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.
IT IS ESSENTIAL THAT YOU HAVE EXPERIENCE OF REVIEWING AND MANAGING DIABETIC PATIENTS.
Nurse duties include:
1. Chronic Disease reviews
2. Childhood Immunisations
3. Contraception
4. Diabetes Nursing knowledge
5. Respiratory Nursing
6. Wound care & injections
7. 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, i.e., root cause analysis (RCA).
7. Support the practice team with the reviewing and implementation of practice.
Person Specification
Qualifications
* Experience of working in primary care.
* Experience in chronic disease management.
* Experience in Long term condition review clinics.
* Experience in Diabetes Clinics.
* Experience in Respiratory Clinics.
* Ability to work autonomously.
* Knowledge of infection and prevention control measures.
* Experience in wound care.
* Experience in ECGs.
* Experience in Venepuncture.
* Experience in pathology test processing and advising patients.
* Understanding of the importance of evidence-based practice.
* Understanding of the requirement for PGDs and associated policy.
* Ability to record accurate clinical notes.
* Understanding of when to refer to GPs.
* Knowledge of chaperone procedure.
* Experience in immunisations.
* Experience in chronic disease management.
* Excellent communication and time management skills.
* Ability to work as a team.
* Problem-solving and analytical skills.
* Ability to follow clinical policy and procedure.
* Polite, confident and flexible.
* High levels of integrity and loyalty.
* Sensitive and empathetic.
* Understanding of the needs of the patient.
* Commitment to continuing CPD.
* Punctual and committed to the team.
* Flexibility to work outside office hours.
* DBS Check.
* OH clearance.
* Meet the requirements and produce evidence for nurse revalidation.
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.
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