Nurse Associate - Parkgate Medical Practice
The post holder is responsible for thedelivery of nursing care to the practice population. Supported by practice nurses,they will deliver care within the boundaries of their role, focusing upon supportingpatients to be healthy, monitoring of long-term conditions, health preventionand screening activities. They will work collaboratively with the generalpractice team to meet the needs of patients, supporting the delivery of policyand procedures, and providing nurse associate leadership as required.
Main duties of the job
ClinicalPractice
* Promote health andwell-being, and prevent adverse effects on health and well-being
* Implement and evaluateindividual treatment plans for patients with a known long-term condition
* Identify, and manage asappropriate, treatment plans for patients at risk of developing along-term condition
* Prioritise health problemsand intervene appropriately to assist the patient in complex, urgent oremergency situations, including initiation of effective emergency care
* Work with patients in order to support adherenceto prescribed treatments
* Support patients to adopthealth promotion strategies that encourage patients to live healthily, andapply principles of self-care
* Deliver opportunistichealth promotion using opportunities such as new-patient medicals
* Support patients to adopthealth promotion strategies that promote patients to live healthily, andencourage principles of self-care
About us
IntraHealthis one of the UKs leading provider of NHS Primary and Community Care services.We serve a range of patients across our three divisions of Primary Care (generalpractice), Pharmacy and Clinical Services which includes anticoagulationmonitoring, patient medication reviews and childhood immunisation programmes.
We alsoprovide management and clinical support to other GP practices and NHS bodies. We are awell-established organisation having provided NHS services since the companywas founded in 1999. Our team is made up of GPs, Advanced NursePractitioners (ANPs), Nurses, Pharmacists, Pharmacy Technicians, Health CareAssistants (HCAs) and local administration teams supported by a centralisedback office function; providing finance, HR, administration and data analysissupport.
We operateNHS services across the North East, North West and Yorkshire.
Job responsibilities
Clinical skills
* BP, height, weight,urinalysis, smoking cessation, lifestyle advice
* Cervical screening
* Chronic disease managementreviews including asthma, diabetes, COPD, learning disability.
* Venepuncture
* ECG
* Complex wound care
* To be able to administerIM injections including NHS selective programmes, NHS additional vaccinationsand NHS supported travel vaccinations which may include- shingles, pneumococcal,influenza, Hepatitis A, Hepatitis B, Typhoid, Boostrix, Meningitis, ACWY,HiB, and Revaxis under a Patient Specific Directive.
* Oral contraception checks andrefer to a practice nurse or GP when appropriate
* To administer and trainpatients to self administer injectable contraception under a Patient SpecificDirective such as Depo-Provera and Sayana Press
* To administer mentalhealth depo injections under a Patient Specific Directive.
* Suture and staple removal
* Prepare specimens forcollection by the pathology laboratory.
* Insert Zoladex implants
Communication
* Utilise and demonstrate sensitivecommunication styles, to ensure patients are fully informed and consent totreatment
* Communicate effectivelywith patients and carers, recognising the need for alternative methods ofcommunication to overcome different levels of understanding, culturalbackground and preferred ways of communicating
* Utilise communicationskills to support patients to adhere to prescribed treatment regimens
* Anticipate barriers to communicationand take action to improve communication
* Act as an advocate whenrepresenting the patients and colleagues viewpoints to others
* Recognise and work within theNurse Associate competence and professional code of conduct as regulatedby the Nursing and Midwifery Council (NMC)
* Produce accurate,contemporaneous and complete records of patient consultation, consistentwith legislation, policies and procedures
* Prioritise, organise andmanage own workload in a manner that maintains and promotes quality
* Deliver care according tothe NSF and the National Institute for Clinical Excellence (NICE) guidelinesand evidence-based care
* Participate in the maintenanceof quality governance systems and processes across the organisation andits activities
* In partnership with otherclinical teams, collaborate on improving the quality of health care, respondingto local and national policies and initiatives as appropriate
* Support and participate inshared learning across the practice and wider organisation
* Participate in theperformance monitoring review of the team, providing feedback as appropriate
* Work within policiesrelating to domestic violence, vulnerable adults, substance abuse andaddictive behaviour, and refer as appropriate safeguarding children
Learningand Development
* Act as mentor to students,assessing competence against set standards as requested and ifappropriately qualified
* Disseminate learning andinformation gained to other team members in order to share good practiceand inform others about current and future developments
* Assess own learning needsand undertake learning as appropriate
* Make effective use oflearning opportunities within and outside the workplace, evaluating theireffectiveness and feeding back relevant information
* Provide an educationalrole to patients, carers, families and colleagues in an environment that facilitateslearning
TeamWorking
* Understand own role and scopein the organisation and identify how this may develop over time
* Work as an effective and responsibleteam member, supporting others and exploring the mechanisms to develop newways of working
* Delegate clearly andappropriately, adopting the principles of safe practice and assessment ofcompetence of those taking on delegated duties
* Ensure clear understandingand utilisation of referral mechanisms within the practice
* Accept delegation from othernurses, prioritise own workload and ensure effective time-managementstrategies are embedded in own practice
* Work effectively withothers to clearly define values, direction and policies impacting uponcare delivery Participate in team activities that create opportunities toimprove patient care
* Manage and assess riskwithin the areas of responsibility, ensuring adequate measures are inplace to protect staff and patients
* Ensure safe storage,rotation and disposal of vaccines and drugs is undertaken. Whereappropriate, oversee the monitoring, stock control
* Undertake mandatory andstatutory training
* Apply infection controlmeasures within the practice according to local and national guidelines
* Apply policies that reduceenvironmental health risks, are culturally sensitive and increase accessto health care for all
* Participate in the localimplementation strategies that are aligned to the values and culture ofgeneral practice
ManagingInformation
* Use technology as an aidto management in planning, implementation and monitoring, presenting andcommunicating information
* Review and process datausing accurate Read codes about patients in order to ensure easy andaccurate retrieval for monitoring and audit processes
* Manage informationsearches using the internet Understand own and others responsibility tothe individual organisation regarding the Freedom of Information Act
Equalityand Diversity
* Identify patterns ofdiscrimination and take action to overcome this and promote diversity andequality of opportunity
* Enable others to promoteequality and diversity in a non-discriminatory culture
* Support people who needassistance exercising their rights
* Monitor and evaluateadherence to local chaperoning policies
* Act as a role model in theobservance of equality and diversity good practice
* Accept the rights ofindividuals to choose their care providers, participate in care andrefuses care
* Assist patients frommarginalised groups to access quality care
Person Specification
Qualifications
* Registered Nurse Associate
* Current NMC registration and revalidation with NMC
* Evidence of continuous professional development.
* Work without direct supervision.
* Qualifications/experience in Cervical cytology.
* Immunisation and Vaccine training
* Chronic Disease Management experience in 1 or more chronic disease.
Experience
* Experience of treatment room duties required for the post.
* Awareness of clinical governance issues in primary care.
* Knowledge of patient specific directives and associated policies.
* Experience of quality initiatives such as QOF and KPIs
* At least 1 years experience of working in general practice
* Knowledge of local health issues.
* Awareness of local and national health policy
Attitudes, Knowledge and Skills
* Be a supportive team member providing assistance to other team members.
* Attend training and study days as necessary.
* Ability to adapt and implement change.
* Excellent clinical skills.
* Demonstrate appropriate professional and personal boundaries.
* Able to demonstrate commitment to high quality care and service provision.
* Respects the privacy, dignity, needs and beliefs of patients, carers and colleagues.
* Knowledge of needs of patients with long-term conditions
* Aware of accountability of own role and other roles in a nurse led service
* Knowledge of health promotion strategies
* Experience of relevant clinical systems.
* Skills including : Venepuncture, ECG, wound care, adult vaccination and immunisation. Health Education, cervical cytology, spirometry and NHS health checks.
* Qualification / Experience in running chronic disease management clinics.
* Demonstrate an understanding of the data protection act and patient confidentiality, clinical and information governance and Caldicott requirements.
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.
#J-18808-Ljbffr