Integrated Nursing Team Nurse in Dorchester

We are looking for a Registered Nurse to join our close-knit, supportive Integrated Nursing Team. We are looking for someone to join the team for up to 37.5 hours a week, negotiable for the right person. All nursing staff are required to work a pro rata share of weekends and bank holidays. Ideally, we are looking for someone with either general practice or community nursing experience, but we are willing to provide training for the right person.

Main duties of the job:

• To work within the clinical team, providing exceptional nursing care to patients both at the surgery and within the community.
• To deal with a wide range of health needs in a primary care setting, ensuring the highest standards of care for all registered and temporary patients.
• To work within the multi-disciplinary team to ensure that patient care is carried out to the highest standards.
• To carry out duties in a professional manner and adhere to all Cerne Abbas Surgery protocols, policies and guidelines at all times.

About us:

Cerne Abbas Surgery is an innovative, three partner, rural general practice near Dorchester serving over 4200 patients. We operate an integrated nursing team delivering both practice and community nursing care to all of our patients, and we dispense over 9000 items per month. We believe that our team deserve to enjoy coming to work, so finding the right personality to join the team is of utmost importance to us.

Job responsibilities:

• To be responsible for the implementation of processes for the effective care and management of patients using evidence-based practice, including community care for elderly and housebound patients.
• Working as a member of the practice multidisciplinary team, the post holder will ensure nursing services are delivered effectively to the practice patient population.
• The Practice Nurse will be responsible for a number of clinical areas such as infection prevention and control, health promotion, chronic disease management, various clinics, as well as actively supporting the Integrated Nursing Team Lead in the reviewing and delivery of clinical policy and procedure.
• Cerne Abbas Surgery will ensure that the post holder has access to appropriate clinical supervision and an appropriate named individual in the organisation to provide general advice and support on a day-to-day basis.

Generic responsibilities:

• All staff at Cerne Abbas Surgery have a duty to conform to the following: Equality, Diversity and Inclusion, Safety, Health, Environment and Fire (SHEF), Confidentiality, Quality and Continuous Improvement (CI), Induction, Learning and development, Collaborative working, Managing information, Security, Professional conduct.

Primary key responsibilities:

• To support the Infection Prevention Control (IPC) lead and to work to the IPC Policy.
• To support the care management programme for the frail and housebound patients registered at the practice.
• To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice.
• To carry out and embed health promotion and wellbeing programmes.
• To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing.
• To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients' health.
• To work closely with other agencies to support patient care.
• To provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF.
• To diagnose and manage acute and chronic conditions.
• To review patient medications to enhance compliance.
• To request pathology services and process pathology results as required.
• To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages (within own scope of practice).
• To maintain accurate clinical records in conjunction with extant legislation.
• To ensure the appropriate maintenance and use of chronic disease registers.
• To comply with the practice chaperone policy.
• To assist GPs with minor surgery when required.
• To support the team in dealing with clinical emergencies.
• To deliver vaccination programmes for adults and children.
• To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.).
• To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
• To adhere to and act on all safeguarding matters, in accordance with local and national policies.
• To deliver opportunistic health promotion where appropriate.
• To support the provision of travel medicine services.

Secondary responsibilities:

• In addition to the primary responsibilities, a Nurse may be requested to take part in the development and review of audit protocols and process for the practice, effectively utilising the audit cycle.
• Take part in the development and review of, and implement, nursing protocols in conjunction with the Integrated Nursing Team Lead.
• Participate in local initiatives to enhance service delivery and patient care, including those initiated at PCN level.
• Support and participate in shared learning within the practice in order to improve patient care.
• 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).
• Engage in the planning and implementation of changes within the nursing team, enhancing the provision of services to patients.
• Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation.

Person Specification:

Qualifications:

• Registered Nurse (Nursing and Midwifery Council).
• Mentor or teaching qualification.
• Post graduate diploma or degree (Chronic Disease Management).
• Nurse prescriber.
• Family planning qualification.

Experience:

• Experience of working as a nurse.
• Experience of working autonomously.
• Experience of infection prevention and control measures.
• Experience of working as a practice nurse or community nurse.
• Experience of working in a primary care environment.
• Experience of chronic disease management.
• Experience of managing elderly and housebound patients.
• Experience of quality initiatives, i.e., benchmarking.

Clinical Knowledge and Skills:

• Wound care/removal of sutures and staples.
• ECGs.
• Venepuncture.
• New patient medicals.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Understanding the importance of evidence-based practice.
• Understand the requirement for PGDs and associated policy.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Chaperone procedure.
• Immunisations (routine, childhood and travel).
• Chronic disease management in respiratory, diabetes, COPD etc.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Aware of issues within the wider health arena.
• Knowledge of health promotion strategies.

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.