A vacancy has arisen to join our excellent nursing team because of partial retirement. You will join a team of experienced practice nurses and you will work alongside another nurse most days albeit at different surgeries. You will supervise and work with an experienced Health Care Assistant, who does basic dressings under your delegation. They also take bloods, anticoagulation, ECGs, health checks, adult immunisations under a PSD.
You will run your own clinic and will see a variety of patients for differing reasons during each clinic at set intervals so you need to be able to work independently .
Applications are welcome from candidates with practice nursing experience or other nurses with substantial post registration qualification considering a career change. Candidates must demonstrate the commitment and development potential for the role specifically chronic disease management.
Duties will include chronic disease management, cytology, children and adult vaccinations, contraception, dressings and general treatment room duties.
Chronic disease management experience would be beneficial. We will support training for the right candidate.
Salary will be dependent on qualifications and experience
You will be required to work at both surgeries and available to help cover leave absences.
1 day/9 hours per week
Main duties of the job
Working one day per week you will independently run a prebooked morning and afternoon clinics seeing a variety of patients with different presentations making clinical judgements and decisions. You will see urgent 'on the day' patients in designated slots.
You will assess and manage the care of practice patients to include treatment, preventative care, screening & patient education. To recognise own training needs and limiting your actions to those that you feel competent to undertake.To develop and adhere to clinical practice protocols. To deliver evidence based practice for patients presenting with long term conditions.
Appointment times are 15-30 minutes depending on booking reason. Working 08.00 - 17.30 with admin time in the middle of the day and a 30 minute lunchbreak.
You will agree wound treatment plans and delegate less complex dressings to Health Care Assistants.
You will support the practice in promoting healthy behaviours and making every contact count.
You will ensure the timely recall of chronic disease patients and work with the admin support team.
About us
Rural practice with 2 surgeries and 8200 patients in beautiful South West Anglesey. Llanfairpwll Health Centre & Meddygfa Penbryn Surgery. 7 GPs 1 ANP, experienced practice nurses, health care assistants and a well established admin team. EMIS clinical system. It's a happy supportive place to work with a good team spirit.
Job responsibilities
Job TitlePractice Nurse PN3
Reports toPractice Nurse Team Leader & GP partners (Clinically)
Job responsibilities
All PN1 duties
Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs
Fully competent in all Health Care Assistant tasks e.g. venepuncture, ECGs, INR monitoring, BPs, urinalysis, new patient medicals, basic dressings, ABPM, chaperoning, assisting with minor surgery etc.
Removal of sutures
BPs and lifestyle advice
Cytology
Basic family planning/contraception advice/sexual health
Advice and refer STIs
Breast Awareness
Swabs
Adult Immunisations eg. tetanus, flu, pneumococcal etc
Travel advice and vaccinations
Ear care and irrigation
Administration of nebulised medication
CHD reviews & self management advice
Recognise signs of mental health problems & when to refer
Childhood immunisations
Long term condition management of 2 specialist areas Diabetes and respiratory, provide advice, comprehensive review including the alteration of medication dosages as required and medication reviews, provide patients with their own self management plan
Take a lead role in the practices programmes of care for patients with long term conditions, cytology, immunisations
All aspects of Family Planning including initiate LARC/Depo Provera Treatment
Triage & Minor illness, assess and provide treatment according to practice protocols
Administrative
Ordering treatment room stock/vaccinations, to maintain adequate stock levels with due regard to the practice drug budget, practice resources and reimbursement
When and how to liaise with specialist nurses and outside agencies
Maintaining effective recall systems
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety & risk :
The post-holder will implement and lead on a full range of promotion and management of their own and others health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):
Using personal security systems within the workplace according to practice guidelines
Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and ongoing correct usage by staff
Responsible for hand hygiene across the practice
Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
Safe management of sharps procedures including training, use, storage and disposal
Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
Undertaking periodic infection control training (minimum twice annually)
Routine management of team areas, and maintenance of work space standards
Waste management including collection, handling, segregation, container management, storage and collection
Spillage control procedures, management and training
Decontamination control procedures, management and training
Clinical equipment maintenance
Maintenance of sterile environments
Maintaining the cold chain
Equipment and in date emergency drugs to treat anaphylaxis
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality & Continual Improvement:
The post-holder will strive to maintain quality within the practice, and will:
Recognise and work within own competence and professional code of conduct as regulated by the NMC
Produce accurate and contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures including clinical coding
Contribute to evidence based practice
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Initiate and contribute to practice development to enhance the nursing contribution and quality of care
Effectively contribute to the practices achievement of the Quality & Outcomes Framework and take a lead role in achieving long term conditions management targets
To do your job well and improve it!
Communication:The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognise peoples needs for alternative methods of communication and respond accordingly
Team Working
Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working
Participate in team activities that create opportunities to improve patient care, support local projects as agreed with the practice team
Contribution to the Implementation of Services:
The post-holder will:
Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work
Attend monthly practice nurse team meetings (min 8 p.a.). Participate in audit where appropriate. Health promotion activities.Participate in the annual flu campaign and other Public Health campaigns
The above list of duties is not exhaustive and may be subject to change as deemed necessary.
Person Specification
Experience
* Experience of primary care
* Experience of working alone
* Chronic Disease experience
Qualifications
* NMC Registration Nursing Diploma
* Nursing Degree
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.
Depending on experienceSalary Available on Application
#J-18808-Ljbffr