KEY ROLE CLINICAL NURSING PRACTICE The Practice Nurse works independently using own initiative and is accountable for their own professional actions. Administers adult and child immunisations and vaccinations in accordance with national and local programmes. Is competent in anaphylaxis and resuscitation techniques. Ensures safe storage, rotation and disposal of vaccines and drugs and adequate stock levels are maintained. Offers comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, food hygiene, sun protection, first aid and emergency medication, health insurance and vaccinations. Undertakes procedures to include, venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing and cytology, wound management, cryosurgery. Provides a comprehensive family planning service. Recognises and understands the importance of observing, documenting and communicating the signs and symptoms of child and adult abuse. Works within all relevant practice and CCG policies and procedural guidelines eg infection control, chaperoning and patient group directions. KEY ROLE CARE AND PROGRAMME MANAGEMENT Undertakes chronic disease monitoring clinics within the practice in order to meet the requirements of QoF. Initiates the process of diagnosis with patients suspected to have a chronic disease eg diabetes, COPD, asthma, CHD referring to other clinicians as appropriate. Maintains disease registers. Audits outcomes of care against standards and initiates changes as necessary. Undertakes annual review of patients understanding and ability to self manage. Refers to other members of the extended primary health care team eg chiropodist, dietician, and specialist nurses. KEY ROLE HEALTH PROMOTION Initiates and carries out programmes of health screening. Enables, encourages and supports individuals, families and groups to address issues which affect their health and social well-being. Represents individuals and families interests when they are not able to do so themselves. Provides healthy lifestyle and smoking cessation advice to individuals and groups. Develops and maintains the health promotion material within the practice. Makes referrals to statutory and voluntary agencies as appropriate. KEY ROLE MANAGE SELF Contributes to the development, monitoring and evaluation of care delivery by the Nursing Team. Promotes effective communication and relationships within the team. Works collaboratively as a team member to achieve the objectives Partakes in clinical supervision for own development. Recognises the development needs of others and provides clinical supervision to HCAs Actively participates in clinical and practice meetings. Develops own knowledge and practice to meet objectives/changes in service.