Practice NurseNHS

Job summary

We are seeking to appoint a compassionate and motivated Practice Nurse to join our friendly and supportive General Practice team.

The successful candidate will play a vital role in delivering high-quality patient care They will providehigh-quality core general practice nursing services and will be ready to work autonomously as part of the wider General Practice team. The role does not require independent prescribing, advanced nurse practitioner qualifications or routine minor illness management.

The successful candidate will have an important role in supporting the safe, effective and well-organised delivery of nursing services across the practice. This will include routine nursing clinics, cervical screening, childhood immunisations, adult and seasonal vaccinations, travel vaccinations, wound care, injections, health checks, phlebotomy where appropriate and supporting long-term condition reviews within competency.

Main duties of the job

Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs

Cytology

Removal of Sutures

ECGs

Venepuncture

Hypertension Management

Chronic Disease Management/Reviews

Providing travel health advice and travel vaccinations in line with training, competency and appropriate PGDs or PSDs.

Providing wound care, dressings and suture or clip removal.

Administering B12 injections and other injections under appropriate PGDs or PSDs.

Administering hormonal or oncology-related injections where directed by secondary care and where appropriate training, governance and authorisation are in place.

Routine immunisations/Childhood immunisations

Assisting GPs with minor surgery and coil fittings as required

Requesting pathology tests, for example urine culture, swabs

Interest in Diabetes or Coronary Heart Disease and Contraception.

Following agreed clinical protocols with referral to senior nurses or GPs as appropriate

Ordering of vaccinations to maintain stock levels

A duty to advise senior nurses of potential problems or errors within a range of assigned tasks.

On occasion there may be a requirement to undertake home visits

Any other delegated duties appropriate to the post

Job description

Job TitlePractice Nurse

Responsible toLead Nurses & GP Partners (Clinically)

Practice Manager (Administratively)

Accountable toPartners

SalaryDepending on experience

No. of HoursPart-time to full-time

Job summary

The Practice Nurse will work as part of the primary healthcare team providing Personal Medical Services to the patients of practice.

Job responsibilities

Assist in and perform routine tasks related to patient care as directed by senior nursing staff and GPs

Cytology

Removal of Sutures

New Patient Medicals/Urinalysis

ECGs

Venepuncture

Hypertension Management

Chronic Disease Management/Reviews

• Providing travel health advice and travel vaccinations in line with training, competency and appropriate PGDs or PSDs.
• Providing wound care, dressings and suture or clip removal.
• Administering B12 injections and other injections under appropriate PGDs or PSDs.
• Administering hormonal or oncology-related injections where directed by secondary care and where appropriate training, governance and authorisation are in place.
• Undertaking health checks and lifestyle advice

Ear syringing

Routine immunisations/Childhood immunisations

Chaperoning and assisting patients where appropriate who are being examined by another clinician

Assisting GPs with minor surgery and coil fittings as required

Requesting pathology tests, for example urine culture, swabs

Interest in Diabetes or Coronary Heart Disease and Contraception.

Following agreed clinical protocols with referral to senior nurses or GPs as appropriate

Other tasks will include

Maintaining and cleaning equipment used by the nurses and GPsMaintaining GP and Nurses rooms, stocking and rotating items as required Chaperoning and assisting patients who are being examined by another clinician.

Maintain general tidiness and cleanliness of nurses and treatment rooms

Ordering of vaccinations to maintain stock levels

Participation in administrative systems in the Practice At all times there will be a need to maintain accurate records

A duty to advise senior nurses of potential problems or errors within a range of assigned tasks

Attend and participate in any Practice meetings when required.

On occasion there may be a requirement to undertake home visits

Any other delegated duties appropriate to the post

Care and Programme Management

The postholder will:

• Contribute to local and national targets, including cervical screening, immunisations and long-term condition care
• Support safe and effective call and recall systems
• Help ensure appropriate coding and documentation of nursing activity
• Contribute to audit and review of nursing outcomes
• Support the identification of patients requiring follow-up or escalation
• Refer or signpost patients to other members of the multidisciplinary team, community services, statutory services or voluntary organisations where appropriate.
• Be aware of safeguarding protocols for children and vulnerable adults and escalate concerns appropriately.
• Support appropriate reimbursement processes for drugs, vaccines, injectables and dressings that the practice can claim back from NHS England.

Working Within Scope of Practice

The postholder will:

• Work within NMC professional standards and their own scope of competence
• Be accountable for their own professional actions
• Recognise professional and personal limitations
• Seek advice and escalate appropriately where clinical issues fall outside their competency
• Maintain evidence of training and competency for key clinical activities.
• Participate in supervision, appraisal and continuing professional development.
• Ensure that any expanded clinical duties are only undertaken following appropriate training, assessment and agreement with the practice.

Health Improvement

The postholder will:

• Provide health promotion and lifestyle advice as part of routine nursing care.
• Support programmes of screening and prevention.
• Encourage uptake of immunisations, cervical screening and other preventive health services.
• Support patients to manage long-term conditions and reduce health risks.
• Help identify opportunities to improve health outcomes for the practice population.

Equality and diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues by:

Acting in a way that recognizes the importance of people's 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 which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Health & safety

The post-holder will assist in promoting and maintaining their own and others' health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:

Using personal security systems within the workplace according to practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Actively reporting of health and safety hazards and infection hazards immediately when recognised

Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder's role

Undertaking periodic infection control training (minimum annually)

Reporting potential risks identified

Policies, Protocols and Governance

The postholder will:

• Work within all relevant practice policies and procedural guidance, including infection control, chaperoning, safeguarding, confidentiality, cold-chain, incident reporting and risk management.
• Implement and adhere to local and national guidance, PGDs, PSDs and clinical pathways.
• Contribute to the review and improvement of nursing policies and protocols.
• Alert the Practice Manager and GP partners to risks, gaps or areas requiring improvement.
• Support the practice in meeting CQC, NHS England, ICB, PCN and Public Health requirements relevant to nursing services.

Quality

The postholder will:

• Maintain high standards of nursing care.
• Alert other team members to issues of quality, safety and risk.
• Reflect on their own performance and contribute to improvement.
• Work effectively with colleagues and external agencies to meet patients needs.
• Manage their own time, workload and resources effectively.
• Contribute to the effectiveness and development of the wider practice team.

Confidentiality

The postholder will:

• Follow NHS confidentiality requirements.
• Comply with information governance and Caldicott principles.
• Maintain patient confidentiality at all times.
• Report any breaches or concerns to the appropriate manager.
• Take personal responsibility for safe handling and use of patient information.

Communication

The post-holder should recognize the importance of effective communication within the team and will strive to

Communicate effectively with other team members

Communicate effectively with patients and carers

Recognize people's needs for alternative methods of communication and respond accordingly

Personal and Professional Development

The postholder will:

• Participate in annual appraisal and development review.
• Take responsibility for maintaining their own professional development.
• Keep up to date with relevant clinical guidance, legislation and professional standards.
• Maintain NMC registration.
• Keep evidence of competency for clinical duties undertaken.
• Participate in training and development agreed with the practice.

Information Management

The postholder will:

• Use the clinical system effectively and accurately.
• Record consultations, procedures, immunisations and clinical activity using appropriate coding.
• Support accurate data entry for QOF, local enhanced services and other practice targets.
• Assist with searches, recalls and audit work relevant to nursing services.
• Maintain confidentiality and comply with Caldicott principles and information governance requirements.

Safeguarding

All members of staff have a duty to safeguard and promote the welfare of vulnerable adults, children and young people. The postholder will:

• Attend relevant safeguarding training.
• Follow practice safeguarding procedures.
• Escalate concerns appropriately and promptly.
• Communicate with safeguarding leads and external agencies where required.
• Support the practice in maintaining safe and effective safeguarding processes.

Depending on experience, the successful candidate may also have the opportunity to act as the practices Safeguarding Lead, working with the GP partners, Practice Manager and wider team to support safeguarding processes, training, escalation and liaison with external agencies.

About us

Overview of your organisation

We are a large practice in Kings Langley with a branch surgery in the village of Bovingdon.

We serve a practice population of 15,500 patients in & around our 2 sites.

We have 6 GP partners, 4 salaried GPs, a nursing team & additional health professionals in a variety of roles inc. Clinical Pharmacists, First Contact Physicians (musculoskeletal practitioners), Health & Wellbeing coach, Mental health Nurse, also work alongside us in our practices.

We have a large administrative team that are based at Kings Langley. You will work within our existing reception team - everyone is very friendly and supportive .

Your main role will be at either Kings Langley, our Bovingdon branch surgery, or potentially a mix of both so your own transport is essential.