Ealing Park Health Centre Job title: Practice Nurse Reports to: GP Partner and Nurse Practitioner Hours: 20 hours per week over 5 days Salary: Band 6 equivalent with NHS Pension Overview: Ealing Park Health Centre is a young, dynamic, forward thinking and developing practice of 9,250 patients in a socially and culturally diverse area of Ealing. As well as offering the full range of standard services, we are growing the range of enhanced services delivered. We are a teaching practice and enjoy a lively and engaging learning environment in which all members of the practice are encouraged to participate. We are fully involved in shaping our role in the local health network and more widely at commissioning consortium level and we strive to be able to continue to develop the quality of care for our patients in the current changing landscape of the NHS. We have an opportunity to establish a first class practice nurse team of a nurse practitioner, a part-time nurse and a healthcare assistant to fully integrate into the existing clinical team of 4 partners and 2 salaried doctors. Job summary: The successful candidate will be a team player with excellent communication skills and will: o take responsibility for delivering primary nursing care including aspects of chronic disease management involving monitoring and patient education to promote self management. o take responsibility for delivering screening and public health programmes associated with primary care. o contribute to the clinical management in terms of the organisation of the clinical work with the clinical team. o take initiative in developing and delivering new services as opportunities arise in line with surgery vision and need. o participate in the clinical meetings including leading the learning on occasion. o support the training of F2 doctors. o liaise with outside agencies such as health, social and voluntary agencies, and other surgeries in our health network and participate in the local nurse forum Practice Nurse JD Page 1 of 5 January 2013 Main responsibilities: Clinical Good quality Practice Nurse skills including immunisations, travel vaccinations, wound and ulcer care, injections, phlebotomy/ paediatric phlebotomy, cervical smears, obtaining high vaginal swab taking, ear syringing, contraceptive care, management of clinical emergencies within the surgery. Chronic Disease Management for diabetes, COPD, asthma, essential hypertension, heart disease and mental health following agreed protocols to promote patient self management. This will include patient education and monitoring. ECGs and 24hour ambulatory BP monitoring INR monitoring using INR STAR Cryotherapy and assistance with minor surgery procedures LESs and DESs as appropriate Involvement in the Integrated Care Pilot- completing care plans for identified high risk cases Maintaining the emergency drugs and equipment QOF Audits Public health campaigns within primary care Good communications with other team members when clinical findings on routine examination indicate possible action/follow up. Non Clinical Accurate and timely record keeping Good time keeping Clinical stock management Involvement in the meeting schedule within the practice Actively participating in the clinical management of the practice, liaising with the management team (partners and practice manager) as required Manage own personal development program Attendance at the Ealing Nurse Forum Attendance at the Health Network and CCG meetings as required Confidentiality: Patients trust us with sensitive information in relation to their health and other matters. They do so in the knowledge that they have a right to expect that staff will respect their privacy and act appropriately. In carrying out the duties outlined within this Job Description, the post holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information is to be regarded as strictly confidential. Practice Nurse JD Page 2 of 5 January 2013 Information about patients, carers, colleagues or other health workers, or the business of the practice, may only be divulged to authorised people in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health and Safety: The post holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health and Safety Policy, to include: Using personal security systems within the workplace according to practice guidelines. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Making effective use of training to update knowledge and skills. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards. Reporting potential risks identified. Equality and Diversity: The post holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner which is welcoming to and of the individual, is nonjudgmental and respects their circumstances, feelings, priorities and rights. Infection Control Infection control is everyone’s responsibility. The post holder will adhere to and promote within the team the practice’s Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times, thereby reduce the burden of healthcare associated infections including MRSA. In particular all staff should have the following key responsibilities: Staff must wash their hands or use alcohol hand rub before commencing clinic and between each patient contact. Staff have a duty to attend infection control training. Post holder will take lead in screening surgery staff should take lead in screening surgery staff should an infection be detected or reported within the clinical team. Commitment to care The post holder will be expected to ensure that patients’ needs, experience and safety comes first and to treat patients, carers, family members and colleagues with dignity and respect. Practice Nurse JD Page 3 of 5 January 2013 Ealing Park Health Centre Job title: Practice Nurse Reports to: GP Partner and Nurse Practitioner Hours: 20 hours per week Person Specification Please note that your letter of application for this post should illustrate how you meet the criteria below. Qualifications Qualifications Registered Nurse Diploma or Degree in Nursing Diploma in Chronic Disease Management Diploma of Family Planning Experience Recent and relevant post registration primary care nursing experience at Band 5 level or above ENB 997/998 or SLICE qualification or equivalent Evidence of continuing professional development - portfolio Proficient in conducting comprehensive health needs assessment and developing care plans unsupervised Working in a multi-disciplinary team Experience of EMIS LV or other clinical IT system Proficient computer skills including Microsoft Office and web based information sites Skills, abilities, knowledge Comprehensive knowledge of Chronic Disease management using evidence based medicine eg NICE guidelines Be aware of professional responsibilities, competencies and accountability as laid out in the NMC Code of Professional Conduct Awareness and understanding of primary health care and the current issues in primary care and other NHS services. Carry out, interpret and draw outcomes Practice Nurse JD Page 4 of 5 January 2013 Essential or Desirable Essential Essential Desirable Essential Essential Essential Desirable Essential Essential Desirable Essential Essential Essential Essential Essential using Clinical Audit Understand clinical governance and its importance in primary care Personally responsible for own clinical supervision Working knowledge of managing difficult situations and conflict resolution EMIS primary care clinical system Range of clinical skills and expertise relevant to the role and willing to develop and expand practice nurse role according to the surgery’s care vision and service need. Work effectively within the team Work without direct supervision, planning and prioritising own workload Delegate effectively and safely where appropriate Aware and responsible for the need to refer a patient on to the GP during the clinical or immediately afterwards to ensure appropriately timed health care. Assess a situation and act appropriately eg clinical emergency Communicate effectively both verbally, electronically and in writing Innovative approach to practice and able to implement change in own practice and that of others Able to identify own learning and development needs and actively seek ways of meeting those needs. Keep up to date with current issues in nursing generally as in primary and community care both nationally and locally. Actively participate in local nursing forum to promote cohesive working within the locality and borough. Clear understanding between health, social care and voluntary and self help agencies in health care and patient empowerment Equal Opportunities Understanding of Equal Opportunities for patients and team members Positive attitude to Equal Opportunities for patients and team members Practice Nurse JD Page 5 of 5 January 2013 Essential Essential Essential Desirable Essential Essential Essential Essential Essential Essential Essential Essential Essential Essential Essential Essential Essential Essential