PCN Wound Clinic Nurse in London

Thenurse will have skills, training and experience, relating to wound management,vascular assessment and dressing application to provide and maintain a highstandard of nursing care for patients.Provide nursing assistance to the GPs, and other members of primaryhealthcare team, whilst providing supervision and working closely with a woundclinic Healthcare Assistant.
Theduties will (with training where necessary) include running a practice based woundmanagement, vascular assessment and dressings clinic, and providing a vaccinationservice to our housebound and care home patients. The nurse will undertake independentconsultations with patients relating to specific symptoms within the post holdersscope of practice; assessing, examining, investigating, diagnosing (withsupport where needed), treating, and following up patients as required.
Thenurse will use clinical decision making within their scope of practice and beresponsible for leading the wound clinic and housebound vaccination service forthe PCN Practices. They will ensure thedelivery of evidence-based care in relation to tissue viability including legulcer management.
Main duties of the job Duties and responsibilities
Assist and perform routine tasks related to patientcare as directed.
Such tasks may include (list not exclusive):
Managementof patients with chronic disease relating to wound prevention and management,including diabetes and vascular conditions.
Providea holistic approach to wound management and implement wound care in line withcurrent evidence based guidelines.
Makeand receive referrals for patients with compromised tissue viability, fromnurses, general practitioners, consultants and other health professionals.
Provideadvice on the most appropriate wound dressing products.
Assessfor and advise on compression bandaging and hosiery.
Tobe responsible for the follow up of the patients under their care.
Provideadvice on management of slow healing wounds.
Practicewith autonomy and accountability and make decisions within the scope of ownprofessional practice area of clinical competence.
Promotea supportive and collaborative team-working environment.
Providesupervision and support to Healthcare Assistants.
Toidentify future service requirements to the Line Manager. Administrationadult vaccinations to our housebound and care home population.
Assistpatients to identify their health needs, incorporating the use of care plans.
About us Carlisle Primary Care Network (PCN) consists of 3 Practice;Eden Medical Group, Warwick Square Group and Carlisle Central. TheNetwork and Practices are focussed on shaping our services to best meet ourpatients needs, and work collaboratively to ensure we improve services andbuild for the future.
We are focussed on providing new and innovative solutions toaddressing the healthcare requirements of our patients, now and in the future.
We are passionate in providing our multi-disciplinary teamswith support and positive working environments, and strive to ensure we workcollaboratively to provide this.
The role is part of a wider team supporting patients acrossall practices, liaising closely with clinicians from practices and PCN toimprove the health & wellbeing of patients.
Job responsibilities The nurse will play animportant role in the PCN, utilising the appropriate skills, training andexperience to undertake independent consultations with patients relating tospecific symptoms; assessing, examining, investigating, diagnosing, treating,and following up patients as required.You will use clinical decision making within your scope of practice andensure the delivery of evidence-based care in relation to wound management andtissue viability.
This role will work closelywith GPs and practice teams to manage a caseload of patients, acting as acentral point of contact to ensure appropriate support is made available tothem and their carers; supporting them to understand and manage their conditionand ensuring their changing needs are addressed.
Training – Personal and Professional Development
The post-holderwill participate in any training programme implemented as part of thisemployment, such training to include:
participationin an annual individual performance review. Taking responsibility for owndevelopment, learning and performance and demonstrating skills and activitiesto others who are undertaking similar work.
A commitmentto maintain a high professional standard of nursing care and keep up to datewith all aspects of nursing care relevant to post
Identifypersonal development and training needs in conjunction with Clinical Lead.
Toparticipate in continuing education and maintain a contemporary level of professionalknowledge and skills.
Contributeto the assessment of service needs.
Contributea nursing perspective to the practice development plan.
Toattend staff meetings.
Completionof regular mandatory and otherwise specified learning.
Communication
The post-holder should recognise the importance ofeffective communication within the team and will strive to:
Communicateeffectively with other team members
Demonstratesensitive communication styles to ensure patients are fully informed andconsent to treatment
Communicateeffectively with patients and carers, recognising the need for alternativemethods of communication to overcome different levels of understanding,cultural background and preferred ways of communicating, including thosereceiving bad news and respond accordingly
Actas an advocate when representing patients and colleagues
Participatein practice team meetings, delivering the nursing agenda and run nursedepartment meetings
Produceevidence towards the contribution of the nursing team to the practicepriorities as and when required.
Governance
Undertake DBS check at regular intervals
Able to recognise and manage anaphylaxis accordingto current UK guidelines
Able to perform cardio-pulmonary resuscitationaccording to current UK guidelines
Ability to obtain and document informed consent(either verbal or written)
Ensure infection control guidelines are maintainedand contribute to infection control audits and policies
Ensure awareness of statutory and local protectionprocedures, including systems of referral
Support the Practice clinical governance agenda
Identify changes to clinical practice that are required to implement evidence-based guidelines
Produceaccurate, contemporaneous and complete records of patient consultation,consistent with legislation, policies and procedures
Workwithin policies regarding family violence, vulnerable children and adults, andall aspects of Safeguarding, substance abuse and addictive behaviour, and referas appropriate
Aware of identification and reporting proceduresrelated to professional standards
An understanding, acceptance and adherence to theneed for strict confidentiality
To work only in accordance with the UKCC Code of Conduct and within the scope of professional practice
To have a written professional development plan andto maintain an up to date portfolio which meets the requirements ofregistration with the UKCC
Cooperate with annual appraisal meetings
Confidentiality
Inthe course of seeking treatment, patients entrust us with, or allow us togather, sensitive information in relation to patients and othermatters. They do so in confidence andhave the right to expect that staff will respect their privacy and actappropriately
Inthe performance of the duties outlined in this job description, the post-holdermay have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to informationrelating to the practice as a business organisation. All such informationfrom any source is to be regarded as strictly confidential
Informationrelating to patients, carers, colleagues, other healthcare workers or thebusiness of the practice may only be divulged to authorised persons inaccordance with the practice policies and procedures relating toconfidentiality and the protection of personal and sensitive data.
The Employee must adhere to all practice policies, whichincludes; Information Governance, Data Protection, Confidentiality, Caldecottand Safeguarding Policies.
Health &safety
The post-holderwill implement and lead on a full range of promotion and management their ownand others health and safety and infection control as defined in the practiceHealth & Safety policy, the practice Health & Safety manual, and thepractice Infection Control policy and published procedures. This will include(but will not be limited to):
Usingpersonal security systems within the workplace according to practice guidelines.
Awarenessof national standards of infection control and cleanliness and regulatory /contractual / professional requirements, and good practice guidelines.
Responsiblefor the correct and safe management of the specimens process includingcollection, labelling, handling, use of correct and clean containers, storageand transport arrangements.
Managementand maintenance of Personal Protective Equipment (PPE) for the practiceincluding provision, ordering, availability and ongoing correct usage by staff.
Responsiblefor impressing the importance of hand hygiene across the practice.
Awarenessof infection control and clinically based patient care protocols, and adherenceof those protocols across the practice.
Activeobservation of current working practices across the practice in relation toinfection control, cleanliness and related activities, ensuring that proceduresare followed and weaknesses / training needs are identified, escalating issuesas appropriate to the nominated infection control lead.
Identifyingthe risks involved in work activities and undertaking such activities in a waythat manages those risks across clinical and patient process.
Makingeffective use of training to update knowledge and skills, and initiate andmanage the training of others across the full range of infection control andpatient processes.
Monitoringpractice facilities and equipment in relation to infection control, ensuringthat provision of hand cleansing facilities, wipes etc are sufficient to ensurea good clinical working environment. Lack of facilities to be escalated asappropriate.
Safemanagement of sharps procedures including training, use, storage and disposal.
Usingappropriate infection control procedures, maintaining work areas in a tidy,clean and sterile, and safe way, free from hazards. Initiation of remedial /corrective action where needed or escalation to responsible management.
Activelyidentifying, reporting, and correction of health and safety hazards andinfection hazards immediately when recognised.
Keepingown work areas and general / patient areas generally clean, sterile,identifying issues and hazards / risks in relation to other work areas withinthe business
Undertakingperiodic infection control training.
Routinemanagement of own team / team areas, and maintenance of workspace standards.
Wastemanagement including collection, handling, segregation, container management,storage and collection.
Spillagecontrol procedures, management and training.
Decontaminationcontrol procedures, management and training, and equipment maintenance.
Maintenanceof sterile environments.
Demonstrate due regard for safeguarding and promoting thewelfare of patients.
Equality andDiversity
The post-holderwill support the equality, diversity and rights of patients, carers andcolleagues, to include:
Actingin a way that recognizes the importance of peoples rights, interpreting themin a way that is consistent with practice procedures and policies, and currentlegislation
Respectingthe privacy, dignity, needs and beliefs of patients, carers and colleagues
Behavingin a manner which is welcoming to and of the individual, is non-judgmental andrespects their circumstances, feelings priorities and rights.
Identifypatterns of discrimination and take action to overcome this and promotediversity and equality of opportunity
Supportpeople who need assistance in exercising rights
Monitorand evaluate adherence to local chaperoning policies
Acceptthe rights of individuals to choose their care providers, participate in careand refuse care
Assistpatients from marginalised groups to access quality care
Safeguarding of Children &Vulnerable Adults
To adhere tothe principals of effective safeguarding of children and vulnerable adults.
Person Specification Qualifications NMC registered
Experience and qualifications related to their specialist area i.e. leg ulcer management, tissue viability.
Qualities/Attributes An understanding, acceptance and adherence to the need for strict confidentiality
Ability to use own judgement,
resourcefulness and common sense
Ability to work without direct
supervision and determine own workload
Evidence and ability to grasp new concepts and work on a self-directed basis
Able to work under pressure in a changing environment
Empathy for the health care/public service environment
Enthusiastic, adaptable, innovative, forward looking
Ability to work as part of an integrated multi-skilled team
Strategic thinking with vision
reliable and resourceful
Get on well with people at all levels
Personal Skills & Attributes An understanding, acceptance
and adherence to the need for strict confidentiality
Must be personable, polite and approachable
Must be a team player
Able to work under pressure and remain calm
Adaptable to change
Aware of own limitations
Good organisational and interpersonal skills are essential
Skills Communication skills, both written and verbal
Ability to communicate difficult messages to patients and families
Change management skills and ability to support patients to change lifestyle
Negotiation and conflict management skills
IT Skills
Ability to collect, analyse and interpret data and to use that information to promote good patient care
Clinical Skills dressing assessment and application, immunisation and vaccination.
Experience of using EMIS Web, ICE
Professional Knowledge Ability to manage patients who have complex dressings
Working independently and autonomously within their own scope of practice
Excellent communication (orally and written) and listening skills
Ability to work alone or as part of a team
Ability to keep accurate records
Ability to plan own day to day work schedule
Ability to effectively manage challenging behaviour and or conflict
Experience of working in a primary care setting or Community setting
Knowledge of EMIS
Knowledge & Experience RGN/RN
Minimum 2 years post-registration experience
Training in wound management and dressing assessment and application.
Clinical supervision experience
Knowledge of needs of patients with long term conditions
Knowledge of chronic disease management
Aware of accountability of own role and other roles in a nurse led service
Knowledge of health promotion strategies
Awareness of clinical governance issues in primary care
Knowledge of patient group directives and associated policies
Evidence of appropriate continuing professional development
Proven ability to evaluate the safety and effectiveness
Ability to identify determinants on health in the local area
Chronic disease diplomas in
Diabetes or vascular management.
Awareness of local national health policy
Knowledge of audit participation and CQC Compliance
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.
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