Specialist Practice Nurse - Lower Limb

Job summary Work clinically to provide highly skilled evidence based lower limbnursing services to patients as an essential part of the health care providedby the local GP Practices within the Federation / PCN.We offer both bank and fixed term contracts.
Main duties of the job To hold responsibility for the caseload and undertake holistic assessments of patients, including those with complex health needs, make anursing diagnosis, and develop appropriate plans of care with clear timelinesfor evaluation.
To be responsible for assessing, diagnosing, implementing, planning andreviewing care needs for lower limb management in partnership with patients,carers and multi-professional teams, inline with local policies and procedures, local commissioned servicerequirements and best practice guidance.Responsible for performing complex Doppler Assessments, interpretingAnkle Brachial Pressure Index (ABPI).
Implementing optimum treatment accordingto findings.
To manage and coordinate referrals for holistic Doppler Assessments andmeasurement of Ankle Brachial Pressure Index (ABPI).
Ensure all referrals forlower limb assessment are prioritised accordingly.
To work with the wider multidisciplinary team in a proactive way withthe aim of preventing hospital admission and reduce GP contact.
To demonstrate clinical expertise and competence within the specialtyand work autonomously, managing own allocated clinics independently.
About us Weare Surrey Heath Community Providers Limited, which is a federation of 7 GPpractices across 10 sites, covering a population of over 103,000 patientsacross Surrey Heath.
We began in 2016 and now employ around 200 members ofstaff across our head office sites, and our primary care and unplanned careservices.Asa GP Federation, we are proud to represent our member practices and to championprimary care by working with local general practice and system partners in theprovision of community-based healthcare services.
We are dedicated to providingsafe and compassionate care to our patients across our range of primary careand unplanned healthcare services in Surrey Heath, and believe in continuouscommitment to quality service delivery and positive patient outcomes.Patients are at the heart ofeverything we do, and we pride ourselves in ensuring our patients feel safe, supported,communicated with and respected, at a time when they may be feelingvulnerable.
Our vision is to provide high quality, seamless health care thatenables people to lead healthier lives, whilst feeling supported and cared for.
Job description Job responsibilities ROLE SUMMARY:Work clinically to provide highly skilled evidence based lower limbnursing services to patients as an essential part of the health care providedby the local GP Practices within the Federation / PCN.
Provide assessment and nursing care, advice and information to patientsand carers within the Lower Limb / Leg Ulcer clinics at the Surrey Heath Hubor alternative Practice setting.Work under the direction of the Clinical Services Manager, Clinical teamLeader or Clinical Director, using skills and knowledge as a registered nurse.Provide educational advice and expertise to other healthcareprofessionals with the responsibility of prevention and management of complexand acute wounds across the Federation.KEY TASKS AND RESPONSIBILITIES:To hold responsibility for the caseload and undertake holisticassessments of patients, including those with complex health needs, make anursing diagnosis, and develop appropriate plans of care with clear timelinesfor evaluation.To be responsible for assessing, diagnosing, implementing, planning andreviewing care needs for lower limb management in partnership with patients,carers and multi-professional teams, inline with local policies and procedures, local commissioned servicerequirements and best practice guidance.Responsible for performing complex Doppler Assessments, interpretingAnkle Brachial Pressure Index (ABPI).
Implementing optimum treatment accordingto findings.To support and participate in staff training and development to ensuredelivery of high quality evidence based nursing care and clinical competence.To manage and coordinate referrals for holistic Doppler Assessments andmeasurement of Ankle Brachial Pressure Index (ABPI).
Ensure all referrals forlower limb assessment are prioritised accordingly.To ensure that local Key Performance indicators (KPIs) and NationalWound Care Strategy Lower Limb Guidelines are met.To work with the wider multidisciplinary team in a proactive way withthe aim of preventing hospital admission and reduce GP contact.To demonstrate clinical expertise and competence within the specialtyand work autonomously, managing own allocated clinics independently.ADDITIONAL RESPONSIBILITIES:Develop effective relationships with the SHCPL Team and the practiceteams.
Work as part of the multi-disciplinary team (MDT).Communicate effectively with team members, patients and carers,recognising the need for alternative methods of communication to overcomedifferent levels of understanding, cultural background and preferred ways ofcommunicating.To participate in the development and implementation of relevantpolicies and procedures.Maintain professionalregistration, work within own scope of practice, and uphold and follow thestandards within the NMC code of conduct at all times ensure safe and effectivedelivery of patient care.Practice,role model and promote safe and effective skills in all aspects of clinicalpracticeRecognises own limitations in the provision ofclinical care and referring to other professionals accordingly and isaccountable for his/her own action.Be prepared to undertake direct patient care andclinical duties as required for the needs of the business.Assess effectiveness of care delivery, undertakingservice reviews, benchmarking and providing formal evaluation.Proactively contribute to improving the quality ofhealth care responding to local and national policies and initiatives asappropriate.Actively promote the workplace as a learningenvironment, encouraging everyone to learn from each other and from externalgood practice, including:o Support students in theirlearning and development.o Participate in clinical supervisionand other professional support activities, as provided by the PCN, practice orlocal system.
We encourage you toundertake the relevant training to act as a supervisor for the local clinicalsupervision programme.Record personally generated information, maintain upto date, detailed records.o Personally generated informationincludes information and records relating to audit and clinical work undertakenby the post holder, reference notes relating to clinical/technical information,etc.o Maintaining up-to-date,detailed records of all work done in the practices for which the post holder isaccountable (done by the post holder or others).Report and manage any untoward incidents, complaintsand clinical emergencies to the appropriate professional within the appropriatetimes.
Person Specification Skills and Knowlege Essential Excellent communication and interpersonal skills Ability to advocate on patient, staff and safety or quality issues Ability to demonstrate leadership skills Demonstrates organisational skills: including the ability to make decisions and to prioritise Clear understanding of Primary Care Services Demonstrates understanding and insight into current issues and developments within the NHS Car driver with valid licence Reliable and flexible Ability to work well in stressful situations Innovative and adaptable Assertive Commitment to Continuing Professional Development Desirable Broad range of enhanced clinical skills Good working knowledge of clinical governance and be able to describe practical application thereof Qualifications Essential NMC registration - Adult / General Nurse Relevant nursing degree Post registration qualification in relevant area of practice Teaching and assessing qualification, NMC Assessor and Supervisor status.
Desirable Community or Primary Care specialist qualification Management/Leadership Qualification/development programme Clinical supervision training and experience Experience Desirable Experience, underpinned by knowledge of working with and understanding the complex needs of patients in a primary care/community setting Involved in the implementation and management of change Evidence of innovative practice Participation in regular clinical supervision