Trainee Nurse Associate (TNA)

Job description

Job responsibilities

Duties and responsibilities:

The role of the TNA requires initiative and good judgement but will always be supported by other more senior clinical members of the practice team who will be able to advise.

Patient care responsibilities:

Provision of a phlebotomy service (by direct clinician referral or practice invitation) and to ensure test samples are appropriately labelled and packaged for transportation to the laboratory.

To carry out health screening and measurements, including blood pressure; weight; height and body mass index; urinalysis; pulse rate and rhythm; ECG; spirometry; glucose tolerance test; and peak flow readings

To provide health information and support to patients and collect lifestyle data including smoking status, alcohol consumption and weight management and refer to the appropriate service

Carry out routine and emergency ECGs, ambulatory blood pressure monitoring

Carry out near patient testing e.g. Blood glucose, lipids and INR

Measure temperature, pulse and respiratory rate and to action measurement ofairway function (peak expiratory flow rate and spirometry)

To provide assessment, teaching and support for patients with long term conditions e.g. Diabetes, High Blood Pressure, Obesity, Cardiovascular Disease, Chronic Kidney Disease, Asthma and COPD in line with NICE guidance and Quality and Outcomes Framework (QOF) indicators

Administer selected medicines and vaccines in accordance with the national schedule and legal authorisation e.g Vitamin B12, influenza, pneumococcal, Prostap and Zoladex.

Carry out care of wounds, apply dressings and removal of wound closure materials after initial assessment by a registered nurse

Assisting the clinical staff where appropriate, including minor surgery procedures and chaperone

Recognise signs and symptoms that may indicate undiagnosed long term conditions e.g poor wound healing, winter cough in smokers and mental health problems and use relevant referral pathways or direct them to a clinician as appropriate

Respond appropriately in the rare event of an adverse reaction to vaccination, including maintaining skills in basic life support

Support and monitor patients during nebulisation therapy

Assist clinicians in emergency management of patients

Contribute to the ongoing assessment of care and be able to recognise when to refer to Senior Colleagues in practice

Discuss and plan care under the supervision of registered staff, where applicable escalating concerns or complex cases to the GP or ANP

Escalate any risks or safeguarding concerns to the practice Safeguarding Lead or clinician in their absence following the policy for safeguarding

Administrative responsibilities

Manage clinical supplies of emergency drugs and equipment, monitoring stock levels, ordering stock and re-stocking of clinical areas

Support the nurse team in maintaining vaccine/cold chain storage, monitoring and recording

Preparing and maintaining environments, equipment, and surgical equipment before, during and after patient care interventions

Attend practice/clinical/nurse meetings and contribute to the agenda in the development in the nursing service

Teamwork responsibilities:

Understand own role and scope in the organisation

Work as an effective and responsible team member, supporting others

Ensure clear understanding and utilisation of referral mechanisms within the practice

Accept delegation from nurses, prioritise own workload and ensure effective time-management strategies are embedded into own practice

Participate in team activities that create opportunities to improve patient care

Personal Development:

Complete statutory training and mandatory training as identified by the practice

Complete skills-specific training and regular updating

Participate in annual individual performance review maintaining a record of own personal and professional development

Take responsibility of own development, learning and performance and identify gaps in knowledge and skills

Inform practice manager or registered nurse if unable to perform any aspect of role competently

Work with a mentor to take responsibility for developing own clinical competence, leadership and reflective practice skills within the workplace, while on placements and through attending the Nursing Associate programme.

Other Tasks:

Any other tasks allocated by a member of the clinical or management team

Duties may be varied from time to time under the direction of the management team, dependent on current and evolving practice workload and staffing levels.

Computer:

Be familiar with the practice computer systems, ensuring security of data at all times.

Computer data entry: ensuring that the recording of all relevant information into the patients electronic medical record is accurate and concise, in accordance with practice procedures relating to confidentiality and safe storage

Person Specification

Qualifications

Essential

• GCSE Grade C or 4, or above in English Language and Maths
• GCSE equivalent e.g Functional Skills level 2 in English Language and Maths

Desirable

• Phlebotomy
• Experience in Healthcare setting or as a Health Care Assistant

Experience

Essential

• Demonstrate the ability to study at Level 5 Diploma and commit to completing the Foundation Degree.
• Understanding the role of the Nursing Associate.
• Understanding of NMC professional standards.
• Experience of working in a team under supervision.
• Experience of compassionate care.
• Excellent communication skills and to be able to communicate information effectively to patients, carers and all members of the multidisciplinary team.
• Ability to deal with non-routine and unpredictable nature of workload and individual patient contact.

Desirable

• Experience of working in a Health Care setting.
• Completion of Health Care Assistant programme.
• Completion of Care Certificate or equivalent.

Knowledge and Skills

Essential

• Ability to provide quality care with patience and empathy.
• Good interpersonal and communication skills.
• Understanding and maintaining confidentiality.
• Excellent communication skills to provide sensitive information both written and verbally.
• Excellent organisation skills.
• Understanding of infection control.
• Basic IT skills

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.

Employer details

Employer name

Honley Surgery

Address

Marsh Gardens

Honley

Holmfirth

HD9 6AG

Employer's website

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