CDM Nurse

Job description

Job responsibilities

Chronic Disease Management:

1. Undertake clinical reviews and provide holistic care in line with practice protocols for patients with the following conditions:

• Diabetes
• Asthma
• COPD including spirometry
• IHD
• Hypertension
• CKD

2. Complete Practice templates for CDM patients as appropriate.

3. Assist with the appropriate recall for all CDM patients

4. Assist and work with the practice team to ensure all clinical targets are met each year for patients on a CDM register.

Vaccination and Immunisation

General Principles:

1. Ensure that all vaccines are administered under individual prescription or ratified patient group directions.

2. Obtain and document that valid consent has been obtained from the patient, parent, or legal guardian prior to each and every vaccination.

3. Administer the correct vaccine(s) by the correct route, at the correct site, at the correct time.

4. Safely dispose of used vaccines and sharps according to national local infection control guidelines.

5. Ensure appropriate advice and follow up, is given and documented.

6. Have knowledge of the appropriate information to be recorded and ensure documentation is completed as per patient group directions and professional guidelines.

7. Be competent in the recognition and management of anaphylaxis as per current guidelines.

8. Ensure patients/parents/guardians are informed of the management of potential side effects of the vaccines to be administered, (verbal and written).

Childhood Immunisation

Undertake childhood immunisation clinics alongside another practice nurse working to the national programme. Adhering to the general principles above.

General Treatment Room Duties to provide cover when necessary.

1. Perform Blood Pressure checks.

2. Perform venepuncture.

3. Undertake ECG recordings where applicable as requested.

4. Implement 24 hour Blood Pressure recording as requested.

5. Offer basic lifestyle advice on smoking, diet, exercise and alcohol.

6. Identify and offer appropriate support to enable patients to make positive behaviour changes to improve their lifestyle.

7. Measure and record Body Mass index.

8. Undertake NHS health checks.

9. Prepare, support and chaperone patients who require intimate examinations.

Wound Management

1. Use a holistic approach to assess, manage and implement wound care in line with current evidence-based practice and local guidelines.

2. Suture removal.

Cytology and Contraception if qualified

1. Undertake cervical cytology, maintaining professional competency on an annual basis.

2. Provide routine contraceptive care in line with practice protocols.

Emergency Management

1. Recognise and manage anaphylaxis within current UK Resuscitation Council guidelines.

2. Perform practical basic life support procedures and techniques within current UK Resuscitation Council guidelines.

3. Recognise and manage hypo/hyperglycaemic episodes.

Management of Treatment Rooms along with nursing colleagues

1. Ensure the treatment rooms are maintained in line with local Infection Control, and Health and Safety guidelines.

2. Assist with the monitoring and management of stock and equipment to include

a. Daily assessment and recording of minimum and maximum refrigerator temperature.

b. Assess and record, nebuliser and emergency equipment checks

c. Stock control of equipment, dressings, vaccines, drugs and clinical products

Other Duties

Other duties, within your own competencies, may be required from time to time depending on the needs of the practice.

Service Development:

1. Contribute to and work within defined nursing policies and protocols.

2. Participate in the assessment of nursing service needs.

3. Participate in the development and implementation of planned programmes to improve health in individuals and groups.

4. Participate in the implementation of defined health screening programmes.

5. Assist patients to identify life-style risk factors that contribute to ill health and to develop action plans to reduce their risks.

Clinical Leadership:

1. Participate in clinical audit and the setting and monitoring of standards of care.

2. Contribute towards practice policies and protocols.

3. Work effectively in the team.

4. Identify personal development and training needs.

5. Provide support and mentoring for band 1 5 nursing staff.

6. Assist with medical and nursing student training.

Practice Development:

1. Be aware of current research approaches to patient care and incorporate this into practice.

2. Have an understanding of the ethical dilemmas that impinge on general practice.

3. Support structures that are in place for the smooth running of the practice.

4. Contribute to the efficient utilisation of the nursing resources.

Confidentiality:

• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
• In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality:

The post-holder will strive to maintain quality within the practice, and will:

• Alert other team members to issues of quality and risk
• Assess own performance and take accountability for own actions, either directly or under supervision
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
• Work effectively with individuals in other agencies to meet patients needs
• Effectively manage own time, workload and resources.

Communication:

The post-holder should recognize the importance of effective communication within the team and will strive to:

• Communicate effectively with other team members
• Recognize peoples needs for alternative methods of communication and respond accordingly.

Contribution to the Implementation of Services:

The post-holder will:

• Apply practice policies, standards and guidance
• Discuss with other members of the team how the policies, standards and guidelines will affect own work
• Participate in audit where appropriate.

Person Specification

Knowledge

Essential

• -Knowledge of needs of patients with long-term conditions
• -Knowledge of health promotion strategies
• -Aware of accountability of own role and other roles in a nurse-led service
• -Awareness of clinical governance issues in primary care
• -Knowledge of patient group directions and associated policy

Desirable

• -Knowledge of public health issues in the local area
• -Awareness of local and national health policy
• -Awareness of issues within the wider health economy

Qualifications

Essential

• -Registered first level nurse
• -Relevant Chronic Disease Management qualifications

Desirable

• -Mentor/teaching qualification
• -Independent Prescribing

Experience

Essential

• -Minimum 5 years post-registration experience
• -At least 2 years recent chronic disease primary care nursing experience
• -Management of long-term conditions
• -Involvement in implementing and using protocols and clinical guidelines

Desirable

• -Participation in quality initiatives such as clinical benchmarking
• -Experience of audit

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

Garstang Medical Practice

Address

Kepple Lane

Garstang

Preston

PR3 1PB

Employer's website

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