Overview
Objectives:
- Provide safe and effective care for all patients within the practice, and apply nursing skills to deliver high standards of care, adhering to evidence-based practices and national / South East London protocols.
- Implement evidence-based practices for both acute and chronic conditions, supporting management and preventative healthcare and assisting in managing clinical caseloads.
- Collaborate with the general practice team to address patient needs, improve healthcare delivery, and ensuring the highest level of patient care.
- Support senior practice nurses in managing nursing resources and supporting practice goals, focusing on supporting the development of nursing services within the practice.
This page is designed to provide an overview of your typical daily duties. Please note that there may be some site variations based on room availability, staffing levels, clinical meetings, and / or PLTs.
Daily Schedule
Time | Task / Activity |
8:30 am - 8:45 am | Stock / urine check |
8:45 am - 12 pm | Clinical appointments |
12 pm - 12:30 pm | Admin time |
12:30 pm - 1 pm | Stock / urine check |
1 pm - 1:30 pm | Lunch |
1:30 pm - 2 pm | Clinical appointments |
2 pm - 2:15 pm | Stock / urine check |
2:15 pm - 3:15 pm | Clinical appointments |
3:15 pm - 3:30 pm | Admin time |
3:30 pm - 4:30 pm | Clinical appointments |
Regular Tasks & Duties for Nursing Associates
Task/Duty | 👩⚕️ HCA | 🩺 Nursing Associate | 👩⚕️ Practice Nurse |
Wound Dressing | Simple | Simple to Complex | Simple to Complex with Care Plans |
Urinalysis | ✔ | ✔ | ✔ |
Blood Test | ✔ | ✔ | ✔ |
Adult Injection | B12, Pneumococcal, Shingles, Flu, RSV | B12, Pneumococcal, Shingles, Flu, RSV Depo Contraception, Zoladex/Prostap | B12, Pneumococcal, Shingles, Flu, RSV Depo Contraception, Zoladex/Prostap |
NDH / Pre-diabetes | ✔ | ✔ | ✔ |
NHS Health Check | ✔ | ✔ | ✔ |
New Patient Health Check | ✔ | ✔ | ✔ |
Mental Health Assessment Review | ✔ | ✔ | ✔ |
Learning Disability Assessment Reviews | ✔ | ✔ | ✔ |
LTC Review | Diabetes/HTN Assessments Only + Health Education | Asthma/COPD/Diabetes/HTN - Assessments Only + health Education | Asthma/COPD/Diabetes/HTN - Assessments + Care Plans |
24HR AMBP | ✔ | ✔ | ✔ |
Childhood Immunisation | ✔ Under PSD: 8 weeks and 1 year (double appt.) | ✔ Under PGD: 8 weeks and 1 year (double appt.) | |
Pertussis Vaccination in Pregnancy | ✔ | ✔ | |
Smears | ✔ | ✔ | |
Pill Review | ✔ | ✔ | |
Travel Vaccination | ✔ Without Yellow Fever | ✔ With or Without Yellow Fever | |
Compression Bandaging | ✔ Double Appointment | ||
Full Diabetes Review | ✔ Full 8CPs + Medication Review (Post-Pre-PITStop) | ||
Admin Tasks | Ordering supplies and Stock Check, Weight management | Ordering supplies and Stock Check, Weight management, Lab Reports Filing, Cervical vaccine log check | Ordering supplies and Stock Check, Weight management, Lab Reports Filing, Cervical vaccine log check, Care plans, GP/Team queries |
Clinical Documentation | |||
Fit Note | ✔ Admin time | ||
Supervisor Role | SSSA Supervisor | SSSA Supervisor and Assessor | |
PSD/PGD Authority | Work Under Patient Specific Direction (PSD) for Flu, Pneumococcal, Shingles, RSV | Work Under Patient Specific Direction (PSD) | Work Under Patient Group Direction (PGD) |
Clinical Appointments
- Cervical Cytology/Smears → see Cervical Smears
- Contraception/Pill Review → see Contraceptive Pill Review
- Travel Vaccinations → see Travel Vaccinations
Perform cervical smear tests and educate patients on the importance of regular screening (Nursing Associate only to do under supervision).
Review contraceptive options, conduct pill reviews, and address patient concerns.
Provide travel consultations, administer vaccinations, and give travel health advice (Nursing Associates cannot give Yellow Fever, only Practice Nurses).
- Child Immunisations → see Vaccinations & Immunisations
- Adult Immunisations → see Vaccinations & Immunisations
- Phlebotomy/Blood Tests
- Adult Injections → see Intramuscular Injections
- Hormone/Neuroleptic Injections → see Leuprorelin & Zoladex Injections, Antipsychotic Depot (LAI) Injections & Monitoring and Depo-Provera (Contraceptive) Injections
- Wound Dressing → see Wound Care & Dressing
- Compression Bandaging → see Wound Care & Dressing
- Weight Management Referrals → see Services Database
- NDH/Pre-diabetes Management → see Healthier You
- NHS Health Checks → see NHS Health Check
- New Patient Health Checks → see New Patient Health Check
- Mental Health Assessment Reviews
- Learning Disability Reviews
- LTC Reviews → see Asthma, Diabetes and Chronic Obstructive Pulmonary Disease (COPD)
Administer routine childhood immunisations under Patient Specific Direction (PSD); support and guide parents.
Administer pneumococcal, shingles, and flu vaccines under Patient Specific Direction (PSD); educate patients on the benefits and potential side effects of vaccines.
Perform venipuncture to collect blood samples, ensuring accuracy in labelling and processing.
Administer B12 injections under PSD, ensuring proper documentation and patient safety.
Administer Zoladex, Prostap, and depot neuroleptic injections under PSD; monitor patients for side effects.
Assess and apply wound dressings; monitor healing and update care plans in collaboration with the practice nurse (simple cases only to be dealt with by HCA).
Apply and manage compression bandaging under the care plan provided by the practice nurse (simple cases only to be dealt with by HCA or Nursing Associate).
Provide weight management support and counselling, guiding patients through appropriate service tiers.
Identify and manage patients with non-diabetic hyperglycemia and pre-diabetes, offering lifestyle guidance to prevent progression.
Conduct NHS Health Checks, assess cardiovascular risk factors, and provide tailored health interventions.
Perform health assessments for new patients, recording their medical history and current health status.
Conduct mental health assessments and refer patients to the appropriate services as needed.
Perform health reviews for patients with learning disabilities, working with multidisciplinary teams (MDTs) to create tailored care plans.
Conduct reviews for long-term conditions, ensuring proper monitoring while maintaining existing medication plans.
- Urinalysis → see UTI Process & Urine Dips
- 24HR AMBP → see 24HR Ambulatory Blood Pressure Monitor (AMBP)
- Work Under PSD
Conduct urinalysis tests, interpret the results, and provide necessary follow-up care.
Fit and manage 24-hour blood pressure monitors; analyze the results and, if required, schedule a follow-up with the pharmacist for further review.
Administer medications and treatments under Patient Specific Direction, ensuring strict adherence to protocols.
Admin Time & Infection Control
- Lab reports
Ensure that cervical screening reports are properly filed and actioned, maintaining an accurate cervical screening log (see Cervical Smears).
- EMIS Tasks & queries
- Stock and supplies management
- Catch-up time
Review and respond to queries related to nursing tasks from clinicians and non-clinical staff within 48-72 hours. Queries should be addressed to the nursing team.
Regularly check stock and supplies for expiration; order necessary inventory (including vaccines) and inform the Nursing Lead about faulty equipment. You can also raise a request to get something fixed using the Facilities Issues form on the Penrose Portal homepage.
Use this time for documentation, session preparation, and addressing inappropriate bookings or unresolved issues.