Practice Nurse

Specific Core duties include: • Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being • Implement and evaluate individual treatment plans for patients with a known long-term condition • Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition • Management of patients with diabetes and other chronic diseases • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care • Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care • Support the practice in the delivery of care planning and monitoring of patients at risk of unplanned hospital admissions, including following up those patients when discharged from in-patient care of A&E attendances • Deliver opportunistic health promotion using opportunities such as new-patient medicals • Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects and interactions in accordance with Practice guidelines • Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care • Assess and care for patients presenting with wounds • Support and advise women requesting information relating to family planning needs • Support and manage health needs of women presenting for cervical cytology consultations • Recognise, assess and refer patients presenting with mental health needs in accordance with the National Framework (NSF) for Mental Health • Implement and participate in vaccination and immunisation programmes for both adults and children • Advise, support and, where appropriate, administer vaccinations for patients travelling abroad • Promote and deliver evidence-based care for patients presenting with aural conditions. • The post holder is required to provide services to the Practices housebound patients in their own homes to ensure equitable access to primary care services. Non-Core Responsibilities You may be required to undertake the following additional duties in the absence of the Health Care Assistants or as and when directed to do so by the Nurse Team Leader/GP: • Venepuncture • Spirometry • Removal of sutures and clips • Hypertension health checks • Dressings and wound checks The nurse led services involve assessment of patients, advice regarding treatment and therapies and referral to other agencies as appropriate. It is crucial that you have a good knowledge base in order to manage these patients. Teamwork • To work as part of the team to ensure safe practice and high standards of care at all times. • To promote team work. • Understand own role and scope in the Practice and identify how this may develop over time • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working • Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties • Ensure clear understanding and utilisation of referral mechanisms within the practice • Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice • Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in team activities that create opportunities to improve patient care Participate in and support local projects as agreed with the practice management team Communication • Key working relationships are with the Practice Primary Healthcare Team including GP Partners, Salaried GPs, Nurse Team Leader, Practice Manager and Assistant Practice Manager. • Involvement in nurse led services entails being aware of local and national developments. • Report any problems with workload/content to the Nurse Team Leader. • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment. • Communicate with and support patients who are receiving bad news. • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. • Utilise communication skills to support patients to adhere to prescribed treatment regimens • Anticipate barriers to communication and take action to improve communication • Estimate and maintain effective communication with individuals and groups within the practice environment external stakeholders • Act as an advocate when representing the patients and colleagues viewpoints to others Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC). Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care Support and participate in shared learning across the practice and wider organisation. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance. Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate. General Other work and general duties as delegated within the overall remit of the post. This job description reflects the current main organisational priorities for the post. In the context of change taking place within the NHS, these priorities will develop and change in consultation with the post-holder in line with service business needs and priorities. You will be required to work additional hours, according to rota allocation, up to 8.00pm Monday to Friday and on a Saturday, Sunday or bank holidays between the hours of 9am and 5pm. You are required to provide a reasonable amount of holiday and sickness cover for colleagues to meet the needs of the business. Any additional hours will be paid at single time Monday to Friday and at time and a half on Saturday and Sunday. Qualifications Essential: Registered Nurse Membership of a professional body Up to date skills relevant to duties Desirable: Accredited Long term conditions training Certificate in family planning Experience of working in Primary Care Any other relevant qualifications Job description Job responsibilities Specific Core duties include: • Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being • Implement and evaluate individual treatment plans for patients with a known long-term condition • Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition • Management of patients with diabetes and other chronic diseases • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care • Support patients to adopt health promotion strategies that encourage patients to live healthily, and apply principles of self-care • Support the practice in the delivery of care planning and monitoring of patients at risk of unplanned hospital admissions, including following up those patients when discharged from in-patient care of A&E attendances • Deliver opportunistic health promotion using opportunities such as new-patient medicals • Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects and interactions in accordance with Practice guidelines • Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care • Assess and care for patients presenting with wounds • Support and advise women requesting information relating to family planning needs • Support and manage health needs of women presenting for cervical cytology consultations • Recognise, assess and refer patients presenting with mental health needs in accordance with the National Framework (NSF) for Mental Health • Implement and participate in vaccination and immunisation programmes for both adults and children • Advise, support and, where appropriate, administer vaccinations for patients travelling abroad • Promote and deliver evidence-based care for patients presenting with aural conditions. • The post holder is required to provide services to the Practices housebound patients in their own homes to ensure equitable access to primary care services. Non-Core Responsibilities You may be required to undertake the following additional duties in the absence of the Health Care Assistants or as and when directed to do so by the Nurse Team Leader/GP: • Venepuncture • Spirometry • Removal of sutures and clips • Hypertension health checks • Dressings and wound checks The nurse led services involve assessment of patients, advice regarding treatment and therapies and referral to other agencies as appropriate. It is crucial that you have a good knowledge base in order to manage these patients. Teamwork • To work as part of the team to ensure safe practice and high standards of care at all times. • To promote team work. • Understand own role and scope in the Practice and identify how this may develop over time • Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working • Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties • Ensure clear understanding and utilisation of referral mechanisms within the practice • Accept delegation from other nurses, prioritise own workload and ensure effective time-management strategies are embedded in own practice • Work effectively with others to clearly define values, direction and policies impacting upon care delivery Participate in team activities that create opportunities to improve patient care Participate in and support local projects as agreed with the practice management team Communication • Key working relationships are with the Practice Primary Healthcare Team including GP Partners, Salaried GPs, Nurse Team Leader, Practice Manager and Assistant Practice Manager. • Involvement in nurse led services entails being aware of local and national developments. • Report any problems with workload/content to the Nurse Team Leader. • Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment. • Communicate with and support patients who are receiving bad news. • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. • Utilise communication skills to support patients to adhere to prescribed treatment regimens • Anticipate barriers to communication and take action to improve communication • Estimate and maintain effective communication with individuals and groups within the practice environment external stakeholders • Act as an advocate when representing the patients and colleagues viewpoints to others Delivering a Quality Service Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC). Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care Support and participate in shared learning across the practice and wider organisation. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance. Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate. General Other work and general duties as delegated within the overall remit of the post. This job description reflects the current main organisational priorities for the post. In the context of change taking place within the NHS, these priorities will develop and change in consultation with the post-holder in line with service business needs and priorities. You will be required to work additional hours, according to rota allocation, up to 8.00pm Monday to Friday and on a Saturday, Sunday or bank holidays between the hours of 9am and 5pm. You are required to provide a reasonable amount of holiday and sickness cover for colleagues to meet the needs of the business. Any additional hours will be paid at single time Monday to Friday and at time and a half on Saturday and Sunday. Qualifications Essential: Registered Nurse Membership of a professional body Up to date skills relevant to duties Desirable: Accredited Long term conditions training Certificate in family planning Experience of working in Primary Care Any other relevant qualifications