Job responsibilities
Scope & Purpose of the Role
To deliver a high standard of patient care using specialist practice skills.
To manage a clinical case load, dealing with presenting patients needs in a primary care setting.
To ensure the highest standards of care are provided for patients.
To help develop the nursing services offered by the practice.
To provide clinical leadership within the nursing team
Management of best Practice within the Nursing team.
Primary Duties & Areas of Responsibility
Clinical Role
Make professionally autonomous decisions for which you are accountable and provide safe, evidence based, cost effective, individualised patient care.
Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated.
Make appropriate referrals to other members of the primary, community and secondary care teams.
Help the practice develop and deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF). Initiates the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate. Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self manage. To attend scheduled home visits for housebound patients.
Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team.
Travel vaccinations.
Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained
Undertake procedures including: venepuncture, INR* testing, BP management, urinalysis, peak flow, spirometry, new patient health checks, , stitch/clip removal, ear syringing, cytology, basic wound management.
Provide support and chaperoning to the doctors for minor surgery and other procedures.
Promote health and well being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc...
Initiate and carry out programmes of health screening as agreed with the practice clinical team.
Enables, supports and encourage individuals, families and groups to address issues which affect their health and social well being.
Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets.
To ensure safe, effective and appropriate medication as defined by current legislative framework.
Maintain accurate records according to NMC rules.
Ensure all data protection requirements are met when gathering, recording and storing patient data.
Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system.
Training and development.
Teaching & Mentoring Role
Promote a learning environment for patients, nurses and other health professionals.
Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants.
Equality and diversity
- Act in ways that recognise the importance of people's rights, interpreting them in a way that is consistent with procedures
- Respect the privacy, dignity, needs and beliefs of patients and carers
Understand basic legal and communication issues regarding child abuse, family violence, vulnerable adults, substance abuse and addictive behaviour
Professional Role
Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meetings and gold standard framework meetings.
Maintain a personal progress and training plan in accordance with Revalidation requirements, to keep up-to-date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses as appropriate.
Promote evidence based practice through use of the latest research based guidelines.
Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review.
Maintain professional registration.
Work within the latest NMC Code of Professional Conduct.
Record accurate consultation data in patients records in accordance with NMC guidance and other standards.
Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation.
Work collaboratively with colleagues both internally and externally.
Demonstrate leadership.
Pro-actively promote the role of specialist nursing expertise within the practice and with the public.
Managerial Support
Participate in protocol development.
Help the practice develop in a cost effective manner, monitoring and using resources appropriately e.g. stock control of dressings, vaccinations.
Participate in audits and inspections as required.
Ensure all appropriate practice policies are fully implemented.
Promote effective communication, relationships and team working within the practice.
Share clinical educational advice to support development of the team and range of services provided.
Partake in clinical supervision for own development purposes.
Facilitate and promote the use of up to date technology to develop practice.
General
This job description reflects the current situation. It is subject to review and updating in the light of changing service needs. Details may be changed in consultation with the role holder and/or reviewed at their annual appraisal.
Job descriptions are not designed to be all-inclusive although they will, as far as practicable, be a reasonably accurate and understandable specification of duties. The nature of our organisation demands a flexible approach in order to provide efficient and modern services to our patients. This job description may be amended by the Neston Surgery and you may be required to carry out additional or other duties as may be reasonably required.
