We are looking for a Practice Nurse with leadership skills to join our friendly, semi-rural practice on the edge of the beautiful Yorkshire Wolds.
If you are passionate about nursing, managing long term conditions as well as keeping your hand in with treatment room practice; whilst supporting a small team of nurses and HCA's this could be the position you have been looking for!
You would work autonomously but be supported by and synergistically work with the Practice Manager and the Partners on the day to day work as well as the longer term vision for healthcare.
Main duties of the job
The primary function of the role is to provide reviews for long term conditions such as diabetes, asthma, CHD to our patients, it is essential that you are qualified in these areas. There will be an element of treatment room consultations such as depo injections, cytology and immunisations.
The secondary element is to be the head of the nursing department, providing leadership, direction and mentoring to the team; and close liaison with the Practice Manager for effective operational elements and the Partners for clinical direction/support.
We offer Extended Access appointments on a Monday evening, and there is an expectation that you will be involved with this to ensure that the contracted hours are met; as well as taking part in the seasonal vaccination clinics on weekends and house visits for housebound and care-homes.
About us
Our vision is to provide professional, fair and good quality healthcare services to our patients and community. Ensuring we are at the forefront of modern general practice. Respecting and valuing everyone for their contribution.
We are a training practice and work with HYMS as well as Hull and Coventry University.
Our wonderful team includes 3 partners, 6 salaried GP's, ANP's, Nurses, Nurse Associate, HCA's, MSK, Pharmacists, Dispensary Team, Admin Team including Care Coordinators, Reception Team, Finance officer and Senior Management.
We currently look after approx 14700 patients across Driffield, Nafferton and surrounding areas.
Our building was purpose made in 2011 and is bright, airy, modern and accessible over two floors with our own car park.
We opt into the ethical innovation and are an AccuRX ambassador as well as being involved in clinical trials.
The Park Surgery is part of the Yorkshire Coast and Wolds PCN.
Job responsibilities
MAJOR DUTIES/RESPONSIBILITIES:
Clinical Nursing Practice
The post holder will be a registered nurse, who acting within their professional boundaries, will provide high quality care for patients. They will provide leadership, mentorship and support to the nursing team. They will also support the Practice Manager and Partners in developing and delivering nursing services.
Acting within their competencies the role holder will:
1. Undertake Long Term Condition Reviews and management (for example Asthma)
2. Undertake Immunisations and Vaccinations
3. Undertake audit and Quality Improvement work
4. Supervision and mentorship
The individual will work within the NMC Code of Conduct to agreed practice standards and protocols.
Act as head of department and line manager to the nursing team.
Assessment, Screening and Health Education
1. Provide professionally autonomous decisions for evidence-based nursing treatments to patients - in participation with general practitioners or independently - to agreed protocols.
2. Cover general treatment room responsibilities, including assistance with minor surgery.
3. Provide general and specific health screening to the practice patients (within agreed protocols, with referral to general practitioners as necessary).
4. Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Be competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained.
5. Administer and give advice to patients requiring travel immunisations according to Patient Group Directions.
6. Advise patients on general health care and minor ailments with referral to general practitioners as necessary.
7. Deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF, the requirements of the Universal offer and the standard PCN direct enhanced service).
8. Make appropriate referrals to other members of the primary, community and secondary care teams.
9. Promote health and wellbeing, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc.
10. To work only in accordance with the UKCC Code of Conduct.
11. Where the post holder is an independent prescriber: to ensure safe, effective and appropriate medication as defined by current legislative framework.
12. Maintain accurate records according to NMC rules.
13. Ensure all data protection requirements are met when gathering, recording and storing patient data.
Pathological Specimens and Investigatory Procedures
1. Undertake collection of pathological specimens including intravenous blood samples, swabs, smears etc.
2. Perform any investigatory procedures requested by the general practitioners, or nurse practitioner. In some circumstances instigate investigatory procedures for example blood glucose monitoring, using own discretion.
Chronic Disease Management/Long Term Conditions
Diabetes Mellitus
This role requires completion of a suitable accredited course; i.e diploma or degree
1. Initiates the process of diagnosis on patients with suspected diabetes.
2. Manages patients newly diagnosed and ongoing diabetes using practice template protocols/NICE Guidance and local guidelines.
3. Undertakes annual review of patients understanding and ability to self manage.
4. Recognises areas of disease management that may be improved by altering medication and refers to GP as appropriate.
5. Refers to GP, dietician, chiropodist and diabetes and specialist nurses as necessary.
6. Maintains a disease register.
7. Audits outcomes of care against standards and NSF for Diabetes and initiates change as necessary.
Person Specification
Experience
* Experience of:
* Management of long term conditions
* Vaccinations (babies, travel, seasonal, B12 etc)
* Cytology
* Health Promotion
* Managing a team of people
* Working in primary care
* Working with patients with learning disabilities
* Understanding of QOF
Qualifications
* Qualified registered nurse with at least two years experience.
* Qualified Management of Long Term Conditions
* Cytology sample taker
* Nurse Prescriber
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.
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