Nurse Prescriber RGN
hace 6 horas
Farnham
We are seeking an experienced nurse prescriber with long term condition management - ideally in Diabetes management. This person will be responsible for the delivery of evidence-basednursing services, working as part of the practice multi-disciplinary team,delivering care within their scope of practice to the patientpopulation. Able to mentor and supervise student nurses and new-to-practice nurses and other healthcare professionals with the organisation. Working autonomously, the Nurse Prescriber will be responsible for a number of clinical areas such as public healthand screening programmes, including infection prevention and control, chronicdisease management, immunisations, health promotion and prevention, wellman/woman clinics and cervical screening, Furthermore, they embed populationhealth management approaches within general practice, targeting healthinequalities and improving access. The post-holder will be an integralpart of the general practice team, as well as supporting the wider practicenurse network and multi-disciplinary team. They are to participate in formaltraining events and to promote best practice in their area of expertise as wellas supporting the practice management team in the reviewing and delivery ofclinical policy and procedure. Consultwith patients and their families to undertake assessments of patient need Supportin the long-term condition management within the organisation, including beinginvolved with quality improvement and assurance initiatives. Prescribemedication in accordance with own scope of practice Teachand advise patients and their families on how to manage their condition Supportin the delivery of enhanced services and other service requirements Leadon public health campaigns (e.g., flu clinics) a.Support,mentor, and supervise new-to-practice nurses and other healthcare professionalswithin the organisation Providewound care (ulcer/Doppler, etc.) to patients Contributeto practice targets (QOF, etc.), complying with relevant guidance Crondall New Surgery is a part-dispensing GMS practice in the village of Crondall, between Fleet and Farnham on the Surrey Hampshire border. We are part of Fleet PCN which in turn is part of Frimley ICB. We have 6000 patients, the list size is growing steadily with local housing developments. We currently have partners and salaried GPs, practice nurses, HCA, phlebotomists, dispensers, first contact physio, mental health practitioner and a first class admin team. Home visiting is provided by an excellent paramedic practitioner home visiting service, employed by the local federation. We cover 4 local care homes and a supported living facility, with weekly GP visits to each establishment. Extended access commitment is currently one evening a week on a shared basis. There is a high quality local out of hours provider. We use EMIS web and the Ardens clinical support package. Our ethos is to offer first class patient care whilst maintaining a personal feel to the practice. We know our patients well and have historically low prescribing and referral patterns. We are a friendly and supportive practice. We strongly believe that a good work-life balance is key to a fulfilled team. We can support flexible working patterns and clinicians wishing to develop specialist skills or interests. The team share lunch on a weekly basis, and have regular meetings. Local educational opportunities are excellent. The following are the core responsibilitiesof the Nurse Prescriber in delivering health services: a.Support theInfection Prevention Control (IPC) lead and to work to the IPC Policy b.Consult with patients and their families to undertakeassessments of patient need c.Support in the long-term condition management within theorganisation, including being involved with quality improvement and assuranceinitiatives d.Support public health and screening programmes, includingimmunisations, vaccinations, and cervical screening and also to provideopportunistic health promotion advice e.Prescribe medication in accordance with own scope ofpractice f.Embed population health management approaches withingeneral practice, targeting health inequalities and improving access g.As required, provideroutine nursing care to patients in accordance with clinical based evidence,NICE and the NSF h.Support, mentor, and supervise new-to-practice nurses andother healthcare professionals within the organisation i.Be an integral part of the general practice team as wellas supporting the wider practice nurse network and multi-disciplinary team j.Teach and advise patients and their families on how tomanage their condition k.Participate in clinical audits and research projects andimplements changes as required, including supporting with the development,and updating of practice protocols/guidelines and procedures locally l.Work within national and local protocols where theseexist m.Recognise the boundaries of their practice and know whenand to whom patients should be referred n.Support in the delivery of enhanced services and otherservice requirements o.Be aware of duties and responsibilities regarding currentlegislation and adhere to practice policies and procedures on SafeguardingAdults and Safeguarding Children p.Participate in the management of patient complaints whenrequested to do so and participate in the identification of any necessarylearning brought about through incidents and near-miss events q.Undertake all mandatory training and induction programmes r.Contribute to and embrace the spectrum of clinicalgovernance Support the practice team with the reviewing andimplementation of practice policies and protocols, ensuring conformance toextant legislation t.Attend a formal appraisal with their manager at leastevery 12 months. Once a performance/training objective has been set, progresswill be reviewed on a regular basis so that new objectives can be agreed u.Contribute to public health campaigns (e.g., flu clinics) w.Maintain a clean, tidy, effective working area at alltimes x.Contribute to practice targets (QOF, etc.), complyingwith relevant guidance y.Maintain accurate clinical records in conjunction withextant legislation ensuring that SNOMED CT codes are used effectivelyz.Maintain chronic disease registers and implement an effectivecall/recall system aa.Chaperone patients where necessary bb.Support the team in dealing with clinical emergencies cc.Liaise with external services/agencies to ensure thepatient is supported appropriately (vulnerable patients, etc.) Theremay be, on occasion, a requirement to carry out other tasks, this will bedependent upon factors such as workload and staffing levels In addition to the primary responsibilities,the Nurse Prescriber has the following wider responsibilities: a. Develop, review andimplement nursing protocols in conjunction with the partners b. Support all members ofthe nursing team, providing guidance when necessary, conducting appraisals andtraining needs analyses as required c. Participate in localinitiatives to enhance service delivery and patient care d. Support and participatein shared learning in order to improve patient care e. Coordinate the nursingteam rota, ensuring sufficient staff are available to meet patient needs f. Support with theplanning and implementation of changes within the nursing team, enhancing theprovision of services to patients • Effective time management (planning and organising), • Ability to follow legal, ethical and professional policies/local policies/procedures and codes of conduct, • Understand the requirement for PGDs and associated policy, • Ability to use own initiative, discretion, and sensitivity, • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity, • Ability to identify risk and assess/manage risk when working with individuals, • Ability to work as a team member and autonomously, • Good interpersonal and organisational skills, • Sensitive and empathetic in distressing situations, • Commitment to ongoing professional development, • Clear, polite telephone manner, • Demonstrate personal accountability, emotional resilience and work well under pressure, • Knowledge of IT systems including the ability to use word processing skills, emails and the internet, • Broad knowledge of general practice and experience of working as a Practice or Community Nurse, • Experience with chronic disease management, • Experience of working autonomously, • Experience of infection prevention and control measures, • Experience of managing elderly and housebound patients, • Experience of quality initiatives, i.e., benchmarking, • An appreciation of the NHS landscape including the relationship between individual organisations, PCNs and the commissioners, • Registered Nurse (Nursing and Midwifery Council), • Has demonstrable experience in long-term conditions management and quality improvement, • Has evidence of working at the relevant level of practice as described in the Primary Care and General Practice Nursing Career and Core Capabilities Framework, • Long-term condition management in Diabetes/Respiratory areas, • Mentor or teaching qualification, • Family planning qualification, • Experience of Practice Nurse skills including wound care, ECG, venepuncture, immunisations, new patient medicals and womans health (cervical cytology, contraception etc.), • Request pathology tests and process the results, advising patients accordingly, • Understanding of the importance of evidence-based practice, • Ability to promote best practice regarding nursing matters, • Ability to work within own scope of practice and understand when to refer to GPs, • Good clinical system IT knowledge and an ability to record accurate clinical notes, • Ability to communicate complex and sensitive information effectively with people by telephone, email and face to face, • Understanding of safeguarding adults and children, • Understanding and knowledge of healthcare provision in GP surgeries, QOF and enhanced service, • Effectively able to communicate and understand the needs of the patient, • Broad knowledge of clinical governance, • Knowledge of public health issues in the local area, • Awareness of issues within the wider health arena and knowledge of health promotion strategies, • Knowledge of national standards that inform general practice (NSF NICE guidelines), • Occupational Health clearance, • Meet the requirements and produce evidence for professional revalidation, • Evidence of CPD commensurate with the role, • Access to own transport and ability to travel across the locality, • Flexibility to work outside core office hours 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. Full-time,Flexible working,Compressed hours #J-18808-Ljbffr
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