JOB DESCRIPTION JOB TITLE: PRACTICE NURSE REPORTS TO: THE PARTNERS (Clinically) THE PRACTICE MANAGER (Administratively) HOURS: 30 hours Job Summary: Working in accordance with the NMC Code of Conduct, the post-holder will provide assessment, treatment, screening, health education services and advice to patients. The post-holder will work with reference to Practice agreed protocols and guidelines, providing nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners. The post-holder will have the required level of training and competence and will work within patient group directions where these are available. A nurse with prescribing qualifications will use them appropriately. Duties and Responsibilities: Management of Long-TermConditions Identifying significant abnormalities Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other healthprofessionals. Therapeutic Monitoring Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach Recognising abnormalities Identifying the impact of treatment and implementing or recommending changes as appropriate. Wound Care and Management Assessing routine wounds including trauma Assessing [and prescribing] to support good wound management in complex situations (e.g. use of Doppler technique) Patient Health Checks Identifying significant abnormalities Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues Working with patients to develop a management plan where health problems or potential health problems areidentified. Risk Assessment Recognising issues and gathering sufficient information to refer (e.g. drugs; domesticviolence; child protection; vulnerable adults; senior patients; social problems) Health Screening Recognising issues and gathering sufficient information to refer (e.g. womens and mens health, sexual health, older people) Undertaking monitoring tasks (e.g. smears) and providing advice as appropriate Providing in depth monitoring and advice as appropriate to the level of the post-holders specialty and working with the patient in deciding on management plans. Travel Health Administering injections and providing guidance in accordance with guidelines Identifying problems Provision of specialist and evidence based support to the team. Immunisation (Adult and Child) Administering appropriate immunisation autonomously Working with patients with more complex immunisation issues. First Contact Working independently or alongside the general practitioner and making decisions/ recommendations as appropriate. Minor Surgery/Community Gynae and Vasectomy Clinics Assisting the general practitioner and/or undertaking some simple procedures Ear Care Providing routine ear care Dealing with more complex problems and prescribing if appropriate. Mental Health Communicating with key workers Administering appropriate prescribed therapies and monitoring for side effects. Confidentiality: In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & Safety: The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include: Using personal security systems within the workplace according to Practice guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks Making effective use of training to update knowledge and skills Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards Reporting potential risks identified. Equality and Diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/Professional Development: In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that NMC professional development requirements for revalidation are met, the post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Quality: The post-holder will strive to maintain quality within the Practice, and will: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources. Communication: The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members Communicate effectively with patients and carers Recognize peoples needs for alternative methods of communication and respond accordingly. Contribution to the Implementation of Services: The post-holder will: Apply Practice policies, standards andguidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit, effectively utilising the audit cycle Monitor and ensure the safe storage, rotation and disposal of vaccines 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).