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Practice nurse

NHS
Nurse
Posted: 22 March
Offer description

WhiteparishSurgery is looking to appoint an experienced and motivated Practice Nurse to join our established clinical team, following the retirement of a long standing member of staff. This is an excellent opportunity to become part of a well regarded rural dispensing practice serving a growing population of approximately 7,800 patients.

The successful candidate will provide a wide range of nursing services, including treatment room duties, immunisations, wound care, cervical screening and chronic disease management. A commitment to high standards of clinical practice and excellent communication skills are essential.

The role is for 20-24 hours per week, worked over 3 days. Specific working days can be discussed and agreed with the successful candidate to support both service needs and individual preferences. Salary will be dependent on qualifications and experience.

Informal visits to the Practice are welcomed by prior arrangement.

Main duties of the job

Key features of role:

* Direct clinical involvement in long term condition/chronic disease management
* Delivery of nursing care to patients in the practice population
* Providing advice, support and liaison with other practice staff
* Involvement in QOF management

Care and Patient Management:

* Contraception
* Women's Health including cervical screening/ swabs
* Management of long term conditions:
o Diabetes
o Cardiovascular disease management – hypertension, CHD, Stroke/TIA, PVD and heart failure
o Respiratory
* Enable individuals with long term conditions and their carers to make informed choices concerning their health and well being and to organise their own support, assistance and action and promoting self care
* Support individuals with long term conditions and their carers to change their behaviour and to reduce the risk of complications
* Manage programmes of care for patients with acute and chronic disease by planning and evaluating care
* Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care promoting a multi-disciplinary approach.
* Review prescribed medication and provide advice on all aspects of medicines management, within scope of practice. Refer to relevant clinicians where appropriate.

Treatment room practice:

* Complex wound management
* Vaccinations and immunisations
* Infection, prevention and control
* Assess, plan, provide and evaluate nursing care to meet the needs of individuals and groups in the practice population.
* Undertake diagnostic health screening, health surveillance and therapeutic interventions within a broader health promotion / public health strategy

About us

This is an excellent opportunity to become part of a well regarded rural dispensing practice serving a growing population of approximately 7,800 patients.

We are proud of our reputation for delivering safe, effective and patient-centred care within a supportive and collaborative working environment, and we are seeking an enthusiastic and clinically competent Practice Nurse to help us continue this standard.

Job responsibilities

Qualifications and Experience:

* Registered Nurse
* Currently on NMC register
* Post registration experience working in primary care
* Evidence of ongoing CPD

Key features of role:

* Direct clinical involvement in long term condition/chronic disease management
* Delivery of nursing care to patients in the practice population
* Providing advice, support and liaison with other practice staff
* Involvement in QOF management

Care and Patient Management:

* Contraception
* Women's Health including cervical screening/ swabs
* Management of long term conditions:
o Diabetes
o Cardiovascular disease management – hypertension, CHD, Stroke/TIA, PVD and heart failure
o Respiratory
* Enable individuals with long term conditions and their carers to make informed choices concerning their health and well being and to organise their own support, assistance and action and promoting self care
* Support individuals with long term conditions and their carers to change their behaviour and to reduce the risk of complications
* Manage programmes of care for patients with acute and chronic disease by planning and evaluating care
* Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care promoting a multi-disciplinary approach.
* Review prescribed medication and provide advice on all aspects of medicines management, within scope of practice. Refer to relevant clinicians where appropriate.

Treatment room practice:

* Complex wound management
* Vaccinations and immunisations
* Infection, prevention and control
* Assess, plan, provide and evaluate nursing care to meet the needs of individuals and groups in the practice population.
* Undertake diagnostic health screening, health surveillance and therapeutic interventions within a broader health promotion / public health strategy

Special requirements of the post:

* An understanding, acceptance and adherence to the need for strict confidentiality
* Adherence to the principles of information governance and the maintenance of high quality reporting and data quality standards
* Ability to use own judgement, resourcefulness and common sense
* A commitment to maintain a high professional standard of nursing care and keep up to date with all aspects of nursing care relevant to the post
* To ensure all health and safety requirements and infection control measures are met and to report any problems to the practice manager
* A commitment to the effective use of practice and NHS resources
* An awareness of own limitations and experience
* To work only in accordance with the NMC code of conduct and within the scope of professional practice
* To have a written professional development plan and to maintain an up to date portfolio which meets the requirements of registration with the NMC
* Cooperate with annual appraisal meetings

Confidentiality:

* In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
* In the performance of the duties outlined in this job description, the post‐holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
* 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:

* Use the personal security systems within the workplace according to practice guidelines
* Identify the risks involved in work activities and undertake them in a way that manages the risks
* Make effective use of training to update knowledge and skills
* Use appropriate infection control procedures and maintain work areas in each clinical rooms so that they are clean, safe and free from hazards reporting any potential risks identified, including:
* Hand washing
* Universal hygiene procedures
* Wearing PPC whenever required
* Collection and handling of laboratory specimens
* Segregation and disposal of waste materials
* Decontamination of clinical equipment
* Reporting and treatment of sharps injuries
* Dealing with blood and body fluid spillages
* Assist patients and colleagues in adopting sound infection control measures
* Understand and apply the principles of the cold chain
* Ensure safe storage, rotation and disposal of vaccines and drugs within area of responsibility
* Know the general principles of first aid and resuscitation to be able to undertake initial actions as appropriate
* Be aware of statutory child health procedures, and statutory local guidance and referral criteria
* Know the health and safety policies and procedures within the workplace, including fire procedures, maintaining documentation, monitoring and maintaining of equipment and furniture within your area of responsibility
* Use the computer monitor safely
* Be able to identify the risks to health of microbiological and chemical hazards within the working environment according to the Control of Substances Hazardous to Health
* Know how to use the personal security system at the practice

Equality and diversity:

The post‐holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

* Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
* Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
* Behaving in a manner that is welcoming to and of the individual, is non‐judgmental and respects their circumstances, feelings priorities and rights.

The post‐holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

* Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
* Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Quality:

The post‐holder will strive to maintain quality within the practice, and will:

* Alert other team members to issues of quality and risk
* Assess own performance and take accountability for own actions, either directly or under supervision
* Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
* Work effectively with individuals in other agencies to meet patients needs
* Effectively manage own time, workload and resources

Communication:

The post‐holder should recognise the importance of effective communication within the team and will strive to:

* Communicate effectively with other team members
* Communicate effectively with patients and carers
* Recognise peoples needs for alternative methods of communication and respond accordingly

Contribution to the implementation of services:

The post‐holder will:

* Apply practice policies, standards and guidance
* Discuss with other members of the team how the policies, standards and guidelines will affect own work
* Participate in audit where appropriate

Additional hours

* To undertake additional hours when required by the practice for example to provide additional services and/or to cover staff absences

Person Specification

Qualifications

* Registered Nurse (Nursing and Midwifery Council)
* Post graduate diploma or degree (Chronic Disease Management)
* Family planning qualification
* Polite and confident
* Flexible and co-operative
* High levels of integrity and loyalty
* Sensitive and empathetic in distressing situations
* Effectively able to communicate and understand the needs of the patient
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Motivated, forward thinker
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* Ability to work under pressure/in stressful situations

Experience

* Experience of working in a primary care environment
* Experience of working autonomously
* Experience of working as a practice nurse or community nurse
* Experience of chronic disease management
* Experience of infection prevention and control measures
* Experience of quality initiatives, i.e., benchmarking

Clinical knowledge and skills

* Wound care/removal of sutures and staples
* ECGs
* Venepuncture
* Understanding the importance of evidence-based practice
* Understand the requirement for PGDs and associated policy
* Ability to record accurate clinical notes
* Ability to work within own scope of practice and understanding when to refer to GPs
* Chaperone procedure
* Immunisations (routine, childhood and travel)
* Excellent communication skills (written and oral)
* Effective time management (planning and organising)
* Ability to work as a team member and autonomously
* Good interpersonal skills
* Problem solving and analytical skills
* Ability to follow clinical policy and procedure
* Clear, polite telephone manner
* Broad knowledge of clinical governance
* Knowledge of public health issues in the local area
* Awareness of issues within the wider health arena
* Knowledge of health promotion strategies

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.

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