Job description JOB PURPOSE:To lead and develop high quality patient care to meet the holistic health care needs of a practice population.To work within NMC Code of Conduct and to agreed practice standards and protocols. PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES: Key role clinical nursing practice -The Practice Nurse works independently using own initiative and is accountable for their own professional actions. Provides support and leadership for other members of the Primary Health Care Team and leads towards the co-ordination of team activities. Administers adult and child immunisations and vaccinations in accordance with national and local programmes. Is competent in anaphylaxis and resuscitation techniques. Ensures safe storage, rotation and disposal of vaccines and drugs and adequate stock levels are maintained. Offers comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, food hygiene, sun protection, first aid and emergency medication, health insurance and vaccinations. Undertakes procedures to include, venepuncture, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing and cytology and wound management. Provides a comprehensive family planning service. Recognises and understands the importance of observing, documenting and communicating the signs and symptoms of child and adult abuse. Works within all relevant practice and ICB policies and procedural guidelines e.g. infection control, chaperoning and patient group directions. Key role care and programme management Takes a lead in areas such as diabetes, asthma, and COPD management, undertakes the establishment and running of disease management clinics and provides specialist nursing care for the patients or communities that the practice serves. Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. diabetes, COPD, asthma, CHD referring to other clinicians as appropriate. Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions. Takes lead and manages programmes of care for all areas of womens health including providing and evaluating care under agreed local/national guidelines, protocols and patient group directions. Maintains disease registers. Audits outcomes of care against standards and initiates changes as necessary. Undertakes annual review of patients understanding and ability to self manage. Refers to other members of the extended primary health care team e.g. chiropodist, dietician, specialist nurses. Key role - Specimens If needed, to assist with preparation of specimens for collection by the courier.Deal with any queries arising. Key role - health promotion -Initiates and carries out programmes of health screening.Contributes to profiling of the practice population.Enables, encourages and supports individuals, families and groups to address issues which affect their health and social well-being.Represents individuals and families interests when they are not able to do so themselves.Provides healthy lifestyle and smoking cessation advice to individuals and groups.Develops and maintains the health promotion material within the practice.Makes referrals to statutory and voluntary agencies as appropriate. Key role - Infection Control lead -Support patients and colleagues in adopting sound infection control measures. Apply infection control measures within the practice according to local and national guidelines. Ensure waste is disposed of in accordance with practice Infection control policy, and monitor other practice users for compliance with policy. Participate in infection control audit cycle when required. Key role manage/lead self/others - The Practice Nurse has a role in promoting good leadership for all grades of staff.Contributes to and initiates the development, monitoring and evaluation of care delivery by the Nursing Team.Promotes effective communication and relationships within the team.Works collaboratively as a team member to achieve the objectives of the GMS contract and aspirations of the team.Provides expert clinical advice on educational opportunities that will facilitate the development and support of their specialist knowledge and skills to ensure the development of clinical practice. Partakes in clinical supervision for own development. Contributes to the appraisals for Health Care Assistants in the team. Able to undertake annual PDPs if required .Recognises the development needs of others and provides clinical supervision. Actively participates in clinical and practice meetings. Develops own knowledge and practice to meet objectives/changes in service. Key role - influence and develop policy -Create and capitalise upon opportunities to influence the setting of policies which will affect health and social well being.Develops and maintains clinical protocols for the surgery and the team, ensuring they are reviewed and approved annually. Key role - manage resources -Monitors and uses resources appropriately within the team e.g. dressings, vaccines, stationary. Ensures stock rotation in own and doctors clinical rooms.Undertake stock ordering on a weekly basis, being mindful of budget, and fluctuations in service provision. Key role - manage and use information -Ensures own IT skills are sufficient to enable use of the practice IT systems to undertake own audit and recall programs.Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.Facilitates the use of up to date information technology in order to collate accurate and timely information as and when required by the practice and ICB. Makes recommendations and initiates raising of practice standards and service delivery.Contributes to a satisfactory call and recall system of patients, and undertakes own searches Key role - research and development -Contributes to ICB/Service/Team audit/Research activity as required.Present audit findings at practice meetings when requested.Identifies, applies and disseminates research findings relating to specialist practice. Key role - Administration and general duties -Attend practice and nurse meetings as and when required by the practice manager. Undertakes ordering of supplies as required. Ensures supplies are stored in a safe, and clean environment. With cupboards locked, and potentially dangerous equipment, chemicals and medicines out of the way of patients and visitors. Ensures all care is documented in accordance with practice, ICB, NHS England protocols. Undertake routine checks on equipment as required by practice protocols. Ensures own work area is kept clean, tidy, and of professional appearance in order to facilitate effective working. Ensure waste is disposed of in accordance with practice Infection control policy.