Practice Nurse Team Leader inDriffield inDriffield PUBLISHED MON 18 NOV 2024

We are looking for a Practice Nurse with leadership skills to join our friendly, semi-rural practice on the edge of the beautiful Yorkshire Wolds.

If you are passionate about nursing, managing long term conditions as well as keeping your hand in with treatment room practice; whilst supporting a small team of nurses and HCA's this could be the position you have been looking for!

You would work autonomously but be supported by and synergistically work with the Practice Manager and the Partners on the day to day work as well as the longer term vision for healthcare.

The primary function of the role is to provide reviews for long term conditions such as diabetes, asthma, CHD to our patients, it is essential that you are qualified in these areas. There will be an element of treatment room consultations such as depo injections, cytology and immunisations.

The secondary element is to be the head of the nursing department, providing leadership, direction and mentoring to the team; and close liaison with with Practice Manager for effective operational elements and the Partners for clinical direction/support.

We offer Extended Access appointments on a Monday evening, and there is an expectation that you will be involved with this to ensure that the contracted hours are met; as well as taking part in the seasonal vaccination clinics on weekends and house visits for housebound and care-homes.

About us

MAJOR DUTIES/RESPONSIBILITIES:

Clinical Nursing Practice

The post holder will be a registered nurse, who acting within their professional boundaries, will provide high quality care for patients. They will provide leadership, mentorship and support to the nursing team. They will also support the Practice Manager and Partners in developing and delivering nursing services.

Acting within their competencies the role holder will:

Undertake treatment room duties (dressings, injections, SMEARS etc)

Undertake Long Term Condition Reviews and management (for example Asthma)

Undertake Immunisations and Vaccinations

Undertake Phlebotomy

Undertake audit and Quality Improvement work

Supervision and mentorship

The individual will work within the NMC Code of Conduct to agreed practice standards and protocols.

Act as head of department and line manager to the nursing team.

1. ASSESSMENT, SCREENING AND HEALTH EDUCATION

a) Provide professionally autonomous decisions for evidence-based nursing treatments to patients - in participation with general practitioners or independently - to agreed protocols.

b) Cover general treatment room responsibilities, including assistance with minor surgery.

c) Provide general and specific health screening to the practice patients (within agreed protocols, with referral to general practitioners as necessary).

d) Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Be competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained.

e) Administer and give advice to patients requiring travel immunisations according to Patient Group Directions.

f) Advise patients on general health care and minor ailments with referral to general practitioners as necessary.

g) Deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF, the requirements of the Universal offer and the standard PCN direct enhanced service).

h) Make appropriate referrals to other members of the primary, community and secondary care teams.

i) Promote health and wellbeing, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc

j) To work only in accordance with the UKCC Code of Conduct.

k) Where the post holder is an independent prescriber: to ensure safe, effective and appropriate medication as defined by current legislative framework.

l) Maintain accurate records according to NMC rules.

m) Ensure all data protection requirements are met when gathering, recording and storing patient data.

2. PATHOLOGICAL SPECIMENS AND INVESTIGATORY PROCEDURES

a. Undertake collection of pathological specimens including intravenous blood samples, swabs, smears etc.

b. Perform any investigatory procedures requested by the general practitioners, or nurse practitioner. In some circumstances instigate investigatory procedures for example blood glucose monitoring, using own discretion.

3. CHRONIC DISEASE MANAGEMENT/LONG TERM CONDITIONS

Diabetes Mellitus

This role requires completion of a suitable accredited course; i.e diploma or degree

a. Initiates the process of diagnosis on patients with suspected diabetes.

b. Manages patients newly diagnosed and ongoing diabetes using practice template protocols/NICE Guidance and local guidelines.

c. Undertakes annual review of patients understanding and ability to self manage.

d. Recognises areas of disease management that may be improved by altering medication and refers to GP as appropriate.

e. Refers to GP, dietician, chiropodist and diabetes and specialist nurses as necessary

f. Maintains a disease register.

g. Audits outcomes of care against standards and NSF for Diabetes and initiates change as necessary.

Respiratory Care

This requires accredited training; i.e. Diploma level

a. Manages newly diagnosed patients with asthma.

b. Maintains a disease register.

c. Works within agreed local/BTS guidelines and patient group directions to manage patients with asthma, aiding diagnosis, reviewing inhaler technique and advising on treatment changes.

Cardiovascular Disease

a. Develop and maintain practice register for secondary prevention of CHD.

b. Works with patients to set action plans for changes of lifestyle.

c. Works within agreed protocols and templates when managing risk factors to enable patients to manage own disease.

d. Provides psychological support by discussing interventions and treatments.

e. Recognises areas of disease management that may be improved by altering medication and refers to GP as appropriate.

4. Clinical Leadership and Development

a. Work closely with the Partners and Practice Manager to support the Practice strategy and forward view.

b. Provide effective cohesive Team Leadership to the Nursing and HCA team members, including development, advice and support.

c. Participate in clinical supervision both as supervisor and supervisee.

d. Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review.

e. To delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual).

f. Ensure awareness of responsibilities in relation to Clinical Governance, health & safety and infection control.

g. Maintain professional registration.

h. Work within the latest NMC Code of Professional Conduct.

i. Work collaboratively with colleagues both internally and externally, promoting effective communication, relationships and team working within the practice.

j. Lead on and ensure all appropriate practice policies are fully implemented and maintained.

k. Participate in audits and inspections as required.

l. Demonstrate due regard for the safeguarding of children and vulnerable adults.