Improved Access Practice Nurse

Job description

Job responsibilities

JOB PURPOSE

To provide primary medical services to Herefordshire population outside of regular working hours. Practice a range of clinical skills to deliver general practice nursing care as an autonomous practitioner and support Health Care Assistants and phlebotomists in the clinical area you are working in.

Main Responsibilities

· Assess, plan, implement and evaluate nursing care to meet the care needs of patients.

· Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care around diet, exercise, alcohol, smoking cessation

· Manage patients presenting with wounds including removal of sutures and clips.

· Administration of immunisations in line with national policy utilising local PGD’s

· Ensuring safe vaccine and cold chain storage.

· Administering routine injections such as B12 and decapeptyl.

· Undertake cervical cytology screening on those who are eligible in line with national guidelines following local procedures

· Give women advice on all forms of contraception aiding them to make an informed choice

· Provide sexual health assessment, advice and direct to appropriate testing, performing swabs if necessary.

· To perform venepuncture and ECG’s.

· Hypertension checks, liaising with GP when BP out of target.

· Identify, and manage patients at risk of developing a long-term condition

· Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care

· Utilise EMIS web templates to record clinical data

· Sign post individuals to relevant organisations.

· Supervise and support Health Care Assistants and phlebotomists in the clinical area you are working in.

· Accurately document nursing care to NMC standards

· Assists in the collection of Taurus specific outcome data

· To carry any other appropriate duties as required.

Nurse led chronic disease management clinics for those with additional training

· Provide nurse led long term condition clinics for people with diabetes, CHD, heart failure, stroke / TIA, PAD, hypertension, CKD, diabetes, asthma and COPD as required

· Provide and document care using EMIS templates in line with NICE guidance, local policies and QOF requirements

· Perform relevant nurse assessments: spirometry, blood pressure, diabetic foot examination, lifestyle, peak flow.

· Identify patients who are not within QOF / NICE targets and liaise with Hub GP colleague regarding medication. If inappropriate to treat, document rationale so own GP can consider exception reporting.

· Develop self management plans for patients with long-term conditions utilising local care planning tools and literature e.g. diabetes hand held record

· Utilise local resources such as MAP medicine, care pathways and hand held diabetes record.

· Identify and refer those who would benefit from pulmonary rehabilitation, diabetic educational sessions and smoking cessation services.

· Identify and refer individuals who would benefit from risk stratification under the virtual ward teams

Person Specification

Qualifications

Essential

• RGN current NMC registration with minimum 2 years experience in primary care practice nursing.
• A demonstrable commitment to professional development.
• Recent mandatory training in immunisations (HPA standard).
• Safeguarding adult and children.
• Contraception and sexual health qualification.
• Cervical cytology practitioner.
• In date CPR training (within 18 months).
• Current clean diving licence.

Desirable

• Adult and paediatric asthma qualification.
• COPD qualification / training.
• Diabetic qualification.
• Extended practice (insulin).

Experience

Essential

• Experience of working in primary care.

Desirable

• Experience of nurse led chronic disease management clinics.
• Experience of working in a multi-professional environment.

Employer details

Employer name

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE

Employer's website

https://www.herefordshiregeneralpractice.co.uk (Opens in a new tab)