The post holder will be an experienced nurse,who is responsible for the delivery of practice nursing services care to thepractice population
Supported by the Lead Nurse Practitioner actingwithin their professional boundaries of their scope of practice, they willdemonstrate safe, clinical decision-making and expert care for patients withinthe general practice
They will focus upon supporting patients to behealthy, monitoring and management of long-term conditions, health preventionand screening activities, immunisations and may include cervical screening
The post holder will work collaboratively withthe multi-disciplinary general practice team to meet the needs of patients,supporting the delivery of policy and procedures
The post holder will build effective workingrelationships with other health care professionals
The post holder will work within the team of GPs,nurses and health care assistants to deliver excellent primary health careservices within the Practice
Main duties of the job
Chronic disease management including thediagnosis, monitoring and development of patient's individual management plans
Reviewing patients with chronic disease i.e.diabetes, hypertension, heart disease, to implement and evaluate individualtreatment plans to promote health and wellbeing
Assessing lifestyle and medications andsuggesting changes where appropriate
Implementation of processes for the effectivemanagement of patients with long-term conditions using evidence-based practice
Identify, manage and support patients at riskof developing long-term conditions, preventing adverse effects on patients'health
Venepuncture,handling of specimens
Undertakingdiagnostic tests and screening procedures within agreed practice protocols e.g. ECG and cervical cytology
Immunisation andvaccination of children, adults and travellers
Ear examination andsyringing
Wound care,dressings and removal of sutures
First aid andmanagement of emergencies e.g. burns, haemorrhage, shock cardiac arrest, triageof injuries
About us
Pembroke Medical Group is a dynamic and exceptionally well-runpractice of 27,000 patients. We have a hard working, friendly and collegiateteam of clinicians and are looking to add to our growing number of PracticeNurses, with the aim of providing the best possible care to our patients.
Pembroke Medical Group is part of the Baywide Primary Care Network,which includes Compass House Medical Centre in Brixham and Chilcote Surgery inTorquay. Together we serve a population of 50,000 patients. The expectation isthat the successful candidate will collaborate with GPs, Nurse Practitioners,Mental Health Practitioners, Pharmacists, Allied Health Professionals, PracticeNurses, as well as our colleagues in Community Nursing, Physiotherapy, OccupationalTherapy, Social Care and at SWAST.
Pembroke Medical Group are looking for an experienced registeredpractice nurse to join its friendly and forward-thinking nursing team.Experience in Primary Care is essential with an interest in chronic diseasemanagement.
Job responsibilities
The post-holder will be an experienced nurse,who is responsible for the delivery of practice nursing services care to thepractice population
Supported by the Lead Nurse Practitioner actingwithin their professional boundaries of their scope of practice, they willdemonstrate safe, clinical decision-making and expert care for patients withinthe general practice
They will focus upon supporting patients to behealthy, monitoring and management of long-term conditions, health preventionand screening activities, immunisations and may include cervical screening
The post-holder will work collaboratively withthe multi-disciplinary general practice team to meet the needs of patients,supporting the delivery of policy and procedures
The post-holder will build effective workingrelationships with other health care professionals
The post-holder will work within the team of GPs,nurses and health care assistants to deliver excellent primary health careservices within the Practice
Primary responsibilities:
Chronic disease management including thediagnosis, monitoring and development of patient's individual management plans
Reviewing patients with chronic disease i.e.diabetes, hypertension, heart disease, to implement and evaluate individualtreatment plans to promote health and wellbeing
Assessing lifestyle and medications andsuggesting changes where appropriate
Implementation of processes for the effectivemanagement of patients with long-term conditions using evidence-based practice
Identify, manage and support patients at riskof developing long-term conditions, preventing adverse effects on patients'health
Venepuncture,handling of specimens
Undertakingdiagnostic tests and screening procedures within agreed practice protocols(e.g. ECG and cervical cytology)
Immunisation andvaccination of children, adults and travellers
Ear examination andsyringing
Wound care,dressings and removal of sutures
First aid andmanagement of emergencies e.g. burns, haemorrhage, shock cardiac arrest, triageof injuries
Care and maintenanceof equipment
New patient checks
To provideappropriate signposting to the relevant clinician or external organisationwhilst ensuring that the patient receives appropriate ongoing care
To promote highstandards of patient care by the application of a systematic triage approachand undertake comprehensive holistic assessments of person-centred care needs
To maintain clear,concise and accurate documentation within the systems provided
To ensure that allnecessary arrangements are completed promptly and in a safe manner
To maintaineffective communication with multidisciplinary teams to the benefit of thepatient
To maintain theconfidentiality of matters relating to patients and patient care in accordancewith the NMC guidelines
To communicatecomplex and sensitive information concerning a patients medical conditioneffectively to patients/carers, recognising that sometimes there are barriersto understanding
To foster goodpublic relations by ensuring courtesy and discretion when dealing with patientsand their relatives
To support andadvise patients on the promotion of health, prevention of ill-health and theself-management of their health within their limitations
To recognisesituations that may be detrimental to the health and well-being of theindividual and act on the findings
To ensure that caregiven is supported by the best available evidence and local policies andprocedures
To deliveropportunistic health promotion where appropriate
To understandpractice and local policies for substance abuse and addictive behaviour,referring patients appropriately
To uphold theconfidentiality of all records/information held by Pembroke Medical Group. This duty lasts indefinitely and willcontinue after you leave your
employment at thispractice. All information which identifiesindividuals in whatever form should be managed locally with the ConfidentialityPolicy and in general in accordance with the Data Protection Act 2018
To maintainprofessional competency whilst remaining current and in date for NMCrevalidation
To recognise, triageand refer patients presenting with mental health needs
To support theclinical team with all safeguarding matters in accordance with local andnational policies
In addition to theprimary responsibilities, the experienced practice nurse may be requested to:
Ordering of suppliesand equipment
Support juniormembers of the nursing team, providing guidance when necessary
To assist inscreening procedure undertaken by the practice
Assist in themanagement of patients with chronic illnesses
Support andparticipate in shared learning within the practice
Participate in thereview of significant and near-miss events applying a structured approach, i.e.root cause analysis (RCA)
Support the practiceteam with the reviewing and implementation of practice policies and protocols,ensuring conformance to extant legislation
To maintain accurate and contemporaneousrecords, utilising computer systems where appropriate and consider the CaldicottPrinciples and GDPR Regulations in relation to all data handling
To be proactive in the identification ofCarers
PROFESSIONAL ROLE
To promote personal development and clinicalexcellence
To facilitate and participate in multi-disciplinaryeducation and clinical supervision
To work within the relevant ProfessionalConduct and Scope of Professional Practice
Participate in organisational decision making,interpret variations in outcomes and use data from information systems toimprove practice
To maintain own professional development inline with their professional regulations
Participate in continuing professionaldevelopment opportunities to ensure that up-to-date evidence-based knowledgeand competence in all aspects of the role is maintained
ORGANISATIONAL
To complete records, audits, reports andrespond to appropriate questions and requests
To attend meetings as requested
Support effective communication channelsbetween the whole team
To keep the Lead Nurse Practitioner informedabout pressures and difficulties or problem areas when aware
To work according to Clinical Governance andsupport the Clinical Governance Agenda
To understand the role of Risk Managementwithin the Practice contributing to risk
assessment and Significant Event Audit and theimportance of Infection Control
The individual may be required to undertakethe assessment and management of patients within the home environment
To actively participate in the delivery of QOFtargets and others as deemed by the
MISSION, VALUES AND STRATEGIC DIRECTION
To promote at all times, the Practices,mission, values and understand the strategic direction of business plans.
Ensure that patient centred care and safety iscentral to the culture, philosophy and
organisation of the Practice.
To encourage and support patient with longterm conditions to develop their ability to self-manage.
To develop a culture of ongoing review, takinginto account new methods of working
CODES OF CONDUCT AND ACCOUNTABILITY
To work at all times within the highest levelsof standards commensurate with the post.
Confidentiality:
In the course of seeking treatment, patientsentrust us with, or allow us to gather, sensitive information in relation totheir health and other matters. They do so in confidence and have the right toexpect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined inthis job description, the post-holder may have access to confidentialinformation relating to patients and their carers, practice staff and otherhealthcare workers. They may also have access to information relating to thepractice as a business organisation. All such information from any source is tobe regarded as strictly confidential Information relating to patients, carers,colleagues, other healthcare workers or the business of the practice may onlybe divulged to authorised persons in accordance with the practice policies andprocedures relating to confidentiality and the protection of personal andsensitive data.
Health & safety:
The post-holder will assist in promoting and maintaining their ownand others health, safety and security as defined in the practice health &safety policy, the practice health & safety manual, and the practiceinfection control policy and published procedures. This will include:
Using personal security systems within theworkplace according to practice guidelines
Identifying the risks involved in workactivities and undertaking such activities in a way that manages those risks.
Making effective use of training to updateknowledge and skills.
Using appropriate infection controlprocedures, maintaining work areas in a tidy and safe way, free from hazards. Activelyreporting health and safety hazards and infection hazards immediately whenrecognised.
Keeping own work areas and general/patientareas generally clean, assisting in the maintenance of general standards ofcleanliness consistent with the scope of the job holders role
Undertaking periodic infection controltraining (minimum annually)
Demonstrate due regard for safeguarding andpromoting the welfare of children & adults at risk.
Equality and diversity:
The post-holder will support the equality, diversity and rights ofpatients, carers and colleagues, to include:
Acting in a way that recognises the importanceof peoples rights, interpreting them in a way that is consistent with practiceprocedures and policies, and current legislation.
Respecting the privacy, dignity, needs andbeliefs of patients, carers, and colleagues.
Behaving in a manner that is welcoming to andof the individual, is non-judgmental and respects their circumstances, feelingspriorities and rights.
Person Specification
Experience
* Experience as a practice nurse in primary care is Essential.
* Knowledge and experience of Long-term condition monitoring.
* Wound care management
* Immunisations
* Cervical Screening.
* Knowledge of QOF.
* Knowledge of public health issues.
* Experience of working with clinical pathways.
* Ability to work independently within boundaries.
* Evidence of continuous academic development
* Experience of respiratory or diabetes
Qualifications
* Membership of a professional body
* Evidence of CPD and Training
* Evidence of continuous academic development
* Experience of respiratory or diabetes
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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