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JOB DESCRIPTION Job Title: Practice Nurse Location: Coagh Medical Centre Accountable to: Dr Dalzell, Dr Gray & Dr Whitehead Responsible to: General Practitioners for clinical matters; The Practice Manager for administrative matters Qualifications: Registered Nurse with at least 3 years post registration nursing experience Job Summary The post holder is responsible for the delivery of practice nursing service care, including management of long term conditions. They will deliver care within boundaries of their role, focusing upon supporting patients to be healthy, monitoring of long term conditions, health prevention and screening activities. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. It is important that all members of staff are prepared to undertake additional duties or relinquish existing duties in order to maintain the efficient running of the practice and it is expected that requests from the Partners/Practice Manager to redistribute duties and functions for such changes shall not be reasonably refused. Major duties and responsibilities: Health Promotion, Chronic Disease Management, Primary & Secondary Care Prevention Identify and target patients for chronic disease clinics as per GMS contract requirements Organise and facilitate Nurse Led Chronic Disease Management Clinics e.g. Asthma, COPD, Diabetes, hypertension, CKD, smoking cessation, weight/diet control or any other that may be considered appropriate. Liaison with other agencies as required Procedures may include Checking demographic details Taking a full medical, family and lifestyle history Recording previous screening procedures and immunisation status Giving immunisation and vaccinations when indicated Urine testing, blood pressure, height and weight measurement Taking cervical smears – after appropriate training has been completed Peak flow/spirometry measurement, teaching inhaler techniques Venepuncture 24 hour ABPM 24 hour ECG Providing were appropriate patient education and information Recording all relevant data onto practice clinical computer system using appropriate templates The Practice Nurse will be responsible for providing information, which will promote health and enable patients to adopt a healthy lifestyle. The nurse will have a role in assessing the progress of patients. The Practice Nurse will use the protocols set up for clinics and where required will assist in preparing or changing a protocol. Drug Monitoring Identification of patients on medications which needs regular monitoring and monitoring of same e.g. Warfarin, Methotrexate, Lithium etc. Other basic nursing duties Ear syringing, blood pressure and weight management ECG, specimen collection e.g. mssu, occult blood, sputum etc. Upkeep and maintenance of all medical equipment and instruments Ensure the maintenance of stock levels Other routine Injections Administrative and Professional responsibilities To comply with the UKCC code Of Professional Conduct and to keep your registration up to date presenting a copy of this to the Practice Manager on an annual basis To comply with the guidelines for the storage, control and administration of medicines and controlled drugs as detailed in the UKCC Administration Of Drugs. To administer drugs only on signed, written medical authorisation Participate in the administrative and professional responsibilities of the Practice Team Ensure accurate notes of all consultations and treatments are recorded on the clinical record on the computer (or in paper records as necessary) Ensure accurate completion of all necessary documentation associated with patient health care, and registration with the Practice, including relevant clinic list and recall systems Ensure collection and maintenance of statistical information required for regular and ad hoc reports or for identifying target group patients Attend and participate in Practice Meetings as required Assist in the formulation of Practice philosophy, strategy and policy To be responsible for the safe use and security of all practice equipment used in the treatment/consulting rooms and reporting any defects to the Practice Manager/Lead GP Research Projects/Audit The Practice Nurse will cooperate and participate as required in any research or audit within the practice as deemed necessary together with assisting with the requirements of Clinical & Social Care Governance. Professional Development The Practice Nurse will have responsibility to keep up to date and informed about new medical developments and equipment and maintain continued education by attendance at courses and study days as deemed beneficial to practice development or necessary for professional development. It is a requirement of all employees of Coagh Medical Centre to attend relevant courses/training programmes as determined and agreed by the Partners of the practice to ensure their development in terms of the requirements of the post at a specified time and the demands of the practice. All Practice Nurses will undergo an annual job appraisal where his/her personal portfolio will be discussed and reviewed. This Job description will be subject to review in the light of changing circumstances and is not intended to be rigid or inflexible but should be regarded as providing guidelines within which the individual works. Other duties, of a similar nature and appropriate to the grade, may be assigned from time to time. Person Specification Criteria Qualifications Experience Essential Registered Nurse Minimum 3 Years post registration experience Skills Knowledge Other Clinical skills – immunisation and vaccination, collection of pathological specimens Communication – Maintain pleasant and professional relationships with patients & Colleagues IT Skills General awareness of role and duties of post Needs of patients with long term conditions Aware of accountability of own role and other roles in nurse-led service Highly motivated Enthusiastic Courteous Remain calm in difficult situations Team Player Commitment to learning and personal development Desirable Diploma in Asthma, COPD,Diabetes,Cervical Cytology Experience in primary Care setting Management of long term conditions QOF requirements