Community Based Practice Nurse in Sheffield

A position has arisen for a practice nurse to join our community based practice team. We are looking for a motivated, enthusiastic, committed individual to join our friendly and forward-thinking supportive practice. The candidate will complement our established nursing team which currently consists of four practice nurses, two of which are community based and two full time health care assistants. We are a practice that is strongly focused on working together to serve our deprived community and help, where possible, address inequalities. Both formal and informal communication is an important part of the way our practice runs.

The role will involve working with patients within their own home. You will be expected to manage your workload and work within a small multidisciplinary team which consists of a further full time community based practice nurse and two health care assistants. The hours are between 30 - 37.5 hours per week. Due to the nature of the role, hours and salary are negotiable and dependent on experience. You will be someone who has a passion to join general practice to provide high quality care based on the needs of our population, this will include treatment, screening, prevention care and patient education.

Main duties of the job

• To provide excellent Nursing care and treatment to patients within their own home or community settings alongside the General Practitioners or independently to agreed protocols and ensure that all nursing care delivered is relevant, of a high standard and is clinically effective for patients and their carers.
• You will deliver sensitive information, advice and support regarding illness, treatment and care plans for patients and carers in their own homes.
• You will be responsible for high quality nursing care and management of patients with chronic disease and for developing, implementing and evaluating care.
• Offer advice and promote adult vaccinations whilst ensuring vaccines are administered under the appropriate PGD.
• Work as part of a nursing team, support and work with colleagues and manage workloads to ensure resources are managed effectively.

About us

We are a 6 partner GMS teaching practice in the North of Sheffield with a practice population of approximately 9,700 patients. Our team also includes 4 salaried GPs, 4 Practice Nurses, 2 Healthcare Assistants and a team of reception, secretarial and admin staff. We have a spacious, modern building which has undergone recent renovations.

Job responsibilities

• Membership of the Nursing & Midwifery Council and as a registered practitioner you are professionally and legally accountable under the NMC code of professional practice.
• Registration qualifications appropriate for tasks and responsibilities.
• Commitment to maintain a high professional standard of nursing care and keep up to date with all aspects of nursing care relevant to the post.
• Be aware of own limitations and experience.

Summary of Role

• To provide Nursing care and treatment to patients in participation with General Practitioners or independently to agreed protocols.
• To ensure that all nursing care delivered is relevant, of a high standard and is clinically effective and to deliver sensitive information, advice and support regarding illness, treatments and care plans for patients and their carers.
• To provide appropriate care and follow up to patients and carers within the surgery or their own home.
• To advise patients on general health care and minor ailments with referral to the General Practitioners as necessary.
• Responsible for nurse management of patients with chronic disease and for developing, implementing and evaluating care i.e. Chronic Heart Disease, Myocardial Infarction, Diabetes, Asthma, COPD and Epilepsy.
• Offer advice about adult vaccinations and ensure vaccines are administered under patient group directions.
• Work collaboratively with colleagues, networks, secondary care, ICB, and local community services and ensure that there is a multi-agency approach to planning and organising care through a multi-disciplinary approach.

Accountability

Accountable to the Partners and the Management Team.

Responsibilities

• Access the nursing needs of patients in the surgery, the community and housebound.
• Provide appropriate care and treatment in conjunction with the General Practitioners, or independently, as appropriate with and according to practice policies and protocols.
• Maintain effective liaison with other agencies and staff concerned with patient care and with other disciplines within the practice with appropriate regards to confidentiality.
• To assist in the formulation of practice philosophy, strategy and policy.
• General Nursing Care of the patients in the surgery and their own home.
• Have a range of clinical skills developed through experience and be competent to deal with the general nursing care according to practice policy and protocols and to refer to a general practitioner as appropriate.

These duties will include:

• Wound Care Assessment and Management
• Removal of Sutures
• Venepuncture
• Immunisations
• Screening & Health Promotion
• Advise on general health care of minor ailments with referral to GP as necessary
• Telephone advice and support as appropriate
• Assist and chaperone other clinicians when requested
• Safeguarding
• Chronic Disease Management
• Diabetes
• Coronary Heart Disease
• Asthma
• COPD
• Epilepsy
• Palliative Care
• Dementia
• Social Care

Record Keeping

Document the assessment of need, the delivery of care, the evaluation of the outcome of care and make changes to the care plan for the patient and modify his/her practice with the patient.

Ensure that for each patient:

• Appropriate forms are completed correctly
• An appropriate entry is made in the patients medical notes (computerised)

Infection Control

All staff have a responsibility to appraise themselves of how the protection of the spread of infection relates to their role. You have a responsibility to be aware of infection control and ensure that statutory regulations are implemented and adhered to.

Information Governance

All staff are required to comply with the information governance related standards and policies at all times when dealing with confidential information, which includes any information relating to the business, its service users and its employees.

Education & Training

Continuing education is essential to ensure that the nurse is aware of up-to-date research based evidence to support nursing care and to ensure clinical effectiveness. Participate in the education and training of students of all disciplines and the induction of all new members of staff. Be responsible for teaching learners about care delivery from the perspective of an experienced nurse. Undertake and cooperate with annual appraisal and appraisal meetings, and be responsible for maintaining a record of personal and/or professional development.

Equality & Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with the practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings, priorities and rights.

Communication

The post holder should recognise the importance of effective communication within the teams and will strive to:

• Communicate effectively with other team members.
• Communicate effectively with patients and carers.

Contribution to the Implementation of Services:

Apply practice policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect own work. Participate in audit where appropriate.

This job description may be subject to periodic review and amendment in consultation with the post holder.

Qualifications

• RGN Registered Nurse
• Evidence of current registration with NMC
• Degree/Diploma in Nursing or equivalent
• Demonstration of ongoing professional development
• Mentoring/Teaching Qualification
• Qualification in the management of long term conditions

Skills & Abilities

• Excellent communication skills, both written and verbal
• Commitment to team working
• Flexible Approach
• Enthusiasm and commitment to personal development
• Well organised and able to prioritise workload of self and others if necessary
• Good planning, organising and decision making skills
• An understanding, acceptance and adherence to the need for strict confidentiality
• Willingness to learn new skills
• Ability to work core hours
• Support in the development of all team members

Other

• Understands and is able to use appropriate infection control procedures and be fully aware and follow national standards of infection control and cleanliness
• Flexibility of working hours/able to work at the desired times

Knowledge

• Sound clinical knowledge necessary for General Practice
• Appreciation of primary care nursing and the current climate of change
• Understanding of nursing professional code of conduct, revalidation and core skills, and their application in practice
• Understanding of nGMS contract and implications for General Practice

Experience

• Previous experience in developing, implementing and evaluating Chronic Disease i.e CHD/Diabetes/Asthma & COPD
• Basic IT Skills
• Use of computerised health records
• To work as part of an established multi-disciplinary team
• Confidence to work on his/her own initiative and support a multi-disciplinary team
• Previous experience in Primary Care
• Participation in the education & training of students

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.