When to see a nurse instead of the GP

What is a practice nurse?
Nurses play an important role in providing care in general practice. General practice nurses are nurses that work in GP surgeries. ‘Practice nurses’, as they’re called, are qualified and registered nurses.

A GP talks about when it’s best to see a nurse instead of the GP.

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What does a practice nurse do?
Practice nurses can help with lots of different health problems. Often they also run clinics for long-term health problems such as asthma or diabetes. Some nurses are nurse practitioners – this means that they have additional training and skills. Some nurses can prescribe medication and are called nurse independent prescribers. Nurses may run clinics for minor problems (such as cuts and ingrown toenails), and most practice nurses carry out cervical screening (smear tests).

Practice nurses can help patients of all ages in many ways including:

consultations (appointments) in the surgery or health centre

The nurse listened to Simon and advised him about whether he needed to see the doctor that day or not. Simon has juvenile arthritis and Crohn’s disease.

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health checks when people register with a new surgery
diagnosing and treating minor illnesses

John saw a nurse for an ingrown toenail. She was friendly but efficient. Treating it was quick and easy but he would have liked a bit more information.

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recording ECGs (heart traces)
taking blood samples, swabs, specimens, pulses, temperatures and blood pressures

Emma sees the nurse regularly for blood tests and reviews because she has diabetes. The nurse is knowledgeable and answers all her questions.

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giving vaccinations (injections), and running travel clinics

Hazzan saw a practice nurse to have tetanus, measles, mumps and rubella injections. He’d also seen a school nurse for injections.

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providing advice about contraception, fitting contraceptive devices (e.g. the coil), and pregnancy tests

Hannah wanted to have a contraceptive implant but felt the nurse put her off. Hannah felt frustrated, looked online for more information, and then went to a clinic instead.

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sexual health services and cervical screening (smear tests)

A nurse carried out Fran’s STI and cervical screening (smear) tests. Fran doesn’t like going to the doctors’ but this nurse was kind, jolly and talkative.

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treating wounds (including when people have self-harmed); applying and removing dressings

Auberon, who’d self-harmed in the past, had seen the nurse a few times for cuts and dressing changes. The nurse was really good and he didn’t feel rushed.

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Shane saw a nurse after he’d self-harmed. She seemed cold. He thought that might have been because she sees so many people with different problems.

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providing emergency first aid/treatment
giving advice, education and information about health problems, stopping smoking and losing weight
ear syringing
liaising (working with) with other health professionals, practice nurses, GPs and/or hospitals
writing records and keeping patients notes up-to-date

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