Job responsibilities
CLINICAL
PRACTICE
Undertakes
Clinical Practice at an advanced level using expert knowledge and clinical
skills to deliver holistic care to people accessing the i-Heart service.
Assesses
diagnoses and treat patients attending the i-Heart service with a range of
acute, non-acute and chronic medical conditions.
Assesses
diagnoses and treats patients in surgery, hubs or own home who require acute
medical attention and refer to appropriate agency.
Directly
admits patients to secondary care hospital in acute medical need.
Refers
patients to other medical specialities for assessment if deemed appropriate.
Refers
patients as appropriate to other members of the multidisciplinary team, secondary
care and to other statutory and voluntary organisations including referral for
x-ray.
Has
undertaken x-ray training as required by hospitals trust.
Can interpret
a range of diagnostic tests and perform routine clinical procedures e.g.
cytology, venepuncture, blood pressure monitoring etc.
Makes
critical judgements of the highest order to satisfy the expectations and
demands of the job e.g. first contact with patients presenting acutely and
manages care in the presence and absence of protocols.
Makes
decisions where precedents do not exist, where appropriate without recourse to
others.
Advises
and supports others where standard protocols do not apply.
Works
within professional guidelines and codes of conduct.
Works
within all relevant practice policies and procedural guidelines e.g. infection
control, chaperoning, risk management.
Extended
and supplementary prescriber.
CARE
AND PROGRAMME MANAGEMENT
Develops and manages highly specialised programmes of care and care packages
and provides highly specialised advice concerning care normally beyond the
scope of normal Nursing practice e.g. establishes differential diagnoses,
management/treatment plans and makes referrals as appropriate. Makes fast track
referrals.
Communicates highly sensitive condition related information to patients,
relatives and carers.
Initiates the process of diagnosis with patients suspected to have a chronic
disease e.g. Diabetes, COPD, asthma, IHD referring to other clinical staff as
appropriate.
Undertakes annual review of patients understanding and ability to self-manage.
Refers to
other members of the extended primary health care team as appropriate e.g. chiropodist,
dietician, specialist Nurses.
Takes part in
clinical audits.
STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES
Contributes
to the strategic development of i-Heart and additional public health services to
meet patient and population needs within the practice and across the wider
organisation. Works/liaises across multi-professional and agency boundaries.
Determines
how to deal with ambiguous or unique problems to develop and advance i-Heart services
for the benefit of patients, carers and communities.
Recognition and
involvement in the Federation as a teaching unit and help drive the Nursing
element of training.
Develop
links within the Federation and other local and national bodies relevant to i-Heart
Nursing initiatives.
HEALTH
IMPROVEMENT
Initiates and carries out programmes of health screening and ensures other team
members are aware of health agendas and screening programmes.
Introduces innovation in i-Heart to meet on going health need demands of the
practice.
Works to introduce new developments that will improve health outcomes for
patients and is able to demonstrate through written and presentation these
developments i.e. Sexual Health agenda.
Shares innovation with others.
Supports practitioners in profiling the practice population in order to
initiate contribute and promote improved health and prevent disease in
individuals and groups.
Represents individuals and families interests when they are not able to do so
themselves.
Makes referrals to statutory and voluntary agencies as appropriate.
COMMUNICATION
Provides and receives highly complex, sensitive or contentious information and
frequently deals with situations which are hostile or emotive.
Uses developed communication, negotiation, conflict management skills which
require empathy, reassurance and persuasive skills where there can be
significant barriers to acceptance which need to be overcome.
Regularly
communicates service related information to Partners, Business Manager,
Salaried GPs, Nursing and Administrative staff, patients, relatives and
carers.
Makes operational judgements, manages conflicting views and reconciles inter
and intra professional differences of opinion.
Builds and communicates therapeutic working relationships with a wide array of
statutory and voluntary organisations for the benefit of patient care and
facilitates good working relationships.
Develops and delivers presentations to large groups e.g. local and national
conferences, clinical meetings, empowers staff to develop presentation skills
in order to promote good practice.
MANAGE/LEAD
SELF/OTHERS
Develops a leadership role within the i-Heart service.
Encourage and motivate others to be forward thinking in ideas that address the
health needs of the practice that will be innovative whilst managing and
developing new ways of working, e.g. Implanon clinic, teenage health clinic.
Develops and leads on evidence-based practice.
Promotes effective communication and relationships within the team.
Partakes in clinical supervision for own development.
Actively participates in clinical and practice meetings.
Develops own knowledge and practice to meet objectives/changes in service.
Integrates theory into practice and establishes formal links with educational
institutions.
Assists in the mentorship and assessment of trainee Nurse Practitioners.
Acts as mentor for pre-registration students and other staff within the i-Heart
service.
Leads on setting standards and promotes best practice.
Operates high
standards of probity.
INFLUENCE AND
DEVELOP POLICY
Responsible for establishing how policies should be interpreted and translated
within the practice.
Implements local/national, PCT and practice policies, proposes developments and
improvements to service delivery.
MANAGE AND USE
INFORMATION
Makes effective use of the clinical system by ensuring the consistent and
accurate entering of data and use of Read Codes.
Facilitates the use of up-to-date information technology in order to collate
accurate and timely information as and when required by the i-Heart service.
Ensures a satisfactory call and recall system of patients.
Assist in the development of practice protocols for the surgery and clinical
protocols for the clinical team.
Identifies, monitors and review
reviews
deficiencies in procedures and implements remedial action.
RESEARCH AND
DEVELOPMENT
Continuous involvement in research/evaluation and/or development work which may
be as part of one or more formal research programmes or activities.
Actively contributes to Practice/Service/Team audit/Research activity as
required.
Instigates audit activity as required e.g. new services.
Identifies, applies and disseminates research findings relating to clinical
practice.
WORKING
CONDITIONS
Frequent exposure to body fluids, blood, wounds, fleas and lice.
Occasional exposure to aggressive behaviour
Frequent use of VDU equipment.
Frequent requirement to travel between different locations.
