Job responsibilities
The post-holder will be an experienced nurse,
who is responsible for the delivery of practice nursing services care to the
practice population
Supported by the Lead Nurse Practitioner acting
within their professional boundaries of their scope of practice, they will
demonstrate safe, clinical decision-making and expert care for patients within
the general practice
They will focus upon supporting patients to be
healthy, monitoring and management of long-term conditions, health prevention
and screening activities, immunisations and may include cervical screening
The post-holder will work collaboratively with
the multi-disciplinary general practice team to meet the needs of patients,
supporting the delivery of policy and procedures
The post-holder will build effective working
relationships with other health care professionals
The post-holder will work within the team of GPs,
nurses and health care assistants to deliver excellent primary health care
services within the Practice
Primary responsibilities:
Chronic disease management including the
diagnosis, monitoring and development of patient's individual management plans
Reviewing patients with chronic disease i.e.
diabetes, hypertension, heart disease, to implement and evaluate individual
treatment plans to promote health and wellbeing
Assessing lifestyle and medications and
suggesting changes where appropriate
Implementation of processes for the effective
management of patients with long-term conditions using evidence-based practice
Identify, manage and support patients at risk
of developing long-term conditions, preventing adverse effects on patients'
health
Venepuncture,
handling of specimens
Undertaking
diagnostic tests and screening procedures within agreed practice protocols
(e.g. ECG and cervical cytology)
Immunisation and
vaccination of children, adults and travellers
Ear examination and
syringing
Wound care,
dressings and removal of sutures
First aid and
management of emergencies e.g. burns, haemorrhage, shock cardiac arrest, triage
of injuries
Care and maintenance
of equipment
New patient checks
To provide
appropriate signposting to the relevant clinician or external organisation
whilst ensuring that the patient receives appropriate ongoing care
To promote high
standards of patient care by the application of a systematic triage approach
and undertake comprehensive holistic assessments of person-centred care needs
To maintain clear,
concise and accurate documentation within the systems provided
To ensure that all
necessary arrangements are completed promptly and in a safe manner
To maintain
effective communication with multidisciplinary teams to the benefit of the
patient
To maintain the
confidentiality of matters relating to patients and patient care in accordance
with the NMC guidelines
To communicate
complex and sensitive information concerning a patients medical condition
effectively to patients/carers, recognising that sometimes there are barriers
to understanding
To foster good
public relations by ensuring courtesy and discretion when dealing with patients
and their relatives
To support and
advise patients on the promotion of health, prevention of ill-health and the
self-management of their health within their limitations
To recognise
situations that may be detrimental to the health and well-being of the
individual and act on the findings
To ensure that care
given is supported by the best available evidence and local policies and
procedures
To deliver
opportunistic health promotion where appropriate
To understand
practice and local policies for substance abuse and addictive behaviour,
referring patients appropriately
To uphold the
confidentiality of all records/information held by Pembroke Medical Group. This duty lasts indefinitely and will
continue after you leave your
employment at this
practice. All information which identifies
individuals in whatever form should be managed locally with the Confidentiality
Policy and in general in accordance with the Data Protection Act 2018
To maintain
professional competency whilst remaining current and in date for NMC
revalidation
To ensure read codes
are used effectively
To recognise, triage
and refer patients presenting with mental health needs
To support the
clinical team with all safeguarding matters in accordance with local and
national policies
In addition to the
primary responsibilities, the experienced practice nurse may be requested to:
Ordering of supplies
and equipment
Support junior
members of the nursing team, providing guidance when necessary
To assist in
screening procedure undertaken by the practice
Assist in the
management of patients with chronic illnesses
Support and
participate in shared learning within the practice
Participate in the
review of significant and near-miss events applying a structured approach, i.e.
root cause analysis (RCA)
Support the practice
team with the reviewing and implementation of practice policies and protocols,
ensuring conformance to extant legislation
To maintain accurate and contemporaneous
records, utilising computer systems where appropriate and consider the Caldicott
Principles and GDPR Regulations in relation to all data handling
To be proactive in the identification of
Carers
PROFESSIONAL ROLE
To promote personal development and clinical
excellence
To facilitate and participate in multi-disciplinary
education and clinical supervision
To work within the relevant Professional
Conduct and Scope of Professional Practice
Participate in organisational decision making,
interpret variations in outcomes and use data from information systems to
improve practice
To maintain own professional development in
line with their professional regulations
Participate in continuing professional
development opportunities to ensure that up-to-date evidence-based knowledge
and competence in all aspects of the role is maintained
ORGANISATIONAL
To complete records, audits, reports and
respond to appropriate questions and requests
To attend meetings as requested
Support effective communication channels
between the whole team
To keep the Lead Nurse Practitioner informed
about pressures and difficulties or problem areas when aware
To work according to Clinical Governance and
support the Clinical Governance Agenda
To understand the role of Risk Management
within the Practice contributing to risk
assessment and Significant Event Audit and the
importance of Infection Control
The individual may be required to undertake
the assessment and management of patients within the home environment
To actively participate in the delivery of QOF
targets and others as deemed by the
arrangements in general practice finance
MISSION, VALUES AND STRATEGIC DIRECTION
To promote at all times, the Practices,
mission, values and understand the strategic direction of business plans.
Ensure that patient centred care and safety is
central to the culture, philosophy and
organisation of the Practice.
To encourage and support patient with long
term conditions to develop their ability to self-manage.
To develop a culture of ongoing review, taking
into account new methods of working
CODES OF CONDUCT AND ACCOUNTABILITY
To work at all times within the highest levels
of standards commensurate with the post.
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.
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, the practice health & safety manual, and the practice
infection control policy and published procedures. This will include:
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.
Making effective use of training to update
knowledge and skills.
Using appropriate infection control
procedures, maintaining work areas in a tidy and safe way, free from hazards. Actively
reporting health and safety hazards and infection hazards immediately when
recognised.
Keeping own work areas and general/patient
areas generally clean, assisting in the maintenance of general standards of
cleanliness consistent with the scope of the job holders role
Undertaking periodic infection control
training (minimum annually)
Reporting potential risks identified
Demonstrate due regard for safeguarding and
promoting the welfare of children & adults at risk.
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 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 that is welcoming to and
of the individual, is non-judgmental and respects their circumstances, feelings
priorities and rights.
