A most exciting opportunity has arisen for a highlymotivated Practice Nurse to join our established nursing team at Old CoulsdonMedical Practice. The ideal candidate will be registered with the NMC and preferablyhave GP Practice experience although this is not essential as full support willbe given. The ideal candidate will have good nursing and communication skills
Main duties of the job
Main duties of the job
To be responsible for the delivery of practice nursingservices, working as part of the practice multidisciplinary team, deliveringcare within their scope of practice to the entitled patient population.
* Urinalysis
* ECGs
* Asthma/Peak Flow Readings
* Cytology
* Family Planning
* Wound & ulcer care/Doppler
* Removal of Sutures
* Venepuncture
About us
The Old Coulsdon Medical Practice provides primary medicalservices in Coulsdon to approximately 19,200 patients
The clinical team at the surgery is made up of 11 GPs, 3 Pharmacists, 2 paramedics and 5Nursing staff and over 30 non-clinical staff of receptionists andadministrators.
The practice is a training practice for trainee GPs, Pharmacists, Nurses and Medical student.
The practice is registered as a partnership with the CareQuality Commission to provide the regulated activities of diagnostic andscreening procedures, maternity and midwifery services, family planningservices, treatment of disease, disorder or injury and surgical procedures.
The practice ethos is one of providing high quality and caring servicesby friendly proactive teams.
The Practice is a member of SPC Health PrimaryCare Network (PCN). The PCN is a collaboration of 4 local GP practices thatservice a total population of approx. 53,000 patients.
Through the Additional Roles scheme the practices are supported by a team of Pharmacists, Paramedics, Social Prescribing Link Worker, First Contact Physiotherapist and Care Coordinators.
Job responsibilities
The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
* To support the Infection Prevention Control (IPC) lead and to work to the IPC Policy supporting the implementation of audits, training, support and evidence of compliance to the practice manager
* To support the production of the IPC annual statement in conjunction with the practice manager
* To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
* To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
* To develop, implement and embed health promotion and wellbeing programmes
* To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing
* To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
* As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
* As required, to diagnose and manage acute and chronic conditions
* To prescribe medication for patients in accordance with PGDs and own scope of practice
* To review patient medications to enhance compliance
* To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages
* To co-ordinate the provision of travel medicine services
* To request pathology services and process pathology results as required
* To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
* To maintain accurate clinical records in conjunction with extant legislation
* To ensure read codes are used effectively by all members of the nursing team
* To ensure the appropriate maintenance and use of chronic disease registers
* To develop, implement, embed and participate in well woman clinics
* To develop, implement, embed and participate in well man clinics
* To ensure compliance with the practice chaperone policy
* To assist GPs with minor surgery when required
* To prioritise health issues and intervene appropriately
* To support the team in dealing with clinical emergencies
* To recognise, assess and refer patients presenting with mental health needs
* To implement vaccination programmes for adults and children
* To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
* To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
* To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
* To support the clinical team with all safeguarding matters, in accordance with local and national policies
* To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
* To deliver opportunistic health promotion where appropriate
In addition to the primary responsibilities, the Practice Nurse may be requested to:
* Develop and review audit protocols and process for the practice, effectively utilising the audit cycle
* Develop, review and implement nursing protocols in conjunction with the partners
* Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required
* Participate in local initiatives to enhance service delivery and patient care
* Support and participate in shared learning within the practice in order to improve patient care
* Continually review clinical practices, responding to national policies and initiatives where appropriate
* Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)
* Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs
* Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients
* Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation
Person Specification
Qualifications
* Current registered Nurse with at least 2 years experience.
* Able to work autonomously, using own clinical judgment to form a diagnosis.
* Ability to manage and prioritise own workload.
* Have excellent communication skills.
* Be able to function effectively as part of a team
* Experience within Primary Care.
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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