At all times to work within own competency and refer to other health professional(s) within the practice where another opinion is required or the condition of the patient is not within the post-holders competency range Perform general nursing duties for example : Cervical Sample taking Wound care / ulcer care/Doppler Removal of Sutures New Patient Medicals/Urinalysis Travel Clinic - Advice and Vaccinations ECGs Asthma Management/Peak Flow Readings/Spirometry Venepuncture Hypertension Management Ear syringing Routine Immunisations/Childhood Immunisations Contraceptive services Record accurate consultation data in patients records in accordance with latest NMC guidance, practice protocols and other relevant standards Request pathology tests, for example urine culture, swabs Refer patients directly to other services/agencies as applicable Chaperone and assist patients who are being examined by another clinician as requested Assist GPs with minor surgery and coil fittings Take a major role in the management of Long Terms Conditions such as Diabetes and Asthma. Follow agreed clinical protocols with referral to senior nurses or GPs as appropriate Contribute to the practice achieving its quality targets to sustain the high standard of patient care and to fulfil the requirements for QOF and Locally Commissioned Services Follow current PGDs regarding vaccinations Undertake specific administrative duties as required to ensure compliance with protocols and guidelines such as stock checks, fridge checks etc. Promote health and wellbeing through the use of health promotion, health education, screening and therapeutic communication skills. Order Health Promotion Literature as applicable Clean and decontaminate any reusable equipment using appropriate methods Maintain and clean equipment used by the nurses and GPs Maintain stock and correct stock rotation for own room and Nurses station Maintain general tidiness and cleanliness of nurses and treatment rooms Order stock from the Pathology department and other suppliers as required Order vaccinations to maintain stock levels Regular audit checks of vaccines for expiry date and take appropriate action Regular audit checks of sterile supplies for expiry date Participate in administrative systems in the Practice Attend and participate in any Practice meetings, in house and offsite training when required. Undertake home visits on an occasional basis Participate in the flu vaccination clinics both in the practice and as home visits