Practice Nurse
Responsibilities for patient care Assess the needs of patients, providing appropriate care/treatment in conjunction with the GP, or independently, as appropriate. Refer to colleagues or other agencies as appropriate. Provide the full range of nursing services, including venepuncture, ECG measurement, blood pressure measurement, urinalysis, vaccinations and immunisations (children and adults including travel), baby clinic, injections, cervical smears, swabs, travel services, health checks, assessment of risk factors, lifestyle advice, weight management, smoking cessation, suture removal, wound care, family planning, etc.
Manage the care of patients with long term conditions. This may include organisational responsibility for specific disease areas. Assess, plan, implement and evaluate treatment plans for patients with long term conditions (or at risk of developing one) that meet identified needs and promote health and well-being.
Select appropriate tests for patients and interpret and act on results where appropriate. Support effective treatment and prescribing by working with patients in order to support adherence to prescribed treatments, reviewing medication for therapeutic effectiveness, and providing information and advice (including over-the-counter medication) on medication regimens, side-effects and interactions.
Educate and support patients as needed, including adopting healthy lifestyles, appropriate self-care for minor illness and following care plans for long term conditions. Assist in minor surgery procedures and IUD/implant fitting when required.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Organise and/or run initiatives, including contacting patients, to improve uptake of screening, vaccinations or other services and support the achievement of targets (e.g. under the Quality and Outcomes Framework).
Maintain accurate and contemporaneous records to relevant professional standards/guidelines. Teaching and Training Take responsibility for own development, learning and performance including participating in clinical supervision and training as necessary to update skills and knowledge and maintaining a record of own personal development.
Receive review and appraisal within the Practice. Participate in the educational and training events of the Practice. Participate in the induction of new staff, students and other attached professionals as necessary. Contribute to and deliver in-house training sessions for clinical and non-clinical staff.
Provide training to other staff where relevant to the post. Feedback training or other information to team where appropriate. Provide mentorship of staff in appropriate circumstances. Communication Communicate effectively with clinical and non-clinical colleagues to ensure the smooth running of the practices.
Liaise with members of the Primary Health Care Team, community services, hospitals, other NHS staff and other agencies (such as local authority, social services and voluntary agencies) in order to assure appropriate care is provided for patients.
Attend external meetings as requested. Communicate effectively with patients and carers, recognising their needs for alternative methods of communication. Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
When required, communicate difficult, unpleasant, or sensitive messages to patients and families. Act as an advocate when representing patients and colleagues. Teamwork Work as an effective and responsible team member, supporting others and the wider team, in a flexible and approachable manner.
Understand own role and scope within the organisation and identify how this may develop over time. Participate in team activities that create opportunities to improve patient care. Ensure clear understanding of and appropriate utilisation of services and referral mechanisms and policies to meet patient need.
Participate in weekly Practice Development Meetings, Primary Health Care Team meetings and others as appropriate. Information Resources Review, enter and process data using accurate codes in order to ensure easy and accurate information retrieval for monitoring, financial and audit processes.
Understand and follow the requirements of confidentiality (including the Data Protection Act) and the Freedom of Information Act and refer on any queries as appropriate. Follow Practice policy regarding the use of email and computer tasks as the main internal method of non-verbal communication and the use of the internet as the main source of internal and external information, including the retrieval of relevant information for patients on their condition.
Organisation/Quality Work with the Nursing Team Leader to enhance nursing services and improve the quality of patient care. This will include taking on particular areas of clinical and non-clinical responsibility where appropriate. Support senior staff in the development, organisation, implementation and evaluation of appropriate and effective services and policies.
Carry out administration and projects and lead on areas of work, as requested. Recognise and work within own competence and relevant professional codes of conduct as set out by the Nursing and Midwifery Council. Follow Practice policies, including Security and Information Governance.
The efficient and prompt delivery of administrative tasks. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care to National Service Frameworks, NICE guidelines, NHS/CCG policy and evidence-based care.
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Utilise the audit cycle as a means of evaluating the quality of work, implementing improvements where required. Participate in quality improvement initiatives, including Significant Event Analysis, peer review and the review of patient complaints.
Cooperate fully and openly with the investigation of patient complaints (or other investigations), including drafting responses to complaints as appropriate. Support and work towards the achievement of national standards (e.g. Quality and Outcomes Framework), local NHS/CCG standards and Practice standards.
Participate in commissioning initiatives and programmes as required. Support the aims and objectives of the Practice and contribute to the ongoing development of the Practice as required. Equality and diversity Act in ways that recognise the importance of peoples rights, interpreting them in a way that is consistent with procedures.
Respect the privacy, dignity and beliefs of patients, carers, visitors and co-workers. They must be treated equally, irrespective of gender, ethnic origin, age, disability, sexual orientation, religion, etc. Follow the Practice chaperoning policy. Be aware of statutory procedures, local guidance and referral criteria regarding protection of children and vulnerable adults, including Practice policies.
Follow the guidance and policies and take action in an appropriate manner. Health, safety and security Apply infection control measures according to local and national guidelines. Use the personal security systems within the workplace according to Practice guidelines.
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect self, colleagues and patients. Follow Health and Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk.
Use safe working procedures and report incidents using the incident reporting system. Ensure the safe storage, rotation and disposal of vaccines and drugs. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines Other Give good and regular attendance.
Maintain a tidy and organised work area. Any other duty as requested, including covering for absent colleagues.
Manage the care of patients with long term conditions. This may include organisational responsibility for specific disease areas. Assess, plan, implement and evaluate treatment plans for patients with long term conditions (or at risk of developing one) that meet identified needs and promote health and well-being.
Select appropriate tests for patients and interpret and act on results where appropriate. Support effective treatment and prescribing by working with patients in order to support adherence to prescribed treatments, reviewing medication for therapeutic effectiveness, and providing information and advice (including over-the-counter medication) on medication regimens, side-effects and interactions.
Educate and support patients as needed, including adopting healthy lifestyles, appropriate self-care for minor illness and following care plans for long term conditions. Assist in minor surgery procedures and IUD/implant fitting when required.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Organise and/or run initiatives, including contacting patients, to improve uptake of screening, vaccinations or other services and support the achievement of targets (e.g. under the Quality and Outcomes Framework).
Maintain accurate and contemporaneous records to relevant professional standards/guidelines. Teaching and Training Take responsibility for own development, learning and performance including participating in clinical supervision and training as necessary to update skills and knowledge and maintaining a record of own personal development.
Receive review and appraisal within the Practice. Participate in the educational and training events of the Practice. Participate in the induction of new staff, students and other attached professionals as necessary. Contribute to and deliver in-house training sessions for clinical and non-clinical staff.
Provide training to other staff where relevant to the post. Feedback training or other information to team where appropriate. Provide mentorship of staff in appropriate circumstances. Communication Communicate effectively with clinical and non-clinical colleagues to ensure the smooth running of the practices.
Liaise with members of the Primary Health Care Team, community services, hospitals, other NHS staff and other agencies (such as local authority, social services and voluntary agencies) in order to assure appropriate care is provided for patients.
Attend external meetings as requested. Communicate effectively with patients and carers, recognising their needs for alternative methods of communication. Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
When required, communicate difficult, unpleasant, or sensitive messages to patients and families. Act as an advocate when representing patients and colleagues. Teamwork Work as an effective and responsible team member, supporting others and the wider team, in a flexible and approachable manner.
Understand own role and scope within the organisation and identify how this may develop over time. Participate in team activities that create opportunities to improve patient care. Ensure clear understanding of and appropriate utilisation of services and referral mechanisms and policies to meet patient need.
Participate in weekly Practice Development Meetings, Primary Health Care Team meetings and others as appropriate. Information Resources Review, enter and process data using accurate codes in order to ensure easy and accurate information retrieval for monitoring, financial and audit processes.
Understand and follow the requirements of confidentiality (including the Data Protection Act) and the Freedom of Information Act and refer on any queries as appropriate. Follow Practice policy regarding the use of email and computer tasks as the main internal method of non-verbal communication and the use of the internet as the main source of internal and external information, including the retrieval of relevant information for patients on their condition.
Organisation/Quality Work with the Nursing Team Leader to enhance nursing services and improve the quality of patient care. This will include taking on particular areas of clinical and non-clinical responsibility where appropriate. Support senior staff in the development, organisation, implementation and evaluation of appropriate and effective services and policies.
Carry out administration and projects and lead on areas of work, as requested. Recognise and work within own competence and relevant professional codes of conduct as set out by the Nursing and Midwifery Council. Follow Practice policies, including Security and Information Governance.
The efficient and prompt delivery of administrative tasks. Prioritise, organise and manage own workload in a manner that maintains and promotes quality. Deliver care to National Service Frameworks, NICE guidelines, NHS/CCG policy and evidence-based care.
Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation. Utilise the audit cycle as a means of evaluating the quality of work, implementing improvements where required. Participate in quality improvement initiatives, including Significant Event Analysis, peer review and the review of patient complaints.
Cooperate fully and openly with the investigation of patient complaints (or other investigations), including drafting responses to complaints as appropriate. Support and work towards the achievement of national standards (e.g. Quality and Outcomes Framework), local NHS/CCG standards and Practice standards.
Participate in commissioning initiatives and programmes as required. Support the aims and objectives of the Practice and contribute to the ongoing development of the Practice as required. Equality and diversity Act in ways that recognise the importance of peoples rights, interpreting them in a way that is consistent with procedures.
Respect the privacy, dignity and beliefs of patients, carers, visitors and co-workers. They must be treated equally, irrespective of gender, ethnic origin, age, disability, sexual orientation, religion, etc. Follow the Practice chaperoning policy. Be aware of statutory procedures, local guidance and referral criteria regarding protection of children and vulnerable adults, including Practice policies.
Follow the guidance and policies and take action in an appropriate manner. Health, safety and security Apply infection control measures according to local and national guidelines. Use the personal security systems within the workplace according to Practice guidelines.
Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect self, colleagues and patients. Follow Health and Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk.
Use safe working procedures and report incidents using the incident reporting system. Ensure the safe storage, rotation and disposal of vaccines and drugs. Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines Other Give good and regular attendance.
Maintain a tidy and organised work area. Any other duty as requested, including covering for absent colleagues.
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