Job responsibilities
This role requires consolidation of registrant standards of
competence and developing confidence to work alone without direct supervision,
undertaking and reporting on autonomous decisions made in practice. It is
expected that all newly registered staff or those moving to a general practice
setting will have a period of preceptorship. This role requires a developing
knowledge of practice nursing in the broadest sense, and excellent
interpersonal and communication skills to support patients with a wide range of
conditions to understand and, where possible, take on self-management of their
condition. The role requires resilience and the ability to be flexible and
adaptable whilst working in general practice or peoples homes and other
community settings. Level 5 nurses will be working as part of a
primary/community nursing team and will have some responsibility for
supervising less experienced or qualified staff and students in community
placements. They will be expected to actively contribute to quality assurance
processes and service development.
Principal Responsibilities:
Demonstrate developing competence and clinical skills in the
assessment of patients in community and general practice settings, ensuring
care plans are developed in partnership and all information is clearly and
objectively recorded as required by local policies. This requires the
following:
Ability to assess patients, taking
into account their physical, mental and social states alongside the impact of
their environment and social support available to them and negotiating care plans that are person centred
and focused on self- care with clear objectives.
Using a range of
assessment tools pertinent to the patients needs to inform the assessment and
assess risk for both patients and staff.
Articulation of
risk and strategy for risk management.
Knowledge of a
broad range of conditions, local care pathways and evidence- based management
experienced by patients in community and general practice settings. This will
include LTCs, for example diabetes, coronary heart disease, heart failure,
hypertension and stroke, COPD, arthritis, dementia and other common mental
illnesses, frailty, and palliative and end of life care.
An understanding
of the presentations of multiple pathology, depression and anxiety states and
frailty predominantly in older people.
Knowledge of the
management of uncomplicated symptoms in those patients with palliative or
terminal care needs and enhanced communication skills to confidently manage
uncertainty.
Role model the
values expected in Compassion in Practice (2014), ensuring that patient, family
and carer feedback supports that care received was compassionate.
Ensuring
information is recorded objectively and reported back to the community or
general practice nursing team.
Facilitation
of Learning:
Able to recognise
personal development needs and also facilitate learning for patients, carers,
other staff and students. This requires:
Ability to
reflect on practice and utilise clinical supervision and other development
opportunities and support.
Emotional
intelligence and the ability to support staff in levels 2, 3 and 4, to debrief
and reflect on difficult situations experienced to improve learning and enhance
self-awareness.
Engagement with
appraisal and the development and activation of a personal development plan.
Providing
effective mentorship for nursing students and the maintenance of a supportive
learning environment with a range of learning opportunities.
Creativity in
developing learning materials for patients and adapting care to support
individual needs in patients.
Leadership & Management
Is part of a general practice nursing team with
delegated accountability and responsibility for patient care, being accountable
to the General Practice Nurse team leader. This requires:
Ability to
prioritise a delegated caseload/workload and effectively manage time and work
effectively within the team.
Knowledge of
resource management to ensure care is clinically effective and signposted to
the patient and family ensuring principles of confidentiality and disclosure
are maintained.
Recognition of
personal accountability and responsibility to monitor and evaluate care to
ensure optimal practice.
Using
opportunities to suggest improvements to services or introduction of other
innovations or evidence.
Engage actively
in data collection for quality assurance and take responsibility for on-going
evaluation of delegated care.
Participation in
personal development, appraisal and development of other team members and the
links between organisation and team goals.
Ability to recognise
poor performance and take appropriate measures.
Assist in
undertaking and reviewing needs assessments and other data in general practice
that reflect the demographics and case management within the caseload and the
broader public health issues within the local community and practice
populations.
Have an awareness
of and participate in public health campaigns aimed at addressing public health
issues both locally and nationally.
Collaborate
effectively with a range of other healthcare professionals and agencies that
may be involved in patients interdependent care, ensuring awareness of their
scope of practice, roles and responsibilities to ensure correct referral and
on-going relationships.
Participate in educational audit.
Evidence, Research & Development:
Has an enquiring approach to practice to ensure
best quality care is offered within any constraints of the service. This
requires:
Ability to articulate the evidence underpinning
patients care plans and interventions.
Ability to source evidence and to appraise it to
underpin practice. Recognise any ethical implications of audit, research,
clinical trial or service user involvement strategies.
Clinical Practice:
Demonstrate specialist competence, innovation and
clinical leadership in the assessment, intervention in and delivery of general
practice nursing in all contexts appropriate to individuals needs across the
whole age range for the general practice population. This requires:
Ability to assess
and manage the range of conditions encountered in general practice using a
variety of assessment tools and consultation models appropriate to the patient
and situation using physical and clinical examination skills to inform the
assessment and decision-making for the on-going management of the patient.
Advanced
communication skills that include skills of influencing and negotiation to
enable information to be delivered in understandable formats for patients and
behaviour change supported where necessary.
Effective
multidisciplinary and multi-agency team working, alongside the ability to work
independently and accept professional accountability and responsibility for the
delivery of whole episodes of care, and supporting and developing others in the
general practice nursing team to collaborate effectively, ensuring nursing care
is guided by precedent and clearly defined policies, procedures and protocols.
Delivery and
co-ordination of evidence-informed, person-centred and negotiated care across
the age spectrum.
Use of technology
to support independence and patient self-care at home to improve self-care and
reduce exacerbations
Role modelling
and embodiment of non-judgmental, value-based care encompassing the 6Cs in practice
and expectation and promotion of these values in other team members.
Competence in
delivering evidence-informed care across a wide range of minor acute and LTCs,
ensuring effective evaluation of therapeutic and other approaches to condition
management alongside ability to assess patient concordance.
OTHER DUTIES
The responsibilities set out in this document may
change from time to time through discussion with the post holder. In addition,
the post holder might, at the discretion of the Senior Leadership Team, be
required to take on other tasks in the wider interest of Bay Medical Group.
