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Year 3 Primary Care > Who is who in Primary Care (GP) > Flashcards

Who is who in Primary Care (GP) Flashcards

1
Q

What is the role of the nurse practitioner? and who do they report to ?

A
  • give out results to patients
  • diagnose patients with undifferentiated symptoms
  • prescribe
  • report to nurse manager, practice manager and GP partners
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2
Q

What does it mean to be a GP partner?

A
  • have a financial interest
  • managerial role
  • helps to run / organise practice

(salary GP doesn’t have a say in how practice is run)

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3
Q

What does a community nurse do?

A
  • works in a team to give care to patients at home / residential home
  • diabetic care (check glucose, give insulin)
  • change catheters (urethral and suprapubic)
  • give medication
  • chronic disease management
  • operate syringe drivers
  • wound care
  • liase with other members of healthcare team
  • take blood
  • give injections
  • look after palliative patients
  • pressure sore care
  • ear irrigation
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4
Q

What teams do community nurses liase most closesly with?

A
  • social services
  • physio
  • Occupational therapist
  • community matrons
  • GPs
  • specialist nurses
  • hospice team
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5
Q

Who do community nurses report to ?

A

District nursing sister

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6
Q

What training do community nurses need?

A
  • newly qualified nurses are accepted

- continue to update knowledge and pass qualification diplomas

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7
Q

What does the practice nurse do?

A
  • chronic disease management
  • travel vaccinations
  • baby immunisations
  • wound care
  • ear care
  • general health advice
  • admin
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8
Q

Can practice nurses diagnose?

A
  • yes e.g. COPD from spirometery
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9
Q

Can a practice nurse prescribe?

A

YES - if they are a nurse prescriber ( done a prescribing course 6 months)

  • also nurse practitioners and specialist nurses can prescribe
  • within spheres of competency
  • can prescribe anything from BNF
  • Cannot prescribe controlled drugs e.g morphine
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10
Q

What is the difference between a practice nurse and a nurse practitioner?

A

1) A nurse practitioner will see undifferentiated diagnosis (practice nurse won’t)

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11
Q

How is a practice nurse trained?

A
  • Nurse usually employed by GP then trained up to become a practice nurse whilst working - its an ongoing process doing diplomas and university courses.
  • the basic nurse course is 3 years uni or diploma.
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12
Q

What tasks can a health care assistant carry out?

A
  • taking blood
  • blood pressure
  • assist with minor surgeries
  • weight management
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13
Q

What training do HCAs need?

A
  • accredited courses for each skill
  • essays
  • competencies examined by practice nurse
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14
Q

What are the main aspects of the practice manager’s job?

A
  • financial based
  • QOF
  • surveys
  • PMS budget (deprivation, patient list size, rent, presribing, dispencing)
  • enhance survices (smoking cessation) - don’t have to sign up to these but financial incentive.
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15
Q

what is QOF?

A

Quality outcomes framework

  • check each month to see what checks are outstanding for each patient.
  • e.g. asthma patients have to have a yearly review
  • preventative medicine to ensure patients with chronic conditions are getting seen
  • financial incentive.
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16
Q

What members of staff does the practice manager work most closely?

A
  • GP partners
  • weekly meetings to ensure the running of the practice.
  • maintaining the building
  • services run
17
Q

Who does the practice manager report to?

A
  • other practice managers mentor each other
  • appraisals
  • clinical commisioning group
18
Q

What training does the practice manager need?

A
  • Diploma for 1 year

- need to have management background but can learn on the job

19
Q

What are the main aspects of the practice manager’s job?

A
  • financial based
  • QOF
  • surveys
  • patients complaints
  • CCG meetings
  • staffing issues
  • meet patients to discuss concerns with patient care
  • PMS budget (deprivation, patient list size, rent, presribing, dispencing)
  • enhance survices (smoking cessation) - don’t have to sign up to these but financial incentive.
20
Q

True of False:

HCAs can run smoking cessation clinics?

A

True

21
Q

True or False:

HCAs can carry out some immunisations?

A

True

22
Q

True or False:

HCAs can decide which blood test should be ordered?

A

False

GPs do this

23
Q

True or False :

GPs directly oversee the work of other members of staff?

A

False

24
Q

TRUE of FALSE:

GP Partners employ some members of staff such as reception staff, practice nurse

A

True

25
Q

True or false :

Community nurses can perform minor operations?

A

False

26
Q

True or False:

The GP will see a patient on their annual diabetic review?

A

FALSE

The practice nurse sees patients about their chronic conditions

Year 3 Primary Care (2 decks)

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