Improved Access Practice Nurses

Taurus Healthcare Limited

The closing date is 04 July 2022

Job summary

*Zero hours contract - New to Taurus employees will normally start at the first pay point on the salary band*

Flexible working (Monday – Friday Evenings and weekend daytime)

Location: Based across the 6 hubs in Herefordshire (Hereford, Kington, Ross-on-Wye, Leominster, Ledbury and Bromyard) - Mileage payable working away from assigned base hub location.

As a Practice Nurse you will become part of our friendly primary care team. You will be responsible for the delivery of outstanding care to our patients.

We are looking for motivated individuals who want a rewarding role, as part of a service that makes a difference.

The Practice Nurse will have primary care experience with a passion for providing excellent, high-quality nursing care. They will provide a variety of general practice nursing services including, but not limited to, chronic disease management, cervical cytology, contraception, and wound care. Additionally they will provide direct supervision to HCAs and phlebotomists.

Main duties of the job

· 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 storage chain.

· 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.

About us

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

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/supervise Health Care Assistants and phlebotomists in the clinical area you are working in. To work within your scope of practice and clinical expertise.

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.

· Ensuring safe vaccine and cold chain storage

· Administering routine injections such as B12 and decapeptyl as prescribed by medical prescriber

· 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 NPT

· To perform ECG’s

· To provide 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

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

· Support placements of pre/post registration students and people on work experience

· Be able to manage own time, workload and resources effectively

· 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

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

· Identify patients who are not within QOF / NICE/treatment targets and liaise with Hub GP/ACP colleague to determine action plan. regarding medication.

· 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 care pathways,GP Teamnet 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

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.

Qualifications

Essential

  • RGN - current NMC registration with minimum 6 months experience in primary care practice nursing.
  • A demonstrable commitment to professional development.
  • Cervical cytology practitioner.
  • In date CPR training (within 18 months).

Desirable

  • Recent mandatory training in immunisations (HPA standard).
  • Safeguarding adult and children level 3.
  • Contraception and sexual health qualification/training.
  • Adult and paediatric asthma qualification.
  • COPD qualification / training.
  • Diabetic 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

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)

For questions about the job, contact:

Date posted

14 April 2022

Pay scheme

Other

Salary

£24.23 an hour

Contract

Permanent

Working pattern

Part-time

Reference number

S0001-22-3356

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


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