The post holder is responsible for ensuring the delivery of safe and effectivenursing care for the whole practice population.The post holder can work alone without direct support, undertaking nursingduties and work within a team.
Main duties of the job
The postholder is an experienced nurse who is responsible for ensuring the delivery of safe and effectivepatient care to the practice population using autonomous clinical skills and a broad, in depth theoreticalknowledge base.To manage a diverse clinical caseload, dealing with the presenting patients needs within a primary caresetting.To develop the nursing services offered by the practice and ensure the highest standards of care areprovided for the patients.To enhance clinical leadership within the practice the Practice Nurse works independently and contributes to audit, research and supporting, implementingand evaluating local standards, policies, guidelines and care pathways.Working as an autonomous practitioner to provide a point of contact for patients presenting with undifferentiated, undiagnosed problems. Within the scope of practice at the employed grade, to make best use of skills in history taking, physical examination, problem solving and clinical decision making in order to establish a safe, evidence-based, effective and individualised treatment pathway of care
About us
We are a GP dispensing practice in a Valleys setting. We have a team of 5 GP partners, a salaried GP and we are a teaching practice also. We have 3 sites, two of which have dispensaries. We have one practice nurse in place and a HCA. We have a number of health board run clinics. We have a support team of managers, dispensers and admin staff.
We work closely within a more deprived area and we deal with a lot of underlying health issues in an aging population. We work closely and support other as needed.
Job responsibilities
Duties and Responsibilities
a) Clinical:
To provide general and specific chronic disease screening and education to patients withinagreed protocols, with referral to the General Practitioners as necessary.
To provide nursing care to the patient population, in accordance with practice policy.
To support the Nurse team in maintaining equipment and ensuring adequate stock levels withinthe Treatment Room.
To undertake the collection of pathological specimens, including intravenous blood samples,swabs etc and to perform any appropriate investigatory procedures requested by the GeneralPractitioners.
To provide nursing treatments to patients, liaising with other members of the Practice NursingTeam, Multidisciplinary Team or the General Practitioners, as necessary.
Practice independently within areas of clinical competence, with reference to PracticeGuidelines and Protocols and in accordance with NMC Code of Conduct.
Maintain concise and accurate documentation of care and utilise the Practice IT clinical system(Vision, WCCG, GPTR Portal and Docman).
Implement standards for infection control and safeguards for the health and safety of self andothers within the performance of your duties.
Provide treatment room care to patients as prescribed by the General Practitioners.
Assess, plan, develop, implement and evaluate treatment programmes for patients that promotehealth and well-being.Implement and evaluate individual treatment plans for patient with chronic diseases.
Identify and manage as appropriate treatment plans for patients at risk of developing chronicdisease.
Support patient to adopt health promotion strategies that promote them to live healthily andencourage principles of care.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent oremergency situations, including initiation of effective emergency care.
Where the post-holder is an independent prescriber, to review medication for therapeuticeffectiveness appropriate to patients needs and in accordance with evidence based practiceand national and practice protocols.
Support and advise women requesting information relating to family planning needs and refer toGP as appropriate.
Support and manage health needs of women presenting for cervical cytology consultations.
Implement and participate in vaccination and immunisation programmes as required by thepractice.
Demonstrates a high level of autonomy and decision making skills regarding nursingassessment, care interventions, referral and service provision.
Challenges existing ways of working and leads on the development and implementation ofinnovative schemes within general practice.
Advise, support and where appropriate administer vaccinations for patients travelling abroad.
Accurately record data and read codes from chronic domains and clinics for statistic purposesand in accordance with NMC Standards for Records and Record keeping.
Deliver evidence-based care in accordance with local and national policies, procedure,protocols and guidelines within the Practice and which provide a framework for nursing staff toparticipate in and complete tasks competently and confidently.
Conduct Medication reviews of patients as required.
Process daily pathology results and action accordingly.
b) Liaison and Referral:
To maintain effective liaison with other staff and agencies concerned with patient care.
To maintain effective relationships with other colleagues in the Primary Health Care Team.
c) Education:
Identify personal training needs and be responsible for own continuing personal andprofessional development in accordance with NMC requirements.
To demonstrate continuous professional development ensuring that knowledge and skills arebased on current best evidence.
Promote a learning environment for patients, nurses and other health care professionals andcontribute to the planning and implementation of the teaching for existing staff such as MedicalStudents and Nursing Students with the Practice.
Develop skills and knowledge as required or directed by the in order to support agreed practiceservice development or enhanced service provision.
Participate in annual review and clinical supervision and maintain a personal learning profile.
Liaise with the Management team to enable the delivery of identified training needs.
To participate in the training and education of students from all clinical disciplines as requestedby the practice.
Participate in the induction of new members of the Primary Health Care Team.
d) Administration and Management
To participate in the administrative and professional responsibilities expected from the practiceteam.
To ensure accurate notes of all consultations and treatments are recorded in the medicalrecords in accordance with practice and NMC policy.
To ensure accurate completion of all necessary documentation associated with patient healthcare.
To ensure collection and maintenance of statistical information as required.
To attend and participate in practice meetings as required.
To co-operate and assist in the operation of audit and research projects within the practice.
Other Duties
The above list of duties is not exhaustive, but is intended as a general guide. Duties may varysubject to the introduction of revised guidelines or new technology
Person Specification
Qualifications
* GCSE grade A to C in English and Maths
* Qualified in Phlebotomy
* Qualified to NVQ level 3
Experience
* Experience of working within a nursing team
* Experience of dealing with vulnerable patients
* Experience of working in a GP practice
Knowledge and skills
* Ability to provide quality care
* Good interpersonal and communication skills
* Basic IT skills
* Awareness of blood-borne viruses
New to Role
* We will also be open to newly qualified Nurses to apply.
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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