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Role of Nurses in UK General Practice
 

Role of Nurses in UK General Practice

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Worawon Tosonyasook, RN., NP

Worawon Tosonyasook, RN., NP

Department of Social Medicine, Hatyai Hospital

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  • ที่ตั้ง อยู่ในย่านชานเมือง London พ . ทรับผิดชอบ 3 distric มีประชากรขึ้นทะเบียนประมาณ 13,300 คน มีแพทย์ประจำซึ่งถือเป็นหุ้นส่วนทั้งหมด 6 คน มีแพทย์ผู้ฝึกอบรมเพื่อเป็นแพทย์ GP อีก 3 คน NP 1 คน PN 3 คน Midwife 1 คน นอกนั้นก็มี Phrebotomist, Health Care Assistance , Staff เมื่อมีคนย้ายเข้ามาอยู่ในชุมชน ก็ต้องมาติดต่อเพื่อขึ้นทะเบียนที่หน่วยบริการ

Role of Nurses in UK General Practice Role of Nurses in UK General Practice Presentation Transcript

  • Role of Nurses in UK General Practice Worawon Toonyasook, RN., NP Department 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 care Patient 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
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  • management of leg ulcer To prevent dryness, scaling and eczema Moisturize with emollient. Aids venous return and reduces venous hypertension. Venous ulceration should be treated with high compression bandaging Antiseptics are unnecessary and may delay wound healing. Immerse or irrigate with NSS, avoiding antiseptic. Most chronic wound are colonized therefore an aseptic technique is unnecessary . A clean technique is acceptable. Rationale Action
  • Ear Irrigation Electronic irrigator for remove ear wax
    • Child immunizations and Flu vaccination
    (DPT) 14 yrs (MMR)(DPT, Polio) 4 yrs (MMR), PCV 13 months (HIB/Men C) 12 months (DPT, HIB, Polio), Men C and PCV 4 Months (DPT, HIB, Polio), Men C 3 months (DPT, HIB, Polio), PCV 2 months Vaccinations At age
  • Smear clinic
  •  
  • Health Visitors
  • District Nurses
  • School Nurses