GP Practice Nurse

PRACTICE NURSE (35 – 37.5 hrs pw) wages negotiable by

ORGANISATIONAL ARRANGEMENTS Responsible to

General Practitioners,

Practice Manager Accountable to

Professionally - Patients under NMC

Code of conduct Supervision by

General Practitioners, Practice Manager,

Nurse Practitioner JOB PURPOSE

The post holder is responsible for the delivery of safe and effective nursing care to the whole practice population, being accountable for nursing service delivery. To work with the practice team and GP’s to deliver the practice priorities. The focus of the role is the delivery of evidence-based practice for patients and the provision of preventative health care to the practice population. The nurse is responsible for the care delivered, demonstrating skills in clinical decision-making. The post holder will work collaboratively within the general practice team to meet the needs of patients, support the delivery of policy and procedures, and provide nurse leadership and direction as required. The role is held by one who is a selfdirected practitioner, highly motivated, flexible, enthusiastic and works willingly as a team member and also able to diversify across boundaries when required. SCOPE • To deliver a high standard of patient care as a practice nurse in general practice, using clinical skills and a broad and in-depth theoretical knowledge obtained through specialise education, experience, courses and updates. • To assess plan and implement treatment programmes that promote health • To participate in the nursing team and ensure the highest standards of care • To support other nurses in developing and maintaining clinical skills • To manage own workload in responding to patient need and ensuring patient choice and ease of access to services. KNOWLEDGE REQUIRED • Awareness of accountability of own role in nurse led service • Health promotion strategies • Local and national health policy • Clinical governance issues in primary care • Patient group directions and associated policy SKILLS REQUIRED • General practice nurse duties • Ability to work as a part of a professional team • Communication skills both written and verbal • Negotiation and conflict management skills • Change management skills and ability to support patients to change lifestyle • Motivation, enthusiasm and flexibility • Computer and IT skills • Use of audit information QUALIFICATIONS REQUIRED • Registered first level nurse • Skills required for general practice nursing, including cervical cytology • Childhood immunisation, travel vaccinations PRIMARY DUTIES AND AREAS OF RESPONSIBILITY CLINICAL

ROLE The post holder will

• Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care and support with an emphasis on prevention and self-care • To diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a patient management plan • Prioritise health problems and be able to initiate effective emergency care • Promote health and wellbeing through the use of health promotion, health education, screening and therapeutic communication skills • Refer patients to other services/agencies as appropriate • Work with medical, nursing and health care assistant colleagues to ensure that National Service Frameworks are being delivered • Work as part of multidisciplinary team within the practice and NCN/Local Health Board to promote integrated and seamless pathways of care • Provide safe, evidence based, cost effective, individualised patient care • Support and manage health needs of women presenting for family planning and cervical cytology consultations after appropriate training • Accurately perform specialist clinical skills e.g. administration of subcutaneous and intramuscular drugs, wound care, catheterisation • Implement and participate in vaccination and immunisation programmes for both adults and children • Advise and administer vaccinations for patients travelling abroad • Contribute to practice achieving its QAIF targets to sustain high standards of patient care and service delivery • Understand and apply legal issues that support the identification of vulnerable and abused adults and to be aware of local procedures and policies • Use a structured framework to manage and review patient’s complaints and identify learning from critical incidents • Participate in and make use of audit information relating to clinic results, QAIF points and patient questionnaires COMMUNICATION AND TEAM

WORKING The post holder will

• Utilise and demonstrate sensitive communication styles, ensuring patients are fully informed and consent to treatment • Communicate and support families dealing with bad news, terminal illness and distressing situations • Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome barriers such as different levels of understanding, cultural background and preferred ways of communicating. • Utilise sources of support and guidance e.g. Patient Information leaflets and provide information in an acceptable form • Record accurate and complete records of patient consultation, consistent with legislation, policy and procedures • Use accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit process • Act as an advocate when representing patients and colleagues • Participate in practice team meetings • Maintain effective communication within the practice environment and with external stakeholders TEACHING MENTORING AND DEVELOPMENT

ROLE The post holder will

• Promote a learning environment for patients, nurses and other health professionals • Participate in shared learning across the practice and wider organisation • Disseminate learning and information gained to other team members in order to share good practice • Provide an educational role to patients, carers and families • Assess and take responsibility for own development and performance, including participating in clinical supervision and acting as a positive role model • Maintain professional registration, working within own competence and within the NMC Code of Professional Conduct • Use knowledge gained from Intranet, Internet and NHS resources

LEADERSHIP The post holder will

• Develop strategies for sharing knowledge with patients and encourage self-care where appropriate • Create an environment where patients are empowered and enabled to make informed decisions about their choice of care • Support the development of others in order to maximise potential • Delegate effectively to junior clinical staff • Supervise junior staff in their knowledge and skills development