Job responsibilities
The post holder is a registered nurse who acting within their own professional boundaries will provide general practice nursing to the whole of the Practice population.
As an autonomous practitioner the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision making in the management of patients. They will work collaboratively within the general practice team to meet the needs of patients and support the delivery of policy and procedures.
Key Responsibilities
Clinical Practice
o Assess, plan, develop, implement and evaluate programmes to promote health and well-being.
o Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long term condition as appropriate
o Work with other health care professionals to diagnose, monitor and treat long term conditions, including non-drug based treatment methods using a management plan and in line with national and local policies and practice needs
o Work with patients in order to support adherence to prescribed treatments.
o Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency
o Implement and participate in vaccination and immunisation programmes for both adults and children
o Promote and deliver evidence-based care to patients
o Meet the needs of patients presenting for opportunistic wound care
Communication
o Utilise and demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
o Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural backgrounds and preferred ways of communicating.
o Anticipate barriers to communication and take action to remove or reduce those barriers
o Act as an advocate when representing the patients and colleagues viewpoints to others
Delivering a Quality Service
o Recognise and work within own competence and professional scope of conduct as regulated by the Nursing and Midwifery Council (NMC)
o Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures
o Prioritise, organise and manage own workload in a manner that maintains and promotes quality
o Deliver care according to the NSF and National Institute for Clinical Excellence (NICE) guidelines and evidence based care
o Assess effectiveness of care delivery through self and peer review, bench marking and formal evaluation
o Participate in the maintenance of quality governance systems and processes across the organisation and its activities
o In partnership with other clinical teams, collaborate on improving the quality of healthcare, responding to local and national policies and initiatives as appropriate
o Evaluate the patients response to health care provision and the effectiveness of care
o Support and participate in shared learning across the practice and wider organisation
o Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework.
o Participate in the monitoring review of the team, providing feedback as appropriate
o Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
Personal and People Development
o Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model
o Support the development of others in order to maximise potential
o Actively promote the Practice as a learning environment, encouraging everyone to learn from each other and from external good practice
o Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging complacency and actions that are not in the interest of the public and/or service users
o Understand own responsibilities and accountability in the delivery of GP services to patients, ensuring that the needs of the patient are the priority
o Participate in planning and implementing changes within the area of care and responsibility
o Critically evaluate and review innovations and developments that are relevant to own practice
o Keep up-to-date with new developments locally and nationally identifying those that will enhance the teams work
o Ensure awareness of sources of support and guidance and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
o Promote the role of the GPN in the provision of health care
Team Working
o Understand own role and scope in the organisation and identify how this may develop over time
o Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
o Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties
o Ensure clear understanding and utilisation of referral mechanisms within the practice
o Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice
o Work effectively with others to clearly define values, direction and policies impacting on care delivery
o Participate in team activities that create opportunities to improve patient care
o Participate in and support local projects as agreed with the Practice Management team
