Specialist Diabetic Nurse

Job responsibilities

Job Description

Job Title: Diabetic Specialist Nurse

Main Purpose of Post: Triage, Consultations and Home visiting. The role involves telephone triage, home visits and interacts with the care homes linked with the surgery. The focus of care evolves around our diabetic patients.

Reporting to: Advanced Nurse Practitioner Manager

Interface with: Patients

Doctors

Nurses

Practice Teams

Primary Care Network Partners

Patient Representative Group

ICB

Community Teams

Multi-Disciplinary Teams

Location: Postholder will be required to work at The Thorpewood Surgery or

Dussindale Branch Surgery as required.

Job Summary:

To act as an autonomous practitioner who is able to work independently and in conjunction with other members of the clinical team. The post holder will be an experienced caring nurse who can demonstrate developed clinical and diabetic skills and be able to demonstrate critical thinking whilst working within their professional boundaries. They will work the Surgery clinical team, consisting of GPs, ANPs, Practice Nurses and Health Care Assistants to deliver excellent primary care services within the practice.

This role will demonstrate safe, competent clinical decision-making and deliver expert care, including assessment, diagnostic skills, treatment and will communicate at all levels across boundaries.

The post holder will work collaboratively with the multidisciplinary team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.

Main duties and responsibilities of the job:

A point of contact within the practice for patients presenting with undifferentiated undiagnosed problems that require telephone triage, telephone resolution, Face to Face consultation, On-Line consultation response and home visiting.

Assessment, diagnosis, treatment, prescribing, referral and discharge as appropriate and deliver key elements of Surgery initiatives.

Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.

Instigate invasive and non-invasive diagnostic tests or investigations, interpretation of findings and reports.

Directly admits patients to secondary care outlets in medical need.

Refer patients to other medical specialities for assessment where indicated including fast track referrals

To take responsibility for making autonomous decisions in relation to patient care.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.

Assess, diagnose, plan, implement and evaluate interventions/treatments for patients with complex needs.

Break bad news to patients/parents/carers and provide appropriate ongoing support to meet identified needs

To collect data and participate in regular Practice audit and research projects

Work effectively with individuals in other agencies to meet patients and carers needs

Recognise and work within own competence and professional code of conduct as regulated by the NMC

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures on the Surgery clinical system

Deliver care according to local and national guidelines and evidence-based care

People Management:

Provide expert Diabetes and nursing advice to others working within the team.

To maintain own 3 yearly registration with the NMC

To maintain own continuous professional development and ensure PDP kept up-to-date in line with the requirements of the Practice

Strategic Management

Work with the clinical and management team to develop new services for patients

Contribute to practice incentive schemes, disease management registers and Surgery targets set locally and nationally for patient care.

Special Requirements of the Job:

An understanding, acceptance and adherence to the need for strict confidentiality.

Competence in the use of IT systems, i.e. coding work as completed, with the ability to learn new software.

General

This job description covers the main duties which the post holder is expected to undertake. These duties may be revised from time to time, in consultation with the post holder. The post holder may be required to undertake duties that are not recorded on this Job Description, that are commensurate with the role and grade.

Care Quality Commission

To ensure compliance with Surgery policies, reporting any deficiencies, potential hazards or dangerous occurrences to the Patient Services Manager or Practice Manager.

Participate and support Health & Safety statutory requirements and initiatives. Maintain records of incidents and undertake risk assessments.

Compliance with the Surgery confidentiality and Information Governance Policies.

Take responsibility for your own personal Development, including completing the annual appraisal and undertaking subsequent activity identified and agreed with the line manager.

Have a can do attitude

Qualifications

Essential

• Education and Qualifications
• RGN Qualification
• Current NMC registration
• A minimum of honours degree in advanced nursing
• Diabetes specialist qualification
• Prescribing qualification

Desirable

• Accredited training in chronic disease management

Experience

Essential

• Working autonomously in a nursing role
• Experience in triage
• Experience of working within a primary care or General Practice
• Experience of dealing with patients with undifferentiated and undiagnosed conditions
• Demonstrate Audit Composition
• Home Visiting

Desirable

• Nurse led triage
• Conducted On Line Consultation

Skills & Knowledge

Essential

• Clinical leadership skills
• Communication skills, written, listening and verbal
• Communication of difficult messages to patients and families
• Negotiation and conflict management skills
• Change management
• Health Management of vulnerable patients
• Team Player
• Management of patients with complex needs
• Accountability of own role
• Local and national health policy
• Wider health economy
• Clinical governance issues

Desirable

• SystemOne user
• Knowledge of public health issues
• Able to identify determinants on health in the area

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).