Job responsibilities
JOB
PURPOSE
You will be responsible
for the delivery of practice nursing services to housebound patients. Supported
by the Clinical Lead, you will deliver care within the boundaries of the scope
of practice as set by the Primary Care Network (PCN), focusing upon supporting
patients to improve their health, monitoring and management of the Quality and
Outcomes Framework and immunisations. You will work collaboratively with the
PCN GP Practice teams to meet the needs of the patients, supporting the
delivery of and adherence to policy and procedures.
KEY
RESPONSIBILITIES
Clinical Practice:
- To
assess, design, implement and evaluate safe, creative and effective treatment
plans in collaboration with the patients diverse needs, their carers and other
professionals.
- Responsible for the safe monitoring,
management and administration of medication as required by PICS policy.
- To
maintain safeguarding responsibilities for children and vulnerable adults in
line with PICS policy, and Local Authority procedure and guidance, including
making timely referrals as required.
- To
maintain accurate, timely and relevant clinical records both written and
computerised.
- To
be aware of and apply principles on infection prevention and control and to
comply with policy, procedure and guidance.
- To
provide integrated care following a holistic assessment which enables patients
to be cared for in their own homes and clinic settings. The post holder will
facilitate the prevention of unnecessary hospital admission/re-admission by
reducing the effects of ill health and disability and maximising the individuals
potential for independence.
- To
manage patients living with long-term conditions and provide relevant care as
necessary.
Immunisation:
- Support
the PCN GP Practices by carrying out immunisations within patient homes.
- Undertake
opportunistic and domiciliary immunisations, following up on non-immunised patients;
providing information, advice and updating dates as required.
- Provide
outreach contact to access care needs of patients as delegated by the
practices.
- Be
responsible for carrying out a routine enhanced immunisation programme.
- Collate,
collect and monitor data to support immunisation statistical returns.
- Work
collaboratively with team members and partners to meet immunisation targets for
the practice.
Communication:
- Utilise
and demonstrate sensitive communication styles, to ensure patients are fully
informed and consent to treatment.
- Communicate
effectively with patients and carers, recognising the need for alternative
methods of communication to overcome different levels of understanding,
cultural background and preferred ways of communicating.
- Anticipate
barriers to communication and take action to improve communication.
- Estimate
and maintain communication with individuals and groups within the PCN and
external stakeholders.
- Act
as an advocate when representing the patients and colleagues viewpoints to
others.
Delivery Quality Service:
- Recognise
and work within own competence and professional code of conduct as regulated by
the Nursing and Midwifery Council (NMC 2008).
- Produce
accurate, contemporaneous and complete records of patient consultation,
consistent with legislation, policies and procedures.
- Prioritise,
organise and manage own workload in a manner that maintains and promotes
quality.
- Deliver
care according to National Institute for Clinical Excellence (NICE) guidelines,
local guidelines and evidence-based care.
- Assess
effectiveness of care delivery through self and peer review, benchmarking and
formal evaluation.
- Participate
in the maintenance of quality governance systems and processes across the
organisation and its activities.
- Utilise
the audit cycle as a means of evaluating the quality of the work of self and
the team, implementing improvements where required.
- In
partnership with other clinical teams, collaborate on improving the quality of
health care, responding to local and national policies and initiatives as
appropriate.
- Evaluate
the patients response to health care provision and the effectiveness of care.
- Support
and participate in shared learning across the practice and wider organisation.
- Participate
in the management, review and identify learning from patient complaints,
clinical incidents and near-miss events utilising a structured framework.
- Participate
in the performance monitoring review of the team, providing feedback as
appropriate.
- Understand
and apply legal policy that supports the identification of vulnerable and
abused children and adults, being aware of statutory child/vulnerable adult
health procedure and local guidance.
- Work
within policies relating to domestic violence, vulnerable adults, substance abuse
and addictive behaviour, and refer as appropriate.
Team Working:
- Understand
own role and scope in the organisation and identify how this may develop over
time.
- Work
as an effective and responsible team member, supporting others and exploring
the mechanisms to develop new ways of working.
- Delegate
clearly and appropriately, adopting the principles of safe practice and
assessment of competence of those taking on delegated duties.
- Ensure
clear understanding and utilisation of referral mechanisms within the practice.
- Accept
delegation from other nurses, prioritise own workload and ensure effective
time-management strategies are embedded in own practice.
- Work
effectively with others to clearly define values, direction and policies
impacting upon care delivery. Participate in team activities that create
opportunities to improve patient care.
- Participate
in and support local projects as agreed with the practice management team.
Management of Risk:
- Manage
and assess risk within the areas of responsibility, ensuring adequate measures
are in place to protect staff and patients.
- Monitor
work areas to ensure they are safe and free from hazards and conform to health,
safety and security legislation, policies, procedures and guidelines.
- Ensure
safe storage, rotation and disposal of vaccines and drugs is undertaken. Where
appropriate, oversee the monitoring, stock control and documentation of
controlled drug usage according to legal requirements.
- Undertake
mandatory and statutory training and ensure that this is up to date.
- Apply
infection control measures within the practice according to practice, local and
national guidelines.
- Apply
policies that reduce environmental health risks, are culturally sensitive and
increase access to health care for all.
- Participate
in the local implementation strategies that are aligned to the values and
culture of general practice.
Utilising Information:
- Use
technology as an aid to management in planning, implementation and monitoring, presenting
and communicating information.
- Review
and process data using accurate Read codes about patients in order to ensure
easy and accurate retrieval for monitoring and audit processes.
- Manage
information searches using the internet and local library databases, for example,
the retrieval of relevant information for patients on their condition.
- Understand
own and others responsibility to the individual organisation regarding the
Freedom of Information Act.
Learning and Development:
- Disseminate
learning and information gained to other team members in order to share good
practice and inform others about current and future developments.
- Assess
own learning needs and undertake learning as appropriate.
- Make
effective use of learning opportunities within and outside the workplace,
evaluating their effectiveness and feeding back relevant information.
- Provide
an educational role to patients, carers, families and colleagues in an
environment that facilitates learning.
Equality and Diversity:
- Identify
patterns of discrimination, take action to overcome this, and promote diversity
and quality of opportunity.
- Enable
others to promote equality and diversity in a non-discriminatory culture.
- Support
people who need assistance in exercising their rights.
- Monitor
and evaluate adherence to local chaperoning policies.
- Act
as a role model in good practice relating to equality and diversity.
- Accept
the rights of individuals to choose their care providers, participate in care
and refuse care. Assist patients from marginalised groups to access quality
care.
Professional:
- It
is essential that you are registered with the NMC.
- Adhere
to the Code of Professional Practice.
- To
be a member of a professional body.
- Ensure
regular attendance to clinical and nurse meetings.
- Maintain
record of professional development.
Please download the supporting documentation to assist in applying for this role.
