Practice Nurse Long Term Conditions

Job description

Job responsibilities

This list of duties and responsibilities, which follows, represents the broad range of tasks which may be required to be undertaken either routinely or periodically. This list is not exhaustive, and the role may include additional duties which are not listed here.

Clinical Skills

1) Works independently as a Practice Nurse with long-term conditions management and treatment room skills within the scope of professional practice.

2) Undertakes the establishment and running of Long-term condition management clinics including asthma, COPD management, diabetes and chronic heart disease providing specialist nursing care for patients.

3) Manages programmes of care for patients with Long-term conditions by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.

4) Excellent communication skills through patient consultation and nursing assessment of physical, psychological and social needs.

a. Takes an accurate history, building rapport towards a therapeutic relationship.

b. Assess, plan and implements patient centered plan of care for patients and refer when necessary to other healthcare professionals for further specialised care.

5) Maintains disease registers.

6) Undertake routine assessments in relation to individuals health and wellbeing and evaluate the outcomes of care.

7) Performs investigations and uses core clinical skill and competence. Initiate treatment including diagnostic investigations.

a) Recognition of abnormal vital signs observing adult respiratory rate and effort, heart rate rhythm and volume, temperature and blood pressures as appropriate.

b) Perform investigative procedures including; Performing ECGs,

Urinalysis, Blood Glucose monitoring, Venepuncture, measuring and

interpreting Peak Flow.

8) Demonstrate competence in examination techniques relevant to Long-term conditions clinic e.g. spirometry.

9) Adapts to change within working situation managing unscheduled emergency situations.

a) Basic life support, severe breathing problems, serious cardiovascular

problems, collapsed patients and seriously ill patients.

10) Delivers a high standard of care without discrimination to all ages, sexes and ethnic origins of the population through continuum of life.

11) Promote improving the health of the individual through providing advice and education to aid adjustment of lifestyle.

12) Recognise own limitations, seek assistance and refer appropriately.

13) Deliver safe, effective evidence based care and advice to ease patient

Communication

1) Communicates effectively as a member of a multi-disciplinary team.

a) Liaises when necessary with general practitioners, Practice Nurses, HCAs, Reception & Admin Team, Paramedics, Accident and Emergency, Secondary Care, District nurses, Community MDT, social workers, mental health team, and Social Care Teams.

2) With Primary care nursing team giving support and advice.

3) With reception / admin staff regarding patient information.

4) Recognise and effectively manages situations where there are barriers to effective communication.

Professional

1) Complies with Nursing and Midwifery council code of conduct and works within scope of professional practice.

2) Leads on development of Long-term conditions pathways in conjunction with the Clinical Lead.

3) Actively participates in clinical meetings.

4) Ensures practice and implementation of care is evidence based by adhering to local and national guidance

5) Maintain confidentiality of information regarding patients.

6) Ensure accurate, concise documentation.

7) Report any adverse incidents or near miss events through agreed CHoC system.

8) Maintains professional development in risk awareness, health and safety, fire safety at work, Child and Adult safeguarding, conflict resolution, information governance and basic life support by attending annual mandatory training.

9) Identify and/ or participate in strategies of risk assessment to avoid or prevent clinical incidents and near misses incorporated in the clinical governance framework including:

a) Risk management, Child and Adult safeguarding policies, Medicine management policies and Infection prevention policies.

Leadership

1) Is a support network for other colleagues, particularly nursing team.

2) Act as role model to inspire and motivate others

3) Act as mentor, support and induct new staff

4) Leads on establishing a culture where Long-term conditions management and health promotion flourishes in practice.

5) Is a voice that challenges practise to promote best practice.

Organisational Skills

1) Be aware and comply with policies and procedures.

2) Able to adapt to change in the workplace being involved in new developments in the delivery of care.

3) Ensure faulty clinical equipment is reported and repaired and adequate for use.

4) Ensure store supplies are adequately ordered and maintained.

5) Participate and support the implementation of clinical governance, clinical audit and clinical risk assessment, setting and monitoring standards of care.

6) Promote improving the health of the community through reporting and preventing occurrences of infectious disease, providing advice and education.

7) Have a flexible approach to geographical locations across county sites.

Person Specification

Qualifications

Essential

• Current NMC
• 1st Level registration
• Evidence of recent Continual Professional Development
• Wound management training and compression bandaging training

Desirable

• Relevant Vaccination and Immunisation training including Childhood Immunisations

Experience

Essential

• Post registration experience minimum 2 years in relevant field.
• Evidence of good practice
• Working autonomously in a nursing role
• Experience of working within primary care.

Desirable

• Experience of case management
• Experience of sexual health and reproductive health investigations /referral
• Systm1 experience

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

Helston Medical Centre & Porthleven Surgery

Address

Trelawney Road

Helston

Cornwall

TR13 8AU

Employer's website

https://www.helstonmedicalcentre.co.uk/ (Opens in a new tab)