Role of Nurses in UK General PracticeRole of Nurses in UK General Practice

Worawon Toonyasook, RN., NPDepartment of Social Medicine,

Hatyai Hospital

Primary Care Nursing in UK

In the Practice In the community

Nurse Practitioner

Practice Nurse Midwife

District Nurse

Health Visitors

Specialist Nurse

In the Practice

Nurse Practitioner

Makes differential diagnosis & clinical management

Practice Nurse

Flexible clinic INR clinic Travel clinic

Wound management Immunization

Smear clinic AMB ECG’s BP’s

Midwife ANC and PP

Palliative care

In the community

District Nurse

Health Visitors

Specialist Nurse

Community staff nurses

Visit people: providing clinical care for patients

School nurse

Promote good health and prevent illness in the community

Practice Nurses (PN)

working as part of the primary

healthcare team

treatment

Disease prevention

Health screening

Patient education/health promotion

Flexible clinic

Chronic disease management clinic

assessment

planning

Implementation & evaluation of clinical carePatient

education

For example, nursing for pt with COPD

For confirm the diagnosis - test called spirometry. A low value indicated that they have narrowed airways(+ typical symptoms of COPD).

PN provides nursing care after the pt have been diagnosed and prescribed treatment by the GP or NP

For example, nursing for pt with COPD

Explains the purpose of the treatment and knowledge of COPD, breathing technique ect.

Patient education

assessment History taking with Apollo COPD guideline programme, physical examination, peakflow measurement, patient’s awareness

planning Pt and PN plan for improved self management

Implementation & evaluation

Review inhaler technique,Nicotine replacement therapy, changing or combining a kind of inhaler, inform the GP or NP

INR clinic

To monitor patients on Warfarin

Patients need regular blood test called the INR (International Normalized Ratio)

The aim is to get the dose of Warfarin just right.

PN has highly skilled to select equipments that are appropriate for each wound type.

Treatment room

management of leg ulcer

Action Rationale

A clean technique is acceptable.

Most chronic wound are colonized therefore an aseptic technique is unnecessary.

Immerse or irrigate with NSS, avoiding antiseptic.

Antiseptics are unnecessary and may delay wound healing.

Moisturize with emollient.

To prevent dryness, scaling and eczema

Venous ulceration should be treated with high compression bandaging

Aids venous return and reduces venous hypertension.

Ear Irrigation

Electronic irrigator for remove ear

wax

At age Vaccinations

2 months (DPT, HIB, Polio), PCV

3 months (DPT, HIB, Polio), Men C

4 Months (DPT, HIB, Polio), Men C and PCV

12 months (HIB/Men C)

13 months (MMR), PCV

4 yrs (MMR)(DPT, Polio)

14 yrs (DPT)

Child immunizations and Flu vaccination

Smear clinic

Health Visitors

District Nurses

School Nurses