Job responsibilities
JOB
PURPOSE
The post holder is responsible for the delivery of practice nursing
services care to the practice population. Supported by the Lead Nurse and General
Practitioners within the practice, they will deliver care within the boundaries
of their scope of practice, focusing upon supporting patients to be healthy,
monitoring and management of long-term conditions, health prevention and
screening activities this may include assessment of patients that attend as
walk in patients. They will work collaboratively with the general practice
team to meet the needs of patients, supporting the delivery of policy and
procedures.
The post is a
training post and the job description describes the scope of the role once
training is complete. The post-holder will work towards carrying out the full
range of duties below, with appropriate training and support to develop
competence and build the required skills.
KEY
RESPONSIBILITIES
Clinical Practice:
- Assess,
plan, develop, implement, and evaluate programmes to promote health and
well-being, and prevent adverse effects on health and well-being.
- Implement and evaluate individual treatment plans
for patients with a known long-term condition.
- Identify, and manage as appropriate, treatment plans
for patients at risk of developing a long-term condition.
- Assist in
the development of programmes to improve health and well-being and meet the
specific needs of communities, groups and individuals.
- Prioritise
health problems and intervene appropriately to assist the patient in complex,
urgent or emergency situations, including initiation of effective emergency
care.
- Support
patients to adopt health promotion strategies that encourage patients to live
healthily, and apply principles of self-care.
- Deliver
opportunistic health promotion using opportunities during consultations.
- Provide
information and advice on prescribed or over-the-counter medication on
medication regimens, side effects and interactions.
- Support
patients to adopt health promotion strategies that promote patients to live
healthily, and encourage principles of self-care.
- Assess and
care for patients presenting with leg ulcerations and general wound care,
advising prescribing clinicians regarding wound care products based on clinical
assessment and local formularies.
- Support and
advise women requesting information relating to Contraception and Sexual Health
issues.
- Support and
manage health needs of women presenting for cervical cytology consultations.
- Implement
and participate in vaccination and immunisation programmes for both adults and
children.
- Promote and
deliver evidence-based care for patients presenting with aural conditions.
- To assist
in the supervision and support 40-70 health checks
Communication:
- Utilise and
demonstrate sensitive communication styles, to ensure patients are fully
informed and consent to treatment.
- Communicate
with and support patients who are receiving bad news.
- 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.
- Utilise
communication skills to support patients to adhere to prescribed treatment
regimens.
- Anticipate
barriers to communication and take action to improve communication.
- Estimate
and maintain effective communication with individuals and groups within the
practice environment 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 and practices 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.
Please download the supporting documentation for full role details and to assist with your application.
