Practice Nurse

Job description

Job responsibilities

Practice Nurse Job Description

Imeary Medical Group (South Tyneside PCN South)

Role Title

Practice Nurse

Grade

Band 6

Hours

16-18 hours per week

Duration

Permanent

Reporting to

Nurse Practitioner & GP Partners (Clinically)

Practice Manager (Administratively)

Base Location

Imeary Medical Group, Stanhope Parade Health Centre

JOB SUMMARY

The purpose of the post is to deliver safe, high quality primary care nursing services to the practice population. Working within the NMC Code of Conduct the post holder will take a senior role within the nurse team, using previous primary care experience to provide advanced nurse interventions and influence development of the nursing service. The requirements of the post are linked to the Level 6 of the District and General Practice Nursing Service Education and Career Framework (Health Education England).

KEY RESPONSIBILITIES

Clinical care delivery general

Carry out nursing interventions and measurements for patients using clinical judgement.

Administer medications by injection with the appropriate legal authorisation.

Recognise health promotion opportunities and give brief, focussed lifestyle advice using motivational interviewing techniques which may include:

- Alcohol screening

- Smoking cessation

- Healthy diet

- Physical activity

- Weight management

- Sexual health and family planning

Undertake initial assessments of patients presenting with wounds, produce treatment plans and refer to other services as necessary.

Measure circulation by recording Ankle Brachial Pressure Index and applying compression therapy to patients with venous leg ulcers.

Remove wound closure materials including sutures, clips and staples.

Take samples for the cervical screening programme according to recognised standards.

Provide ear care advice.

Administer vaccines to adults and children according to the UK immunisation schedule.

Provide a pre-travel health service including administration of vaccines and advice after undertaking appropriate risk assessment.

Administer prescribed therapies such as contraceptive injections, vitamin B12, and depo neuroleptic medications; recognising side effects and contraindications.

Develop and follow referral pathways for patients with specialist needs.

Undertake risk stratification and care planning for those with complex needs contributing to admission avoidance strategies.

Sexual health

Provide health promotion advice on prevention of Sexually Transmitted Infections, take sexual history and initiate investigations.

Advise women on suitability of oral and long term contraceptive methods and be aware of local referral pathways.

Use protocols and Patient Group Directions for dispensing of emergency contraception.

Long term conditions

After appropriate training:

Provide nurse-run long term condition appointments to patients to include screening, diagnosis, ongoing management and referral to other agencies in line with NICE guidance and Quality and Outcome Framework indicators.

Current List of Practice Nurse Procedures

ABPI

B12 injection

Childhood Immunisations

BP Check

24 Hour BP (fitting & removal)

LTC blood results

Cholesterol problems/queries

Depo injection (for contraception)

Dementia screening (first appt)

Dressings

Ear check assessment/also see Hearing probs/suspected wax

Flu vaccine - injection

Flu - nasal

Hearing problems from suspected wax

Hep A or Hep B injection

HRT review

Measure for stockings

New inhaler (how to use)

Pill Check (continuation only)

Pneumococcal vaccine

Removal of stitches/sutures

Removal of clips

RSV vaccination

Shingles vaccine

Smear

Spirometry (and Reversibility)

Swabs - WOUND

Swabs- penile/vaginal

Swabs- VAGINAL

Tetanus vaccine

Travel Vaccinations

Weight Management (FIRST)

Wound check

Zoladex injection

Degralex inj (& all specialist injections)

Whooping cough vac

MMR

School Boosters

Quality assurance/service support

Participate in quality improvement and innovations e.g. audit, significant event analysis and development of protocols and new services.

Recognise opportunities to reduce inequalities and unwarranted variation in health care for the practice population as outlined in nursing framework Leading Change, Adding Value

Liaise with practice manager and clinical system provider to improve the standard of nursing documentation and information retrieval e.g. new SNOMED codes and formulation of templates.

Analyse data and develop initiatives to improve uptake of national screening and immunisation programmes including coordinating new vaccination campaigns.

Where relevant for the nursing team, ensure correspondence and safety alerts are actioned.

Access databases and other guidance and critically appraise information and relevance for nursing service.

Coordinate in-house training for the clinical team that currently includes our Health Care Assistants, Patient Care Assistants and General Practice Assistants.

Personal/professional development

Complete statutory training/updating and mandatory training as defined by the practice.

Complete skills-specific training and regular updating.

Participate in an annual individual performance review maintaining a record of own personal and professional development including the requirements of NMC revalidation.

Take responsibility for own development, learning and performance. Identify gaps in knowledge and skills and how further learning can enhance delivery of nursing service.

Health and safety

Identify and address risks in work activities working with practice nurse manager and practice manager.

Follow appropriate infection control procedures.

Maintain work areas in a tidy and safe manner

Communicate effectively with individuals in other agencies to meet peoples needs.

To become Infection Prevention & Control Lead and take appropriate action to ensure compliance within the practice in conjunction with Practice Manager

Equality and diversity

Act in a way that recognises peoples rights, interpreting them in a way that is consistent with practice procedures and policies and current legislation.

Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Person Specification

Qualifications

Essential

• Registered General Nurse (Currently registered with the Nursing & Midwifery Council)
• Diploma/Degree or alternative post registration qualifications in a relevant discipline or portfolio of significant relevant experience

Desirable

• Teaching / Mentoring experience and /or qualification

Experience

Essential

• Experience:
• Minimum of 3 years post registration experience including 2 years in Primary and Community settings
• Experience in management long term conditions e.g. asthma, COPD, diabetes, CHD
• Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and on-going competence
• Able to perform the duties as documented within the Practice Nurse Job Description
• Ability to work autonomously and as part of a team
• Ability to manage competing priorities and work under pressure
• Ability to deal with challenging situations
• Proven ability to evaluate the safety and effectiveness of their own clinical practice

Knowledge & Skills

Essential

• Skills & Abilities
• To be able to demonstrate on-going personal and practice development
• Demonstrates an understanding of Clinical Governance requirements
• Demonstrates an understanding of the importance of infection control
• Ability to initiate, sustain and evaluate change
• Excellent communication skills including verbal, written, face to face and active listening skills
• Computer skills to include Microsoft Word, Outlook Use of EMIS (Clinical Database)

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

Imeary Street Surgery

Address

Imeary Medical Group

Gordon Street

South Shields

Tyne And Wear

NE33 4JP

Employer's website

https://www.imearystreetsurgery.nhs.uk/ (Opens in a new tab)