We are a friendly, approachable, innovative training Practice in Aspatria looking for an enthusiastic, motivated, experienced Practice Nurse to join our team.
We offer:
* 6 weeks of annual leave
* Study leave
* Job share considered
* Daily team huddle
We use Emis web, are high QOF achievers, and were rated good by CQC in 2019.
The Practice offers a variety of appointments and clinics including Sexual Health, minor injuries, minor surgery, joint injections, childhood immunisations, spirometry, long-term condition monitoring, as well as general Nursing and clinician appointments. Special interests and personal development are welcomed and encouraged.
The Practice covers the town and local area. It is 30 minutes from Carlisle, 15 minutes from Wigton and Cockermouth, all of which have excellent schools. There are good transport links and fabulous views over the Lake District, which offers excellent cycling, walking, running, fishing, and other less healthy options, such as great pubs and restaurants!
We know things are changing, but we see that as a new challenge! We achieve a good work-life balance for all our staff within a well-supported system.
Main duties of the job
To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients.
Working as a senior member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively 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 promotion, well women and well man clinics, as well as actively supporting the practice management team in the reviewing and delivery of clinical policy and procedure.
About us
Our team includes 4 Practice Nurses, 2 HCAs, 4 Partners (3 GPs, 1 ANP), 2 salaried GPs, 2 GP Retainers, a first contact Physiotherapist, and a Pharmacist. We have fantastic administrative support and a dynamic management team.
Job 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 be instrumental in the support of the Infection Prevention Control (IPC) lead and to work to the IPC requirements by providing audits, training, support, and evidence of compliance to the practice manager.
2. To support in the publication of the IPC annual statement in conjunction with the practice manager.
3. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice.
4. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice.
5. To develop, implement and embed health promotion and wellbeing programmes.
6. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing.
7. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients' health.
8. As required, to provide routine nursing care to patients in accordance with clinical-based evidence, NICE, and the NSF.
9. As required, to diagnose and manage acute and chronic conditions.
10. Provide wound care (ulcer/Doppler, etc.) to patients.
11. To review patient medications to enhance compliance.
12. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages.
13. To co-ordinate the provision of travel medicine services.
14. To request pathology services and process pathology results as required.
15. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required.
16. To maintain accurate clinical records in conjunction with extant legislation.
17. To ensure SNOMED CT codes are used effectively by all members of the nursing team.
18. To ensure the appropriate maintenance and use of chronic disease registers.
19. To develop, implement, embed and participate in well woman clinics.
20. To develop, implement, embed and participate in well man clinics.
21. To ensure compliance with the practice chaperone policy.
22. To assist GPs with minor surgery when required.
23. To prioritise health issues and intervene appropriately.
24. To support the team in dealing with clinical emergencies.
25. To recognise, assess and refer patients presenting with mental health needs.
26. To implement vaccination programmes for adults and children.
27. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice).
28. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.).
29. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
30. To support the clinical team with all safeguarding matters, in accordance with local and national policies.
31. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
32. To deliver opportunistic health promotion where appropriate.
Secondary key responsibilities
In addition to the primary key responsibilities, the Practice Nurse may be requested to:
1. Develop and review audit protocols and processes for the practice, effectively utilising the audit cycle.
2. Develop, review and implement nursing protocols in conjunction with the partners.
3. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required.
4. Participate in local initiatives to enhance service delivery and patient care.
5. Support and participate in shared learning within the practice in order to improve patient care.
6. Continually review clinical practices, responding to national policies and initiatives where appropriate.
7. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA).
8. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs.
9. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients.
10. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation.
Person Specification
Qualifications
* Registered Nurse
* Experience of working in a Primary Care Environment
* Experience of Working Autonomously
* Chronic disease awareness
* Mentor or teaching qualification
* Experience of working as a Practice Nurse
* Knowledge of public health issues in the area
* Experience with clinical risk management
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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