Practice Nurse Information
Practice Nurse Information Practice Nurse Information

Practice Nurse Grade F

Core Competencies for Practice Nurses

Designation Qualifications                                Equivalent to a ward sister [F grade]

Registered [first level] nurse
Training                                                Additional specific training and education to diploma level (Level 2) to fulfil competency for role
Management and appraisal skills
Experience                                             One year working post Registration
Preferably one year working in the community as a nurse
Has undertaken specific training relevant to Practice Nursing eg Diabetes or Asthma management
Accountability                                       Professionally: to patients under the NMC Code of professional Conduct
Managerially: to GPs, Senior Nurse and practice manager
Special Functions                                 Provides care directly to patients without referral via another
senior nurse or doctor
Develops practice protocols
Appropriate as a lead nurse within a practice with practice nursing experience

Clinical Nursing Practice

All of those at E grade and in addition:
Complex Wound Management
4.1. Provide the diagnosis, management plan and treatment of leg ulcers using Doppler assessment.
Vaccinations and Immunisations
4.2. Provide an adult and childhood immunisation service.
4.3. Maintain a call and recall of patients.
4.4. Develop practice protocols.
4.5. Develop and works to Patient Group Directions for POMs.
Travel Health Advice
Offer a holistic approach to travel health including comprehensive advice for patients prior to travel including:
4.6. vaccinations and medications
4.7. malaria prophylaxis and bite avoidance
4.8. safe sex
4.9. food hygiene
4.10. sun protection
4.11. first aid and emergency medication
4.12. health insurance
Triage Nursing - Minor Illness
(Nurses offering Minor Illness/Triage Clinic must have completed the ENB R38 Triage Course for Nurses working in Primary Healthcare or equivalent.)
Provides specific evidence based practical skills and knowledge in telephone and face to face triage in the following areas:
. Ophthalmological examination
. Soft tissue and ligament injuries
. Diabetes Mellitus
·          Care and Programme Management
. Tissue Viability
. Asthma
. Ear Care
. Nose
. Pharynx/Larynx
. Minor burns
. Fractures
. Paediatrics
. Dermatology
. Cardiovascular disease
. Gynaecology

Care and management programme

Diabetes (Standard for higher level of nursing care)
 This role requires completion of an accredited training ie the ENB 928.
4.13. Initiates the process of diagnosis on patients with suspected diabetes.
4.14 Manages patients newly diagnosed with diabetes
4.15 Undertakes annual review of patients understanding of self management.
4.16. Provides the management of patients converting to commencing insulin within protocols. .
4.17. Refers to dietician, chiropodist and diabetes specialist nurses.
4. 18. Maintains a disease register.
4.19. Audits outcomes of care against standards and initiate as necessary.
Respiratory Care
This requires accredited training.
4.20. Manages newly diagnosed patients with asthma 
4.21. Maintains a disease register.
4.22. Work within agreed local/BTS guidelines and patient directions to manage patients with asthma, aiding diagnosis reviewing inhaler technique and advising on treatment changes
Male Health
4.23. Initiates opportunistic consultations with patients on issues of men's health.
4.24. Makes appropriate referrals
Family Planning and Women's Health
Provides a comprehensive family planning service and sex service to patients as Described by the ENB U71- Developing
Contraception and Reproductive Sexual Health Care
Cardiovascular Disease
It is recommended that for this role the nurse will have completed accredited training.
4.25. Develop and maintain practice register for secondary
prevention of CHD
4.26. Works with patients to set action plans for changes of lifestyle.
4.27. Works within agreed protocols when managing risk factors to enable patients to manage their own disease.
4.28. Provides psychological support by discussing interventions and treatments.

Clinical Practice Leadership

4.29. Monitor and maintain the consistency of professional standards set.
4.30. Take appropriate action if standards are not being met.
 4.31. Recognises the development needs of others and take appropriate action.
4.32. Lead a team towards common objectives.
4.33. Advise and support other members of the team.
4.34. Match tasks and workload to capabilities of team members.

Clinical Practice development

4.35.Be aware of current evidence based approaches to patient care and demonstrate this in practice.
4.36 Demonstrate clinical expertise in practice.
4.37 Ensures clinical supervision is in place for nursing staff

Last updated: 24/08/2007