KEY RESPONSIBILITIES Clinical care delivery general Carry out nursing interventions and measurements for patients using clinical judgement. Administer medications by injection with the appropriate legal authorisation. Recognise health promotion opportunities and give brief, focussed lifestyle advice using motivational interviewing techniques which may include: - Alcohol screening - Smoking cessation - Healthy diet - Physical activity - Weight management - Sexual health and family planning Undertake initial assessments of patients presenting with wounds, produce treatment plans and refer to other services as necessary. Measure circulation by recording Ankle Brachial Pressure Index and applying compression therapy to patients with venous leg ulcers. Remove wound closure materials including sutures, clips and staples. Take samples for the cervical screening programme according to recognised standards. Provide ear care including removal of cerumen and provide education and advice. Administer vaccines to adults and children according to the UK immunisation schedule. Provide a pre-travel health service including administration of vaccines and advice after undertaking appropriate risk assessment. Administer prescribed therapies such as contraceptive injections, vitamin B12, and depo neuroleptic medications; recognising side effects and contraindications. Develop and follow referral pathways for patients with specialist needs. Undertake risk stratification and care planning for those with complex needs contributing to admission avoidance strategies. Sexual health Provide health promotion advice on prevention of Sexually Transmitted Infections, take sexual history and initiate investigations. If had appropriate training advise women on suitability of oral and long-term contraceptive methods and be aware of local referral pathways. Quality assurance/service support Participate in quality improvement and innovations e.g. audit, significant event analysis and development of protocols and new services. Recognise opportunities to reduce inequalities and unwarranted variation in health care for the practice population as outlined in nursing framework Leading Change, Adding Value Liaise with practice manager and clinical system provider to improve the standard of nursing documentation and information retrieval e.g. new read codes and formulation of templates. Analyse data and develop initiatives to improve uptake of national screening and immunisation programmes including coordinating new vaccination campaigns. Where relevant for the nursing team, ensure correspondence and safety alerts are actioned. Advise on the cost-effective purchase of assets, equipment and other resources including staff costs. Access databases and other guidance and critically appraise information and relevance for nursing service. Coordinate in-house training for the clinical team, including expert speakers, and developing other learning opportunities. Personal/professional development Complete statutory training/updating and mandatory training as defined by the practice. Complete skills-specific training and regular updating. Participate in an annual individual performance review maintaining a record of own personal and professional development including the requirements of NMC revalidation. Take responsibility for own development, learning and performance. Identify gaps in knowledge and skills and how further learning can enhance delivery of nursing service. Health and safety Identify and address risks in work activities working with practice nurse manager and practice manager. Follow appropriate infection control procedures. Maintain work areas in a tidy and safe manner Communicate effectively with individuals in other agencies to meet peoples needs. Equality and diversity Act in a way that recognises peoples rights, interpreting them in a way that is consistent with practice procedures and policies and current legislation. Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.