Practice Nurse

We are looking to appoint a part time practice nurse to join our existing nursing team for 30 hours per week.

Main duties of the job:

• Adult and Child Vaccinations
• Family planning and cervical cytology
• Adult Health Checks and Year of Care
• Learning Disability annual reviews
• Dressings of wounds
• Other treatment room tasks

About us:

Garden Lane Medical Centre is a busy Chester City Centre Practice with a friendly team of 7 doctors, 6 nurses, healthcare assistant, GP Assistant and phlebotomist. There is a large, extremely helpful team of administration staff.

Job responsibilities:

• To act as part of the practice team, providing care and advice to the practice population utilising an evidence-based approach to provide care and advice.
• Promote effective treatment and health promotion.
• Liaise with others to maintain and enhance a culture which promotes effective multidisciplinary team working within the organisation, and across the wider health economy.
• Maintain a high standard of patient care in accordance with NMC code of professional conduct, and within competencies.
• Maintain and develop own clinical and professional expertise by participating in clinical supervision, professional development planning - within NMC code of conduct and own competency.
• Act as a resource for other members of the multidisciplinary team.
• Promote the effectiveness of the nursing contribution to the multidisciplinary team.
• Work autonomously under the indirect supervision of the nurse manager, liaising with other members of the multidisciplinary team as required.
• Work flexibly to support and maintain the effectiveness of the practice team.
• Use analytical and judgemental skills in the assessment and management of patients attending with a variety of conditions and problems.

Clinical:

• Exercise a high degree of clinical autonomy and judgement in the management of patients with long term conditions in accordance with level of competency and scope of practice.
• Undertake a range of clinical procedures which may include, dressings, wound management, removal of sutures, blood pressure monitoring, ECG recording, spirometry, immunisation and vaccinations, phlebotomy, cervical cytology, ear syringing, basic life support, nebulisation and other procedures within competency and under supervision.
• Provide health promotion and advice, screen patients for risk factors and early evidence of illness.
• Supply and administer drugs, treatments and appliances under patient group direction following discussion with senior colleagues.
• Prescribe drugs and medicines within an independent/supplementary role in accordance with legislation and if qualified to do so.
• Offer a complementary service to that of other team members within the practice.
• Act as an advocate for the patient at all times.
• Demonstrate a clear understanding of legal and ethical responsibilities, professional accountability and responsibilities of the role.
• Ensure equipment is maintained and monitored in accordance with manufacturers advice and local policies and guidelines.

Training and Education:

• Demonstrate a positive commitment to the training and assessment of all learners within the clinical area, and facilitate learning opportunities for other health care professionals.
• Contribute to the adoption of best practice through evidence, clinical benchmarking and guidelines.
• Develop and maintain own clinical and professional expertise by participation in clinical supervision, personal and professional development planning and within scope of practice and NMC code of conduct.
• Participate in the development of other members of staff using formal and informal methods as appropriate.
• Provide supervision for students and health care assistants as appropriate.

Communication:

• Maintain accurate and comprehensive documentation in accordance with NMC and local policy for standards of record keeping.
• Promote and maintain effective working relationships across the local health sector and social care community, service users and other agencies as required.
• Promote the development of clear systems of communication and referral both within the practice and with other health and social care providers as required.
• Maintain patient confidentiality as per GLMC, national, NMC and Caldicott guidelines.
• Adapt personal communication skills to overcome barriers to communication and understanding.
• Effectively utilize information technology and clinical systems following agreed training.
• Demonstrate professional skills in facilitating effective and clear communication in dealing with sensitive and volatile situations, i.e. safeguarding, vulnerable patients.
• Utilize a variety of systems to communicate clinical information in accordance with the data protection act; fax, email, telephone, letters.
• Utilize personal skills to facilitate effective and clear communication with patients to ensure collaborative healthcare and concordance with recommended advice, treatment pathways and therapeutic interventions.

Research and Audit:

• Participate in clinical audit as required.
• Promote a research culture and actively encourage the utilization of evidence, research and audit to develop practice.
• Utilize evidence to provide effective and appropriate care to clients.

Managerial:

• Demonstrate commitment to multidisciplinary team working across the local health economy.
• Contribute ideas for service development to the management team.
• Contribute to the development, implementation and monitoring of policies, procedures and clinical guidelines as appropriate.
• Participate in the development of effective nursing services utilizing a holistic, health needs approach.
• Supervise health care assistants and phlebotomist within the practice.

Leadership:

• Participate in and promote the development of professional nursing practice in accordance with legislation and ongoing local and national requirements.
• Adopt a positive and flexible approach to change.
• Act as a role model for staff and patients.
• Participate in and promote the development of a multidisciplinary approach to health care provision.

Health & Safety Policy:

• Conform to practice Health and Safety Policy.
• Demonstrate an understanding of risk assessment/management within the practice.
• All employed persons, while at work, are required by Section 7 of the Health and Safety at Work Act, to take reasonable care of their own health and safety, and that of others who may be affected by their acts or omissions.

Security Policy:

• To ensure that the Garden Lane Medical Centre Security Policy is adhered to, and that staff are aware of their obligations under the policy.
• Garden Lane Medical Centre operates a No Smoking Policy.

Clinical Records:

All NHS records are public records under the terms of the Public Records Act 1958 5.3 (1)-(2). This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the post.

Person Specification:

• Current NMC registration.
• Diploma/degree or ability to demonstrate evidence of study at level 3.
• Awareness of current health care policies and agendas.
• Chronic disease and health promotion.
• Scope of practice.
• NMC legislation and guidance.
• Current evidence based guidelines for primary care.
• Ear care, phlebotomy, health promotion and family planning, cervical cytology skills desirable but training could be provided.
• Experience in wound care, management of acute and chronic wounds.

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.