Practice Nurse

Job description

Job responsibilities

Job Summary

Working in accordance with the UKCC Code of Conduct, the post-holder will

be responsible for the delivery of practice nursing services, working as part of the practice’s multidisciplinary team who provide care within their scope of practice to the patient population. The practice nurse will be responsible for a number of clinical areas such as health promotion, chronic disease management, immunisations and screening. The post holder will be required to accurately record keep and code in EMIS.

Primary responsibilities

· Provide routine nursing care to patients as required in accordance with clinical-based evidence, NICE and the NSF

Therapeutic Monitoring:

• Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach.
• Recognising abnormalities.
• Identifying the impact of treatment and implementing or recommending changes as appropriate.

Wound Care and Management:

• Assessing routine wounds including trauma.
• Assessing to support good wound management in complex situations (eg use of Doppler technique).

Patient Health Checks:

• Working with patients to develop a management plan where health problems or potential health problems are identified.
• Identifying health trends and public health issues and working with the team and others to combat these.

Health Screening:

• Liaising with GPs to develop health screening programmes, counselling patients on life-style changes to promote health, eg lowering cholesterol and weight reduction diets, smoking/alcohol reduction/cessation.

Immunisation (Adult and Child):

• Working with public health initiatives ensuring the work of the team is up to date.
• Leading the team in achieving the immunisation guidelines and targets.
• Management and running of childhood immunisation clinics, advice, counselling and immunisations.
• Run BCG vaccination clinic for practice patients and patients registered elsewhere

Treatment Room experience

• Variety of injections
• Doppler
• Wound care (ulcer/Doppler) and dressings

Minor Surgical Procedures:

• Assist GPs with minor surgery when required.

Contraception and sexual health, women’s health

• Taking cervical smears
• Sexual health screening including involvement in the 4YP programme
• Providing and advising on emergency contraception.
• Assisting with insertion of IUD/ IUS.

Management of Chronic Disease:

• Managing of asthmatic, COPD, diabetes, hypertensive and CHD patients in clinic situation. Development of individual management plans; agreeing these as appropriate with the patient and other health professionals. Sharing responsibility with the GPs and practice manager for meeting QOF targets.

Other core duties

· Maintain accurate clinical records in conjunction with extant legislation

· Ensure read codes are used effectively

· Maintain chronic disease registers

· Chaperone patients where necessary

· Support the team in dealing with clinical emergencies

· Recognise, assess and refer patients presenting with mental health needs

· Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)

· Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)

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

· Support the clinical team with all safeguarding matters, in accordance with local and national policies

· Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately

• Deliver opportunistic health promotion where appropriate
• Support and deliver clinical audit as required

Person Specification

Experience

Essential

• Two years post qualification experience.
• Experience of working in a multi-disciplinary team

Desirable

• - experience of working in primary care
• - experience of working as a practice nurse or community nurse
• - experience of chronic disease management

Qualifications

Essential

• Registered General Nurse

Desirable

• Postgraduate diploma or degree (Primary Care)

Knowledge and skills

Essential

• - All Treatment room skills
• - Enjoys working as a team
• - excellent communicator with patients and colleagues

Desirable

• Long term condition management
• Experience of EMIS

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

Wellspring Surgery

Address

Beam Street

Bristol

BS5 9QY

Employer's website

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