Job summary
Working in accordance with the NMC Code of Conduct, the post-holder will provide assessment, treatment, screening, health education services and advice to patients.
The post-holder will work with reference to practice agreed protocols and guidelines, providing nursing treatments to patients both independently and in participation with nurse colleagues and general practitioners.
The post-holder will have the required level of training and competence and will work within patient group directions where these are available.
Main duties of the job
1. Management of chronic disease including the diagnosis, monitoring and development of individual management plans
2. Experience of diabetes and respiratory disease
3. Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach
4. Identifying the impact of treatment and implementing or recommending changes as appropriate.
5. Assessing routine wounds including trauma
6. Undertake Patient health checks
7. Recognising issues and gathering sufficient information to refer ( drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems)
8. Recognising issues and gathering sufficient information to refer ( womens and mens health, sexual health, older people)
9. Undertaking monitoring tasks ( smears) and providing advice as appropriate
10. Administering travel clinic injections and providing guidance in accordance with guidelines
11. Immunisations (adult and child)
12. Assisting the general practitioner in undertaking some simple procedures
About us
Bridge Street Surgery provides patient services to patients living in Downham Market, Stowbridge, Hilgay, Ten Mile Bank, Southery and other outlying areas.
The Surgery's ethos is described as happy, friendly, complementary and very supportive with a strong sense of community.
Job description
Job responsibilities
Management of chronic disease
13. Identifying significant abnormalities
14. Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals
15. Experience of diabetes and respiratory disease desirable
Therapeutic monitoring
16. Checking compliance with and adherence to appropriate treatments using an holistic patient-centred approach
17. Recognising abnormalities
18. Identifying the impact of treatment and implementing or recommending changes as appropriate.
Wound Care and management
19. Assessing routine wounds including trauma
20. Assessing to support good wound management in complex situations
Patient health checks
21. Identifying significant abnormalities
22. Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues
23. Working with patients to develop a management plan where health problems or potential health problems are identified
Risk assessment
24. Recognising issues and gathering sufficient information to refer ( drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems)
Health screening
25. Recognising issues and gathering sufficient information to refer ( womens and mens health, sexual health, older people)
26. Undertaking monitoring tasks ( smears) and providing advice as appropriate
27. Providing in-depth monitoring and advice as appropriate to the level of the post-holders specialty and working with the patient in deciding on management plans.
Travel health
28. Administering injections and providing guidance in accordance with guidelines
29. Identifying problems
30. Provision of specialist and evidence-based support to the team.
Immunisation (adult and child)
31. Administering appropriate immunisation autonomously
32. Working with patients with more complex immunisation issues.
First contact
33. Working independently or alongside the general practitioner and making decisions/ recommendations as appropriate.
Minor operations
34. Assisting the general practitioner in undertaking some simple procedures
Confidentiality:
35. 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
36. 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
37. 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:
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):
38. Using personal security systems within the workplace according to practice guidelines
39. Awareness of national standards of infection control and cleanliness; regulatory / contractual / professional requirements; and good practice guidelines
40. 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
41. Management and maintenance of Personal Protective Equipment (PPE) for the practice, including provision, ordering, availability and ongoing correct usage by staff
42. Responsible for hand hygiene across the practice
43. Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
44. 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
45. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
46. 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
47. 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.
48. Safe management of sharps procedures including training, use, storage and disposal
49. Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile way, safe and free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
50. Actively identifying, reporting and correcting health and safety hazards and infection hazards immediately when recognised
51. 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
52. Undertaking periodic infection control training (minimum twice annually)
53. Routine management of own team / team areas, and maintenance of work space standards
54. Waste management including collection, handling, segregation, container management, storage and collection
55. Spillage control procedures, management and training
56. Decontamination control procedures, management and training, and equipment maintenance
57. Maintenance of sterile environments
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
58. Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
59. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
60. Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/professional development:
In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that NMC professional development requirements for revalidation are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
61. Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
62. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Quality:
63. The post-holder will strive to maintain quality within the practice, and will:
64. Alert other team members to issues of quality and risk
65. Assess own performance and take accountability for own actions, either directly or under supervision
66. 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
67. Work effectively with individuals in other agencies to meet patients needs
68. Effectively manage own time, workload and resources.
Communication:
69. The post-holder should recognize the importance of effective communication within the team and will strive to:
70. Communicate effectively with other team members
71. Communicate effectively with patients and carers
72. Recognise peoples needs for alternative methods of communication and respond accordingly.
Contribution to the implementation of services:
The post-holder will:
73. Apply practice policies, standards and guidance
74. Discuss with other members of the team how the policies, standards and guidelines will affect own work
75. Participate in audit where appropriate.
Person Specification
Qualifications
Essential
76. NMC Registered
Experience
Desirable
77. Experience of working in a GP Practice
78. Experience of diabetes and respiratory disease