Job Summary: To be responsible for the delivery of practice nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The practice nurse will be responsible for a number of clinical areas such as infection prevention and control, health promotion, chronic disease management, health prevention, well women and well man clinics, as well as supporting the management team in the reviewing of clinical policy and procedure.
Generic Responsibilities: All staff at Carrington House Surgery have a duty to conform to the following:
1. Health & Safety: The post-holder will manage their own and others' health & safety and infection control as defined in the Practices Health & Safety Policy, the Practice Health & Safety Manual, and the Practices Infection Control Policy and published procedures.
2. Comply with Practice health and safety policies by following agreed safe working procedures.
3. Awareness and compliance with national standards of infection control, hygiene, regulatory/contractual/professional requirements, and good practice guidelines.
4. Correct personal use of Personal Protective Equipment (PPE) and ensuring correct use of PPE by others, advising on appropriate circumstances for use by clinicians, staff, and patients.
5. Reporting incidents using the organisations Incident Reporting System.
Equality and Diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
1. Acting in a way that recognises the importance of people's rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
2. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
3. Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.
Confidentiality: This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.
Quality and Continuous Improvement (CI): To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.
Induction Training: On arrival at the practice, all new personnel are to complete a practice induction programme. This is managed by the Senior Nurse and Practice Manager.
Learning and Development: The effective use of training and development is fundamental to ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role.
Collaborative Working: All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments.
Service Delivery: Staff at Carrington House Surgery must adhere to the information contained within practice policies and regional directives, ensuring protocols are adhered to at all times.
Security: The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager.
Professional Conduct: At Carrington House Surgery, staff are required to dress appropriately for their role.
Professional Development: Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development.
Primary Responsibilities: The following are the core responsibilities of the practice nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
1. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager.
2. To produce the IPC annual statement in conjunction with the practice manager.
3. To act as the Cytology Lead and to ensure the policy is kept up to date.
4. To develop, implement and embed health promotion and well-being.
5. To identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to patients health.
6. To provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF.
7. To provide wound care (ulcer/Doppler etc.) to patients.
8. To provide travel medicine services.
9. To support the HCA, providing guidance when necessary and required and support and training where required.
10. To provide childhood immunisation services.
11. To support the practice for all relevant aspects of CQC.
12. To be responsible for and lead on the call and recall of cytology.
13. To be responsible for recording, keeping records of claimable vaccines.
14. To ensure the clinical safety requirements for CQC are maintained at the practice.
15. To ensure all staff are aware of Infection control and lead to maintain this.
16. To work the practice extended hours between the hours as and when required by the practice.
17. To maintain accurate clinical records in conjunction with extant legislation.
18. To ensure read codes are used effectively and clinical system templates.
19. To maintain Qof requirements.
20. To develop, implement and embed well woman clinics.
21. To develop, implement and embed well man clinics.
22. To chaperone patients where necessary.
23. To assist GPs with minor surgery when required.
24. To prioritise health issues and intervene appropriately.
25. To support the team in dealing with clinical emergencies.
26. To recognise, assess and refer patients presenting with mental health needs.
27. To implement vaccination programmes for adults and children.
28. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice).
29. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
30. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
31. To support the clinical team with all safeguarding matters in accordance with local and national policies.
32. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
33. To deliver opportunistic health promotion where appropriate.
34. Any other duties as requested by the practice.
Secondary Responsibilities: In addition to the primary responsibilities, the practice nurse may be requested to:
1. Act as the audit lead, effectively utilising the audit cycle.
2. Monitor and ensure the safe storage, rotation and disposal of medicaments.
3. Participate in local initiatives to enhance service delivery and patient care.
4. Support and participate in shared learning within the practice on Infection Control.
5. Continually review clinical practices, responding to national policies and initiatives where appropriate.
6. Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA).
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