Nursing Duties
1. Screening: Undertake opportunistic screening BP checks, height, weight, BMI, urinalysis, smoking status.
2. Health Promotion:
o Provide healthy eating advice to individuals.
o Provide smoking cessation advice individually in opportunistic consultations.
o Provide individual advice to patients about increasing activity or exercise.
o Offer advice on recommended safe limits for alcohol consumption and refer as appropriate.
3. Vaccinations and Immunisations:
o Administer injections under an individualised prescription or Patient Group Direction.
o Ensure safe storage, rotation and disposal of vaccines and drugs.
o Provide an adult and childhood immunisation service.
o Develop and work to Patient Group Directions for POMs.
4. Infection Control:
o Support patients and lead colleagues in adopting sound infection control measures.
o Apply infection control measures within the practice according to local and national guidelines.
o This includes:
+ Universal hygiene precautions.
+ The collection and handling of laboratory specimens.
+ Segregation and disposal of waste materials.
+ Decontamination of instruments and clinical equipment.
+ Reporting and treatment of sharps injuries.
+ Dealing with blood and body fluid spillages.
5. Emergency Management: Is competent in anaphylaxis and resuscitation techniques.
6. Child Health Protection:
o Recognises the signs, symptoms and categories of child abuse.
o Understands the importance of recognition, observation, documentation and communication.
o Is aware of child health procedures, statutory local procedures and points of referral.
o Has knowledge of roles of other practitioners and agencies.
o Understands basic legal issues around child abuse.
7. Mens Health:
o Raise awareness and give basic advice on issues covering:
+ Testicular self-examination.
+ Incontinence and prostatic disease.
+ Family planning.
+ Sexual health.
o Initiate opportunistic consultations with patients to cover issues of men's health.
o Make appropriate referrals.
o Provide NHS Health checks.
8. Family Planning:
o Advise patients on available methods of contraception and refer as appropriate.
o Support patients attending for emergency contraception and refer as appropriate.
o Perform interval health checks for patients using hormonal contraception.
o Teach patients correct condom use.
o Teach patients how to reduce risk of sexually transmitted diseases and refer as appropriate.
9. Womens Health:
o Advise patients on the national and local cervical cytology and mammography screening programmes.
o Undertake a programme of cervical cytology sampling under supervision until competent.
o Audit a minimum of twenty consecutive smears each year to demonstrate adequate sampling rates.
o Promote breast self-awareness, demonstrate breast self-examination and provide supporting literature.
o Advise patients about reducing the risk of sexually transmitted diseases and make appropriate referrals.
o Take swabs for microscopy as directed.
o Give patients basic advice about peri-menopausal and menopausal symptoms and make appropriate referrals.
o Advise on the increased peri-menopausal and post-menopausal risk of osteoporosis and heart disease.
o Offer health promotion / lifestyle advice to patients.
o Advise on basic incontinence management and make appropriate referrals.
o Provide NHS Health Checks.
10. Travel Health Advice:
o Offer a holistic approach to travel health including comprehensive advice for patients prior to travel including:
+ Vaccinations and medications.
+ Malaria prophylaxis and bite avoidance.
+ Safe sex.
+ Food hygiene.
+ Sun protection.
+ First aid and emergency medication.
+ Health insurance.
11. Chronic Disease Management: The practice holds regular specialist practice nurse led chronic disease clinics (e.g. Diabetes & CHD). Assist and support with management of above clinics.
12. Wound Management:
o Perform wound care using aseptic techniques.
o Undertake uncomplicated dressings, including leg ulcers.
o Suture and clip removal.
13. Minor Illness: Assess and treat conditions presented by patients.
14. Venepuncture: Take blood in line with local procedures.
15. Minor Surgery / IUCDs: Provide support to GPs who perform Minor Surgery and fit IUCDs.
16. Personal and Professional Development:
o Assist in clinical audit.
o Act as a mentor to other staff as required.
o Provide chaperone services to other clinicians.
o Work effectively in the team.
o Monitor and maintain the consistency of professional standards set.
o Take appropriate action if standards are not being met.
o Recognise the development needs of others.
o Support other members of the team.
o Participate in evidence based practice.
o Be aware of current evidence based approaches to patient care and demonstrate this in practice.
o Demonstrate clinical expertise in practice.
o Participate in clinical supervision.
o Attend and participate in Practice meetings when required.
17. Research: We are a GP Research Practice so there may be an occasional requirement to participate in clinical research studies.
#J-18808-Ljbffr