Job responsibilities
Principal Responsibilities:
Demonstrate developing
competence and clinical skills in the assessment of patients in community and
general practice settings, ensuring care plans are developed in partnership and
all information is clearly and objectively recorded as required by local
policies. This requires the following:
Ability to assess patients,
taking into account their physical, mental and social states alongside the
impact of their environment and social support available to them and negotiating care plans that
are person centered and focused on self- care with clear objectives.
Using a
range of assessment tools pertinent to the patients needs to inform the
assessment and assess risk for both patients and staff.
Articulation
of risk and strategy for risk management.
Knowledge of
a broad range of conditions, local care pathways and evidence- based management
experienced by patients in community and general practice settings. This will
include LTCs, for example diabetes, coronary heart disease, heart failure,
hypertension and stroke, COPD, arthritis, dementia and other common mental
illnesses, frailty, and palliative and end of life care.
An
understanding of the presentations of multiple pathology, depression and
anxiety states and frailty predominantly in older people.
Knowledge of
the management of uncomplicated symptoms in those patients with palliative or
terminal care needs and enhanced communication skills to confidently manage
uncertainty.
Role model
the values expected in Compassion in Practice (2014), ensuring that patient,
family and carer feedback supports that care received was compassionate.
Ensuring
information is recorded objectively and reported back to the community or
general practice nursing team.
Facilitation
of Learning:
Able to
recognise personal development needs and also facilitate learning for patients,
carers, other staff and students. This requires:
Ability to
reflect on practice and utilise clinical supervision and other development
opportunities and support.
Emotional
intelligence and the ability to support staff in levels 2, 3 and 4, to debrief
and reflect on difficult situations experienced to improve learning and enhance
self-awareness.
Engagement
with appraisal and the development and activation of a personal development
plan.
Providing
effective mentorship for nursing students and the maintenance of a supportive
learning environment with a range of learning opportunities.
Creativity
in developing learning materials for patients and adapting care to support
individual needs in patients.
Leadership
& Management:
Is part of a
general practice nursing team with delegated accountability and responsibility
for patient care, being accountable to the General Practice Nurse team leader.
This requires:
Ability to
prioritise a delegated caseload/workload and effectively manage time and work
effectively within the team.
Knowledge of
resource management to ensure care is clinically effective and signposted to
the patient and family ensuring principles of confidentiality and disclosure
are maintained.
Recognition
of personal accountability and responsibility to monitor and evaluate care to
ensure optimal practice.
Using
opportunities to suggest improvements to services or introduction of other
innovations or evidence.
Engage
actively in data collection for quality assurance and take responsibility for
on-going evaluation of delegated care.
Participation in personal development, appraisal and development of other team
members and the links between organisation and team goals.
Ability to
recognise poor performance and take appropriate measures.
Assist in
undertaking and reviewing needs assessments and other data in general practice
that reflect the demographics and case management within the caseload and the
broader public health issues within the local community and practice
populations.
Have an
awareness of and participate in public health campaigns aimed at addressing
public health issues both locally and nationally.
Collaborate
effectively with a range of other healthcare professionals and agencies that
may be involved in patients interdependent care, ensuring awareness of their
scope of practice, roles and responsibilities to ensure correct referral and
on-going relationships.
Participate
in educational audit
Evidence,
Research & Development:
Has an
enquiring approach to practice to ensure best quality care is offered within
any constraints of the service. This requires:
Ability to
articulate the evidence underpinning patients care plans and interventions.
Ability to
source evidence and to appraise it to underpin practice. Recognise any ethical
implications of audit, research, clinical trial or service user involvement
strategies.
Clinical
Practice:
Demonstrate
specialist competence, innovation and clinical leadership in the assessment,
intervention in and delivery of general practice nursing in all contexts
appropriate to individuals needs across the whole age range for the general
practice population. This requires:
Ability to
assess and manage the range of conditions encountered in general.
practice using
a variety of assessment tools and consultation models appropriate to the
patient and situation using physical and clinical examination skills to inform
the assessment and decision-making for the on-going management of the patient.
Advanced
communication skills that include skills of influencing and negotiation to
enable information to be delivered in understandable formats for patients and
behaviour change supported where necessary.
Effective
multidisciplinary and multi-agency team working, alongside the ability to work
independently and accept professional accountability and responsibility for the
delivery of whole episodes of care, and supporting and developing others in the
general practice nursing team to collaborate effectively, ensuring nursing care
is guided by precedent and clearly defined policies, procedures and protocols.
Delivery and
co-ordination of evidence-informed, person-centered and negotiated care across
the age spectrum.
Use of
technology to support independence and patient self-care at home to improve
self-care and reduce exacerbations.
Role
modelling and embodiment of non-judgmental, value-based care encompassing the
6Cs in practice and expectation and promotion of these values in other team
members.
Competence
in delivering evidence-informed care across a wide range of minor acute and
LTCs, ensuring effective evaluation of therapeutic and other approaches to
condition management alongside ability to assess patient concordance.
