Practice Nurse

Job description

Job responsibilities

The following are the core responsibilities. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

Work within the NMC Code of Conduct; maintaining professional standards of practice and behaviour for nurses. Prioritise people, practise effectively, preserve safety and promote professionalism and trust.

Recognise and work within own competencies.

Diagnose and manage patients with long term health conditions integrating both drug-and non-drug-based treatment methods.

Implement and evaluate individual specialised treatment plans with patients with long term health conditions.

Work with patients in order to support compliance with and adherence to prescribed treatments.

Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing as indicated.

Review medication for therapeutic effectiveness, appropriate to patient needs, and in accordance with evidence-based practice and national and practice protocols (within scope of practice). Discuss with GP if any medication change is indicated (if not a non-medical prescriber).

Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health.

Provide health promotions and encourage well-being; using skills such as motivational interviewing.

Document accurate recalls following reviewing patients with long term health conditions. Liaise with administration team regarding recalls for patients with long term health conditions.

Provide other clinics as required by the surgery (within your scope of practice and competence) For example Smears, ECG, Acute and Chronic Wound Management, Doppler Studies and Phlebotomy.

Administration of S/C or IM medication as prescribed; for example prostap & hydroxocobalamin.

Run annual influenza clinics and provide opportunistic influenza vaccines during other clinics as indicated and adhering to PGDs.

During clinics, check if patients are up to date with the national routine immunisation schedule. Offer vaccinations to eligible patients in accordance with the national routine immunisation schedule and adhering to PGDs; for example pneumococcal vaccination.

Chaperone patients as indicated.

Undertake the collection of pathological specimens, for example swabs & urine samples.

Request pathology services as indicated.

Recognise patients presenting with mental health needs, assess and take action required. Discuss with colleague or GP if concerns identified (within your competencies).

Contributing to the monitoring and maintaining of the cold chain including contributing to the twice daily record of fridge temperatures, report any breach of the cold chain and take action as per cold chain policy.

Work within the national standards of infection control and cleanliness and regulatory professional requirements and good practice guidelines.

Prioritise own workload and ensure effective time-management strategies are implemented.

Acting as a supervisor to students and newly qualified staff as required (within your scope of practice)

Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).

Contribute to practice targets; for example QOF, complying with local and regional guidance.

Maintain the knowledge and skills you need for safe and effective practice.

Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development.

Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).

Take part in clinical supervision.

Continually review clinical practices, responding to national policies and initiatives where appropriate.

Report all incidents including near misses. Participate in the review of significant and near-miss events.

Take part in the development of practice clinical protocols

Take part in audit cycles.

Attend nurse meetings on a regular basis.

Attend other meetings as requested, for example community meetings.

Monitor and ensure the safe storage, rotation and disposal of medicines

Develop working relationships with external organisations and develop awareness of services available to surgery population. Signposting as indicated.

Participate in local initiatives to enhance service delivery and patient care

Demonstrate due regard for safeguarding and promoting the welfare of children and adults.

Discuss any concerns with the safeguarding lead at Porch Surgery.

Person Specification

Qualifications

Essential

• Registered Nurse with current NMC registration - Essential
• Diploma or degree - Essential
• Accredited qualification in long term health condition - Essential

Desirable

• Non- medical prescriber Qualification - Desirable
• Triage Qualification - Desirable
• Minor Illness Qualification - Desirable
• Teaching Qualification - Desirable

Experience

Essential

• Previous experience of working in a secondary care environment

Desirable

• Experience of working in a primary care environment
• Experience of long-term health conditions
• Experience of prescribing and undertaking medication reviews

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

The Porch Surgery

Address

Beechfield Road

Corsham

Wiltshire

SN13 9DL

Employer's website

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