Job responsibilities
The purpose of the post is the
delivery of safe, high quality primary care nursing services to the practice
population. Working within the NMC Code of Conduct the post holder will take a
senior role within the nurse team, using previous primary care experience to
provide advanced nurse interventions and influence development of nursing
service. The requirements of the post are linked to the Level 6 of the District
and General Practice Nursing Service Education and Career Framework (Health
Education England).
KEY RESPONSIBILITES
Clinical care delivery general
Carry out nursing interventions and measurements
for patients using clinical judgement.
Administer medications by injection with the
appropriate legal authorisation.
Recognise health promotion opportunities and
give brief, focussed lifestyle advice using motivational interviewing
techniques which may include:
o Alcohol
screening
o Smoking
cessation
o Weight
management
o Sexual
health
Undertake initial assessment of patients
presenting with wounds, produce treatment plans and refer to other services as
necessary.
Measure circulation by recording Ankle Brachial
Pressure Index and applying compression therapy to patients with venous leg
ulcers.
Remove wound closure materials including
sutures, clips and staples.
Take samples for the cervical screening
programme according to recognised standards.
Provide ear care education and advice, including
removal of cerumen if clinically necessary.
Administer vaccines to adults and children
according to the UK immunisation schedule.
Provide a pre-travel health service including
administration of vaccines and advice after undertaking appropriate risk
assessment.
Administer prescribed therapies such as
contraceptive injections, vitamin B12, hormones, calcium, depo and other medications
as required, recognising side effects and contraindications.
Develop and follow referral pathways for
patients with specialist needs.
Undertake risk stratification and care planning
for those with complex needs contributing to admission avoidance strategies.
Sexual health
Provide health promotion advice on prevention of
Sexually Transmitted Infections.
Advise women on suitability of oral and long
term contraceptive methods and be aware of local referral pathways.
Long term conditions
After appropriate training:
Provide a nurse-run
asthma/diabetes/COPD service to patients to include screening, ongoing
management and referral to other agencies in line with NICE guidance and
Quality and Outcome Framework indicators.
Quality assurance/service support
Participate in quality improvement and
innovations e.g. audit, significant event analysis and development of protocols
and new services.
Recognise opportunities to reduce inequalities
and unwarranted variation in health care for the practice population as
outlined in nursing framework Leading Change, Adding Value(May 2016)
Liaise with practice manager and clinical system
provider to improve standard of nursing documentation and information retrieval
e.g. new read codes and formulation of templates.
Coordinate in-house meetings to develop the
nursing service and where appropriate wider practice systems.
Develop effective systems for ongoing
supervision of all health care staff, including mentorship for preceptor
programmes and contributing to revalidation needs of nurse colleagues.
Liaise with external agencies and commissioners
to develop nursing service in local area.
Analyse data and develop initiatives to improve
uptake of national screening and immunisation programmes including coordinating
new vaccination campaigns.
Where relevant for the nursing team, ensure
correspondence and safety alerts are actioned.
Develop and present business cases to the
practice partnership in response to changing demand.
Advise on the cost-effective purchase of assets,
equipment and other resources including staff costs.
Access databases and other guidance and
critically appraise information and relevance for nursing service.
Coordinate in-house training for clinical team,
when required, including expert speakers and developing other learning
opportunities.
Personal/professional development
Complete statutory training/updating and
mandatory training as defined by the practice.
Complete skills-specific training and regular
updating.
Participate in an annual individual performance
review maintaining a record of own personal and professional development including
the requirements of NMC revalidation.
Take responsibility for own development,
learning and performance. Identify gaps in knowledge and skills and how further
learning can enhance delivery of nursing service.
Health and safety
Identify and address risks in work activities
working with practice nurse manager and practice manager.
Follow appropriate infection control procedures.
Maintain work areas in a tidy and safe manner.
Communicate effectively with individuals in
other agencies to meet peoples needs.
Equality and diversity
Act in a way that recognises peoples rights,
interpreting them in a way that is consistent with practice procedures and
policies and current legislation.
Respect the privacy, dignity, needs and beliefs
of patients, carers and colleagues.
