The following are the core responsibilities of the Nursing Associate. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels. The Nursing Associate will work within their scope of clinical practice and the Nursing and Midwifery Council (NMC) code, supported by supervision from a Senior Nurse, and:
1. Carry out Chronic Disease Management annual reviews delegated by a supervising Nurse or senior colleague.
2. Monitor and support the lead nurse with the management of patients with long-term conditions/chronic diseases, using a holistic patient-centred approach.
3. Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs.
4. Be able to take vital signs and observations and identify signs of improvement, reporting any deteriorations or concerns, e.g. pulse, blood pressure, respirations, oxygen saturations, peak flow, blood glucose levels, ECG, assessing nutrition and hydration.
5. Work as part of a multi-disciplinary practice team to monitor care under direct or indirect supervision.
6. Administer medications as prescribed and in accordance with NMC Standards, e.g. via nebuliser or injections using subcutaneous or intramuscular route under Patient Specific Directions.
7. Follow agreed clinical protocols with referral to senior nurses or GPs as appropriate to assist in the assessment, planning, development, implementation, and evaluation of programmes to promote health and well-being and prevent adverse effects on health and well-being.
8. Deliver opportunistic health promotion using opportunities such as new-patient medicals and NHS Health Checks.
9. Document consultations accurately and appropriately, according to NMC guidelines.
10. Ensure awareness of statutory and local clinical adult and children safeguarding protection procedures, including systems of referral.
11. Ability to recognise signs and symptoms of abuse/neglect.
12. Ensure all mandatory training is completed on an annual basis including; safeguarding, confidentiality, Equality + Diversity etc.
13. Recognise and manage anaphylaxis according to current UK guidelines.
14. Be able to perform Cardio-pulmonary resuscitation according to current UK guidelines.
15. Obtain and document informed consent (either verbal or written), as required.
16. Ensure infection prevention and control guidelines are maintained.
17. Chaperone and assist patients, where appropriate, who are being examined by another clinician.
18. Undertake pathology tests, for example, urine culture, swabs.
19. Ensure confidentiality of information gained at work is preserved at all times.
20. Assist in practice audits, CQC compliance evidence, and QOF recalls.
21. Participate and contribute towards any local incentive project relevant to the role.
Additional tasks following training and support may include:
1. Cytology
2. Childhood Immunisations & Vaccinations
3. Vaccinations (e.g. travel, influenza etc.)
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