Practice Nurse

Job summary

We are seeking an enthusiastic and motivated part-time experienced Practice Nurse for 2.5-3 days per week (20-24) hours.

Main duties of the job

The role includes general practice nursing, adult and paediatric immunisations, travel advice and vaccinations, cervical screening, dressings, phlebotomy, long term conditions health management, health checks and the future training opportunity to specialise in Diabetes.

Experience in Asthma management is essential and respiratory lead experience is desirable. The successful candidate will ideally have experience in respiratory diagnostics, specifically with competence in spirometry and FENO testing as the role will be a replacement for our current respiratory lead nurse.

Experience managing practice infection control processes is also desirable.

About us

We are a friendly, supportive and thriving practice looking for a practice nurse to join our excellent team of 3 partners, 6 salaried GPs, advanced nurse practitioner, 2 practice nurses, health care assistant and phlebotomist. The practice serves nearly 9000 patients from Surbiton Health Centre, a modern purpose built premises, and is five minutes from Surbiton train station.

Job responsibilities

General Practice Nursing duties to include dressings and treatment of minor trauma, and removal of sutures.

Immunisations for children and adults (both travellers and non-travellers)

Recording of ECGs

Womens Health Carry our cervical cytology and deal with results in accordance with national and local guidelines.

Ear syringing

Audiograms

Venepuncture when no phlebotomist available.

Advise individual patients on aspects of their lifestyle to promote good health in accordance with modern practice.

Pill check appointments & management of family planning patients.

Carry out Health checks on practice patients in accordance with agreed practice protocols. Proactively identify patients with Hypertension and raised Q Risk, code as necessary. Arrange appropriate investigation eg ABPM, interpret results. Arrange investigations for new hypertension patients and follow up.

Management of patients on chronic disease registers in coordination with other team members and practice protocols.

Enter and maintain accurate patient records in accordance with NHS and practice policies.

Liaison where appropriate with other professionals and services to provide necessary patient care.

Be involved in clinical audit within the practice team.

Offer input, with colleagues, on maintaining up to date practice protocols and procedures; ensuring that wherever possible these reflect best practice.

In cooperation with colleagues, maintain treatment room equipment and stock to a safe and satisfactory standard.

Stock and pathology ordering in absence of HCA or adhoc as required

Adopt the responsibilities of other nurses in their absence, within the limitations of personal professional training and professional accountability.

In cooperation with colleagues, strive to maximise the efficiency of the nurse appointments system and develop the services offered by the nursing team to meet the patients and practices needs.

Maintaining cold chain with regular audit. Twice daily fridge temperature recording

Maintaining cleaning of treatment rooms and equipment.

Attend or complete online training as required by the practice and your nurse governing body keeping your training up to date.

Arranging investigations for newly raised blood pressures following the practice protocol

Respiratory role:

Asthma annual reviews, COPD annual reviews liaising with named GP as appropriate

Offer FeNo and Spirometry testing for diagnosis

Maintain log for spirometry testing including calibration, service, cleaning and monthly biological control

Attend remote Kingston and Richmond Respiratory MDT for Spirometry and FeNo as per local contract

Administer nebulised therapy to known asthmatic patients. (Known asthmatic patients can be assessed and treated by a Practice Nurse prior to discussion with a GP).

• Other delegated duties considered appropriate to the post.

Additional tasks if Diabetes trained*:

Carry out 6 month and annual Diabetic health checks using the Diabetes clinical template

Person specification

Qualifications

Essential

• RCN qualification
• NMC registration
• Specialist qualification in Asthma

Desirable

• Cytology trained taking Smears/HPV
• Immunisations - child & travel
• Wound care
• Experience with hypertension reviews
• Spirometry /FeNo trained
• Specialist qualification in Diabetes

Experience

Essential

• Experience using a clinical software system
• Attention to detail
• Excellent communication skills
• Very organised
• Well presented
• Ability to work under pressure
• Reliable and punctual
• Flexible and can do attitude
• Good written and spoken English

Desirable

• Experience in an NHS GP Practice
• Experience using EMIS Web
• Respiratory lead experience

Hours

Essential

• Ability to work 20-24 hours per week (includes a 30 minute unpaid break each day)