Practice Nurse

Job description

Job responsibilities

Purpose of the Role

The post holder is responsible for ensuring the delivery of safe and effective nursing care for the whole practice population. The post holder can work alone without direct support within own levels of competency, undertaking nursing duties, and work with other practice staff to ensure the smooth running of the service. The post holder will use nursing skills to deliver the highest standards of nursing care in accordance with evidence-based practice and national practice protocols.

A commitment to a quality service, excellence in clinical practice and continuous professional development are integral to the role and the development of the service.

The post holder will participate in promoting and advancing DHU Health Care CIC.

DHU recognises that Practice Nursing is a nursing specialty, and will appoint to the bandings as per the person specification below.

General Support

When embarking on a new career in General Practice nursing, good practice would be for the employer to identify a buddy or mentor in the first instance. Ideally, that person would be a qualified nurse who has suitable experience of the discipline and will be able to assist you with your development, both in terms of making the transition to General Practice and any additional support you may need.

Preceptorship

Unless stated otherwise in the job advert, we welcome applications from newly qualified nurses who would have a keen interest in general practice nursing.

The NMC strongly recommends that all new registrants have a period of preceptorship on commencing employment (NMC, 2008). This is a crucial area of support, as the first year in practice is often a stressful time. The learning that has occurred at university, in order to develop a level of knowledge and proficiency in nursing, produces highly motivated and professional individuals.

Key Success Measures

Caring & Compassion - We will actively listen to understand and empathise with others, with a desire to support both patients and colleagues.

Always Professional - We will be accountable for consistently delivering high quality healthcare for our patients

Respect & Dignity - We will actively listen to each other and our patients to answer their concerns or questions. We will maintain and respect patients dignity and must ensure it is never compromised.

Everyone Matters - We will actively encourage feedback from both patients and colleagues to continually improve our service, ensure everyone has an opportunity to have their voice heard, and everyone has an opportunity to further develop their skills and competencies.

Key Areas of Responsibility & Accountability

Clinical

To practice autonomously without direct supervision.

To utilise advanced clinical skills in long term conditions (examples include: asthma, CKD, diabetes, Respiratory, CHD, Dementia)

To run clinics as directed by the clinical management team

Develop an understanding of general practice care delivery standards, inclusive of QOF points and support the practice to achieve these.

To recognise the need for, initiate and where appropriate interpret relevant diagnostic investigations.

To recognise the need for and initiate where appropriate advice of relevant specialisms.

To exhibit excellent nonverbal and verbal communication skills when dealing with patients and carers.

To have the ability to make clear decisions with confidence and communicate these effectively.

To maintain appropriate clinical records in line with current practice guidelines.

To work within the parameters of your skills and knowledge, recognising the limitations to your own practice and to work within the bounds of your training and capability according to regulatory codes of conduct.

To maintain an awareness of developments in clinical practice.

To optimise evidence based practice.

To work effectively as part of a multi professional team in collaboration with other members of the service. This will include initiating and receiving referrals from internal colleagues, and external agencies.

To adhere to performance measures.

To provide health promotion/accident prevention advice for patients and carers.

Develop and maintain competency in core clinical skills including:-

o Ear Care

o ECG recording

o Phlebotomy and Cannulation

o Wound Management

o Spirometry Recording and Interpretation

o Sexual Health Screening

o Wound Care

o First Aid and Emergency Medical Management of Life Threatening Conditions

o Ambulatory Monitoring

o Immunisations

o Gonadatrophin releasing hormone antagonist injection administration

o NHS health Checks

o Theraputic Drug Monitoring/Near Patient Testing

To promote the protection of children and vulnerable adults in accordance with local safeguarding procedures.

To adhere to the Infection Prevention and Control policy for the service being provided.

To prescribe medication and work within the limitations of current extended Non-Medical Prescribing legislation.

Discharge or refer patients as appropriate to internal or external clinical pathways.

The ordering, storage, administration and disposal of medicines in a safe, secure manner in accordance with current policy and legislation.

Managerial

To participate in clinical team meetings.

To work within guidelines and policies, to support the implementation of policies in own work area and participate in working groups as required.

To lead on long term conditions.

Participate in inductions for newly appointed staff.

Support Clinical and Operational services leads.

Clinical Governance

To practice with the parameters of company policies, protocols and guidelines.

To participate in quality improvement within the organisation.

To assess and evaluate outcomes of own practice, service intervention and treatment and identifies any short falls in service reporting to relevant managers.

To provide mentorship leadership and training to other team members.

To ensure the requirements of Health and Safety policy and legislation are maintained.

To participate in research and development activities of DHU Health Care.

Education Practice Development

To participate in the clinical supervision framework for health care professionals within the company.

To offer appropriate advice to health and social care professions on care practices, delivery and service development within the parameters of the role and scope of practice.

To participate in the ongoing individual professional development within the organisation

To mentor and role model as appropriate in the development of triage consultation, the mentorship of junior staff and students.

To complete the mandatory training programme to ensure compliance at all times.

Professional

To work within the regulatory requirements, codes and Professional Standards of practice of the NMC/HCPC/GPhC

To maintain professional and clinical competence through mechanisms of continuing professional development.

To act in such a manner at all times to promote confidence and public trust and uphold the reputation and image of DHU Health Care CIC.

Communications and Working Relationships

Heads of Clinical Services

Clinical GP Lead

Deputy Clinical Service Lead

Person Specification

Qualifications

Essential

• Registered Adult Nurse on the NMC Register
• Practice nurse Qualification or accredited long term condition modules
• Working towards MSc (Advanced Clinical Practitioner)
• Non-Medical Prescriber

Skills and Knowledge

Essential

• Can complete a concise clinical history
• Can formulate management plans for patients with Long Term Conditions
• Cytology
• Childhood Immunisation Programme
• Demonstrate awareness of accountability in practice
• Can give evidence of using effective communication skills in practice
• Computer literacy. Familiarity with SystmOne, ICE, and Ardens Templates
• Able to prioritise with skilled time management
• IRMER
• Pathology Interpretation

Experience

Essential

• Can Demonstrate a broad and sound knowledge of complex and long term conditions in primary care across the lifespan
• Has experience in one of the following:
• -Primary Care/GP surgery
• -Emergency Care Centres
• -Out of hours facilities/WIC
• Advanced Clinical Assessment skills
• Telephone Triage

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

DHU Healthcare

Address

Buxton Medical Practice

2 Temple Road

Buxton

Derbyshire

SK17 9BZ

Employer's website

http://www.dhuhealthcare.com/ (Opens in a new tab)