MAIN RESPONSIBILITIES Clinical Nursing Practice: Wound Management Perform wound care using aseptic technique. Undertake dressings, including leg ulcer bandaging. Suture and clip removal. Screening Undertake opportunistic screening BP checks, height, weight, BMI, urinalysis, smoking status. Carry out new patient checks. Undertake opportunistic venepuncture. Health Promotion Recognise patients readiness to change in supporting their attempts to change unhealthy behaviour. Provide healthy eating advice to individuals or to groups, including the underweight. Provide smoking cessation advice individually in opportunistic consultations. Provide individual advice to patients about increasing activity or exercise. Offer advice on recommended safe limits for alcohol consumption. Develop and maintain the Health Promotion material within the practice and the waiting room notice board. Refer as appropriate. Vaccinations and Immunisations Administer injections to children and adults under an individualised prescription, Patient Group Direction or Patient Specific Direction. Ensure safe storage, rotation and disposal of vaccines and drugs. Infection Control Support patients and colleagues in adopting sound infection control measures. Apply infection control measures within the practice according to local and national guidelines. This includes: Universal hygiene precautions. The collection and handling of laboratory specimens. Segregation and disposal of waste materials. Decontamination of instruments and clinical equipment. Reporting and treatment of sharps injuries. Dealing with blood and body fluid spillages. Educate colleagues in adopting sound infection control measures. Emergency Management Is competent in anaphylaxis and resuscitation techniques. Undertake minor injury assessment and treatment Child Health / Child Protection Recognise the signs, symptoms and categories of child abuse. Understand the importance of recognition, observation, documentation and communication. Is aware of child health procedures, statutory local procedures and points of referral. Has knowledge of other practitioners and agencies roles. Understand basic legal issues around child abuse. Mental Health Recognise and is aware of appropriate referral mechanisms for family violence, vulnerable adults, substance abuse and addictive behaviours. Recognise psychological needs of patients presenting with depression or suicidal tendency. Care and Mens Health Programme Management Raise awareness and give basic advice on issues covering: Testicular self-examination. Incontinence and prostatic disease. Family Planning. Sexual Health. Make appropriate referrals. Family Planning Advise patients on available methods of contraception and refer patients as appropriate. Support patients attending for emergency contraception and refers patients as appropriate. Perform interval health checks for patient using hormonal contraception. Teach patients correct condom use. Advise patients on reducing risk of sexually transmitted diseases and refer patients appropriately.Womans Health Advise patients on the national and local Cervical Cytology and Mammography screening programmes. Promote breast self awareness, demonstrate breast self examination and provide supporting literature. Advise patients about reducing the risk of sexually transmitted diseases and make appropriate referral. Take swabs for microscopy as directed. Give patients basic advice about peri-menopausal and post-menopausal risk of osteoporosis and heart disease. Offer health promotion / lifestyle advice to patients. Advise on basic incontinence management and make appropriate referrals. Diabetes Undertake opportunistic screening for the diagnosis of diabetes. Support and provide education for diabetic patients. Provide emergency treatment for hypo/hyperglycaemic emergencies. Make appropriate referrals. Contribute to the maintenance of the practice diabetic register. Respiratory Disease Management Have a basic understanding of asthma care, its diagnosis, asthma treatments and the principles of self-management. Know about the factors which contribute to the development of COPD. Contribute to the management of patients within the framework of national and local guidelines for asthma and COPD. Manage emergency treatment of asthma / COPD exacerbations. Teach and advise patients how to use various inhalers and peak flow meters. Contribute to the maintenance of the practice respiratory register. Make appropriate referrals. Cardiovascular Disease Contribute to the implementation of the National Service Framework. Contribute to the maintenance of the Practice CHD register. Advise patients on lifestyle management and drug compliance for reducing the risk factors of: Hypertension. Angina. Myocardial Infarction. Cerebrovascular accident. Clinical Practice Leadership Assist in clinical audit and the setting and monitoring of standards of care. Teach and direct others in clinical setting, including unqualified staff. Act as an assessor / mentor and teacher to other staff. Work effectively in the team. Clinical Practice Development Participate in evidence-based practice and clinical supervision groups. Additional Skills Required for the post: An ability to prioritise and balance routine administrative tasks against important management issues of the surgery. Ability to contribute to future practice policies and growth Excellent communication skills Use available resources effectively Develop and implement new ideas to improve performance Communicate effectively with the doctors, practice manager, the team, colleagues and outside agencies. Perform in a cost-effective manner to eliminate waste and to help the organisation to run economically Working knowledge of clinical software.