Job summary
Dorking Medical Practice is offering an exciting opportunity for a Practice Nurse to join our team. This role involves working across two organisations, providing both NHS and private healthcare services.
We are a friendly, forward-thinking practice with a dedicated nursing team that delivers high-quality patient care in a safe and efficient environment. Our main surgery in Dorking, along with two dispensing branches in Boxhill and Westcott, serves a total of 11,250 NHS patients. Additionally, we collaborate with a private vaccination clinic in Dorking, offering nurse-led preventive healthcare to the local community. This role offers the unique opportunity to work in both NHS and private sectors, providing variety in your job plan.
What We Offer:
- Support from a well-established multi-disciplinary team, including GPs, practice nurses, HCAs, physiotherapists, paramedics, pharmacists, and physician associates, along with an approachable patient services and management team.
- A collaborative and supportive working environment that encourages special interests and personal development.
- An in-house structured education program and mentorship opportunities.
- Highly competitive remuneration.
Main duties of the job
To be responsible for the delivery of practice nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population. The practice nurse will be responsible for a number of clinical areas and may includeinfection prevention and control,health promotion, chronic disease management, health prevention, as well as supporting the management team in the reviewing of clinical policy and addition, the practice nurse will workcollaboratively in a private healthcare clinic in Dorking, providing vaccinations, such as travel, and other nurse-led services.
About us
We regard ourselves as a modern, forwardthinking and friendly practice at the heart of the Dorking Community. Whilstkeeping abreast of the many exciting developments in the investigation ofmedical problems and their treatments, we remain committed to the ideals oftraditional family medicine, namely a holistic approach with continuity ofcare. To this end, all the staff attend regular educational courses and haveperformance reviews
We strive to offer our patients choice both inpersonal and timing of appointments. In an increasingly complex society weplace a high value on the need to respect patient confidentiality in all agegroups. Above all we try to make the surgery environment as relaxed andfriendly as possible without compromising overall efficiency.
Job description
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. Training will be given in case of learning needs:
a. To develop, implement and embed health promotion and well-being programmes
b. To implement and evaluate individual treatment plans for chronic disease patients
c. To identify, manage and support patients at risk of developing long term conditions, preventing adverse effects to patients health
d. To provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the National Standards Framework
e. To provide wound care (ulcer/Doppler etc.) to patients
f. To provide travel medicine services including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and health vaccinations training will be provided if needed
g. Prescribe medication for patients in accordance with PGDs and own scope of practice
h. To request pathology services as necessary
i. To process pathology results as required
j. To provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
k. To maintain accurate clinical records in conjunction with extant legislation
l. To ensure read codes are used effectively, such as for immunisations, wound care, smoking cessage, ECGs, phlebotomy
m. To maintain chronic disease registers
n. Contributing to QOF, locally enhanced services and GMS contractual obligations
o. To chaperone patients where necessary
p. To assist GPs with minor surgery when required
q. To prioritise health issues and intervene appropriately
r. To support the team in dealing with clinical emergencies
s. To recognise, assess and refer patients presenting with mental health needs
t. To implement vaccination programmes for adults and children
u. To support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)
v. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
w. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
x. To support the clinical team with all safeguarding matters in accordance with local and national policies
y. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
z. To deliver opportunistic health promotion where appropriate
aa. Ensure safe storage rotation and disposals of vaccines and drugs in line with CQC advice
1. Waste management, including collection, handling, segregation, container management, storage, and collection
2. Competent in ear syringing / irrigation for removal of ear wax
Secondary responsibilities
In addition to the primary responsibilities, the practice nurse may be requested to:
a. Act as the audit lead, effectively utilising the audit cycle, including the infection control audit
b. Monitor and ensure the safe storage, rotation and disposal of medicaments
c. Support junior members of the nursing team, providing guidance when necessary
d. Participate in local initiatives to enhance service delivery and patient care
e. Support and participate in shared learning within the practice
f. Continually review clinical practices, responding to national policies and initiatives where appropriate
g. Participate in the review of significant and near-miss events applying a structured approach, root cause analysis (RCA)
The personspecification for this role is detailed below. Full training will be providerin areas which are jointly identified during induction as learning needs.
Person Specification
Qualifications
Essential
3. QualificationsEssential
4. * Registered nurse
5. * Experience of chronic disease management
6. * Wound care/removal of sutures and staples
7. * ECG's
8. * Venepuncture
9. * Requesting pathology tests and processing the results, advising patients accordingly
10. *Understanding the importance of evidence based practice
11. Broad knowledge of clinical governance
12. * Ability to record accurate clinical notes
13. * Ability to work within own scope of practice and understand when to refer to GPs
14. * Understanding of infection control measures
15. * Knowledge of health promotion strategies
16. * Understand the requirement for PGD's and associated policy
17. * Excellent communication skills (written or oral)
18. *Clear, polite telephone manner
19. * Competent in the use of Office and Outlook
20. * Effective time management (planning and organising)
21. * Ability to work as a team member and autonomously
22. * Good interpersonal skills
23. * Problem solving and analytical skills
24. * Ability to follow clinical policy and procedure
25. * Polite and confident
26. * Flexible and co-operative
27. * Motivated, forward thinker
28. * Problem solver with the ability to process information accurately and effectively, interpreting data as required
29. * High levels of integrity and loyalty
30. * Sensitive and empathetic in distressing situations
31. * Ability to work under pressure/in stressful situations
32. * Effectively able to communicate and understand the needs of the patient
33. * Commitment to ongoing professional development
34. * Effectively utilises recourses
35. * Punctual and committed to supporting the team effort
36. * Flexibility to work outside core office hours
37. * Disclosure Barring Service (DBS) check
38. * Occupational health clearance
39. * NMC registration
Desirable
40. Qualifications Desirable
41. * Post graduate diploma or degree (Primary Care)
42. * Experience of working in a primary care environment
43. * Experience of working as a practice nurse or community nurse
44. * Experience of infection prevention and control measures
45. * Complex wound management
46. * Travel medicine
47. * Diabetes
48. * Asthma
49. * Spirometry
50. * CHD
51. * Immunisations (routine, childhood and travel)
52. * Women's health (cervical cytology, contraception, etc.)
53. * Knowledge of public health issues in the local area
54. * Awareness of issues within the wider health arena
55. * Systemone user