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