Page 1 of 3 JOB DESCRIPTION PRACTICE NURSE Qualifications Registered (first level) Nurse, with at least six months to one year post registration experience. Training Tailored induction programme within/out of the practice to fulfil competency for the role. Accountability Professionally: to patients under the NMC (UKCC) Code of Conduct Managerially & Clinically: to the Nurse Manager. Hours of Work 35 hrs per wk. with flexibility to cover annual leave and sickness. MAIN RESPONSIBILITIES The nurse should be competent and confident to work alone following practice protocols, with supervision from a senior nurse CLINICAL NURSING PRACTICE Wound Management Perform wound care using aseptic technique. Undertake dressings including leg ulcers and compression bandaging. Undertake Doppler assessment Suture and clip removal. Assist with minor surgery. Screening and Health Promotion Undertake opportunistic screening – BP checks, height, weight, BMI urinalysis, smoking and alcohol status. Recognise patients’ readiness to change in supporting their attempts to change unhealthy behaviour. Provide healthy eating advice to individuals. Provide smoking cessation advice to individuals. Provide individual advice to patients about increasing activity or exercise. Offer advice on safe limits for alcohol consumption. Help to develop and maintain the Health Promotion material within the practice and develop a Health Promotion notice board in the waiting room. Refer to senior nurse/GP as appropriate. Perform ECGs as requested by GP or senior nurse Vaccinations and Immunisations Administer injections under an individualised prescription or Patient Group Direction Ensure safe storage, rotation and disposal of vaccines and drugs Page 2 of 3 Travel Health Offer a holistic approach to travel health including comprehensive advice for patients prior to travel including Vaccinations and medications Malaria prophylaxis and bite avoidance Safe sex Food hygiene Sun protection First aid and emergency medication Ear Care Undertake ear syringing Advise patients about safe ear care Hearing tests Venepuncture and Laboratory Samples Undertake opportunistic venepuncture, using sound infection control measures. Ensure all samples sent to laboratory are correctly labelled and secure for transport. Infection Control Apply infection control measures within the practice according to local and national guidelines. This includes: Universal hygiene precautions. The collection and handling of laboratory specimens. Segregation and disposal of waste materials. Collection and decontamination of instruments and clinical equipment. Dealing with blood and body fluid spillages. Support patients and colleagues in adopting sound infection control measures Emergency Management Is competent in anaphylaxis and resuscitation techniques Attends annual CPR update. Is competent in the use of nebuliser equipment Family Planning Advise patients on available methods of contraception and refer patients as appropriate. Perform interval health checks for patients using hormonal contraception. Administer follow up Depo Provera injections as per practice protocol making appropriate referrals as necessary Teach patients correct condom use. Advise patients on reducing risk of sexually transmitted diseases and refer patients appropriately. Women’s Health Advise patients on the national and local Cervical Cytology and mammography screening programmes Undertake a programme of cervical cytology sampling under supervision until competent Page 3 of 3 Audit a minimum of twenty consecutive smears each year to demonstrate adequate sampling rates Promote breast self-awareness and provide supporting literature. Take swabs for microscopy as directed. Give patients basic advice about peri-menopausal and menopausal symptoms and make appropriate referrals. Offer health promotion and lifestyle advice to patients. Advise on basic incontinence management and make appropriate referrals. Men’s Health Raise awareness and give basic advice on issues covering: Testicular self-examination. Incontinence and prostatic disease. Family Planning. Sexual health Make appropriate referrals Child Health Recognise the signs and symptoms of child abuse and refer to GP Understand the importance of recognition, observation, documentation and communication. Chronic Disease Management To run Chronic Disease Management clinics as per surgery protocols in CHD, Asthma, COPD, Warfarin Monitoring/Dosing, dependent on experience and qualifications Non- clinical duties Administration and audit work as required This job description is not exhaustive and can be amended depending on the changing needs of the practice.