Job responsibilities Assist in and perform routine treatment room duties related to patient care as directed by Lead Nurse and GPs. Advising and escalating any potential problems, issues or errors in a timely manner. Undertake and oversee chronic disease management, provide holistic care, identify where changes to medication may be necessary and seek senior support to implement these changes. Processing referrals where required, working to reduce unnecessary hospital admissions, and promoting the preventative aspects of nursing practice. Chronic disease management, ideally in diabetes, Asthma and Chronic Obstructive Pulmonary Disease. (COPD). Ive taken out Spirometry and added as a desirable skill. Treatment room Skills: Cervical cytology Contraception: Including reviews, depo injection and pill checks Wound management: Including complex wound care, suture/clip removal, dressings, and assessment to include doppler studies. Implement, monitor, and evaluate a plan of care for wound and ulcer management to be followed by Healthcare Assistants, Nursing Associates and Registered Nurses undergoing training in this area of practice. Undertake diagnostics tests including but not limited to: Urinalysis, taking swab samples, request pathology tests, for example urine culture, ECG and BP testing including 24hr ambulatory blood pressure monitoring, Pulse rate and rhythm, Venepuncture, blood glucose monitoring, weight management including BMI, height measurement. Immunisation and vaccinations: According to the UK immunisation schedule for Adults and Children: Performed under a recognised legal framework. Ensure safe storage, rotation and disposal of vaccines and drugs. Assist with minor surgery and invasive procedures when required, this includes but is not limited to: Joint injections and minor surgical procedures. Ensure appropriate health promotion literature is available. Prepare and maintain environments and equipment before, during and after patient care in line with infection prevention and control guidance. Undertake housekeeping duties including, general tidiness and cleanliness of equipment, nursing rooms and treatment rooms ensuring room and equipment logs are kept up to date and available for auditing upon request. Attend and participate in any MDT and practice meetings when required. Ensure practice fridges are checked daily, temperature recorded, cold chain maintained and reporting any issues where relevant. Keep up to date with any changes or advances within the Nursing profession, completing annual competency reviews and necessary training. Communicate effectively, sensitively, and compassionately with colleagues, patients, carers recognising needs for alternative methods of communication. Liaise and communicate with multi-agency partners and third-party organisations as appropriate, adhering to organisational and national information sharing guidance at all times. Administration Accurately input, update and extract information onto/from the Practice clinical system when required. Record patient information clearly and concisely, adhering to national and local guidance. Liaise with and feedback effectively to the nursing team and other members of the multi-disciplinary team (MDT). Infection Control Support the Infection, Prevention and Control lead through the following measures: Follow procedures aimed at reducing the risk of passing on the organisms that can cause infections. Demonstrate a duty of care in following best practice in adherence to guidelines which is a fundamental requirement in underpinning the management of Infection, Prevention and Control. Apply infection control measures within the practice according to local and national guidelines. Monitor and change sharps bins within the practice when requested or identified. Assist patients and colleagues in adopting recommended infection control measures and health and safety measures. Effective cleaning and sterilisation of clinical equipment and working surfaces, preparing treatment/consulting rooms prior to use. Support the Lead Nurse in the completion of relevant Infection, Prevention and Control audits. Miscellaneous Offer support and provide clinical supervision to other members of the practice and nursing team. To mentor, supervise and develop new and existing staff, ensuring participation in required training. Support in the training and induction of new and junior members of staff at the practice. Actively participate in educational programmes for whole primary health care team, including medical and nursing students and GP registrar, in relation to areas of clinical and practice nursing expertise.