Job responsibilities
Job Description
Post: Practice
Nurse
Contract: Permanent
Hours: Full-time 37.5
Reports to: Nurse Manager
Job Purpose
To perform as an
autonomous nurse working both independently and with other health care
professionals to assess, diagnose and treat patients with a range of acute,
non-acute and chronic medical conditions, initiating direct referrals as
appropriate supported by a GP comprising face-to-face consultations and
telephone/electronic triage work
Provide general
nursing care to practice population who are referred or self-refer in the
practice or in home setting including assessment, planning, delivery and
evaluation including:
o
Wound care
(assessment and management)
o
Adult and
Childhood immunisations
o
Flu and COVID-19
vaccinations including home visits to housebound
o
ECGs
o
Pathology samples
appropriate testing in surgery and sending to pathology when deemed necessary
o
Cervical
screening
o
Health education
and promotion
To trial and
adopt new working methods designed to manage the increasing demand in primary
care. Such methods are likely to require an increasing reliance on triage and
consultation over the telephone and emerging technology
To provide
education and training to other staff and students as appropriate and to take a
lead role in encouraging teamwork and sharing best practice
To help develop
the North Brink Practice for the overall benefit of its patients
MAIN DUTIES AND RESPONSIBILITIES
Clinical Responsibilities
Undertake
clinical nursing practice using expert knowledge and clinical skills to deliver
holistic care to people accessing primary care services
Assess (with GP
support after training and competent) patients presenting with a range of
acute, non-acute and chronic medical conditions. Take history, make appropriate
physical examinations, formulate differential diagnoses and carry through
management treatment plans ensuring relevant follow up
Arrange hospital admission
for appropriate cases
Undertake telephone
triage work and telephone advice calls
Maintain accurate
record keeping in SystmOne
Demand management
Recognise the
growing demand for primary care services and take positive steps to manage it
Create
opportunities to address patients care needs in the most expedient way, taking
into account that continuity of care and access to services are often in direct
conflict
Influence
patients to recognise the difference between their needs and their wants, and
manage their expectations of what we can realistically deliver in a manner that
is fair and proportionate for all care priorities
Make improved use
of the telephone and other technologies. Encourage patients to rely on
face-to-face consultation only where there is a clinical need to do so
Convince patients
of your clinical competence and of the need to free up GP time for all but the
most complex cases
Communication
Provide and
receive highly complex, sensitive or contentious information and occasionally
deal with situations which are hostile or emotive
Use developed
communication, negotiation, and conflict management skills which require
empathy, reassurance and persuasive skills to overcome barriers to acceptance
Make operational
judgements, manage conflicting views and reconcile differences in professional
opinion
Build and
communicate effective working relationships with a wide array of statutory and
voluntary organisations for the benefit of patient care and facilitate good
working relationships
Manage self and others
Participate in an
annual individual performance review, taking responsibility for maintaining a
record of own personal and professional development.
Manage own time,
workload and resources effectively
Contribute to the
effectiveness of the team by reflecting on own and team activities and making
suggestions on ways to improve and enhance the teams performance
Assess own
performance and take accountability for own actions, either directly or under
supervision
Undertake
professional development as required by the role
Encourage and motivate
others to be forward thinking in ideas that address the health needs of our
patients and be innovative whilst managing and developing new ways of working
Promote effective
communication and relationships within the team
Engage in
clinical supervision with peers and expect clinical supervision for own
development
Participate
positively and actively in clinical and practice meetings
Develop own
knowledge and clinical practice to meet own objectives and changes in service
Be involved in
mentoring the Healthcare Team undertaking chronic disease management
Lead on standards
setting and promote best practice
Operate a high
standard of probity
Manage and
use information
Alert other team
members to issues of quality and risk.
Make effective
use of the clinical system by ensuring consistent and accurate data entry and
use of Read Codes
Facilitate the
use of up to date information technology in order to collate accurate and
timely information as and when required by the Practice.
Assist in the
development of practice protocols for the surgery and clinical protocols for
the clinical team
Identify, monitor
and review deficiencies in procedure and implement remedial action
Confidentiality
In the course of
seeking treatment, patients entrust us with, or allow us to gather, sensitive
information in relation to their health and other matters. They do so in
confidence and have the right to expect that staff will respect their privacy
and act appropriately
In the
performance of the duties outlined in this job description, the role holder
will have access to confidential information relating to patients and their
carers, Practice staff and other healthcare workers. They may also have access
to information relating to the Practice as a business organisation. All such information
from any source is to be regarded as strictly confidential
Information
relating to patients, carers, colleagues, other healthcare workers, or the
business of the Practice may only be divulged to authorised persons in
accordance with the Practice policies and procedures relating to
confidentiality and the protection of personal and sensitive data
Health and
Safety
The role holder will assist in promoting and
maintaining their own and others health, safety and security as defined in the
Practice Health and Safety Policy:
Use personal
security systems within the workplace according to Practice guidelines
Identify the
risks involved in work activities and undertake such activities in a way that
manages the risks
Make effective
use of training to update knowledge and skills
Use appropriate
infection control procedures, maintain work areas in a tidy and safe way and
free from hazards
Report potential
risks identified
Equality and
Diversity
The role holder will support the equality, diversity
and rights of patients, carers and colleagues:
Act in a way that
recognises the importance of peoples rights, interpreting them in a way that
is consistent with Practice procedures and policies, and current legislation
Respect the
privacy, dignity, needs and beliefs of patients, carers and colleagues
Behave in a
manner which is welcoming to, and of, the individual, is non-judgemental and
respects their circumstances, feelings, priorities and rights
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
North Brink Practice and you may be required to carry out additional or other
duties as may be reasonably required