Job responsibilities
Clinical
Assist in
and perform routine tasks related to patient care as directed by Lead Nurse and
GPs. Advising and escalating any potential problems, issues, or errors in a
timely manner.
Undertake
chronic disease management including monitoring progress and response to
treatment, identifying where changes to medication may be necessary and seeking
senior support to implement, processing referrals where required, working to
reduce unnecessary hospital admissions, and promoting the preventative aspects
of nursing practice. Chronic diseases include but are not limited to:
Once trained and competent work within your scope of practice, undertake
womens health management including but not limited to;
- Cervical Cytology
- Contraception including
reviews, depo injection, pill checks and coil removal (where the practice is
registered to provide this regulated activity).
- HRT reviews
Work to recognise changes in a patients condition and take appropriate
action.
Undertake wound and ulcer care including suture/clip removal, dressings,
and assessment to include doppler studies.
Undertake diagnostics tests including but not limited to:
- Urinalysis.
- Taking swab samples.
- Request pathology tests, for
example urine culture.
- ECG and BP testing including
24hr ambulatory blood pressure monitoring.
- Pulse rate and rhythm.
- Venepuncture
- Blood Glucose monitoring.
- Weight management including
BMI.
- Height measurement.
- Peak flow readings.
- Spirometry (where ARTP
registered).
Administer adult and child immunisations, vaccinations and injections including
travel vaccines, under a recognised legal framework.
Ensure safe storage, rotation and disposal of vaccines and drugs.
Chaperone patients to their healthcare appointments when requested.
Assist with minor surgery and invasive procedures when required, this
includes but is not limited to:
- Coil insertions
- Joint injections
- Minor surgical procedures
Monitor and maintain stock of vaccinations, emergency drugs and wound
dressings, keeping accurate records and ordering low stock items when required.
Ensure appropriate health promotion literature is available.
Maintain clinical equipment efficiently and ensure servicing/calibration
is undertaken, updating the calibration records as necessary.
Prepare and maintain environments and equipment before, during and after
patient care in line with infection prevention and control guidance.
Undertake housekeeping duties including, general tidiness and cleanliness
of equipment, nursing rooms and treatment rooms ensuring room and equipment
logs are kept up to date and available for auditing upon request.
Attend and participate in any MDT and practice meetings when required.
Ensure practice fridges are checked daily, temperature recorded, cold
chain maintained and reporting any issues where relevant.
Keep up to date with any changes or advances within the Nursing
profession, completing annual competency reviews and necessary training.
Communicate effectively, sensitively, and compassionately with
colleagues, patients, carers recognising needs for alternative methods of
communication.
Liaise and communicate with multi-agency partners and third-party
organisations as appropriate, adhering to organisational and national information,
sharing guidance at all times.
Administration
Accurately input, update and extract information onto/from the Practice
clinical system when required.
Record patient information clearly and concisely, adhering to national
and local guidance.
Liaise with and feedback effectively to the nursing team and other
members of the multi-disciplinary team (MDT).
Infection Control
Support the Infection,
Prevention and Control lead through the following measures:
Follow procedures aimed at reducing the risk of passing on the organisms
that can cause infections.
Demonstrate a duty of care in following best practice in adherence to
guidelines which is a fundamental requirement in underpinning the management of
Infection, Prevention and Control.
Apply infection control measures within the practice according to local
and national guidelines. This includes:
- Dealing with blood and body fluid spillages
- Decontamination of instruments and clinical equipment
- Reporting and treatment of sharps injuries
- Segregation and disposal of waste materials
- The collection and handling of laboratory specimens
- Universal hand hygiene precautions
Monitor and change sharps bins within the practice when requested or
identified.
Assist patients and colleagues in adopting recommended infection control
measures and health and safety measures.
Effective cleaning and sterilisation of clinical equipment and working
surfaces, preparing treatment/consulting rooms prior to use.
Support the Lead Nurse in the completion of relevant Infection,
Prevention and Control audits.
Professional Registration
Work in
accordance with Nursing and Midwifery Council Code of Professional Conduct
ensuring NMC registration is valid.
Ensure you
comply with requirements for revalidation and maintain the knowledge and skills
you need for safe practice.
Continue
professional development (CPD) to supplement existing knowledge to aid further
autonomy within the role.
Disseminate
updates in current evidence to all in practice, particularly new learning from
study.
Recognise and work within the limits of your competence and scope of
practice.
Work with the wider multi-disciplinary team to deliver services in line
with current best evidence, national and local guidelines.
Contribute to the development of policies, protocols and guidelines across
the organisation, ensuring compliance.
Work collaboratively within the practice and with professional partners
including secondary care, voluntary bodies and multi-agency organisations to
streamline care pathways using a patient centred approach.
Safeguarding
The autonomous nature of this role may expose you to situations and
circumstance which others do not see. As such it is your responsibility to
ensure that all actual and potential safeguarding concerns are identified and
acted upon in accordance with local and national guidance.
Miscellaneous
Support in the training and induction of new and junior members of staff
at the practice.
Actively participate in educational programmes for whole primary health
care team, including medical and nursing students and GP registrar, in relation
to areas of clinical and practice nursing expertise.
