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Havelock Grange Practice
Job Description
JOB TITLE:
RESPONSIBLE TO:
RESPONSIBLE FOR:
JOB PURPOSE:
PRACTICE NURSE
Practice Manager
N/A
 The implementation of Health Promotion and Disease Management
strategies (in line with the National Service Frameworks) and provision of a
full range of nursing services to the patients of the practice.
 Chronic Disease Management as required by the practice.
 The completion of health checks, health screening, immunisation and
vaccination programmes ensuring effectiveness and efficiency at all times.
 The Practice Nurse receives referrals from the General Practitioners but will
also manage care programmes directly to patients without referral from
another senior nurse or doctor.
 Assess, plan, provide and evaluate nursing care to meet the care needs of
individuals and groups in the practice population.
 Assess, diagnose and treat specific diseases in accordance with agreed
medical/nursing protocols.
 Undertake diagnostic, health screening, health surveillance and therapeutic
interventions within a broader health promotion/public health strategy.
 Develops practice protocols for the surgery and clinical protocols for the
clinical team to work within.
MAIN DUTIES AND RESPONSIBILITIES
G1.
G2.
G3.
G4.
G5.
G6.
G7.
G8.
G9.
G10.
G11.
G12.
G13.
G14.
G15.
G16.
G17.
G18.
G19.
G20.
G21.
G22.
G23.
G24.
G25.
G26.
G27.
G28.
G29.
Complex Wound Management
Perform wound care using aseptic technique.
Undertake complicated dressings, including leg ulcers.
Suture and clip removal.
Assist with minor surgery.
Provide the diagnosis, management plan and treatment of leg ulcers using Doppler assessment.
Screening
Undertake opportunistic screening – BP checks, height, weight, BMI, urinalysis, smoking status.
Carry out New Patient checks.
Undertake opportunistic venepuncture
Health Promotion
Recognise patient’s readiness to change in supporting their attempts to change unhealthy behaviour.
Provide healthy eating advice to individuals or to groups, including the underweight.
Provide smoking cessation advice individually in opportunistic consultations.
Provide individual advice to patients about increasing activity or exercise.
Offer advice on recommended safe limits for alcohol consumption.
Refer as appropriate.
Monitor and maintain health promotion material within the practice.
Vaccination and Immunisations
Administer injections under an individualised prescription or Patient Group Direction.
Ensure safe storage, rotation and disposal of vaccines and drugs.
Ear Care
Assess patients need for ear syringing.
Undertake ear syringing.
Advise patients about safe ear care.
Infection Control
Support patients and colleagues in adopting sound infection control measures.
Apply infection control measures within the practice according to local and national guidelines.
This includes (see Health & Safety Policy):
Universal hygiene precautions
The collection and handling of laboratory specimens
Segregation and disposal of waste materials
Decontamination of instruments and clinical equipment
Reporting of sharps injuries
Dealing with blood and body fluid spillages
Educate colleagues in adopting sound infection control measures
G30.
G31.
G32.
G33.
G34.
G35.
G36.
G37.
G38.
G39.
G40.
G41.
G42.
G43.
G44.
G45.
G46.
G47.
G48.
G49.
G50.
G51.
G52.
G53.
G54.
G55.
G56.
G57.
G59.
G60.
G61.
G62.
G63.
G64.
G65.
G66.
G67.
G68.
G69.
G70.
G71.
G72.
G73.
G74.
G75.
G76.
G77.
G78.
G79.
Emergency Management
Is competent in anaphylaxis and resuscitation techniques
Child Health/Child Protection
Recognise the signs, symptoms and categories of child abuse.
Understand the importance of recognition, observation, documentation and communication.
Is aware of child health procedures, statutory local procedures and points of referral.
Has knowledge of other practitioners and agencies roles.
Understand basic legal issues around child abuse.
Mental Health
Recognise and is aware of appropriate referral mechanisms for family violence, vulnerable adults,
substance abuse and addictive behaviours.
Recognise psychological needs of patients presenting with depression or suicidal tendency
Care and Programme Management
Initiate and carry out programmes of health screening.
Support and enable individuals, carers, groups and communities to take action to meet their priorities
for health.
Travel Health Advice
Offer advice on travel health, including comprehensive advice for patients prior to travel including:
Vaccinations and medications
Malaria prophylaxis and bite avoidance
Safe sex
Food hygiene
Sun protection
First aid and emergency medication
Health insurance
Men’s Health
Raise awareness and give comprehensive advice on issues covering:
Testicular self examination
Incontinence and prostatic disease
Family Planning
Sexual Health
Make appropriate referrals
Initiate opportunistic consultations with patients to cover issues of men’s health.
Family Planning
Give comprehensive advice to patients on available methods of contraception and refer patients as
appropriate.
Support patients attending for emergency contraceptive and refer patients as appropriate.
Perform interval health check for patients using hormonal contraception.
Advise patients on reducing risk of sexually transmitted diseases and refer patients appropriately.
Women’s Health
Give comprehensive advice to patients on the national and local Cervical Cytology and
mammography screening programmes.
Undertake cytology sampling.
Promote breast self-awareness, demonstrate breast self-examination and provide supporting
literature.
Give comprehensive advice to patients about reducing the risk of sexually transmitted diseases and
make appropriate referrals.
Take swabs for microscopy.
Give patients comprehensive advice about peri-menopausal and post-menopausal risk of
osteoporosis and heart disease. Offer health promotion/lifestyle advice to patients.
Advise on incontinence management and make appropriate referrals.
Diabetes
Undertake opportunistic screening for the diagnosis of diabetes.
Support and provide comprehensive education for diabetic patients.
Provide emergency treatment for hypo/hyperglycaemic emergencies.
Initiates the process of diagnosis on patients with suspected diabetes.
Manages patients newly diagnosed with diabetes under protocols.
Undertakes review of patients understanding and ability to self manage.
Refers to dietician, chiropodist and diabetes and specialist nurses and GP where appropriate.
Maintains a disease register for diabetes.
Audits outcomes of care against standards and initiate changes as necessary.
Give support to patients in management of non-insulin dependent diabetes.
Teaches staff and develops practice protocols for diabetes.
G80.
G81.
G82.
G83.
G84.
G85.
G86.
G87.
G88.
G89.
G90.
G91.
G92.
G93.
G94.
G95.
G96.
G97.
G98.
G99.
G100.
G101.
G102.
G103.
G104.
G105.
G106.
G107.
G108.
G109.
G110.
G111.
G112.
G113.
G114.
G115.
Respiratory Care
Has comprehensive knowledge of respiratory care.
Knows about the factors which contribute to the development of COPD.
Manage emergency treatment of asthma attacks.
Teach and advise patients to use various inhalers and peak flow meters.
Make referrals where needed.
Use a spirometer to aid diagnosis.
Manages newly diagnosed patients with asthma and COPD.
Maintains a disease register for respiratory disease.
Work within agreed local/BTS guidelines and patient group directions to manage patients with
asthma, aiding diagnosis, reviewing inhaler technique and advising on treatment changes.
Offer advice on self management of asthma.
Teaches staff and develops protocols for disease management.
Cardiovascular Disease
Contribute to the implementation of the National Service Framework.
Advise patients on lifestyle management and drug compliance for reducing the risk factors of:
Hypertension
Angina
Myocardial Infarction
Cerebrovascular accident
Develop and maintain practice register for secondary prevention of CHD
Works with patients to set action plans for changes of lifestyle.
Works within agreed protocols when managing risk factors to enable patients to manage their own
disease.
Provides psychological support by discussing interventions and treatments.
Makes CHD risk assessments.
Clinical Practice Leadership
Identify and support practice developments plans.
Provide effective and dynamic leadership and management skills.
As a clinical expert, be able to advise on educational opportunities that will facilitate the development
and support of their specialist knowledge and skills to ensure the development of the practice.
Support clinicians as a mentor/preceptor in personal and professional development plans.
Develop, and guide learners in their educational programmes as a mentor or preceptor.
Clinical Practice Development
Initiate and lead practice developments to enhance the nursing contribution and quality of care.
Identify, apply and disseminate research findings relating to specialist practice.
Implement strategies for quality assurance and quality audit.
Develop and lead on evidence based practice.
Develop and lead in the management of skilled holistic care for users and carers in general practice.
Administration
Keeping nursing records (both written and computerised) and ensuring information is recorded
correctly.
Other appropriate duties and procedures as requested by the Doctors or Practice Manager (where
appropriate under supervision).