Job summary
Job title
CHRONIC DISEASE Practice Nurse
Line manager
Practice Nurse team leads
Accountable to
GP partners, Practice Manager
Hours per week
Part time up to 34 hours
Pay Scale
Band 6/7 - depending on experience
Job purpose
We are looking for a proactive long term conditions nurse to join our large, friendly and dynamic nursing team. We are predominantly looking for a nurse with experience in Diabetes management, Asthma and COPD. Leg ulcer management would be desirable which would be one morning a week.
The ideal candidate would be able to cover up to 34 hours a week (days to be discussed), potentially over 3 sites (Shaftesbury, Sturminster newton and Marnhull).
If you havenot received a response from us 2 weeks after the closing date of theapplication. Please assume in this instance that you have not been selected forinterview. Thank you for applying.
Main duties of the job
To share in the responsibility for the clinical nursing and health education of the practice population.
Ensuring accurate, coded, up to date and retrievable data is recorded in the patients computerised records on the practice clinical system
Collaborate with the Primary Health Care Team on local and national healthy living initiatives to enable patients to access holistic care
To ensure that the personal dignity of each patient is promoted and upheld and that their privacy is respected
To support the patient through the treatment process by ensuring their healthcare needs are met
About us
We are a large innovative andfriendly GMS practice in North Dorset who are big on development, invest in ourteam and are keen to create opportunities for career development through routessuch as portfolio working and giving autonomy to take the lead and useinitiative. As a partnership we have demonstrated our commitment todiversification from the traditional model, having both an Advanced Nurse Practitioner,Clinical Pharmacist and a Manager as partners in our organisation.
We are passionate about giving allour team a voice and input into the way we work and provide care for ourcommunity. We are very fortunate to have a large MDT already andrecognise the importance of a holistic approach to health care. We have beenpart of The Altogether Better Programme and now have a team of health championsand social prescribers which support this approach.
We are a fun loving practice, lookingfor like minded enthusiasts to come and join us and deliver healthcareembracing new models of care.
Located in a beautiful part of NorthDorset (Shaftesbury and Sturminster Newton and surrounding areas), we enjoyexcellent transport links, fantastic local schools (both state and private) andthe coast is within easy reach for sailing, diving and outdoor pursuits
Job description
Job responsibilities
Clinical duties and responsibilities
Support the Practice Nursing Team, the Partners and Doctors in delivering a high standard of medical care to patients including but not limited to:
1. Experience in Long Term Conditions is essential
2. Leg ulcer management and compression (very desirable)
3. Undertaking phlebotomy procedures
4. Blood pressure recording
5. Recording of ECG
6. Administering IM, SC, and ID injections
7. Specimen collection ( MSSU, EMU, nasal, throat and wound swabs)
8. Dressing of wounds, including post-operative wounds.
9. Removal of sutures, clips and staples
10. Treatment of minor injuries
11. Giving appropriate and predetermined advice and guidance to patients on healthy eating and living
12. Childhood immunisations
13. Influenza/covid clinics (October)
14. The Practice Nurse may also be required to assist in other procedures under the supervision of a Doctor and in accordance with the NMC guidelines.
15. To report any problems/changes/complaints concerning the practice and the quality of medical care provided to patients to the Practice Manager
16. Input and code patient clinical information on to the practice clinical system
17. Ensure relevant prompts for the Quality and Outcomes Framework (QOF) are coded and recorded appropriately.
18. Maintain your personal development profile
Non clinical roles
19. Monitoring of stock levels and supplies, liaising with the Practice Nurse Manager and ordering stock as appropriate
20. Monitoring of clinical equipment, organising repairs and routine maintenance schedules
21. Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
22. Ownership of infection control and clinically based patient care protocols and implementation of those protocols across the practice
23. Attend and contribute to Practice Whole Team Meetings
24. Attend and contribute to Practice Nursing Team Meetings
25. Attending training and supervision sessions on at least 4 occasions per year to maintain safe standards of practice
Communication
The post holder will communicate regularly with colleagues, the Partners and Doctors within the surgery, the Practice Nursing Team, attached staff, patients, members of the general public and a range of external agencies
Communication will take place by way of face to face contact, meetings, phone calls and written communication
Provide and receive routine, sensitive, confidential, contentious, and complex, information. This will require tact, reassurance, persuasive, and negotiation skills. Empathy is required during communication with patients, service providers and staff over sensitive issues
Equality, Diversity and Inclusion
A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons it improves operational effectiveness; it is morally the right thing to do and it is required by law.
Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.
Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.
Safety, Health, Environment and Fire (SHEF)
The Blackmore Vale Partnership is committed to supporting and promoting opportunities for staff to maintain their health, well-being and safety.
The post holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and 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.
All personnel have a duty to take reasonable care of health and safety at work for themselves, their team and others and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.
26. Use appropriate infection control procedures and maintain clinical work areas so that they are clean, safe and free from hazards. Report any potential risks identified including:
27. hand washing.
28. universal hygiene procedures.
29. collection and handling of laboratory specimens.
30. segregation and disposal of waste materials.
31. reporting and treatment of sharps injuries.
32. dealing with blood and body fluid spillages.
33. assist patients and colleagues in adopting sound infection control measures.
34. Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate.
35. Know the health and safety policies and procedures within the workplace, including fire procedures.
36. Be aware of statutory child health procedures and statutory local guidance and referral criteria.
37. Use the computer monitor safely.
38. Be able to identify the risks to health of microbiological and chemical hazards within the working environment according to the Control of Substances Hazardous to Health.
39. Awareness of the Practice Lone Worker policy.
Confidentiality
The Blackmore Vale Partnership are committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.
Confidential and personal information related to staff, patients and the Practice must not be disclosed within or outside the place of work, except in the proper discharge of duties. It is the responsibility of all staff to be aware of their obligations in respect of the Data Protection Act 1998, the Access to Medical Reports Act 1988 and the Access to Health Records Act 1990 as outlined in the Practice Policy and Procedure
It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.
Quality and Continuous Improvement (CI)
40. Alert other team members to issues of quality and risk in the care of patients.
41. Practice in accordance with agreed standards of care.
42. Ensure own actions are consistent with clinical governance systems.
43. Ensure stock items under your control are ordered and available in the treatment and consulting rooms.
44. Be aware of the practice policies.
Be able to manage your own time effectively
All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.
Induction
In addition to the induction process at BVP, where you will be provided with a full induction programme, when attending any practice within the network you will also be required to complete their practice induction programme.
Service delivery
Staff will be given detailed information during the induction process regarding policy and procedure.
The post holder must adhere to the information contained within the practice policies and regional directives, ensuring protocols are adhered to at all times.
Security
The security of the practice is the responsibility of all personnel. The post holder must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager.
Under no circumstances are staff to share the codes for the door locks with anyone and are to ensure that restricted areas remain effectively secured. Likewise, password controls are to be maintained and are not to be shared.
Professional conduct : All staff are required to dress appropriately for their role.
Person Specification
Clinical knowledge and skills
Essential
45. Essential:
46. Leg ulcer management
47. Chaperone procedure
48. Requesting pathology tests and processing the results, advising patients accordingly
49. Diabetes
50. Asthma
51. Spirometry
52. Understand the importance of evidence-based practice
53. Broad knowledge of clinical governance
54. Ability to record accurate clinical notes
55. Ability to work within own scope of practice and understand when to refer to GPs
56. Understanding of infection prevention and control measures
57. Knowledge of health promotion strategies
58. Understand the requirement for PGDs and associated policy
59. Skills:
60. Excellent communication skills (written and oral)
61. Strong IT skills
62. Clear, polite telephone manner
63. Competent in the use of Office and Outlook
64. EMIS/Systmone/Vision user skills
65. Effective time management (planning and organising)
66. Ability to work as a team member and autonomously
67. Good interpersonal skills
68. Problem solving and analytical skills
69. Ability to follow clinical policy and procedure
70. Personal Qualitites:
71. Polite and confident
72. Flexible and co-operative
73. Motivated, forward thinker
74. Problem solver with the ability to process information accurately and effectively, interpreting data as required
75. High levels of integrity and loyalty
76. Sensitive and empathetic in distressing situations
77. Ability to work under pressure/in stressful situations
78. Effectively able to communicate and understand the needs of the patient
79. Commitment to ongoing professional development
80. Effectively utilise resources
81. Punctual and committed to supporting the team effort
82. Other Requirements:
83. Flexibility to work outside of core office hours
84. Disclosure Barring Service (DBS) check
85. Occupational health clearance
86. Meet the requirements and produce evidence for nurse revalidation
87. Evidence of continuing professional development (CPD) commensurate with the role of a lead practice nurse
88. Full Driving Licence
Desirable
89. Clinical knowledge and skills:
90. Wound care/removal of sutures and staples
91. ECGs
92. Venepuncture
93. New patient medicals
94. Travel medicine
95. Hypertension
96. CHD
97. Immunisations (routine, childhood and travel)
98. Womens health (cervical cytology, contraception, etc.)
99. Knowledge of public health issues in the local area
100. Awareness of issues within the wider health arena
101. Skills:
102. Experience with audit and able to lead audit programmes
103. Experience with clinical risk management
Qualifications
Essential
104. Qualifications:
105. Essential: Registered nurse
Desirable
106. Desirable: Nurse prescriber
Experience
Essential
107. Experience of working in a primary care environment
108. Experience of chronic disease management
109. Experience of working autonomously
Desirable
110. Experience of working as a practice nurse or community nurse
111. Experience of infection prevention and control measures