Orchard Surgery has an exciting opportunity for an experienced nurse to join our friendly practice. A fantastic multidisciplinary team will support you, comprising of GPs, paramedics practitioners, clinical pharmacists, practice nurses, HCAs, care coordinators, a health coach, and we are currently recruiting a social prescriber. All staff have the opportunity to extend their roles and develop new skills. There are opportunities for leadership and specialization. Some of our care navigators are trained to do ECGs and urine dips, freeing up our nurses to undertake more specialized care. We are currently looking at the role of group consultation for diabetes and other LTCs having successfully implemented menopause group consultation. Our nurses have regular meetings as a nursing team, fortnightly clinician meetings in practice, and collaborative nurse-led meetings in the PCN. You will also have access to regular mentoring and clinical supervision. Orchard Surgery is part of the new Park and Orchard PCN in Horsham. We work collaboratively together and with our local community in partnership. Our current focus is on improving proactive care for our frail elderly housebound patients and access to women's health. There is a strong focus on Staff Wellbeing in the practice. We close the practice front doors for 1 hour at lunchtime to allow staff to take a break, have lunch together, or go for a walk. We also offer training sessions at lunchtimes.
Main duties of the job
1. Wound Care Management
2. Primary Immunisations
3. Travel Immunisations
4. Stock Management
5. ECGs
6. Cervical Screening
7. Supporting and mentoring the HCA team
8. Working collaboratively within the PCN
About us
Orchard Surgery is located in the centre of Horsham. Practice parking is available. We are based within a modern, purpose-built surgery and are dedicated to providing a high-quality service to our patients. We are an innovative friendly practice and we are keen to support our staff wellbeing. Orchard Surgery is also a member of Horsham Central Primary Care Network. Our PCN is progressive and keen to develop collaborative working with the community locally. We have strong teams of ARRS roles, which contribute to the care we can offer our patients and help reduce the demand on our practice staff.
Job responsibilities
Key Responsibilities:
1. Identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition, as appropriate.
2. Work with other health care professionals to diagnose, monitor, manage & treat long-term conditions including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs.
3. Infection control policies, training and implementation.
4. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice, national and practice protocols with GP support.
5. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
6. Support patients to adopt health promotion strategies that promote healthy living, and apply principles of self-care, utilising community assets such as the Horsham Wellbeing Hub.
7. Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
8. Participate in planning and implementing changes within the area of care and responsibility.
Job Responsibilities:
1. Provide assessment, screening and treatment services and health education advice.
2. Participate in organising and co-ordinating the provision of nursing services for the practice to include the delegation of duties to other practice team members as appropriate.
3. Provide nursing treatments to patients in participation with general practitioners or independently to agreed protocols.
4. Provide general and specific health screenings to the practice patients- within agreed protocols with referral to general practitioners as necessary.
5. Advise patients on general health care and minor ailments with referral to GPs as necessary.
6. Deliver vaccinations and immunisations as required.
7. Meet the needs of patients presenting for wound care.
8. Supplies and equipment treatment rooms and other areas.
9. Ensure the maintenance of equipment and stock levels relating to patient care.
10. Pathological specimens and investigatory procedures.
11. Undertake to support the administrative team in the collection, storage and dispatch of pathological specimens including swabs, smears etc.
Administrative and professional responsibilities
1. Participate in the administrative and professional responsibilities of the Practice team.
2. Ensure accurate notes of all consultations and treatments are recorded in the patients notes and on the clinical computer system as appropriate.
3. Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Practice.
4. Ensure collection and maintenance of statistical information required for regular and ad hoc reports, audits and research programmes.
5. Attend and participate in practice clinical meetings on a regular basis.
6. Assist in the formulation of practice philosophy, strategy and policy and develop appropriate protocols.
Research projects and training
1. Co-operate and participate as required in any research projects within the Practice.
2. Support student/staff education and training, in particular student nurses, HCAs and those on work experience or induction.
3. Maintain effective liaison with other agencies and staff concerned with patient care and with all other disciplines within the Practice, with appropriate regard to confidentiality.
4. Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional or practice development, and participate in any training programme implemented by the practice as part of this employment.
5. Participation in an annual individual appraisal, including taking responsibility for maintaining a record of own personal and/or professional development.
6. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work including participation in clinical supervision and acting as a positive role model.
7. Support the development of others in order to maximise potential.
Confidentiality:
Have an awareness that patients entrust us in the course of seeking treatment, with sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety:
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:
1. Using personal security systems within the workplace according to practice guidelines.
2. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
3. Making effective use of training to update knowledge and skills.
4. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
Person Specification
Experience
* Highly motivated to progress in learning and to provide excellent care for our patients.
* Flexible, enthusiastic and team player.
* Experience of working in primary care.
* Experience of working in a GP practice.
Qualifications
* Registered first level nurse Community nursing specialist qualification or equivalent relevant nursing or health degree.
* Interest in a long-term career in Primary Care nursing.
* At least 1 year recent primary or community nursing experience.
* Minimum 3 years post-registration experience.
* At least 1 year recent primary/community nursing experience.
* Diabetes Management.
* Be a trained and registered smear taker or at least willing to train.
* Independent or supplementary nurse prescribing qualification.
* Clinical supervision training and experience.
* Experience of nurse-led management of long-term conditions.
* Experience of implementing protocols and clinical guidelines.
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.
Part-time, Flexible working, Compressed hours.
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