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To be responsible for the implementation of processes for the effective management of patients with long-term conditions using evidence-based practice including care for elderly and housebound patients.
Working as a senior member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the entitled patient population.
The Practice Nurse will be responsible for a number of clinical areas such as infection prevention and control, chronic disease management, health promotion and screening, immunisation of children/adults, contraception and wound care as well as actively supporting the practice management team in the reviewing and delivery of clinical policy and procedure.
Wetherby surgery & South Milford Surgery must ensure that the post holder has access to appropriate clinical supervision and an appropriate named individual in the organisation to provide general advice and support on a day-to-day basis.
Main duties of the job
Wetherby Surgery and Bramham Medical Centre and South Milford Surgery PRACTICE NURSE P/T
We are looking for a dedicated & enthusiastic Practice Nurse, a team player with a good sense of humour!
You must be registered with the NMC and able to work in a professional and caring way. Nurse duties include:
1. Chronic Disease reviews
2. Childhood Immunisations
3. Contraception
4. Long Term condition Reviews
5. Diabetes Nursing knowledge
6. Respiratory Nursing
7. Cervical Cytology, Travel Vaccines & Advice
8. Wound care & injections
9. Work at branch surgeries required
Salary commensurate with experience
About us
At Wetherby Surgery/Bramham Medical Centre and South Milford Surgery the Nursing Teams work to provide a great service to our patients. They are professional and dedicated and communicate effectively within their own practices and the wider clinical team.
As a surgery we think it is important for all departments to work together to achieve an effective outcome for all our patients.
Job responsibilities
The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
1. To act support the Infection Prevention Control (IPC) lead and to work to the IPC Policy providing audits, training, support and evidence of compliance to the practice manager
2. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
3. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
4. To develop, implement and embed health promotion and wellbeing programmes
5. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing
6. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
7. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
8. To review patient medications to enhance compliance
9. To co-ordinate the provision of travel medicine services
10. To request pathology services and process pathology results as required
11. To provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
12. To maintain accurate clinical records in conjunction with extant legislation
13. To ensure read codes are used effectively by all members of the nursing team
14. To ensure the appropriate maintenance and use of chronic disease registers
15. To provide other clinics for patients, including cervical screening & contraceptive reviews, also Diabetes and Respiratory clinics
16. To ensure compliance with the practice chaperone policy
17. To assist GPs with minor surgery when required
18. To prioritise health issues and intervene appropriately
19. To support the team in dealing with clinical emergencies
20. To recognise, assess and refer patients presenting with mental health needs
21. To implement vaccination programmes for adults and children
22. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
23. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
24. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
25. To support the clinical team with all safeguarding matters, in accordance with local and national policies
26. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
27. To deliver opportunistic health promotion where appropriate
Secondary responsibilities
In addition to the primary responsibilities, the Practice Nurse may be requested to:
1. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
2. Develop, review and implement nursing protocols in conjunction with the partners
3. Participate in local initiatives to enhance service delivery and patient care
4. Support and participate in shared learning within the practice in order to improve patient care
5. Continually review clinical practices, responding to national policies and initiatives where appropriate
6. Participate in the review of significant and near-miss events applying a structured approach, root cause analysis (RCA)
7. Support the practice team with the reviewing and implementation of practice
Person Specification
Qualifications
Essential
1. Registered nurse
2. Experience of working in primary care
3. Chronic disease management
4. Long term condition review clinics
5. Diabetes Clinics
6. Respiratory Clinics
7. Working autonomously
8. Infection and prevention control measures
9. Wound care
10. ECGs
11. Venepuncture
12. Pathology test processing and advise patients
13. Understand importance of evidence based practice
14. Understand the requirement for PGDs and associated policy
15. Ability to record accurate clinical notes
16. Understanding of when to refer to GPs
17. Chaperone procedure
18. Womens health
19. Immunisations
20. Chronic disease management
21. Excellent communication and time management skills
22. Ability to work as a team
23. Problem solving and analytical skills
24. Ability to follow clinical policy and procedure
25. Polite, confident and flexible
26. High levels of integrity and loyalty
27. Sensitive and empathetic
28. Understand needs of the patient
29. Continuing CPD
30. Punctual and committed to team
31. Flexibility to work outside office hours
32. DBS Check
33. OH clearance
34. Meet the requirements and produce evidence for nurse revalidation
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