Practice Nurse - The Avenue Surgery

NHS

Job Description

Job summary

The post holder is responsible for the delivery of general practice nursing care to the whole practice population. Key elements of the role are the delivery of evidence based practice for patients presenting with an immediate nursing need or a long term condition and the provision of preventative health care to the practice population.

They will demonstrate safe clinical decision-making and provide expert care in the management of patients. The post holder is expected to work collaboratively with all members of the practice team to meet the needs of patients and support practice objectives, policies and procedures. The post holder will work within their scope of practice and in accordance with local policies and procedures and the NMC Code of Professional Conduct.

Main duties of the job

  • Assisting in and performing routine tasks related to patient care as indicated by patient need - including but not limited to wound care, Doppler, removal of sutures/clips, urinalysis, chronic disease management, venepuncture, routine immunisations and childhood immunisations
  • Following agreed clinical protocols
  • Upholding the standards required for Infection Prevention and Control
  • Monitoring vaccine fridge temperatures
  • Maintaining clinical rooms, stocking and rotating items as required
  • Ordering of vaccines to maintain stock levels, if required
  • Maintaining accurate records
  • Attending and participating in any practice/clinical meetings
  • Undertaking home visits, if required
  • Supporting income generation for the Practice as relevant to the role (e.g. QoF)

About us

Sussex Primary Care (SPC) is a GP Federation that came about in response to a need from GP Partners in local practices who were seeking a different future. In 2019 we took on our first two practices and now have seven practices and a remote GP service, SPC Connect, reflecting a combined list of over 50,000 patients.

We are a learning organisation that listens to our team of staff, patients and partners to guide our future. At the heart of our vision are our patients and their needs.

Our Team benefit from working alongside a large NHS trust and the agility and pace of change you would expect from a small business.

Job responsibilities

A. Clinical

Assist in and perform routine tasks related to patient care as indicated by patient need including:

Cytology

Wound care / ulcer care/Doppler

Removal of Sutures/ clips

New Patient Medicals/Urinalysis

Travel Clinic

Asthma and COPD Management

Venepuncture

Hypertension Management / 24 hour ambulatory BP

Diabetes Management

Ear syringing

Routine immunizations/Childhood immunisations

Chaperoning and assisting patients where appropriate who are being examined by another clinician

Requesting pathology tests, for example urine culture, swabs

Following agreed clinical protocols.

Maintaining and cleaning equipment used by the nurses and GPs and upholding the standards required for Infection prevention and control.

Vaccine fridge temperature monitoring

Maintaining GP and Nurses rooms, stocking and rotating items as required

Maintain general tidiness and cleanliness of nurses and treatment rooms

Supervision of the HCA

Ordering of Health Promotion Literature

Ordering of vaccinations to maintain stock levels if required

Participation in administrative systems in the practice

Maintain accurate records

advise other team members of potential problems or errors within the range of assigned tasks

Attend and participate in any practice / clinical meetings monthly.

On occasion there may be a requirement to undertake home visits

Support and manage the QoF programmes and income generation for the practice relevant to role

Any other delegated duties appropriate to the post

B. Communication

Utilise and 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

Anticipate barriers to communication and take action to improve communication

Maintain effective communication within the practice environment and with external stakeholders

Regularly engage with Sussex Primary Care Head of Nursing

Act as an advocate for patients and colleagues

Ensure awareness of sources of support and guidance (eg PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate

C. Delivering a quality service

Recognise and work within own competence and professional code of conduct as regulated by the NMC

Produce accurate, contemporaneous and complete records of patient consultation, consistent

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation

Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities

Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Support and participate in shared learning across the practice and wider organisation

Use a structured framework (eg root-cause analysis) to manage, review and identify learning from patient complaints, clinical incidents and near-miss events

Assess the impact of policy implementation on care delivery

Working with the practice management monitor and develop the performance of the GPN team in accordance with local policies

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Working with practice management to ensure the whole team have skills and knowledge regarding domestic violence, vulnerable adults, substance abuse and addictive behaviour.

Provide guidance and support to ensure appropriate referral if required in line with legislation, policies and procedures

D. Leadership

Support the lead nurse/ANP in the delivery of practice nursing services ensuring that the needs of the patient are a priority

Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model

Critically evaluate and review innovations and developments that are relevant to the area of work

Contribute to the development of local guidelines, protocols and standards

Promote the role of the Practice Nurse in general practice

E. Team working

Understand own role and scope 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

Create clear referral mechanisms to meet patient need

Prioritise own workload and contribute to effective time-management strategies embedded within the culture of the team

Work effectively with others to clearly define values, direction and policies impacting upon care delivery

Discuss, highlight and work with the team to create opportunities to improve patient care

Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team

Agree plans and outcomes by which to measure success

F. Management of risk

Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients

Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines

Ensure appropriate supervision of safe storage, rotation and disposal of vaccines and drugs. Oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements where appropriate

Apply infection-control measures within the practice according to local and national guidelines

Advocate for policies that reduce ...

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