Practice Nurse

Clinical practice Assess, plan, develop, implement, and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being. Implement and evaluate individual treatment plans for patients with known long-term conditions. Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that encourage patients to live healthily and apply principles of self-care. Deliver opportunistic health promotion using opportunities such as new-patient medicals. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side effects, and interactions. Support patients to adopt health promotion strategies that promote patients to live healthily, and encourage principles of self-care Assess and care for patients presenting with wounds and ulcers. Support and advise women requesting information relating to family planning needs Support and manage health needs of women presenting for cervical cytology consultations Implement and participate in vaccination and immunisation programmes for both adults and children. Advise, support and, where appropriate, administer vaccinations for patients travelling abroad Promote and deliver evidence-based care for patients presenting with aural conditions Assist senior practitioners in providing minor-surgery sessions. Be proactive to complete items for Quality and Outcomes Framework (QOF) or any replacement programme, and Enhanced services opportunistically. Communication Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment. Communicate with and support patients who are receiving ‘bad news’ Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating. Utilise communication skills to support patients to adhere to prescribed treatment regimens Anticipate barriers to communication and take action to improve communication Estimate and maintain effective communication with individuals and groups within the practice environment and with external stakeholders. Act as an advocate when representing the patients’ and colleagues’ viewpoints to others. Communicate appropriately via email and other means. Document consultations appropriately - using templates and read codes. Become one of the team and be involved in its desire to maintain a happy working environment and continue to move the practice through the changes required by the changing health environment. Delivering a quality service Recognise and work within own competence and professional code of conduct as regulated by the Nursing and Midwifery Council (NMC). Produce accurate, contemporaneous, and complete records of patient consultations, consistent with legislation, policies, and procedures. Prioritise, organise, and manage own workload in a manner that maintains and promotes quality. Deliver care according to the NSF and the National Institute for Health and Clinical Excellence (NICE) guidelines and evidence-based care. Assess effectiveness of care delivery through self and peer review, benchmarking, and formal evaluation. Participate in the maintenance of quality governance systems and processes across the organisation and its activities. Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. In partnership with other clinical teams, collaborate on improving the quality of health care, responding to local and national policies and initiatives as appropriate. Evaluate the patients’ response to health care provision and the effectiveness of care Support and participate in shared learning across the practice and wider organisation Participate in the management, review, and identification of learning needs from patient complaints, clinical incidents and near-miss events utilising a structured framework (eg root-cause analysis). Participate in the performance monitoring review of the team, providing feedback as appropriate. Understand and apply legal policy that supports the identification of vulnerable and abused children and adults, being aware of statutory child/vulnerable adult health procedure and local guidance. Work within policies relating to domestic violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate Keep up to date with changes in referral pathways and assessment criteria such as QOF and CQC or their successors. Be willing to cover extended hours or the alteration in practice opening hours as required. Personal and people development Take responsibility for own development, learning and performance including participating in clinical supervision and acting as a positive role model. Support the development of others to maximise potential. Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice. Understand own responsibilities and accountability in the delivery of GPN services to patients, ensuring that the needs of the patient are the priority. Participate in planning and implementing changes within the area of care and responsibility Work with other nurses and practice team to ensure sufficient staff of appropriate ability, quality and skill mix is available to meet the needs of patients. Contribute and participate in the development of local guidelines, protocols, and standards. Participate in the engagement of practice-based commissioning or similar initiatives Critically evaluate and review innovations and developments that are relevant to own practice. Keep up to date with new developments locally and nationally identifying those that will enhance the team’s work. Ensure awareness of sources of support and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate. Attend training courses as required for own or the team learning needs for the delivery of high-quality primary care service. At present this will include protected learning time events on Wednesday afternoons. Team working Understand own role and scope in the organisation and identify how this may develop over time. Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working. Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence of those taking on delegated duties eg Healthcare assistants. Ensure clear understanding and utilisation of referral mechanisms within the practice Accept delegation from colleagues both clinical and non-clinical, prioritise own workload and ensure effective time-management strategies are embedded in own practice. Work effectively with others to clearly define values, direction and policies impacting upon care delivery. Participate in team activities that create opportunities to improve patient care Participate in and support local projects as agreed with the practice management team. Nottinghamshire Healthcare NHS Foundation Trust #J-18808-Ljbffr NHS Jobs