Practice Nurse

Job description

Job responsibilities

MAIN RESPONSIBILITIES

a) Assessment of health needs.

b) Planning and delivery of care.

c) Evaluation of direct care for both individuals and groups of patients.

d) Direct and supervise HCA as required

CLINICAL NURSING PRACTICE

Wound management

a) Perform wound care using aseptic technique.

b) Undertake complicated dressings.

c) Suture and clip removal.

d) Assist with minor surgery.

Screening

a) Undertake opportunistic screening - BP checks, height, weight, BMI, urine analysis and smoking status.

Health Promotion

a) Recognise patients readiness to change in supporting their attempts to change unhealthy behaviour.

b) Provide healthy eating advice.

c) Provide smoking cessation advice individually in opportunistic consultations.

d) Provide advice on exercise and increasing activity.

e) Offer advice on safe limits for alcohol consumption.

f) Develop and maintain health promotion material within the practice.

g) Refer as appropriate.

Vaccinations and Immunisations

a) Administer injections under an individual prescription or Patient

b) Group Directive.

c) Ensure safe storage, rotation and disposal of vaccines and drugs.

Infection control

a) Apply infection control measures within the practice according to local and national guidelines.

b) This includes:

i. Universal hygiene precautions.

ii. Collection and handling of laboratory samples.

iii. Segregation and disposal of waste materials.

iv. Decontamination and sterilisation of instruments.

v. Reporting and treatment of sharps injuries

vi. Dealing with blood and body fluid spillages.

c) Assist patients and colleagues in adopting sound infection control

measures.

Emergency management

a) Is competent in anaphylaxis and resuscitation techniques.

Family planning

a) Has a basic understanding of emergency contraception and refers patients as appropriate.

b) Advises on the risk of pregnancy and has a basic knowledge of contraception options.

Womens' health

a) Has a working knowledge of the national and local Cervical Cytology and mammography screening programmes.

b) Undertake cervical cytology sampling.

c) Take swabs for microscopy.

d) Advise on the increased peri-menopausal and post-menopausal risk of osteoporosis and heart disease.

e) Offer health promotion/lifestyle advice to patients.

Male Health

a) Initiate opportunistic consultations with patients to cover issues of male health.

b) Make appropriate referrals.

Diabetes

a) Has a basic understanding of diabetes.

b) Supplies appropriate material for patient education.

c) Is able to manage the emergency treatment of a diabetic patient with hypo/hyperglycaemic attack according to practice guidelines.

Respiratory disease management

a) Has a basic understanding of asthma care: its diagnosis.

b) Checks patients inhaler technique and measures peak flow readings.

c) Has a basic understanding of COPD treatment to support patients.

Cardiovascular disease

a) Has a basic understanding of the pathophysiology of the cardiovascular system.

b) Identify and advise patients on the risk factors associated with cardiovascular disease i.e. BP, lipid, glucose monitoring, family history, smoking, diet and exercise.

c) Work within agreed protocols to empower patients to manage their own cardiovascular disease

d) Make appropriate referrals for review to other members of the team.

SUMMARISING PATIENT NOTES

a) Summarise the medical content from a patients paper records onto the EMIS PCS computerised clinical system following the guidelines set out in the Summarising Protocol on the practice Intranet.

ORDERING SUPPLIES

a) Orders vaccines and other drug supplies as required.

CONTROLLED DRUGS

a) Administers the practice procedure including stock checks, ordering and checking for shelf life.

b) Investigates any stock check discrepancies and identifies any problems.

c) Arranges for any out of date or returned drugs to be properly disposed of.

CLINICAL PRACTICE LEADERSHIP

a) Monitor and maintain the consistency of professional standards set.

b) Take appropriate action if standards are not being met.

c) Participate in nursing and team development

d) Advise and support other members of the team

CLINICAL PRACTICE DEVELOPMENT

a) Be aware of current evidence based approaches to patient care and demonstrate this in practice

b) Demonstrate clinical expertise in practice

Person Specification

Qualifications

Essential

• - Registered Nurse - NMC registration
• - Record of ongoing professional development

Experience

Essential

• - Registered Nurse - NMC pin
• - Experience in a clinical nursing setting
• - Excellent communication and interpersonal skills
• - Competent in immunisations and wound care
• - Able to work independently and part of a team

Desirable

• - Experience in a GP practice or primary care setting
• - Training in chronic disease management
• - Competent in cervical cytology
• - Experience using EMIS

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bro Pedr Medical Group

Address

Bridge Street

Lampeter

Dyfed

SA48 7AA

Employer's website

https://lampetermedicalpractice.nhs.wales/ (Opens in a new tab)