Nurse jobs in Germany

We are looking for a friendly, well qualified, driven and experienced GP nurse (prescriber would be a bonus) who can slot into our close knit team and help out in all areas of nursing.

We need someone who will muck in when needed, is driven by change and improvement and won't shy away from the busy workload and making house calls. Our practice team work hard and go above and beyond for our patients which bring great rewards in the form of high praise from colleagues and patients, and a great place to work.

We would like someone to work approximately 30 hours per week. Must be available to work from Monday to Friday, with some early evening shifts.

There is the opportunity to work extra hours in our practice as contribution to the extended access hub either during the week or at weekends (this is not part of the contract and is carried out on a voluntary basis)

We would require someone to be able to cover all areas of GP nursing, from wound care and cytology to long term condition reviews and management.

To be able to work as part of a multi-disciplinary team across the practice and network. The successful candidate will have the ability to be flexible to our practice needs and be able to manage patient care in both practice clinics and in the community to help manage our housebound patient population.

We are a medium sized practice with a patient population of approximately 12,000. We are owned by 6 partners, who have a drive and vision to be innovative and forward thinking in their approach to patient care and access. Our main aim is to invest in our practice and community so that we can give the best possible care to all.

Supporting our partners are 2 HCA's, 2 nurses, and 2 ANP's, a paramedic, a Physician associate, 2 clinical pharmacists.

We are a training practice with between 10 and 12 registrar trainees at any one time.

The clinical team is in turn supported by a large reception team, a prescription clerk, 2 secretaries and a variety of other admin staff.

We are all very friendly, yet driven to provide the best care possible, and are continuously looking at ways in which we can improve our services.

If you share this passion and drive too then you may be exactly what we are looking for!

Allstaff at Conisbrough Group Practice have a duty to conform to the following:

Confidentiality

Theorganisation is committed to maintaining an outstanding confidential service.Patients entrust and permit us to collect and retain sensitive informationrelating to their health and other matters pertaining to their care. They doso in confidence and have a right to expect all staff will respect theirprivacy and maintain confidentiality.

Itis essential that, if the legal requirements are to be met and the trust ofour patients is to be retained, all staff must protect patient informationand provide a confidential service.

Qualityand Continuous Improvement (CI)

Topreserve and improve the quality of this organisations outputs, allpersonnel are required to think not only of what they do but how they achieveit. By continually re-examining our processes, we will be able to develop andimprove the overall effectiveness of the way we work.

Theresponsibility for this rests with everyone working within the organisationto look for opportunities to improve quality and share good practice and todiscuss, highlight and work with the team to create opportunities to improvepatient care.

CGP continually strives to improve work processes which deliver healthcare withimproved results across all areas of our service provision. We promote aculture of continuous improvement where everyone counts, and staff arepermitted to make suggestions and contributions to improve our servicedelivery and enhance patient care.

Staffshould interpret national strategies and policies into local implementationstrategies that are aligned to the values and culture of general practice.

Allstaff are to contribute to investigations and root cause analyses whilstparticipating in serious incident investigations and multidisciplinary casereviews.

Induction

At CGP,you will be required to complete the induction programme and the practicemanagement team will support you throughout the process.

Learningand development

Theeffective use of training and development is fundamental in ensuring that allstaff are equipped with the appropriate skills, knowledge, attitude andcompetences to perform their role. All staff will be required to partake in,and complete mandatory training as directed by the partners. It is an expectation for this post holderto also assess their own learning needs and undertake learning as appropriate.

Allstaff are to recognise the significance of collaborative working andunderstand their own role and scope and identify how this may develop overtime. Staff are to prioritise their own workload and ensure effectivetime-management strategies are embedded within the culture of the team.

Managinginformation

Allstaff should use technology and appropriate software as an aid to managementin the planning, implementation and monitoring of care and presenting andcommunicating information.

Servicedelivery

Staffwill be given detailed information during the induction process regardingpolicy and procedure.

Thepost holder must adhere to the information contained within the organisationspolicies and regional directives, ensuring protocols are always adhered to.

Security

Thesecurity of the organisation is the responsibility of all personnel. The postholder must ensure they always remain vigilant and report any suspiciousactivity immediately to their line manager.

Professionalconduct

Allstaff are required to dress appropriately for their role and will be issued with 2 new tunics or dresses every couple of years.

Leave

Allpersonnel are entitled to take leave allowing for a 6 week notice period for approval.

Public holidays will be calculated on apro-rated basis dependent on the number of hours worked.

The following are the core responsibilities of the Nurse (prescriber). There may be, on occasion, a requirement to carryout other additional tasks; this will be dependent upon factors such as workload andstaffing levels:

• a.Develop,implement and embed health promotion and wellbeing programmes
• b.Develop,implement and evaluate individual treatment plans for acute and non-acuteconditions
• c.Supportthe clinical team in the development of individual treatment plans forchronic disease patients
• d.Identify,manage and support patients as risk of developing long-term conditions,preventing adverse effects on the patients health
• e.Provideroutine nursing care to patients as required in accordance with clinicalbased evidence, NICE and the NSF
• f.Prescribemedication in accordance with PGD and within own scope of practice
• g.Reviewmedication for effectiveness, need and national guidance
• h.Requestand advice on prescribed or over-the-counter medication on side effects,common interactions and dosage
• i.Supportpatients to ensure compliance with prescribed medications
• j.Providewound care to patients
• k.Provide NHS (not private) travel medicine services
• l.Requestpathology services as necessary, processing and interpreting results asrequired
• m.Referpatients directly to other services as appropriate
• n.Providechronic disease clinics, delivering patient care as necessary, referringpatients to secondary/specialist care as required
• o.Maintainaccurate clinical records in conjunction with extant legislation
• p.EnsureSNOMED codes are used effectively
• q.Maintainchronic disease registers
• r.Develop,implement and embed well woman clinics
• s.Develop,implement and embed well man clinics
• t.Chaperonepatients where necessary
• u.Prioritisehealth issues and intervene appropriately
• v.Supportthe team in dealing with clinical emergencies
• w.Recognise,assess and refer patients presenting with mental health needs
• x.Recognise,assess and refer patients with community health needs, developing strategiesfor effective care pathways
• y.Implementvaccination programmes for adults and children
• z. Liaise with external services/agenciesto ensure the patient is supported appropriately (vulnerable patients etc.)
• aa.Support the clinical team with allsafeguarding matters, in accordance with local and national policies
• bb. Understand organisation and localpolicies for substance abuse and addictive behaviour, referring patientsappropriately

Secondary responsibilities

In addition to theprimary responsibilities, the Nurse Prescriber may be requested to:

• a.Monitorand ensure the safe storage, rotation and disposal of medicaments
• b.Contributeto the implementation of an effective training programme for staff andstudents within the organisation and any trainees hosted by the practice
• c.Provideclinical supervision for the nursing team
• d.Participatein local initiatives to enhance service delivery and patient care
• e.Supportand participate in shared learning within the organisation
• f.Continuallyreview clinical practices, responding to national policies and initiativeswhere appropriate
• g.Beaware of and contribute to the planning and implementation of IntegratedCare System (ICS) (formerly CCG) patient pathway initiatives
• h.Participatein the review of significant and near miss events applying a structuredapproach i.e., root cause analysis (RCA)
• i.Maintainprofessional registration and adhere to revalidation requirements

• Registered Nurse (Nursing and midwifery Council)
• Diabetes and Asthma/COPD diplomas

• Experience of working in a primary care environment
• Experience of chronic disease management
• Experience of working autonomously
• Experience of working as a practice nurse or community nurse

• Clinical knowledge in the following:
• would care/removal of sutures and staples
• ECG's
• Venepuncture
• New patient medicals
• Immunisations (routine, childhood and travel)
• Women's health (cervical cytology, contraception, swabbing etc)
• Requesting pathology tests and processing the results, advising patients accordingly
• Initiation of medications for all long term conditions
• Chronic disease management awareness for: Diabetes, Hypertension, CHD, Asthma, Spirometry.
• Chaperone procedure
• Understand the importance of evidence based practice
• Broad knowledge of clinical governance
• Ability to record accurate clinical notes
• ability to work within own scope of practice and understand when to refer to GP's
• Knowledge of health promotion strategies
• Understand the requirement for PGD's and associated policy.
• Skills:
• Excellent communication skills (written and oral)
• Strong IT skills including Systmone
• Clear, polite telephone manner
• Effective time management (planning and organising)
• Ability to work as a team member and autonomously
• Good interpersonal skills
• Problem solving and analytical skills
• Ability to follow clinical policy and procedure
• Polite and confident
• Flexible and co-operative
• Motivated, forward thinker
• Problem solver with the ability to process information accurately and effectively, interpreting data as required
• 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
• Other:
• Flexibility to work outside of core business hours
• Medical health clearance
• Meet the requirements and produce evidence for nurse revalidation
• Evidence of continuing professional development commensurate with the role of a practice nurse.
• Knowledge of public health issues in the local area
• Awareness of issues within the wider health arena

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.