TADCASTER MEDICAL CENTRE
Job Description: TREATMENT ROOM NURSE
Tadcaster Medical centre (TMC) is a busy general practice surgery, with a full range of medical and nursing
personnel, together with administrative staff, all working together to offer high quality and dedicated health
care.
EMPLOYEE:
Location of employment: The post holder will work within the practice, which offers excellent
parking throughout the working day, and access to local bus transport.
Working hours: This is a permanent post offering part time hours to suit the individual and the
practice. It is expected that the post holder will formally work 9 hours a week as clinical sessions,
such sessions will be mutual agreement and under review every 6months. It should be
acknowledge that cover may also be required for sickness/ holiday leave for team colleagues. In
addition to normal working hours, occasional Saturday mornings will be expected with prior
arrangement, usually for the winter season vaccination campaign.
Salary: dependant on experience, skills, development and aptitude. Specific details via Practice
Manager
Line Manager: Clinical matters will be dealt with by the Nurse Lead (NL), whilst administrative/
employment matters will be addressed to the Practice Manager (PM).
Holiday entitlement: The post holder will be offered 5 weeks pro rata plus public holidays. It is
important to give at least 4weeks notice of holiday’s requests, and should be arranged in
conjunction with colleagues.
Leave cannot be held over for the following year without prior permission from PM.
Sick Pay/sickness/maternity pay/pension: See PM for details.
Termination of employment: The post holder is expected to offer a minimum of 4weeks notice
when terminating employment within the first 2 years, and 8 weeks’ notice for longer employment.
If you work at the practice for more than 5 years special arrangements will need to be made with
the PM & NL.
Welfare: As recognition of the infection control principles within this role TMC actively encourages
all staff to complete Hepatitis B vaccination and continue to observe occupational awareness. All
clinical staff who work in ‘at risk’ areas should already have titre levels available: updates are
expected:
New Applicant: HepB tire last checked :

The practice has an active non-smoking policy in all parts of the building.

Accidental injury during working hours should be reported directly to your line manager and
entered in to the practice Accident Book. The injury should be assessed on site: first aid or
referral to local casualty as applicable.
Grievance Policy: see PM for details.
OUTLINE OF ROLE
The post holder should be aware that contemporaneous documentation is a mandatory
requirement for every encounter of a clinical nature. Ideally this should be a computer entry at the
time of the consultation. [In the event of no computer access a word document should be used to
store the information / or even hand written notes taken. This should be transposed to the
computer medical records as soon as possible – ideally within 24 hours of the encounter.]
The following offers a broad insight into the role, but should be seen as a working document –
flexible to reflect the skills and experience of the post holder.
The following offers a brief outline of the tasks and clinical expectations for the post:
Investigations/tasks
Clinical Tasks
ECG’s
Non-clinical tasks
Ensure machine
calibrated/serviced & sufficient
disposable supplies- lead tapes/
paper copies. Report any malfunction immediately.
To offer clinical support for
Health Technicians as required
Blood pressure &
Readings should be
First-line a manual
pulse measurements
actioned in line with
syphgmanometer should be
practice protocol.
used.
Ideal competency
Report any malfunctions or
clinical concerns.
Offer support to Health
technicians as required
BMI recordings
Ensure scales serviced and in
full working condition: report
any malfunction.
Urine testing
Task query GP if
Ensuring practice has sufficient
concerns arise
supplies of specimen pots.
Requesting ACR samples from
patient list for renal monitoring.
Document accordingly
Chaperone
Injection treatments:
ESSENTIAL
As requested by clinical staff.

e.g.
Vit B 12, zoladex,
methotrexate, depo-

provera contraception
the drug being
cases – if in doubt seek
administered: i.e
advice from GP.
Appropriate clinical data
recording of batch
Confirm patient
numbers. Expiry date
understands
and site used.

Clinical template for
approach and
contraception injection to
confirm consent for
be fully completed on
procedure
each occasion.
Confirm drug on
appropriately
stored/handled
before
administration.
Ensure patient fully
informed when to
return for
subsequent care.


subcutaneous
prescription and

Verbal consent
appropriate for most
reason or injection


technique used for
intramuscular /
testosterone
replacement,
Ensure correct
Seek further
advice from
medical clinician if
concerns arise.
Basic wound care
ESSENTIAL
Aseptic technique to be
Infection control policy and
used for assessment for
procedures especially hand
wounds
washing and personal PPE as
Use of T.I.M.E. and
applicable
photographic evidence for
serious wounds.
Use BNF and practice
Provision of script for supplies
formulary for dressing
of dressings appropriate for
needs.
healing.
Create treatment package
for other professionals to
use in treatment of
wound.
Ensure patient’s dignity
and privacy at all times.
Ensure any adverse
effects are clearly
documented and reported
as applicable.
Confirm treatment
planning/review needs
with the patient/ carer
Complex wound care
(DEPENDANT ON
As above with regular
EXPEREINCE)
attention to personal well-
As above:
monitoring demanding
Regular appointments
being/ nutrition/ ongoing
conditions where healing
Provision of supplies
could be compromised.
Review healing details at
Liaise with GP for referrals
least every 12 weeks and
and/or tissue viability services
referral to secondary care
as applicable
Irrigation of ear wax

Ideal competency
Knowledge of
Infection control guidance –
Anatomy &
for use of Propulse machines:
Physiology of ears

Ensure equipment
Single use items disposed of
handled
appropriately & full
appropriately and
cleaning/disinfection guidance
is good order prior
adhered to.
to use:

Ensure patient fully Details to be recorded within
understand
medical records.
procedure for
verbal consent – if
in doubt seek
advice.

Any adverse
effects to be
clearly recorded
and reported.
Doppler testing
Ideal competency
Knowledge of anatomy &
Cleaning/ infection
physiology relating to
control of scanner head
circulatory system.
to be adhered too
Patient to be
elevated/resting for at
least 20 minutes prior to
Computer
sampling.
documentation to be
Demonstrates sound &
completed.
safe understanding
how/when/where to apply
Doppler scanning for
pulse soundings.
In-house referral for
subsequent advice/
management as
applicable for each case.
Ensure patient fully
understands reason for
testing and the outcome
of the test.
Peak flow checks
As requested by clinical staff
Full knowledge of
Baseline: In-house training
Infection Control
booklet:
principles and guidance
Hand washing principles for
required for infection
clinical encounters
prevention.
Safe and appropriate disposal
of clinical waste – bags/ sharps
Minor surgery list:
Offers support to Lead
bins/ use of PPE.
Nurse as required to help
Curtain changes in consultation
comply with infection
rooms as advised.
control principles.
Cold chain principles
Prepare Treatment Room
As above:
in accordance with
2nd line
competency
IMPLANON FITTING
COIL FITTING AND
MINOR
OPERATIONS
guidance and clean/tidy
Provide support for patient/
and disinfect (if required)
doctor as required.
post minor surgery list.
Ensure computer entry fully
Ensure patient consent
completed including batch
forms and implants ready
numbers and expiry dates.
for session.
Ensure patients fully
Prepare minor surgical kit
understand what is
as required for procedure.
required/ expected post
procedure.
Safe and appropriate
disposal of single use
items in accordance with
sharps requirements.
Immunisations and
Administration
Vaccinations
vaccinations
of
in
line

Cold chain knowledge
essential
with UK Programme
Ideal competency

Abide by infection
Ensure safe infection
control principles for
handling at all times
prevention of infection:
Abide
e.g. hand washing etc.
by
Infection
Control Principles
Ensure
familiar

with
Safe disposal of
equipment & report any
vaccines being used
accidental injuries in line
and
with national guidance.
possible
side
effects

Provide
patients/carers
Appropriate
documentation of batch
with
numbers/ expiry date/
information relating to
site for administration on
each vaccine.
medical records & child
Obtain verbal consent
held records for parents.
from patient or
parents/guardian –
written consent from
mum is required if
child brought by
another family
member.
Clinical stock
Monitor all stock levels: orders
to be placed as required –
watching both quantity &quality
of products being bought into
surgery:

Rotation of stock items

Ensure stock available for
clinical staff and used
within expiry date
 if not
record numbers left and
destroy items after liaison
with NL:
 NOTE: a witness is
required for all
destruction of
waste/stock
Health Promotion
Participation in considering
activities
areas for Health Promotion as
part of team approach:
As indicate this is not an exhaustive list – as confidence grows and development occurs changes
will occur. There may be occasions when the post holder will be asked to undertake a task not
mentioned above: training should be provided to ensure patient safety at all times.
The post holder is expected to avail themselves of clinical supervision to ensure that they reflect
on their actions/ learning using recognised tools as part of their own scope of professional
development. TMC aims to ensure that supervision is available as requested and planned into
clinical sessions.