Title: Practice Nurse
Hours of duty: Part Time/ Full Time
Responsible to: Practice Nurse Lead
Accountable to: The Partners
Job summary
The post holder is responsible for the delivery of practice nursing services to our practice population. You will be supported by senior nurses within the practice, and will deliver care within the boundaries of your role, focusing upon supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities. You will carry out a full range of practice nursing duties including womens health, family planning and immunisations. You may also be required to provide outreach practice nursing services to our care home and housebound patients.
You will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
The post holder will be expected to work during the core opening hours of the Practice, which may include some extended hours working, including occasional weekends.
Key responsibilities
Clinical practice
Assess, plan, develop, implement and evaluate treatment programmes to promote health and well-being, and prevent adverse effects on health and well being
Implement and evaluate individual treatment plans for patients with a known long- term condition
Manage those patients with long term conditions, looking at blood results and organising follow up as needed.
Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term as detailed by the Quality and Outcomes framework.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care
Deliver opportunistic health promotion using opportunities such as NHS health checks
Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects and interactions
Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care
Assess and care for patients presenting with uncomplicated wounds
Support and advise women requesting information relating to family planning needs
Support and manage health needs of women presenting for cervical cytology consultations
Implement and participate in vaccination and immunisation programmes for both adults and children
Advise, support and, where appropriate, administer vaccinations for patients travelling abroad
Undertake opportunistic screening when clinically required.
Perform venepuncture and electrocardiography
December 2023
Communication
Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment
Communicate with and support patients who are receiving 'bad news'
Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating
Utilise communication skills to support patients to adhere to prescribed treatment regimens
Anticipate barriers to communication and take action to improve communication
Estimate and maintain effective communication with individuals and groups within the practice environment external stakeholders
Act as an advocate when representing the patients' and colleagues' viewpoints to others
Delivering a quality service
Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC)
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Prioritise, organise and manage own workload in a manner that maintains and promotes quality
Deliver care according to NSF and the National Institute for Clinical Excellence
(NICE) guidelines and evidence-based care
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation
Participate in the maintenance of quality governance systems and processes across the organisation and its activities
Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate
Evaluate the patients' response to health care provision and the effectiveness of care
Support and participate in shared learning across the practice and wider organisation
Participate in the management, review and identify learning from patient complaints, clinical incidents and near-miss events utilising a structured framework (eg root-cause analysis)
Participate in the performance monitoring review of the team, providing feedback as appropriate
Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance
Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate
Team working
Understand own role and scope in the organisation and identify how this may develop over time
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties
Ensure clear understanding and utilisation of referral mechanisms within the practice
Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice
Work effectively with others to clearly define values, direction and policies impacting upon care delivery
Participate in team activities that create opportunities to improve patient care
Participate in and support local projects as agreed with the practice management team
Management of risk
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken
Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
Undertake mandatory and statutory training
Apply infection control measure within the practice according to local and national guidelines
Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
Participate in the local implementation strategies that are aligned to the values and culture of general practice
Utilising information
Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information
Review and process data using accurate Read codes about patients in order to ensure easy and accurate retrieval for monitoring and audit processes
Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition
Understand own and other's responsibility to the individual organisation regarding the Freedom of Information Act
Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care
The post-holder will comply with the Data Protection Act (1984) and the Access to
Health Records Act (1990)
Learning and development
Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified
Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
Assess own learning needs and undertake learning as appropriate
Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning
Equality and diversity
The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
Respect the privacy, dignity, needs and beliefs of patients and carers.
Understand basic legal and communication issues regarding child abuse
Health & Safety
The post-holder must comply at all times with the practice's Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System
Respect for patient confidentiality. click apply for full job details