Job summary
An exciting opportunity has arisen for a Practice Nurse to join the Nursing Team at the Long Melford Practice. The Practice has a list of approximately 9500 and operates from two sites based in the historic wool towns of Long Melford and Lavenham, in Suffolk. We are a training practice for GP registrars and Nurse Practitioners. We are committed to the development of a happy, hardworking highly effective, health care team.
The successful applicant will join our team of enthusiastic nurses and HCAs and help to deliver excellent nursing care to our local population providinga range of Practice Nurse Duties including: Chronic Disease Management, Experience of QOF, Childhood & Travel Immunisations, Cervical Smear Screening, Dressing & Wound Care, Contraception, ECG's, Health Promotion/ Advice and where necessary signposting to other appropriate services.
Main duties of the job
Your Duties and Responsibilities will include:
- Having an
understanding of Chronic disease management
- Maintaining up to date chronic disease
registers
- Monitoring the health of patients with chronic
disease and co morbidities
- Giving advice and support to patients to promote
good self-management in line with practice protocol and local formulary.
- Working in collaboration with the Administration and
Reception Team to optimise QOF, arranging the recall of patients for annual review, and
monitor attendance.
- Contributing to the development of practice
protocols and audit.
- Ensuring knowledge and skills are kept
up-to-date in line with current guidelines.
- Participating in the provision of general practice
nursing
- Contributing to ahappy, healthywork environment
About us
We are an established Practice with 4 GP partners, 4 salaried GPs and
a Nursing team which includes a Nurse Practitioner, 5 Practice Nurses
and 2 HCA's. We have a dispensary which is run by our 4 dispensers. All of
us are supported by an excellent team of administrators, secretaries and care
navigators. Together we make the Long Melford Practice.
We feel privileged to work with a group of kind and generous health
care professionals, who are knowledgeable and supportive.
We hold regular Practice meetings where we share our successes and our
challenges. We also share cake and cups of tea!
We work hard together but we also try to have some fun together.
If you would like to join us please apply.
Job description
Job responsibilities
Job Summary:
The post holder will assist medical personnel in
the care of practice patients, including treatment, preventative care,
screening and patient education.
The post holder will work with reference to
practice agreed protocols and guidelines, providing nursing treatments to
patients both independently and in participation with nurse colleagues and
general practitioners.
Duties and Responsibilities:
Respiratory Management
- Have an
understanding of asthma and/or COPD care and ensure knowledge and skills
are kept up-to-date in line with current guidelines.
- Maintain up-to-date register of asthmatic and
COPD patients. Ensure these are
correctly coded on the computer using agreed SNOWMED codes.
- Monitor the health of patients with
respiratory disease as per practice protocol.
- Give advice and support to patients to
promote good self-management in line with practice protocol and local formulary.
- In collaboration with the Administration and
Reception Team, arrange the recall of patients for annual review, and
monitor attendance.
- Contribute to the development of practice
protocols and audit.
Diabetes Management
- Have an
understanding of Diabetes and ensure knowledge and skills base are kept
up-to-date in line with current thinking.
- Maintain up-to-date register of diabetic patients. Ensure these are correctly coded on the
computer using agreed SNOWME D codes.
- Monitor the health of diabetic patients against key indicators of
diabetic control as per practice protocol and record using diabetes
template.
- Give advice and support to patients to promote good
self-management and diabetic control in line with practice protocol and local formulary.
- In collaboration with the Clinical Administration and Reception
Team, arrange the recall of patients for diabetic annual review, and
monitor attendance.
- Liaise with other health professionals involved in the delivery of
diabetic care, both inside and outside the practice.
- Contribute to the development of practice diabetes protocols and
audit.
- Ensure equipment and supplies involved in the delivery of diabetic
care, including educational materials, are adequate, appropriate and
effective.
Chronic
Disease Management (Exc Asthma/COPD)
- Have an understanding of
Coronary Heart Disease, Cardiovascular Disease, Hypertension, Chronic
Kidney Disease and Peripheral Arterial Disease; ensuring knowledge and
skills base are kept up to date in line with current thinking.
- In collaboration with the Clinical and
Administrative teams, ensure the practice template for Chronic Disease
Management (CDM) is updated at every opportunity
- Provide patients with written and verbal
information about their diagnosis and treatment
- Offer lifestyle risk reduction advice to
patients
- Work within agreed protocols when
managing risk factors to enable patients to manage their own disease
- Undertake annual reviews of CDM patients
Sexual Health
- Advise patients on the National and
Local Cervical Cytology and Mammography screening programmes
- Undertake accredited training and
perform cervical cytology sampling under supervision until competent
- Ensure decontamination of instruments
- Audit a minimum of 20 consecutive smears
each year (inadequacy rate should be <10.0%)
- Promote breast self-awareness,
demonstrate breast self-examination and provide supporting literature
- Advise patients about reducing the risk
of sexually transmitted diseases and make appropriate referrals
- Take swabs for microscopy as directed
- Give advice about peri-menopausal and
post-menopausal symptoms and make appropriate referrals. Also advising on
increased risk of osteoporosis and heart disease and offering health
promotion/lifestyle advice
Family Planning
- Must have appropriate training and work
to practice protocols
- Advise patients on available methods of
contraception and refer patients as appropriate
- Advise patients about reducing the risk
of sexually transmitted diseases and make appropriate referrals.
- Perform interval health checks for
patients using hormonal contraception
- Support patients attending for emergency
contraception, including future contraception advice; refer patients as
appropriate
Travel Clinics
- Offer a holistic approach to travel
health including comprehensive advice for patients prior to travel
including
Vaccinations and medications
Malaria prophylaxis and bite avoidance
Safe sex
Food hygiene
Sun protection
First aid and emergency medication
Health insurance
- Ensure patients have a written travel
vaccination schedule
Vaccinations
& Immunisations
- Provide an adult and child immunisation
service
- In collaboration with the Administrative
and Reception Teams, help to maintain the call and recall of patients
- Develop and work to practice protocols
(inc. cold chain, anaphylaxis etc)
- Ensure the cold chain protocol is
maintained
- Ensure anaphylaxis training every 3
years
- Administer injections under an
individualised prescription or Patient Group Direction
- Maintain accurate records as per
practice protocol
- Work within the team to identify at risk
groups for influenza and pneumococcal
- Work to increase the uptake of vaccine
by at risk groups in accordance with Department of Health guidelines
Ear Care
- Will have received appropriate training
- Work to practice protocols for ear care
and irrigation
- Undertake ear irrigation after full
assessment
- Advise patients about safe ear care
Wound Management
- Provide the diagnosis, management plan
and treatment of leg ulcers including onward referral to the relevant
local service as required.
- Ensure chronic wounds are measured at
appropriate intervals and changes to management plans made as needed
- Perform Ankle pressure index (API)
measurements on leg ulcer patients if required and refer as appropriate
- Perform wound care using aseptic
technique for a variety of wounds
- Perform suture and clip removal as
needed
- Assist with Minor Surgery as needed
Clinical
Governance
- Monitor and
audit various aspects of the nursing service as required.
- Adhere to the highest standards of clinical care.
- Follow practice protocols, professional codes of conduct and local
policies.
- Follow Health & Safety Principles at all time
- Take responsibility and accountability for own actions.
- Seek GP support if unsure about the management of a patient.
- Be prepared to undergo clinical supervision.
- Contribute to clinical meetings, particularly using significant
event audit.
- Ensure adequate professional indemnity insurance and NMC
registration is in
place.
- Contribute to
nurse triage and clinical meetings as required
- Take part in the Long Melford Practice annual performance
appraisal system and undertake such training deemed necessary by the
practice.
- Keep up-to-date with issues relating to primary care and job role.
- Actively participate in the teaching/supervision of other
qualified or unqualified staff, patients and carers if required.
- Perform other tasks as required by the GPs or Practice Manager
which are reasonable and in line with the principles of this job
description.
Other nursing duties
- Take part in the annual flu immunisation programme
- Support the work of other nursing staff
- To be available to participate in a system of internal cover for
purposes of annual leave and ther leave if required by the Practice
Manager.
- Keep skills up-to-date for all nursing duties you might be
required to undertake including smear-taking and wound care, etc.
- 24 hour blood pressure monitoring
- Smoking cessation advice
- Carry out new patient checks as required
- Carry out over 75 checks as required
- Carry out health checks for individuals with learning disabilities
as required
- Carry out dementia health care assessments/ health checks as
required
- Participate in providing mental health annual review health checks
as required
- Act as a chaperone for GPs as required
- Provide emergency nursing services, such as ECGs, bloods etc.
Job description
Job responsibilities
Job Summary:
The post holder will assist medical personnel in
the care of practice patients, including treatment, preventative care,
screening and patient education.
The post holder will work with reference to
practice agreed protocols and guidelines, providing nursing treatments to
patients both independently and in participation with nurse colleagues and
general practitioners.
Duties and Responsibilities:
Respiratory Management
- Have an
understanding of asthma and/or COPD care and ensure knowledge and skills
are kept up-to-date in line with current guidelines.
- Maintain up-to-date register of asthmatic and
COPD patients. Ensure these are
correctly coded on the computer using agreed SNOWMED codes.
- Monitor the health of patients with
respiratory disease as per practice protocol.
- Give advice and support to patients to
promote good self-management in line with practice protocol and local formulary.
- In collaboration with the Administration and
Reception Team, arrange the recall of patients for annual review, and
monitor attendance.
- Contribute to the development of practice
protocols and audit.
Diabetes Management
- Have an
understanding of Diabetes and ensure knowledge and skills base are kept
up-to-date in line with current thinking.
- Maintain up-to-date register of diabetic patients. Ensure these are correctly coded on the
computer using agreed SNOWME D codes.
- Monitor the health of diabetic patients against key indicators of
diabetic control as per practice protocol and record using diabetes
template.
- Give advice and support to patients to promote good
self-management and diabetic control in line with practice protocol and local formulary.
- In collaboration with the Clinical Administration and Reception
Team, arrange the recall of patients for diabetic annual review, and
monitor attendance.
- Liaise with other health professionals involved in the delivery of
diabetic care, both inside and outside the practice.
- Contribute to the development of practice diabetes protocols and
audit.
- Ensure equipment and supplies involved in the delivery of diabetic
care, including educational materials, are adequate, appropriate and
effective.
Chronic
Disease Management (Exc Asthma/COPD)
- Have an understanding of
Coronary Heart Disease, Cardiovascular Disease, Hypertension, Chronic
Kidney Disease and Peripheral Arterial Disease; ensuring knowledge and
skills base are kept up to date in line with current thinking.
- In collaboration with the Clinical and
Administrative teams, ensure the practice template for Chronic Disease
Management (CDM) is updated at every opportunity
- Provide patients with written and verbal
information about their diagnosis and treatment
- Offer lifestyle risk reduction advice to
patients
- Work within agreed protocols when
managing risk factors to enable patients to manage their own disease
- Undertake annual reviews of CDM patients
Sexual Health
- Advise patients on the National and
Local Cervical Cytology and Mammography screening programmes
- Undertake accredited training and
perform cervical cytology sampling under supervision until competent
- Ensure decontamination of instruments
- Audit a minimum of 20 consecutive smears
each year (inadequacy rate should be <10.0%)
- Promote breast self-awareness,
demonstrate breast self-examination and provide supporting literature
- Advise patients about reducing the risk
of sexually transmitted diseases and make appropriate referrals
- Take swabs for microscopy as directed
- Give advice about peri-menopausal and
post-menopausal symptoms and make appropriate referrals. Also advising on
increased risk of osteoporosis and heart disease and offering health
promotion/lifestyle advice
Family Planning
- Must have appropriate training and work
to practice protocols
- Advise patients on available methods of
contraception and refer patients as appropriate
- Advise patients about reducing the risk
of sexually transmitted diseases and make appropriate referrals.
- Perform interval health checks for
patients using hormonal contraception
- Support patients attending for emergency
contraception, including future contraception advice; refer patients as
appropriate
Travel Clinics
- Offer a holistic approach to travel
health including comprehensive advice for patients prior to travel
including
Vaccinations and medications
Malaria prophylaxis and bite avoidance
Safe sex
Food hygiene
Sun protection
First aid and emergency medication
Health insurance
- Ensure patients have a written travel
vaccination schedule
Vaccinations
& Immunisations
- Provide an adult and child immunisation
service
- In collaboration with the Administrative
and Reception Teams, help to maintain the call and recall of patients
- Develop and work to practice protocols
(inc. cold chain, anaphylaxis etc)
- Ensure the cold chain protocol is
maintained
- Ensure anaphylaxis training every 3
years
- Administer injections under an
individualised prescription or Patient Group Direction
- Maintain accurate records as per
practice protocol
- Work within the team to identify at risk
groups for influenza and pneumococcal
- Work to increase the uptake of vaccine
by at risk groups in accordance with Department of Health guidelines
Ear Care
- Will have received appropriate training
- Work to practice protocols for ear care
and irrigation
- Undertake ear irrigation after full
assessment
- Advise patients about safe ear care
Wound Management
- Provide the diagnosis, management plan
and treatment of leg ulcers including onward referral to the relevant
local service as required.
- Ensure chronic wounds are measured at
appropriate intervals and changes to management plans made as needed
- Perform Ankle pressure index (API)
measurements on leg ulcer patients if required and refer as appropriate
- Perform wound care using aseptic
technique for a variety of wounds
- Perform suture and clip removal as
needed
- Assist with Minor Surgery as needed
Clinical
Governance
- Monitor and
audit various aspects of the nursing service as required.
- Adhere to the highest standards of clinical care.
- Follow practice protocols, professional codes of conduct and local
policies.
- Follow Health & Safety Principles at all time
- Take responsibility and accountability for own actions.
- Seek GP support if unsure about the management of a patient.
- Be prepared to undergo clinical supervision.
- Contribute to clinical meetings, particularly using significant
event audit.
- Ensure adequate professional indemnity insurance and NMC
registration is in
place.
- Contribute to
nurse triage and clinical meetings as required
- Take part in the Long Melford Practice annual performance
appraisal system and undertake such training deemed necessary by the
practice.
- Keep up-to-date with issues relating to primary care and job role.
- Actively participate in the teaching/supervision of other
qualified or unqualified staff, patients and carers if required.
- Perform other tasks as required by the GPs or Practice Manager
which are reasonable and in line with the principles of this job
description.
Other nursing duties
- Take part in the annual flu immunisation programme
- Support the work of other nursing staff
- To be available to participate in a system of internal cover for
purposes of annual leave and ther leave if required by the Practice
Manager.
- Keep skills up-to-date for all nursing duties you might be
required to undertake including smear-taking and wound care, etc.
- 24 hour blood pressure monitoring
- Smoking cessation advice
- Carry out new patient checks as required
- Carry out over 75 checks as required
- Carry out health checks for individuals with learning disabilities
as required
- Carry out dementia health care assessments/ health checks as
required
- Participate in providing mental health annual review health checks
as required
- Act as a chaperone for GPs as required
- Provide emergency nursing services, such as ECGs, bloods etc.
Person Specification
Experience
Essential
- Experience & Knowledge of needs of patients with long-term conditions
- Experience & Knowledge of health promotion strategies
- Aware of accountability of own role and other roles in a nurse-led service
- Experience & Knowledge of patient group directions and associated policy
- Experience & Knowledge awareness and understanding of clinical governance issues in Primary Care
- Experience & Knowledge and understanding of the Fundamental Standards of Care required by the Care Quality Commission
- Experience & Knowledge of a clinical data base system
- Awareness of General Data Protection Regulations May 2018
Desirable
- Experience of working in general practice
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
Qualifications
Essential
- NMC registered Nurse
- Evidence of continuing post-registration development
- Evidence of working in General Practice
- Evidence of Chronic Disease Management i.e. Diploma in asthma or equivalent and/or Warwick Diabetes Course/Diploma in Diabetes Care or Equivalent;
- Evidence of Revalidation
Desirable
- BSc Clinical Skills and diagnostics or equivalent Degree Pathway
- Independent Nurse Prescriber (V300)
- Telephone Triage Training
- Family Planning Qualification
- Mentor/teaching Qualification
Person Specification
Experience
Essential
- Experience & Knowledge of needs of patients with long-term conditions
- Experience & Knowledge of health promotion strategies
- Aware of accountability of own role and other roles in a nurse-led service
- Experience & Knowledge of patient group directions and associated policy
- Experience & Knowledge awareness and understanding of clinical governance issues in Primary Care
- Experience & Knowledge and understanding of the Fundamental Standards of Care required by the Care Quality Commission
- Experience & Knowledge of a clinical data base system
- Awareness of General Data Protection Regulations May 2018
Desirable
- Experience of working in general practice
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
Qualifications
Essential
- NMC registered Nurse
- Evidence of continuing post-registration development
- Evidence of working in General Practice
- Evidence of Chronic Disease Management i.e. Diploma in asthma or equivalent and/or Warwick Diabetes Course/Diploma in Diabetes Care or Equivalent;
- Evidence of Revalidation
Desirable
- BSc Clinical Skills and diagnostics or equivalent Degree Pathway
- Independent Nurse Prescriber (V300)
- Telephone Triage Training
- Family Planning Qualification
- Mentor/teaching Qualification
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).
Additional information
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).