PCN Wound Clinic Nurse

NHS; Toronto; On-site; CAD 70,000 - 85,000; Full time

Job summary

A healthcare organization in Toronto, Ontario is seeking a dedicated nurse with expertise in wound management and chronic disease oversight. The ideal candidate will manage a wound clinic, carry out independent consultations, and provide vaccinations to patients. Strong communication and decision-making skills are essential for coordinating care and supporting a multidisciplinary team. This position requires clinical training and a commitment to delivering evidence-based nursing care, ensuring a high standard of patient support and service delivery.

Benefits

Supportive working environment

Professional development opportunities

Collaboration with healthcare teams

Qualifications

• Registered nurse with experience in wound management and tissue viability.
• Ability to perform assessments, diagnostics, and treatment independently.
• Strong communication skills for patient interaction.

Responsibilities

• Run a practice-based wound management clinic.
• Provide independent consultations to patients on specific symptoms.
• Lead the wound clinic and vaccination service.

Skills

Wound management

Clinical decision making

Patient communication

Chronic disease management

Teamwork

Education

NMC registration

Minimum 2 years post-registration experience

Training in wound management

Tools

EMIS Web

ICE

Job description

Thenurse will have skills, training and experience, relating to wound management,vascular assessment and dressing application to provide and maintain a highstandard of nursing care for patients.Provide nursing assistance to the GPs, and other members of primaryhealthcare team, whilst providing supervision and working closely with a woundclinic Healthcare Assistant.

Theduties will (with training where necessary) include running a practice based woundmanagement, vascular assessment and dressings clinic, and providing a vaccinationservice to our housebound and care home patients. The nurse will undertake independentconsultations with patients relating to specific symptoms within the post holdersscope of practice; assessing, examining, investigating, diagnosing (withsupport where needed), treating, and following up patients as required.

Thenurse will use clinical decision making within their scope of practice and beresponsible for leading the wound clinic and housebound vaccination service forthe PCN Practices. They will ensure thedelivery of evidence-based care in relation to tissue viability including legulcer management.

Main duties of the job

Duties and responsibilities

Assist and perform routine tasks related to patientcare as directed.

Such tasks may include (list not exclusive):

• Managementof patients with chronic disease relating to wound prevention and management,including diabetes and vascular conditions.
• Providea holistic approach to wound management and implement wound care in line withcurrent evidence based guidelines.
• Makeand receive referrals for patients with compromised tissue viability, fromnurses, general practitioners, consultants and other health professionals.
• Provideadvice on the most appropriate wound dressing products.
• Assessfor and advise on compression bandaging and hosiery.
• Tobe responsible for the follow up of the patients under their care.
• Provideadvice on management of slow healing wounds.
• Practicewith autonomy and accountability and make decisions within the scope of ownprofessional practice area of clinical competence.
• Promotea supportive and collaborative team-working environment.
• Providesupervision and support to Healthcare Assistants.
• Toidentify future service requirements to the Line Manager. Administrationadult vaccinations to our housebound and care home population.
• Assistpatients to identify their health needs, incorporating the use of care plans.

About us

Carlisle Primary Care Network (PCN) consists of 3 Practice;Eden Medical Group, Warwick Square Group and Carlisle Central. TheNetwork and Practices are focussed on shaping our services to best meet ourpatients needs, and work collaboratively to ensure we improve services andbuild for the future.

We are focussed on providing new and innovative solutions toaddressing the healthcare requirements of our patients, now and in the future.

We are passionate in providing our multi-disciplinary teamswith support and positive working environments, and strive to ensure we workcollaboratively to provide this.

The role is part of a wider team supporting patients acrossall practices, liaising closely with clinicians from practices and PCN toimprove the health & wellbeing of patients.

Job responsibilities

The nurse will play animportant role in the PCN, utilising the appropriate skills, training andexperience to undertake independent consultations with patients relating tospecific symptoms; assessing, examining, investigating, diagnosing, treating,and following up patients as required.You will use clinical decision making within your scope of practice andensure the delivery of evidence-based care in relation to wound management andtissue viability.

This role will work closelywith GPs and practice teams to manage a caseload of patients, acting as acentral point of contact to ensure appropriate support is made available tothem and their carers; supporting them to understand and manage their conditionand ensuring their changing needs are addressed.

Training - Personal and Professional Development

The post-holder will participate in any training programme implemented as part of this employment, such training to include:

• participationin an annual individual performance review. Taking responsibility for owndevelopment, learning and performance and demonstrating skills and activitiesto others who are undertaking similar work.
• A commitmentto maintain a high professional standard of nursing care and keep up to datewith all aspects of nursing care relevant to post
• Identifypersonal development and training needs in conjunction with Clinical Lead.
• Toparticipate in continuing education and maintain a contemporary level of professionalknowledge and skills.
• Contributeto the assessment of service needs.
• Contributea nursing perspective to the practice development plan.
• Toattend staff meetings.
• Completionof regular mandatory and otherwise specified learning.

Communication

The post-holder should recognise the importance ofeffective communication within the team and will strive to:

• Communicateeffectively with other team members
• Demonstrates sensitive communication styles to ensure patients are fully informed andconsent to treatment
• Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating, including thosereceiving bad news and respond accordingly
• Actas an advocate when representing patients and colleagues
• Participatein practice team meetings, delivering the nursing agenda and run nursedepartment meetings
• Produceevidence towards the contribution of the nursing team to the practicepriorities as and when required.

Governance

• Undertake DBS check at regular intervals
• Able to recognise and manage anaphylaxis accordingto current UK guidelines
• Able to perform cardio-pulmonary resuscitationaccording to current UK guidelines
• Ability to obtain and document informed consent(either verbal or written)
• Ensure infection control guidelines are maintainedand contribute to infection control audits and policies
• Ensure awareness of statutory and local protectionprocedures, including systems of referral
• Support the Practice clinical governance agenda
• Identify changes to clinical practice that arerequired to implement evidence-based guidelines
• Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures
• Workwithin policies regarding family violence, vulnerable children and adults, andall aspects of Safeguarding, substance abuse and addictive behaviour, and referas appropriate
• Aware of identification and reporting proceduresrelated to professional standards
• An understanding, acceptance and adherence to theneed for strict confidentiality
• To work only in accordance with the UKCC Code of Conduct and within the scope of professional practice
• To have a written professional development plan andto maintain an up to date portfolio which meets the requirements ofregistration with the UKCC
• Cooperate with annual appraisal meetings

Confidentiality

Inthe course of seeking treatment, patients entrust us with, or allow us togather, sensitive information in relation to their health and othermatters. They do so in confidence andhave the right to expect that staff will respect their privacy and actappropriately.

Inthe performance of the duties outlined in this job description, the post-holdermay have access to confidential information relating to patients and theircarers, practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All such informationfrom any source is to be regarded as strictly confidential.

Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data.

The Employee must adhere to all practice policies, whichincludes; Information Governance, Data Protection, Confidentiality, Caldecottand Safeguarding Policies.

Health &safety

• Usingpersonal security systems within the workplace according to practice guidelines.
• Awarenessof national standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines.
• Responsiblefor the correct and safe management of the specimens process includingcollection, labelling, handling, use of correct and clean containers, storageand transport arrangements.
• Managementand maintenance of Personal Protective Equipment (PPE) for the practiceincluding provision, ordering, availability and ongoing correct usage by staff.
• Responsiblefor impressing the importance of hand hygiene across the practice.
• Awarenessof infection control and clinically based patient care protocols, and adherenceof those protocols across the practice.
• Activeobservation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that proceduresare followed and weaknesses / training needs are identified, escalating issuesas appropriate to the nominated infection control lead.
• Identifyingthe risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process.
• Makingeffective use of training to update knowledge and skills, and initiate andmanage the training of others across the full range of infection control and patient processes.
• Monitoringpractice facilities and equipment in relation to infection control, ensuring that provisionof hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated asappropriate.
• Safe management of sharps procedures including training, use, storage and disposal.
• Usingappropriate infection control procedures, maintaining work areas in a tidy,clean and sterile, and safe way, free from hazards. Initiationof remedial /corrective action where needed or escalation to responsible management.
• Activelyidentifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised.
• Keepingown work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business.
• Undertakingperiodic infection control training.
• Routinemanagement of own team / team areas, and maintenance of workspace 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.
• Maintenanceof sterile environments.
• Demonstrate due regard for safeguarding and promoting the welfare of patients.

Equality andDiversity

• Actingin a way that recognizes the importance of peoples rights, interpreting themin a way that is consistent with practice procedures and policies, and currentlegislation
• Respectingthe privacy, dignity, needs and beliefs of patients, carers and colleagues
• Behavingin a manner which is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings priorities and rights.
• Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
• Supportpeople who need assistance in exercising rights
• Monitorand evaluate adherence to local chaperoning policies
• Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
• Assistpatients from marginalised groups to access quality care

Person Specification

Qualifications

• NMC registered
• Experience and qualifications related to their specialist area i.e. leg ulcer management, tissue viability.

Qualities/Attributes

• An understanding, acceptance and adherence to the need for strict confidentiality
• Ability to use own judgement,
• resourcefulness and common sense
• Ability to work without direct
• supervision and determine own workload
• Evidence and ability to grasp new concepts and work on a self-directed basis
• Able to work under pressure in a changing environment
• Empathy for the health care/public service environment
• Enthusiastic, adaptable, innovative, forward looking
• Ability to work as part of an integrated multi-skilled team
• Strategic thinking with vision
• reliable and resourceful
• Get on well with people at all levels

Personal Skills & Attributes

• An understanding, acceptance
• and adherence to the need for strict confidentiality
• Must be personable, polite and approachable
• Must be a team player
• Able to work under pressure and remain calm
• Adaptable to change
• Aware of own limitations
• Good organisational and interpersonal skills are essential

Skills

• Communication skills, both written and verbal
• Ability to communicate difficult messages to patients and families
• Change management skills and ability to support patients to change lifestyle
• Negotiation and conflict management skills
• IT Skills
• Ability to collect, analyse and interpret data and to use that information to promote good patient care
• Clinical Skills dressing assessment and application, immunisation and vaccination.
• Experience of using EMIS Web, ICE

Professional Knowledge

• Ability to manage patients who have complex dressings
• Working independently and autonomously within their own scope of practice
• Excellent communication (orally and written) and listening skills
• Ability to work alone or as part of a team
• Ability to keep accurate records
• Ability to plan own day to day work schedule
• Ability to effectively manage challenging behaviour and or conflict
• Experience of working in a primary care setting or Community setting
• Knowledge of EMIS

Knowledge & Experience

• RGN/RN
• Minimum 2 years post-registration experience
• Training in wound management and dressing assessment and application.
• Clinical supervision experience
• Knowledge of needs of patients with long term conditions
• Knowledge of chronic disease management
• Aware of accountability of own role and other roles in a nurse led service
• Knowledge of health promotion strategies
• Awareness of clinical governance issues in primary care
• Knowledge of patient group directives and associated policies
• Evidence of appropriate continuing professional development
• Proven ability to evaluate the safety and effectiveness
• Ability to identify determinants on health in the local area
• Chronic disease diplomas in
• Diabetes or vascular management.
• Awareness of local national health policy
• Knowledge of audit participation and CQC Compliance

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.