Practice Nurse Level 5 in Morecambe

MAIN DUTIES Principal Responsibilities

• Demonstrate developing competence and clinical skills in the assessment of patients in community and general practice settings, ensuring care plans are developed in partnership and all information is clearly and objectively recorded as required by local policies.
• Carry out nursing procedures to practice protocol such as wound care and removal of clips or sutures;
• Immunisation / vaccination / other injections;
• Childhood immunisations.
• Ability to assess patients, taking into account their physical, mental and social states alongside the impact of their environment and social support available to them and negotiating care plans that are person centred and focused on self- care with clear objectives.
• Using a range of assessment tools pertinent to the patients needs to inform the assessment and assess risk for both patients and staff.
• Articulation of risk and strategy for risk management.
• Knowledge of a broad range of conditions, local care pathways and evidence- based management experienced by patients in community and general practice settings.

This will include LTCs, for example diabetes, coronary heart disease, heart failure, hypertension and stroke, COPD, arthritis, dementia and other common mental illnesses, frailty, and palliative and end of life care.

• An understanding of the presentations of multiple pathology, depression and anxiety states and frailty predominantly in older people.
• Knowledge of the management of uncomplicated symptoms in those patients with palliative or terminal care needs and enhanced communication skills to confidently manage uncertainty.
• Role model the values expected in Compassion in Practice (2014), ensuring that patient, family and carer feedback supports that care received was compassionate.
• Ensuring information is recorded objectively and reported back to the community or general practice nursing team.

Facilitation of Learning

• Ability to reflect on practice and utilise clinical supervision and other development opportunities and support.
• Emotional intelligence and the ability to support staff in levels 2, 3 and 4, to debrief and reflect on difficult situations experienced to improve learning and enhance self-awareness.
• Engagement with appraisal and the development and activation of a personal development plan.
• Providing effective mentorship for nursing students and the maintenance of a supportive learning environment with a range of learning opportunities.
• Creativity in developing learning materials for patients and adapting care to support individual needs in patients.
• Leadership & Management
• Ability to prioritise a delegated caseload/workload and effectively manage time and work effectively within the team.
• Knowledge of resource management to ensure care is clinically effective and signposted to the patient and family ensuring principles of confidentiality and disclosure are maintained.
• Recognition of personal accountability and responsibility to monitor and evaluate care to ensure optimal practice.
• Using opportunities to suggest improvements to services or introduction of other innovations or evidence.
• Engage actively in data collection for quality assurance and take responsibility for on-going evaluation of delegated care.
• Participation in personal development, appraisal and development of other team members and the links between organisation and team goals.
• Ability to recognise poor performance and take appropriate measures.
• Assist in undertaking and reviewing needs assessments and other data in general practice that reflect the demographics and case management within the caseload and the broader public health issues within the local community and practice populations.
• Have an awareness of and participate in public health campaigns aimed at addressing public health issues both locally and nationally.
• Collaborate effectively with a range of other healthcare professionals and agencies that may be involved in patients interdependent care, ensuring awareness of their scope of practice, roles and responsibilities to ensure correct referral and on-going relationships.
• Participate in educational audit.

Evidence, Research & Development

• Has an enquiring approach to practice to ensure best quality care is offered within any constraints of the service.
• Ability to articulate the evidence underpinning patients care plans and interventions.
• Ability to source evidence and to appraise it to underpin practice.
• Recognise any ethical implications of audit, research, clinical trial or service user involvement strategies.

Clinical Practice

• Demonstrate specialist competence, innovation and clinical leadership in the assessment, intervention in and delivery of general practice nursing in all contexts appropriate to individuals needs across the whole age range for the general practice population.
• Ability to assess and manage the range of conditions encountered in general practice using a variety of assessment tools and consultation models appropriate to the patient and situation using physical and clinical examination skills to inform the assessment and decision-making for the on-going management of the patient.
• Advanced communication skills that include skills of influencing and negotiation to enable information to be delivered in understandable formats for patients and behaviour change supported where necessary.
• Effective multidisciplinary and multi-agency team working, alongside the ability to work independently and accept professional accountability and responsibility for the delivery of whole episodes of care, and supporting and developing others in the general practice nursing team to collaborate effectively, ensuring nursing care is guided by precedent and clearly defined policies, procedures and protocols.
• Delivery and co-ordination of evidence-informed, person-centred and negotiated care across the age spectrum.
• Use of technology to support independence and patient self-care at home to improve self-care and reduce exacerbations.
• Role modelling and embodiment of non-judgmental, value-based care encompassing the 6Cs in practice and expectation and promotion of these values in other team members.
• Competence in delivering evidence-informed care across a wide range of minor acute and LTCs, ensuring effective evaluation of therapeutic and other approaches to condition management alongside ability to assess patient concordance.
• OTHER DUTIES

The responsibilities set out in this document may change from time to time through discussion with the post holder.

In addition, the post holder might, at the discretion of the Senior Leadership Team, be required to take on other tasks in the wider interest of Bay Medical Group.

• University Hospitals of Morecambe Bay NHS Foundation Trust
• University Hospitals of Morecambe Bay NHS Foundation Trust
• University Hospitals of Morecambe Bay NHS Foundation Trust
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