Practice Nurse - Enhanced Access
Taurus Healthcare Limited
This job is now closed
We are recruiting Practice Nurses to join our friendly professional team to provide primary care services for Taurus Healthcare in the evenings, at weekends and Bank Holidays.
We are looking for experienced Practice Nurses with a passion for providing excellent nursing care to deliver general practice nursing services including chronic disease management, cervical cytology, contraception, wound care and supervision of HCAs and phlebotomists.
Hours available: Casual contract.
Salary: £24.96 per hour
Flexible working: Monday - Friday evenings and weekend daytime.
Across all 9 hubs (Hereford, Ledbury, Leominster, Bromyard, Kington, Ross-on-Wye, Kingstone, Much Birch, Weobley).
- NHS Pension
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.
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.
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 ECGs
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.
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.
At Taurus Healthcare we strive to create a diverse, inclusive workplace, and welcome applications from candidates from all backgrounds including those from Military Veterans and family members of serving personnel.
We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.
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.
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
COMMUNICATIONS AND WORKING RELATIONSHIPS
Communicate to a high level, both spoken and written
Effective communication with team members and other agencies, patients and their relatives / carers.
Use of the clinical IT system for recording and monitoring of patient information
Ensure safekeeping of Taurus IT hardware
Participate in team and clinical meetings
Use of the NHS email system
Take responsibility for own developmental training and performance, including participating in clinical supervision
Be aware of the professional boundaries they are working to and highlight any areas of required development and ensure continual professional development maintained
Take responsibility for maintaining a record of own personal development
To recognise and understand the role and responsibilities of individuals working in the clinical team
To attend mandatory training and fire lectures regularly and assist with fire policy/evacuation procedure when necessary.
To keep up to date with and attend training on revisions to information systems or changes in protocols for the inputting of data in the light of Local and national initiatives. To adhere to agreed protocols at all times.
To participate in Individual Performance Review and Personal Development plans on an annual basis and to undertake training and development as identified within these discussions and as indicated by the requirements of the post.
CLINICAL GOVERNANCE AND QUALITY ASSURANCE
Ensure own actions are consistent with agreed standards of care, following practice/national guidelines
Assess own performance and take accountability for own actions, either directly or under supervision
Alert team members to issues regarding the quality or risk in the patients care
Work effectively with individuals in other agencies
Attend and participate in practice team and clinical meetings
To realise the importance of confidentiality when dealing with patients and staff, particularly when giving or receiving information over the telephone in accordance with the Data Protection Act. Maintain patient confidentiality and accurate record keeping
Maintain the high standards of the service by contributing towards individual, team and service objectives and acting at all times in the best interest of patients.
To accurately collect, collate and input data to Information Systems as required by procedures to ensure that patient database records are up to date and accurate.
Taurus Healthcare requires its staff to comply with Information Governance related standards and policies at all times when dealing with confidential information, which includes any information relating to the business of the company and its service users and employees.
All Taurus Healthcare staff are bound by a duty of confidentiality and must conduct their duties in line with the NHS Confidentiality Code of Practice, Data Protection Act and Freedom of information Act.
Post-holders must maintain high standards of quality in corporate and clinical record keeping ensuring information is always recorded accurately and kept up to date. The post-holder must only access information, whether paper, electronic or in other media, which is authorised to them as part of their duties.
All Information obtained or held during the post-holders period of employment that relates to the business of the company and its service users and employees will remain the property of the Taurus Healthcare. Information may be subject to disclosure under legislation at the Companys discretion and in line with national rules on exemption.
Any breach of confidentiality or computer misuse could lead to disciplinary action, and in serious cases could result in dismissal. Breaches after the post-holders employment has ended could result in the Company taking legal action against them.
HEALTH AND SAFETY
Use appropriate infection control procedures, maintaining work areas in own designated clinical room so that they are clean, safe and free from hazards, reporting any potential risks.
Understand and apply the principles of the cold chain
Fridge Temperature Recoding and reporting of deviances.
Check all emergency equipment has been checked as per CQC recommendations.
Know the health and safety policies and procedures within the workplace, including fire procedures
Be aware of the child safeguarding procedures, local guidance and referral criteria
To have responsibility for health, safety and welfare of self and others at work. This includes being conversant with Trust Health & Safety policies and procedures and ensuring incidents, accidents and near misses are reported; taking part in the risk management process and carrying out tasks/using equipment only when competent to do so.
Be responsible for ensuring the general environment is clear of all hazards.
All staff have a responsibility to apprise themselves of how the prevention of the spread of infection relates to their role. They have a responsibility to ensure they are aware of Company policies and procedures in relation to infection prevention and control, and ensure that they comply with them in fulfilling their role.
EQUALITY AND DIVERSITY
Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.
Act in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Taurus procedures / policies and current legislations.
Act as a chaperone as needed.
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
This job description may be amended by management through consultation with the post holder in order to reflect changes in, or to, the job.
Personal Qualities or Attributes
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).