Job summary
We are seeking an experienced registered nurse with an interest in respiratory disease management. To be responsible for the delivery of practice nursing services in a friendly, supportive and progressive environment. To work as part of a dynamic multidisciplinaryteam, delivering a high standard of care within their scope of practice to thepractice population.
A Welsh speaker is desirable for this role, but not essential.
Main duties of the job
The duties will include all tasks normally undertaken by an experienced RGN and in addition any roles agreed between the GP Partners and Practice Manager as appropriate, having regard to current training & regulations. Please see the Job description & person specification for further information.
About us
The Practice area of Meddygfa Taf is predominantly rural, a large farming community, Welshspeaking with a practice population of 7700.
Meddygfa Taf has been a training practice for GP Registrars and medical students for over 30 years. We have a strong training and educational ethos; we understand that we learn by example and sharing of good practice. Our clinical team consists of 6 GP Partners, 2 GP Registrars, 3 Practice Nurses, 2 Health Care Assistants, Phlebotomist, Pharmacy Technician & Cluster Pharmacist. We also work very closely with several external healthcare professionals, such as: Physiotherapists, Occupational therapists, Specialist Nurses, a Social Presciber.
Job description
Job responsibilities
Job responsibilities
Professional:
Managementof the practice Respiratory Disease Patient Register
Assess,plan, develop, implement and evaluate programmes to promote health andwell-being, and prevent adverse effects on health and well-being
Implementand evaluate individual treatment plans for patients with a known long-termcondition
Identify,and manage as appropriate, treatment plans for patients at risk of developing along-term condition
Prioritisehealth problems and intervene appropriately to assist the patient in complex,urgent or emergency situations, including initiation of effective emergencycare
Supportpatients to adopt health promotion strategies that encourage patients to livehealthily, and apply principles of self-care
Provideinformation and advice on prescribed or over-the-counter medication onmedication regimes, side effects and interactions
Supportand advise women requesting information relating to family planning needs
Supportand manage health needs of women presenting for cervical cytology consultations
Recognise,assess and refer patients presenting with mental health needs in accordancewith National/ Local guidelines for Mental Health
Advise,support and, where appropriate, administer vaccinations for patients travellingabroad
Promoteand deliver evidence-based care for patients presenting with aural conditions
Offeradvice about childhood and adult vaccinations and ensure vaccines areadministered under patient group directions
Assessingproblems presented opportunistically by patients
Able todocument consultations according to NMC guidelines
Ensuresawareness of statutory and local clinical protection procedures, includingsystems of referral. Ability torecognize signs and symptoms of abuse
Providea holistic approach to wound management and implement wound care in line withcurrent evidence-based guidelines
Able to recognizeand manage anaphylaxis according to current UK guidelines
Able toperform Cardio-pulmonary resusitation according to current UK guidelines
Assistin the provision of minor surgery
Abilityto obtain and document informed consent (either verbal or written)
Ensureinfection control guidelines are maintained
Abilityto monitor and manage maintenance of stock and equipment
Confidentialityof information gained at work must be preserved at all times
Managerial:
Contributeto the assessment of service needs
Assistpatients to identify their health needs
Contributea nursing perspective to the practice development plan
Manageand organize individual patient consultations
Aware ofidentification and reporting procedures related to professional standards
Toattend staff meetings
Ensureeffective relationships and communications with all external agencies andprofessional bodies
Supportthe Practice Clinical Governance agenda
Identifychanges to clinical practice that are required to implement evidence-basedguidelines
Educational:
Identifypersonal development and training needs in conjunction with the PracticeManager
Participatein clinical supervision
Supportothers with their training and development needs
Toparticipate in continuing education and maintain a contemporary level ofprofessional knowledge and skills
Personnel:
Takereasonable care of his/her own safety and that of other persons who may beaffected by his/her act or omission
Co-operationwith the practice to ensure all members of the team adheres to statutoryregulations/policies and codes of practice safety rules
Offerinnovative ways of working and opportunities to facilitate learning
Facilitatesa learning environment within the team
Maintainsa caring environment through the support of colleagues
Confidentiality
In the course of seekingtreatment, patients entrust us with, or allow us to gather, sensitiveinformation in relation to their health and other matters. They do so inconfidence and have the right to expect that staff will respect their privacyand act appropriately
In the performance of the dutiesoutlined in this job description, the post-holder may have access toconfidential information relating to patients and their carers, practice staffand other healthcare workers. They may also have access to information relatingto the practice as a business organisation. All such information from anysource is to be regarded as strictly confidential
Information relating to patients,carers, colleagues, other healthcare workers or the business of the practicemay only be divulged to authorised persons in accordance with the practicepolicies and procedures relating to confidentiality and the protection ofpersonal and sensitive data
health& safety
The post-holder willimplement and promote their own and others health and safety and infectioncontrol as defined in the practice Health & Safety policy and the practiceInfection Control policy and published procedures. This will include (but willnot be limited to):
Using personal security systems within theworkplace according to practice guidelines
Awareness of nationalstandards of infection control and cleanliness and regulatory / contractual /professional requirements, and good practice guidelines
Responsible for thecorrect and safe management of the specimens process including collection,labelling, handling, use of correct and clean containers, storage and transportarrangements
Awareness and use of and promotion ofPersonal Protective Equipment (PPE) for the practice including provision,ordering, availability and ongoing correct usage by staff
Promote hand hygieneacross the practice
Identifying the risksinvolved in work activities and undertaking such activities in a way thatmanages those risks across clinical and patient process
Knowledge of practice facilities andequipment in relation to infection control, ensuring that provision of handcleansing facilities, wipes etc are sufficient to ensure a good clinicalworking environment
Safe management of sharps proceduresincluding training, use, storage and disposal
Using appropriateinfection control procedures, maintaining work areas in a tidy, clean andsterile, and safe way, free from hazards. Initiation of remedial / correctiveaction where needed
Actively identifying,reporting, and correction of health and safety hazards
Keeping own work areasand general / patient areas generally clean, sterile, identifying issues andhazards / risks in relation to other work areas within the practice
Undertaking periodicinfection control training
Waste managementincluding collection, handling, segregation, container management, storage andcollection
Spillage controlprocedures, management and training
Decontamination controlprocedures, management and training, and equipment maintenance
Maintenance of sterileenvironments
Equality &diversity
The post-holder willsupport the equality, diversity and rights of patients, carers and colleagues,to include:
Acting in a way that recognizes theimportance of peoples rights, interpreting them in a way that is consistentwith practice procedures and policies, and current legislation
Respecting the privacy,dignity, needs and beliefs of patients, carers and colleagues
Behaving in a mannerwhich is welcoming to and of the individual, is non-judgmental and respectstheir circumstances, feelings priorities and rights.
Personal /professional development
Personal/Professionaldevelopment: The post-holder will participate in any raining Programmeimplemented by the practice as part of this employment, such training toinclude:
Participation in an annual individualperformance review, including taking responsibility for maintaining a record ofown personal and/or professional development
Taking responsibility for own development,learning and performance and demonstrating skills and activities to others whoare undertaking similar work
QUALITY
The post-holder will strive to maintain quality within thepractice, and will:
Alertother team members to issues of quality and risk
Assessown performance and take accountability for own actions, either directly orunder supervision
Contributeto the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance
Workeffectively with individuals in other agencies to meet patients needs
Effectivelymanage own time, workload and resources
COMMUNICATION
The post-holdershould recognize the importance of effective communication within the team andwill strive to:
Communicate effectively with other teammembers
Communicate effectively with patients andcarers
Recognise peoplesneeds for alternative methods of communication and respond accordingly
Contribution tothe implementation of services
The post-holderwill:
Apply practice policies, standards andguidance
Discuss with other members of the team howthe policies, standards and guidelines will affect own work
Participate in auditwhere appropriate
Person Specification
Qualifications
Essential
1. Registered Nurse
2. Post graduate diploma or degree (Primary Care)
Desirable
3. Diploma in Chronic Disease Management - Respiratory
Experience
Essential
4. Experience of working in a primary care environment
5. Experience of working as a practice nurse or community nurse
6. Experience of chronic disease management
7. Experience of infection prevention and control measures
8. Clinical Knowledge & skills:
9. Respiratory Disease Management
10. Wound care / removal of sutures & staples
11. ECGs
12. Venepuncture
13. Chaperone Procedure
14. Requesting pathology tests
15. Immunisations (routine, childhood & travel)
16. Womens health (cervical cytology, contraception etc)
17. Understanding the importance of evidence-based practice
18. Broad knowledge of clinical governance
19. Ability to record accurate clinical notes
20. Ability to work within own scope of practice and understand when to refer to GPs
21. Understanding of infection prevention and control measures
22. Understand the requirement for PGDs and associated policy
Desirable
23. Experience with audit and able to lead audit programmes
24. Experience with clinical risk management
25. Travel Medicine
26. Diabetes
27. Hypertension
28. CHD
29. Knowledge of public health issues in the local area
30. Awareness of issues within the wider health arena
31. Knowledge of health promotion strategies
Skills
Essential
32. Excellent communication skills (written & oral)
33. Strong IT skills
34. Clear, polite telephone manner
35. Competent in the use of Office & Outlook
36. Vison / EMIS user skills
37. Effective time management (planning & organisational)
38. Ability to work as a team member & autonomously
39. Good interpersonal skills
40. Problem solving and analytical skills
41. Ability to follow clinical policy and procedure