Job summary
An exciting opportunity has arisen for a practice nurse to join our dedicated and friendly clinical and wider practice team.
Due to the retirement of our long service practice nurse we are looking for an experienced GP practice nurse with core primary care skills to include cervical cytology, vaccinations (child and adult) and more specialist skills in managing chronic long term conditions, including diabetes, heart failure, COPD, asthma, CHD etc.
The practice is also inviting applications from qualified nurses who are looking to move into general practice and who, with full practice support, are willing to develop further and achieve the skills required for the post.
The desired hours are 24 - 26 hours over 4 days to include Monday & Friday, however this is open for discussion and flexibility will be given for the right candidate.
Main duties of the job
- Knowledge of all aspects of primary care
- Excellent communication skills (Written and Oral)
- Leadership experience of junior nursing team members (HCA, Phlebotomist)
- Experience in the management of diabetic patients
- Experience in the management of chronic disease i.e. COPD, Asthma, Heart Failure & Stroke
- Minor surgery support
- Sexual Health
- Phlebotomy skills
- IT skills
- Time Management and the ability to work to deadlines
- Problem solving skills
- Interpersonal skills
- Organisational skills
- Team working
- A detailed understanding of a General Practice environment
- Some knowledge of the Practice clinical system
- Planning and organising
- Performing under pressure
- Adaptability
- Self motivated
- Flexibility
- Confidentiality
About us
Barrington is a high achieving and successful practice in a bright modern health centre in the heart of Altrincham. The practice has a friendly and dynamic clinical team that is based around a patient holistic ethos and a value of continuity of patient care.
Serving over 7000 patients the successful candidate will have the opportunity to work within this supportive multi-skilled clinical team which they will find to be professionally rewarding.
Job description
Job responsibilities
Main Duties:
1. Diabetes
- Support patients in the management of insulin and non- insulin dependentdiabetes
- Undertake opportunistic screening for the diagnosis of diabetes
- Support and provide education for diabetic patients
- Provide emergency treatment for hypo/hyperglycaemic emergencies
- Make appropriate referrals
- Contribute to the maintenance of the practice diabetic register
- Initiates the process of diagnosis on patients with suspected diabetes
- Manages patients newly diagnosed with diabetes under protocols
- Undertakes annual review of patients understanding and ability to self manage
- Provides the management of patient converting to or commencing insulin within protocols
- Refers to dietician, chiropodist and diabetes and specialist nurses
- Maintains a disease register
- Audits outcomes of care against standards and initiate changes as necessary
2. Respiratory Disease Management
- Has an understanding of asthma care; its diagnosis, asthma treatments and the principles of self-management
- Use a spirometer to aid the diagnosis and management of COPD
- Know about the factors which contribute to the development of COPD
- Contribute to the management of patients within the framework of national and local guidelines for asthma and COPD
- Advise patients of their asthma control including the use of self-management plans
- Teach and advise patients how to use various inhalers and peak flow meters
- Contribute to the maintenance of the practice respiratory register
- Make appropriate referrals
- Manages newly diagnosed patients with asthma and COPD
- Maintains a disease register
- Work within agreed local/BTS guidelines and patient group directions to manage patients with asthma, aiding diagnosis, reviewing inhaler technique and advising on treatment changes
3. Cardiovascular Disease
- Contribute to the implementation of the National Service Framework
- Contribute to the maintenance of the practice CHD register
- Advise patients on lifestyle management and drug compliance for reducing risk factors of:
Hypertension
Angina
Myocardial infarction
Cerebrovascular accident
- Long term conditions:
- Management of CVD and Stroke according to protocol and template
- Contraception
- Advise patients on available methods of contraception and refer patients as appropriate
- Support patients attending for emergency contraceptive and refer patients as appropriate
- Perform interval health checks for patients using hormonal contraception
- Teach patients correct condom use
- Advise patients on reducing risk of sexually transmitted diseases and refer patients appropriately
- Clinical Nursing Practice`
- Assist the GP in minor surgery clinics
- Suture and clip removal
- Screening:
- Undertake opportunistic screening BP checks, height, weight
- BMI, urinalysis, smoking status
- Undertake opportunistic venepuncture
7. Health Promotion:
- Recognise patients readiness to change in supporting their attempts to change unhealthy behaviour
- Provide healthy eating advice to individuals or to groups, including the underweight
- Provide smoking cessation advice individually in opportunistic consultations
- Provide individual advice to patients about increasing activity or exercise
- Offer advice on recommended safe limits for alcohol consumption
- Refer as appropriate
8. Vaccinations and Immunisations
- Administer injections under an individualized prescription or Patient Group Direction
- Ensure safe storage, rotation and disposal of vaccines and drugs
- Provide an adult and childhood immunization service
- Develop and work to Patient Group Directions
9. Infection control
- Support patients and colleagues in adopting sound infection control measures
- Apply infection control measures within the practice according to local and national guidelines
This includes:
Universal hygiene precautions
The collection and handling of laboratory specimens
Segregation and disposal of waste materials
Decontamination of instruments and clinical equipment
Reporting and treatment of sharps injuries
Dealing with blood and body fluid spillages
Educate colleagues in adopting sound infection control measures
10. Emergency Management
- Is competent in anaphylaxis and resuscitation techniques
11. Womens Health
- Advise patients on the national and local Cervical Cytology screening programmes
- Audit a minimum of twenty consecutive smears each year to demonstrate adequate sampling rates
- Promote breast self-awareness, demonstrate breast self-examination and provide supporting literature
- Advise patients about reducing the risk of sexually transmitted diseases and make appropriate referrals
- Take swabs for microscopy as directed
Your position brings you into contact with information which is personal and confidential. Under no circumstances must this information be discussed or divulged. A breach of confidentiality is a dismissable offence.
Job description
Job responsibilities
Main Duties:
1. Diabetes
- Support patients in the management of insulin and non- insulin dependentdiabetes
- Undertake opportunistic screening for the diagnosis of diabetes
- Support and provide education for diabetic patients
- Provide emergency treatment for hypo/hyperglycaemic emergencies
- Make appropriate referrals
- Contribute to the maintenance of the practice diabetic register
- Initiates the process of diagnosis on patients with suspected diabetes
- Manages patients newly diagnosed with diabetes under protocols
- Undertakes annual review of patients understanding and ability to self manage
- Provides the management of patient converting to or commencing insulin within protocols
- Refers to dietician, chiropodist and diabetes and specialist nurses
- Maintains a disease register
- Audits outcomes of care against standards and initiate changes as necessary
2. Respiratory Disease Management
- Has an understanding of asthma care; its diagnosis, asthma treatments and the principles of self-management
- Use a spirometer to aid the diagnosis and management of COPD
- Know about the factors which contribute to the development of COPD
- Contribute to the management of patients within the framework of national and local guidelines for asthma and COPD
- Advise patients of their asthma control including the use of self-management plans
- Teach and advise patients how to use various inhalers and peak flow meters
- Contribute to the maintenance of the practice respiratory register
- Make appropriate referrals
- Manages newly diagnosed patients with asthma and COPD
- Maintains a disease register
- Work within agreed local/BTS guidelines and patient group directions to manage patients with asthma, aiding diagnosis, reviewing inhaler technique and advising on treatment changes
3. Cardiovascular Disease
- Contribute to the implementation of the National Service Framework
- Contribute to the maintenance of the practice CHD register
- Advise patients on lifestyle management and drug compliance for reducing risk factors of:
Hypertension
Angina
Myocardial infarction
Cerebrovascular accident
- Long term conditions:
- Management of CVD and Stroke according to protocol and template
- Contraception
- Advise patients on available methods of contraception and refer patients as appropriate
- Support patients attending for emergency contraceptive and refer patients as appropriate
- Perform interval health checks for patients using hormonal contraception
- Teach patients correct condom use
- Advise patients on reducing risk of sexually transmitted diseases and refer patients appropriately
- Clinical Nursing Practice`
- Assist the GP in minor surgery clinics
- Suture and clip removal
- Screening:
- Undertake opportunistic screening BP checks, height, weight
- BMI, urinalysis, smoking status
- Undertake opportunistic venepuncture
7. Health Promotion:
- Recognise patients readiness to change in supporting their attempts to change unhealthy behaviour
- Provide healthy eating advice to individuals or to groups, including the underweight
- Provide smoking cessation advice individually in opportunistic consultations
- Provide individual advice to patients about increasing activity or exercise
- Offer advice on recommended safe limits for alcohol consumption
- Refer as appropriate
8. Vaccinations and Immunisations
- Administer injections under an individualized prescription or Patient Group Direction
- Ensure safe storage, rotation and disposal of vaccines and drugs
- Provide an adult and childhood immunization service
- Develop and work to Patient Group Directions
9. Infection control
- Support patients and colleagues in adopting sound infection control measures
- Apply infection control measures within the practice according to local and national guidelines
This includes:
Universal hygiene precautions
The collection and handling of laboratory specimens
Segregation and disposal of waste materials
Decontamination of instruments and clinical equipment
Reporting and treatment of sharps injuries
Dealing with blood and body fluid spillages
Educate colleagues in adopting sound infection control measures
10. Emergency Management
- Is competent in anaphylaxis and resuscitation techniques
11. Womens Health
- Advise patients on the national and local Cervical Cytology screening programmes
- Audit a minimum of twenty consecutive smears each year to demonstrate adequate sampling rates
- Promote breast self-awareness, demonstrate breast self-examination and provide supporting literature
- Advise patients about reducing the risk of sexually transmitted diseases and make appropriate referrals
- Take swabs for microscopy as directed
Your position brings you into contact with information which is personal and confidential. Under no circumstances must this information be discussed or divulged. A breach of confidentiality is a dismissable offence.
Person Specification
Qualifications
Essential
- Good standard of general education
- Registered Nurse
- Membership of professional body
Experience
Essential
- Practical experience of working with others
- Experience of using own initiative
- Practical experience of computerised recording system
Desirable
- Experience of working within a General Practice
- Experience of leading a small nursing team
Person Specification
Qualifications
Essential
- Good standard of general education
- Registered Nurse
- Membership of professional body
Experience
Essential
- Practical experience of working with others
- Experience of using own initiative
- Practical experience of computerised recording system
Desirable
- Experience of working within a General Practice
- Experience of leading a small nursing team
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).