Experienced Practice Nurse

Job description

Job responsibilities

Job responsibilities

JOB SUMMARY

The post holder is an experienced Practice 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 patient's home or GP 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. In order to work at this level, NMC requirements for Practice Nursing must be evidenced and maintained

1. PRIMARY DUTIES & AREAS OF RESPONSIBILITY

A. CLINICAL ROLE:

Acting within their professional boundaries and competencies, the post-holder will:

• Provide the choice of direct access to a Practice Nurse - in the Practice, over the telephone, as well as planned home visits, for the general practice population
• Make professionally autonomous decisions for which he/she is accountable
• Provide clinical reviews to the Practice patients presenting with chronic disease, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. This will be within the expected competencies and remit of a Registered General Practice Nurse
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
• 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 relevant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered
• Work with mutli-disciplinary teams within the PCN member practices , and across the wider Primary Care, 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

Participate in identification of community health needs and develop patient/family-centred strategies to address them

Help develop and set up new patient services and participate in initiatives to improve existing patient services

B. TEACHING AND MENTORING ROLE:

The post-holder will:

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, NP students, GP registrars, Health Care Assistants, within the Practice.

C. PROFESSIONAL ROLE:

The post-holder will:

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 Practice Nurse within the PCN and its member practices , and externally to key stakeholders and agencies

2. HEALTH AND SAFETY/RISK MANAGEMENT

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).

3. EQUALITY AND DIVERSITY

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.

4. RESPECT FOR PATIENT CONFIDENTIALITY

The post-holder will establish and maintain effective communication pathways with the following :

GPs and other clinicians of the Practices and PCN including Pharmacy and Advanced Practitioner colleagues

Team Leaders of the PCN

Practice Nurses within the Practices

Practice Managers

Admin/Reception teams

PCN Management team

5. SPECIAL WORKING CONDITIONS

The post-holder is required to travel independently during home visits (where applicable), and to attend meetings etc hosted by other agencies.

The post-holder will have contact with body fluids ie, wound exudates; urine etc while in clinical practice.

6. Other

The postholder may be expected to work across all 8 sites and to co-operate with all staff from other practices within the network. This work will be supported by the PCN management team.

Person Specification

Qualifications

Essential

• Registered with the Nursing & Midwifery Council and maintains revalidation in line with NMC requirements
• Level 6 diploma and or postgraduate certification in long-term conditions care and or public health initiatives

Experience

Essential

• Has demonstrable experience in leading long-term conditions management and quality improvement
• Is working at Registered Nurse Level Practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework.
• Experience of working within a nursing team
• Experience of working as part of a multidisciplinary team
• Experience of working in the community within patient homes
• Experience of dealing with vulnerable patients

Desirable

• Experience of working alongside Primary Care Network Staff
• Experience of working within clinical systems such as EMIS

Other

Essential

• Good interpersonal and communication skills
• Ability to forge strong relationships with a wide range of clinical and non-clinical staff
• Excellent IT skills
• Ability to transport self across the Network's patch
• Sound monitoring and reporting skills

Desirable

• Knowledge of and an understanding of Primary Care Networks.

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

IGPC Primary Care Network

Address

Belle Vale Health Centre

Hedgefield Road

Liverpool

L25 2XE

Employer's website

https://igpc-liverpool.nhs.uk/ (Opens in a new tab)