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Tisbury Surgery

Practice Nurse

Tisbury Surgery, West Tisbury, Massachusetts, United States

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Tisbury Surgery is an innovative G.P practice based in southwest rural Wiltshire and is seeking an enthusiastic part‑time treatment roompractice nurse to join the team.

Main duties of the job The applicant will be involved in treatment room activities including wound care, immunisations and cervical screening. A qualification in asthma or a willingness to training in this area, is essential.

About us Tisbury Surgery is a small but very supportive and friendly team. We look after over 4000 patients in Tisbury and the surrounding villages. We support training within the team and we also have GP registrars and student nurses.

Job responsibilities Job Summary

As a registered healthcare professional with a wide range of clinical experience from a variety of settings you will work as a member of the Tisbury Surgery clinical team.

Your role will include all Practice Nurse duties which you have had training for.

Under direct or indirect GP supervision, you will use your experience to practice flexibly and with increasing autonomy.

Patient care will be delivered using advanced clinical skills, incorporating history taking, physical assessment, diagnosis and, onward referral where necessary.

The role will ensure consistent, high‑quality person‑centred care is delivered to patients by assessing individual patient needs, formulating diagnosis and initiating appropriate holistic, evidence‑based treatment with the development of a personalised management plan, including administration of medications via PGD.

You will have undertaken the relevant training courses to enable you to work autonomously, safely and within your high level of competency. You will be supported by the lead GP and Lead nurse for ongoing training. As well as this you will be expected to conduct your own independent learning.

Job Responsibilities:

Clinical Knowledge and Skills-

ECG recording

Chaperoning

Health Checks including referrals

Support patients to adopt health promotion strategies and encourage principles of self‑care

Wound management to include stitch and clip removal, acute post op, and infected wound management

Chronic wounds including leg ulcers when necessary

Adhering to the wound formulary

Recognise adult and child safeguarding situations and act appropriately.

Provide vaccination and immunisation programmes for adults and children

To provide medications and injections under a PSD

Processing and management of laboratory samples

Cervical smears including administration for the recall and failsafe processes

Involvement of mass vaccination programmes e.g. flu clinics and Covid vaccinations

Supply or administer medication and treatments under PGD.

To refer to and liaise with other agencies, including secondary care providers, community nursing teams, hospice colleagues as required.

Act as an advocate for the patient.

Providing assessment, screening and treatment services and health education advice

Provide nursing treatments to patients in participation with general practitioners or independently to agreed protocols and within NICE guidelines and with referral to QOF and enhanced services specifications as relevant

Provide general and specific health screenings to the Practice patients (within agreed protocols) with referral to general practitioners as necessary and recognising the importance of communication

Keep check on all equipment and supplies with relevance to expiry dates as part of the nursing team

Administrative and professional responsibilities

Participate in the administrative and professional responsibilities of the Practice team

Ensure accurate notes of all consultations and treatments are recorded in the patients notes on the clinical computer system using appropriate codes

Ensure accurate completion of all necessary documentation associated with patient health care and registration with the Practice

Ensure collection and maintenance of statistical information required for regular and ad hoc reports and participate in audits

Attend and participate in Practice meetings as required

Assist in the formulation of Practice policies and procedures and develop appropriate protocols with application to enhanced services specifications

Deal with complaints promptly and according to the practice policy

Work in accordance with CQC guidelines

Support stock checks in GPs rooms, refrigerators, storage areas etc. on a weekly basis as part of the nursing team

Research projects

Co‑operate and participate as required in any research projects within the Practice

Staff training and supervision

You will have an active role in the training and supervision of student nurses.

You will support all training roles in the surgery such as registrars and GPAs when necessary.

HCAs will work under the delegation of nurses when appropriate, such as following wound care plans.

Maintain effective liaison with other agencies and staff concerned with patient care and with all other disciplines within the Practice, with appropriate regard to confidentiality

Work in conjunction with other members of staff where necessary to ensure accurate and timely reporting, audits, etc.

Understand own role and scope and identify how this may develop over time

Maintain continued education by attendance at courses and study days as deemed useful or necessary for professional development and keep accurate records of training in collaboration with the practice manager

Health & Safety:

Awareness of national standards of infection control and cleanliness and regulatory/contractual/professional requirements, and good practice guidelines

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process

Undertaking periodic infection control training

Waste management including collection, handling, segregation, container management, storage and collection

Decontamination control procedures, management and training, and equipment maintenance

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 recognizes the importance of peoples 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 non‑judgmental and respects their circumstances, feelings, priorities and rights

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include:

Participation in annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Participation in annual basic life support and allied training

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work

Provide copies of supporting documentation including updates

Quality:

The post-holder will strive to maintain quality within the Practice, and will:

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

Ensure tidy and well presented at all times

Person Specification Qualifications

Registered Nurse or Nursing Associate

Cervical screening sample taker

Adult and childhood immunisation training

Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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