Nursing Staff jobs in United States

To be responsible for the delivery of practice nursing services, working as part of the practices multidisciplinary team who provide care within their scope of practice to the entitled patient population. The practice nurse will be responsible for a number of clinical areas such as health promotion, chronic disease management, health prevention, well woman and well man clinics, as well as supporting the management team in the reviewing of clinical policy and procedure.

Primary 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 on factors such as workload and staffing levels:

• Develop, implement and embed health promotion and well-being programmes
• Implement and evaluate individual treatment plans for chronic disease patients
• Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on patients health
• Provide routine nursing care to patients as required in accordance with clinical-based evidence, NICE and the NSF
• Provide wound care (ulcer/Doppler etc.) to patients
• Request pathology services as necessary
• Process pathology results as required
• Provide 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 codes are used effectively
• Maintain chronic disease registers
• Able to do undertake LTC condition review (Red/Amber and Green Clinics) eg Asthma, COPD, Diabetes, LD, Dementia
• Develop, implement and embed well woman clinics
• Develop, implement and embed well man clinics
• Chaperone patients where necessary
• 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 MH needs

All staff at TLCP have a duty to conform to the following:

Equality, diversity and inclusion

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in matters of recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Primary responsibilities

• 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 that 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 responsibilities

In addition to the primary responsibilities, the practice nurse may be requested to:

• Act as the audit lead, effectively utilising the audit cycle
• Monitor and ensure the safe storage, rotation and disposal of medicaments
• Support junior members of the nursing team, providing guidance when necessary
• Participate in local initiatives to enhance service delivery and patient care
• Support and participate in shared learning within the practice
• 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).

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

• The person specification for this role is detailed overleaf.
• Person Specification Practice Nurse
• Registered Nurse
• Postgraduate diploma or degree (Primary Care)

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.

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