Main responsibilities Clinical Practice Nursing Wound Management Undertake uncomplicated dressings Undertake suture removal Undertake Doppler readings Screening Undertake screening including BP checks, height, weight, BMI & Urinalysis Carry out Well Person Checks and New Patient Medicals Undertake venepuncture, following training. Health Promotion Make basic assessment of needs of patient Provide nuturional advice on Obesity, Raised Cholesterol, CHD and Diabetes Measures and records BMI Understand patients motivation to adapt their lifestyle Offer lifestyle advice on smoking and exercise and refers as appropriate Vaccinations & Immunisations Administer injections under individual prescription or Patient Group Direction, following training. Administer childhood immunisations under individual prescription of Patient Group Direction, following training. Ensure safe storage, rotation and disposal of vaccines and drugs. Ear Care Undertake ear syringing, following training. Advise patients about safe ear care. Infection Control Apply infection control measures within the Practice according to local and national guidelines. This includes:- o Universal hygiene precautions. o The collection and handling of laboratory specimens o Segregation and disposal of waste materials o Decontamination of instruments and clinical equipment o Reporting and treatment of sharps injuries o Dealing with blood and body fluid spillages Assist patients and colleagues in adopting sound infection control measures. Emergency Management Is competent in anaphylaxis and resuscitation techniques. Family Planning Has a basic understanding of emergency contraception and refers patients as appropriate. Advises on risk of pregnancy and has basic knowledge of contraception options, following training. Womens Health Has a working knowledge of the national and local Cervical Cytology and mammography screening programmes. Can discuss breast self awareness, demonstrate self-breast examination and provide supporting literature to patients. Mens Health Can discuss and give basic advice on male health issues and provide supporting literature to patients. Care and Programme Management Diabetes Has a basic understanding of diabetes Assists in the diagnosis of diabetic patients and makes appropriate referrals Supplies appropriate material for patient education Is able to manage the emergency treatment of a diabetic patient with hypo/hyperglycaemic attack according to Practice Guidelines. Respiratory Disease Management Has a basic understanding of asthma care; its diagnosis, treatments and the principles of self-management. Checks patients inhaler techniques and measure peak flow readings Has a basic understanding of COPD treatment to support patients and make appropriate referrals. Nebulise patients following assessment by GP/Senior Nurse. Cardiovascular Disease Has a basic understanding of the pathophysiology of the cardiovascular system. Identify and advise patients on risk factors associated with cardiovascular disease i.e. BP, lipid, glucose monitoring, family history, smoking, diet and exercise. Understands the basic management of patients with hypertension, angina, myocardial infarction and cerebro-vascular accident. Clinical Practice Leadership Assist in clinical audit and the setting and monitoring of standards of care. Assist and teaches others in clinical setting, including unqualified staff. Act as an assessor/mentor to other staff where necessary. Works effectively in a team Clinical Practice Development Is aware of current research approaches to patient care and incorporates this in Practice Has an understanding of the ethical dilemmas that impinge on general practice. Support structures that are in place for the smooth running of the Practice. Contribute to the efficient utilisation of the nursing resource. Effective use of resources and stock control with an awareness of cost implications is required although no direct budgetary responsibility Additional responsibilites Computer Literature Effective communication and interpersonal skills Ability to work as part of a team and independently Ability to organise, prioritise and manage time effectively Ability to work under pressure Reliability and confidentiality Own transport Ability to work flexible hours with prior arrangement Communication and Working Relationships To liaise and work closely with: All members of the Primary Healthcare Team Staff in other areas of Primary and Secondary Healthcare Patients and visitors Social Services Statutory and Voluntary Agencies