Nurse PractitionerinEllesmereinEllesmerePUBLISHED TUE 29 OCT 2024

Churchmere Medical Group is a rural 21,000 patient practice in Ellesmere and Whitchurch, within easy commute of Chester, Wrexham, Crewe and Shrewsbury areas.

An exciting opportunity for a Nurse Practitioner has arisen to join our team, either full time or part time. We are looking for a flexible and reliable nurse with excellent interpersonal and clinical skills.

You will have previous experience of telephone triage and assessment of minor illness/injury. The ability to independently prescribe would be desirable but not essential.

Experience in chronic disease management as well as baby immunisations, cervical smears, dressings and injections is desirable however full training can be provided.

The successful applicant will work across all sites and collaboratively with our multidisciplinary team to deliver patient care. The successful candidate will be required to complete an enhanced DBS check.

Salary is negotiable and dependent on experience.

The post holder is a caring, committed and experienced prescribing nurse who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment, diagnostic skills and prescribing, for patients within the general practice.

The post holder will commit to demonstrating critical thinking in the safe clinical decision-making process. They will communicate and work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures

They will work collaboratively with the general practice team to meet the needs of the patients, supporting delivery of policy and procedures.

There is a requirement to see extra or emergency patients and undertake home visits.

About us

Job responsibilities:

Diagnosing and treating patients presenting with minor illness:

• Triage and treat patients wishing to see a health care professional using a variety of techniques to elicit and interpret the history of an event/illness, including past medical history and drug history in order to reach a clinical decision, provide appropriate care and/or make any necessary referrals to other members of the primary health care team.
• Disseminate test results to patients and counsel them accordingly.
• Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations.
• Advise patients on general health care and minor ailments with referral to other members of the primary and secondary health care team as necessary.
• Provide a minor injury service.

Management of Chronic Disease:

• Contribute to chronic disease management by assessing, planning, monitoring and reviewing progress. Assessments should include spirometry, foot examination, lifestyle screening, pulse oximetry etc.
• To support the clinical team in identifying and targeting patients for assessment and treatment.

Providing assessment, treatment, screening services and health education advice:

• Chronic Diseases including asthma, COPD and diabetes
• Health screening
• Minor injuries/illnesses
• HRT
• Contraception/Depo injections/Pill check
• Removal of IUCD / IUS
• HVS
• Pessary
• Routine immunisations and vaccinations
• Childhood immunisations
• Routine injections
• Zoladex implants
• Travel Advice/Travel f/u vaccine
• Dressings
• Removal of sutures / clips
• Breath Test
• First registration checks / health surveillance / general health advice
• Dietary advice
• Blood pressure checks
• Urinalysis
• Ear syringing
• ECG
• Phlebotomy
• Assisting with minor procedures in the treatment room
• Provide general and specific health screenings to the practice patients (within agreed protocols) with referral to other members of the primary and secondary health care team as necessary

Therapeutic Monitoring:

• Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice
• Checking compliance with and adherence to appropriate treatments using holistic patient centred approach.
• Use of appropriate teaching methods to enable patients to maximise health ie: inhaler techniques, blood/urine monitoring, lifestyle changes.
• Recognising abnormalities.