Nursing Duties 1 Screening - Undertake opportunistic screening BP checks, height, weight, BMI, urinalysis, smoking status. 2 Health Promotion - Provide healthy eating advice to individuals. - Provide smoking cessation advice individually in opportunistic consultations. - Provide individual advice to patients about increasing activity or exercise. - Offer advice on recommended safe limits for alcohol consumption. - Refer as appropriate. 3 Vaccinations and Immunisations - Administer injections under an individualised prescription or Patient Group Direction. - Ensure safe storage, rotation and disposal of vaccines and drugs. - Provide an adult and childhood immunisation service. - Develop and work to Patient Group Directions for POMs. 4 Infection Control - Support patients and lead colleagues in adopting sound infection control measures. - Apply infection control measures within the practice according to local and national guidelines. This includes :- - Universal hygiene precautions. - The collection and handling of laboratory specimens. - Segregation and disposal of waste materials. - Decontamination of instruments and clinical equipment. - Reporting and treatment of sharps injuries. - Dealing with blood and body fluid spillages. 5 Emergency Management - Is competent in anaphylaxis and resuscitation techniques. 6 Child Health Protection - Recognises the signs, symptoms and categories of child abuse. - Understands the importance of recognition, observation, documentation and communication. - Is aware of child health procedures, statutory local procedures and points of referral. - Has knowledge of roles of other practitioners and agencies. - Understands basic legal issues around child abuse. 7 Mens Health - Raise awareness and give basic advice on issues covering :- - Testicular self-examination. - Incontinence and prostatic disease. - Family planning. - Sexual health. - Initiate opportunistic consultations with patients to cover issues of mens health. - Make appropriate referrals. - Provide NHS Health checks. 8 Family Planning - Advise patients on available methods of contraception and refer as appropriate. - Support patients attending for emergency contraception and refer as appropriate. - Perform interval health checks for patients using hormonal contraception. - Teach patients correct condom use. - Teach patients how to reduce risk of sexually transmitted diseases and refer as appropriate. 9 Womens Health - Advise patients on the national and local cervical cytology and mammography screening programmes. - Undertake a programme of cervical cytology sampling under supervision until competent. - Audit a minimum of twenty consecutive smears each year to demonstrate adequate sampling rates. - Promote breast self-awareness, demonstrate breast self-examination and provide supporting literature. - Advise patients about reducing the risk of sexually transmitted diseases and make appropriate referrals. - Take swabs for microscopy as directed. - Give patients basic advice about peri-menopausal and menopausal symptoms and make appropriate referrals. - Advise on the increased peri-menopausal and post-menopausal risk of osteoporosis and heart disease. - Offer health promotion / lifestyle advice to patients. - Advise on basic incontinence management and make appropriate referrals. - Provide NHS Health Checks 10 Travel Health Advice - Offer a holistic approach to travel health including comprehensive advice for patients prior to travel including :- - Vaccinations and medications. - Malaria prophylaxis and bite avoidance. - Safe sex. - Food hygiene. - Sun protection. - First aid and emergency medication. - Health insurance. 11 Chronic Disease Management - The practice holds regular specialist practice nurse led chronic disease clinics (e.g. Diabetes & CHD). - Assist and support with management of above clinics. 12 Wound Management - Perform wound care using aseptic techniques. - Undertake uncomplicated dressings, including leg ulcers. - Suture and clip removal. 13 Minor Illness - Assess and treat conditions presented by patients. 14 Venepuncture - Take blood in line with local procedures. 15 Minor Surgery / IUCDs - Provide support to GPs who perform Minor Surgery and fit IUCDs. 16 Personal and Professional Development - Assist in clinical audit. - Act as a mentor to other staff as required. - Provide chaperone services to other clinicians. - Work effectively in the team. - Monitor and maintain the consistency of professional standards set. - Take appropriate action if standards are not being met. - Recognise the development needs of others. - Support other members of the team. - Participate in evidence based practice. - Be aware of current evidence based approaches to patient care and demonstrate this in practice. - Demonstrate clinical expertise in practice. - Participate in clinical supervision. - Attend and participate in Practice meetings when required 17 Research - We are a GP Research Practice so there may be an occasional requirement to participate in clinical research studies.