Practice Nurse (with Chronic Disease Management)
Job Summary
Charing Medical Partnership is looking to recruit an experienced Practice Nurse with a special interest and skills relating to chronic disease management. In addition, you will ideally have some experience in the management of Infection Prevention and Control (IPC), supporting our IPC lead and undertaking regular audits.
Main Duties of the Job
You will provide and maintain a high standard of nursing care for patients, including treatment, preventative care, screening, and patient education. The role will involve undertaking a range of nursing assessments safely and effectively and providing appropriate care and/or treatment to patients in conjunction with our GPs, Advanced Nurse Practitioners (ACPs), and the wider nursing team. You will work to policies and protocols and strive to improve standards of care to the practice's patient population. There may occasionally be a requirement to undertake home visits.
About Us
Charing is a CQC rated outstanding practice. Patients are at the center of all we do. We are innovative and always looking for ways to improve health outcomes for our patients, as evidenced by our recent application and acceptance as a RCGP registered Active Practice. We have joined our PCN colleagues in facilitating a 10-week beginners to runners course at Charing, as well as a walking group and a very active gardening group. We enjoy nothing more than a social event as a team and as a PCN. If this sounds like somewhere you would like to work, then look no further.
Charing Surgery is situated in the village of Charing, 6 miles from Ashford, with easy links to the M20 and the mainline train station just 2 minutes from the Practice, making for easy access. We are situated in lovely grounds and a purpose-built, well-maintained property, making coming to work pleasurable.
Job Responsibilities
* Assist in and perform routine treatment room duties related to patient care as directed by Lead Nurse and GPs, advising and escalating any potential problems, issues, or errors in a timely manner.
* Undertake and oversee chronic disease management, provide holistic care, identify where changes to medication may be necessary, and seek senior support to implement these changes. Process referrals where required, work to reduce unnecessary hospital admissions, and promote the preventative aspects of nursing practice, particularly in diabetes, asthma, and Chronic Obstructive Pulmonary Disease (COPD).
Treatment Room Skills:
* Cervical cytology
* Contraception: Including reviews, depo injection, and pill checks
* Wound management: Including complex wound care, suture/clip removal, dressings, and assessment to include Doppler studies.
* Implement, monitor, and evaluate a plan of care for wound and ulcer management to be followed by Healthcare Assistants, Nursing Associates, and Registered Nurses undergoing training in this area of practice.
* Undertake diagnostic tests including but not limited to: Urinalysis, taking swab samples, requesting pathology tests, ECG, and BP testing including 24hr ambulatory blood pressure monitoring, pulse rate and rhythm, venepuncture, blood glucose monitoring, and weight management including BMI and height measurement.
* Immunisation and vaccinations: According to the UK immunisation schedule for Adults and Children, performed under a recognised legal framework.
* Ensure safe storage, rotation, and disposal of vaccines and drugs.
* Assist with minor surgery and invasive procedures when required, including but not limited to joint injections and minor surgical procedures.
* Ensure appropriate health promotion literature is available.
* Prepare and maintain environments and equipment before, during, and after patient care in line with infection prevention and control guidance.
* Undertake housekeeping duties including general tidiness and cleanliness of equipment, nursing rooms, and treatment rooms, ensuring room and equipment logs are kept up to date and available for auditing upon request.
* Attend and participate in any MDT and practice meetings when required.
* Ensure practice fridges are checked daily, temperature recorded, cold chain maintained, and report any issues where relevant.
* Keep up to date with any changes or advances within the nursing profession, completing annual competency reviews and necessary training.
* Communicate effectively, sensitively, and compassionately with colleagues, patients, and carers, recognising needs for alternative methods of communication.
* Liaise and communicate with multi-agency partners and third-party organisations as appropriate, adhering to organisational and national information sharing guidance at all times.
Administration
* Accurately input, update, and extract information onto/from the Practice clinical system when required.
* Record patient information clearly and concisely, adhering to national and local guidance.
* Liaise with and feedback effectively to the nursing team and other members of the multi-disciplinary team (MDT).
Infection Control
Support the Infection, Prevention, and Control lead through the following measures:
* Follow procedures aimed at reducing the risk of passing on the organisms that can cause infections.
* Demonstrate a duty of care in following best practice in adherence to guidelines, which is a fundamental requirement in underpinning the management of Infection, Prevention, and Control.
* Apply infection control measures within the practice according to local and national guidelines.
* Monitor and change sharps bins within the practice when requested or identified.
* Assist patients and colleagues in adopting recommended infection control measures and health and safety measures.
* Ensure effective cleaning and sterilisation of clinical equipment and working surfaces, preparing treatment/consulting rooms prior to use.
* Support the Lead Nurse in the completion of relevant Infection, Prevention, and Control audits.
* Offer support and provide clinical supervision to other members of the practice and nursing team.
* Mentor, supervise, and develop new and existing staff, ensuring participation in required training.
* Support in the training and induction of new and junior members of staff at the practice.
* Actively participate in educational programmes for the whole primary health care team, including medical and nursing students and GP registrars, in relation to areas of clinical and practice nursing expertise.
Person Specification
Qualifications
* Good level of education including competent levels of numeracy and literacy.
* BSc Adult Nursing.
* Chronic disease management qualification in Diabetes.
* Evidence of continual professional development.
* Chaperone training.
* Driving licence and means of transport.
* Confident in offering and providing clinical supervision to other members of the practice nursing team.
* Ability to work independently following verbal or written instruction.
* Good interpersonal and communication skills.
* Negotiation and conflict management skills.
* Observes good health and safety practices.
* Non-medical prescribing.
* Cytology screening qualification.
* Spirometry performing and/or interpretation (ARTP registered).
* Chronic Disease management in Asthma & COPD.
* Knowledge in clinical systems including EMIS and DOCMAN.
Experience
* Involvement in implementing and using protocols and clinical guidelines.
* Knowledge of the needs of patients with long-term conditions.
* Knowledge of health promotion strategies.
* Aware of the accountability of own role and other roles in a nurse-led service.
* Awareness of clinical governance issues in primary care.
* Knowledge of patient group directions and associated policy.
* Good understanding of Infection, Prevention, and Control measures.
* Experience working in a GP Surgery.
* Ability to identify determinants of health in the local area.
* Knowledge of public health issues in the local area.
* Awareness of local and national health policy.
* Awareness of issues within the wider health economy.
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.
#J-18808-Ljbffr