Job responsibilities
Job Summary
The post holder will
be an experienced nurse, who acting within their professional boundaries, will
provide care for the presenting patient from initial history taking, clinical
assessment, diagnosis, treatment and evaluation of their care. They will
demonstrate safe, clinical decision-making and expert care for patients within
the general practice. They will work collaboratively with the
multi-disciplinary general practice team to meet the needs of patients,
supporting the delivery of policy and procedures, and providing nurse
leadership as required.
Scope and purpose
of the role
To deliver a high
standard of patient care as Nurse Practitioner (NP) in general practice, using
advanced autonomous clinical skills with a broad and in-depth theoretical
knowledge base in line with the latest RCN guidance on Nurse Practitioner
competencies.
To manage a
clinical caseload, dealing with presenting patients needs in a primary care
setting.
To lead/manage the
nursing team (where applicable) and ensure the highest standards of care are
provided for the patient.
To develop the
nursing services offered by the practice.
To provide clinical
leadership within the practice.
Nurse practitioner
role:
The post-holder
will:
Provide the choice of direct access to a NP, both in the Practice and
over the telephone, for the general practice population
Make professionally autonomous decisions for which he/she is accountable
Provide a first point of contact within the Practice for patients
presenting with undifferentiated, undiagnosed problems, making use of skills in
history taking, physical examination, problem-solving and clinical
decision-making, to establish a diagnosis and management plan
Instigate necessary invasive and non-invasive diagnostic tests or
investigations and interpret findings/reports
Prescribe safe, effective and appropriate medication as defined by
current legislative framework
Provide safe, evidence-based, cost-effective, individualised patient
care
Offer a holistic service to patients and their families, developing
where appropriate an on-going plan of care/support, with an emphasis on
prevention and self-care
Promote health and well-being through the use of health promotion,
health education, screening and therapeutic communication skills
Refer patients directly to other services/agencies as appropriate
Work with mutli-disciplinary team within the Practice, and across the
wider Integrated Care Board (ICB), to promote integrated and seamless pathways
of care
Contribute to the
practice achieving its quality targets to sustain the high standards of patient
care and service delivery
Promote a learning environment for
patients, nurses and other health professionals.
Contribute to the planning and implementation of the teaching for
existing staff, such as medical students, nursing students, NP students, GP
registrars, Health Care Assistants, within the Practice.
Promote evidence-based practice through the use of the latest
research-based guidelines and the development of practice-based research.
Monitor the effectiveness of their own clinical practice through the
quality assurance strategies such as the use of audit and peer review
Maintain their professional registration
Participate in continuing professional development opportunities to
ensure that up-to-date evidence-based knowledge and competence in all aspects
of the role is maintained
Work within the latest NMC Code of Professional Conduct
Record accurate consultation data in patients records in accordance with
the latest NMC guidance and other pertinent standards
Keep up to date with pertinent health-related policy and work with the
practice team to consider the impact and strategies for implementation
Work collaboratively with colleagues within and external to the
practice.
Demonstrate leadership
Pro-actively
promote the role of the NP within the Practice, and externally to key
stakeholders and agencies
Encourage and develop teamwork within
the practice.
Participate in multi-disciplinary
protocol and Patient Group Directions development
Help the practice
operate in a cost-effective manner.
Identify and manage
nursing care risks on a continuing basis
Participate in
practice meetings and practice management meetings, reporting progress as
required.
Participate in
audits and inspections as appropriate.
Work closely with
the doctors and administrative managers in the setting up and/or improving of
practice systems for monitoring/measuring performance against Clinical Governance
and Quality Indicator targets.
Ensure that all
Practice Policies are fully implemented
The post-holder
must comply at all times with the Practices Health and Safety policies, in
particular by following agreed safe working procedures and reporting incidents
using the organisations Incident Reporting System.
The post-holder
will comply with the Data Protection Act (1984) and the Access to Health Records
Act (1990).
The post-holder must co-operate with
all policies and procedures designed to ensure equality of employment.
Co-workers, patients and visitors must be treated equally irrespective of
gender, ethnic origin, age, disability, sexual orientation, religion etc.
The post-holder
should respect patient confidentiality at all times and not divulge patient
information unless sanctioned by the requirements of the role.