Orchard Surgery Dereham are looking to recruit an experienced Visiting Nurse Practitioner/ Emergency Care Practitioner to work a minimum of three days.
Main duties of the job
The role will be based at the practice having clinics and visiting patients living in care homes and their own homes within the locality.
You will have a Nurse Practitioner or Emergency Care Practitioner qualification and a prescriber is desirable but not essential.
The successful candidate should be able to demonstrate high standards of clinical care, sound decision making, and excellent interpersonal skills.
Salary is negotiable depending upon qualifications and experience.
About us
We are a thriving, busy practice in the centre of Dereham with 11,200 patients. We are due to start a refurbishment to gain additional clinical rooms and looking for an enthusiastic person to join our team.
Job responsibilities
Grade: Band 7
Salary Scale: TBC depending on experience and qualifications.
Hours: TBC over three days.
Accountable to: The Partners and Practice Manager.
Responsible to: Practice Manager.
Contract: Substantive.
Job Summary: The role will be based across multiple sites focusing on the oversight of patients living in care homes and their own homes in the locality. The postholder will be responsible for supporting the GPs with the management of frail and elderly patients, including first contact interventions. The post holder will take a comprehensive history, clinical assessment, treatment, and evaluation of patients' care. They will demonstrate safe clinical decision-making, ensuring that they act within their professional boundaries at all times. The post holder will work collaboratively with the multi-disciplinary practice teams and the wider Integrated Care team to meet the needs of patients and help to avoid unnecessary admissions to hospital. The post holder will provide support to conduct clinical audit, research, the development of clinical guidelines, procedures, and protocols.
Key Responsibilities
Clinical Practice
* Provide direct consultation to patients in their own home, using decision-making and problem-solving skills to make differential diagnoses and ensure clinical practice is effective, evidence-based, and to a high standard.
* Agree management plans, in liaison with families, in accordance with agreed practice, local and national guidance.
* Demonstrate knowledge of the patho-physiology of acute and chronic conditions commonly seen in frail elderly patients.
* Initiate appropriate diagnostic requests and therapeutic interventions, with attention to safety, cost, invasiveness, accessibility, and efficacy.
* Evaluate the patient's condition and response to therapeutic interventions and modify the plan of care accordingly.
* As an independent prescriber, prescribe safe, effective, and appropriate medication for acute presentations, in accordance with current legislative framework.
* Help to develop clinical standards through policies and protocols that demonstrate evidence-based practice and respond to patient needs.
* Ensure accurate contemporaneous clinical records are maintained on the clinical systems, including the use of templates and alerts where necessary.
Nurse Management and Practice Administration
* Act as a point of liaison with other nurses across community services and the practice; act as mentor and clinical supervisor, supporting CPD.
* Plan and prioritise own clinical workload.
* Ensure adherence to the Drug Formulary, including the wound care formulary.
* Participate in Practice meetings, reporting progress as required and liaising with other members of the local ICO team.
Health and Safety
* Ensure policies are understood and observed and that procedures are followed.
* Ensure that appropriate use of equipment and facilities and ensure the environment is maintained in good order.
* Take the necessary precautions to safeguard the welfare and safety of oneself and others in accordance with the Health and Safety Legislation.
* Ensure reporting systems are adhered to and promote a no blame culture.
* Undertake appropriate training as the Partners see fit.
Person Specification
Qualifications
* BSc (Hons) Nurse Practitioner (Primary Health Care)
Experience
* Minimum of 3 years past experience in General Practice.
* Can demonstrate competency in autonomous practice.
* Demonstrates ability in teaching, research, audit, and management.
* Evidence of completed clinical audit.
* IT Literate.
* Up to date knowledge of national and local policies.
* Ability to work effectively in a team and independently.
* Experience of setting customer care and patient participation as a priority.
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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