Practice Nurse

Job description

Job responsibilities

Job Title:Practice Nurse

Reporting to:The Practice Manager/Partners

Role summary: The post holder is responsible for the delivery of basic practice nursing services care to the practice population. Supported by senior nurses within the practice, they will deliver care within the boundaries of their role, focusing upon supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.The following list serves to illustrate the scope and responsibilities of the post and is not intended to be an exhaustive list of duties. You will be expected to perform different tasks as necessitated by the development of this role as the practice develops, and the overall business objectives of the practice change

Clinical practice:

Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being

Implement and evaluate individual treatment plans for patients with a known long-term condition.Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care

Deliver opportunistic health promotion using opportunities such as new-patient medicals. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects and interactions

Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care

Assess and care for patients presenting with uncomplicated wounds

Support and advise women requesting information relating to family planning needs

Support and manage health needs of women presenting for cervical cytology consultations

Recognise, assess and refer patients presenting with mental health needs in accordance with the National Service Framework (NSF) for Mental Health

Implement and participate in vaccination and immunisation programmes for both adults and children

Advise, support and, where appropriate, administer vaccinations for patients travelling abroad

Promote and deliver evidence-based care for patients presenting with aural conditions

Assist senior practitioners in providing minor-surgery sessions

Be responsible for the call and recall of patients requiring care e.g. cervical smears, childhood immunizations, chronic disease reviews

Do ECGs. Give immunisations in line with PGDs and PSDs. Do Cervical Smears, chronic disease review and produce care plans, wound care, suture removal, NHS Health checks, smoking cessation advice, IM infections including b12 and depot contraceptive injections, phlebotomy. Review and implement requirements for QOF and LISs and DESs.

Communication:

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.

Communicate with and support patients who are receiving bad news

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Utilise communication skills to support patients to adhere to prescribed treatment regimens

Anticipate barriers to communication and take action to improve communication

Estimate and maintain effective communication with individuals and groups within the practice environment and external stakeholders.

Act as an advocate when representing the patients and colleagues viewpoints to others.

Delivering a quality service:

Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC)

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Participate in the maintenance of quality governance systems and processes across the organisation and its activities.

Utilise the audit cycle as a means of evaluating the quality of the work of yourself and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate

Evaluate the patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework (eg root-cause analysis)

Participate in the performance monitoring review of the team, providing feedback as appropriate

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

Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Team working:

Understand own role and scope in the organisation and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties

Ensure clear understanding and utilisation of referral mechanisms within the practice

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

Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Participate in team activities that create opportunities to improve patient care

Participate in/support local projects as agreed with the practice management team

Management of risk:

Manage/assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

Ensuring the ordering and safe storage, rotation and disposal of all clinical stock including PPE, medical devices (e.g. phlebotomy equipment), vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements.

Lead on cold chain compliance and training

Undertake mandatory and statutory training

Apply infection control measures within the practice according to local and national guidelines. Be the infection control lead

Be the first aid lead

Be the lead or deputy for other duties as per the leads and deputies duties for the Practice

Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all

Participate in the local implementation strategies that are aligned to the values and culture of general practice

Lead on audits such as infection control audits, clinical waste management audits

Be aware of and support the practice in CQC compliance

Utilising information:

Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information

Review and process data using accurate Read codes about patients in order to ensure easy and accurate retrieval for monitoring and audit processes

Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition

Understand own and others responsibility to the individual organisation regarding the Freedom of Information Act

Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care

Learning and development:

Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments

Assess own learning needs and undertake learning as appropriate

Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information

Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Equality and diversity:

Identify patterns of discrimination, take action to overcome this, and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in good practice relating to equality and diversity

Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care

Person Specification

Qualifications

Essential

• Good standard of general education
• Registered Nurse
• Membership of professional body (NMC)
• Fundamentals of nursing qualification

Desirable

• Nurse Prescriber

Experience

Essential

• Recent experience of working in General Practice

Skills/aptitude

Essential

• Ability and relevant qualifications to do: Smear taking, blood taking, immunizations, wound management, health checks, chronic disease checks
• Over see Infection control for the Practice
• Awareness of how to implement Safeguarding
• Ability to carry out audits e.g. infection control, cleaning, waste management, cold chain
• Oversee emergency drugs and equipment
• Able to order stock including immunization
• Ability to communicate well verbally and in writing
• Good telephone manner and ability to do face to face, video and telephone consultations.
• Ability to work as part of a team and oversea other members of the team such as HCAs and nurse associates
• Ability to use own initiative
• Computer literate able to send faxes, e-mails, use WORD and EXCEL and use the internet
• Excellent time keeping reliable

Desirable

• EMIS web use
• Docman use

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

Rotton Park Medical Centre

Address

Rotton Park Medical Centre

264 Rotton Park Road

Edgbaston

Birmingham

B16 0LU

Employer's website

http://www.rottonparkmedicalcentre.co.uk/ (Opens in a new tab)