TheMeads is a friendly and innovative practice situated in a new purpose-builtmedical centre in Sittingbourne. With a fast growing list of over 10,000patients we are looking for a Practice Nurse to join us and take forward ourplans for expansion whilst maintaining our reputation for patient-centredservices. The practice plays a lead role in the local nurse mentorshipprogramme with a record of promoting staff development among itsmulti-disciplinary team.
Main duties of the job
The focus of thisrole is the delivery of general practice nursing interventions for patientswith long-term conditions and implementation of health prevention programmes.We would welcome applications from experienced nurses looking for theopportunity to develop their specialist knowledge in a supportive environment
About us
You will join a team of 2 practice nurses to support our friendly multi-disciplinary team comprising GPs, ANPs, and clinical pharmacist, and work closely alongside our wider nursing team of two healthcare assistants and a phlebotomist. Clinicians are supported in wide range of tasks by our excellent administrative and secretarial teams.
Job responsibilities
POSITION: GENERAL PRACTICE NURSE
HOURS OF DUTY: Full or Part-time by arrangement
JOB SUMMARY
The postholder is responsible for the delivery of basic practice nursing services careto the practice population. Supported byother nurses within the practice, they will deliver care within the boundariesof their role, focusing upon supporting patients to be healthy, monitoring of long-termconditions, health prevention and screening activities. They will work collaboratively with thegeneral practice team to meet the needs of patients, supporting the delivery ofpolicy and procedures, and providing nurse leadership as required.
KEY RESPONSIBILITIES
Clinical Practice
Assess, plan, develop, implement and evaluate programmesto promote health and well-being, and prevent adverse effects on health andwell-being
Able to triage by telephone and referappropriately
Implement and evaluate individual treatment plansfor patients with a known long-term condition
Identify, and manage as appropriate, treatmentplans for patients at risk of developing a long-term condition
Prioritise health problems and interveneappropriately to assist the patient in complex, urgent or emergencysituations, including initiation of effective emergency care
Support patients to adopt health promotionstrategies that encourage patients to live healthily, and apply principles ofself-care
Provide information and advice on prescribed orover-the-counter medication
Support patients to adopt health promotionstrategies that promote patients to live healthily, and encourage principlesof self-care
Support and advise women requesting informationrelating to family planning needs
Support and manage health needs of womenpresenting for cervical cytology consultations
Recognise, assess and refer patients presentingwith mental health needs in accordance with the National Service Framework [NSF] for Mental Health
Implement and participate in vaccination andimmunisation programmes for both adults and children
Advise, support and, where appropriate,administer vaccinations for patients travelling abroad
Promote and deliver evidence-based care forpatients presenting with aural conditions
Communication
Utilise and demonstrate sensitive communicationstyles, to ensure patients are fully informed and consent to treatment
Communicate with and support patients who arereceiving bad news
Communicate effectively with patients and carers,recognising the need for alternative methods of communication to overcomedifferent levels of understanding, cultural background and preferred ways ofcommunicating
Utilise communication skills to support patientsto adhere to prescribed treatment regimens
Anticipate barriers to communication and takeaction to improve communication
Estimate and maintain effective communicationwith individuals and groups within the practice environment and with externalstakeholders
Act as an advocate when representing the patientsand colleagues viewpoints to others
Delivering a Quality Service
Recognise and work within own competence andprofessional code of conduct as regulated by the Nursing and MidwiferyCouncil [NMC]
Produce accurate, contemporaneous and completerecords of patient consultation, consistent with legislation, policies andprocedures
Prioritise, organise and manage own workload in amanner that maintains and promotes quality
Deliver care according to the NSF and theNational Institute for Clinical Excellence [NICE] guidelines andevidence-based care
Participate in the maintenance of qualitygovernance systems and processes across the organisation and its activities
Utilise the audit cycle as a means of evaluatingthe quality of the work of self and the team, implementing improvements whererequired
In partnership with other clinical teams,collaborate on improving the quality of health care, responding to local andnational policies and initiatives as appropriate
Support and participate in shared learning acrossthe practice and wider organisation
Participate in the performance monitoring reviewof the team, providing feedback as appropriate
Understand and apply legal policy that supportsthe identification of vulnerable and abused children and adults, being awareof statutory child/vulnerable adult health procedure and local guidance
Work within policies relating to domesticviolence, vulnerable adults, substance abuse and addictive behaviour, andrefer as appropriate
Personal and People Development
Take responsibility for own development, learningand performance including participating in clinical supervision and acting asa positive role model
Support the development of others in order tomaximise potential
Actively promote the workplace as a learningenvironment, encouraging everyone to learn from each other and from externalgood practice
Understand own responsibilities andaccountability in the delivery of GPN services to patients, ensuring that theneeds of the patient are the priority
Participate in planning and implementing changeswithin the area of care and responsibility
Contribute and participate in the development oflocal guidelines, protocols and standards
Critically evaluate and review innovations anddevelopments that are relevant to own practice
Keep up-to-date with new developments locally andnationally identifying those that will enhance the teams work
Ensure awareness of sources of support andguidance [e.g. patient advice and liaison service PALS] and provide informationin an acceptable format to all patients, recognising any difficulties andreferring where appropriate
Promote the role of the GPN in the provision ofcare
Team Working
Understand own role and scope in the organisationand identify how this may develop over time
Work as an effective and responsible team member,supporting others and exploring the mechanisms to develop new ways of working
Delegate clearly and appropriately, adopting theprinciples of safe practice and assessment of competence of those taking ondelegated duties
Ensure clear understanding and utilisation ofreferral mechanisms within the practice
Accept delegation from other nurses, prioritiseown workload and ensure effective time-management strategies are embedded inown practice
Work effectively with others to clearly definevalues, direction and policies impacting upon care delivery
Participate in team activities that createopportunities to improve patient care
Participate in and support local projects asagreed with the practice management team
Management of Risk
Manage and assess risk within the areas ofresponsibility, ensuring adequate measure are in place to protect staff andpatients
Monitor work areas and practices to ensure theyare safe and free from hazards and conform to health, safety and securitylegislation, policies, procedures and guidelines
Ensure safe storage, rotation and disposal ofvaccines and drugs is undertaken.Undertake mandatory and statutory training
Apply infection control measures within thepractice according to local and national guidelines
Apply policies that reduce environmental healthrisks, are culturally sensitive and increase access to health care for all
Participate in the local implementationstrategies that are aligned to the values and culture of general practice
Use technology as an aid to management inplanning, implementation and monitoring, presenting and communicatinginformation
Review and process data using accurate Read codesabout patients in order to ensure easy and accurate retrieval for monitoringand audit processes
Manage information searches using the internetand Mentordatabases, for examples, the retrieval of relevant information for patientson their condition
Understand own and others responsibility to theindividual organisation regarding the Freedom of Information Act
Learning and Development
Disseminate learning and information gains toother team members in order to share good practice and inform others aboutcurrent and future developments
Assess own learning needs and undertake learningas appropriate
Make effective use of learning opportunitieswithin and outside the workplace, evaluating their effectiveness and feedingback relevant information
Provide an educational role to patients, carers ,families and colleagues in an environment that facilitates learning
Equality and Diversity
Identify patterns of discrimination, take actionto overcome this, and promote diversity and quality of opportunity
Support people who need assistance in exercisingtheir rights
Monitor and evaluate adherence to localchaperoning policies
Act as a role model in good practice relating to equalityand diversity
Accept the rights of individuals to choose theircare providers, participate in care and refuse care. Assist patients from marginalised groups toaccess quality care
Person Specification
Qualifications
* Current NMC registration
* Cervical cytology training/qualification
* Evidence of recent CPD
Experience
* Previous general practice experience including as a minimum
* vaccinations / immunisations and cervical screening
* Evidence of good, reflective practice
* Ability to accurately maintain patients electronic records
* Ability to be self directed and work on own initiative as well as working within a team.
* Ability to demonstrate and apply up-to-date clinical knowledge
* Competent and confident in the use of IT
* Ability to develop local and national guidelines and protocols
* Ability to conduct telephone triage/consultations
* Health promotion
* Awareness of professional nursing issues within general practice
* Management of minor ailments
* Experience of using EMIS Web
Personal qualities and attributes
* Ability to adapt to change
* Confident in dealing with sensitive and difficult situations with staff and patients
* Excellent interpersonal and verbal communication skills.
* Ability to work independently and flexibly
* Willingness to provide additional cover if required
* Organisational ability to work to deadlines and under pressure
* Committed to own 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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