Practice Nurse - Western Vale Family Practice

Job responsibilities

Clinical Practice

• Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being

• Review, implement and evaluate individual treatment plans for patients with a known long-term condition as part of an annual review process

• Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition

• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

• Undertake relevant diagnostic tests such as ECG

• Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care

• Deliver opportunistic health promotion

• Provide information and advice on prescribed or over-the-counter medication on medication, side effects and interactions

• Assess and care for patients presenting with uncomplicated wounds including dressing and removal of sutures or clips

• Support and advise women requesting information relating to family planning needs

• Support and manage health needs of women presenting for cervical cytology consultations

• Recognise, assess and refer patients presenting with mental health needs

• Implement and participate in vaccination and immunisation programmes for both adults and children

• Advise, support and, where appropriate, administer vaccinations for patients travelling abroad

• Promote and deliver evidence-based care for patients presenting with aural conditions

• Mentor and support trainees

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to:

• Communicate respectfully and effectively with all patients, carers, staff and Partners

• Recognise peoples needs for alternative methods of communication and respond accordingly.

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

• Communicate with and support patients who are receiving bad news

• Utilise communication skills to support patients to adhere to prescribed treatment regimes

• Anticipate barriers to communication and take action to improve communication

• Act as an advocate when representing the patients and colleagues viewpoints to others

Delivering a Quality Service

• Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC)

• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

• Prioritise, organise and manage own workload in a manner that maintains and promotes quality

• Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care

• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

• Attend and fully participate in Nursing and Practice Meetings as requested contributing to the development of the Practice.

• Participate in the maintenance of quality governance systems and processes across the Practice and its activities

• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

• In partnership with colleagues, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate

• Evaluate the patients response to health care provision and the effectiveness of care

• Support and participate in shared learning across the practice and wider Cluster

• Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework (e.g. root-cause analysis)

• Participate in the performance monitoring review of the team, providing feedback as appropriate

• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance

• Work within policies and refer as appropriate

Team Working

• Understand own role and scope in the Practice and identify how this may develop over time

• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties

• Ensure clear understanding and utilisation of referral mechanisms within the practice

• Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice

• Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in team activities that create opportunities to improve patient care

• Participate in and support local projects as agreed with the practice management team.

Management of Risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

• Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements

• Undertake mandatory and statutory training

• Apply infection control measures within the practice according to local and national guidelines

• Apply personally and ensure wider application of Practice policies and procedures

• Participate in the local implementation strategies that are aligned to the values and culture of general practice.

Utilising Information

• Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information

• Review and process data using accurate Read codes about patients in order to ensure easy and accurate retrieval for monitoring and audit processes

• Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition

• Understand own and others responsibility to the individual Practice regarding the Data Protection and Freedom of Information Act

• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation

• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

• Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity

• Act as a role model in good practice relating to equality and diversity

• Accept the rights of individuals to choose their care providers, participate in care and refuse care.

Health & Safety:

The post-holder will assist in promoting and maintaining their own and others health, safety and security. This will include:

• Using personal security systems within the workplace according to Practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risk

• Making effective use of training to update knowledge and skills

• Using appropriate infection control procedures, maintaining work areas in a clean, tidy and safe way and free from hazards

• Actively reporting of health and safety hazards and infection hazards immediately when recognised

• Reporting potential risks identified.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

• Mandatory e-learning

• Taking responsibility for own development, learning and performance in line with revalidation requirements and demonstrating skills and activities to others who are undertaking similar work.

• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments

• Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information

• Provide an educational role to trainees, colleagues patients, carers, families and colleagues in an environment that facilitates learning.

Experience

Essential

• Primary Care Nursing
• Clinical Examination
• Clinical - Management of minor illnesses/ ailments and long-term conditions, Cervical cytology, INR, immunisation and vaccination, wound management, minor illness, minor surgery, contraception and sexual health, ECG, Spirometry, Doppler Scanning
• Managing patients with complex needs
• Knowledge of needs of patients with long-term conditions, health promotion strategies, Enhanced Service provision, NICE Primary Care Guidelines
• Awareness of clinical governance issues in primary care
• Knowledge of patient group directions and associated policy, Infection Prevention and Control and Waste Management requirements
• Experience of Primary Care IT systems
• Communication skills, both written and verbal with an ability to communicate difficult messages to patients and families

Desirable

• Co-ordinating Immunisation Campaigns/ Champion role
• Supporting students
• Knowledge of public health issues in the local area
• Awareness of local and national health priorities

Skills/Other

Essential

• Ability to travel between Practice sites
• Ability to work flexibly and provide cover for colleagues
• Negotiation and conflict management
• IT skills
• Positive role model
• Uses Initiative
• Time Management
• Flexible approach
• Enthusiasm
• Team player
• Sensitive and empathetic
• Resourceful

Desirable

• Ability to speak Welsh

Qualifications

Essential

• RGN NMC Registration
• Evidence of recent and ongoing CPD
• Health Promotion
• Infection Prevention & Control
• Aseptic Non-Touch Technique
• Mandatory NHS e-learning

Desirable

• Diploma Modules (Respiratory, Diabetes, Asthma, Minor Illness, etc)

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).