We have an exciting opportunity for an experienced Nurse to join our team at Mulberry/City practice, on a permanent 9.5 hours per week contract (to be worked on a Friday).
Informal visits and/or discussions in confidence are strongly encouraged. For more information, please contact Clinical Nurse Manager, Laura Carnall at laura.carnall@nhs.net.
Please note the vacancy may be closed early, should a suitable number of applicants be received.
Main duties of the job
We are looking for a reliable, enthusiastic and motivated Practice Nurse to work with us. A nurse who can provide excellent care and has a true dedication for improving health outcomes for patients.
The successful candidates will be a registered nurse, ideally with experience of working in General Practice.
The post holder will work as a member of the Practice Nursing Team and be responsible for acting within their professional boundaries to provide care for the presenting patient including screening, clinical assessment, diagnosis, treatment and follow up of care; demonstrating safe clinical decision making and expert patient care.
They will be involved in all areas of Chronic Disease Management (Asthma, Diabetes, COPD etc.)
The work is interesting, often challenging but hugely rewarding. The team is very mutually supportive, with excellent experienced clinical, management and administrative support on site.
On appointment you will have a full induction into the service and support will always be available when needed from our Clinical Nurse Lead.
About us
Primary Care Sheffield (PCS) is a GP-led organisation. Our shareholders are 75 GP practices in Sheffield covering over half a million patients. As well as providing a unified voice for general practice in the city, we play an active role both within our Accountable Care Partnership (ACP) and the wider South Yorkshire and Bassetlaw Integrated Care System (ICS).
Job responsibilities
Job Title: Practice Nurse
Responsible to: Clinical Nurse Manager
Hours: 9.5 hours
Band: PCS Band E
Location: Primary Care Sheffield Practices
1. Job Summary
To work as a member of the Practice Nursing Team and be responsible for acting within their professional boundaries to provide care for the presenting patient including screening, clinical assessment, diagnosis, treatment and follow up of care; demonstrating safe clinical decision making and expert patient care.
To be involved in all areas of Chronic Disease Management (Asthma, Diabetes, COPD etc.)
The Practice Nurse will work collaboratively with the clinical team which will include GPs and other health care professionals.
2. Main Duties and Responsibilities
Key Result Areas
2.1 Clinical Care
* Assist in and perform routine tasks relating to patient care
* Undertake and promote cervical cytology
* Provide a comprehensive family planning service and sexual health service
* Undertake Spirometry and have undertaken relevant training
* Manage newly diagnosed patients with Asthma, COPD & Diabetes
* Undertake Chronic disease management and prevention Asthma, COPD, Diabetes, Hypertension, Hypothyroidism, IHD, Stroke & LD
* Perform wound care using aseptic technique and general wound care
* Undertake opportunistic screening of BP checks, height, weight, BMI, urinalysis, glucose monitoring and smoking status.
* To undertake phlebotomy
* Administer injections under an individual prescription or patient group direction
* Offer a holistic approach to travel health including comprehensive advice for patients prior to travel.
* Undertake ear syringing.
* Support patients and colleagues in adopting sound infection control measures
* Competent in anaphylaxis and resuscitation techniques
* Child Health and Child Protection
* Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills
* Refer and use social prescribing teams
* To undertake home visits
* To clearly communicate the health status of the patient using appropriate terminology, technology and format.
* INR monitoring if agreed by a shared care protocol.
* To supervise and assist junior members of the nursing team, NAs, trainee NAs, HCAs.
* Undertake infection control measures, including audits and annual reports.
2.2 Professional
* Adhere to the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope of Professional Practice.
Ensure that professional practice adheres to organisational policies, procedures and guidelines.
Maintain a professional manner.
To promote and maintain own personal development and clinical excellence.
Participate in organisational decision making, interpret variations in outcomes and use data from information systems to improve practice.
To promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
Monitor the effectiveness of their clinical practice through quality assurance strategies such as the use of audit and peer review.
Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
To regularly participate in clinical supervision as agreed with Lead Nurse.
2.3 Communication
Communicate effectively with patients and families regarding information about their care.
Provide advice and information to patients, carers, and their families where appropriate.
Communicate effectively and work collaboratively with medical, nursing, and allied health professionals to ensure delivery of a co-ordinated service.
Ensure accurate documentation record keeping in line with local policies and NMC guidelines.
Promote and demonstrate effective communication networks within the organisation, with partner organisations and other service providers.
2.4 Organisational
To complete records, audits, reports and respond to appropriate questions and requests.
To help develop protocols and assist in audits and research.
To attend meetings as requested.
Support effective communication channels between the whole team.
To work according to Clinical Governance and support the Clinical Governance Agenda.
To understand the role of Risk Management within the Practice setting and contributing to risk assessment and Significant Event Audit and the importance of Infection Control.
2.5 Educational
To contribute to the development and maintenance of an excellent learning environment.
Participate in defining own developmental plan to maintain and develop own clinical skills and ensure own professional development.
Undertake and complete all statutory and mandatory training.
Contribute to their own personal development and participate in an appraisal and regular performance reviews with the Lead Nurse.
To take part in clinical supervision within the organisation.
Attend any training and keep skills and knowledge up to date, in line with NMC CPD requirements.
2.6 Clinical Governance
To be familiar with and comply with the Practices Clinical Governance standards, policies and procedures.
Undertake any SEAs that you have been involved in.
Work with the Lead Nurse to investigate adverse clinical incidents and complaints.
2.7 Other
Demonstrate commitment to flexible working patterns and across sites to meet the needs of the service and staff.
To maintain patients confidentiality at all times.
This post is deemed to require a Disclosure check.
General
The main duties and responsibilities shown above are not exhaustive but should merely be regarded as a guide. The post-holder will be expected to conduct any reasonable activities according to the service needs at that time. These will be subject to periodic review and may be amended to meet the challenging needs of the service. The post-holder will be expected to participate in this process and the organisation would aim to reach agreement to changes.
Infection Control
Staff are responsible for protecting themselves and others against infection risks. All staff regardless of whether clinical or not are expected to comply with current infection control policies and procedures and to report any actual or potential infection prevention and control risks to their managers immediately.
Confidentiality
All staff and contractors working for the organisation have both a common law duty and a statutory duty of confidentiality to protect patient (and indeed any personally identifiable) information and only use it for the purposes for which it was intended. The disclosure and use of confidential patient information needs to be both lawful and ethical.
Information Governance
All staff must keep up-to-date with the requirements of Information Governance and must follow organisational policies and procedures to ensure that the organisation's information is dealt with legally, securely, efficiently, and effectively. Staff must appropriately manage all the information they handle during the course of their employment, making the information available for sharing in a controlled manner, subject to statutory requirements.
Records Management
All employees have a legal responsibility for all records worked with e.g. patient records, financial records, personal, administrative etc., that are gathered or used as part of working within the organisation. The records may be held in a variety of formats such as paper, electronic, microfiche, audio and video tapes etc. Any doubts regarding the correct management of records must be discussed with immediate line manager.
Person Specification
Experience
* Minimum of 2 years post registration experience
* Experience of working in Primary Care
* Evidence of appropriate continuing professional development activity to maintain up-to-date knowledge and ongoing competence in all aspects of the Practice Nurse Role
* Experience in the management of long-term conditions e.g. asthma, COPD, diabetes, CHD, Health Promotion/Education
* Vaccine and Immunisation training
* Cervical Cytology
* Evidence of working autonomously and as part of a team
* Proven ability to evaluate the safety and effectiveness of their own clinical practice
* Undertake Home visits
* Willingness to undertake further development opportunities.
* Experience of working with vulnerable patients
* Experience of working in areas of deprivation
Knowledge and Skills
* Understanding and knowledge of policy developments related to the delivery of primary care services within a GP Practice
* Understanding of evidence-based practice
* Knowledge of national standards that inform practice (e.g. National Service Frameworks, NICE guidelines etc)
* Understanding of equal opportunity and diversity issues
* Understanding and experience of interagency working and adult/child safeguarding.
* Ability to follow and undertake policy and procedures
* Ability to assess and manage patient risk effectively and safely
* Well-developed word processing/data collection/IT skills
* Excellent interpersonal, verbal and written communication skills
* Time management and ability to prioritise workload
* Ability to work under pressure
* Able to analyse data and information, drawing out implications for the individual patient/impact on care plan
* Able to establish and maintain effective communication pathways within Primary Care and with key external stakeholders
* Clean UK Driving Licence Essential
Qualifications
* Registered General Nurse (Currently registered with the Nursing & Midwifery Council, with a valid pin and no restrictions)
* Evidence of further study/professional development.
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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