Do you have a passion for Asthma / COPD or Diabetes? We have an exciting opportunity at Lakeside Healthcare St Neots for a registered nurse who wants to make a difference in our patient's lives. We are a large friendly practice with a great team of existing Nurses / AHPs.
Responsibilities:
* Responsible for providing and delivering primary health care interventions and care effectively and efficiently.
* Working collaboratively with the multi-disciplinary general practice team and other healthcare professionals to promote integrated pathways of care to meet patient needs.
* Effective communication with patients, carers, and all members of the MDT.
* Effective prioritisation and completion of daily work in line with clinical patient need and practice priorities.
* Maintenance of accurate and legible patient records in line with professional and organisational requirements, including contemporary paper records and electronic patient record systems.
* Actively participates and contributes to nurse team meetings.
* Initiates health promotion activities with individuals, patients, and carers.
* Participates in clinical audit and the implementation of changes to ways of working and/or clinical practice as a result of findings, recommendations, and action plans.
* Proactive in improving and influencing the patient care pathway/journey.
* Participates in risk assessment and promotes the safety and well-being of patients, staff, and any other persons at all times, assisting in ensuring a safe work environment.
* Ensure that any complaints or incidents are identified and reported to the lead GP, Nurse Manager, or Practice Manager in accordance with the organisational policy and expected professional practice.
* Monitors and orders stock levels and equipment in line with budget and lean principles.
* Responsible for the security, care, and maintenance of equipment ensuring standards of infection control and safety are maintained.
* Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations.
Duties Include:
* Providing treatment services and health education advice, including dietary advice, blood pressure checks, urinalysis, health screening, ear syringing, dressings, ECG, phlebotomy, routine injections, sexual health, contraception, routine immunisations and vaccinations, removal of sutures/clips, baby immunisations, assisting with the fitting of IUCD/IUS, first registration checks/health surveillance/general health advice, assisting with minor procedures in the treatment room, and acting as chaperone as required.
* Provide general and specific health screenings to the practice patients (within agreed protocols) with referral to other members of the primary and secondary health care team as necessary.
Required Skills:
* Urinalysis and preparation of specimens for laboratory analysis.
* Temperature, pulse, blood pressure, and respiratory rate.
* Weight, height, waist circumference, and Body Mass Index.
* Measurement of legs for compression hosiery.
* ECGs, ambulatory blood pressure monitoring.
* Near patient testing blood glucose, lipids, and INR.
* Doppler ultrasound measurement working with registered nurse.
* Measurement of airway function (peak expiratory flow rate and spirometry).
* Obtain venous blood samples from individuals for investigation.
* Administer medications by injection with the appropriate legal authorisation.
Health Promotion:
* Recognise health promotion opportunities and give brief, focused lifestyle advice using motivational interviewing techniques which may include alcohol screening, smoking cessation, weight management, and sexual health.
* Undertake initial assessment of patients presenting with wounds, working within expertise to manage independently or refer to other services as necessary.
* Remove wound closure materials including sutures, clips, and staples.
* Take samples for the cervical screening programme according to recognised standards.
* Provide ear care including removal of cerumen and provide education and advice.
* Administer vaccines to adults and children according to the UK immunisation schedule.
* Provide a pre-travel health service including administration of vaccines and advice after undertaking appropriate risk assessment.
* Administer prescribed therapies such as contraceptive injections, vitamin B12, and depo neuroleptic medications recognising side effects and contraindications.
* Develop and follow referral pathways for patients with specialist needs.
Minor Illness:
* Support the Same Day/Urgent Care services as defined by role and competence.
* Triage and treat patients wishing to see a health care professional making any necessary referrals to other members of the primary health care team.
* Advise patients on general health care and minor ailments with referral to other members of the primary and secondary health care team as necessary.
Long Term Conditions:
* Assist nurse-run long term condition clinics and carry out clinical measurements and near patient testing for patients with diabetes, asthma, and COPD in line with NICE guidance and Quality and Outcome Framework indicators.
* Recognise signs and symptoms that may indicate undiagnosed long term conditions, poor wound healing, winter cough in smokers, and factors that may indicate mental health problems, and use relevant referral pathways.
* Work in accordance with Practice protocols to ensure the safe and effective management of patients with Chronic Diseases.
Other Responsibilities:
* Record accurate consultation data in patients’ records in accordance with the latest NMC guidance and other pertinent standards.
* Maintain professional registration and practice in accordance with NMC requirements.
* Attend and participate in nurse meetings.
* Participate and support service improvement initiatives.
Training and Personal Development:
* Using professional skill and expertise, actively participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate.
* Maintain professional portfolio and ensure professional requirements are met.
* If it is necessary to expand the role to include additional responsibilities, full training will be given.
Person Specification:
Experience Essential:
* Willingness to undertake training and education to achieve core skills and experience required of a Practice Nurse.
* Experience of managing/dealing with the public/patients.
* Willingness to improve and develop the patient experience and patient care pathway.
* Experience of working within healthcare governance systems and understands role and responsibilities for CQC and within risk management.
* Experience of using clinical systems & Microsoft Office software.
Desirable:
* Experience in Primary or Community Care Nursing.
* Clinical skills and competence in Practice Nurse Treatment Room interventions.
* Management of long-term conditions.
* Involvement in implementing and using protocols and clinical guidelines.
* Experience of audits and/or research.
* Experience of SystmOne.
* NMC 1st level Registration.
* Evidence of continued professional development.
Desirable Qualifications:
* Primary Care Nursing qualification.
* Accredited Diploma Level Award in chronic disease management.
* Mentorship course.
LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are bold, adventurous, and ambitious and determined to thrive in uncertain times. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. We serve the healthcare needs of over 170,000 patients across four counties: Northamptonshire, Rutland, and Lincolnshire & Cambridgeshire. Joining our team presents an opportunity to be part of a large organisation that is changing the way primary care is delivered today.
Lakeside Healthcare is a new type of NHS general practice which builds upon and celebrates all that is great about traditional primary care services. We are local surgeries run by doctors, nurses, and associated staff who know their patients and care deeply about the quality of health provided in their communities. We build upon this by investing in people, facilities, and equipment to provide services that are more accessible, more convenient, and more diverse within the local community. We work for our patients. Lakeside St Neots has a great Nursing/AHP team with a wide range of skills, we have a good support network and offer different training opportunities.
Please note: The post is a fixed term contract for 12 months to cover maternity leave. This is a full-time position, although a job share would be considered.
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