Description

Job summary
The Practice Nurse will work as part of the primary healthcare team providing Personal Medical Services to the patients at Sullivan Way Surgery. The role will be for 18 hours, over 2 days.

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
Management of Chronic Disease:

Identifying significant abnormalities
Diagnosis, monitoring and development of individual management plans; agreeing these as appropriate with the patient and other health professionals

Patient health checks

Identifying significant abnormalities
Obtaining appropriate information using a lifestyle questioning approach and identifying appropriate health promotion issues

Risk assessment

Recognising issues and gathering sufficient information to refer (e.g. drugs; domestic violence; child protection; vulnerable adults; senior patients; social problems)

Health screening

Recognising issues and gathering sufficient information to refer (e.g. womens and mens health, sexual health, older people)
Undertaking monitoring tasks (e.g. smears) and providing advice as appropriate
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
Immunisation (adult and child)

Administering appropriate immunisation autonomously

Confidentiality:
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

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 be instrumental in the support of the Infection Prevention Control (IPC) lead and to work to the IPC requirements by providing audits, training, support and evidence of compliance to the practice manager
To support in the publication 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
Provide wound care (ulcer/Doppler, etc.) to patients
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 SNOMED CT 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

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.

Applicants must have current UK professional registration.

Practice Nurse

Practice Nurse

Practice Nurse

Practice Nurse

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