Saltburn-by-the-Sea
The following are the core responsibilities of the Practice Nurse. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels: • a. To support the Infection Prevention Control (IPC) lead and to work to the IPC Policy supporting the implementation of audits, training, support and evidence of compliance to the practice manager, • b. To support the production of the IPC annual statement in conjunction with the Infection Control Lead., • c. To develop, implement and embed an effective care management programme for the frail and housebound patients registered at the practice, • d. To assess the needs of patients ensuring the provision of healthcare is appropriate, incorporating evidence-based practice, • e. To develop, implement and embed health promotion and wellbeing programmes, • f. To undertake cervical cytology, and manage call and recall of patients, • g. To implement contraception and sexual health services, • h. To implement vaccination programmes for adults and children, • i. Managing minor ailments and injuries, • j. To implement and evaluate individual treatment plans for chronic disease patients that promote health and wellbeing, • k. To identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to patients health, • l. As required, to provide routine nursing care to patients in accordance with clinical based evidence, NICE and the NSF, • m. As required, to manage chronic conditions, • n. To prescribe medication for patients in accordance with PGDs and own scope of practice, • o. To review patient medications to enhance compliance, • p. To provide guidance to patients in the use of prescribed and over-the-counter medications regarding side effects and dosages, • q. To co-ordinate the provision of travel medicine services, • r. To request pathology services and process pathology results as required, • s. To oversee the provision of chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required, • t. To maintain accurate clinical records in conjunction with extant legislation, • u. To ensure read codes are used effectively by all members of the nursing team, • v. To ensure the appropriate maintenance and use of chronic disease registers, • w. To develop, implement, embed and participate in well woman clinics, • x. To develop, implement, embed and participate in well man clinics, • y. To ensure compliance with the practice chaperone policy, • z. To assist GPs with minor surgery when required, • aa. To prioritise health issues and intervene appropriately, • bb. To support the team in dealing with clinical emergencies, • cc. To recognise, assess and refer patients presenting with mental health needs, • dd. An understanding of the Quality and Outcomes Framework (QOF) and other enhanced services, • ee. To support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice), • ff. To liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.), • gg. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual), • hh. To support the clinical team with all safeguarding matters, in accordance with local and national policies, • ii. To understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately, • jj. To deliver opportunistic health promotion where appropriate In addition to the primary responsibilities, the Practice Nurse may be requested to: • a. Develop and review audit protocols and process for the practice, effectively utilising the audit cycle, • b. Develop, review and implement nursing protocols in conjunction with the partners, • c. Support all members of the nursing team, providing guidance when necessary, conducting appraisals and training needs analyses as required, • d. Participate in local initiatives to enhance service delivery and patient care, • e. Support and participate in shared learning within the practice in order to improve patient care, • f. Continually review clinical practices, responding to national policies and initiatives where appropriate, • g. Participate in the review of significant and near-miss events applying a structured approach, i.e., root cause analysis (RCA), • h. Coordinate the nursing team rota, ensuring sufficient staff are available to meet patient needs, • i. Lead the planning and implementation of changes within the nursing team, enhancing the provision of services to patients, • j. Support the practice team with the reviewing and implementation of practice policies and protocols, ensuring conformance to extant legislation #J-18808-Ljbffr