About this role
Job summary
To provide and maintain a high standard of nursing care for patients, as well as providing nursing assistance to the GPs and other members of primary healthcare team. The duties will (in time and with training where necessary) include all tasks normally undertaken by an experienced practice nurse and any additional roles agreed between the nurse and the GP Salaried Partners.
Main duties of the job
Tasks may include (list not exclusive):
Administration of childhood and adult vaccinations
Running well person clinics and health promotions programmes, facilitating change by providing assessment and lifestyle advice on diet, smoking, alcohol intake and exercise
Perform holistic assessment of patients and attending for cervical cytology smear tests
Perform venepuncture according to local guidelines
Provide holistic approach to wound management and implement would care in line with current evidence-based guidelines including the use of Doppler and leg ulcer management
Assessing problems presented opportunistically by patients, dealing with minor illness
Assist patients to identify their health needs, incorporating the use of care plans
Removal of Sutures
New Patient Medicals/Urinalysis
ECGs
Venepuncture
Hypertension Management
Requesting pathology tests, for example urine culture, swabs
Contraception
Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel
Following agreed clinical protocols with referral to senior nurses or GPs as appropriate
Chaperoning and assisting patients who are being examined by another clinician.
Ordering of vaccinations to maintain stock levels
Participation in administrative systems in the Practice
Attend and participate in any Practice meetings when required.
On occasion there may be a requirement to undertake home visits
About us
North Cumbria Primary Care Ltd (NCPC) is an innovative not for profit social enterprise, established to create a network of great surgeries which sustains and supports the development of general practice across the local area. We enable our member general practices to continue to operate as local family practices with the benefit of a large and robust infrastructure to provide support.
Job description Job responsibilities
Communication:
The post-holder should recognise the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment
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, including those receiving bad news and respond accordingly
Act as an advocate when representing patients and colleagues
Participate in nurse and practice team meetingsProduce written documents that evidence the contribution of the nursing team to the practice priorities
Governance:
Undertake DBS check at regular intervals
Able to recognise and manage anaphylaxis according to current UK guidelines
Able to perform cardio-pulmonary resuscitation according to current UK guidelines
Ability to obtain and document informed consent (either verbal or written)
Ensure infection control guidelines are maintained and contribute to infection control audits and policies
Ensure awareness of statutory and local protection procedures, including systems of referral
Support the Practice clinical governance agenda
Identify changes to clinical practice that are required to implement evidence-based guidelines
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Work within all NCPC policies and procedures
Aware of identification and reporting procedures related to professional standards
An understanding, acceptance and adherence to the need for strict confidentiality
To work only in accordance with the UKCC Code of Conduct and within the scope of professional practice
Administrative and Educational:
A commitments to maintain a high professional standard of nursing care and keep up to date with all aspects of nursing care relevant to post
Identify personal development and training needs in conjunction with the nurse manager
To participate in continuing education and maintain a contemporary level of professional knowledge and skills
Contribute to the assessment of service needs
Contribute a nursing perspective to the practice development plan
To attend staff meetings
Completion of regular mandatory and otherwise specified learning
Confidentiality:
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
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 procedures relating to confidentiality and the protection of personal and sensitive data
The Employee must adhere to all practice policies, which includes; Information Governance, Data Protection, Confidentiality, Caldecott and Safeguarding Policies.
Health & safety:
The post-holder will implement and lead on a full range of promotion and management their own and others health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):
Using personal security systems within the workplace according to practice guidelines
Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and ongoing correct usage by staff
Responsible for hand hygiene across the practice
Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate
Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
Safe management of sharps procedures including training, use, storage and disposal
Using appropriate 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
Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
Undertaking periodic infection control training
Routine management of own team / team areas, and maintenance of work space standards
Waste management including collection, handling, segregation, container management, storage and collection
Spillage control procedures, management and training
Decontamination control procedures, management and training, and equipment maintenance
Maintenance of sterile environments
Demonstrate due regard for safeguarding and promoting the welfare of children.
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with 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.
Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity
Support people who need assistance in exercising rights
Monitor and evaluate adherence to local chaperoning policies
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
Safeguarding of Children & Vulnerable Adults:
To adhere to the principals of effective safeguarding of children and vulnerable adults
Training / Personal/professional development:
The post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
To complete all mandatory training required to complete the job role including attendance of Practice protected learning time (PLT) sessions, complete Blue stream eLearning training and completion of practice HR policies, standards and working practices
Quality:
The post-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Contribution to the implementation of services:
The post-holder will:
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
Person Specification
Qualities/ Attributes Essential
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 Ability to self-direct/motivate, organise and prioritise own workload 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 Personable, hardworking, reliable and resourceful Get on well with people at all levels
Skills Essential
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 IT Skills Uses own initiative Independent and team work Negotiation and conflict management skills Ability to collect, analyse and interpret data and to use that information to promote good patient care
Desirable
Clinical Skills cervical cytology, immunisation and vaccination, ear care, minor surgery, travel health, BLS, Spirometry, childhood immunisations Experience of using Emis Web, ICE, INR Star, Blue Stream, Intradoc.
Knowledge and Experience Essential
RGN/RN Minimum 2 years post-registration 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 of own practice
Desirable
Ability to identify determinants on health in the local area Chronic disease diplomas in Asthma, COPD, Hypertension, Diabetes or vascular management Knowledge of public health issues in the local area Awareness of local national health policy Awareness of issues in the wider health economy Knowledge or experience in Audit participation and CQC Compliance Mentor/teaching qualification
Other Essential
IT skills
Desirable
Flexible to work at desired times including late evenings, weekends and bank holidays to cover a 7- day operation.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name James Street Group Practice
Address James Street
Workington
Cumbria
CA14 2DL
United Kingdom
Employer's website https://www.jamesstreet-workington.nhs.uk/ (Opens in a new tab)