Practice Nurse

Do you have a passion for Asthma / COPD or Diabetes. We have an exciting opportunity at Lakeside Healthcare St Neots for a registered nurse who wants to make a difference in our patient's lives. We are a large friendly practice with a great team of existing Nurses / AHPs.,

• Responsible for providing and delivering primaryhealth care interventions and care effectively and efficiently
• Working collaboratively with themulti-disciplinary general practice team and other healthcare professionals topromote integrated pathways of care to meet patient needs.
• Effective communication with patients, carersand all members of the MDT
• Effectiveprioritisation and completion of daily work in line with clinical patientneed and practice priorities
• Maintenance of accurate and legiblepatient records in line with professional and organisational requirements this includes contemporary paper records and electronic patient recordsystem
• Actively participates and contributes to nurseteam meetings
• Initiates health promotion activities withindividuals, patients and carers
• Participates in clinical audit and theimplementation of changes to ways of working and / or clinical practice as aresult of findings, recommendations and action plans
• Proactive in improving and influencing thepatient care pathway / journey
• Participates in risk assessment and promotes thesafety and well-being of patients, staff and any other persons at all times andassist in ensuring a safe work environment
• Ensure that any complaints or incidents areidentified and reported to the lead GP, Nurse Manager or Practice Manager inaccordance with the organisational policy and expected professional practice, Thepurpose of the post is to deliver safe, high quality primary care nursingservices to the practice population. Working within the NMC Code of Conduct andprofessional boundaries, the post holder will deliver primary health careinterventions and care. The post holder will support service development, thesafe delivery of policy and procedures, and demonstrate effective professionalnurse standards, advocacy and performance., Responsible for providing and delivering primaryhealth care interventions and care effectively and efficiently
• Working collaboratively with themulti-disciplinary general practice team and other healthcare professionals topromote integrated pathways of care to meet patient needs.
• Effective communication with patients, carersand all members of the MDT
• Effectiveprioritisation and completion of daily work in line with clinical patientneed and practice priorities
• Maintenance of accurate and legiblepatient records in line with professional and organisational requirements this includes contemporary paper records and electronic patient recordsystem
• Actively participates and contributes to nurseteam meetings
• Initiates health promotion activities withindividuals, patients and carers
• Participates in clinical audit and theimplementation of changes to ways of working and / or clinical practice as aresult of findings, recommendations and action plans
• Proactive in improving and influencing thepatient care pathway journey
• Participates in risk assessment and promotes thesafety and well-being of patients, staff and any other persons at all times andassist in ensuring a safe work environment
• Ensure that any complaints or incidents areidentified and reported to the lead GP, Nurse Manager or Practice Manager inaccordance with the organisational policy and expected professional practice
• Monitors and orders stock levels and equipmentin line with budget and lean principles
• Responsible for the security, care andmaintenance of equipment ensuring standards of infection control and safety aremaintained
• Ensureclinical practice is safe and effective and remains within boundaries ofcompetence and to acknowledge limitations.
Duties include-
• Providing treatment services and healtheducation advice : including Dietary advice, blood pressure checks, urinalysis,health screening, Ear syringing, dressings, ECG, Phlebotomy, routineinjections, sexual health, contraception, routine immunisations andvaccinations, removal of sutures / clips, baby immunisations, assisting withthe fitting of IUCD / IUS, first registration checks / health surveillance / general health advice, assisting with minor procedures in the treatment roomand acting as chaperone as required
• Provide general and specific health screeningsto the practice patients (within agreed protocols) with referral to othermembers of the primary and secondary health care team as necessary
Working within guidelines and protocolsundertake and record :
• Urinalysisand preparation of specimens for laboratory analysis
• Temperature,pulse, blood pressure and respiratory rate
• Weight,height, waist circumference and Body Mass Index
• Measurementof legs for compression hosiery
• ECGs,ambulatory blood pressure monitoring
• Nearpatient testing blood glucose, lipids and INR
• Dopplerultrasound measurement working with registered nurse
• Measurementof airway function (peak expiratory flow rate and spirometry)
• Obtain venous blood samples from individuals forinvestigation.
• Administer medications by injection with theappropriate legal authorisation.
Recognise health promotion opportunities andgive brief, focussed lifestyle advice using motivational interviewingtechniques which may include :
• Alcoholscreening
• Smokingcessation
• Weightmanagement
• Sexualhealth
• Undertake initial assessment of patientspresenting with wounds, working within expertise to manage independently orrefer to other services as necessary.
• Remove wound closure materials includingsutures, clips and staples.
• Take samples for the cervical screeningprogramme according to recognised standards.
• Provide ear care including removal of cerumenand provide education and advice.
• Administer vaccines to adults and childrenaccording to the UK immunisation schedule.
• Provide a pre-travel health service includingadministration of vaccines and advice after undertaking appropriate riskassessment.
• Administer prescribed therapies such ascontraceptive injections, vitamin B12, and depo neuroleptic medicationsrecognising side effects and contraindications.
• Develop and follow referral pathways forpatients with specialist needs.
Minor Illness
• Support the Same Day / Urgent Care services asdefined by role and competence
• Triage and treat patients wishing to see ahealth care professional making any necessary referrals to other members of theprimary health care team.
• Ensure clinical practice is safe and effectiveand remains within boundaries of competence and to acknowledge limitations.
• Advisepatients on general health care and minor ailments with referral to othermembers of the primary and secondary health care team as necessary
Long term conditions : -
• Assist nurse-run long term condition clinics andcarry out clinical measurements and near patient testing for patients withdiabetes, asthma and COPD in line with NICE guidance and Quality and OutcomeFramework indicators which may include : bloodsugar monitoring assessmentof feet with appropriate risk stratification spirometry pulseoximetry
• PeakExpiratory Flow rate teaching inhalertechnique assessment of breathlessness.
• Recognise signs and symptoms that may indicateundiagnosed long term conditions poor wound healing, winter cough insmokers and also factors that may indicate mental health problems and userelevant referral pathways
• Workin accordance with Practice protocols to ensure the safe and effectivemanagement of patients with Chronic Diseases.
• Pathological specimens and investigatory procedures :
• Undertakethe collection of pathological specimens including intravenous blood samples,swabs etc. Perform investigatory procedures requested by the GPs
Other administration and professional responsibilities :
• Record accurate consultation data in patientsrecords in accordance with the latest NMC guidance and other pertinentstandards
• Maintain professional registration and practicein accordance with NMC requirements
• Attend and participate in nurse meetings
• Participate and support service improvementinitiatives
Training and personal development :
• Using professional skill and expertise, activelyparticipate in the education and training of students of all disciplines andthe introduction of all members of the practice staff where appropriate
• Maintain professional portfolio and ensureprofessional requirements are met.
• Ifit is necessary to expand the role to include additional responsibilities, fulltraining will be given.
Person Specification Experience Essential


• Willingness to undertake training and education to achieve core skills and experience required of a Practice Nurse
• Experience of managing / dealing with the public / patients
• Willingness to improve and develop the patient experience and patient care pathway
• Experience of working within healthcare governance systems and understands role and responsibilities for CQC and within risk management
• Experience of using clinical systems & Microsoft Office software
Desirable
• Experience in Primary or Community Care Nursing
• Clinical skills and competence in Practice Nurse Treatment Room
• interventions
• Management of longterm conditions
• Involvement in implementing and using protocols and
• clinical guidelines
• Experience of audits and / or research
• Experience of SystmOne, Registered Nurse
• NMC 1st level Registration
• Evidence of continued professional development
Desirable
• Primary Care Nursing qualification
• Accredited Diploma Level Award in chronic disease management
• Mentorship course
  
  LAKESIDE HEALTHCAREis changing the face of primary care provision in England. We are bold, adventurous and ambitious and determined to thrive in uncertain times. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. We serve the healthcare needs of over 170,000 patients across four counties : Northamptonshire, Rutland, and Lincolnshire & Cambridgeshire. Joining our team presents an opportunity to be part of a large organisation that is changing the way primary care is delivered today.
Lakeside Healthcare is a new type of NHS general practice which builds upon and celebrates all that is great about traditional primary care services. We are local surgeries run by doctors, nurses and associated staff who know their patients and care deeply about the quality of health provided in their communities. We build upon this by investing in people, facilities and equipment to provide services that are more accessible, more convenient and more diverse within the local community. We work for our patients. Lakeside St Neots has a great Nursing / AHP team with a wide range of skills, we have a good support network and offer different training opportunities.

Please note : The post is a fixed term contract for 12 months to cover maternity leave. This is a full time position, although a job share would be considered