Job responsibilities
Job Summary
The post holder is an
experienced nurse, who is responsible for ensuring the delivery of safe and
effective patient care to the practice population using autonomous clinical
skills and a broad in-depth theoretical knowledge base. The post holder will
manage a diverse clinical case load, dealing with the presenting patients
needs within a primary care setting. They will contribute to developing the
nursing services offered by the practice. The practice nurse works
independently and contributes to audit, research and supporting, implementing
and evaluating local standards, policies, guidelines and care pathways. NMC
requirements will be met and the individual will work within the NMC Code of
Conduct to agreed practice standards and protocols.
The
post holder is accountable for his/her own practice and will work independently
managing their own clinical workload responding effectively to patient needs
and ensuring patient choice and ease of access to services.
To
mentor and support other nurses and staff in developing and maintaining
clinical skills.
To
participate in clinical supervision.
To
have an awareness of budgetary constraints and help make cost effective
decisions.
To
use referral pathways for nurses as appropriate.
To provide input and advice on evidence
based practice and care interventions within their sphere of knowledge.
Contribute
to the practice achieving its GMS contract obligations including quality,
organisational and access targets.
Participate
in clinical supervision with an identified senior nurse.
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.
Primary Duties & Areas of Responsibility
Clinical Role
Assess,
plan, develop, implement and evaluate treatment programmes for patients that
promote health and well-being.
Help
the practice develop and deliver specialist primary nurse led services,
including chronic disease management (including for all areas of QOF). 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.
Make
professionally autonomous decisions for which he/she is 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.
Undertake
regular medication reviews for patients for groups of patients deemed suitable
by the clinical team.
Provide
comprehensive travel health advice for patients prior to travel including
malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and
emergency medication, health insurance and 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, glucose tolerance tests, BP management,
urinalysis, peak flow, spirometry, new patient health checks, pregnancy
testing, stitch/clip removal, ear syringing, cytology, wound management and
cryosurgery.
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.
Enable,
support and encourage individuals, families and groups to address issues which
affect their health and social well being.
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.
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 to keep up-to-date with current thinking
and developments as well as identifying own training deficiencies and attending
suitable courses and 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 Role
Participate
in protocol development.
Identify
opportunities to delegate tasks to junior members of the nursing team.
Help
the practice develop in a cost effective manner, monitoring and using resources
appropriately e.g. stock control of dressings, vaccinations.
Participate
in practice meetings as required.
Participate
in audits and inspections as required.
As
part of the nursing team ensure all appropriate practice policies are fully
implemented.
Promotes
effective communication, relationships and team working within the practice.
Provides
clinical educational advice to support develop of the team and range of services
provided.
Partakes
in clinical supervision for own development purposes.
Facilitates and promotes the
use of up to date technology to develop practice.
