The following are the core responsibilities of the Lead Practice Nurse. There may be, on occasion, a requirement to carry out other tasks:
1. To act as the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to management.
2. To produce the IPC annual statement in conjunction with management.
3. The Lead Nurse will be the CQC lead for the nursing team ensuring services provided are effective, safe, responsive, caring and well-led by using up-to-date policies and protocols.
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 etc.
9. As required, to diagnose and manage acute and chronic conditions.
10. To prescribe medication for patients in accordance with PGDs and own scope of practice.
11. To review patient medications to enhance compliance.
12. To provide guidance to patients on 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 read 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 ensure compliance with the practice chaperone policy.
20. To prioritise health issues and intervene appropriately.
21. To support the team in dealing with clinical emergencies.
22. To recognise, assess and refer patients presenting with mental health needs.
23. To lead and implement vaccination programmes for adults and children, working with the wider team to increase uptake.
24. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice).
25. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
26. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
27. To support the clinical team with all safeguarding matters, in accordance with local and national policies.
28. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.
29. To deliver opportunistic health promotion where appropriate e.g. QOF etc.
30. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice.
31. As required be flexible to work outside of core surgery hours in accordance with extended access provision.
Secondary responsibilities:
1. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle.
2. Develop, review and implement nursing protocols in conjunction with the partners and management.
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.
8. Coordinate the management of the nursing team rota, ensuring sufficient staff are available to meet practice & 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.
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