An exciting opportunity has arisen for an enthusiastic and motivated Practice Nurse to join our vibrant, forward-thinking practice. The successful candidate will be an integral part of the nursing team and will be responsible for participating in the delivery of high-quality patient care. We welcome applications from both newly qualified Practice Nurses and those with wider NHS/Primary Care experience.
Main duties of the job
As a Practice Nurse your main duties will include the following:
* Help patients with a wide range of long-term conditions and provide high standards of clinical care. Work alongside our internal nursing team along with other community teams to deliver a high-quality service to patients.
* Perform tasks prescribed and delegated by the GP Partners, working unsupervised to Patient Group Directions, agreed protocols, within an evidence base and within defined competencies.
* Assess patients and implement any treatment plans or reviews at their own discretion.
* Report to the Lead Practice Nurse (or other senior members of the practice team) with any concerns/queries.
About us
About Boughton Health Centre
Boughton Health Centre is a large, well-established practice located in the beautiful and historic city of Chester. We are a supportive, high-performing practice situated in a modern purpose-built GP building, with approximately 13,000 patients. You will work alongside a large Practice Team comprising of 1 GP Partner, 9 salaried GPs, 2 Advanced Nurse Practitioners, 3 Practice Nurses (including 1 Lead Practice Nurse), 2 HCAs and 1 Nurse Associate supported by a well-structured Management Team.
Job responsibilities
Main Responsibilities
* Provide assessment, screening and treatment services which are relevant to patients and their families. Assist in the provision of general practitioner services.
* Ensure own actions are consistent with clinical governance systems, monitor and maintain the health, safety and security of self and others within the practice.
* Participate in the administrative and professional responsibilities of the practice nursing team: assist in the implementation of policies, standards and guidelines for nursing care within the practice. Attend and participate in practice and staff meetings.
* Support patients and colleagues in adopting sound infection control measures.
* Perform regular checks on all equipment and drugs and ensure records are up to date.
* Participate in the research/audit within the practice as required.
* Liaise with health authority staff in hospital and community, social services staff and voluntary organisations to provide an adequate service to patients, and provide access to specialist nurse/GPs.
* Maintain professional development by attending courses and reading. Attend study days after discussion with senior GPs within the practice to take account of the needs of the practice. Expected to attend learning events as required by the practice and to take part in an annual Appraisal process.
* Maintain electronic patient records: input data at time of consultation; update knowledge of annual QOF requirements.
* Maintain confidentiality of patient information.
* Follow the principles of safeguarding vulnerable adults and children in accordance with Practice Policy.
General Duties:
* Act as a chaperone when needed.
* Nursing of minor ailments.
* Monitoring blood pressure and Hypertension Management.
* Peak Flow / Spirometry.
* Performing ECGs.
* Phlebotomy and INR testing.
* Requesting pathology tests: urine culture, swabs and blood tests.
* Wound care.
* Ulcer care and dressings.
* Doppler.
* Removal of Sutures and Clips.
* Undertake Health Screening, Surveillance and Health Promotion.
* Provide support to patients in changing behaviours/habits: diet, exercise, alcohol, smoking cessation.
* Childhood immunisations.
* Recognise signs, symptoms and categories of abuse, to be aware of safeguarding procedures, statutory local procedures and points of referral.
Chronic Disease Management (Including Diabetes, Asthma, COPD):
* Assist in maintaining GP contract regarding chronic disease patients.
* Additional training for chronic disease management can be provided.
* Work within practice guidelines, ensuring safe practice and acknowledge limitations.
* Work alongside practice team to reach/achieve QOF targets.
This job description is not exhaustive and is considered as a guide only and will be subject to change in consultation with the post holder.
Person Specification
Experience
* Experience of working in accordance with the NMC Code of Professional Conduct.
* Proven ability to evaluate the safety and effectiveness of their own clinical practice.
* Evidence of appropriate continuing professional development activity.
* Experience of dealing with vulnerable patients.
* Understanding of equal opportunity and diversity issues.
* Ability to establish & maintain effective communication pathways within the organisation, with commissioners, other providers, and key external stakeholders.
* Significant post registration experience (minimum of 5 years).
* Worked within general practice.
* Recent primary and community nursing experience.
* Experience of using EMIS Web, Docman & Ardens.
* Knowledge of patient group directives and associated policy.
Qualifications
* NMC Registered.
* Evidence of appropriate continuing professional development activity.
Skills & Knowledge
* Ability to record accurate clinical notes.
* Knowledge of clinical governance.
* Knowledge of Infection Prevention Control including Public Health issues in the local area.
* Communication, both written and verbal.
* Time management skills and ability to prioritise, plan and problem solve.
* Ability to use IT confidently and effectively.
* Ability to work in a fast-changing environment.
* Ability to assess and manage risk effectively and safely.
* Able to work under pressure.
* Able to multi-task and cope with an unpredictable work pattern.
* Knowledge of LES/DES/QOF/CQC related clinical and administrative work.
* Immunisations (routine, childhood and travel).
* Venepuncture.
* Management of long-term conditions such as Diabetes, Hypertension, Asthma, Spirometry and CHD.
Personal Qualities & Attributes
* Ability to listen, empathise with people and provide person-centred support in a non-judgemental way.
* Commitment to reducing health inequalities and proactively working to reach people in all communities.
* Able to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders.
* Ability to identify risk and assess/manage risk when working with individuals.
* Strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of your role.
* Demonstrates personal accountability, emotional resilience and works well under pressure.
* Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines.
* Ability to work flexibly and enthusiastically within a team or on own initiative.
* Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety.
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.
£29,970 to £44,962 a year (Agenda For Change Band 5/6 equivalent)
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