JOB TITLE: Practice Nurse-AMC Grade E/F
Job Description
JOB TITLE: Practice Nurse-AMC Grade E/F
REPORTING TO:Practice Manager
RESPONSIBLE TO: Practice Manager and GP Partners
Duties and responsibilities of the post:
Disease Management
Using agreed guidelines carrying out annual and interim management of patients with:-
- Diabetes
- COPD
- CKD
- Asthma
- Hypertension
- Ischemic Heart Disease
- CVA
Including health and lifestyle advice and patient education about their disease. Teaching self-management as necessary and referring to the GPs or other primary healthcare team members as appropriate
Health Checks
Using agreed guidelines carrying out Health Checks for:-
- Well Man
- Well Woman
- Teenagers
- Learning Disability Patients
- New Patients
- CVD Risk assessment/screening
Giving advice on health matters as appropriate, initiating changes in lifestyle and referring to other team members or outside agencies as is necessary
Management
- Contraception – advising on all aspects of contraception and giving repeat prescriptions/administering depot injections according to set guidelines. Teaching/advising about all methods of contraception
- Obesity – giving advice and support as appropriate, referring to structured educational programmes and weight management services
- Cervical screening Programme – taking of smears, completing all documentation, referral to GP as necessary
- Vaccination Programmes - organising and undertaking annual vaccination programmes according to national guidelines
- Travel Health – advice on all aspects of health abroad and giving any necessary injections or medications
- INR’s – monitoring of INR’s and dosing of warfarin using set guidelines after the completion of validated training, including home visits for housebound patients when required
Clinical Room Duties
- Phlebotomy
- ECGs
- Ear syringing/aural toilet and packing and necessary referrals
- Dressings/wound care
- Doppler recording and compression hosiery measuring and application
- Compression bandaging application
- Nebulizing
- Blood pressure recording
- Daily urine testing for samples requested by clinicians
- INR testing – Dosing to be carried out by members of the INR team if not INR trained
- Nearside D-Dimer testing
- Immunisations and Vaccinations under agreed PGD and PSD’s
- IM and SC injections
- AdministeringGonadorelininjections
- Swab taking
- Coil checks
- Suture and Clip removal
- Assisting with Minor Operations and General SurgeryOutpatientClinic
- Assisting with Coil and Implant Insertions and removals
- Cryotherapy
- Spirometry – Including Post Bronchodilator and reversibility testing
- Chaperoning
- Routine blood and urine sample testing following clinical requesting
- Referrals to nurse specialists seeking advice as necessary
Other Duties
- Reporting on lipids results from laboratory/calculating CVD risk using agreed protocol
- Development and updating of SOP’s relevant to the Practice Nurse role and team
Audit
- Carrying out audits as necessary and reviewing as appropriate
Health and Safety
- Responsible for all aspects of Health & Safety in the Clinical Room
Stock Control
- Maintaining stock and ordering as necessary
Equipment
- Checking all equipment on an agreed timetable. Recording all checks and ensuring equipment is serviced and maintained correctly
- Checking expiry dates on drugs (own stock) and emergency equipment
- Responsible for maintaining the cleanliness of clinical rooms
- Responsibility for changing and disposal of yellow and purple sharps boxes
IT
- Recording all consultations on the computer
- Use of computer protocols
- Appointment making
- E-mail and messaging responsibilities, responding to patientand other clinician’s enquires
Personal Development
- Maintenance of NMC registration – including 3 yearly revalidation
- Personal Indemnity insurance – membership of MDDUS
- Development and implementation of a Personal Development Record and Plan plus an annual appraisal
- Continuance of educational development including attending mandatory training
- Research as necessary
Teaching
- Teaching Student Nurses and Medical Students assigned to the Practice
- Liaising with tutors and ensuring students meet their Competencies
- Introducing GP Registrars to the role of the Practice Nurse and assisting their training as required
- Mentoring and induction of new members of the practice nurse team
Additional Duties
- Any other duties required from time to time in keeping with the post
SPECIAL REQUIREMENTS OF THE POST
- An understanding, acceptance and adherence to the need for strict confidentiality
- Excellent communication skills
- Flexibility with regard to working hours
- Basic IT skills
- Current NMC registration
- DBS clearance