Grey Gable Surgery is recruiting a Part Time Practice Nurse, to work between 25 and 30 hours per week. Experience of managing Asthma/COPD is desirable.
Main Duties of the Job
The following are the core responsibilities:
* Assist in chronic disease management of Asthma & COPD patients, including referral to secondary/specialist care.
* Implement and evaluate individual treatment plans for chronic disease patients that promote health and well‑being.
* Identify, manage and support patients at risk of developing long‑term conditions, preventing adverse effects to patient health.
* Contribute to the overall effort of the Practice nurse team including services such as cytology, ECG, routine immunisations and vaccinations, dressings, etc.
* Request and process pathology services as necessary.
* Maintain accurate clinical records in conjunction with extant legislation.
* Liaise with external services/agencies to ensure patients are supported appropriately.
* Support the clinical team with all safeguarding matters.
Job Responsibilities
Provide and maintain a high standard of nursing care and assist doctors and other primary healthcare team members. Duties include tasks normally undertaken by an experienced RGN and additional roles agreed between the nurse and the doctors.
Professional Responsibilities
* Monitor long‑term conditions such as Asthma/COPD.
* Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel, including vaccinations and medicines, family planning, food hygiene, sun protection.
* Provide advice about childhood and adult vaccinations and ensure vaccines are administered under patient group directions.
* Run well‑person clinics and health promotion programmes, providing holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise.
* Assess problems presented opportunistically by patients, dealing with minor illness.
* Document consultations according to NMC guidelines.
* Be aware of statutory and local clinical protection procedures, including systems of referral. Recognise signs and symptoms of child abuse.
* Perform holistic assessment of patients attending for ear irrigation, cervical cytology smear tests.
* Perform venepuncture according to local guidelines.
* Provide a holistic approach to wound management and implement wound care in line with current evidence‑based guidelines.
* Remove sutures.
* Take ECGs.
* Recognise and manage anaphylaxis according to current UK guidelines.
* Perform cardio‑pulmonary resuscitation according to current UK guidelines.
* Assist in the provision of minor surgery.
* Obtain and document informed consent (verbal or written).
* Maintain infection control guidelines.
* Monitor and manage maintenance of stock and equipment, including refrigeration, steriliser and emergency equipment.
Managerial Responsibilities
* Contribute to the assessment of service needs.
* Assist patients to identify their health needs.
* Contribute a nursing perspective to the practice development plan.
* Manage and organise individual patient consultations.
* Know identification and reporting procedures related to professional standards.
* Attend staff meetings.
* Support the Practice clinical governance agenda.
* Identify changes to clinical practice required to implement evidence‑based guidelines.
Educational Responsibilities
* Identify personal development and training needs in conjunction with the manager.
* Participate in clinical supervision.
* Support others with their training and development needs.
* Participate in continuing education and maintain a contemporary level of professional knowledge and skills.
Personnel Responsibilities
* Maintain good industrial relations.
* Take reasonable care of own safety and that of others affected by own actions.
* Co‑operate with the practice to ensure all team members adhere to statutory regulations, policies, codes of practice and departmental safety rules.
* Offer innovative ways of working and facilitate learning opportunities.
* Facilitate a learning environment within the team.
* Maintain a caring environment through support of colleagues.
Confidentiality
* Respect patient confidentiality and privacy in all interactions.
* Keep all patient and practice information strictly confidential.
* Disclose information only to authorised persons in line with practice policies.
Health & Safety
* Engage with all promotion and management of health and safety and infection control as defined in the practice policies.
* Use personal security systems within the workplace according to guidance.
* Aware of national standards of infection control and clean practices.
* Manage and maintain specimens, PPE and sharps safely and correctly.
* Ensure compliance with infection control procedures, maintaining tidy and sterile work areas.
* Identify and correct health and safety hazards immediately.
* Maintain clean clinical and patient areas and oversee general cleanliness standards.
* Undertake periodic infection control training and manage waste, spillage and decontamination.
Equality and Diversity
* Act in a way that recognises the importance of patient, carer and colleague rights.
* Respect privacy, dignity, needs and beliefs of all parties.
* Behave in a welcoming, non‑judgemental manner towards all individuals.
Quality
* Alert team members to issues of quality and risk.
* Assess own performance and take accountability.
* Contribute to team effectiveness through reflection and suggestion of improvements.
* Work effectively with other agencies to meet patient needs.
* Manage own time, workload and resources efficiently.
Communication
* Communicate effectively with team members, patients and carers.
* Recognise and respond to alternative communication needs.
Contribution to Implementation of Services
* Apply practice policies, standards and guidance.
* Discuss policies and guidelines with team members.
* Participate in audits where appropriate.
Person Specification
Qualities & Attributes
* Strict confidentiality.
* Work independently, determining own workload priorities.
* Work as part of an integrated multi‑skilled team.
* Adaptability in changing environments.
* Use of own initiative and flexibility of working hours.
* Highly motivated team player.
* Work across boundaries.
Qualifications
* Registered General Nurse, qualification to diploma level or above.
Knowledge and Skills
* Effective communication and interpersonal skills.
* Knowledge of current national developments and trends in health care, quality assurance and practice development.
* Implement strategies for quality assurance and audit.
* Clinical skills: childhood immunisation, cervical screening, ear care, phlebotomy.
* Knowledge of Patient Group Directives and policy.
* IT skills and awareness of clinical governance issues in primary care.
Experience
* Minimum 2 years post‑registration experience.
* Experience implementing and using protocols and clinical guidelines.
* Experience in chronic disease management and primary care.
* Experience diagnosing and treating minor illnesses.
* Experience in managing Asthma/COPD.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure and Barring Service check for any previous criminal convictions.
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