Job responsibilities
Main Responsibilities
Assess,
plan, provide and evaluate nursing care to meet the care needs of
individuals and groups in the practice population
Assess
and treat specific diseases in accordance with agreed CKS / medical/nursing
protocols
Provide
direct access to specialist nursing care for undifferentiated patients
within the practice population
Undertake
diagnostic, health screening, health surveillance and therapeutic
interventions within a broader health promotion/public health strategy
Participate
in developing programmes to improve health and well-being and meet the
specific needs of communities, groups and individuals
Participate
in quality assurance, development and clinical governance
Ensure
continuation of personal professional development
Use
nursing skills appropriately and effectively to deliver best patient care
Nursing Duties and Responsibilities
will include
Management of chronic
disease
Identifying
significant abnormalities
Monitoring and
development of individual management plans; agreeing these as appropriate
with the patient and other health professionals
Management of QOF
for diabetes
Investigation and
management of patients at risk of diabetes and confirmed diabetes
If required home
visits for QOF / chronic illness reviews
Therapeutic monitoring
Checking
compliance with and adherence to appropriate treatments using an holistic
patient-centred approach
Recognising
abnormalities
Identifying the
impact of treatment and implementing or recommending changes as
appropriate.
Undertaking
dressing of complex, including post-surgical wounds and leg ulcers
Ensure training
and skills are maintained in the use of Doppler machines
Wound Care and
management
Assessing routine
wounds including trauma
Assessing to
support good wound management in complex situations (e.g. use of Doppler
technique)
Patient health checks
Identifying
significant abnormalities
Obtaining
appropriate information using a lifestyle questioning approach and
identifying appropriate health promotion issues
Working with
patients to develop a management plan where health problems or potential
health problems are identified
Risk assessment
Recognising issues
and gathering sufficient information to refer (e.g. drugs;
domestic violence; child protection; vulnerable adults; senior
patients; social problems)
Health screening
Recognising issues
and gathering sufficient information to refer e.g. women's and men's
health, sexual health, older people
Undertaking
monitoring tasks e.g. smearsand providing advice as appropriate
Providing in depth
monitoring and advice as appropriate to the level of the post-holders
specialty and working with the patient in deciding on management plans.
Travel health
Carrying out Risk
Assessment of vaccinations needed for travel destinations
Administering
injections and providing guidance in accordance with PGD guidelines
Identifying
problems
Immunisation - adult and
child
Administering
appropriate immunisation autonomously
Working with
patients with more complex immunisation issues.
Administer injections under an individualised prescription or Patient
Group Direction.
Ensure safe storage, rotation and disposal of vaccines and drugs
First contact
Working
independently or alongside the general practitioner and making decisions and - or recommendations as appropriate.
Ear care
Providing routine
ear care
Dealing with more
complex problems and referring to a Doctor if prescribing is appropriate.
Mental health
Communicating with
key workers
Administering
appropriate prescribed therapies and monitoring for side effects.
Emergency Management
Ensure
competency in anaphylaxis and resuscitation techniques by maintaining and
updating CPD.
Infection control
Support
patients and colleagues in adopting sound infection control measures
Apply
infection control measures within the practice according to local and
national guidelines - This includes
Universal
hygiene precautions
The
collection and handling of laboratory specimens
Segregation
and disposal of waste materials
Reporting
and treatment of sharps injuries
Dealing
with blood and body fluid spillages
General
responsibilities will include:
Administration of the Clinical Quality and
Outcomes Framework - QOF
Assist
in accurate recording of data input to support the QOF.
Liaise
with Practice Manager and Care Coordinator to ensure maximum benefit is gained
from the Quality and Outcomes Framework in support of 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
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.
Health & safety
The post-holder will assist in promoting and
maintaining their own and others health, safety and security as defined in the
practice Health and Safety Policy, to include
Using
personal security systems within the workplace according to practice guidelines
Awareness
of national standards of infection control and cleanliness and regulatory /
contractual / professional requirements, and good practice guidelines
Identifying
the risks involved in work activities and undertaking such activities in a way
that manages those risks across clinical and patient process
Making
effective use of training to update knowledge and skills
Safe
management of sharps procedures including training, use, storage and disposal
Using
appropriate infection control procedures, maintaining work areas in a tidy,
clean and sterile, and safe way, free from hazards
Actively
identifying, reporting, and correction of health and safety hazards and
infection hazards immediately when recognised
Keeping
own work areas and general / patient areas generally clean, sterile,
identifying issues and hazards / risks in relation to other work areas within
the business
Maintenance
of sterile environments
Equality and diversity
Please see attached job description for full details
Personal/professional development
Please see attached job description for full details
Undertake
appropriate training courses to underpin role as a specialist in the field
of Diabetes and ensure all required updates are completed as necessary
Quality
The
post-holder will strive to maintain quality within the practice, and will
Alert other team
members to issues of quality and risk
Assess own
performance and take accountability for own actions, either directly or
under supervision
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
Document and
advise Practice Business Manager of any significant event and assist in
the regular review of Significant Events
Communication
Please see attached job description for full details
Contribution to the implementation of services
The
post-holder will
Become familiar with and use any of the practice computer or other
systems as required to fulfil the duties of the post.
Accept
and be bound by all policies, guidelines and protocols regarding the necessary
running and administration of the Practice, especially those concerned with
patient confidentiality and welfare.
Apply practice
operational policies, procedures and standards, as well as legislation and
professional standards and guidelines
Discuss with other
members of the team how the policies, standards and guidelines will affect
own work
Participate in
audit where appropriate
The duties
in this job description are not exhaustive and will be reviewed periodically
with the post holder, to ensure that they relate to the job as then being
performed or to incorporate whatever changes are being proposed to meet both
organisational requirements and the needs of the post holder. It is our aim to reach agreement on
reasonable changes, but if agreement is not possible the Practice reserves the
right to insist on changes to your job description after consultation with
you.
The post
holder is required to carry out any duties that may reasonably by requested by
the Partners or the Practice Manager.