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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) ,[object Object],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 ,[object Object],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 ,[object Object],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 ,[object Object],[object Object],[object Object]
PN has highly skilled to select equipments that are appropriate for each wound type.  Treatment room
 
 
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
[object Object],(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

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Role of Nurses in UK General Practice

  • 1. Role of Nurses in UK General Practice Worawon Toonyasook, RN., NP Department of Social Medicine, Hatyai Hospital
  • 2. Primary Care Nursing in UK In the Practice In the community Nurse Practitioner Practice Nurse Midwife District Nurse Health Visitors Specialist Nurse
  • 3. 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
  • 4. 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
  • 5.
  • 6. Flexible clinic Chronic disease management clinic assessment planning Implementation & evaluation of clinical care Patient education
  • 7.
  • 8.
  • 9.
  • 10. PN has highly skilled to select equipments that are appropriate for each wound type. Treatment room
  • 11.  
  • 12.  
  • 13. 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
  • 14. Ear Irrigation Electronic irrigator for remove ear wax
  • 15.
  • 17.  

Notas del editor

  1. 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