Experienced Practice Nurse

Job description

Job responsibilities

Primary responsibilities:

Chronic disease management including the diagnosis, monitoring and development of patient's individual management plans

Reviewing patients with chronic disease i.e. diabetes, hypertension, heart disease, to implement and evaluate individual treatment plans to promote health and wellbeing

Assessing lifestyle and medications and suggesting changes where appropriate

Implementation of processes for the effective management of patients with long-term conditions using evidence-based practice

Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on patients' health

Venepuncture, handling of specimens

Undertaking diagnostic tests and screening procedures within agreed practice protocols (e.g. ECG and cervical cytology)

Immunisation and vaccination of children, adults and travellers

Ear examination and syringing

Wound care, dressings and removal of sutures

First aid and management of emergencies e.g. burns, haemorrhage, shock cardiac arrest, triage of injuries

Care and maintenance of equipment

New patient checks

To provide appropriate signposting to the relevant clinician or external organisation whilst ensuring that the patient receives appropriate ongoing care

To promote high standards of patient care by the application of a systematic triage approach and undertake comprehensive holistic assessments of person-centred care needs

To maintain clear, concise and accurate documentation within the systems provided

To ensure that all necessary arrangements are completed promptly and in a safe manner

To maintain effective communication with multidisciplinary teams to the benefit of the patient

To maintain the confidentiality of matters relating to patients and patient care in accordance with the NMC guidelines

To communicate complex and sensitive information concerning a patients medical condition effectively to patients/carers, recognising that sometimes there are barriers to understanding

To foster good public relations by ensuring courtesy and discretion when dealing with patients and their relatives

To support and advise patients on the promotion of health, prevention of ill-health and the self-management of their health within their limitations

To recognise situations that may be detrimental to the health and well-being of the individual and act on the findings

To ensure that care given is supported by the best available evidence and local policies and procedures

To deliver opportunistic health promotion where appropriate

To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

To uphold the confidentiality of all records-information held by Pembroke Medical Group. This duty lasts indefinitely and will continue after you leave your employment at this practice. All information which identifies individuals in whatever form should be managed locally with the Confidentiality Policy and in general in accordance with the Data Protection Act 2018

To maintain professional competency whilst remaining current and in date for NMC revalidation

To ensure read codes are used effectively

To recognise, triage and refer patients presenting with mental health needs

To support the clinical team with all safeguarding matters in accordance with local and national policies

In addition to the primary responsibilities, the experienced practice nurse may be requested to:

• Ordering of supplies and equipment
• Support junior members of the nursing team, providing guidance when necessary
• To assist in screening procedure undertaken by the practice
• Assist in the management of patients with chronic illnesses
• Support and participate in shared learning within the practice
• Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA)
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation

To maintain accurate and contemporaneous records, utilising computer systems where appropriate and consider the Caldicott Principles and GDPR Regulations in relation to all data handling

To be proactive in the identification of Carers

PROFESSIONAL ROLE

To promote personal development and clinical excellence

To facilitate and participate in multi-disciplinary education and clinical supervision

To work within the relevant Professional Conduct and Scope of Professional Practice

Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice

To maintain own professional development in line with their professional regulations

Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained

ORGANISATIONAL

To complete records, audits, reports and respond to appropriate questions and requests

To attend meetings as requested

Support effective communication channels between the whole team

To keep the Lead Nurse Practitioner informed about pressures and difficulties or problem areas when aware

To work according to Clinical Governance and support the Clinical Governance Agenda

To understand the role of Risk Management within the Practice contributing to risk

assessment and Significant Event Audit and the importance of Infection Control

The individual may be required to undertake the assessment and management of patients within the home environment

To actively participate in the delivery of QOF targets and others as deemed by the

arrangements in general practice finance

MISSION, VALUES AND STRATEGIC DIRECTION

To promote at all times, the Practices, mission, values and understand the strategic direction of business plans.

Ensure that patient centred care and safety is central to the culture, philosophy and

organisation of the Practice.

To encourage and support patient with long term conditions to develop their ability to self-manage.

To develop a culture of ongoing review, taking into account new methods of working

CODES OF CONDUCT AND ACCOUNTABILITY

To work at all times within the highest levels of standards commensurate with the post.

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.

Person Specification

Qualifications

Essential

• Registered nurse
• Membership of a professional body
• Evidence of CPD and Training
• Evidence of continuous academic development

Experience

Essential

• Experience of working with clinical pathways
• Ability to work independently within boundaries
• Phlebotomy
• Experience as a practice nurse in primary care
• Knowledge and experience of Long-term condition monitoring.
• Wound care management
• Immunisations
• Cervical Screening.
• Knowledge of QOF

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

Pembroke Medical Group

Address

266-268 Torquay Road

Paignton

Devon

TQ3 2EZ

Employer's website

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