Practice Nurse Roles

Job Summary;
The post holder will provide and maintain a high standard of nursing care for patients as well as providing nursing assistance to the doctors and other members of the primary health care team. Supported by senior nurses within the practice, they will deliver care within the boundaries of their role, focusing upon nursing treatments, supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities. S/he will work collaboratively with the general practice team to meet the needs of patients, practice key performance indicators and targets, e.g. QOF, support the delivery of policy and procedures and provide nurses leadership as required.

Clinical Responsibilities 

• To provide high quality patient care and treatment.
• Participate in setting standards for care and auditing clinical outcomes.
• Promote and participate in maintaining a safe comfortable and therapeutic environment.
• Participate in developing strategies and promoting health promotion programs for patients and carers and facilitate screening clinics.
• Take responsibility for the safe storage and administration of drugs and equipment.
• Provide nursing care in a variety of settings by holistic assessment, implementation and evaluation of programs of care as appropriate.
• Participate in setting and monitoring standards to ensure effective care ensuring delivery of evidence based practice.
• Provide information, advice and support to patients face to face and via the telephone
• Involvement in team discussions to ensure “best practice”

Key Skills

• Clinical skills required
• Phlebotomy
• Assistance with Coil Fitting
• Urinalysis
• Swabs
• ECG Procedures
• Spirometry
• Infection control management of equipment
• Administration of immunizations/vaccines (child & Adult) Including Zoladex injection
• Contraception advice
• General Family planning advice
• Cervical Smear testing
• Health promotion and lifestyle advice
• Assisting with chronic disease management.

Organizational Skills

• To maintain accurate records and data using the computer clinical system
• To work as an effective team member and promote a multi-agency collaborative approach to health care.
• Maintain the established reporting documentation and communication system.
• To ensure efficient evaluation and monitoring.
• Report and record all clinical incidents.

Communication

• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
• Communicate with and support patients receiving “bad news”.
• Communicate effectively with patients and carers and recognizing the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Utilize communication skills to support patients to adhere to prescribed treatment regimes.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication with individuals and groups within the practice environment and with external stakeholders.

Delivering a Quality Service

• Aim to deliver the highest standards of care to its patients at all times. This post will be integral to the delivery of that aim and the appointee will be expected to:
• Recognize and work within own competence and professional code of conduct and other requirements as regulated by the Nursing and Midwifery Council (NMS) and to ensure familiarity with and adherence to those requirements.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Prioritize, organize and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to the NSF and the National Institute for Clinical Excellence (NICE) guidelines and evidence-based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Participate in the maintenance of quality governance systems and processes across the organization and its activities.
• Utilize 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 the patient’s response to health care provision and the effectiveness of care.
• Support and participate in shared learning across the practice and wider organization.
• Participate in the management and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (e.g. root cause analysis).
• Participate in the performance monitoring review of the team, providing feedback as appropriate.
• Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance.
• Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate.

Team Working

• Understand own role and scope in the organization 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.
• Where involved in delegation of tasks, delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties.
• Ensure clear understanding and utilization of referral mechanisms within the practice.
• Accept delegation from other nurses, prioritize own workload and ensure effective time-management strategies are embedded in own practice.
• Work effectively with others to clearly define values, direction and policies impacting upon care delivery.
• Participate in team activities that create opportunities to improve patient care.
• Participate in and support local projects as agreed with the practice management team.

Personal Development and Training

• Understand own role and scope, and identify how this may develop over time.
• Be actively involved in professional development and maintain a professional profile in accordance with the Nursing and Midwifery Council (NMC) requirements.
• Act at all times within the boundaries of the NMC Professional Code of Conduct.
• Maintain up-to-date records are per policies and NMC guidance.
• Maintain a current NMC registration
• Take responsibility for own development, learning and performance and demonstrate skills to other members of staff when required.
• Attend any external training course thought to be appropriate to the role.

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 safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements.
• Undertake mandatory and statutory training.
• Apply infection-control measures within the practice according to local and national guidelines.
• Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all.

Other Duties

• Any other duties, as agreed with the Partners to meet the needs of the practice.

Confidentiality, Equality and Diversity

• In the undertaking of the duties outlined above the post-holder will have access to confidential and sensitive information relating to patients, carers and practice staff? This must be kept strictly confidential at all times.
• Patients seeking information from the practice do so in confidence and as such have the right to expect that staff will respect their privacy and act appropriately.
• Practice policies and procedures relating to the protection of personal and sensitive data must be adhered to at all times.
• The post-holder will support the equality, diversity and rights of patients in a manner that is consistent with practice policies and legislation.
• The privacy, dignity and beliefs of patients, carers and colleagues must be respected.
• The post-holder should behave in a manner which is welcoming, non-judgmental and respectful of the circumstances and rights of all visitors to the practice.

Information Governance

• Respect confidentiality and follow the practice policy on the Data Protection Act 1998.
• You must not at any time use the personal data held by the organization for a purpose not described in the Register entry or disclose such data to a third party.
• If you are in any doubt regarding what you should or should not do in connection with the Data Protection Act then you must contact your Practice Manager.

Health & Safety
Employees must be aware of the responsibility placed on them under the Health and Safety at Work Act (1974) to maintain a healthy and safe working environment for both staff and visitors. Employees also have a duty to observe obligation under the organization safety policies, and to maintain awareness of safe practices and assessment of risk.

Recruitment Business Declaration
*Aspire Locums is a specialist Medical Recruitment Agency supplying qualified and experienced Medical and Healthcare Professionals to NHS and Private Healthcare Organisations.

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.

Tier 2 Certificate of Sponsorship (formerly a Work Permit) Applications from job seekers who require Tier 2 sponsorships to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the Resident Labour Market Test. The UK Border Agency requires employers to complete this test to show that no suitably qualified EEA or EU worker can fill the post. For further information please visit UK Border Agency

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