Download The Old School Surgery Hinckley Road Stoney Stanton

The Old School Surgery
Hinckley Road
Stoney Stanton
Leicestershire
LE9 4LJ
Job Description
JOB TITLE:
Practice Nurse
RESPONSIBLE TO:
The Partners
REPORTS TO:
Practice Manager
GRADE:
Agenda for Change Band 6
HOURS:
28 - 32 hours per week
PURPOSE OF THE JOB:
The purpose of the post is to provide nursing services to the patients of the practice.
SCOPE OF THE JOB:
The Practice Nurse will perform tasks prescribed and delegated by the GP Partners,
working unsupervised to Patient Group Directions, agreed protocols, within an evidence
base and within defined competencies.
The Practice Nurse will assess patients and plan, implement and review treatment
programmes.
The Practice Nurse will have shared responsibility for supervision of lower grade
members of the nursing team and the delegation of duties according to training and
competence.
The Practice Nurse will have knowledge and overall nursing management for chronic
disease management of Asthma and COPD patients. Be responsible for setting up
systems of regular review and running of clinics in partnership with other health care
professionals.
KEY RELATIONSHIPS/CONTACTS
Internal:
Practice Nursing Team and Healthcare Assistants
GPs
Practice Manager
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
Administration Team
Secretary
Reception Team
External:
Patients, carers and relatives
Practice suppliers (equipment, supplies and services)
The Practice Nurse will be responsible to the Partners on clinical matters and to the
Practice Manager on non-clinical matters.
DUTIES & RESPONSIBILITIES
Patient Care
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New patient and NHS health checks
Carers Health Checks
Medication Reviews
Venepuncture
Urine testing/analysis
Blood pressure measurement/monitoring
ECG
Height, weight measurement
Audio testing
Spirometry
Oral glucose tolerance testing
Removal of sutures
Ear examination and syringing
Take pathology samples from patients for analysis (blood, sputum, urine etc.,)
Assessment, management and treatment of conditions within competence and as
delegated.
Wound care/dressings/tissue viability
Doppler assessment
Scalds and burns management
Minor injuries (cuts, dog bites)
Travel vaccinations and advice
Routine immunisations (adult/children)
Pertussis immunisation for pregnant women
Flu immunisation children and adults
Pneumococcal immunisation
Vitamin B injections
Asthma/COPD, peak flow readings/spirometry (chronic disease management)
Hypertension Management
Diabetes (chronic disease management)
Other chronic disease management/QOF/QIPP activities
Women’s health/lifestyle advice and appropriate referrals
Men’s health/lifestyle advice and appropriate referrals
Support and advice for patients in managing their own disease
Cervical Cytology
Contraception advice, safe sex advice
Removal of IUCD’s
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
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Zoladex implants
Chaperoning
Set up for and assist with:
Minor surgery procedures including joint injections
The Practice Nurse will refer to a GP if deviation from the protocol is required, if unsure
in anyway, or where clinical judgement is required before proceeding.
Drugs will be administered only on the basis of written and signed medical
authorisation.
Record Keeping & Administration
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Make accurate and contemporaneous records of all patient encounters in
accordance with practice records protocols and coding protocols.
Accurately label and document patient samples and submit for collection and
analysis
Contribute to nursing team record keeping (clinical, administrative, health and
safety related records).
Maintain skills in using patient appointment system.
MAINTAINING A SAFE CLINICAL ENVIRONMENT
General:
The Practice Nurse will be aware of and comply with the practices health and safety
policy. This will include:
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Minimising risk to self and others in the workplace.
Identifying and reporting hazards/risks and contributing to control measures.
Adhering to all relevant policies including infection control, cold chain.
Contributing to keeping the working area and patient areas tidy and free from
hazards.
Using protective equipment and clothing provided and in accordance with the
practices policy.
Handling specimens and clinical waste/sharps in accordance with practice policy.
Applying correctly spill control and decontamination policies.
Ensuring sufficient supplies of all cleansing and infection control materials
Attending regular health and safety training.
Specific:
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Record fridge temperatures, clean fridges, promptly report temperature variations
from standard.
Rotate stock according to date, maintain appropriate records and discard out of
date stock in accordance with practice protocol.
Prepare clinical areas between patients in accordance with infection control
procedures including cleaning surfaces and equipment.
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
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Dispose of all clinical waste/sharps in accordance with practices infection control
protocol.
Clean/maintain all equipment in accordance with infection control and equipment
maintenance policies.
Take action to manage spills or decontamination affected areas.
Supplies Management:
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Check stock in all clinical rooms
Order replacement stock and restock clinical rooms
Order vaccines to maintain stock levels and store according to practice cold chain
and storage policies
Maintain accurate stock records, including liaison with Finance Manager by
providing order confirmations for invoice checking
Order most economic supplies available and use with economy.
Order and maintain stock of health information leaflets and keep displays up to
date.
Equipment Maintenance and Calibration:
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Clean and disinfect some items of equipment and keep a record
Contribute to care and maintenance of equipment
Organise repair and regular maintenance and calibration of equipment, including
equipment maintenance/checking/calibration log.
Quality:
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Provide services to the practices patient population to the highest possible
standard
Work to agreed standards, monitor and maintain the standard of care offered.
Take action if standards are not met (self or others)
Contribute to clinical governance activities/clinical audit to ensure continual
improvement of service delivery
Contribute to complaints responses/reviews, significant event, peer review and
other shared learning activities.
Support and mentor staff in training
Support the performance of team members including giving and receiving effective
feedback.
Communication:
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Advise patients of the Practice Nurse role, its extent and limits.
Appropriately advise and refer on patients if they require the services of a GP or
other clinical team member
Communicate effectively, promptly and appropriately with patients and team
members
Modify method of communication with patients to suit the situation, recognise
problems/barriers and take action or seek help at an early stage when they arise.
Communicate risk to patients and ensure proper consent gained where
appropriate.
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
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Contribute to practice and nursing team meetings.
Contribution to the implementation of services:
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Apply practice policies, standards and guidance
Discuss with other members of the team how the policies, standards and
guidelines will affect own work.
Participate in audit where appropriate.
PERSONAL DEVELOPMENT
The Practice Nurse will:
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Comply with NMC Code of Conduct and keep registration up to date, documented
and checked in the practice on an annual basis.
Behave as a positive role model
Prioritise own work and work effectively with others to prioritise team and practice
workload.
Undertake training needed to ensure competencies for delivering all
responsibilities.
Maintain awareness of current evidence-based approaches to patient care and
update practice accordingly and in consultation with the team
Attend and contribute to in-house training events
Take responsibility for own development, including maintenance of a Personal
Development Plan and record of learning, clinical supervision, staff appraisals,
giving and receiving feedback, performance, management with the support and
supervision of qualified staff
Undertake regular mandatory training (child protection, vulnerable adults, basic life
support, moving and handling etc.,)
Confidentiality
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In the course of seeking treatment, patients entrust us with, or allow us to gather,
sensitive information in relation to their health and other matters. They do so in
confident and have the right to expect that staff will respect their privacy and act
appropriately.
In the performance of the duties outlined in this job description, the post-holder
may have access to confidential information relating to patients and their carers,
practice staff and other healthcare workers. They may also have access to
information relating to the practice as a business organisation. All such
information from any source is to be regarded as confidential.
Information relating to patients, carers, colleagues, healthcare workers or the
business of the practice may only be divulged to authorised persons, in
accordance with practice policies and procedures relating to confidentiality and the
protection of personal and sensitive data.
Health & Safety
The Practice Nurse will implement and lead on a full range of promotion and
management their own and others health and safety and infection control as defined in
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
the practice Health & Safety Policy and the Infection Control Policy and published
procedures. This will include (but will not be limited to):
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Using personal security systems within the workplace according to practice
guidelines.
Awareness of national standard of infection control and cleanliness and
regulatory/contractual/professional requirements, and good practice guidelines.
Responsible for the correct and safe management of the specimens process,
including collection, labelling, handling, use of correct and clean containers,
storage and transport arrangements
Management and maintenance of Personal Protective Equipment (PPE) for the
practice including provision, ordering, availability and ongoing correct usage by
staff
Responsible for hand hygiene across the practice
Ownership of infection control and clinically based patient care protocols, and
implementation of those protocols across the practice
Active observation of current working practices across the practice in relation to
infection control, cleanliness and related activities, ensuring that procedures are
followed and weaknesses / training needs are identified, escalating issues as
appropriate
Identifying the risks involved in work activities and undertaking such activities in a
way that manages those risks across clinical and patient process
Making effective use of training to update knowledge and skills, and initiate and
manage the training of others across the full range of infection control and patient
processes
Monitoring practice facilities and equipment in relation to infection control, ensuring
that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good
clinical working environment. Lack of facilities to be escalated as appropriate.
Safe management of sharps procedures including training, use, storage and
disposal
Using appropriate infection control procedures, maintaining work areas in a tidy,
clean and sterile, and safe way, free from hazards. Initiation of remedial /
corrective action where needed or escalation to responsible management
Actively identifying, reporting, and correction of health and safety hazards and
infection hazards immediately when recognised
Keeping own work areas and general / patient areas generally clean, sterile,
identifying issues and hazards / risks in relation to other work areas within the
business, and assuming responsibility in the maintenance of general standards of
cleanliness across the business in consultation (where appropriate) with other
sector managers
Undertaking periodic infection control training (minimum twice annually)
Routine management of own team / team areas, and maintenance of work space
standards
Waste management including collection, handling, segregation, container
management, storage and collection
Spillage control procedures, management and training
Decontamination control procedures, management and training, and equipment
maintenance
Maintenance of sterile environments
Demonstrate due regard for safeguarding and promoting the welfare of children.
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman
Equality & Diversity
The Practice Nurse will comply with the practices equality and diversity policy including:
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Recognising the rights of patients, carers, relatives and colleagues and respecting
their needs, beliefs, privacy and dignity.
Not discriminating against patients, carers, relatives or colleagues on the grounds
of any of the protected characteristics in the equality act 2010 (or its amendments
or later legislation).
Other Duties
The Practice Nurse may, from time to time, be asked to undertake other reasonable
duties, with appropriate training. It is important that all members of staff are prepared to
undertake additional or relinquish current duties to maintain service delivery to patients.
It is expected that requests from the Partners/Management Team will not be
unreasonably refused.
Dr K Rothwell, Dr S Kitchin, Dr L Kirk, Dr M Rehman