Practice Nurse (Chesser Surgery) inCarshalton inCarshalton PUBLISHED THU 19 SEP 2024

We are looking for a Practice Nurse to compliment and work alongside out General Practice team. . You will work as part of an existing nursing team . The successful candidate must be able to work independently, and work as part of a team to ensure high quality patient care is delivered.

• Immunisations - child and routine
• Asthma & Diabetes care
• Wound care
• Health promotion and lifestyle advice.
• Women's health - smears, sexual health, HRT and contraception reviews.

About us

Clinical practice

• Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being
• Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition as appropriate
• Work with other health care professionals to diagnose, monitor, manage and treat long-term conditions, including non-drug-based treatment methods using a management plan, and in line with national and local policies and practice needs
• Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
• Work with patients in order to support adherence to prescribed treatments
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
• 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 promote patients to live healthily, and apply principles of self-care
• Support and manage health needs of women presenting for family planning and cervical cytology consultations
• Recognise, assess and refer patients presenting with mental health needs in accordance with the NSF for Mental Health
• Implement and participate in vaccination and immunisation programmes for both adults and children
• Advise, support and administer vaccinations where appropriate for patients travelling abroad
• Promote and deliver evidence-based care for patients presenting with aural conditions
• Meet the needs of patients presenting for opportunistic wound care
• Other Practice Nurse/Nurse Practitioner duties as required by the Practice Communication
• Demonstrate sensitive communication styles to ensure patients are fully informed and consent to treatment

• Communicate with and support patients 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
• 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 patients and colleagues
• Delivering a quality service
• Participate in achieving targets for the delivery quality outcome framework and enhanced services

• Assist in carrying out audits for various clinical areas as required by the practice
• Recognise and work within own competence and professional code of conduct as regulated by the NMC
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality
• Deliver care according to NSF, 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 practice
• Utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required
• Collaborate on improving the quality of health care in partnership with other clinical teams, 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 and review of patient complaints, and identify learning from clinical incidents and near-miss events using a structured framework (eg root-cause analysis)
• Assess the impact of policy implementation on care delivery
• 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 regarding family violence, vulnerable adults, substance abuse and addictive behaviour, and refer as appropriate

Leadership personal and people management & 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 in order to maximise potential
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
• Encourage others to make realistic self-assessment of their application of knowledge and skills, challenging any complacency and actions that are not in the interest of the public and/or users of services
• Act as a clinical leader 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
• Contribute and participate in the development of local guidelines, protocols and standards
• Participate in the planning and engagement of GP Clinical Commissioning or similar initiatives
• Ensure awareness of sources of support and guidance (eg PALS), and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate
• Carry out annual appraisals and personal development plan for the Nursing Team
• Organise regular team meetings
• Organise the team rota, ensuring adequate nursing covers
• Manage team holidays and absenteeism

Team working

• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

PLEASE NOTE:The NHS is constantly evolving and general practices are encouraged to take on addition duties to facilitate high quality of service to patients at all times. It is important that all members of staff are prepared to take on additional duties or relinquish existing duties as required in order to maintain efficient running of the practice. The Partners reserve the right to redistribute duties and functions amongst the members of staff from time to time, and requests for such changes not to be unreasonably refused.