Job responsibilities
To work as a Registered Nurse with the Puddletown Surgery Nursing
Team to provide evidence-based, high quality, holistic and patient centred
nursing care for patients in the practice population, both in the surgery
setting and in their own homes.
KEY CRITERIA
Awareness
of the role of the Primary Care Nurse within the Primary Health Care Team.
Good
communication skills and ability to work within a team.
Commitment
to training to acquire the skills needed as a primary care nurse. - including accredited training in chronic disease
management as required e.g. diabetes, asthma,
COPD, spirometry.
Ability
to work alone without supervision when trained, following practice protocols,
under own initiative, prioritising workload, and effective time management.
Willingness
to be flexible and work nursing sessions according to the practice need to
cover for training, holidays and sick leave as required.
MAJOR DUTIES AND RESPONSIBILITIES OF THE POST
PROFESSIONAL RESPONSIBILITIES
Be
accountable for your own professional actions, and work within the boundaries
of the NMC Code of Conduct - maintaining
courtesy, discretion, and patience at all times. Maintain patient
confidentiality and respect privacy and preferences.
Attend
MDT meetings and training sessions as necessary to ensure professional
competency and continuous professional development is maintained.
Undertake
Mandatory training as required.
Have an
annual appraisal with their line manager, which will include setting personal
objectives and a development plan.
Contribute
to the assessment, supervision, development and teaching of junior staff and
pre-registration student nurses if required.
Have a
statutory duty of care for their own personal safety and that of others who may
be affected by their acts or omissions.
CLINICAL
Assess
the needs of patients in a variety of settings and formulate a plan of care.
This may
involve liaison with the wider multi-disciplinary team e.g., GPs, consultants,
hospital nurses, carers, social workers, hospice staff and cancer care nurses,
voluntary and statutory workers.
Provide
evidence-based nursing care in the surgery and community settings.
Evaluate
individualised care packages in all environments, to ensure efficiency.
Proactive
and opportunistic screening for chronic diseases, e.g., diabetes, asthma,
coronary heart disease.
Chronic
disease patient management, monitoring, regular reviews and pt education for
Diabetes, Asthma, COPD etc.
Recognise
patients readiness to change unhealthy behaviour, supporting health promotion,
giving advice and information on lifestyle issues and refer appropriately.
Perform
venepuncture.
Record
ECG, BP and other observations as required.
Wound
care / Leg ulcer management / Doppler / dressing techniques / removal of
sutures etc.
Ear
examination and irrigation.
Perform
cervical screening procedures and promote breast awareness.
Advise
on continence management and make appropriate referrals.
Catheterisation
and bowel procedures.
Provide
palliative support for patients and carers at the End of Life, including
administration of drugs and use of syringe drivers.
Pressure
area care.
Undertake
INR monitoring.
Administer
adult and paediatric injections, including immunisations, under an
individualised prescription or Patient Group Direction, ensuring safe storage,
rotation and disposal of vaccines and drugs.
Deliver
a holistic travel health service, including vaccinations and travel advice.
Assist
the GPs with Minor surgery and chaperone during intimate procedures.
Undertake
first aid and management of emergencies, e.g. burns, haemorrhage,
hypo/hyperglycaemic emergencies/asthma attacks.
Undertake
annual training and demonstrate competency in anaphylaxis and resuscitation
techniques
ADMINISTRATIVE
Maintain
detailed, accurate, contemporaneous patient records of care given, adhering to
Practice policy and in line with NMC guidelines.
Have a
working knowledge of the practice computerised notes system. (SystmOne)
Contribute
to the identification of health needs and service provision for the practice
population.
Contribute
to the development of policies / protocols / guidelines within the practice.
Assist
GPs to help deliver effective management of patient care as detailed by the
Quality and Outcomes framework / Frailty and other enhanced services.
SAFEGUARDING and RISK ASSESSMENT
Awareness
of Adult and Child safeguarding - Recognise the signs of child abuse, family
violence, vulnerable adults, substance abuse, addictive behaviours, suicidal
tendencies and be aware of local, referral procedures.
Be aware
of risks to your own safety and security whilst working, especially in the
community setting.
Carry
out your own risk assessments of patients homes for the benefit of the patient
and for the benefit of your own safety and report any concerns to your Lead
Nurse.
INFECTION CONTROL
Support
patients and colleagues in adopting sound infection control measures.
Apply
infection control measures when collecting and handling of laboratory
specimens, disposing of waste materials, dealing with blood and body fluids
spillages and report and treat sharps injuries.
Participate
in Infection Control audits
CONFIDENTIALITY AND DATA PROTECTION
Confidential
and personal information related to staff, patients and Puddletown Surgery must
not be disclosed within or outside the place of work, except in the proper
discharge of duties. It is the responsibility
of all staff to be aware of their obligations in respect of the practice
policies.
The content of this Job description represents an outline
of the post only and is therefore not a precise catalogue of duties and
responsibilities.
The duties and responsibilities listed above may change
in the light of developments within the Practice and are subject to regular
review and amendment.