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General Enquiries: 01249 712232
Appointments: 01249 713019
Cancel Appointments: 01249 717030
Fax: 01249 701389

Out of Hours: 
NHS 111


Beechfield Road, Corsham, Wiltshire, SN13 9DL [Map]
 

 

The Porch Surgery is currently seeking applications for a Practice Nurse, please find the Person Specification below as well a link to the application site.

 

 

Practice Nurse (Resigtered Nurse) including Long Term Health Conditions

 

Qualifications

Essential

Desirable

Registered Nurse with current NMC registration

X

 

Diploma or degree

X

 

Accredited qualification in long term health condition

X

 

Non- medical prescriber Qualification

 

X

Triage Qualification

 

X

Minor Illness Qualification

 

X

Teaching Qualification

 

X

Experience

Essential

Desirable

Previous experience of working in a secondary care environment

 

X

Experience of working in a primary care environment as a practice nurse or community nurse.

X

 

Experience of long term health conditions

X

 

Experience of prescribing and undertaking medication reviews

 

X

Clinical Knowledge & Skills

Essential

Desirable

Maintain the knowledge and skills you need for safe and effective practice.

X

 

Diabetes

X

 

Diabetes medication review

X

 

Review blood sugars and titrate insulin

X

 

CHD

X

 

Hypertension

X

 

PVD

X

 

CKD

 

X

Knowledge of motivational interviewing

 

X

Knowledge of health promotion strategies

X

 

Requesting pathology tests, processing the results and advising patients accordingly

X

 

Immunisations (routine)

 

X

Wound Care / Removal of sutures & staples

 

X

ECG’s

 

X

Venepuncture

 

X

Women’s health (Cervical cytology, contraception, etc.)

 

X

Infection control and local / national guidance

X

 

Understands the importance of evidence based practice

X

 

Knowledge of clinical governance

X

 

Ability to record accurate clinical notes

X

 

Ability to work within own scope of practice and understanding when referral is required; for example to GP or other members of MDT.

X

 

Knowledge of public health issues in the local area

 

X

Knowledge of current local primary care policy & national policy.

X

 

Understands the requirement for PGDs and associated policy

X

 

Skills

Essential

Desirable

Excellent communication skills (written and oral)

X

 

Strong IT skills (Microsoft Office and Outlook)

X

 

System One in clinical practice

 

X

Effective time management (Planning & Organising)

X

 

Ability to work as a team member and autonomously

X

 

Good interpersonal skills

X

 

Problem solving & analytical skills

X

 

Ability to follow clinical policy and procedure

X

 

Audit experience

 

X

Clinical risk management experience

X

 

Personal Qualities

Essential

Desirable

Polite and confident

X

 

Kind and Respectful

X

 

Flexible and cooperative

X

 

Motivated, forward thinker

X

 

Problem solver with the ability to process information accurately and effectively, interpreting data as required

X

 

High levels of integrity and loyalty

X

 

Sensitive and empathetic in distressing situations

X

 

Ability to work under pressure / in stressful situations

X

 

Commitment to ongoing professional development

X

 

Effectively utilises resources

X

 

Punctual and committed to supporting the team effort

X

 

Other requirements

Essential

Desirable

Flexibility to work outside of core hours

X

 

Willing to undertake improved access clinics as required

X

 

Willing to complete home visits

X

 

Disclosure Barring Service (DBS) check

X

 

Occupational Health Clearance

X

 

 

Main Purpose of Post:

 

The focus of the role is the delivery of evidence-based practice for patients with long-term conditions and management and preventative nursing interventions to patients. Management of diabetes and Chronic Heart Diseases essential and other areas, e.g. hypertension, peripheral vascular disease, chronic kidney disease and cerebrovascular disease are desirable. Although this is the main purpose of the post, the post holder will also be required to provide a general practice nurse service including cytology, wound care, immunisation and other core GPN roles as required within your competencies.

 

Primary Responsibilities – General Practice Nurse (Registered Nurse) including Long Term Health Conditions

 

The following are the core responsibilities. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:

 

  • Work within the NMC Code of Conduct; maintaining professional standards of practice and behaviour for nurses. Prioritise people, practise effectively, preserve safety and promote professionalism and trust.
  • Recognise and work within own competencies.
  • Diagnose and manage patients with long term health conditions integrating both drug-and non-drug based treatment methods.
  • Implement and evaluate individual specialised treatment plans with patients with long term health conditions.
  • Work with patients in order to support compliance with and adherence to prescribed treatments.
  • Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing as indicated.
  • Review medication for therapeutic effectiveness, appropriate to patient needs, and in accordance with evidence-based practice and national and practice protocols (within scope of practice). Discuss with GP if any medication change is indicated (if not a non-medical prescriber).
  • Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on the patient’s health.
  • Provide health promotions and encourage well-being; using skills such as motivational interviewing.
  • Document accurate recalls following reviewing patients with long term health conditions. Liaise with administration team regarding recalls for patients with long term health conditions.
  • Provide other clinics as required by the surgery (within your scope of practice) For example Smears, ECG, Acute and Chronic Wound Management, Doppler Studies and Phlebotomy.
  • Administration of S/C or IM medication as prescribed; for example prostap & hydroxocobalamin.
  • Run annual influenza clinics and provide opportunistic influenza vaccines during other clinics as indicated and adhering to PGD’s.
  • During clinics, check if patients are up to date with the national routine immunisation schedule. Offer vaccinations to eligible patients in accordance with the national routine immunisation schedule and adhering to PGD’s; for example pneumococcal vaccination.
  • Chaperone patients as indicated.
  • Undertake the collection of pathological specimens, for example swabs & urine samples.
  • Request pathology services as indicated.
  • Recognise patients presenting with mental health needs, assess and take action required. Discuss with colleague or GP if concerns identified (within your competencies).
  • Contributing to the monitoring and maintaining of the cold chain including contributing to the twice daily record of fridge temperatures, report any breach of the cold chain and take action as per cold chain policy.
  • Work within the national standards of infection control and cleanliness and regulatory professional requirements and good practice guidelines.
  • Prioritise own workload and ensure effective time-management strategies are implemented.
  • Team member; support Nurse Manager, RN’s, HCA’s and Phlebotomist in our team.
  • Acting as a supervisor to students and newly qualified staff as required (within your scope of practice)
  • Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).
  • Contribute to practice targets; for example QOF, complying with local and regional guidance.
  • Maintain the knowledge and skills you need for safe and effective practice.
  • Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development.
  • 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). Take part in clinical supervision.
  • Continually review clinical practices, responding to national policies and initiatives where appropriate.
  • Report all incidents including near misses. Participate in the review of significant and near-miss events.
  • Take part in the development of practice clinical protocols in line with the needs of the patient and current legislation. This includes ensuring practice guidelines relating to long term health conditions you specialise in are up to date. Discuss with other specialists within the MDT and advice nurse manager of any changes (within your scope of practice).
  • Take part in audit cycles.
  • Attend nurse meetings on a regular basis.
  • Attend other meetings as requested; for example community meetings.
  • Monitor and ensure the safe storage, rotation and disposal of medicines
  • Responsible for monitoring stock levels in assigned stock cupboards, request stock by entering this in the stock order book. Liaise with the team member responsible for ordering stock as indicated. Be prepared to cover the ordering of stock as indicated.
  • Develop working relationships with external organisations and develop awareness of services available to surgery population. Signposting as indicated.
  • Participate in local initiatives to enhance service delivery and patient care
  • Demonstrate due regard for safeguarding and promoting the welfare of children and adults. Discuss any concerns with the safeguarding lead at Porch Surgery.

 

Generic Responsibilities

 

All staff at Porch Surgery have a duty to conform to the following:

 

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

 

Staff has the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staff have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

 

Safety, Health, Environment and Fire (SHEF)

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation. 

 

Confidentiality

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times.  It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

 

Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and the General Data Protection Regulations - GDPR

 

Quality & Continuous Improvement (QCI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice. 

 

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts. Staff are encouraged to make suggestions and contributions to improve our service delivery and enhance patient care. 

 

Safeguarding

In accordance with local and national policies

 

Induction Training

On arrival at the practice all personnel are to complete a practice induction programme; this is managed by your line manager. 

 

Learning and Development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as well as participating in the practice training programme.  Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery. 

 

Collaborative Working

All staff are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

 

Service Delivery

Staff at Porch Surgery must adhere to the information contained with practice policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.   

 

Security

The security of the practice is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

 

Professional Conduct

At the Porch Surgery, staff are required to dress appropriately for their role. Clinical staff must dress in accordance with their role.

 

Annual Leave and Bank Holidays

All personnel are entitled to take leave as stated in their contract. Line managers are to ensure all of their staff are afforded the opportunity to take their leave each year, and should be encouraged to take all of their leave entitlement.

 

 

 

To apply please click here.



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