Senior Practice Nurse - Readesmoor Medical Practice

Job description

Job responsibilities

Act as a positive role model to staff and patients.

Assess individuals health needs using an evidenced based framework.

Provision of holistic care.

Administer treatment within protocols, policies and clinical guidelines.

Review medication for therapeutic effectiveness appropriate to the patients needs in accordance with evidence based practice and clinical guidelines.

To maintain competencies associated with the role ensuring you are working within your own limitations / scope of practice.

Administer medication within Patient Group Directions or Patient Specific Direction and to understand these methods of delivering medication.

Demonstrate advanced clinical skills in aspects of chronic disease management appropriate to your scope of practice.

Demonstrate advanced clinical skills in all aspects in the delivery of the immunisations and vaccinations service.

Referral / sign posting to appropriate health professionals / services.

Provide patient information and education.

Provide supervision and support of Healthcare Assistants at the practice.

Ensure clinical protocols are adhered to at all times.

Work at all times within the NMC Code of professional practice.

Support line managers.

To participate and assist in the setting of standards of patient care based on sound research findings.

To complete on-line and face to face training as required, maintaining competence and professional development.

Demonstrate flexible and innovative ways of working to provide access to the patient population.

Maintain confidentiality and trust at all times.

Adhere to consent and understand the working principles involved, especially in relation to vulnerable groups.

Clear contemporaneous recording and updating patient care records.

Maintaining a portfolio of professional development for NMC revalidation to maintain professional registration.

Undertake clinical reviews and advised on medication changes to patients presenting with a range of conditions which include: Long Term Conditions, Diabetes, Asthma, COPD, CKD, Hypertension, Cerebrovascular disease, Dementia and Coronary Heart Disease in line with practice protocols

Womens Health/Family Planning including HRT Management and ring pessary fitting.

Cervical Cytology

Vaccinations including Travel Health

Learning Difficulties/Mental Health and Cancer Reviews

Refer patients independently to other clinical disciplines internally and externally as appropriate for further care

Deliver a comprehensive range of nursing services if necessary which could include:

v Venepuncture,

v Electrocardiograms,

v Ear examination and irrigation (if appropriate),

v Testing and recording patients temperature, pulse, blood pressure and urinalysis,

v Minor and complex wound management, including referral (where appropriate)

v NHS health screening,

v Promote and participate in the chlamydia screening programme,

v Diabetic Foot Checks

Implement National and Local immunisation programmes for both adults and children under an individualised prescription or Patient Group Directive.

Provide nurse cover for treatment room, as required. This will include care for patients presenting with uncomplicated dressings.

Prevent inappropriate admission to hospital with patient education.

Identify vulnerable patients and set action plans for lifestyle changes.

Access and Support preparation, management and after care of patients having minor surgery on the premises.

Undertake opportunistic health screening of patients in line with practice policy and offer appropriate advice.

Support patients to adopt health promotion strategies that promote patients to live healthily and encourage self-care.

Provide an opportunity for patients to share emotional and psychological issues within a consultation.

Provide appropriate anaphylactic and emergency care according to practice guideline.

It is necessary to contribute fully in any local or national initiatives, procedures and targets for example, Quality Outcomes Framework (QOF) and enhanced services etc.

Recognise the signs of child abuse, family violence, vulnerable adults, substance abuse, addictive behaviours, suicidal tendencies and be aware of local, referral procedures. Assist in Safeguarding Report writing

Undertake annual training and demonstrate competency in anaphylaxis and resuscitation techniques.

Carry out home visits (where appropriate) for patients who are not able to attend the practice for routine nursing procedures where a visit from a member of the community nursing team is not appropriate.

Participate in the administrative and professional responsibilities of the Practice.

Ensure accurate and contemporaneous notes of all consultations and treatments are recorded in the patients notes on the clinical computer system as appropriate in accordance with NMC and local policies.

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Practice.

Ensure collection and maintenance of statistical information required for regular and ad hoc reports.

Attend and contribute in Practice meetings as required.

Assist in the formulation of Practice values and behaviours, strategy and policy and develop appropriate protocols.

Ensure that efficient and appropriate stock control is in place.

Person Specification

Qualifications

Essential

• Registered General Nurse
• Educated to degree level or equivalent
• 2-3 years experience in general practice
• Evidence of ongoing personal development
• Demonstrates an understanding of clinical governance requirements
• Ability to assess and manage patient risk effectively and safely
• Ability to work autonomously and as part of a team
• Resilient and able to work under pressure
• Ability to deal with challenging situations
• Evidence of working within multi-disciplinary teams
• IT literate with well-developed IT and data collection skills
• Has an understanding of local and national issues influencing the delivery and development of health care
• Support and Management of Health Care Associates and other junior nursing staff as required

Desirable

• Working towards or completed mentoring qualification
• Non-medical prescriber
• Experience in management of long term conditions e.g. Diabetes, Asthma, COPD, CKD, Hypertension, Cerebrovascular disease, Dementia and Coronary Heart Disease
• Consultation and history taking skills
• Experience with EMIS Web or similar IT software
• Knowledge of Quality Outcomes Framework (QOF)
• Cervical Cytology

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Readesmoor Medical Group Practice

Address

29/31 West Street

Congleton

Cheshire

CW12 1JP

Employer's website

https://www.readesmoor.co.uk/ (Opens in a new tab)