Management of Chronic Diseases:
Identifying significant abnormalities using a holistic approach to history taking and observation and assessment of physical systems. Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals. Understand the aims of management and the pharmacological treatments for chronic diseases. Initiate, perform and interpret diagnostic procedures as appropriate for chronic disease management. Support recall procedures, appropriate literature and health promotion, and audit. Maximise Quality Outcomes Framework income.
Management of Medicines:
Diagnose and manage both acute and chronic conditions, integrating both drug-and nondrug-based treatment methods into a management plan. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice. Work with patients in order to support compliance with, and adherence to, prescribed treatments. Provide information and advice on prescribed or over-the-counter medication, medication regimes, side-effects and interactions.
Management and Administration:
Liaison with other Nursing staff, Doctors, District Nurses and other agencies within the hospital and social services.
Treatment Room / Health Promotion and Screening:
Undertake routine treatment room procedures for this cohort of patients as and when required, including but not limited to immunisations and recording of vital signs as necessary. Training and updates in treatment room procedures will be provided as necessary.
Safeguarding:
To be able to recognise signs of abuse in vulnerable Adults and Children and reporting these as appropriate. Effective understanding of safe clinical practice and whistleblowing legislation.
Health and Safety:
Ensure all members of staff comply with the Groups health and safety policy. Carry out risk assessments to comply with current Health and Safety legislation. Ensure any health and safety concerns are reported to the Operations Manager. To be aware of and adhere to applicable practice rules, regulations, legislation and procedures, national legislation (Health and Safety, COSHH, Data Protection). The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures.
This will include (but will not be limited to):
1. Ensure infection control guidelines are maintained.
2. Ability to monitor and manage maintenance of stock and equipment to include refrigeration, steriliser and emergency equipment.
3. Awareness of national standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines.
4. Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements.
5. Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and on-going correct usage by staff.
6. Responsible for hand hygiene across the practice.
7. Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice.
8. Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate.
9. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process.
10. Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes.
11. Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
12. Safe management of sharps procedures including training, use, storage and disposal.
13. Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards.
14. Initiation of remedial / corrective action where needed or escalation to responsible management.
15. Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised.
16. Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers.
17. Undertaking periodic infection control training (minimum twice annually).
18. Routine management of own team / team areas, and maintenance of work space standards.
19. Waste management including collection, handling, segregation, container management, storage and collection.
20. Spillage control procedures, management and training.
21. Decontamination control procedures, management and training, and equipment maintenance.
22. Using personal security systems within the workplace according to practice guidelines.
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. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Quality:
The post-holder will strive to maintain quality within the practice, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources.
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly.
Contribution to the implementation of services:
The post-holder will: Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate.
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues. Act in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with group processes and policies and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner that is welcoming, non-judgemental and respects the individuals circumstances, feelings, priorities and rights.
Governance:
Identify and record risks and issues, developing contingency plans with service and contract leads. Ensure the PCN is compliant with health and safety policies and procedures to reflect current best practice. Ensure that the PCN board and Clinical director adhere to the governance structure as set out in the network agreement.
Confidentiality:
To maintain confidentiality of information acquired in the course of undertaking duties for the practice. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder has access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
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