Diabetes & Respiratory Nurse – Quay Lane Surgery, Saltash

Location: Quay Lane Surgery, Saltash
Salary: tba
Contact Name: Debbie Todd
Contact Tel: 01503 230088
Contact Email: debbietodd@nhs.net
Closing Date: 31/08/2019
This is an exciting opportunity to work in an innovative environment and complement our primary care team situated in East Cornwall. You will be working in conjunction with skilled and experienced HCA’s, Practice Nurse and Local Diabetic & Respiratory Nurse Specialists, supported by our GP Lead in Diabetes and COPD.
Quay Lane Surgery are looking for an experienced Respiratory & Diabetes Nurse with strong clinical skills who is passionate about providing high quality care and is able to work autonomously.The role involves:
– Managing Diabetes care and its complications;
– Insulin initiation;
– Managing COPD care and its complications;
– Act as an advisory role to patients and doctors;
– To prevent avoidable admissions to hospital;
– Reduce referrals into the traditional diabetes/respiratory outpatient services;We already achieve the highest targets for QOF which you will be expected to continue.
We will provide you with:
– Flexible working
– Excellent support from our team of 4 Doctors, 1 Practice Nurses and 2 HCAs
– Purpose built buildingEssential requirements:
– Proven track record and experience in managing patients with Diabetes and COPD
– Strong interpersonal communication and active listening skills
– Experience with computerised patients management systems
The Long Term Conditions Nurse will act autonomously within their professional scope of practice providing care for patients face to face and telephone consultations.The post holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.

The Long Term Conditions Nurse will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.

The post holder will use skills, knowledge and competencies as a qualified Nurse in order to be responsible and accountable for managing patient caseloads for all the practice patients with Diabetes and COPD. This involves providing assessment, screening services and health education.

Administration and Professional Responsibilities
-Participate in the administrative and professional responsibilities of the practice team
-Ensure accurate and legible notes of all consultations and treatments are recorded in the patient’s notes
-Ensure the clinical computer system is kept up to date, with accurate details recorded and amended
-Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator
-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 audit
-Attend and participate in practice meetings as required

Provide Expert Clinical Practice
-Applying critical reasoning and professional judgement to nursing issues and decisions.
-Identifying patients that are of clinical risk and taking appropriate action to ensure a safe environment for the patients, families and staff.
-Developing and maintaining relationships with external providers that support clinical and patient needs.
-Ensuring patients are actively reviewed on time utilising practice recall systems.
-Ensuring maximum utilisation of clinical time.
-Demonstrating clinical nurse specialist expertise in the planning and delivery of care to patients with long term conditions
-Utilising advanced clinical assessment skills to identify potential or actual problems and collaborating with the clinical team to proactively address these
-Managing incoming referrals appropriately, ensuring optimal patient outcomes are achieved
-Leading in the review, redesign, documentation and implementation of care pathways for patients with long term conditions
-Using advanced nursing knowledge and skills to provide comprehensive health assessment, diagnosis, intervention and treatment services that meet nursing practice standards and optimise patient outcomes
-Overseeing the assessment, planning, implementation and evaluation of nursing care and practice for patients with Diabetes and COPD.
-Using advanced nursing knowledge and skills to provide comprehensive health assessment, diagnosis, intervention and treatment services that meet nursing practice standards and optimise patient outcomes
-Overseeing the assessment, planning, implementation and evaluation of nursing care and practice for patients with Diabetes and COPD.
-Provides specialty advise to support and manage patients physical and psychological needs
-Providing direct and indirect clinical support and coaching and mentoring to staff involved in the care of patients with long term conditions
-Ensuring staff are aware of appropriate policies and procedures relating to long term conditions patients
-Ensuring care is patient and family centered and planned with regard to individual cultural needs
-Referring patients appropriately to other providers if their needs exceed the range of care you are able to provide
-Documenting all care provided and education/information given to patients within their health record, as per professional and company standards
-Working efficiently as a team member providing quality care and ongoing support to patients, for example:
–Counselling and initiating support services
-Case management
-Collection of specimens
-Blood pressure monitoring
-Communicating test results to patients

Provide health promotion and education to patients
-Providing general and specific health assessments to individuals, families and groups with an emphasis on wellness. For example, at risk individuals, chronic disease management (hypertension, diabetes, asthma/COPD)
-Providing on-going education to individuals, families and groups. Teach skills for health maintenance and prevention of accidents and illness. This may include:

-Health and lifestyle education e.g. nutrition, smoking cessation, alcohol & exercise
-Teaching of patient self-monitoring procedures
-Diabetic reviews
-Asthma action plan/PEFR monitoring, asthma devices, blood glucose monitoring
-Provision of appropriate educational materials
-Medical concordance

Care Management
-Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
-Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
-Contribute to local and national practice targets clinical remit e.g. QOF, prescribing incentive scheme, National benchmarking.
-To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.

Training and personal development
-Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level
-Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice.
-Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
-Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements.
-Develop and maintain a Personal Learning Plan.

-In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
-In the performance of the duties outlined in 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 from any source is to be regarded as strictly confidential
-Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data

Health & safety:
The post-holder will implement and lead on a full range of promotion and management their own and others’ health and safety and infection control as defined in the practice Health & Safety policy, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will include (but will not be limited to):
-Using personal security systems within the workplace according to practice guidelines
-Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines
-Responsible for the correct and safe management of the specimens process including collection, labelling, handling, use of correct and clean containers, storage and transport arrangements
-Management and maintenance of Personal Protective Equipment (PPE) for the practice including provision, ordering, availability and ongoing correct usage by staff
-Responsible for hand hygiene across the practice
-Ownership of infection control and clinically based patient care protocols, and implementation of those protocols across the practice
-Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate
-Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across clinical and patient process
-Making effective use of training to update knowledge and skills, and initiate and manage the training of others across the full range of infection control and patient processes
-Monitoring practice facilities and equipment in relation to infection control, ensuring that provision of hand cleansing facilities, wipes etc are sufficient to ensure a good clinical working environment. Lack of facilities to be escalated as appropriate.
-Safe management of sharps procedures including training, use, storage and disposal
-Using appropriate infection control procedures, maintaining work areas in a tidy, clean and sterile, and safe way, free from hazards. Initiation of remedial / corrective action where needed or escalation to responsible management
-Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised
-Keeping own work areas and general / patient areas generally clean, sterile, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers
-Undertaking periodic infection control training (minimum twice annually)
-Routine management of own team / team areas, and maintenance of work space standards
-Waste management including collection, handling, segregation, container management, storage and collection
-Spillage control procedures, management and training
-Decontamination control procedures, management and training, and equipment maintenance
-Maintenance of sterile environments

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 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
-Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity.
-Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
-Support people who need assistance in exercising their rights.

The post-holder will strive to maintain quality within the practice, and will:
-Alert other team members to issues of quality and risk
-Assess own performance and take accountability for own actions, either directly or under supervision
-Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
-Work effectively with individuals in other agencies to meet patient’s needs
-Effectively manage own time, workload and resources

The post-holder should recognize the importance of effective communication within the team and will strive to:
-Communicate effectively with other team members
-Communicate effectively with patients and carers
-Recognize people’s needs for alternative methods of communication and respond accordingly
-Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

Contribution to the implementation of services:
The post-holder will:
-Apply practice policies, standards and guidance
-Discuss with other members of the team how the policies, standards and guidelines will affect own work
-Participate in audit where appropriate.


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