Bottisham Medical Practice is seeking an enthusiastic andmotivated Practice Nurse with a specialism in Diabetes to join our team. This is a permanent role working 17.5hrs perweek on a Wednesday and Friday which will report to our Advanced NursePractitioner
Main duties of the job
Working in accordance with the professional code of conduct as regulated by the Nursing and Midwifery Council (NMC), the post holder will:
* Provide nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners.
* Provide assessment, treatment, screening, health education service and advice to patients of the practice.
* Manage care programmes directly to patients.
* Deliver a holistic approach to patient services and initiate and manage a methodical assessment of patient and service needs, including public health.
* Assist the Practice Manager and Senior Practice Nurse in the development of practice clinical protocols for the clinical team.
* Participate in an effective, quality driven Practice Nurse Service, liaising and working effectively with other agencies.
* Develop a working environment that promotes health, safe and effective work outcomes.
* To have a positive attitude and approach towards helping solve the problems and challenges that face General Practice today and be part of the process to help the Practice achieve its goals.
The post-holder will have the required level of training and competence and will work within patient group directions where these are available. A nurse with prescribing qualifications will use these appropriately.
About us
BottishamMedical Practice is a semi-rural GP practice on the outskirts of Cambridgeclose to the A14 and A11, is situated in a modern purpose built building. Wehave a long standing, friendly practice team where work-life balance isimportant and team members are valued. Personal development is activelysupported to grow your job role with your experience. We regularly haveprotected educational time and team lunches. Our GPs are a friendly bunch witha wide range of outside interests to keep us enthusiastic and passionate aboutprimary care, our patients and team.
7GPs with a wide MDT of clinicians including ACP, practice nurses,physiotherapists, health & wellbeing coaches and social prescribers.Registered training practice for GP trainees and medical students fromCambridge University.
Practicesize approx. 5900
SystmOnepractice complimented by AccuRx and Ardens
Highscoring patient satisfaction rates (check out our NHS choices reviews at https://www.nhs.uk/services/gp-surgery/bottisham-medical-practice/D81055/ratings-and-reviews)
Pleasevisithttps://www.bottishammedicalpractice.nhs.uk/ for an application form andfurther details.
Anyenquiries please call our Practice Manager, Victoria Hodges, on 01223 810032 ore-mail Victoria.hodges1@nhs.net
Job responsibilities
Main Responsibilities
Assess,plan, provide and evaluate nursing care to meet the care needs ofindividuals and groups in the practice population
Assessand treat specific diseases in accordance with agreed CKS / medical/nursingprotocols
Providedirect access to specialist nursing care for undifferentiated patientswithin the practice population
Undertakediagnostic, health screening, health surveillance and therapeuticinterventions within a broader health promotion/public health strategy
Participatein developing programmes to improve health and well-being and meet thespecific needs of communities, groups and individuals
Participatein quality assurance, development and clinical governance
Ensurecontinuation of personal professional development
Usenursing skills appropriately and effectively to deliver best patient care
Nursing Duties and Responsibilitieswill include
Management of chronicdisease
Identifyingsignificant abnormalities
Monitoring anddevelopment of individual management plans; agreeing these as appropriatewith the patient and other health professionals
Management of QOFfor diabetes
Investigation andmanagement of patients at risk of diabetes and confirmed diabetes
If required homevisits for QOF / chronic illness reviews
Therapeutic monitoring
Checkingcompliance with and adherence to appropriate treatments using an holisticpatient-centred approach
Identifying theimpact of treatment and implementing or recommending changes asappropriate.
Undertakingdressing of complex, including post-surgical wounds and leg ulcers
Ensure trainingand skills are maintained in the use of Doppler machines
Wound Care andmanagement
Assessing routinewounds including trauma
Assessing tosupport good wound management in complex situations (e.g. use of Dopplertechnique)
Identifyingsignificant abnormalities
Obtainingappropriate information using a lifestyle questioning approach andidentifying appropriate health promotion issues
Working withpatients to develop a management plan where health problems or potentialhealth problems are identified
Recognising issuesand gathering sufficient information to refer (e.g. drugs;domestic violence; child protection; vulnerable adults; seniorpatients; social problems)
Health screening
Recognising issuesand gathering sufficient information to refer e.g. women's and men'shealth, sexual health, older people
Undertakingmonitoring tasks e.g. smearsand providing advice as appropriate
Providing in depthmonitoring and advice as appropriate to the level of the post-holdersspecialty and working with the patient in deciding on management plans.
Travel health
Carrying out RiskAssessment of vaccinations needed for travel destinations
Administeringinjections and providing guidance in accordance with PGD guidelines
Identifyingproblems
Immunisation - adult andchild
Working withpatients with more complex immunisation issues.
Administer injections under an individualised prescription or PatientGroup Direction.
Ensure safe storage, rotation and disposal of vaccines and drugs
First contact
Workingindependently or alongside the general practitioner and making decisions and - or recommendations as appropriate.
Providing routineear care
Dealing with morecomplex problems and referring to a Doctor if prescribing is appropriate.
Mental health
Communicating withkey workers
Administeringappropriate prescribed therapies and monitoring for side effects.
Emergency Management
Ensurecompetency in anaphylaxis and resuscitation techniques by maintaining andupdating CPD.
Infection control
Supportpatients and colleagues in adopting sound infection control measures
Applyinfection control measures within the practice according to local andnational guidelines - This includes
Universalhygiene precautions
Thecollection and handling of laboratory specimens
Segregationand disposal of waste materials
Reportingand treatment of sharps injuries
Dealingwith blood and body fluid spillages
Generalresponsibilities will include:
Administration of the Clinical Quality andOutcomes Framework - QOF
Assistin accurate recording of data input to support the QOF.
Liaisewith Practice Manager and Care Coordinator to ensure maximum benefit is gainedfrom the Quality and Outcomes Framework in support of patient care
Confidentiality
In the course ofseeking 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 theright to expect that staff will respect their privacy and actappropriately
In the performanceof the duties outlined in this job description, the post-holder may haveaccess to confidential information relating to patients and their carers,practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All suchinformation from any source is to be regarded as strictly confidential
Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data.
Health & safety
The post-holder will assist in promoting andmaintaining their own and others health, safety and security as defined in thepractice Health and Safety Policy, to include
Usingpersonal security systems within the workplace according to practice guidelines
Awarenessof national standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines
Identifyingthe risks involved in work activities and undertaking such activities in a waythat manages those risks across clinical and patient process
Makingeffective use of training to update knowledge and skills
Safemanagement of sharps procedures including training, use, storage and disposal
Usingappropriate infection control procedures, maintaining work areas in a tidy,clean and sterile, and safe way, free from hazards
Activelyidentifying, reporting, and correction of health and safety hazards andinfection hazards immediately when recognised
Keepingown work areas and general / patient areas generally clean, sterile,identifying issues and hazards / risks in relation to other work areas withinthe business
Maintenanceof sterile environments
Equality and diversity
Undertakeappropriate training courses to underpin role as a specialist in the fieldof Diabetes and ensure all required updates are completed as necessary
Quality
Thepost-holder will strive to maintain quality within the practice, and will
Alert other teammembers to issues of quality and risk
Assess ownperformance and take accountability for own actions, either directly orunder supervision
Contribute to theeffectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance
Work effectivelywith individuals in other agencies to meet patients needs
Document andadvise Practice Business Manager of any significant event and assist inthe regular review of Significant Events
Communication
Contribution to the implementation of services
Thepost-holder will
Become familiar with and use any of the practice computer or othersystems as required to fulfil the duties of the post.
Acceptand be bound by all policies, guidelines and protocols regarding the necessaryrunning and administration of the Practice, especially those concerned withpatient confidentiality and welfare.
Apply practiceoperational policies, procedures and standards, as well as legislation andprofessional standards and guidelines
Discuss with othermembers of the team how the policies, standards and guidelines will affectown work
Participate inaudit where appropriate
The dutiesin this job description are not exhaustive and will be reviewed periodically with the post holder, to ensure that they relate to the job as then being performed or to incorporate whatever changes are being proposed to meet bothorganisational requirements and the needs of the post holder. It is our aim to reach agreement onreasonable changes, but if agreement is not possible the Practice reserves theright to insist on changes to your job description after consultation withyou.
The postholder is required to carry out any duties that may reasonably by requested bythe Partners or the Practice Manager.
Person Specification
Other
* Flexibility of working hours/ able to work at the desired times
* Experience of Primary Care
Experience
* Hospital or general practice
* Experience of dealing with the public and patients
* Experience of using TPS SystmOne Clinical System & T-Quest
Qualities and Attributes
* An understanding, acceptance and adherence to the need for strict confidentiality
* Ability to use own judgement, resourcefulness and common sense
* Ability to work without direct supervision and determine own workload priorities
* Ability to work as part of an integrated multi-skilled team
* Pleasant and articulate
* Able to work under pressure
* Able to work in a changing environment
* Able to use own initiative
Knowledge and Skills
* Competency in basic nursing
* Excellent communication skills, written and spoken
* Basic IT Literacy
* Knowledge of Quality Outcomes Framework
Qualifications
* A national nursing qualification
* Diabetes Course
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.
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