Job responsibilities
The
Deputy Lead Practice Nurse is an important leadership role within the Practice
Nurse Team.
Working
with the Lead Nurse, as a senior member of the practice multidisciplinary team,
the post holder will ensure nursing services are delivered effectively to the
entitled patient population.
The
Deputy Lead Practice Nurse will be responsible for several clinical areas such
as chronic disease
management as well as supporting the practice management
team in the reviewing and delivery of clinical policy and procedure.
You will
be responsible for the line management of a small team, specifically the HCA
team alongside assisting the Lead Nurse in their responsibilities. This could
involve, but not limited to, project work such as improvements to the nursing
team and wider practice to facilitate continuous preventative health care to
the practice population.
As part
of this role you commit to ongoing development and training.
This is
a patient focused, evidence based, varied role requiring you to work within
your professional boundaries.
You will
be part of a supportive team and will play a crucial role in all aspects of
nursing practice.
Primary Responsibilities
The following
are the core responsibilities of the Deputy Lead Practice Nurse. There may be,
on occasion, a requirement to carry out other tasks. This will be dependent
upon factors such as workload and staffing levels:
a. Lead and manage the
Healthcare/Practitioner Nurse Team.
Match tasks and workload to capabilities of team members.
b. Participate in the administrative and
professional responsibilities of the practice including : Representing the
Nurse team at Practice and or external meetings, contribute to Nurse staff
training and development, ensure Nurse team comply with CQC, NICE, NHSE,
national and local guidelines, contribute to cost effective achievement of QOF
and enhanced services, promote innovative ideas, be a resource of information,
mentorship and support to others, act as a mentor for new staff and students
assisting with induction and training.
c. Assess, plan, develop, implement, and
evaluate treatment plans that promote health and well-being across the practice
population and for specific patient groups
d. Proactively identify, diagnose, and
manage treatment plans for patients at risk developing and or having a
long-term condition, including prescribing/deprescribing for that condition
(medical and or social) in line with national and local guidance.
e. For all areas of clinical practice
understand the implications, needs of the patient and signpost appropriately.
f. Contribute to practice targets both
local and national, e.g. QOF.
g. Provide adult and childhood immunisation
service. Follow PSD/PGD guidelines, UK
immunisation schedule.
h. Plan and support leadership team with
annual Flu campaign and mass population vaccination programmes.
i. Administer prescribed therapies such as
contraception injections/vitamin B12/GNHR/Aranesp/Denosumab and other patient
specific injections, recognising side effects and contraindications.
j. Perform wound management using
appropriate (aseptic/clean) technique.
k. Have good understanding of the process
of wound healing, knowledge of wound management, potential complications, local
and national guidance.
l. Be proficient at Doppler assessment,
knowledge and understanding of the pathophysiology of venous, arterial, and
diabetic foot ulcers.
m. Recognise signs of wound infection,
manage appropriately and interprets results from microbiology sampling.
n. To oversee the provision of chronic disease clinics, delivering
patient care as necessary, referring patients to secondary/specialist care as
required
o. To maintain accurate clinical records in conjunction with extant legislation
p. To ensure clinical codes are used effectively by all members of the
nursing team
q. To ensure the appropriate use of chronic disease registers
r. Review medication for therapeutic
effectiveness.
s. Work with the Lead Nurse and Practice
Management team to improve the management of disease within the practice
population. Implement clear management
plans with patients including appropriate prescribing and referral.
t. Work to support compliance and adherence
to prescribed treatments by detecting and managing side effects and or adverse
reactions.
u. Emphasise the importance of prevention
and self care.
v. Refer patients to other services or
agencies as appropriate. Promoting
communication between all involved in the patient care.
w. To request pathology services and process pathology results as
required.
x. To implement vaccination programmes for adults and children.
y. To support patients in the use of their prescribed medicines or
over-the-counter medicines (within own scope of practice).
z. To liaise with external services/agencies to ensure the patient is
supported appropriately (vulnerable patients etc.).
To delegate clinical
responsibilities appropriately (ensuring safe practice and the task is within
the scope of practice of the individual)
Secondary Responsibilities
In addition to the
primary responsibilities, the Deputy Lead Practice Nurse may be requested to:
a.
Develop
and review audit protocols and process for the practice, effectively utilising
the audit cycle
b.
Develop,
review and implement nursing protocols in conjunction with the partners
c.
Support
all members of the nursing team, providing guidance when necessary, conducting
appraisals and training needs analyses as required
d.
Participate
in local initiatives to enhance service delivery and patient care
e.
Support
and participate in shared learning within the practice in order to improve
patient care
f.
Continually
review clinical practices, responding to national policies and initiatives
where appropriate
g.
Participate
in the review of significant and near-miss events applying a structured
approach, i.e., root cause analysis (RCA)
h.
Coordinate
the nursing team rota, ensuring sufficient staff are available to meet patient
needs
i.
Lead
the planning and implementation of changes within the nursing team, enhancing
the provision of services to patients
j.
Support
the practice team with the reviewing and implementation of practice policies
and protocols, ensuring conformance to extant legislation
