Job responsibilities
Job
summary
The
post holder is responsible for ensuring the delivery of safe and effective
nursing care to the whole practice population. As nursing team lead, the post
holder is accountable for the nursing service delivery. They will lead and
manage all the nursing resource, working closely with the practice management
and GPs to deliver the practice priorities.
Clinically,
the focus of the role is the delivery of evidence-based care for patients with
long-term conditions along with offering management and preventative nursing
interventions to all of our patients. As an autonomous practitioner the nurse
is responsible for the care delivered, demonstrating critical thinking and
skills in clinical decision-making. They will work collaboratively with the
whole general practice team to meet the needs of patients, supporting the
delivery of policy and procedures, and providing leadership and direction for
the nursing team.
Scope
and Purpose of role
To
help develop the Nursing services offered by the Practice.
To
provide Clinical leadership within the Nursing Team
To
ensure the highest standards of care are provided for patients.
To
manage and develop a clinical, acute and chronic caseload, dealing with
patients needs that present to the Nursing team in the primary care setting.
Review
medication for therapeutic effectiveness, appropriate to patients needs and in
accordance with evidence-based practice and national and practice protocols.
Prioritise
health problems and intervene appropriately to assist the patient in complex,
urgent or emergency situations, including initiation of effective emergency
care.
To
deliver a high standard of patient care using specialist Practice Nursing
skills.
Clinical
Role
Make
autonomous decisions for which they are accountable and provide safe,
evidence-based, cost effective and individualised patient care.
Where
necessary, evaluate patient test results in conjunction with the patient and
their GP and ensure the appropriate course of treatment is initiated.
Make
appropriate referrals to other members of the primary, community and secondary
care teams.
Help
the practice develop and deliver specialist primary care nurse led services
including chronic disease management.
Initiate
the diagnosis for patients suspected of having chronic diseases e.g. Diabetes,
COPD, asthma, and CVD, referring to other clinicians as appropriate.
Facilitate
the provision of child and adult immunisations and vaccinations in accordance
with the national and local immunisation programmes.
Ensure
the nursing team are competent in anaphylaxis and resuscitation techniques.
Ensure
safe storage, rotation and disposal of vaccines and drugs and that adequate
stock levels are maintained.
Be
able to undertake procedures including venepuncture, BP management, urinalysis,
peak flows, spirometry, FENO, pregnancy testing and wound management.
Promote
health and wellbeing, giving general education, advice on diet, contraception,
smoking, chronic disease management, weight, exercise etc.
Initiate
and carry out programmes of health screening as agreed by the practice clinical
teams.
Enable
the support and encouragement of individuals, families and groups to address
issues which affect their health and social wellbeing.
Where
the post holder is an independent prescriber, ensure safe effective and
appropriate prescribing as defined by current legislative framework and local
and practice guidelines.
Maintain
accurate records according to NMC guidance.
Ensure
all data protection requirements are met by the nursing team when gathering,
recording, and storing patient data.
Mentoring
Role
Promote
a learning environment for patients, nurses and other health professionals in
the wider team.
Act
as mentor to nursing students, assessing competence against set standards as
requested and if appropriately qualified.
Disseminate
learning and information to other team members in order to share good practice
and inform others about current and future developments, e.g. courses and conferences.
Provide
an educational role to colleagues, patients, carers and families in an
environment that facilitates learning.
Professional
Role
Attend
and contribute to relevant internal and external meetings as required including
practice clinical meetings and nurse team meetings.
Maintain
a personal plan to keep up to date with current developments as well as
identifying their own training needs and attend suitable courses as
appropriate.
Promote
evidence-based practice through the use of the latest research-based guidelines.
Monitor
the effectiveness of own clinical practice through quality assurance strategies
such as the use of peer audit and review.
Maintain
professional registration.
Work
within the NMC Code of Professional Conduct
Work
collaboratively with colleagues both internally and externally
Proactively
promote the role of specialist nursing expertise within the practice
Lead
Nurse Role
Demonstrate
kind and compassionate leadership within the nursing team and the wider GP
surgery team.
Act
as a role model.
Support
members of the nursing team to undertake mandatory and statutory training
requirements.
Provide
clinical and educational advice to support the development of the team and the
range of services provided.
Facilitate/conduct
nursing team appraisals.
Responsible
for nursing team meetings
Team
working
Understand
own role and scope in the organisation and identify how this may develop over
time.
Work
as an effective and responsible team member, supporting others and exploring
the mechanisms to develop new ways of working.
Delegate
clearly and appropriately, adopting the principles of safe practice and
assessment of competence of those taking on delegated duties.
Ensure
clear understanding and utilisation of referral mechanisms within the practice.
Management
of risk
Manage
and assess risk within the areas of responsibility, ensuring adequate measures
are in place to protect staff and patients.
Monitor
work areas and practices to ensure they are safe and free from hazards and
conform to health, safety and security legislation, policies, procedures and
guidelines.
Ensure
safe storage, rotation and disposal of vaccines and drugs.
Apply
infection control measures within the practice according to local and national
guidelines.
Learning
and development
Assess
own learning needs and undertake training as appropriate in accordance with the
nursing team training plan agreed with GP and management team.
Make
effective use of learning opportunities within and outside the workplace,
evaluating their effectiveness and feeding back relevant information.
Disseminate
learning and information to other team members in order to share good practice
and inform others about current and future developments.
Equality
& diversity
Act
as a role model in good practice relating to equality and diversity.
Identify
patterns of discrimination, take action to overcome this, and promote diversity
and equality of opportunity.
Enable
others to promote equality and diversity in a non-discriminatory culture.
Accept
the rights of individuals to choose their care providers, participate in care
and refuse care. Assist patients from marginalised groups to access quality
care.