Practice Nurse

• Work independently and under indirect supervision, reporting to the Head of Nursing and Board of Directors.
• Take accountability for professional actions and work within the limits of competence, in accordance with NMC guidelines and professional standards.
• Provide patient assessment, treatment, screening, health education and clinical advice.
• Maintain NMC registration, revalidation and compliance with relevant legal and statutory requirements.
• Deliver nursing care in accordance with Practice protocols, procedures and agreed clinical guidelines.
• Work collaboratively with Practice Nurses, GPs and the wider Primary Health Care Team.
• Work within Patient Group Directions (PGDs) and Patient Specific Directions (PSDs), where applicable and within competence.
• Recognise when referral or escalation to senior members of the clinical team is required.
• Support colleagues and contribute to the effective coordination and development of Practice services.
• Maintain and develop clinical competencies through ongoing training, appraisal and continuing professional development.
• Promote effective communication and positive working relationships across the multidisciplinary team.
• Contribute to improving standards of care and identifying the health needs of the Practice population.
• Support the mentoring and development of Student Nurses and Health Care Assistants.
• Participate in clinical and Practice meetings.
• Contribute to service improvement, audit, research and quality improvement initiatives.
• Support patients who may be vulnerable and recognise and appropriately escalate safeguarding concerns.
• Manage own time, workload and resources effectively.
• Demonstrate an understanding of consent and relevant legislation, including the Mental Capacity Act.

• Provide urgent venepuncture, ECGs and nebulisers for clinicians when required.
• Follow infection prevention and control policies and all relevant clinical procedures to maintain patient safety.

• Undertake routine and annual patient reviews and contribute to the maintenance of disease registers.
• Identify abnormalities or concerns during patient reviews and appropriately refer or seek advice from senior clinicians.
• Develop individual management plans in partnership with patients, carers and other healthcare professionals.
• Provide lifestyle advice, health education and support to help patients make positive changes to their health.
• Undertake opportunistic screening and health promotion where clinically appropriate.
• Support the Practice and Primary Care Network in achieving relevant quality and outcome targets.
• Maintain up-to-date knowledge and competence in chronic disease management.
• Participate in audit, research, service improvement and partnership initiatives relating to chronic disease.

• Provide urgent wound care for acute trauma where required.
• Manage a range of wounds, including burns, surgical wounds, pressure sores and leg ulcers, within training and competence.
• Recognise signs of deterioration and infection and take appropriate action.
• Support the management of complex wounds and provide advice to patients and carers regarding wound care and healing.
• Undertake Doppler assessments where appropriately trained and competent.
• Follow infection prevention procedures and the local wound care formulary.

• Recognise health concerns and gather relevant information for onward referral where required.
• Undertake routine monitoring and screening procedures where appropriately trained and competent.
• Promote participation in national screening programmes and provide appropriate health advice.
• Provide information and advice regarding breast awareness and signs and symptoms requiring further assessment.

• Support patients with menopause-related care, including discussion of HRT, benefits, risks and contraindications.
• Undertake regular reviews and refer to GP colleagues or other appropriate services where concerns are identified.
• Incorporate health promotion into routine consultations, including weight management, sexual health and breast awareness.
• Administer injectable contraception where appropriately trained and competent and in accordance with FSRH guidance.

• Maintain current knowledge of vaccination schedules, contraindications, clinical risk groups and booster requirements.
• Administer vaccines under appropriate PGDs or PSDs where trained and competent.
• Maintain accurate vaccination records and contribute to relevant Practice vaccination targets and audits.
• Provide patients, families and carers with clear information about the benefits and risks of vaccination.
• Ensure the safe storage, handling, rotation and disposal of vaccines and medicines, including maintenance of the cold chain.
• Maintain competence in relevant vaccination routes, including oral, intranasal, intramuscular and subcutaneous administration.
• Maintain up-to-date anaphylaxis and CPR training.
• Complete required immunisation training and ongoing professional development.

• Assess travel-related health risks using current evidence-based guidance.
• Administer travel vaccinations under appropriate PGDs or PSDs where trained and competent.
• Maintain accurate records of vaccinations, required schedules, boosters and follow-up.
• Provide advice regarding travel-related illnesses, including malaria and dengue fever.
• Use appropriate evidence-based resources, including NaTHNaC, WHO and relevant UK travel health guidance.
• Provide specialist advice and support to colleagues where required.

• Assist with minor procedures and minor surgery where appropriate.
• Act as a chaperone for clinical staff when required.
• Provide appropriate support to patients who are anxious or distressed.
• Delegate tasks appropriately, taking account of colleagues' skills, training and competence.
• Support the availability and organisation of clinical rooms and equipment.
• Assist with the maintenance and cleaning of clinical equipment.
• Ensure specimens are collected, labelled, handled, stored and transported safely and correctly.
• Follow safe procedures for the management, use, storage and disposal of sharps.

• Lilliput Surgery
• Poole Road Medical Centre
• Wessex Road Surgery
• Heatherview Medical Centre
• Fernside Surgery
• Parkstone Tower Practice

Essential

• Registration on Part 1, 2, or 12 NMC Register Degree/Diploma in relevant discipline
• GCSE/A Level equivalent

Desirable

• Foundations in Practice Nurse Qualification Level 6 or 7

Desirable

• Previous experience of working within a Primary Care setting
• Ability to work with stakeholders to demonstrate collaborative working