Job responsibilities
Main Duties and Responsibilities
It is accepted that all clinical skills and competencies may not be
available on joining. Training will be
available if available and agreed.
To provide basic and higher levels of nursing
care as needed for patients
To provide care for minor injuries, dressings,
including pressure bandaging and higher level wound care, liaising directly,
where appropriate with community and secondary care counter-parts, escalating
to a GP as necessary and also provide supervision for less qualified nursing
colleagues in the Practice.
To do cervical cytology sampling,
immunisations as outlined by national programmes and local guidelines,
working closely with the nursing, clinical and admin team to crate systems to
identify patients who are in need of such services and promoting the service
hard to reach patients.
To support the annual flu campaign and other
mass population vaccination programmes as needed in line with national
guidance
To conduct and assist GPs in providing LARC
services
To assist in the provision of procedures such
as minor procedures
To act as a chaperone or similar support for
other colleagues as needed
To conduct and supervise if necessary other
colleagues in anthropometric measurements, blood pressure, spirometry,
urinalysis, phlebotomy, microbiology samples, ECG, ABPV, peak flow and other
practice based tests as needed in the course of the care of patients.
To provide patient health promotion/disease
prevention education and counselling focusing on health behaviour change.
To provide a comprehensive travel advice
service and travel immunisations to patients of the practice in accordance
with practice protocols
To triage patients in person or over the phone
to the appropriate member of clinical staff (doctors, nurses, phlebotomists,
counsellors, chemists etc.) with the appropriate skills to meet a patients
stated needs
To assist members of the clinical team in
providing a seamless service through an illness episode providing specific
nursing capabilities and directing the nursing component of any illness
episode.
To liaise with community nursing colleagues to
continue the provision of nursing care in the home if patients are unable to
attend the practice and to transfer or share care as appropriate, visiting
outside the practice if needed on exceptional circumstances to meet the needs
of patients
To provide support to the GPs in the
management of chronic diseases such as diabetes, COPD, Asthma, Hypertension
etc.
To promote the health and well being of
patients by counselling patients on the nature of their conditions, the use
of the medications, diet, exercise and other health behaviours.
To provide support and guidance to patients in
times of crisis, breaking bad news where necessary to patients and carers and
provide on going support as needed
To counsel patients on the meaning of test
results and other medical information, conducting phone and in person
consultations; triaging patients to an appropriate clinician, finishing a
line of investigation, or arrange additional investigations as appropriate in
line with practice guideline and protocols and in partnership with clinical
colleagues
To eventually establish and participate in a
robust system of clinical audit in partnership with other clinical and
administrative colleagues, leading in areas appropriate, such as infection
control, to a nursing skill set and supporting in other areas such as
medicines management.
Administration
To maintain accurate patient records, entering
onto the practice system the appropriate agreed codes, using agreed standards
of data entry, templates and protocols, completing all documentation,
computerised and paper-based, as is required for good patient care.
To support the SPN in creation, maintenance, documentation
and training of others in robust systems of data collection, audit and review
of all clinical activities, protocols, care pathways and clinical systems,
liaising with fellow colleagues in the practice and in the local and national
health system as needed to insure good patient care.
To create and maintain in cooperation with
other nursing and admin colleagues a system of clinical stock and equipment
maintenance, calibration, and supply; working closely with the Practice
Manager and SPN to insure cost efficient purchasing of perishable and
expensive items.
To maintain all documentation needed to carry
out your clinical duties
To participate in Infection Control procedure
and protocols and their implementation within the practice.
General
To maintain your own annual registration with
the NMC and adhere to its Code of Professional Conduct.
Maintain any other required registrations and
certifications necessary to fulfil your role.
To promote a professional approach at all
times by dress and attitude to patients and staff, both in and out of the
practice, setting an example for those under your direct authority and to the
team as a whole.
To maintain your own continuous CPD and insure
a PDP is kept up to date in line with the practice and nursing team
development plans.
To participate in and attend practice meetings
and in-house training
Provide appropriate constructive feedback to
all members of the team and at times being prepared to challenge your
colleagues, clinical and administrative, to maintain high standards of
professionalism, patient care, service and excellence, prompting others to
fulfil their own explicit and implicit responsibilities to patients and
colleagues.