team with delegated accountability and responsibilityfor patient care, being accountable to the Nurse manager. This requires:

Abilityto prioritise a delegated caseload/workload and effectively manage time andwork effectively within the team.

Knowledgeof resource management to ensure care is clinically effective and signposted tothe patient and family ensuring principles of confidentiality and disclosureare maintained.

Recognitionof personal accountability and responsibility to monitor and evaluate care toensure optimal practice.

Usingopportunities to suggest improvements to services or introduction of otherinnovations or evidence.

Engageactively in data collection for quality assurance and take responsibility foron-going evaluation of delegated care.

Participationin personal development, appraisal and development of other team members andthe links between organisation and team goals.

Abilityto recognise poor performance and take appropriate measures.

Have anawareness of and participate in public health campaigns aimed at addressingpublic health issues both locally and nationally.

Collaborateeffectively with a range of other healthcare professionals and agencies thatmay be involved in patients interdependent care, ensuring awareness of theirscope of practice, roles and responsibilities to ensure correct referral and on-goingrelationships.

Participatein educational audit

Evidence, Research & Development:

Has anenquiring approach to practice to ensure best quality care is offered withinany constraints of the service. This requires:

Abilityto articulate the evidence underpinning patients care plans and interventions.

Abilityto source evidence and to appraise it to underpin practice. Recognise any ethicalimplications of audit, research, clinical trial or service user involvementstrategies.

Clinical Practice:

Demonstrateimproving competence, innovation and clinical leadership in the assessment,intervention in and delivery of general practice nursing in all contextsappropriate to individuals needs across the whole age range for the generalpractice population. This requires:

Evidence of ability to assess therange of conditions encountered in general practice using a variety ofassessment tools and consultation models appropriate to the patient andsituation using physical and clinical examination skills to inform theassessment and decision-making for the on-going management of the patient.

Advanced communication skills thatinclude skills of influencing and negotiation to enable information to bedelivered in understandable formats for patients and behaviour change supportedwhere necessary.

Effective multidisciplinary andmulti-agency team working, alongside the ability to work independently andaccept professional accountability and responsibility for the delivery of wholeepisodes of care, and supporting others in the general practice nursing team tocollaborate effectively, ensuring nursing care is guided by precedent andclearly defined policies, procedures and protocols.

Delivery and co-ordination ofevidence-informed, person-centred and negotiated care across the age spectrum.

Use of technology to supportindependence and patient self-care at home to improve self-care and reduceexacerbations

Role modelling and embodiment ofnon-judgemental, value-based care encompassing the 6Cs in practice andexpectation and promotion of these values in other team members.

Developing competence in deliveringevidence-informed care across a wide range of minor acute and long termconditions, ensuring effective evaluation of therapeutic and other approachesto condition management alongside ability to assess patient concordance.

Confidentiality:

Working within the practice youmay gain knowledge of confidential matters which may include personal andmedical information about patients and staff.Such information must be considered strictly confidential and must notbe discussed or disclosed. Failure toobserve this confidentiality could lead to disciplinary action being takenagainst you.

Codes of Conduct and Accountability:

You are expected to comply withrelevant codes of conduct and accountability.

Health and Safety:

In accordance with the Health andSafety at Work Act 1974 and other supplementary legislation, you are requiredto take reasonable care to avoid injury during the course of work andco-operate with in meeting statutory regulations. You are also required toattend statutory training as required to fulfil your duties.

To comply with safetyinstructions and practice policies and procedures.

To use in a proper safe manner theequipment and facilities provided.

To refrain from wilful misuse of,or interference with, anything provided in the interest of health and safetyand any action, which might endanger yourself and others.

To report as soon as practicalany hazards and defects to your senior manager.

To report as soon as practicalaccidents and untoward incidents and to ensure that accident forms arecompleted.

Safeguarding Children andAdults

The organisation has a zero tolerance approach to the abuse ofchildren, young people and vulnerable adults. All employees are required topromote and safeguard the welfare of children and young people and comply withthe Local Safeguarding Children Board Procedures and the Children Act (1989,2004). In accordance with the Local Safeguarding Adult Board policy all staffmust ensure the health and wellbeing of vulnerable adults is appropriatelysafeguarded.

All staff are required to attend training appropriate to their role insafeguarding children and adults, which includes understanding and recognisingthe signs of abuse and knowing how to raise concerns when those signs of abuseare noticed in a person.

Person Specification

Qualifications

Essential

Registered part 1 of the Nursing & Midwifery Council (NMC) register.

Desirable

Hold or working towards a degree. Mentorship Award Modules to support mentorship, prescribing or generic community nursing practice. Foundation graduate certificate (Level 6) or postgraduate certificate (Level 7) as locally defined

Experience

Essential

Experience of working within the NHS Knowledge of public health issues Knowledge of principles of clinical governance, confidentiality, data protection and information governance Knowledge of safeguarding childrens and adults policies and procedures and how to apply these

Desirable

Evidence of level 6 degree modules Experience of implementing protocols and clinical guidelines Experience of quality initiatives such as clinical benchmarking Knowledge of accountability of own role and other roles in a nurse led service Ability to identify determinants on health in the local area

Attributes and Behaviours

Essential

A complete finisher. Resilience and drive Personal and professional integrity and confidence. Flexibility Resourceful Strong facilitating skills Calm and resolute under pressure. Self-motivated and enthusiastic. High workload capacity and capable of sustained effort over a long period.

Desirable

Effective delegator Full driving licence.

Skills

Essential

Communication skills, written and verbal Negotiation and conflict management skills skills

Desirable

Clinical leadership Clinical skills eg cervical cytology, immunisation and vaccination Change management skills and ability to support patients to change lifestyle Ability to communicate difficult messages to patients and families Ability to provide teaching and mentorship in a clinical setting

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