Practice Nurse

• Vaccination and Immunisation for adults and children including travel health
• Routine procedures including wound care and dressings
• Sexual health and contraception
• Cervical cytology
• Chronic Disease Management to include but not limited to: Asthma, Diabetes, COPD including spirometry, CHD and LD

• Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition.
• Support patients to adopt health promotion strategies that encourage patient to live healthily, and encourage principles of self-care.
• Deliver opportunistic health promotion
• Provide information and advice on prescribed or over-the- counter medication, on medication regimens, side effects and interactions.
• Assess and care for patients for patients presenting with wounds, within area of expertise.
• Support and advise women requesting information relating to family planning needs.
• Implement and participate in vaccination and immunisation programmes for both adults and children.
• Promote and deliver evidence-based care for patients presenting with aural conditions.

• Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment.
• Communicate with and support patients who are receiving bad news.
• 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 communicating.
• Utilise communication skills to support patients to adhere to prescribed treatment regimens.
• Anticipate barriers to communication and take action to improve communication.

• Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC).
• Produce accurate and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to the NSF and National Institute for Clinical Excellence (NICE)

• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
• In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies an initiatives as appropriate.
• Evaluate the patients response to health care provision and the effectiveness of care.
• Support and participate in shared learning across the practice and wider organisation.
• Participate in the management, review, and identify learning from patient complaints, clinical incidents and near miss events utilising a structured framework (e.g. root-cause analysis).
• Participate in the performance monitoring review of the team, providing feedback as appropriate.
• Understand and apply legal policy that supports the identification of vulnerable and abused.

• Be aware of statutory child/vulnerable adult health procedure and local guidance.
• Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate.

• Understanding own role and scope in the organisation and 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 the principles of safe practice and assessment of competence of those taking on delegated duties.
• Ensure clear understanding and utilisation of referral mechanisms within the practice.
• Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Participate in team activities that create opportunities to improve patientcare.
• Participate in and support local projects as agreed with the practice management team.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.
• Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements.

• Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information.
• Review and process data using accurate Readcodes about patients in order to ensure easy and accurate retrieval for monitoring and audit purposes.
• Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition.
• Understand own and others responsibility to the individual organisation regarding Freedom of Information Act.
• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care.

• Act as a mentor to any students or attached staff in training, assessing competence against set standards as requested and if appropriately qualified.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.
• Assess own learning needs and undertake learning as appropriate.
• Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.

Essential

• Nurse with current NMC registration
• Aware of accountability of own role and other roles in a nurse led service
• Communication skills, both written and verbal
• Ability to communicate difficult messages to patients and families.
• Negotiation and conflict management skills
• IT skills
• Willingness to undertake education and training appropriate to the Practice Nurse post
• Flexibility Enthusiasm
• Team player

Desirable

• Experienced primary care skills including management of chronic disease and long-term conditions
• Systmone experience
• Ability to identify determinants on health in the local area
• Knowledge of public health issues in the local area
• Awareness of local and national health policy
• Awareness of issues within the wider health economy
• Uses initiative
• Gets on well with people at all levels
• Knowledge of health promotion strategies
• Awareness of clinical governance issues in primary care
• Knowledge of patient group directions and associated policy
• Change-management skills and ability to support patients to change lifestyle