Practice Nurse (Diabetes Interest)

Job description

Job responsibilities

• Work within clinical boundaries, demonstrating safe and competent clinical decision-making, delivering high quality clinical care and maintaining patient confidentiality at all times
• Assist and perform tasks related to patient care as directed by Lead Nurse and GPs following agreed clinical protocols
• Deliver evidence-based care and structured education to people with diabetes, their families and other health colleagues in a primary care setting. This includes participating in joint clinics and domiciliary visits for patients with diabetes including those living in Care Homes (who have complex needs) whilst educating primary care staff to enhance their skills to provide an excellent diabetes service
• Participate in local Diabetes Steering Groups, particularly looking at clinical standards, guidelines, pathways and improving outcome measures
• Support and participate the internal diabetes meetings, updating colleagues on new NICE and local guidance and sharing prescribing knowledge
• To provide essential treatment duties such as BP checks, NHS Healthchecks, prescribed injections (e.g. B12 and Denosumab) BMI and lifestyle advice
• Provide holistic assessment of wounds and implement wound care including complex wound management in line with current evidence-based guidelines such as National Wound Care Strategy (Dopplers/Compression)within own level of competency
• Support NAs/HCAs carrying out wound care by maintaining clear care plans
• Perform a holistic assessment of patients attending for relevant investigatory procedures such as cervical cytology, ECG, following training and in line with local guidelines
• To appropriately request and collect pathological & microbiology specimens including venepuncture, swabs, urine culture in line with local guidelines and process results as required actioning them in a timely manner in line with protocols
• Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health, promote patients to live healthily and encourage principles of self-care
• Provide appropriate self-care advice for patients presenting with minor illness within own level of competency and referring to GP/ANP where appropriate
• Recognise and manage anaphylaxis, according to the current UK Resuscitation Council guidelines
• Perform Cardio-pulmonary Resuscitation and the correct use of Automated Defibrillator following training, according to the current UK Resuscitation Council guidelines
• Provide Travel Health Consultations
• Womens Health including Cervical Screening
• Provide contraception advice and sexual health guidance. Undertake annual contraceptive reviews and injections in line with practice policies
• Offer advice about childhood and adult immunisations and ensure vaccines/injections are administered under patient group directives (PGDs) or individual prescriptions (PSDs)
• Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required
• To provide general health promotion education, advice on national screening programmes and guide/refer patients to appropriate services or other health professionals as deemed appropriate
• Provide information and advice on prescribed or over-the-counter medication, on medication regimens, side effects and interactions as appropriate and within your level of competency
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
• Support the clinical team with all safeguarding matters, in accordance with local and national policies
• Accurate recording of care provision onto patient records ensuring correct coding of all procedures and information using approved methods and templates
• Chaperoning and assisting patients where appropriate who are being examined by another clinician
• Vaccine / cold chain storage, monitoring and recording
• Conduct routine and post-use inspections of emergency equipment and medications
• Ordering of clinical supplies and equipment, assist with stock checking and maintaining the equipment inventory
• Clearing and re-stocking clinical rooms/trolleys at end of the session ensuring stock rotation and date checking
• Cleaning and maintaining clinical equipment, reporting faults promptly
• Preparing and maintaining environments and equipment before, during and after patient care interventions
• Actively participate in all aspects of infection prevention and control and champion this within the practice
• Helping to raise awareness of health and well-being and how it can be promoted
• Assisting with the collection and collation of data on needs related to health and well-being and support QOF requirements and data completion
• Actively participate in seasonal and special projects as requested e.g. flu campaign
• Maintain accurate clinical records in conjunction with Practice policies and current legislation

Person Specification

Experience

Essential

• Experience as a Practice Nurse in Primary Care, following agreed clinical protocols with referral to GPs as appropriate
• Experience of managing Diabetes as a primary condition
• Experience of chronic disease management

Desirable

• Post graduate experience in one or more areas of chronic disease

Knowledge & Skills

Essential

• Clinical skills and knowledge: Wound care including compression bandaging and ABPI, Urinalysis, ECGs, Venepuncture, Hypertension, Cardiovascular disease primary prevention, Coronary Heart Disease, Diabetes, Routine immunisations/childhood immunisations, Requesting pathology tests, for example urine culture, swabs, Cervical Screening
• Excellent organisational and time management skills
• Ability to work as a team member and autonomously
• Excellent communication skills, able to effectively engage with a diverse range of people facilitating differing communication styles and needs
• Full UK Driving licence with own transport
• Sound IT skills with a working knowledge of Windows and Office 365

Desirable

• Working knowledge of EMIS
• Understanding of QOF
• Clinical skills and knowledge: Able to remove coils, Ring pessaries, LARC fitter, Travel medicine, Spirometry

Qualifications

Essential

• NMC Registered Nurse
• Level 6 qualification or above in Diabetes Care / Management or equivalent

Desirable

• Post graduate diploma or degree (in one or more areas of chronic disease)
• Independent Nurse prescriber

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

Vine Medical Group

Address

Forest End Site

Forest End Road

Waterlooville

Hampshire

PO7 7AH

Employer's website

https://vinemedicalgroup.co.uk/ (Opens in a new tab)