Practice Nurse jobs in United States

Hours per week - 37.5 hours per week (flexible on days/hours) Job share considered

Salary - depending on experience

This is a chance to work in a caring environment where your contribution truly matters. We are looking for someone who finds patient care and working as a team rewarding. The role can be very demanding at times so we are looking for someone who is also resilient. You will need to be fully qualified as a nurse with a minimum of 2 years experience. Prior experience of working in general practice is not essential, but a keen interest in developing specialist knowledge in diabetes, asthma, COPD or women's health (contraception/HRT) is. We will help you to gain the skills and attributes needed to become an excellent primary care nurse.

As a practice nurse you will help provide routine nursing and medical care to patients. This may involve monitoring, taking blood, specimens and swabs, treating and dressing wounds, home visits, giving vaccinations, and general medical advice such as information on family planning or health-related travel. It may also involve running clinics for women's health (contraception/HRT), or for patients living with long term conditions (diabetes, asthma, COPD, heart condition etc). To do this you will work to protocols ensuring best and safe care.

We are a multi-disciplinary team of GPs, ANPs, MHP, paramedics, nurses, GP (healthcare) assistants, pharmacist, social prescriber, dietitian, wellbeing coach, MSK practitioners, phlebotomists and administrative and cleaning staff who all work closely together to deliver excellent patient-centred care. Every team member is valued, and we encourage open communication, mutual respect and shared learning.

We provide care to just over 15,500 patients from a modern, purpose-built building with free parking, disabled access and an attached (independent) pharmacy on-site. The work environment is fast-paced, where change and continuous improvement is the norm. Our next exciting change is that we will merge with Newport Health Centre. This merger will bring together two well-established practices into a single, stronger organisation better positioned to meet the challenges we all face. We believe this step will strengthen our ability to deliver high quality, sustainable care for our patients and supportive working environments for our teams.

We value homemade cake, teamwork, innovation, and continuous improvement in a supportive atmosphere. Joining us means being part of a practice that makes a real difference in the health and wellbeing of our community.

The main responsibility of the Practice Nurse Team is to provide routine nursing and medical care to patients who access Primary Care services across our site(s), in a way that supports the best use of available resources. This may involve monitoring, taking blood, specimens and swabs, treating and dressing wounds, home visits, giving vaccinations, and general medical advice such as information on family planning or health-related travel. It may also involve running clinics for those suffering from diabetes, asthma or a heart condition, for example.

To thrive in this role, you will enjoy lots of patient contact, working to protocols to ensure best care and as part of a Nursing Team. All candidates must be fully trained nurses with ideally a minimum of two years nursing experience, specific Practice Nurse training is provided/supported by the Practice to develop specialist skills in diabetes, asthma, COPD or women's health (contraception/HRT)

Key Tasks & Responsibilities

INR monitoring, Blood pressure monitoring, ECG recording, Wound management, Removal of sutures, Routine urine testing, Routine immunisation, Emergency nebulisation, Covid/Flu vaccinations, Chronic condition reviews, Hypertension, Opportunistic Health Promotion Intervention, e.g. smoking cessation, healthy eating and lifestyle, Up to date knowledge of CPR and anaphylaxis management, Maintenance of equipment, Infection control-best practice, Ensure safe storage and disposal of drugs, dressing and vaccines, Ordering and maintenance of stock levels for dressings etc.

You will also provide specialist area support, with the appropriate training and qualifications, which include: Conduct mental health and dementia checks. Administer adult and child immunisations and vaccinations in accordance with national and local programmes. Is competent in anaphylaxis and resuscitation techniques. Ensures safe storage, rotation and disposal of vaccines and drugs and adequate stock levels are maintained. Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, food hygiene, sun protection, first aid and emergency medication, health insurance and vaccinations. Supports the clinical lead in the delivery of disease clinics in areas such as asthma, COPD, spirometry and diabetes management. Initiate the diagnosis process for patients suspected of having a chronic disease e.g. diabetes, COPD, asthma, CHD referring to other clinicians as appropriate. Manage programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions. Provide HRT, family planning advice and annual contraceptive reviews in conjunction with the lead clinician. Support the clinical lead on programmes of care for women's health including providing and evaluating care under agreed local/national guidelines, protocols and patient group directions.

Nursing Responsibilities Undertakes: venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, health checks, pregnancy testing, stitch/clip removal, wound management and cervical cytology. Provides healthy lifestyle and smoking cessation advice to individuals and groups. Develops and maintains the health promotion material within the practice. Makes referrals to colleagues, statutory and voluntary agencies as appropriate. Accurately updates patient records using the computerized medical information system. Enables, encourages and supports individuals, families and groups to address issues which affect their health and social well-being. Represents individuals and families interests when they are not able to do so themselves. Contributes to a satisfactory call and recall system of patients. Undertake annual reviews for patients and support patients to adopt health strategies that encourage healthy living and self-care. Refer to other members of the extended primary health care team e.g. chiropodist, dietician, and specialist nurses. Initiates and carries out programmes of health screening and maintains disease registers. Works collaboratively as a team member to achieve Practice objectives, contractual obligations and aspirations of the team. Actively participates in clinical and team meetings. Monitors and uses resources appropriately within the team e.g. dressings, vaccines, stationery. Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes. Makes recommendations to raise Practice standards and service delivery. Participates in the annual performance review process. Takes responsibility for own development, learning and performance and shares skills and activities to support others who are undertaking similar work. Alerts other team members to issues of quality and risk. Contributes 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. Support the review and identification of learning points from patient complaints, clinical incidents and near miss events. Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning and patient group directions. Works within policies to support those who are affected by domestic violence, vulnerable adults or children, substance abuse and refer appropriately. Understand and apply policy recommendations for the identification of vulnerable and abused children and adults within statutory and local policies.

This job description is not intended to be an exhaustive list of the responsibilities of the post. It will be subject to review and revision in the light of developments and following appraisals etc.

• Undertakes: venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, health checks, pregnancy testing, stitch/clip removal, wound management and cervical cytology.
• Provides healthy lifestyle and smoking cessation advice to individuals and groups.
• Develops and maintains the health promotion material within the practice.
• Makes referrals to colleagues, statutory and voluntary agencies as appropriate.
• Accurately updates patient records using the computerized medical information system.
• Enables, encourages and supports individuals, families and groups to address issues which affect their health and social well-being.
• Represents individuals and families interests when they are not able to do so themselves.
• Contributes to a satisfactory call and recall system of patients.
• Undertake annual reviews for patients and support patients to adopt health strategies that encourage healthy living and self-care.
• Refer to other members of the extended primary health care team e.g chiropodist, dietician, and specialist nurses.
• Initiates and carries out programmes of health screening and maintains disease registers.
• Works collaboratively as a team member to achieve Practice objectives, contractual obligations and aspirations of the team.
• Actively participates in clinical and team meetings.
• Monitors and uses resources appropriately within the team e.g dressings, vaccines, stationery.
• Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of Read Codes.
• Makes recommendations to raise Practice standards and service delivery.
• Participates in the annual performance review process.
• Takes responsibility for own development, learning and performance and shares skills and activities to support others who are undertaking similar work.
• Alerts other team members to issues of quality and risk.
• Contributes 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.
• Support the review and identification of learning points from patient complaints, clinical incidents and near miss events.
• Works within all relevant practice policies and procedural guidelines e.g infection control, chaperoning and patient group directions.
• Works within policies to support those who are affected by domestic violence, vulnerable adults or children, substance abuse and refer appropriately.
• Understand and apply policy recommendations for the identification of vulnerable and abused children and adults within statutory and local policies.

• Registered Nurse with ideally a min 2 years experience
• Community Nursing experience
• Chronic disease management experience/qualifications eg diabetes, asthma, HRT

• Good IT skills able to learn how to use new applications
• Previous knowledge of SystmOne

• A real people person who listens
• Reliable, trustworthy and conscientious
• Sensitive to Patient needs
• Confident if faced with challenging Patients
• Smart, clean & well-presented appearance
• Enthusiastic and a self-starter
• Able to work in a team
• Able to remain calm under pressure
• Takes responsibility for own actions
• Flexible approach to duties and working arrangements
• Able to pick up what is happening around you and be able to show a proactive approach to delivering excellent Patient care

• Ability to work without direct supervision
• Ability to manage time and workload
• Manage multiple tasks and conflicting demands with good attention to detail
• Ability to work under pressure & maintain a professional / effective approach
• Ability to work as part of an integrated multi-skilled team

• Nurse-led management of chronic disease clinics
• Chaperoning
• Following/implementing protocols and clinical guidelines
• Home visits
• Requirement to provide extended access in line with practice or external initiatives
• Respiratory - asthma, COPD, spirometry
• Diabetes
• Family planning
• Anti-coagulation
• Infection control

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.