Job summary
Bosworth Medical Group are looking for an additional Practice Nurse to join our busy surgery and become a part of a friendly, well established Team. We require someone experienced in the role and all it encompasses. Including Chronic Disease management, ideally with an interest in Diabetes and Respiratory
Main duties of the job
To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for the elderly and housebound patients. Working as part of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population. The practice nurse will be responsible for a number of clinical areas such asinfection prevention and control, health promotion, chronic disease management, health prevention, well women and well man clinics, as well as supporting the practicemanagement team in the reviewing and delivery of clinical policy and procedure.
About us
Bosworth Medical Group consists of two practices Bosworth Medical Centre and Chester Road Surgery, they are both well-established practices that have operated in this locality for many years. We have a diverse practice list size of around 13,500 patients, who are managed by a friendly well established clinical practice team.
Our mission, the reason we are here, we see as:
To provide an appropriate and rewarding experience for our patients whenever they need our support
Our core values that are shared among the partners and staff are:
1. Openness
2. Fairness
3. Respect
4. Accountability
The practice has always prided itself on providing high quality medicine in a traditional family practice setting and that has been the unwritten rule for many years.
Job description
Job responsibilities
The following are the core responsibilities of the lead practice nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
a. To act as support to the Infection Prevention Control (IPC) lead and to work to the IPC Policy supporting the implementation of audits, training, support and evidence of compliance to the practice manager
b. To support the production of the IPC annual statement in conjunction with the practice manager
c. To develop, implement and embed health promotion and well-being programmes
d. To implement and evaluate individual treatment plans for chronic disease patients that promote health and well-being
e. To identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to patients health
f. To provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
g. To diagnose and manage acute and chronic conditions
h. To prescribe medication for patients in accordance with PGDs and own scope of practice
i. To review patient medications to enhance compliance
j. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages
k. To oversee the provision of wound care services to patients
l. To co-ordinate the provision of travel medicine services
m. To request pathology services as necessary
n. To process pathology results as required
o. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
p. To maintain accurate clinical records in conjunction with extant legislation
q. To ensure read codes are used effectively by all members of the nursing team
r. To ensure the appropriate maintenance and use of chronic disease registers
s. To develop, implement, embed and participate in well woman clinics
t. To develop, implement, embed and participate in well man clinics
u. To chaperone patients where necessary
v. To assist GPs with minor surgery when required
w. To prioritise health issues and intervene appropriately
x. To support the team in dealing with clinical emergencies
y. To recognise, assess and refer patients presenting with mental health needs
z. To implement vaccination programmes for adults and children
aa. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
bb. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
cc. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
dd. To support the clinical team with all safeguarding matters in accordance with local and national policies
ee. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
ff. To deliver opportunistic health promotion where appropriate
Secondary responsibilities
In addition to the primary responsibilities, the lead practice nurse may be requested to:
a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
b. Develop, review and implement nursing protocols in conjunction with the partners
c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
d. Participate in local initiatives to enhance service delivery and patient care
e. Support and participate in shared learning within the practice
f. Continually review clinical practices, responding to national policies and initiatives where appropriate
g. Participate in the review of significant and near-miss events applying a structured approach, root cause analysis (RCA)
h. Co-ordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation
Person Specification
Qualifications
Essential
5. Registered nurse
Desirable
6. Post graduate diploma or degree (Chronic Disease Management)
7. Nurse prescriber
8. Diabetes
9. COPD
Experience
Essential
10. Experience of working as a practice nurse or community nurse
11. Experience of working in a primary care environment
12. Experience of chronic disease management
13. Experience of working autonomously
Desirable
14. Experience of infection prevention and control measures
Clinical Knowledge and Skills
Essential
15. Wound care/removal of sutures and staples
16. ECGs
17. Venepuncture
18. New patient medicals
19. Chaperone procedure
20. Requesting pathology tests and processing the results, advising patients accordingly
21. Travel medicine
22. Hypertension
23. Asthma
24. CHD
25. Immunisations (routine, childhood and travel)
26. Womens health (cervical cytology, contraception, etc.)
27. Understand the importance of evidence based practice
28. Broad knowledge of clinical governance
29. Ability to record accurate clinical notes
30. Ability to work within own scope of practice and understand when to refer to GPs
Desirable
31. Diabetes Certificate
32. Spirometry Certificate