Practice Nurse

Riverside Medical Centre

Rishton

On-site

GBP 28,000 - 38,000

Full time

7 days ago

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Job summary

Riverside Medical Centre is seeking a motivated Practice Nurse to deliver high-quality, evidence-based care to our patient population. You will assess, plan, deliver and evaluate care, working independently and with GPs and the wider team.

The role covers immunisations, wound care, BP monitoring, venepuncture, ECGs and spirometry, plus health promotion and audits. NHS guidelines, infection control and patient safety are essential.

Qualifications

Nursing degree and registration with the NMC (Essential).
Evidence-based nursing care to patients within practice protocols.
Ability to work independently and with GPs and the practice team.

Responsibilities

Provide nursing assessments, treatment, screening and health education.
Deliver wound care and minor procedures as trained.
Carry out blood pressure monitoring, venepuncture, ECGs and spirometry.
Administer immunisations and routine injections where authorised.
Support health promotion and chronic disease management (diabetes, hypertension, COPD, etc.).
Maintain accurate records and ensure infection control in the treatment room.

Skills

Nursing

Clinical assessment

Wound care

Venepuncture

ECGs

Immunisations

INR monitoring

Education

Nursing degree

Tools

INRStar N3

Job description

About the role

Riverside is looking for a motivated and compassionate Practice Nurse to provide high-quality, evidence-based nursing care to our practice population.

You will assess, plan, deliver and evaluate care, working independently and alongside GPs and the wider practice team. You'll help maintain clear communication between clinical, administrative and community teams, and provide a welcoming, professional service to patients and colleagues.

This is a varied role in a supportive team. The postholder will contribute to the effective running of the treatment room, health promotion, clinical audit and service development. Duties will be undertaken within the nurses competence, agreed protocols and guidelines, and the NMC Code.

Main responsibilities

Providing nursing assessments, treatment, screening, health education and advice.
Wound care
Blood pressure monitoring, venepuncture, ECGs and spirometry.
Cervical screening, immunisations and routine injections, where appropriately trained and authorised.
Well-person, NHS Health Check, new patient and travel health assessments.
Supporting family planning and sexual health services
Supporting chronic disease prevention and management, including for diabetes, hypertension, COPD, asthma and cardiovascular disease. QOF, LTC and HAA assessments.
Minor illness and injury care, within competence and agreed pathways.
INR monitoring and dosing using INRStar N3, where trained and authorised.
Home visits for housebound patients, including routine checks and vaccination clinics.
Referrals, including to podiatry, and ensuring specimens are processed appropriately.
Maintaining accurate, timely clinical records, including appropriate read coding and QOF-related information.
Helping to maintain a safe, well-equipped treatment room, including infection prevention, equipment checks, vaccine stock and cold-chain procedures.
Working with the Practice Manager and nursing team to review protocols and maintain appropriate stock and equipment.
Attending relevant practice meetings, training and protected learning events.

About us

We are a supportive, multidisciplinary practice led by three GP partners and supported by salaried GPs, Advanced Nurse Practitioners (ANPs), nurses and Healthcare Assistants (HCAs). Our wider team includes Additional Roles Reimbursement Scheme (ARRS) staff, including physiotherapists, Mental Health Practitioners (MHPs), paramedics and Advanced Clinical Practitioners (ACPs).

We value teamwork and provide a collaborative environment with strong clinical support. Our clinicians work together to share expertise, support high-quality patient care and help colleagues develop their skills.

Job responsibilities

To provide nursing services to the practice population by evidence based, quality focused care. To assess, plan, implement and evaluate care. To ensure clear channels of communication exist between clinical, administrative and community teams. To project a positive and friendly image to our patients and other professionals.

Teamwork

All employees are expected to display a high standard of teamwork. This includes cooperating in undertaking the work of absent colleagues or assisting others where the workload is particularly high. Accordingly, there may be a requirement, from time to time, to undertake other duties.

Principal Responsibilities

To provide assessment, treatment, screening and health education services and advice, working in accordance with set protocols, guidelines and NMC Code of Conduct.
Provide nursing service/treatments to patients independently or in participation with general practitioners with reference to aforesaid agreed protocols and guidelines.

Professional Responsibilities:

To be qualified and a member of the NMC
Maintain continued education by attendance at courses and study days relevant/useful or necessary for personal/professional development including attendance at the locality protected learning time (PLT) events.
To have the ability to work on own initiative, acknowledging limitations of oneself and in the delegation to others. Recognising when referral to other health professionals is needed.
To be familiar with changes and progress in nursing care.
Evaluating and adapting care using evidence based practice, in consultation with colleagues as a forum for team education, development and audit.
Using evidence based practice to assist in the formulation of practice philosophy, strategy and policies.

Specific Duties

Nursing procedures to include, but not limited to -

Wound management
Measuring blood pressure & Venepuncture
Routine injections as prescribed
Cervical Smears
Childhood and Adult immunisations, including reading and reviewing Patient Group Directives (PGDs) and Patient Specific Directives (PSDs)
Well Person Health Checks including Foreign Travel Counselling, NHS Health Checks, Lifestyle and New Patient Checks
ECGs
Spirometry
Obesity and weight/diet management
Chronic disease management and prevention ~ Diabetes, Hypertension, Hypothyroidism, Stroke, Epilepsy, IHD, COPD and Asthma
Minor Injuries and Minor Illness
INR Monitoring and Dosing using (INRStar N3)
CVD risk assessments and Q risk interpretation and assessments.
Home visits for housebound patients to include routine checks (e.g. Diabetic) and flu vaccines.
Referrals
Ensuring all specimens are checked and sent to laboratory as required

You will be fully conversant in QOF, read coding and uphold strategies to provide a holistic combined healthcare for the patient and demonstrate a willingness to participate in research/audit within the practice team.

You will be aware of DES/LES policies and apply and produce, alongside the Practice Manager, protocols that reflect the guidelines that are workable in the practice.

Participate in the education of students of all disciplines.

To be responsible for the efficient running of the treatment room and equipment and to ensure the clinical areas are at all times safe for staff and patients.

Adhere to strict Infection Control in line with guidelines and policies.

Advise patients and relatives/carers on general health care and ailments with referral to GPs as necessary.

Administrative responsibilities

To maintain accurate, comprehensive records of all consultations and treatments in the patients notes, both written and computerised, awareness of QOF, read codes and alerts needed for standardised care.
All associated nursing administration e.g. Vaccine forms, Travel Health Questionnaires, protocol review and assisting Reception with queries.
To access and file microbiology/cytology results.
Manage clinics effectively and contact patients to attend.
To take personal responsibility for own personal/professional development, providing sufficient evidence of the achievement of set objectives through individual performance and the review process.
Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice.
Help with collection of statistical information required for QOF & GPQC.
Attend and participate in practice and staff meetings as appropriate.
To take prompt action to defuse situations of complaints and be equipped with the knowledge to advise patients and relatives/carers about the complaints procedure.
Maintain appearance and behaviour in keeping with a member of the nursing profession and in accordance with codes of conduct.
Support and co-ordinate health promotion campaigns, i.e. flu, no smoking, healthy lifestyles, etc.
Maintain effective liaison with other agencies and staff concerned with patient care and with other disciplines within the practice, with appropriate regard to confidentiality.

Treatment Room supplies and equipment

To have working knowledge of equipment used in the surgery. Ensuring that any faulty equipment is taken out of service for repair and reported to the nursing team for information and Practice Administrator for action.
To be aware of Infection Control and updated policies.
In participation with the Practice Manager to ensure the maintenance of equipment and stock levels in relation to patient care.
To recommend medication changes/modifications in accordance with agreed protocols/guidelines and current regulations.
To regularly update knowledge and information through use of medical journals, training, courses, etc.
To maintain the cold chain and stock levels of vaccines ordered, used and needed in the vaccine fridge/fridges and to delegate the daily recordings to other appropriately trained staff members.
To be responsible for the resuscitation equipment and expiry dates on emergency trolley.
Checking all equipment returned from patients after loan, i.e. BP monitors and nebulisers.
Any other duties as reasonably requested by the Doctors, or Practice Manager, providing these duties are within the scope of the role and that the individual is trained and capable of such duty.

The role of the Practice Nurse is an evolving one and it is anticipated that the post holder will be responsible and reasonably flexible in the interpretation of the above job description.

Health and Safety Requirements

All employees have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Employees are required to co-operate with the management to enable the employer to meet its own legal duties and to report any hazardous situations or defective equipment.

Confidentiality

All employees are required to preserve the confidentiality of the affairs of the Partners, staff, patients and of all matters connected with the Practice. Any breach of such confidence would be regarded as grounds for disciplinary action.

This job description will be reviewed during annual appraisals and may be altered following consultation with the post holder.

Person Specification

Qualifications

Essential

Nursing degree
Member of NMC

Desirable

worked in General Practice

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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