Practice Nurse PT in Madeley

Main duties of the job include the provision of General Medical Services, Enhanced Services, and work with the Primary Care Network, in accordance with the GMS and other practice contracts. Continuing professional development opportunities and regular practice meetings are also part of the role.

Job responsibilities:

• The post holder is an experienced nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment, and evaluation of care.
• They will demonstrate safe clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice.
• The post holder will demonstrate critical thinking in the clinical decision-making process.
• They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.
• In order to work at this level, NMC requirements for advanced practice must be met.

Key responsibilities:

• Clinical practice: Assess, diagnose, plan, implement, and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis.
• Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly.
• Assess, diagnose, plan, implement, and evaluate interventions/treatments for patients with complex needs.
• Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate).
• Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management plan.
• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice.
• Work with patients in order to support compliance with and adherence to prescribed treatments.
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects, and interactions.
• Prioritise health problems and intervene appropriately to assist the patient in complex, urgent, or emergency situations, including initiation of effective emergency care.
• Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.

Communication:

• Utilise and demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment.
• Communicate with and support patients who are receiving bad news.
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the practice environment and with external stakeholders.
• Act as an advocate for patients and colleagues.
• Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Delivering a quality service:

• Recognise and work within own competence and professional code of conduct as regulated by the NMC.
• Produce accurate, contemporaneous, and complete records of patient consultation, consistent with legislation, policies, and procedures.
• Prioritise, organise, and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to NICE guidelines and evidence-based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation.
• Initiate and participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Evaluate patients' response to health care provision and the effectiveness of care.
• Support and participate in shared learning across the practice and wider organisation.
• Use a structured framework (e.g., root-cause analysis) to manage, review, and identify learning from patient complaints, clinical incidents, and near-miss events.
• Assess the impact of policy implementation on care delivery.
• Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients' health procedures and local guidance.

Professional Role:

• Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research.
• Monitor the effectiveness of their own clinical practice through quality assurance strategies such as the use of audit and peer review.
• Maintain their professional registration.
• Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained.
• Work within the latest NMC Code of Professional Conduct.
• Record accurate consultation data in patients' records in accordance with the latest NMC guidance and other pertinent standards.
• Keep up to date with pertinent health-related policy and work with the Practice Team to consider the impact and strategies for implementation.
• Work collaboratively with colleagues within and external to the Practice.
• Proactively promote the role of the NP within the Practice and externally to key stakeholders and agencies.

Leadership personal and people development:

• Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model.
• Utilise personal development reviews for self and nurses in order to improve performance.
• Support staff development in order to maximise potential.
• Critically evaluate and review innovations and developments that are relevant to the area of work.
• Enlist support and influence stakeholders and decision-makers in order to bring about new developments in the provision of services.
• Take a lead role in planning and implementing changes within the area of care and responsibility.
• Contribute to the development of local guidelines, protocols, and standards.
• Market the role of the advanced nurse practitioner in general practice.
• Understand own role and scope and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Create clear referral mechanisms to meet patient needs.
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
• Work effectively with others to clearly define values, direction, and policies impacting upon care delivery.
• Discuss, highlight, and work with the team to create opportunities to improve patient care.
• Manage and lead on the delivery of specifically identified services or projects as agreed with the practice management team.
• Agree plans and outcomes by which to measure success.

Management of risk:

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety, and security legislation, policies, procedures, and guidelines.
• Apply infection-control measures within the practice according to local and national guidelines.
• Advocate for policies that reduce environmental health risks, are culturally sensitive, and increase access to health care for all.
• Interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

Managing information:

• Use technology and appropriate software as an aid to management in planning, implementation, and monitoring of care, presenting and communicating information.
• Review and process data using accurate Read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes.
• Manage information searches using the internet and local library databases.
• Understand responsibility of self and others to the practice and primary care trust regarding the Freedom and Information Act.

Learning and development:

• Undertake mentorship for more junior staff, assessing competence against set standards.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g., courses and conferences).
• Assess own learning needs and undertake learning as appropriate.
• Provide an educational role to patients, carers, families, and colleagues in an environment that facilitates learning.

Equality and diversity:

• Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
• Enable others to promote equality and diversity in a non-discriminatory culture.
• Support people who need assistance in exercising their rights.
• Monitor and evaluate adherence to local chaperoning policies.
• Act as a role model in the observance of equality and diversity good practice.
• Accept the rights of individuals to choose their care providers, participate in care, and refuse care.
• Assist patients from marginalised groups to access quality care.
• Undertake any training required in order to meet the needs of the practice.

Person Specification:

• Nursing degree or equivalent experience.
• Registered Nurse (NMC).
• Evidence of immunisation training and assessment of competence in the last 2 years.
• 6 months relevant experience working in a primary care environment in the last 2 years.
• Immunisations (flu, routine, childhood, B12, travel).
• Wound Care / Treatment of small injuries / Removal of sutures & staples.
• Dressings.
• Diabetes review.
• Cardiovascular disease primary prevention.
• Coronary Heart Disease.
• Ability to record accurate clinical notes.
• Ability to work within own scope of practice and understanding when to refer to GPs.
• Understanding of Extended brief interventions (NICE guidelines).
• Cytology certificates.
• ECG.
• Venepuncture.
• Asthma/COPD.
• Understands the requirement for PGDs and associated policy.
• Mental Health.
• New patient medicals.
• Chaperone procedure.
• Requesting pathology tests and processing the results, advising patients accordingly.
• Understands the importance of evidence-based practice.
• Broad knowledge of clinical governance.
• Knowledge of public health issues in the local area.
• Awareness of issues within the wider health arena.
• Knowledge of health promotion strategies.

Experience:

• Experience of working within a nursing team.
• Experience of working in a GP practice.
• Experience of working in primary care.

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.