Practice Nurse jobs in Hertfordshire

Reporting to: Head of Practice Nursing

Salary: £22.00 per hour plus monthly bolt on of £200 for Lead role

Job summary

The post holder is responsible for the delivery of practice nursing services care to the practice population. Supported by senior clinicians within the practice, they will deliver care within the boundaries of their role, focusing upon supporting patients to be healthy, monitoring of long-term conditions, health prevention and screening activities. They will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing nurse leadership as required.

Key responsibilities: 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 a known long-term condition
• 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 uncomplicated wounds
• Support and advise women requesting information relating to family planning needs
• Support and manage health needs of women presenting for cervical cytology consultations
• Recognise, assess and refer patients presenting with mental health needs in accordance with the National Framework (NSF) for Mental Health
• 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
• Support health care assistants in the delivery of minor surgery sessions which are provided by senior practitioners.

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 external stakeholders
• Act as an advocate when representing the patients’ and colleagues’ viewpoints to others

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 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 the NSF and the National Institute for 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 identify learning 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

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
• Ensure clear understanding and utilisation of referral mechanisms within the practice
• Accept delegation from other nurses, 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

Management of risk

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines
• Ensure safe storage, rotation and disposal of vaccines and drugs is undertaken. Where appropriate, oversee the monitoring, stock control and documentation of controlled drug usage according to legal requirements
• Undertake mandatory and statutory training
• Apply infection control measures within the practice according to local and national guidelines
• Apply policies that reduce environmental health risks, are culturally sensitive and increase access to health care for all
• Participate in the local implementation strategies that are aligned to the values and culture of general practice

Utilising information

• Use technology as an aid to management in planning, implementation and monitoring, presenting and communicating information
• Review and process data using accurate Read codes about patients in order to ensure easy and accurate retrieval for monitoring and audit processes
• Manage information searches using the internet and local library databases, for example, the retrieval of relevant information for patients on their condition
• Understand own and other’s responsibility to the individual organisation regarding the Freedom of Information Act
• Collate, analyse and present clinical data and information to the team using appropriate charts and/or graphs to enhance care

Learning and development

• Act as mentor to students, assessing competence against set standards as requested and if appropriately qualified
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments
• Assess own learning needs and undertake learning as appropriate
• Make effective use of learning opportunities within and outside the workplace, evaluating their effectiveness and feeding back relevant information
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

Equality and diversity

• Identify patterns of discrimination, take action to overcome this, and promote diversity and quality of opportunity
• Enable others to promote equality and diversity in a non-discriminatory culture
• Support people who need assistance in exercising their rights
• Monitor and evaluate adherence to local chaperoning policies
• Act as a role model in good practice relating to equality and diversity
• Accept the rights of individuals to choose their care providers, participate in care and refuse care. Assist patients from marginalised groups to access quality care

JOB DESCRIPTION – PRACTICE NURSE SITE LEAD

This role is in addition to the practice nurse role.

The role has been developed in response to the growing demands of Granta and as a platform to increase the nurse representation and credibility within the organisation.

JOB SUMMARY

To assist the Practice Nurse Manager (PNM) to deliver safe, and high-quality primary care nursing services to the practice population.

ESSENTIAL CRITERIA

· The post holder must be currently working or be prepared to work at the specific site for at least 6 sessions. (i.e. 1 day = 2 sessions)

· To cross site work as required.

· To work always with the best interests of all Granta patients irrespective of their named site.

· To understand and support the vision of Granta.

· Have a working knowledge of infection control and to be able to oversee and implement infection control policies and procedures as per the Granta Infection Control policy.

· Have an understanding of stock control and ordering, including dressing orders and oversee the delegation to other staff as appropriate.

QUALITY ASSURANCE/SERVICE SUPPORT

· To oversee workforce skill mix for the site the post holder is leading on. Anticipate skill mix shortfalls at times of unexpected absence. To alert the PNM if unable to resolve shortfall and inform of any changes made.

· To assist with recruitment of nursing/phlebotomy workforce

· To assist PNM in updating and improving standards of nursing documentation and information.

· Co-ordinate and chair site specific nursing meetings and report back to the quarterly lead nurse meeting either in person or in writing.

· Oversee site specific clinical supervision of existing staff.

· Oversee induction and probation of new staff.

· Carry out appraisals for the nurse team including phlebotomy/HCAs/assistant practitioners at own site.

· Oversee stock control and ordering for own site.

· Liaise with the other site leads to ensure rotation of stock to allow use before expiry and reduce overall amount of stock held at any one site.

HEALTH & SAFETY/INFECTION CONTROL

· Assist PNM to identify and address risks in work activities

· Work with the Infection Control Lead to ensure own site is compliant with infection control policies.

· Oversee site specific hand hygiene audits

· Report back infection control issues to overall IC lead at quarterly meetings or sooner if urgent

· Oversee room stocking and room standardisation at own site

· Work closely with site imms lead to ensure all fridges are checked daily as per SOP

· To liaise with other site leads to allow adequate and in-date vaccinations and rotate around sites as necessary

· Ensure site has adequate nursing and medical cover for flu vaccination session. Report to PNM in timely manner if any shortfalls.

PROFESSIONAL DEVELOPMENT OF NURSING TEAM

· Identify and report to PNM of skill deficits either current or potential shortfalls

· Support the wider nursing team with their career portfolio

· Participate in clinical supervision and act as a positive role model

· Ensure the nursing team at own site are following local guidelines, protocols and standards

TEAM WORKING

· Work closely with PNM to ensure that the nursing team are supported and to develop new ways of working.

· Be active member of the flu working group and assist in the delivery of the flu vaccination programme.

Granta Medical Practices is committed to safer recruitment and safeguarding the welfare of children and vulnerable adults. We expect all staff to share this commitment. All appointments are subject to rigorous pre-employment checks, including verification of identity, right to work in the UK, employment history, references, and a Disclosure and Barring Service (DBS) check where appropriate.

Job Type: Full-time

Pay: £22.00 per hour

Expected hours: 37.5 per week

Benefits:

• Company pension
• Sick pay

Licence/Certification:

• NMC (required)

Work Location: In person