An exciting opportunity has arisen for a part time Practice Nurse role at Helmsley Medical Centre and Terrington Surgery, due to a planned retirement. This is open to Experienced practice nurses, new or recently qualified nurses or nurses who have not worked in general practice before but are considering doing so.
We are able to enrol a new to General Practice Nurse into the vocational training scheme which will allow for a year of supported teaching and learning alongside working in the practice.
We would welcome applicants from community nursing or secondary care settings. This is an exciting development opportunity for an enthusiastic and committed Nurse to join our existing team.
As a Practice Nurse you will be responsible for the delivery of nursing services to the practice population. Supported by Senior Nurses the post holder will deliver high quality nursing care within their scope of competence, focusing on supporting patients to manage their long-term conditions, address health issues and promote health and well being by delivering education and screening activities.
Main duties of the job
The working hours are 17 hours per week with rotas across both Helmsley Medical Centre and Terrington Surgery to be agreed.
Main duties and responsibilities
- Meeting patients nursing care needs as identified, this will usually be in the surgery but occasional home visits may also be required. Assess, plan, provide and evaluate nursing care to meet those care needs in the practice population
- Work collaboratively with the multi-disciplinary team to meet the needs of patients and play an integral part in delivering the key performance indicators for Helmsley and Terrington Practices.
- Provide general nursing care, including wound management, and chronic disease management, vaccinations and immunisations of babies, children and adults.
- Provide women's health services including cervical screening and contraception
- Conduct health assessments and screenings.
- Support patients with long-term conditions, providing education and self-management advice.
- Participate in health promotion activities and initiatives.
- Maintain accurate and up-to-date patient records.
About us
We are a friendly and supportive practice with an increasing population currently approximately 5600 patients, we are strongly embedded in our local community and are committed to providing high-quality, patient-centred care.
Our team is dedicated to creating a supportive and collaborative environment where staff can thrive and make a real difference in patients' lives.
We would like to recruit a great team-player, on a part-time basis, who is keen to get involved and is forward-thinking. As a practice we pride ourselves in delivering high-standard clinical care, and we would anticipate the same qualities in any new team members.
As well as the practice staff, patients can also access support from additional roles including Social Prescribing Link Workers, Health & Wellbeing Coach, Care Co-ordinators, First Contact Mental Health Practitioners, First Contact Physio Practitioners, Occupational Therapists, an Urgent Care Service a Pharmacist team and other health professionals.
Job responsibilities
Primary key responsibilities
The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
- Be instrumental in the support of the Infection Prevention Control (IPC) lead and to work to the IPC requirements by providing audits, training, support and evidence of compliance to the practice manager
- Support in the publication of the IPC annual statement in conjunction with the practice manager
- Develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice
- Assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice
- Develop, implement and embed health promotion and wellbeing programmes
- Implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing
- Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health
- As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF
- As required, to diagnose and manage acute and chronic conditions
- Provide wound care (ulcer/Doppler, etc.) to patients
- Review patient medications to enhance compliance
- Provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages
- Co-ordinate the provision of travel medicine services
- Request pathology services and process pathology results as required
- Oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required
- Maintain accurate clinical records in conjunction with extant legislation
- Ensure the appropriate maintenance and use of chronic disease registers
- Participate in well woman and well man clinics
- Ensure compliance with the practice chaperone policy
- Assist GPs with minor surgery when required
- Prioritise health issues and intervene appropriately
- Support the team in dealing with clinical emergencies
- Recognise, assess and refer patients presenting with mental health needs
- Implement vaccination programmes for adults and children
- Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice)
- Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
- Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
- Support the clinical team with all safeguarding matters, in accordance with local and national policies
- Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
- Deliver opportunistic health promotion where appropriate
Secondary key responsibilities
In addition to the primary key responsibilities, the Practice Nurse may be requested to:
- Participate in local initiatives to enhance service delivery and patient care
- Support and participate in shared learning within the practice in order to improve patient care
- Continually review clinical practices, responding to national policies and initiatives where appropriate
- Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA)
Person Specification
Clinical Knowledge and Skills
- Understanding the importance of evidence-based practice
- Understand the requirement for PGDs and associated policy
- Ability to record accurate clinical notes
- Ability to work within own scope of practice and understanding when to refer to GPs
- Able to use and identify when to use the Chaperone procedure
- Knowledge of health promotion strategies
- Clinical knowledge in the following:
- a) Wound care/removal of sutures and staples
- b) ECGs
- c) Venepuncture
- d) New patient medicals
- e) Immunisations (routine, childhood and travel)
- g) Requesting pathology tests and processing the results, advising patients accordingly
- Chronic disease management awareness for:
- a) Diabetes
- c) CHD
- d) Asthma
- Broad knowledge of clinical governance
- Knowledge of public health issues in the local area
- Awareness of issues within the wider health arena
Personal Qualities
- Polite and confident
- Flexible and co-operative
- High levels of integrity and loyalty
- Sensitive and empathetic in distressing situations
- Effectively able to communicate and understand the needs of the patient
- Commitment to ongoing professional development
- Punctual and committed to supporting the team effort
- Problem solver with the ability to process information accurately and effectively, interpreting data as required
- Ability to work under pressure/in stressful situations
- Motivated, forward thinker
Other requirements
- Flexibility to work outside of core office hours
- Occupational Health clearance
- Meet the requirements and produce evidence for nurse revalidation
- Evidence of continuing professional development (CPD) commensurate with the role of a Practice Nurse
Qualifications
- Registered Nurse (Nursing and Midwifery Council)
- Mentor or teaching qualification
- Post graduate diploma or degree (Chronic Disease Management)
- Family planning qualification
Experience
- Experience of working autonomously
- Experience of infection prevention and control measures
- Experience of working as a practice nurse or community nurse
- Experience of managing elderly and housebound patients
- Experience of quality initiatives, i.e., benchmarking
- Experience of working in a primary care environment
Skills
- Excellent communication skills (written and oral)
- Effective time management (planning and organising)
- Ability to work as a team member and autonomously
- Good interpersonal skills
- Ability to follow clinical policy and procedure
- Clear, polite telephone manner
- Experience with audit and able to lead audit programmes
- Experience with clinical risk management
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.