Practice Nurse with Chronic Disease management

Job description

Job responsibilities

SUMMARY OF MAIN DUTIES

To provide and maintain a high standard of nursing care for patients as well as providing nursing assistance to the doctors and other members of the primary healthcare team. The duties will include all tasks normally undertaken by an experienced RGN and in addition any roles agreed between the nurse and the doctors as appropriate, having regard to current training.

The surgery operates at two locations and this post is required to work at both. In addition to this the practice has a number of patients who are housebound or live in care homes and you may be required to visit these patients in the community.

Professional

Ensure clinical practice is safe and effective and remains within the boundaries of competence and acknowledge professional limitations; ensuring in-house onward referral or GP advice is obtained as needed.

Adhere to all practice and professional policies and procedures.

Clinical

While you are required to undertake all standard treatment room nursing activities, such as dressings, venepuncture and physiological measurements etc, these should be devolved to the HCA team where time, skill set and patient convenience allow.

Carry out chronic disease clinics pertinent to your skill set and as agreed by the Partners/Practice Manager.

Ensure an overview of the practices QoF achievement is maintained and related clinical activities are carried out in a timely manner.

Provide holistic health assessment and health promotion service to patients, including, alcohol intake, weight management, smoking and diet.

Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel including, but not limited to, vaccinations and medicines, safe sex, food hygiene, sun protection

Intramuscular injection and sub-cutaneous injection of drugs

Offer advice about childhood and adult vaccinations and ensure vaccines are administered under patient group directions or patient specific directions.

Perform a holistic assessment and service provision of patients attending for ear irrigation.

Perform venepuncture according to local guidelines

Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines and local formularies.

Take ECGs

Able to recognize and manage anaphylaxis according to current UK guidelines.

Able to perform Cardio-Pulmonary Resuscitation according to current UK guidelines.

Administration/Other

Ability to obtain and document informed consent (either verbal or written) and offer and record chaperoning.

Ensure computerised patient notes are accurate, timely and appropriately read-coded.

In conjunction with your nursing colleagues ensure clinical equipment, consulting rooms and stock levels are maintained for the practice.

Undertake administrative duties consistent with the role.

Undertake ad hoc duties as required within the scope of the role and experience.

• Discuss with other members of the team how the policies, standards and guidelines will affect own work and liaise with Lead Nurse/Practice Management to suggest service improvements
• Participate in audit as required.

Educational

Identify personal development and training needs in conjunction with the Senior Practice Nurse & Practice Manager

Participate in continuing education and maintain a contemporary level of professional knowledge and skills and ensure this is recorded in the practice training logs.

You may be required to attend training events outside your normal working times/days in agreement with the Lead Nurse/Practice management.

Contribute to colleague learning by sharing education and feeding back to the team via appropriate methods e.g. nurse meeting, email etc.

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.

Quality Assurance

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.
• Work collaboratively with practice and national safeguarding policies, contributing to safeguarding meetings & reports when appropriate.

Flexibility

This job description is not intended to be an exhaustive description of every duty performed by the Practice Nurse, but rather a guide to the type and nature of the duties. In a small business such as that run by the Partners flexibility in the duties undertaken and the hours worked are essential to achieve the objectives of a smooth running practice.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, to include:

• Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements

• Using personal security systems within the workplace according to practice guidelines
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
• Reporting potential risks identified
• Understand and apply the principles of the cold chain
• Ensure safe storage, rotation and disposal of vaccines and drugs within area of responsibility
• Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate
• Be aware of statutory child health procedures

Equality & Diversity

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

• Acting in a way that recognises 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.

Communication

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

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

Person Specification

Qualifications

Essential

• Qualifications:
• A sound general education
• Certificate showing Registered General Nurse (RGN-Adult) qualification and in possession of a current NMC Personal Identification Number
• Membership of a professional defence organisation
• Level 6 or 7 module in Asthma or Diabetes management. Equivalent qualifications will be considered, but must enable the post holder to support our patients with these conditions on starting with us

Desirable

• Level 6 or 7 module completion in both Asthma and Diabetes management

Experience

Essential

• Smart and professional appearance
• Well-developed interpersonal skills with a good clarity of speech
• Kind, empathetic, caring and friendly
• Methodical approach to duties
• Ability to remain calm under pressure
• Willingness to learn and openness to new ideas
• An effective and contributing team-worker
• Proficient IT skills
• Previous treatment room / practice nurse experience essential
• Experience of dealing with children and vulnerable groups

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

Cherry Hinton & Brookfields Medical Centre

Address

34 Fishers Lane

Cambridge

CB1 9HR

Employer's website

https://www.cherryhintonmedical.co.uk/ (Opens in a new tab)