The post holder will work alongside the Practices team of GP's & Clinical Staff to provide a high level of care to the 20,000 patients registered with the Practice.
We have an opportunity for someone passionate about patient care to join our friendly and supportive practice. We are looking for a qualified Practice Nurse to support our GP's and wider clinical team. To include Respiratory knowledge.
In return, we can offer regular 1:1 Sessions with a dedicated supervisor, scheduled Admin/CPD sessions and the chance to enhance your skills and knowledge further whilst working in a large GP practice. We believe in and encourage an ethos of hard work together with a healthy work-life balance.
Main duties of the job
Conduct consultation appointments with patients, both in person and over the phone.
Perform Initial assessment and examination of patients: taking medical histories and completing physical examinations.
Request and interpret diagnostic tests and laboratory investigations where necessary.
Diagnose medical problems and conditions. Develop treatment and management plans. Confidently explain these to the patient concerned.
Provide direct care to patients using established clinical guidelines for both routine and urgent complaints.
Refer patients to specialists and other health professionals where appropriate.
Educate patients in preventative health care.
Complete home/care home visits to patients, when required.
Work within the remit of a Practice Nurse and know the boundaries of the role. Escalate concerns and difficult cases appropriately.
About us
MyHealth are a well-established, innovative, high achieving, training and research active practice. We have four branch surgeries located in picturesque, semi-rural area just north of York. With agrowing list of nearly 20,000 patients, we continue to develop our service and our wide and varied team.
We currently have 14 GPs who work closely with a strong team of dedicated allied health professionals, including Paramedics, Physiotherapists, Advanced Nurse Practitioners Practice & Treatment Room Nurses and Pharmacists. All are supported by a team of well-trained and committed administrators. We try to be as paper-light as possible and use SystemOne as our clinical system.
Job responsibilities
POST: Practice Nurse
LOCATION: Any My Health Site
RESPONSIBLE TO: Nurse Manager
JOB PURPOSE:
To be responsible for the delivery of nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The nurse practitioner will be responsible for a number of clinical areas such as health promotion, chronic disease management, health prevention, well women and well man clinics, as well as supporting the management team in the reviewing of clinical policy and procedure.
POSITION IN ORGANISATIONAL STRUCTURE
Responsible and accountable to the appropriate Nurse Manager, working within a team of Nurses and Health Care Assistants.
MAIN ROLE:
MAIN ACCOUNTABILITIES
This list is not exhaustive and is subject to alteration, the role includes all duties that may reasonably fall within the job purpose which may vary over time.
The following are the core responsibilities of the nurse practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
Develop, implement and embed health promotion and well-being programmes
Provide a triage service, actively managing or referring patients or treating patients within own scope of practice
Support the clinical team in the development of individual treatment plans for chronic disease patients
Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health
Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
Provide wound care (ulcer /Doppler etc.) to patients
Provide Respiratory care
Request pathology services as necessary, processing and interpreting results as required
Refer patients directly to other services as appropriate
Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required
Maintain accurate clinical records in conjunction with extant legislation
Ensure read codes are used effectively
Maintain chronic disease registers
Develop, implement and embed well woman clinics
Develop, implement and embed well man clinics
Chaperone patients where necessary
Assist GPs with minor surgery when required
Prioritise health issues and intervene appropriately
Support the team in dealing with clinical emergencies
Recognise, assess and refer patients presenting with mental health needs
Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways
Implement vaccination programmes for adults and children
Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
Support the clinical team with all safeguarding matters, in accordance with local and national policies
Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
Deliver opportunistic health promotion where appropriate
In addition to the primary responsibilities, the nurse practitioner may be requested to:
If an independent prescriber, prescribe in a safe an effective manner, in accordance with PGD and extant legislation
Act as the audit lead, effectively utilising the audit cycle
Monitor and ensure the safe storage, rotation and disposal of medicaments
Contribute to the implementation of an effective training programme for staff and students within the practice
Provide clinical supervision for the nursing team
Participate in local initiatives to enhance service delivery and patient care
Support and participate in shared learning within the practice
Continually review clinical practices, responding to national policies and initiatives where appropriate
Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)
Maintain professional registration and adhere to re validation requirements
General information:
The practice has robust health and safety policies, which you should ensure you are aware of. Staff are reminded of their responsibility to take care of their own personal safety and others whilst at work. In addition, no person shall interfere with, or misuse anything provided in the interests of health, safety, and welfare. Any employee who does so will be liable to serious disciplinary action including dismissal.
All employees of MyHealth are reminded of the need to treat all information, particularly clinical and management information, as confidential. Failure to respect this requirement may lead to disciplinary action.
This Job Description will be reviewed each year as part of the annual appraisal process, to ensure that it reflects the responsibilities of the post. No changes will be made without full consultation with the post holder.
At MyHealth we are committed to creating a safe, healthy, and inclusive place to work for our staff and for patients. We have a robust safeguarding policies and procedures in place, underpinned by role specific safeguarding training designed to help to reduce the risk of abuse or harm from occurring, and to equip patient facing staff to recognise and report where they may have safeguarding concerns.
Your role may require you to work with patients who are considered vulnerable to harm, including children and adults with care and support needs. You are required to complete a Disclosure and Barring check (DBS) should you be successful in securing employment with MyHealth.
We have a zero-tolerance approach to anyone who causes harm or abuse and will thoroughly investigate and respond to any concern and, where appropriate, report such matters to the police and/or local authorities. Safeguarding is everybody's responsibility and as a member of staff working for MyHealth you will be expected to report any suspected safeguarding concerns.
Person Specification
Qualifications
* Registered Nurse
Experience
* Experience of autonomous working
* Experience of working in a primary care environment Experience of working as a practice nurse or community nurse Experience of chronic disease management Experience of managing, leading and developing a team
Skills
* Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook Effective time management (Planning & Organising) Ability to work as a team member and autonomously Good interpersonal skills Problem solving & analytical skills Ability to follow clinical policy and procedure.
* EMIS / System one / Vision user skills Experience with audit and able to lead audit programmes Experience with clinical risk management.
Clinical Knowledge & Skills
* Wound Care / Removal of sutures & staples ECGs Chaperone procedure Requesting pathology tests and processing the results, advising patients accordingly Understands the importance of evidence based practice Broad knowledge of clinical governance Ability to record accurate clinical notes Ability to work within own scope of practice and understanding when to refer to GPs
* Venepuncture New patient medicals Travel medicine Diabetes Hypertension Asthma Spirometry CHD Immunisations (routine, childhood and travel) Womens health (Cervical cytology, contraception, etc.)
* Respiratory Knowledge, Knowledge of public health issues in the local area Awareness of issues within the wider health arena
* Knowledge of health promotion strategies Understands the requirement for PGDs and associated policy
Experience
* Polite and confident Flexible and cooperative Motivated, forward thinker Problem solver with the ability to process information accurately and effectively, interpreting data as required High levels of integrity and loyalty Sensitive and empathetic in distressing situations Ability to work under pressure / in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Effectively utilises resources Punctual and committed to supporting the team effort.
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