Practice Nurse

Job Title: Practice Nurse

Reports to: Lead Nurse & GP Partners

Job summary: The post holder will be either

an experienced practice nurse, or a nurse wanting to work towards becoming a

competent practice nurse following an extensive training programme. They will

act within their professional boundaries to provide high quality, holistic care

for their patients in a safe, multi-disciplinary environment. The role includes

delivering nursing care including smears, childhood/adult/travel immunisations,

wound care, venepuncture, ECGs, health education and specialist clinics around

management of long term conditions. NMC requirements will be met and the

individual will work within the NMC code and to agreed practice standards and

protocols. The post holder will work as part of a multi-disciplinary team and

provide support, training and development for HCAs. The post holder will understand the GMS

contract, QoF, national and local enhanced services and their impact on patient

care.

Main

responsibilities & clinical skills

To deliver a high standard of patient care

using specialist practice nursing skills.

Implement and evaluate individual treatment

plans for patients with a known long-term condition such as (but not exclusive

to) mental health, learning disabilities, diabetes, CHD, asthma, COPD and hypertension

under agreed protocols.

Undertake annual review and provide support to

patients in understanding their long-term condition and ability to self manage using

a care and support planning approach.

Identify and manage as appropriate, treatment

plans for patients at risk of developing a long-term condition.

To review patient medications to enhance

compliance

Prioritise health problems and intervene

appropriately to assist the patient in complex, urgent or emergency situations,

including initiation of effective health care.

Able to provide telephone advice as required

for all nursing related activities including long term condition management.

Implement and participate in vaccination and

immunisation programmes for both adult and children, in the surgery, offsite at

a planned area (eg church hall) or at the patients home (for housebound).

Advise, support and where appropriate,

administer vaccinations for travelling abroad.

Competent and up to date in anaphylaxis, CPR

and AED.

Support and manage health needs of women

presenting for cervical cytology screening

Assess and care for patients presenting with

wounds.

Undertake procedures such as phlebotomy, ECGs,

urinalysis, stich/staple removal and INR monitoring (if appropriate training

completed)

To act as or support the Infection Prevention

Control (IPC) lead and to work to the IPC Policy providing or supporting the

implementation of audits, training, support and evidence of compliance to the

practice manager

To provide or support the production of the IPC

annual statement in conjunction with the practice manager

To help develop, implement and embed an

effective care management programme for the frail and housebound patients

registered at the practice as needed

To develop, implement and embed health

promotion and wellbeing programmes

To request pathology services and process

pathology results as required

To maintain accurate clinical records in

conjunction with extant legislation

To ensure read(SNOMED) codes are used

effectively by all members of the nursing team

To be part of the team discussion and

upskilling where needed for long term conditions or enhanced services

requirements where the need arises

To ensure compliance with the

practice chaperone policy

To liaise with external services/agencies to

ensure the patient is supported appropriately (vulnerable patients etc.)

To delegate clinical responsibilities

appropriately (ensuring safe practice and the task is within the scope of

practice of the individual)

Deliver opportunistic health promotion during

consultations.

Contribute to maintaining

disease registers and managing patient cohorts

Communication

Communicate effectively with patients and

carers, recognising the need for alternative methods of communication to

overcome different levels of understanding, cultural background and preferred

ways of communication.

Liaise and maintain good working relationships

with all members of the practice team.

Maintain communication and liaise with other

disciplines across primary, secondary and tertiary care services as necessary

Contribute to and work effectively within both

the multi-disciplinary team within the practice and across the wider health

system

Delivering

a quality service

Recognise and work within own competence and

professional code of conduct as regulated by the Nursing and Midwifery Council

(NMC) Produce accurate, contemporaneous and complete

records for patient consultations, consistent with legislation, policies and

procedures.

Prioritise, organise and manage own

case/workload in a manner that maintains and promotes quality.

Assess effectiveness of care through self and

peer review.

Support and participate in shared learning

across the practice.

Participate in the management, review and

learning opportunities from patient complaints, clinical incidents and

near-miss events in accordance with practice policy.

Develop and review audit protocols and process

for the practice, effectively utilising the audit cycle

Develop, review and implement nursing protocols

in conjunction with the partners and the rest of the nursing team.

Continually review clinical practices,

responding to national policies and initiatives where appropriate

Understand and apply legal policy that supports

the identification of vulnerable and abused children and adults. Be aware of

statuary child/vulnerable adult health procedures and local guidance.

Work within policies relating to domestic

violence, vulnerable adults, substance abuse and addictive behaviour and refer

as appropriate.

Use resources appropriately and effectively

Team working

Understand own role and scope within the

practice and identify how to develop over time.

Work as an effective and responsible team

member, supporting others across the practice.

Delegate clearly and appropriately, adopting

the principles of safe practice and assessment of those undertaking delegated

Accept delegation from other nurses, prioritise

their workload and ensure effective

time-management strategies are embedded in own practice.

Work effectively with others to clearly define

values, direction and policies impacting on delivery of care. Participate in team activities that create

opportunities to improve patient care.

Management

of risk

Monitor work areas and practice to ensure they

are safe and free from hazards and conform to health, safety and security

legislation, practice policies, procedures and guidelines.

Ensure safe storage, rotation and disposal of

vaccines and drugs is undertaken including following guidelines regarding cold

chain.

Undertake mandatory and statutory training as

required by the practice.

Apply infection control measures within the

practice according to Infection Control Policy and national guidelines.

Work in accordance with the practices

confidentiality policy and Staff Handbook.

Utilising

information

Use technology as an aid to management and

planning, implementation and monitoring, presenting and communication of

information.

Review and process data using accurate national

codes and templates in order to ensure easy and accurate retrieval of data for patient

care as well as monitoring and audit purposes.

Learning

and development

Assess own learning needs and undertake

additional learning as required.

Support the learning and development of the

healthcare assistants working within the practice as required, providing

guidance when necessary, conducting appraisals and training needs analyses as

required

Crown Street Surgery is a large busy diverse practice in the center of Acton W3. We are a training practice for GP registrars, medical students, nurses and pharmacists. We have approx 10,000 patients registered with our practice, and there is a diverse mixture of ethnic minorities. We have 4 partners, 4 salaried doctors and trainees, and our clinical software is Systm One.

We pride ourselves on our fantastic balancing of fun and work.We work hard to support our patients on a daily basis and have a fantastic team. We plan a regular training session each month, and have a management team to support team members on a regular basis. We feel it is important to not only work hard but also have fun at work and we often arrange outings and fun half day activities

General and Professional requirements

Experience

Qualifications