Practice Nurse

To be responsible for the delivery of practice nursing services, workingas part of the practices multidisciplinary team who provide care within theirscope of practice to the entitled patient population. The practice nurse willbe responsible for a number of clinical areas such as health promotion, chronicdisease management, health prevention, well woman and well man clinics, as wellas supporting the management team in the reviewing of clinical policy andprocedure Main duties of the job Thefollowing are the core responsibilities of the practice nurse. There may be onoccasion a requirement to carry out other tasks, 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 on factors such as workload and staffing levels : a. Develop, implement and embed health promotion and well-being programmes b. Implement and evaluate individual treatment plans for chronic disease patients c. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on patients health d. Provide routine nursing care to patients as required in accordance with clinical-based evidence, NICE and the NSF e. Provide wound care (ulcer / Doppler etc.) to patients f. Provide travel medicine services g. Request pathology services as necessary h. Process pathology results as required i. Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required j. Maintain accurate clinical records in conjunction with extant legislation k. Ensure read codes are used effectively l. Maintain chronic disease registers m. Develop, implement and embed well woman clinics n. Develop, implement and embed well man clinics o. Chaperone patients where necessary p. Assist GPs with minor surgery when required q. Prioritise health issues and intervene appropriately r. Support the team in dealing with clinical emergencies s. Recognise, assess and refer patients presenting with mental health needs t. Implement vaccination programmes for adults and children u. Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice) v. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.) w. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual) x. Support the clinical team with all safeguarding matters, in accordance with local and national policies y. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately z. Deliver opportunistic health promotion where appropriate Secondary responsibilities In addition to the primary responsibilities, the practice nurse may be requested to : a. Act as the audit lead, effectively utilising the audit cycle b. Monitor and ensure the safe storage, rotation and disposal of medicaments c. Support junior members of the nursing team, providing guidance when necessary d. Participate in local initiatives to enhance service delivery and patient care e. Support and participate in shared learning within the practice f. Continually review clinical practices, responding to national policies and initiatives where appropriate g. Participate in the review of significant and near-miss events applying a structured approach, root cause analysis (RCA).,

• Wound care / removal of sutures and staples;
• ECGs;
• Venepuncture;
• New patient medicals;
• Chaperone procedure;
• Requesting pathology tests and processing the results, advising patients accordingly;
• Travel medicine;
• Diabetes;
• Hypertension;
• Asthma;
• Spirometry;
• CHD;
• Immunisations (routine, childhood and travel);
• Womens health (Cervical cytology, contraception etc.);
• Understands the importance of evidence-based practice;
• Broad knowledge of clinical governance;
• Ability to record accurate clinical notes;
• Ability to work within own scope of practice and to understand when to refer to GPs;
• Knowledge of health promotion strategies;
• Understands the requirement for PGDs and associated policy
  
  Qualifications
Essential Registered Nurse Desirable Postgraduate diploma or degree (Primary Care) Experience Essential
• Experience working in a primary care environment;
• Experience chronic disease management.
Desirable Experience of working as a practice nurse or community nurse,
• Knowledge of public health issues in the local area;
• Awareness of issues within the wider health arena
  
  Chiltern House Medical Centreoffers clinical services to NHS patients who need to be sure of the veryhighest standards. But it's how we do what we do that makes the difference.
Weaim to deliver a genuinely caring and thoughtful patientcentred services.From first referral through diagnosis to effective treatment we promise trueprofessionalism. No patient will be discriminated against on the grounds ofrace, gender, social class, age, religion, sexual orientation, appearance,disability or medical condition.