Clinical skills BP, height, weight, urinalysis, smoking cessation, lifestyle advice Cervical screening Chronic disease management reviews including asthma, diabetes, COPD, learning disability. Venepuncture ECG Spirometry Complex wound care To be able to administer IM injections including NHS selective programmes, NHS additional vaccinations and NHS supported travel vaccinations which may include- shingles, pneumococcal, influenza, Hepatitis A, Hepatitis B, Typhoid, Boostrix, Meningitis, ACWY, HiB, and Revaxis under a Patient Specific Directive. Oral contraception checks and refer to a practice nurse or GP when appropriate To administer and train patients to self administer injectable contraception under a Patient Specific Directive such as Depo-Provera and Sayana Press To administer mental health depo injections under a Patient Specific Directive. Suture and staple removal Prepare specimens for collection by the pathology laboratory. Insert Zoladex implants Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating Utilise communication skills to support patients to adhere to prescribed treatment regimens Anticipate barriers to communication and take action to improve communication Act as an advocate when representing the patients and colleagues viewpoints to others Delivering a quality service Recognise and work within the Nurse Associate competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC) Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures Prioritise, organise and manage own workload in a manner that maintains and promotes quality Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care Participate in the maintenance of quality governance systems and processes across the organisation and its activities In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate Support and participate in shared learning across the practice and wider organisation Participate in the performance monitoring review of the team, providing feedback as appropriate Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate safeguarding children Learning and Development Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments Assess own learning needs and undertake learning as appropriate Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning Team Working Understand own role and scope in the organisation and identify how this may develop over time Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties Ensure clear understanding and utilisation of referral mechanisms within the practice Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in team activities that create opportunities to improve patient care Management of risk Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control Undertake mandatory and statutory training Apply infection control measures within the practice according to local and national guidelines Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all Participate in the local implementation strategies that are aligned to the values and culture of general practice Managing Information Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information Review and process data using accurate Read codes about patients in order to ensure easy and accurate retrieval for monitoring and audit processes Manage information searches using the internet Understand own and others responsibility to the individual organisation regarding the Freedom of Information Act Equality and Diversity Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity Enable others to promote equality and diversity in a non-discriminatory culture Support people who need assistance exercising their rights Monitor and evaluate adherence to local chaperoning policies Act as a role model in the observance of equality and diversity good practice Accept the rights of individuals to choose their care providers, participate in care and refuses care Assist patients from marginalised groups to access quality care