ST MARTIN’S GATE SURGERY TURNPIKE HOUSE MEDICAL CENTRE 37 NEWTOWN ROAD WORCESTER WR5 1EZ Job Description Registered General Nurse – Lead for Diabetes Hours - 30 Salary - Competitive Background and Information about the Practice The practice consistent s of 8 GP Partners, 4 Registered Nurses, 2 HCAs, and administrative teams which deliver medical care to over 11,000 patients in a purpose built surgery. The Practice is committed to medical and nursing training. Currently, we have 2 GP trainees, medical students from Birmingham University and nursing students from Worcester University. Our District Nursing team is based out of our building and are easily contactable. Health Visitors also have an office within our building. We use EMIS Web as our main system for patient encounters and Docman for document messaging. Main Purpose of the Job To provide high quality nursing services for our patients and be part of a team, committed to supporting each other and community team members in the delivery of patient care. The responsibilities of the role are outlined below and whilst comprehensive other roles and functions may be identified by the partners or practice manager and may be included in the job description if it is felt to be appropriate. Education and Training The practice is committed to personal and continued professional development for all team members. Training will be provided as appropriate. Professional Responsibilities: Maintain professional registration and ensure that confirmation of current and up to date status is held at the practice. Diabetes Care – Lead Nurse for Diabetes Working with GP and Nurse colleagues to help diagnose and monitor diabetic patients. Ensure all referrals for diabetic patients have been made: eg retinopathy, X-PERT education, podiatry where needed. Routine diabetic checks – BP, blood results (and ensuring action taken for high/abnormal results), ACR checks, foot checks, healthy diet and lifestyle advice, checking Blood Glucose monitor readings and demonstrating use to patients. Insulin Initiation and follow up. Re-call system is in place and co-ordinated by admin team member. Nursing team to liaise with admin team as needed for re-calls. General Nursing Skills and Responsibilities New patient screening – this includes: Taking and recording blood pressure, weight, heights and BMI Urinalysis recording Lifestyle and health promotion Peak flow measurement and recording Relevant history and social factors Vaccinations and injections – administration and recording Routine injections to include vitamin B`1, depo provera, prostap and zoladex Childhood vaccinations as per the childhood vaccination programme Travel vaccinations to include comprehensive travel advice Influenza vaccinations as part of the seasonal vaccination programme Shingles and pneumovax immunisations Dressing and wound management – to include Removal of sutures/clips Dressing wounds and leg ulcers Liaison and consultation with nurse colleagues, local wound care nurse specialist, and doctors where appropriate re: dressings, taking of swabs, need for antibiotics. Cervical cytology screening – to include Cervical smears Lifestyle advice Breast self examination Contraception and menopause advice Involvement with the practice nurse team to maintain and improve take up rates of the practice population Long term condition management – to include Monitoring long term conditions such as asthma, COPD, CHD as appropriate using the clinical system templates. Ear syringing Phlebotomy – using vacutainers, syringes Spirometry ECG INR using INR Star Near patient testing for BNP, D-Dimer and Troponin Domiciliary visits – to undertake domiciliary visits where need has been identified for example flu vaccinations, ECG’s, spirometry, INR.