Practice Nurse or Registered Nurse Associate

Job description

Job responsibilities

Working autonomously and using sound clinical judgement and knowledge to provide a wide range of nursing services within agreed practice protocols, guidelines (both local and national), PGDs and PSDs including the following areas:

Contraceptive checks, family planning and sexual health advice, monitoring and administration.

Cervical cytology programme once adequately trained.

Investigations including swabs, urinalysis, venepuncture, capillary blood testing, BP measurement, 24hour BP monitoring, ECGs, assessing and dealing with results with appropriate onward referral to other members of the clinical team.

Immunisations, including childhood, adult, travel, flu and any additional immunisation programmes, as directed.

Care within the Local Enhanced and Direct Enhanced Service contracts including, D-dimer assays, Health Checks, Near Patient Testing, Prostate and PSA, Alcohol Monitoring, Post-Operative care, Minor Surgery and Minor Injury services.

INR/Warfarin initiation and monitoring, warfarin dosing service based on practice protocol, INR Star computer dosing program, ensuring safe patient management and appropriate onward referral if results are outside of safe levels.

Wound assessment: provide care using appropriate dressing treatments to promote healing. Ongoing management assessing for progress or deterioration and acting on findings appropriately to promote healing and minimise discomfort and distress to the patient.

Chronic disease monitoring and management in regular clinics which includes Diabetes, CHD, Stroke, Hypertension, Mental Health, Learning Disability, Peripheral Vascular Disease, CKD and Rheumatoid Disease, ensuring that patients with a change in condition or bloods/measurements outside of target range are dealt with appropriately through action or onward referral.

To develop skills in the diagnosis, monitoring and ongoing management of patients with respiratory conditions such as asthma, COPD and interstitial lung disease.

To take an active role in developing innovations to improve care and admission avoidance for this group of patients.

Urgent care for patients who may be present at surgery with breathing difficulties such as asthma or COPD, or chest pain ensuring help has been summoned.

Ear care and advice.

Person Specification

Qualifications

Essential

• Registered Nurse (Nursing and Midwifery Council)

Desirable

• Post graduate diploma or degree (Chronic Disease Management)
• Family planning qualification

Experience

Desirable

• Experience of working in a primary care environment
• Experience of working autonomously
• Experience of working as a practice nurse or community nurse

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).

Employer details

Employer name

The Market Surgery

Address

26 Norwich Road

Aylsham

Norwich

NR11 6BW

Employer's website

https://www.themarketsurgery.nhs.uk/ (Opens in a new tab)