NHS South West London - Working In Primary Care

As registered professionals Nursing Associates (NAs) are accountable to the NMC for their own professional conduct and practice. NAs will typically work under the direction of a Registered Nurse or another registered professional. In Primary Care (PC) NAs will have the skills to care for people safely with integrity, expertise, respect and compassion. The intention of the NMC is for NAs to be an important part of the nursing team working alongside Registered Nurses and Health Care Support Workers (HCSWs). The work NAs undertake should be guided by standard operating procedures, local and national polices or systems of work guided by their Clinical Lead in the practice. They will also be able to support, supervise and act as a role model to trainee nursing associates, healthcare support workers and those new to care roles. The role of trainee/ apprentice Nursing Associates or those awaiting NMC registration is covered by the Scope of Practice for Nurses, Midwives and Nursing Associates in training. This guidance relating to the scope of practice is intended as an aide for those working in primary care. ‘Scope of practice’ is defined as the range of roles, functions, responsibilities, and activities which the individual is educated, competent and authorised to perform. It is important to recognise the role of the Nursing Associate (NA) is relatively new and still evolving. Green related tasks – core proficiency Registered NAs working under (non-direct) supervision of a Registered Nurse can undertake: The NA is accountable for accepting tasks delegated, ensuring they are using their skills and knowledge to work within their scope of practice. They will be required to contribute to service development and demonstrate and contribute to their own, and others, professional development. Key: Green Included in core proficiency Amber Requires additional training and competency assessment before being undertaken Red Currently outside the scope of practice • Venepuncture • Height, weight and BMI checks • Lifestyle advice • Blood Pressure • ECGs • Wound care (non-complex) • Measure and interpretation of blood glucose levels • Diabetic Foot Checks • Intramuscular (IM) and Subcutaneous (SC) Injections • Vaccinations (Flu, Pneumonia, Coronavirus) • Measurement and recording of peak flows • Health Checks • Delegation to HCAs

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