Practice Nurse

Vesper Road & Morris Lane Surgery; Leeds; On-site; GBP 29,000 - 42,000; Full time

Job summary

Vesper Road & Morris Lane Surgery is seeking an experienced Practice Nurse to provide patient centred nursing care in a small, community-focused team. You will work alongside GPs, healthcare assistants and pharmacists to support patients in managing their health, deliver immunisations, and contribute to chronic disease management and annual reviews.

The role involves reflexive clinical decision making, independent administration of vaccines, venepuncture, BP checks, spirometry and health

Qualifications

• Qualified nurse with Adult nursing qualification and NMC registration.
• Experience delivering immunisations and vaccines.
• Competent in medical procedures and patient education.

Responsibilities

• Provide high quality nursing care in a multi-disciplinary primary care setting.
• Deliver immunisations and health checks according to national programmes.
• Support chronic disease management and medication reviews with the GP team.
• Maintain accurate patient records and comply with data protection rules.

Skills

Clinical decision making

Immunisations

Patient education

Anaphylaxis management

Record keeping

Data protection

Team collaboration

Chronic disease management

Education

Adult nursing qualification

NMC registration

Tools

Venepuncture

BP measurement

Spirometry

Job description

A Practice Nurse plays a vital role within our team, providing essential nursing care, supporting patients to manage their health, and helping prevent illness. They work alongside GPs, healthcare assistants, pharmacists and other healthcare professionals to deliver safe, effective and patient-centred care.

Main duties of the job

• Make appropriate referrals to other members of the primary, community and secondary care teams.
• Help the practice develop and deliver specialist primary nurse led service, including chronic disease management. Initiates the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, and CHD, referring to other clinicians.
• Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team.
• Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs.
• Undertake procedures including: venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, spirometry, new patient health checks, stitch/clip removal, ear syringing, cytology, wound management.
• Promote health and well being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc...
• Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets.
• Maintain accurate records according to NMC rules.
• Ensure all data protection requirements are met when gathering, recording and storing patient data.
• Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system.

About us

Vesper Road & Morris Lane Surgery

Join a small friendly team at Vesper Road and Morris Lane Surgery of 7800 patients across 2 sites. The atmosphere is welcoming for both staff and patients, with our community being the centre of our focus.

Job responsibilities

Job Summary

The post holder is an experienced nurse, who acting within their professional boundaries, will provide high quality, holistic care for their patients in a safe, multi-disciplinary environment. The role includes delivering nursing care including specialist clinics, health education and carrying out smears and immunisations. NMC requirements will be met and the individual will work within the NMC Code of Conduct to agreed practice standards and protocols.

Scope & Purpose of the Role

• To deliver a high standard of patient care using specialist practice skills.
• To manage a clinical case load, dealing with presenting patients needs in a primary care setting.
• To ensure the highest standards of care are provided for patients.
• To help develop the nursing services offered by the practice.
• To help provide clinical leadership within the nursing team.

Primary Duties & Areas of Responsibility

Clinical Role

• Make professionally autonomous decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualised patient care.
• Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated.
• Make appropriate referrals to other members of the primary, community and secondary care teams.
• Help the practice develop and deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF). Initiates the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate. Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self manage.
• Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team.
• Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations.
• Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained
• Undertake procedures including: venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing, cytology, wound management and cryosurgery.
• Provide support and chaperoning to the doctors for minor surgery and other procedures.
• Promote health and well being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc...
• Initiate and carry out programmes of health screening as agreed with the practice clinical team.
• Enables, supports and encourage individuals, families and groups to address issues which affect their health and social well being.
• Contribute to the practice achieving its GMS contract obligations including quality, organisational and access targets.
• Where the post holder is an independent prescriber: to ensure safe, effective and appropriate medication as defined by current legislative framework.
• Maintain accurate records according to NMC rules.
• Ensure all data protection requirements are met when gathering, recording and storing patient data.
• Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system.

Teaching & Mentoring Role

• Promote a learning environment for patients, nurses and other health professionals.
• Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants.

Professional Role

• Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meetings and gold standard framework meetings.
• Maintain a personal progress and training plan to keep up-to-date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses and appropriate.
• Promote evidence based practice through use of the latest research based guidelines.
• Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review.
• Maintain professional registration.
• Work within the latest NMC Code of Professional Conduct.
• Record accurate consultation data in patients records in accordance with NMC guidance and other standards.
• Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation.
• Work collaboratively with colleagues both internally and externally.
• Demonstrate leadership.
• Pro-actively promote the role of specialist nursing expertise within the practice and with the public.

Terms & Conditions

Criminal Records: The successful applicant will be required to complete a Criminal Records bureau (Disclosure) form. Because of the nature of the work, this post is exempt from the provisions of the Rehabilitation of offenders Act 1974. Applicants are not entitled to withhold information about convictions which for other purposes are spent and failure to do so could result in disciplinary action or dismissal.

NMC: The post is subject to the successful candidate holding a current, full NMC registration.

Data Protection: All members of staff are bound by the requirements of the Data Protection Act 198 and any breaches of the Act of the confidential nature of the work of this post could lead to dismissal.

General: The post holder must comply at all times with the Practice health and Safety Policies and report any incidents to the Practice Manager.

Qualification, Training & Registration Criteria

Holding or working towards qualifications in, diabetes, CHD and cytology.

Adult nursing qualification

Qualified to degree level

Be subject to an enhanced DBS check, the outcome of which must be satisfactory to the practice.

Extended and supplementary prescribing qualification

Be well motivated

Can work well as a member of team

Feels comfortable working in a multi-disciplinary environment

Take a consultative approach to their work, appropriately involving relevant people

Ability to take a leadership role in managing chronic diseases and QOF

Ability to work under pressure

A willingness to learn new skills and be open to suggestions

Skills & Experience

Experience and interest in education within a primary care setting

Experience in primary care nursing or emergency nurse practitioner role or similar.

Experience of teaching or mentoring

Understanding of role of the practice nurse.

Ability to contribute effectively to team meetings

Ability to demonstrate application of evidence based practice.

Good time management skills, punctual, able to manage and prioritise work load

Excellent communication and interpersonal skills

Ability to work unsupervised

Evidence of IT literacy and keyboard skills (typing)

Person Specification

Qualifications

• Holding or working towards qualifications in, diabetes, CHD and cytology.
• Adult nursing qualification
• Qualified to degree level
• Be subject to an enhanced DBS check, the outcome of which must be satisfactory to the practice.
• Extended and supplementary prescribing qualification

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.