This is a fantastic opportunity for a passionate Prescribing Nurse Practitioner with experience in Primary Care to join a welcoming and genuinely forward thinking GP Practice for 4 days per week. You'll be at the forefront of innovative patient-centred care, contributing to a multidisciplinary team renowned for excellence. Be part of a culture where continuous learning and development is the norm. Where you're equipped with ongoing support from the partners and wider MDT. This is a fantastic opportunity for someone with experience as a prescriber in Primary Care. You will also have support from an Acute Trust, West Suffolk NHS Foundation Trust, as the surgery is vertically integrated with this Trust.
Main duties of the job
* Nurse prescriber
* Assist in and perform routine tasks related to patient care as directed by the partners:
* Cytology
* Contraception
* Wound care / ulcer care/Doppler
* Removal of Sutures
* NHS health checks and urinalysis
* Travel clinic
* Management of minor ailments
* ECGs
* Asthma/Peak Flow Readings/Spirometry
* Venepuncture
* Hypertension management
* Routine immunisations and childhood immunisations
* Chaperoning and assisting patients where appropriate who are being examined by another clinician
* Assisting GPs with minor surgery and coil fittings as required
* Requesting pathology tests, for example urine culture, swabs
* Interest in diabetes or asthma or coronary heart disease and contraception.
* Following agreed clinical protocols with referral to GPs as appropriate
Job responsibilities
KEY DUTIES: Professional responsibilities / Development
To work in accordance with current local and national protocols and guidelines. Maintain and develop knowledge by participating in educational opportunities including online training, peer to peer forums and attending educational events relevant and necessary to professional development. To have the ability to work on own initiative, acknowledging limitations and seeking advice or referring to other colleagues or health care professionals where needed. To keep up to date with the changes within primary care nursing and be able to evaluate and adapt care using evidence-based practice. Participate in an annual individual performance review and maintain a record of professional development in accordance with the NMC revalidation process.
Clinical Duties
To include, but not limited to:
* Administering prescribed injections
* Prescribing within defined remit
* Childhood and Adult Immunisations in accordance with Patient Group / Specific Directions (PGDs / PSDs), or as prescribed.
* Performing / interpretation of ECGs.
* Monitoring and management of Blood Pressure, Blood Glucose and Cholesterol.
* Review of ring pessaries.
* Contraception counselling including assessment and review of oral, patch, ring, injectable and intrauterine devices.
* Emergency contraception advice.
* Collection of specimens - phlebotomy, urinalysis, swabs.
* Cervical cytology, in accordance with national screening programme.
* Assessment and syringing of ears.
* Performing a Travel Health risk assessment, administering recommended immunisation, arranging antimalarial prophylaxis and providing general health care advice and information.
* Wound management.
* Minor injuries management.
* Assisting with minor procedures - operations / contraceptive devices.
* Carry out diagnostic Spirometry and interpretation of results.
* Perform Doppler studies, interpretation and management of the results.
* Health checks / assessment - New Patient, NHS, Severe Mental Illness, Learning Disabilities, Memory tests (GP COG).
* Health Education - smoking, alcohol, diet, exercise, weight management.
* Health Promotion - promoting healthy lifestyles, well person checks, CVD risk assessment (Q risk) and encourage patient participation in national screening including Breast, Cervical, Bowel.
* Long Term Condition reviews (to appropriate level) - Diabetes, Cardio / Cerebral Vascular Disease, Peripheral Vascular Disease, Heart Failure, Hypertension, Asthma / COPD.
* To recommend medication changes / modifications in accordance with agreed protocols / guidelines and current regulation.
* To provide telephone advice to patients / parents / guardians / relatives and occasional home visits where appropriate and within levels of competence.
* Any other duties as reasonably requested by the doctors / nurse manager providing these duties are within the scope of the role and that the individual has undertaken the appropriate training and is competent to undertake the duty.
Professional Duties
To keep accurate and comprehensive computerised medical records using appropriate read codes / templates. Ensure all documents relating to patient care are completed accurately i.e immunisation records / certificates. To access and file microbiology / cytology results using appropriate clinical information sources i.e Open Exeter / ICE. To work cooperatively in the provision of care to meet Quality Outcome Frameworks (QOF) and Enhanced Services (DES / LES). Refer patients to other services including Mental Health / Wellbeing, Drug / Alcohol, Weight / Exercise management, Smoking cessation, Podiatry, Physiotherapy, Occupational Therapy, District Nursing, Continence Service, Health Visiting and Leg ulcer / Chronic wound, COPD and Heart Failure management clinic. Understand the importance of effective communication within the team and strive to communicate effectively with other members of the practice, patients and their parents / guardians and carers. Ensure infection control procedures are followed and protocols are adhered to at all times. Any risk should be actioned and / or reported as indicated to the appropriate person.
Person Specification
Education and qualifications
Essential
* Registered Nurse
* Member of Nursing & Midwifery Council (NMC)
* To hold an accredited General Practice Nurse qualification OR Hold individual qualifications to meet professional competencies OR Working towards an accredited General Practice Nurse qualification
* Post Registration Qualifications, in Chronic disease management
* Family Planning Qualification
* Hold or be working towards a recognisable prescribing qualification.
Experience and knowledge
Essential
* Three years previous Band 6 experience of GP Practice nursing or equivalent work environment
* Experience of working as part of a multi-disciplinary team
* Experience of chronic disease management
* Clinical knowledge and skills, as listed in Clinical Duties of job description
Skills and abilities
Essential
* Effective communication skills
* Mentorship/teaching skills
* Proficient IT skills, competent in the use of Office and Outlook
* SystmOne trained
* Effective time management (planning and organising)
* Ability to work as a team member and independently, where applicable
* Good interpersonal skills
* Ability to follow clinical policy and procedure
* Experience with audit and able to lead audit programmes
* Experience with clinical risk management
Desirable
* Trained in Ardens, Datix & accuRX
* Leadership skills
Personal qualities
Essential
* Professional
* Flexible approach
* Empathetic
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* Ability to work under pressure
* Strive to communicate effectively and understand the needs of the patient
* Commitment to ongoing professional development
* Effectively utilise resources
* Punctual and committed to supporting the team
Employer details
Employer name
West Suffolk NHS Foundation Trust
Address
Glemsford Surgery
Lion Road
Glemsford
CO10 7RF
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