Practice Nurse Specialising in Diabetes

The main responsibility of this role is to provide comprehensive care management to our diabetic patients, providing them with clinical care, guidance and support with their diabetes. You will work to policies and protocols and strive to improve standards of care to the practices patient population. You may also on occasions be required to undertake other practice nurse treatment room duties within your experience and skills. Experience of working in primary care is desirable. The post holder must work as part of a team, have the ability to organise and prioritise their own workload on a day to day basis, and observe strict rules about confidentiality at all times. They must also know the limits of their own capabilities and seek direction from a GP, or Practice Manager. Working strictly in accordance with specific practice or national guidelines, the Practice Nurse will assist the practice clinical team in the provision and delivery of prescribed programmes of patient care. The post holder must maintain registration with NMC, maintaining its Code of Conduct to protect the public through professional standards. Fulfil their learning requirements Job Responsibilities Diabetes Care Management To ensure that the Practice's diabetes care is delivered in a timely, professional manner whilst maintaining equity of access to a coordinated and seamless service. To identify patient's diabetes care needs using a holistic approach and to assess and offer highly specialist advice in all aspects of complex diabetes management to all members of the multidisciplinary team. Chronic disease management - assess, plan, implement and evaluate individual treatment plans for patients, including insulin initiation. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols. To demonstrate a positive supportive approach to patients at diagnosis and/or patients with the development of diabetes related complications. Work with patients in order to support adherence to prescribed treatments Establish and maintain highly effective communication skills with patients, carers/relatives, and professionals across health and social services. This may involve the giving of sensitive and complex information. On occasion the post holder may be required to visit patients in their own home e.g. to conduct Diabetic chronic disease reviews. Perform advanced clinical skills in assessment, diagnosis and treatment. Assess, plan, implement and evaluate care delivery according to changing health care needs. Collect, collate, evaluate and report information, maintaining accurate patient records. Involve patients and carers/relatives in the planning and delivery of care and development of services. Work collaboratively with the multidisciplinary team and outside agencies to ensure patient needs are met, especially in relation to ongoing care needs Act as a resource for specialist advice and expert clinical knowledge across the Practice, giving advice to colleagues on the clinical management of patients. Provide expert specialist advice and education to patients and carers/relatives to enable the safe and independent management of their diabetes. Undertake clinical supervision and education of nursing colleagues on an individual or group basis. Assist with providing a triage service, including telephone advice and assessing patients in the surgery, and liaising with nurses, doctors and outside agencies as appropriate Maintain clinical areas and equipment, sterilisation of instruments and stock control and drugs and sundry items Keep accurate, contemporaneous records, both written and electronic Other duties dependent on knowledge and skills Manage other chronic diseases e.g. Hypertension, Asthma, Thyroid disease, etc. Developing an integrated approach to chronic diseases within the Primary Health Care Team and being actively involved in their clinical management. Carry out immunisation clinics and associated admin Carry out travel immunisation clinics and associated admin. Undertake preventative and treatment clinics for the general nursing care of patients including dressings, removal of sutures, ECGs, blood pressures Undertake wound management (e.g. leg ulcers) Provide a comprehensive vaccination service Provide nursing care in minor injuries Provide a cervical smear service, family planning information and advice Provide catheter care, changing urethral and suprapubic catheters Establish diagnoses to set protocols (e.g. BP, blood tests, ECG recordings etc) Participate in clinical call and recall systems and record results Undertake clinical audits and assist with administration of recalls Assist in teaching and assessing Health Care Assistants and other members of staff Perform other clinical tasks as trained and agreed to meet the needs of the practice Be involved in identifying practice clinical needs Perform any other tasks within the skills of the post holder.

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