Practice Nurse

Location

Grantham, Lincolnshire | United Kingdom

Job description

Scope & Purpose of the Role To deliver a high standard of patient care using specialist practice skills. To manage a clinical case load, dealing with presenting patients needs in a primary care setting To manage a clinical case load, dealing with presenting patients needs in a primary care setting To ensure the highest standards of care are provided for patients. To assist the Nursing Team with Infection Control, ensuring support for patients and colleagues in ensuring that they adopt and practice sound infection control measures To promote effective, communication, relationships and team working within the Nursing Team and wider multi-disciplinary team. Primary Duties and Areas of Responsibility Clinical Role Clinical Management of QOF and Enhanced Services Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care. Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated. Make appropriate referrals to other members of the primary, community and secondary care teams. Help the practice develop and deliver specialist primary nurse led service, including chronic disease management (including all areas of QOF). Initiates the role of diagnosis for patients suspected to have a chronic disease e.g., Diabetes, COPD, Asthma, CVA, Rheumatology, Hypertension and CHD, referring to other clinicians as appropriate. Provide wound care to patients (ulcer/ doppler etc) Manage programmes of care for patients with chronic diseases by planning, providing, and evaluating care under agreed guidelines. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients with an understanding and ability to self-manage. Develop, maintain, and update patient recall systems for patient within GMS contract and enhanced services. Undertake regular medication reviews for patients within the chronic disease areas. Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication and vaccinations. Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines/drugs and adequate stock level maintenance. Maintaining the cold chain protocol in line with vaccine fridges management and follow procedures in the event of a cold chain adverse incident. Undertake procedures including venepuncture, BP management (including 24hour BP monitoring), 24-hour ECG monitoring, urinalysis, peak flow, spirometry, warfarin monitoring, cytology, IUD reviews. Provide support and chaperoning to the doctors when required. Promote health and well-being, giving general education advice on diet, weight, exercise, alcohol, contraception, smoking cessation, and chronic disease management. Initiate and carry out programmes of health screening as agreed with the practice. Contribute to the practice achieving its GMS contract and enhanced services targets. Ensuring that accurate patient records are maintained using clinical software according to NMC rules. Ensure all data protection requirements are met when gathering, recording, and storing patient data. Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system. Help and support all member of the Nursing Team, providing guidance when necessary Participate in assisting when reviewing clinical practice, responding to national policies and iniatives where appropriate Help to ensure all appropriate Practice Polices are fully implemented Help the practice develop in a cost-effective manner, monitoring and using resources appropriately e.g. stock control of vaccinations Participating in audits and inspections as required Professional Role Attend and contribute to relevant internal meetings as required including staff meetings Maintain a personal progress and training plan to keep up to date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses as appropriate. Promote evidence-based practice through use of the latest research-based guidelines. Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review. Maintain professional registration Work within the latest NMC Code of Professional Conduct. Record accurate consultation data in patients records in accordance with NMC guidance and other standards. Work collaboratively with colleagues both internally and externally.

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