The General Practice Bank

General Practice Nurse

 

Role Summary:

  • To be responsible for the delivery of practice nursing services, working as part of the practice multidisciplinary team, delivering care within their scope of practice to the entitled patient population.
  • The practice nurse will be responsible for a number of clinical areas such as health promotion, chronic disease management, health prevention, well women and well man clinics, as well as supporting the management team in the reviewing of clinical policy and procedure.

 

Primary Responsibilities:

  • Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patient’s health
  • Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF
  • Provide vaccination and travel medicine services
  • Provide wound care (ulcer /Doppler etc.) to patients
  • Request pathology services as necessary
  • Process pathology results as required
  • Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required
  • Maintain accurate clinical records in conjunction with extant legislation
  • Ensure read codes are used effectively
  • Maintain chronic disease registers
  • Develop, implement, and embed well woman clinics
  • Develop, implement, and embed well man clinics
  • Implement vaccination programmes for adults and children
  • Prioritise health issues and intervene appropriately
  • Recognise, assess, and refer patients presenting with mental health needs
  • Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice)
  • Support the clinical team with all safeguarding matters, in accordance with local and national policies
  • Deliver opportunistic health promotion where appropriate
  • Maintain baby immunisation results logs
  • Maintain smears results logs
  • Manage emergency drug kit

 

Secondary Responsibilities:

  • Develop, implement, and embed health promotion and well-being programmes
  • Implement and evaluate individual treatment plans for chronic disease patients
  • Assist GPs with minor surgery when required
  • Chaperone patients where necessary
  • Support the team in dealing with clinical emergencies
  • Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.)
  • Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual)
  • Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately
  • Act as the audit lead, effectively utilising the audit cycle
  • Monitor and ensure the safe storage, rotation, and disposal of medicines
  • Support junior members of the nursing team, providing guidance when necessary
  • Participate in local initiatives to enhance service delivery and patient care
  • Support and participate in shared learning within the practice
  • Continually review clinical practices, responding to national policies and initiatives where appropriate
  • Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA)

 

Role Specification:

Qualifications

Essential

Desirable

Nursing degree or equivalent experience

 

Registered Nurse (NMC)

 

Evidence of immunisation training and assessment of competence in last 2 years

 

Post graduate diploma or degree (Primary Care)

 

NMC’s 'Academic Assessors', 'Practice Supervisors', and 'Practice Assessors accreditations

 

Experience

Essential

Desirable

6 months’ relevant experience working in a primary care environment in the last 2 years

 

Experience of chronic disease management

 

Clinical Knowledge & Skills

Essential

Desirable

Immunisations (flu, routine, childhood, B12, travel)

 

Wound Care / Treatment of small injuries / Removal of sutures & staples

 

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

 

Dressings

 

Diabetes review

 

Hypertension

 

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

 

Travel medicine

 

Mental Health

 

ECGs

 

Venepuncture

 

New patient medicals

 

Chaperone procedure

 

Requesting pathology tests and processing the results, advising patients accordingly

 

Asthma

 

Spirometry

 

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

 

Understands the requirement for PGDs and associated policy

 

General Skills

Essential

Desirable

Excellent communication skills (written and oral)

 

Strong IT skills

 

Clear, polite telephone manner

 

Competent in the use of Office and Outlook

 

Competent in the use of patient record management systems: EMIS / SystmOne

 

Competent in Document Management systems: Docman

 

Competent in other portals: Open Exeter, Coordinate my Care

 

Effective time management (Planning & Organising)

 

Ability to work as a team member and autonomously

 

Good interpersonal skills

 

Ability to follow clinical policy and procedure

 

Experience with audit and able to lead audit programmes

 

Experience with clinical risk management

 

Leadership and management skills, as part of a general practice nursing team with delegated accountability and responsibility for patient care

 

Evidence, research and development - has an enquiring approach to practice to ensure best quality care is offered within any constraints of the service

 

Personal Qualities

Essential

Desirable

Polite and confident

 

Flexible and cooperative

 

Motivated, forward thinker

 

High levels of integrity and loyalty

 

Sensitive and empathetic in distressing situations

 

Ability to work under pressure / in stressful situations

 

Able to communicate and understand the needs of the patient

 

Commitment to ongoing professional development

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Effectively utilises resources

 

Punctual and committed to supporting the team effort

 

 

This job description outlines the roles, duties, and responsibilities of the post. It is not intended to detail all specific tasks.