Key Responsibilities Act as a positive role model to staff and patients. Assess individuals health needs using an evidenced based framework. Provision of holistic care. Administer treatment within protocols, policies and clinical guidelines. Review medication for therapeutic effectiveness appropriate to the patients needs in accordance with evidence based practice and clinical guidelines. To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice. Administer medication within Patient Group Directions or Patient Specific Direction and to understand these methods of delivering medication. Demonstrate advanced clinical skills in aspects of chronic disease management appropriate to your scope of practice. Demonstrate advanced clinical skills in all aspects in the delivery of the immunisations and vaccinations service. Referral / sign posting to appropriate health professionals / services. Provide patient information and education. Provide supervision and support of Healthcare Assistants at the practice. Ensure clinical protocols are adhered to at all times. Work at all times within the NMC Code of professional practice. Support line managers. To participate and assist in the setting of standards of patient care based on sound research findings. To complete on-line and face to face training as required, maintaining competence and professional development. Demonstrate flexible and innovative ways of working to provide access to the patient population. Maintain confidentiality and trust at all times. Adhere to consent and understand the working principles involved, especially in relation to vulnerable groups. Clear contemporaneous recording and updating patient care records. Maintaining a portfolio of professional development for NMC revalidation to maintain professional registration. Clinical Role Undertake clinical reviews of patients presenting with a range of conditions which may include: Long Term Conditions, Diabetes, Asthma, COPD, CKD, Hypertension, Cerebrovascular disease, Dementia and Coronary Heart Disease in line with practice protocols. Provide a comprehensive range of nursing services which may include: v Venepuncture, v Electrocardiograms, v Ear examination and irrigation (if appropriate), v Testing and recording patients temperature, pulse, blood pressure and urinalysis, v Minor and complex wound management, including referral (where appropriate) v NHS travel vaccinations including comprehensive advice to patients prior to travel, v Family planning and womens health, v Cervical cytology, v NHS health screening, v Promote and participate in the chlamydia screening programme, v Smoking cessation advice, Implement National and Local immunisation programmes for both adults and children under an individualised prescription or Patient Group Directive. Provide nurse cover for treatment room, as required. This will include care for patients presenting with uncomplicated dressings. Prevent inappropriate admission to hospital with patient education. Identify vulnerable patients and set action plans for lifestyle changes. Access and Support preparation, management and after care of patients having minor surgery on the premises. Undertake opportunistic health screening of patients in line with practice policy and offer appropriate advice. Support patients to adopt health promotion strategies that promote patients to live healthily and encourage self-care. Provide an opportunity for patients to share emotional and psychological issues within a consultation. Provide appropriate anaphylactic and emergency care according to practice guideline. It is necessary to contribute fully in any local or national initiatives, procedures and targets for example, Quality Outcomes Framework (QOF) and enhanced services etc. Recognise the signs of child abuse, family violence, vulnerable adults, substance abuse, addictive behaviours, suicidal tendencies and be aware of local, referral procedures. Undertake annual training and demonstrate competency in anaphylaxis and resuscitation techniques. Carry out home visits (where appropriate) for patients who are not able to attend the practice for routine nursing procedures where a visit from a member of the community nursing team is not appropriate. Administrative and professional responsibilities Participate in the administrative and professional responsibilities of the Practice. Ensure accurate and contemporaneous notes of all consultations and treatments are recorded in the patients notes on the clinical computer system as appropriate in accordance with NMC and local policies. Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Practice. Ensure collection and maintenance of statistical information required for regular and ad hoc reports. Attend and contribute in Practice meetings as required. Assist in the formulation of Practice values and behaviours, strategy and policy and develop appropriate protocols. Ensure that efficient and appropriate stock control is in place. Personal and Professional Development Contribute in continuing professional development opportunities to ensure that up-to date evidence based knowledge and competence in all aspects of the role is maintained. Maintain professional registration and work within the latest NMC code of Professional Practice. Continually seek improved patient outcomes through on-going education/training/sharing of learning with team. Advise and support other members of the team. Delegate clearly and appropriately, adopting the principal of safe practice. Use current evidence based approach to patient care in line with local and National guideline. Participate in annual appraisals. Maintain own NMC registration and membership. Communication The post-holder should recognise the importance of effective communication within the team. Will communicate effectively with other team members. Will communicate effectively with patients and carers. Recognise individual needs for alternative methods of communication and respond accordingly. Team Working Understand own role and scope in the practice and identify how this may develop over time. Work as an effective team member, supporting others and exploring the mechanisms to develop new ways of working. Ensure clear referral mechanisms are in place to meet patient need. Prioritise own and others workload and ensure effective time-management strategies. Work effectively with others to clearly define values. Participate and support local projects as agreed with the Practice management team. Quality The post-holder will strive to maintain quality within the practice Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources.