Newtown Medical Practice is looking for a Practice Nurse to join their multidisciplinary team. The position requires an autonomous practitioner within their professional scope of practice providing care for patients via face to face consultations, telephone consultations, and triage.
Applicants should be NMC Registered with Independent Prescribing. They should have a recognised Practice Nurse qualification working at degree level.
Main Duties of the Job
A candidate should have experience in management of minor illness, minor ailments, and injuries, and chronic disease management. They should be able to participate in patient telephone triage to manage patient demand and advise patients in the safest and most appropriate way relevant to their problems. They will demonstrate safe, clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
The post holder will demonstrate critical thinking in the clinical decision-making process and will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures.
About Us
We are a friendly, forward-thinking practice and have an experienced team of staff providing a high level of service to 13,600 patients. The premises are modern, purpose-built, well-equipped with a supportive working environment. The practice uses the EMIS clinical system and Docman 10.
There are currently 4 full-time GP partners, 5 practice nurses including 3 independent prescribing nurses, and 2 HCAs.
Job Responsibilities
The post holder is responsible for the delivery of general practice nursing to the whole practice population. The focus of the role is both the delivery of evidence-based practice for patients presenting with a long-term condition and the provision of preventative health care to the practice population. As a practitioner, the Nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making in the management of patients. They will work collaboratively within the general practice team to meet the needs of patients, support the delivery of policy and procedures, and provide nurse leadership as required.
1. Providing assessment, screening, and treatment services and health education advice.
2. Clinical practice.
3. Assess, plan, develop, implement, and evaluate treatment programmes that promote health and well-being, within agreed protocols with referral to General Practitioners as necessary.
4. Assess, plan, implement, and evaluate individual treatment plans for patients with a known long-term condition in participation with General Practitioners or independently to agreed protocols.
5. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition as appropriate.
6. Work with other health care professionals to diagnose, monitor, manage, and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs.
7. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols.
8. Work with patients in order to support adherence to prescribed treatments.
9. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.
10. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent, or emergency situations, including initiation of effective emergency care.
11. Organise and co-ordinate the provision of nursing services for the Practice to include the delegation of duties to other Practice nursing and Healthcare staff as appropriate.
12. Support patients to adopt health promotion strategies that promote patients to live healthily and apply principles of self-care.
13. Support and manage health needs of women presenting for family planning and cervical cytology consultations.
14. Recognise, assess, and refer patients presenting with mental health needs in accordance with the NSF for Mental Health.
15. Implement and participate in vaccination and immunisation programmes for both adults and children.
16. Advise, support, and administer vaccinations where appropriate for patients travelling abroad.
17. Promote and deliver evidence-based care for patients presenting with aural conditions.
18. Meet the needs of patients presenting for opportunistic wound care.
19. Provide a Minor Injuries service to Patients. Ascertain the nature of injury within 15 minutes of arrival and treat accordingly, liaising with the duty doctor as appropriate.
20. Assist in the management and follow-up of patients in respect of Enhanced Services for Learning Disabilities, Diabetes, Heart Failure, Zoladex, and any other appropriate Enhanced Service undertaken by the Practice appropriate to the Nursing Role.
21. Seek and provide information to GPs and patients in respect of results.
22. Undertake telephone triage, assessing and signposting the patient to the correct clinician.
In principle, the Practice Nurse will perform all clinical tasks that she is capable of and qualified for, which she is able to deal with instead of a doctor.
Person Specification
Experience
* Experience of working in accordance with UKCC Code of Professional Conduct and The Scope of Professional Practice.
* Experience of working with public/patients.
* Experience of using computerised recording systems.
* Experience of working within a General Practice.
* Experience of using own initiative.
Qualifications
* Degree Level.
* Registered General Nurse.
* Membership of a professional body.
* Recognised qualifications to diploma level.
* A demonstrable commitment to professional development.
Additional Criteria
* High level communication skills.
* Time Management and the ability to work to deadlines.
* Interpersonal skills.
* Ability to use own judgement, resourcefulness and common sense.
* Ability to work under pressure.
* Able to work in a changing environment.
* Ability to work without direct supervision and determine workload priorities.
* Ability to work as part of an integrated multi-skilled team.
* Self-motivated.
* A willingness to be flexible.
* Pleasant and articulate.
* An understanding, acceptance, and adherence to the need for confidentiality.
* Organisational/problem-solving skills.
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.
Depending on experience, salary available upon request. 37.5 hours a week.
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