enrolled nurse Assisting in theatre Sterilising instruments Assisting with plastering (previously required two RNs) Escorting patients to radiology and laboratory Data entry 9 Recalls Unable to quantify Assists with wound care Minor surgery Data entry Preparation of rest home residents prescriptions Data entry related to rest homes Answers phones nurses’ 10 Urinalysis Unable to quantify Pregnancy tests Practice management (previously receptionist) BPs, weight, height Appendix 11: Evidence of nurses working at a higher level PN New tasks Nurse-led clinic Paperwork Preventative increase reduction care 1 Sees people Increase in Huge reduction in Spending more more patient numbers administration time on patient opportunistically attending Factory visits for education practice as result immunisations no Increased CVD of PCPA - longer require assessments, reminders etc two nurses increased No increase in cervical smear nurse-led clinics rates 2 Spending more Clinic is more Less paperwork More time on nursing productive as RN more activities has time to do time for COPD, diabetes prevention Performance on primary care targets improving as a result Increase in number of CVD clinics and more attending 3 PCPA Disappointing Slight reduction in No change described as outcome paperwork, PCPA and does recalls for ‘useless’ delegated roles immunisations, taken back smears, mammograms
enrolled nurse Assisting in theatre Sterilising instruments Assisting with plastering (previously required two RNs) Escorting patients to radiology and laboratory Data entry 9 Recalls Assists with wound care Minor surgery Data entry Preparation of rest home residents prescriptions Data entry related to rest homes Answers nurses’ phones Unable to quantify 10 Urinalysis Pregnancy tests Practice management (previously receptionist) BPs, weight, height Unable to quantify Appendix 11: Evidence of nurses working at a higher level PN New tasks Nurse-led clinic increase Paperwork reduction Preventative care 1 Sees people more opportunistically Increase in patient numbers attending practice as result of PCPA - reminders etc No increase in nurse-led clinics Huge reduction in administration Factory visits for immunisations no longer require two nurses Spending more time on patient education Increased CVD assessments, increased cervical smear rates 2 Spending more time on nursing activities Clinic is more productive as RN has time to do COPD, diabetes Performance on primary care targets improving as a result Increase in number of CVD clinics and more attending Less paperwork More more time for prevention 3 PCPA described as ‘useless’ and delegated roles taken back Disappointing outcome Slight reduction in paperwork, PCPA does recalls for immunisations, smears, mammograms No change
final-evaluation-primary-care-practice-assistant-demonstration.docx