Practice Nurse Role Expansion

1. Practice Nurse Role Expansion Niamh Kilcullen, RGN,RCN, RNP, Practice Nurse Skreen Family Practice Co. Sligo

2. Setting Niamh Kilcullen, RGN,RCN, RNP, Practice Nurse Practice Settings: Rural Area (Sligo) Two General Practitioners One Practice Nurse, One Public Health Nurse. Two Practice Managers. Day Centre, Active Age, Mother +Toddler. Physiotherapist, Podiatrist, Social Worker, Cognitive Behaviour Therapist, Dietician.

3. Driver for Role Expansion Personal + Professional Development Evidence Based Care To Provide Holistic Care To Our Clients Develop + Maintain Professional Competency. Role Expansion Immunisations, Cervical Screening Diabetes + Cardiovascular Care, Warfarin clinic, Phlebotomy Smoking Cessation, Nurse Prescribing

4. Client Case Study Review Female, 82yrs, Widow High Blood Pressure, High Cholesterol Smoker 10/day,smoking for 60yrs+ Type Two Diabetes Atrial Fibrillation on warfarin tablets Annual Influenzae vaccine. Attends day centre twice a week, this allows client to come for regular diabetic+ INR + lifestyle, BP, weight, medication review. Individual Care Planning with the Clients Consent, plus regular follow up to reassess care agreed.

5. Time constraints – at work and home Financial constraints e.g. Nurse Prescribing Programme: Non-HSE Employee, no access to funding, supported by GPs Colleagues Team Meetings to discuss Clients Care Educational Development Study Days Practice Nurse Association Practice Nursing Co-ordination Support Challenges / Supports

6. Benefits • Enhanced Professional Standards of Care • Opportunity to get to know clients better, continuity of care, individualise their care, regular follow up to assess effectiveness of care provided. • Opportunities to develop one’s professional skills and knowledge. • Increased Confidence

7. Thank You! Niamh Kilcullen Practice Nurse Skreen Family Practice Co. Sligo 071 9166619