An exciting opportunity has arisen for a Practice Nurse to join The Foxhayes Practice. This is a part-time position of up to 20 hours per week. Salary is negotiable depending on experience.
Main duties of the job
We use a hybrid model of delivery to our patients; offering telephone, Econsults, and face-to-face consultations aided by System1. We would expect you to have experience of general practice nursing, with strong clinical skills. The focus of your care will include; the management of long-term conditions (diabetes, COPD, asthma, hypertension), management of self-limiting conditions, general treatment room duties, immunisation, and cervical screening.
About us
We are a small teaching practice with approximately 4,700 in Exeter, providing general medical services to a young population. We are part of the West Exe Primary Care Network.
You will be joining a strong team of GPs, Paramedics, HCA, Social Prescriber, Pharmacists, Physiotherapist, and administrative team.
Job responsibilities
Post: General Practice Nurse
Responsible to: GP Partner and Practice Manager
Professionally accountable to: Senior Partner
Job Summary: The post holder is responsible for ensuring the delivery of safe and effective nursing care to the whole practice population. As the team leader for the nursing team, the post holder is accountable for nursing service delivery. They will lead and manage all the nursing resources, working closely with the practice management and GPs to deliver the practice priorities. Clinically, the focus of the role is the delivery of evidence-based practice for patients with long-term conditions and management and preventative nursing interventions to all patients. As an autonomous practitioner, the nurse is responsible for the care delivered, demonstrating critical thinking and skills in clinical decision-making. They will work collaboratively with the whole general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing leadership and direction for the nursing team.
Key Responsibilities
Clinical practice
1. Assess, plan, develop, implement, provide and evaluate treatment programmes including, but not limited to:
2. Provide expert clinical care, including triaging, diagnosis, treatment and management of patients with acute presentation/minor illnesses.
3. Manage and treat long-term conditions, in line with national and local policies and practice needs.
4. Review medication for therapeutic effectiveness, in accordance with evidence-based practice and national/practice protocols, and work with patients to support adherence to prescribed treatments.
5. Prioritise health problems, intervening appropriately, to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
6. Support and manage health needs of women presenting for family planning and cervical cytology consultations.
7. Lead, implement and participate in vaccination and immunisation programmes for both adults and children including patients travelling abroad.
8. Meet the needs of patients presenting for opportunistic wound care.
9. Refer patients to other clinicians including secondary care on the direction of a GP.
10. Provide assessments and management for wound care.
11. Provide routine ear-care.
12. Provide assessment of patients presenting with common mental-health problems; stress/anxiety/depression.
13. Provide the NHS Health-check to the practice population.
Communication
1. Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
2. 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, including those receiving bad news.
3. Act as an advocate when representing patients and colleagues.
4. Participate in practice team meetings, delivering the nursing agenda and run nurse department meetings.
5. Produce written documents that evidence the contribution of the nursing team to the practice priorities.
6. Recognise and work within own competence and professional code of conduct as regulated by the NMC.
7. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
8. Prioritise, organise and manage own and others workload in a manner that maintains and promotes quality.
Person Specification
Qualifications
* 1st Level Registered Nurse
* Post-graduate teaching qualification
Experience
* Experience of working in a primary care environment.
* Experience of working as a GPN or community nurse.
* Evidence of using clinical database systems. System 1 or similar.
* Experience of chronic disease management including diabetes, COPD, asthma.
* Experience of working autonomously.
* Experience of infection prevention and control measures.
* Experience of quality initiatives.
* Experience of people management.
* Experience of delivering first contact care.
* Experience of managing change.
* Evidence of patient empowerment.
* Evidence of continued professional development.
* Teaching and mentoring experience.
* Experience of leading a nursing team in a primary care setting.
* Experience of integrated working with other agencies.
* Experience of clinical supervision.
Clinical Knowledge & Skills
* Good team member.
* Awareness of local and national health policy.
* Ability to build and maintain lasting personal relationships.
* Capable of communicating at all levels.
* Able to prioritise and complete work.
* Knowledge of patient group directives and associated policies.
* Ability to work across boundaries.
* Willingness to be flexible and cover for colleagues.
* Confident and enthusiastic.
* Diplomacy.
* Ability to communicate between branch surgeries.
* Advanced leadership skills to network and instigate change.
* Creative, strategic thinker able to identify the opportunities to improve patient services.
* Use knowledge to develop, synthesise and evaluate practice.
* Strong interpersonal skills, with ability to facilitate, negotiate and resolve challenges.
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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