Practice Nurse

Clinical

practice

Assess, plan, develop, implement, and

evaluate programmes to promote health and well-being, and prevent adverse

effects on health and well-being.

Implement and evaluate individual

treatment plans for patients with known long-term conditions.

Identify, and manage as appropriate,

treatment plans for patients at risk of developing a long-term condition.

Prioritise health problems and

intervene appropriately to assist the patient in complex, urgent or

emergency situations, including initiation of effective emergency care.

Support patients to adopt health

promotion strategies that encourage patients to live healthily and apply

principles of self-care.

Deliver opportunistic health

promotion using opportunities such as new-patient medicals.

Provide information and advice on prescribed

or over-the-counter medication on medication regimens, side effects, and

interactions.

Support patients to adopt health

promotion strategies that promote patients to live healthily, and

encourage principles of self-care

Assess and care for patients

presenting with wounds and ulcers.

Support and advise women requesting

information relating to family planning needs

Support and manage health needs of

women presenting for cervical cytology consultations

Implement and participate in

vaccination and immunisation programmes for both adults and children.

Advise, support and, where

appropriate, administer vaccinations for patients travelling abroad

Promote and deliver evidence-based

care for patients presenting with aural conditions

Assist senior practitioners in

providing minor-surgery sessions.

Be proactive to complete items for Quality

and Outcomes Framework (QOF) or any replacement programme, and Enhanced

services opportunistically.

Communication

Utilise and demonstrate sensitive

communication styles, to ensure patients are fully informed and consent to

treatment.

Communicate with and support patients

who are receiving ‘bad news’

Communicate effectively with patients

and carers, recognising the need for alternative methods of communication

to overcome different levels of understanding, cultural background and

preferred ways of communicating.

Utilise communication skills to

support patients to adhere to prescribed treatment regimens

Anticipate barriers to communication

and take action to improve communication

Estimate and maintain effective

communication with individuals and groups within the practice environment

and with external stakeholders.

Act as an advocate when representing

the patients’ and colleagues’ viewpoints to others.

Communicate appropriately via email

and other means.

Document consultations appropriately

- using templates and read codes.

Become one of the team and be

involved in its desire to maintain a happy working environment and

continue to move the practice through the changes required by the changing

health environment.

Delivering

a quality service

Recognise and work within own

• competence and professional code of conduct as regulated by the Nursing
• and Midwifery Council (NMC).
• Produce accurate, contemporaneous,
• and complete records of patient consultations, consistent with
• legislation, policies, and procedures.

Prioritise, organise, and manage own

workload in a manner that maintains and promotes quality.

Deliver care according to the NSF and

the National Institute for Health and Clinical Excellence (NICE)

guidelines and evidence-based care.

Assess effectiveness of care delivery

through self and peer review, benchmarking, and formal evaluation.

Participate in the maintenance of

quality governance systems and processes across the organisation and its

activities.

Utilise the audit cycle as a means of

evaluating the quality of the work of self and the team, implementing

improvements where required.

In partnership with other clinical

teams, collaborate on improving the quality of health care, responding to

local and national policies and initiatives as appropriate.

Evaluate the patients’ response to

health care provision and the effectiveness of care

Support and participate in shared

• learning across the practice and wider organisation
• Participate in the management, review,
• and identification of learning needs from patient complaints, clinical
• incidents and near-miss events utilising a structured framework (eg
• root-cause analysis).

Participate in the performance

monitoring review of the team, providing feedback as appropriate.

Understand and apply legal policy

that supports the identification of vulnerable and abused children and

adults, being aware of statutory child/vulnerable adult health procedure

and local guidance.

Work within policies relating to

domestic violence, vulnerable adults, substance abuse and addictive

behaviour, and refer as appropriate

Keep up to date with changes in referral

pathways and assessment criteria such as QOF and CQC or their successors.

Be willing to cover extended hours or

the alteration in practice opening hours as required.

Personal

and people development

Take responsibility for own

development, learning and performance including participating in clinical

supervision and acting as a positive role model.

Support the development of others to

maximise potential.

Actively promote the workplace as a

learning environment, encouraging everyone to learn from each other and

from external good practice.

Understand own responsibilities and

accountability in the delivery of GPN services to patients, ensuring that

the needs of the patient are the priority.

Participate in planning and

implementing changes within the area of care and responsibility

Work with other nurses and practice

team to ensure sufficient staff of appropriate ability, quality and skill

mix is available to meet the needs of patients.

Contribute and participate in the

development of local guidelines, protocols, and standards.

Participate in the engagement of

practice-based commissioning or similar initiatives

Critically evaluate and review

innovations and developments that are relevant to own practice.

Keep up to date with new developments

locally and nationally identifying those that will enhance the team’s

work.

Ensure awareness of sources of

support and provide information in an acceptable format to all patients,

recognising any difficulties and referring where appropriate.

Attend training courses as required

for own or the team learning needs for the delivery of high-quality

primary care service. At present

this will include protected learning time events on Wednesday afternoons.

Team

working

Understand own role and scope in the

organisation and identify how this may develop over time.

Work as an effective and responsible

• team member, supporting others and exploring the mechanisms to develop new
• ways of working.
• Delegate clearly and appropriately,
• adopting the principles of safe practice and assessment of competence of
• those taking on delegated duties eg Healthcare assistants.

Ensure clear understanding and

utilisation of referral mechanisms within the practice

Accept delegation from colleagues both

clinical and non-clinical, prioritise own workload and ensure effective

time-management strategies are embedded in own practice.

Work effectively with others to

clearly define values, direction and policies impacting upon care delivery.

Participate in team activities that

create opportunities to improve patient care

Participate in and support local

projects as agreed with the practice management team.