Practice Nurse

Buxted Medical Centre

The closing date is 24 September 2021

Job summary

We are looking for two additional Practice Nurses who will work across Buxted and East Hoathly with some occasional requirement to travel to Manor Oak to help cover holidays and/or team absence. We are an EMIS Web practice using INR Star and Docman but full training can be given on these packages if necessary. The hours would ideally be around 20 hours for each position but there is flexibility.

Main duties of the job

The ideal candidate will be enthusiastic and energetic and eager to share ideas and suggestions. You will thrive under pressure, working quickly and accurately and interact well with our diverse patient population. It is essential you are a team player, reliable and an excellent communicator. Ideally you will be dynamic and highly motivated, preferably with strong general practice experience although this is not essential. You must be NMC registered.

Key duties would be

Cervical cytology

Wound care and dressings

Chronic disease management

Routine and child immunisations (including flu)

INR blood testing

Travel vaccinations

Hypertension management

ECGs

Infection Control lead/co-lead

Following agreed clinical protocols

Knowledge and understanding of QOF

Knowledge and experience of working within the framework of Locally Commissioned Services and Direct Enhanced Services

Attend regular practice meetings

About us

Buxted Medical Centre, incorporating East Hoathly and Manor Oak (Horam) practices, is a friendly practice in a beautiful, purpose built building in a rural village location. We are a GP Training Practice and part of the Greater Wealden PCN.

Buxted Medical Centre is a busy, but friendly, three partner practice with a growing and supportive clinical team. Both the Buxted and East Hoathly sites are dispensing practices. With a new management team in place, we are looking to expand and strengthen our team to provide outstanding, caring and efficient services to our 15,000 patients. We are very proud to have delivered the Covid-19 vaccination programme to our patients as part of our PCN, with all three of our practices being approved vaccination sites. We are very excited about the future of the practice and the opportunities ahead.

Job description

Job responsibilities

Primary Responsibilities

The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

To act as the Infection Prevention Control (IPC) lead/co-lead and to work to the IPC Policy providing, or supporting the implementation of audits, training, support and evidence of compliance to the practice manager.

To produce or support the production of the IPC annual statement in conjunction with the practice manager.

To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice.

To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice.

To develop, implement and embed health promotion and wellbeing programmes.

To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing.

To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health.

As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF.

As required, to diagnose and manage acute and chronic conditions.

To prescribe medication for patients in accordance with PGDs and own scope of practice.

To review patient medications to enhance compliance.

To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages.

To co-ordinate the provision of travel medicine services.

To request pathology services and process pathology results as required.

To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required.

To maintain accurate clinical records in conjunction with extant legislation.

To ensure read codes are used effectively by all members of the nursing team.

To ensure the appropriate maintenance and use of chronic disease registers.

To develop, implement, embed and participate in well woman clinics.

To develop, implement, embed and participate in well man clinics.

To ensure compliance with the practice chaperone policy.

To assist GPs with minor surgery when required.

To prioritise health issues and intervene appropriately.

To support the team in dealing with clinical emergencies.

To recognise, assess and refer patients presenting with mental health needs.

To implement vaccination programmes for adults and children.

To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice).

To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).

To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).

To support the clinical team with all safeguarding matters, in accordance with local and national policies.

To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately.

To deliver opportunistic health promotion where appropriate.

Secondary Responsibilities

In addition to the primary responsibilities, the Practice Nurse may be requested to:

Develop and review audit protocols and process for the practice, effectively utilising the audit cycle.

Develop, review and implement nursing protocols in conjunction with the partners.

Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required.

Participate in local initiatives to enhance service delivery and patient care.

Support and participate in shared learning within the practice in order to improve patient care.

Continually review clinical practices, responding to national policies and initiatives where appropriate.

Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA).

Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs.

Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients.

Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation.

Person Specification

Other Requirements

Essential

  • Flexibility to work outside of core office hours
  • Discloure Barring Service (DBS) check
  • Occupational Health clearance
  • Meet the requirements and produce evidence for nurse revalidation
  • Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse.

Personal Qualities

Essential

  • Polite and confident
  • Flexible and co-operative
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations
  • Effectively able to communicate and understand the needs of patients
  • Commitment to ongoing professional development
  • Punctual and committed to supporting the team effort

Desirable

  • Motivated, forward thinker
  • Problem solver with the ability to process information accurately and effectively
  • Ability to work under pressure/in stressful situations
  • Effectively utilise resources

Clinical Knowledge and Skills

Essential

  • Wound care/removal of sutures and staples
  • ECGs
  • Venepuncture
  • New patient medicals
  • Requesting pathology tests and processing the results, advising patients accordingly
  • Understanding the importance of evidence based practice
  • Understand the requirement for PGDs and associated policy
  • Ability to record accurate clinical notes
  • Ability to work within own scope of practice and understanding when to refer to GPs
  • Chaperone procedure
  • Women's health (cervical cytology, contraception etc)
  • Immunisations (routine, childhood and travel)
  • Chronic disease management
  • Spirometry
  • Excellent communication skills (written and oral)
  • Effective time management (planning and organising)
  • Ability to work as a team member
  • Good interpersonal skills
  • Problem solving and analytical skills
  • Ability to follow clinical policy and procedure

Desirable

  • Travel medicine
  • Broad knowledge of public health issues in the local area
  • Awareness of issues within the wider health arena
  • Knowledge of health promotion strategies
  • Strong IT skills
  • Clear, polite telephone manner

Experience

Essential

  • Experience of working in a primary care environment.
  • Experience of chronic disease management.
  • Experience of infection control measures.

Desirable

  • Experience of working as a practice nurse or community nurse.
  • Experience of managing elderly and housebound patients.
  • Experience of quality initiatives, i.e., benchmarking.

Qualifications

Essential

  • Registered Nurse (Nursing and Midwifery Council)

Desirable

  • Mentor or teaching qualification
  • Post graduate diploma or degree (Chronic Disease Management)
  • Nurse prescriber
  • Family planning qualification

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).

Employer details

Employer name

Buxted Medical Centre

Address

Framfield Road

Buxted

East Sussex

TN22 5FD


Employer's website

https://www.buxtedandeasthoathlymedicalcentres.co.uk

For help with your application, contact:

Sara Sawyer

sarasawyer@nhs.net

01825732333

Date posted

01 September 2021

Pay scheme

Other

Salary

Negotiable

Contract

Permanent

Working pattern

Part-time

Reference number

A4293-21-6970

Job locations

Framfield Road

Buxted

East Sussex

TN22 5FD


Horebeech Lane

Horam

Heathfield

East Sussex

TN21 0DS


4 Juziers Drive

East Hoathly

Lewes

East Sussex

BN8 6AE


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