Chronic Disease Nurse (CDM)

We are looking for a qualified nurse to undertake clinical reviews and provide holistic care in line with practice protocols for patients with the following conditions: Diabetes, Asthma, COPD including spirometry, IHD, Hypertension and CKD.

You would also need to provide cover of Treatment Room duties including wound care, vaccination/immunisation (including childhood), phlebotomy, ECGs, BPs and health checks. Cervical cytology and pessary fitting would also be an advantage.

We want friendly and personable candidates who have the communication skills, enthusiasm and aptitude to work alongside our existing experienced nursing team. We pride ourselves on our collaborative and supportive working environment in which all staff are valued.

Ongoing training supports staff in their career development, and special interests are actively encouraged. Applicants need to be team players who can cope under pressure, and who will be able to work independently and flexibly within our dynamic and friendly team.

Chronic Disease Management

1. Undertake clinical reviews and provide holistic care in line with practice protocols for patients with the following conditions:

2. Complete Practice templates for CDM patients as appropriate.

3. Assist with the appropriate recall for all CDM patients

4. Assist and work with the practice team to ensure all clinical targets are met each year for patients on a CDM register.

Vaccination and Immunisation

General Principles

1. Ensure that all vaccines are administered under individual prescription or ratified patient group directions.

2. Obtain and document that valid consent has been obtained from the patient, parent, or legal guardian prior to each and every vaccination.

3. Administer the correct vaccine(s) by the correct route, at the correct site, at the correct time.

4. Safely dispose of used vaccines and sharps according to national local infection control guidelines.

5. Ensure appropriate advice and follow up, is given and documented.

6. Have knowledge of the appropriate information to be recorded and ensure documentation is completed as per patient group directions and professional guidelines.

7. Be competent in the recognition and management of anaphylaxis as per current guidelines.

8. Ensure patients/parents/guardians are informed of the management of potential side effects of the vaccines to be administered, (verbal and written).

Childhood Immunisation

Undertake childhood immunisation clinics alongside another practice nurse working to the national programme. Adhering to the general principles above.

General Treatment Room Duties to provide cover when necessary.

1. Perform Blood Pressure checks.

2. Perform venepuncture.

3. Undertake ECG recordings where applicable as requested.

4. Implement 24 hour Blood Pressure recording as requested.

5. Offer basic lifestyle advice on smoking, diet, exercise and alcohol.

6. Identify and offer appropriate support to enable patients to make positive behaviour changes to improve their lifestyle.

7. Measure and record Body Mass index.

8. Undertake NHS health checks.

9. Prepare, support and chaperone patients who require intimate examinations.

Wound Management

1. Use a holistic approach to assess, manage and implement wound care in line with current evidence-based practice and local guidelines.

2. Suture removal.

Cytology and Contraception if qualified

1. Undertake cervical cytology, maintaining professional competency on an annual basis.

2. Provide routine contraceptive care in line with practice protocols.

Emergency Management

1. Recognise and manage anaphylaxis within current UK Resuscitation Council guidelines.

2. Perform practical basic life support procedures and techniques within current UK Resuscitation Council guidelines.

3. Recognise and manage hypo/hyperglycaemic episodes.

Management of Treatment Rooms along with nursing colleagues

1. Ensure the treatment rooms are maintained in line with local Infection Control, and Health and Safety guidelines.

2. Assist with the monitoring and management of stock and equipment to include

a. Daily assessment and recording of minimum and maximum refrigerator temperature.

b. Assess and record, nebuliser and emergency equipment checks

c. Stock control of equipment, dressings, vaccines, drugs and clinical products

Other Duties

Other duties, within your own competencies, may be required from time to time depending on the needs of the practice.

Service Development

1. Contribute to and work within defined nursing policies and protocols.

2. Participate in the assessment of nursing service needs.

3. Participate in the development and implementation of planned programmes to improve health in individuals and groups.

4. Participate in the implementation of defined health screening programmes.

5. Assist patients to identify life-style risk factors that contribute to ill health and to develop action plans to reduce their risks.

Clinical Leadership

1. Participate in clinical audit and the setting and monitoring of standards of care.

2. Contribute towards practice policies and protocols.

3. Work effectively in the team.

4. Identify personal development and training needs.

5. Provide support and mentoring for band 1 5 nursing staff.

We are proud to offer a friendly and welcoming environment providing excellent local healthcare to the residents of Garstang and the surrounding area. We have a large clinical team who are well supported by our reception and admin team. We are based within Garstang Medical Centre - a modern, purpose built premises, with easy access for disabled patients. We also have our own onsite dispensary/pharmacy providing a range of additional NHS services.

Knowledge

Qualifications

Experience