An exciting opportunity has become available to join The Market Surgery as a Practice Nurse. The successful applicant will be able to work autonomously over a wide range of care situations; including treatment room nursing, minor injuries, and chronic disease management clinics.
Main duties of the job
1. Working autonomously and using sound clinical judgement and knowledge to provide a wide range of nursing services within agreed practice protocols, guidelines (both local and national), PGDs and PSDs.
2. To continually improve the reputation of Market Surgery for its nursing services.
3. To alert the Nurse Manager or Doctors to any potential problems and to consider/suggest/take corrective action as and when required.
4. To read and follow all standard operating procedures, CQC protocols, at all times maintaining the highest levels of service delivery to patients, doctors, staff, and external providers.
5. To read and follow the approved Information Governance policy, at all times maintaining the highest levels of confidentiality regarding patient, colleague, and commercial information and to report any breach or suspected breach immediately.
6. At all times, to maintain the highest standards of behaviour, to comply with and follow practice policies, protocols, and procedures e.g. health & safety, equality & diversity and to report any breach or suspected breach immediately.
7. To provide cover for members of the nursing team during periods of sickness and annual leave.
8. To undertake regular mandatory training and personal development, to keep PDP and professional registration up to date and to attend staff meetings.
9. To undertake any other activities that may from time to time be reasonably requested by the Managers or the Partners.
About us
The Market Surgery is a busy seven doctor practice providing care to over 10,000 patients in and around Aylsham in North Norfolk. Working from modern, purpose-built premises, located a short walking distance from the centre of Aylsham, we aim to provide a friendly and efficient service to patients fulfilling all their primary care needs. All our consulting rooms are on the ground floor, we have a dispensary next to the reception area and we have a car park for the use of our patients.
The practice is part of Norfolk and Waveney Integrated Care Board. We are a training practice for GP Registrars and medical students.
Job responsibilities
1. Working autonomously and using sound clinical judgement and knowledge to provide a wide range of nursing services within agreed practice protocols, guidelines (both local and national), PGDs and PSDs including the following areas:
1. Contraceptive checks, family planning, and sexual health advice, monitoring and administration.
2. Cervical cytology programme once adequately trained.
3. Investigations including swabs, urinalysis, venepuncture, capillary blood testing, BP measurement, 24-hour BP monitoring, ECGs, assessing and dealing with results with appropriate onward referral to other members of the clinical team.
4. Immunisations, including childhood, adult, travel, flu, and any additional immunisation programmes, as directed.
5. Care within the Local Enhanced and Direct Enhanced Service contracts including, D-dimer assays, Health Checks, Near Patient Testing, Prostate and PSA, Alcohol Monitoring, Post-Operative care, Minor Surgery and Minor Injury services.
6. INR/Warfarin initiation and monitoring, warfarin dosing service based on practice protocol, INR Star computer dosing program, ensuring safe patient management and appropriate onward referral if results are outside of safe levels.
7. Wound assessment: provide care using appropriate dressing treatments to promote healing. Ongoing management assessing for progress or deterioration and acting on findings appropriately to promote healing and minimise discomfort and distress to the patient.
8. Chronic disease monitoring and management in regular clinics which includes Diabetes, CHD, Stroke, Hypertension, Mental Health, Learning Disability, Peripheral Vascular Disease, CKD and Rheumatoid Disease, ensuring that patients with a change in condition or bloods/measurements outside of target range are dealt with appropriately through action or onward referral.
9. To develop skills in the diagnosis, monitoring, and ongoing management of patients with respiratory conditions such as asthma, COPD, and interstitial lung disease.
10. To take an active role in developing innovations to improve care and admission avoidance for this group of patients.
11. Urgent care for patients who may be present at surgery with breathing difficulties such as asthma or COPD, or chest pain ensuring help has been summoned.
12. Ear care and advice.
2. To continually improve the reputation of Market Surgery for its nursing services by:
1. Meeting accepted standards of best practice.
2. Working effectively and efficiently with clinicians, other staff, suppliers, and community colleagues.
3. Adhering to the approved infection control policy, using appropriate PPE, handwashing and taking an active part in clinical cleaning procedures and clinical checks to ensure a safe environment in which to provide patient care.
4. Providing timely assessment of patients raising concerns and/or discussing symptoms during a consultation ensuring appropriate advice/feedback and/or onward referral to other members of the health care team.
5. Recognising and reporting Safeguarding concerns for both adults and children.
6. Demonstrating effective time management, organising and prioritising regular workload within timings of clinics and accommodating urgent patients where needed.
7. Recording all data in patient records in a timely manner as required by the NMC code using accurate read coding to allow audit and statistical assessment.
8. Recognising barriers to effective communication in patients, such as altered perception, hearing loss, pain, fear and making allowances for this.
9. Providing support and training to less qualified members of the nursing team and taking an active role in practical training of medical students and GP Registrars.
3. To alert the Nurse Manager, Doctors and/or the Practice Manager to any potential problems and to consider/suggest/take corrective action as and when required.
4. To read and follow all standard operating procedures, including CQC protocols, at all times maintaining the highest levels of service delivery to patients, doctors, staff, and external providers.
5. To read and follow the approved Information Governance policy, at all times maintaining the highest levels of confidentiality regarding patient, colleague, and commercial information and to report any breach or suspected breach immediately.
6. At all times, to maintain the highest standards of behaviour, to comply with and follow practice policies, protocols, and procedures e.g. health & safety, equality & diversity and to report any breach or suspected breach immediately.
7. To provide cover for members of the nursing team during periods of sickness and annual leave.
8. To undertake regular mandatory training and personal development, to keep PDP and professional registration up to date and to attend staff meetings. To achieve Level 2 in Safeguarding children training within 6 weeks of being in post.
9. To undertake any other activities that may from time to time be reasonably requested by the Nurse Manager, the Practice Manager or the Partners.
This job description is not exhaustive and may be amended from time to time in consultation with the post holder, agreement to such changes is not to be unreasonably withheld.
Person Specification
Qualifications
* RGN Qualification
* Current NMC registration
* Accredited training in chronic disease management
* Cervical cytology qualification
* Trained in COPD
Experience
* Up-to-date training in childhood immunisations
* Health promotion
* Family planning
* Evidence of recent updating in primary care
* Working with SystmOne
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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