Baren B Shija
Skelmersdale,Lancashire
Summary
I am a registered nurse and midwife (not currently practicing midwifery) with over 28 years of experience delivering high quality care to patients in different areas in the hospital setting as well as the community.
I have experience in internal medical care, surgical, paediatric, opthalmology and accident & emergency, and then I reverted to Obstetrics for a while whilst in Tanzania. I came over to the UK and joined the neurological department and worked here for nine years. After a long time working in different departments within the hospital settings, I decided to transition to the primary care settings to expand my knowledge and awareness in 2007.
I transitioned to the community as an intermediate care nurse, and many changes have taken place since. I am currently working as a community nurse practitioner with the Urgent Community Response Team. We respond to patients with acute problems, assess them, and provide care appropriately with the aim of avoiding unnecessary hospital admissions. We provide nursing services, and I take responsibility for the care and wellbeing of patients under my care as well as promoting self care within patients’ functional limitations. I am assertive, and I integrate very well within the multidisciplinary team. I collaborate well with others to assure a high quality of patient care.
My skills not only include high standards of professionalism but also empathetic, diligence and problem solving capabilities. I have excellent interpersonal and communication abilities bearing in mind that I am at times the link between patients and their doctors. My communication abilities also allow me to obtain the patients’ medical history and to conduct screening tests as well as persuading the patient to take the appropriate interventions required. I am great in prioritising tasks, diligent, flexible, adaptable and good in organising projects, as this allows me to improve the quality of patient care.
Working in the community for some time has prepared me to be a critical thinker. As I triage patients, I analyse the cases at hand and decide the order by which the patient should be treated, and this experience has given me autonomy and confidence in good decision making.
I have been in the frontline working with the Medicine Sans Frontieres in Tanzania, helping in providing care in the rural areas and family planning, including treatment for chronic and infectious diseases, health care for refugees, asylum seekers and support for victims of violence. We also responded to emergencies in the country like flooding and Cholera outbreaks.
Our services included care and counselling for victims of sexual and gender-based violence, mental health consultations, and treatment for tuberculosis, HIV, and non-communicable diseases. We also ran paediatric and adult wards at the hospital in the camp and assisted deliveries. For patients requiring emergency surgical and obstetric care, we facilitated referrals to the nearby government hospital. In addition, we supported emergency preparedness and response activities, for example, opening Cholera isolation units in the hospitals wherever the outbreak occurred
We offered medical humanitarian assistance to people based solely on need, irrespective of race, religion, gender, or political affiliation.
I welcome the opportunity to discuss my candidacy with you further, and I appreciate your kind consideration.
Overview
28
28
years of professional experience
18
18
years of post-secondary education
Work history
Urgent Community Response Nurse
Bridgewater Community Healthcare NHS Foundation Tr
Dar-es-salaam, Tanzania, Cheshire
09.2009 - Current
- I provide optimised patient outcomes, acting as a liaison in interactions with other health care providers.
- I prioritise patient safety, as well as maintain infection control plans in compliance with NICE guidelines, trust policies and regulatory requirements.
- Part of my role is to provide an optimal patient care, performing robust triage assessments to ensure effective prioritisation.
- I facilitate progress tracking by maintaining accurate patient records in the five different electronic recording systems we use, for example systems like System One, Paris, ICE and EMIS utilised in the community and Lorenzo utilised in some of the hospitals we collaborate with.
- My job role is also to assess, diagnose, prescribe (where needed) and deliver personalised care packages, helping patients with acute onset conditions to full recovery. I conduct a holistic assessment to determine acute care needs and develop ongoing patient-centred care, put plans in place to optimise needed support for the patients, for example referring them to appropriate services depending on their needs so as to assist patients with ongoing care needs and to promote their recovery.
- I proactively participate in raising awareness of new research, technologies, and standards of care that offer patients better outcomes—whether they be more effective, community outreach programmes like mental health support, domestic violence and many others.
- I liaise with multidisciplinary healthcare team to coordinate cohesive care for patients.
- I participate in increasing public awareness on the importance of self care, translate scientific information as well as help distinguish between fact and fiction regarding health matters through dispelling myths about health and help raise awareness and provide clarity on public health measures eg. those with Asthma should not exercise as this will trigger their Asthma (not all exercises trigger Asthma). Studies show that when people with asthma exercise, they have fewer attacks, take less medication hence have less sickness days.
- As a community practitioner I visit patients in their place of residence to assess their health and social care needs, initiate appropriate care and effective treatment with the aim of avoiding unnecessary hospital admissions. I also use this opportunity to provide detailed, comprehensive patient education regarding infection prevention and control.
- I maintain a positive interpersonal relationship with patients and their families which helps boost satisfaction. The satisfaction has been seen through feedback we get from patients and their relatives as well as other health care professionals we liaise with.
- I ensure high quality of care by maintaining an up-to-date knowledge in latest nursing techniques and best practices through attending trainings, courses and having an up to date e-learning provided by the trust.
- I support fellow colleagues, new staff and junior nursing staff during onboarding phase. I am a mentor, I support placement students and encourage their learning and development.
- I delegate responsibilities to facilitate efficiency so as to maintain first-class patient care.
- I share and champion best practices to elevate care delivery through holistic planning, delivery and evaluation of high-quality patient care.
- I implement, monitor and maintained high standards of care in daily activities.
- I develop trust, rapport with patients and their family members through open communication.
Intermediat Care Nurse
Bridgewater Community Healthcare NHS Foundation Tr
Warrington
09.2007 - Current
- Collaborated with multidisciplinary nursing teams for excellent care continuity.
- Facilitated adequate pain management for assigned patients to minimize discomfort.
- Maintained patient privacy and dignity throughout treatment and care.
- Planned and implemented treatment programmes to stabilise patient conditions.
- Assessed patients' physical, psychological and social issues to identify appropriate nursing interventions.
- Identified patient deterioration through diligent observations.
- Maximised preventative care utilisation to reduce hospital burden and help eliminate readmissions.
- Liaised with primary care physicians or emergency care providers to communicate patient needs.
- Implemented and maintained core measures in patient safety, patient satisfaction and holistic nursing approaches.
- Informed patients and relatives of treatment plans and expected outcomes.
- Counselled caregivers and families on end-of-life planning and patient care options.
- Applied wound management protocols and procedures to facilitate patient recovery goals.
- Actualised and adapted strategies and care plans to drive patient outcomes and achieve recovery goals.
- Recorded incidents promptly, escalating to senior nursing staff for assistance and further intervention, correction and prevention.
- Kept accurate, complete records of care for thorough reference.
- Communicated with external departments to facilitate critical patient admissions.
- Assessed patient health needs quickly to deliver rapid emergency support.
Registered Nurse
Central Manchester University Hospitals NHS Founda
Manchester, Chorlton-On-Medlock
12.2001 - 08.2009
- Implemented and updated treatment plans in collaboration with doctors.
- Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
- Provided technical assistance to doctors.
- Set up trays, supplies and sterile fields for patients' procedures that were completed in the ward.
- Facilitated patient admissions, transfers and discharges while delegating tasks and assignments as well as resolving conflicts and grievances.
- Monitor patients vitals and necessary signs and I performed all tasks with paitent-centred focus while seeking opportunities for improvement of processes and treatments. Delivered diagnostics, treatments and rehabilitative support services.
- Managed daily caseloads, working collaboratively with interdisciplinary team.
- Assessed and triaged patients to identify immediate care needs and facilitate individualised plans of care to restore and promote patient health and recovery.
- Administered medication with meticulous attention to detail.
- Assessed, planned and implemented treatments with precision and care, prioritising patient wellbeing.
- Completed comprehensive patient assessments to determine individual needs and formulated care plans with physicians, case managers and social workers.
- Cared for patients with heart failure, end-stage renal disease coronary artery disease (CAD), gastrointestinal(GI) bleeds, neurological conditions and their rehabilitation needs.
- Dispensed medications and administered pharmacological and non-pharmacological interventions via IVs, subcutaneous and intramuscular injections, as well as orally or rectally.
- Assisted patients with all personal care needs and maintained patients dignity and respect.
- Administered, changed and managed care of colostomies/ostomies, urostomies and Foley tubes accurately to provide exceptional patient care.
- Collected and properly handled specimens from patients.
- Enhanced care delivery by monitoring trends and suggesting processes of improvements.
- Conducted invasive and non-invasive procedures, managing central lines and catheters.
- Set appointments for medical care and maintained schedules.
- Managed BiPAP, CPAP, IV PICC, central lines, media ports and peripheral lines accurately to avoid issues and enhance patient care.
- Applied wound management protocols and procedures to facilitate patient recovery goals.
- Ensured adequate pain relief for all patients as needed and as prescribed.
- Implemented and maintained core measures in patient safety, patient satisfaction and holistic approaches to nursing.
- Planned and managed patient care in alignment with hospital standards of care.
- Monitored, assessed and recorded patients condition and coordinated patient discharge planning.
- Assisted patients with healing and recovery after surgery following hospital protocols, guidelines and policies.
- Responded to emergency situations quickly within appropriate procedures.
- Operated ventilators and maintained oxygen supplies during peak treatment times.
- Skilfully performed different procedures like suture removals for patients following trust policies and national guidelines.
- Prepared patients for specific endoscopic procedures.
- Delivered consistently high standards of individualised nursing care, whilst maintaining patients' health and wellbeing.
- Administered scheduled medications and therapies intravenously, rectally, orally, subcutaneously and intramuscular injections while overseeing pain management plans.
- Changed bandages, catheters and tracheostomies on regular basis.
- Continually assessed individual needs to evaluate and implement optimal care programmes in line with NHS best practices.
- Communicated with primary care physicians or emergency care providers to communicate patients needs upon their discharge for continuity of care
- Assessed patients' condition and reported changes to charge matron, family and physician as appropriate.
- Managed patient discharges, providing relevant follow-up care advice with required prescriptions and medication.
- Disposed off samples and hazardous waste as per protocol so as to prevent infection/ cross infection/ spread of infection.
- Educated and counselled patients on diagnoses, chronic disease management and treatment plans. For example patients with unstable Diabetes show necessity to be empowered on knowledge, skills and confidence to successfully manage their diabetes properly so as to minimise complications.
- Informed patients and caregivers on diagnoses, treatment plans and options, chronic disease management and wound management.
- Recorded patients' medical history, vital statistics and test results in medical records for continuity of care needs.
- Thoroughly disinfected and correctly stored hospital equipment to safeguard health of staff and maintain order within the ward.
- Liaised with primary care physicians or emergency care providers to communicate patient needs.
- Prepared patients for surgery by following strict hygiene and fasting procedures.
- Tracked and escalated compliance, care and quality issues.
- Coordinated nursing staff rotas and meetings to achieve consistent coverage.
- Trained new staff to meet patient service goals and champion standards of care.
- Fostered relationships between nursing teams and patients.
- Developed and implemented successful patient care plans.
- Maintained outstanding patient care levels through attentive, compassionate monitoring of physical and mental wellbeing.
- Diligently carried out clinical assessments to provide optimal pre- and post-operative care.
- Tested glucose and administered injections.
- Counselled caregivers and families on end-of-life planning and patient care options.
- Safely operated hoists, wheelchairs and transfer equipment to securely manoeuvre patients.
- Provided organisational leadership to establish patient care benchmarks, standards and best practices to deliver consistent quality care.
- Provided clinical leadership and oversight to a 30 bed acute care medical-surgical and neurological unit, including daily scheduling, tasking and administration.
- Evaluated patient care needs, prioritised treatment and maintained patient flow.
- Collaborated with doctors to plan post-treatment home care.
- Provided in-depth education on disease prevention and intervention.
General Nurse, Paediatric nurse and Midwife
TMJ Hospital
Dar-es-Salaam, Tanzania, Mikocheni
09.1995 - 10.1998
- I manage a 20 bedded Paediatric ward which had patients who were medical and surgical cases. In between I had to rotate working into the labour ward on a weekly basis.
- Mentored student and junior nurses, building confidence and competence to ensure outstanding patient provisions.
- Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
- Trained and mentored junior team members, strengthening high-functioning, efficient clinical teamwork.
- Established positive rapport with patients and families through active listening and compassionate care.
- Assisted with routine medical tests and evaluations, documenting findings to aid care planning.
- Maintained accurate, up-to-date patient records, maximising data accuracy.
- Administered medication in line with stringent drug regulations.
- Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.
- Prioritised health problems to assist patients in complex, urgent or emergency situations.
- Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
- Facilitated efficient ward operations by maintaining stock control, promptly re-ordering low-stock medication and supplies.
- Generated detailed and comprehensive patient care plans in collaboration with clinical teams.
- Monitored and recorded patient condition, carrying out and reporting regular observations.
- Supported physicians and consultants with tests and procedures.
- Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
- Liaised with senior physicians to plan timely, successful patient discharges.
- Assisted patients with healing and recovery after surgery and delivery.
- Supported patients with critical conditions, planning and implementing targeted strategies for optimal recovery outcomes.
- Delivered life support with updated first aid and CPR training.
- Administered oxygen and medication to achieve optimum health outcomes.
- Quickly responded to medical emergencies, working calmly and professionally under pressure.
- In my midwifery status, I provided skilled, knowledgeable, respectful and compassionate care for all pregnant women, newborn infants and their families.
- Confirming and dating pregnancy. Providing prenatal and postpartum care. Caring for women during childbirth including monitoring the mother and fetus during labor, assessing labor progress, managing complications, assisting with pain management, performing episiotomies if needed, and delivering the newborn and placenta.
- Provide full antenatal care, including parenting classes, clinical examinations and screening, identify high-risk pregnancies. monitor women and support them during labour and the birthing process. teach new and expectant mothers how to feed, care for and bathe their babies.
- identify high risk pregnancies and make referrals to doctors and other medical specialists
- provide counselling and advice before and after screening and tests.
- supervise and assist mothers in labour, monitoring the condition of the foetus and applying knowledge of drugs and pain management
- give support and advice on the daily care of the baby, including breastfeeding and making up feeds
- provide counselling and advice before and after screening and tests
- offer support and advice following events such as miscarriage, termination, stillbirth, neonatal abnormality and neonatal death
- promote health and wellbeing, providing unbiased information to pregnant mothers and their families
- liaise with agencies and other health and social care professionals to ensure continuity of care
- keep up to date with the latest developments in the profession so that their skills and knowledge remain current
Medical Secretary and Nurse
Medecins Sans Frontieres
Dar-es-Salaam, Tanzania, Mikocheni
11.1998 - 11.2001
- I coordinated and planned clinical work, primarily involving basic healthcare activities, outbreak management or outreach activities, such as define and update the health practitioner strategy and related activities through an annual project and budget plan (objectives, target population, campaigns, messages, activities, etc.)
- Coordinated activities on different topics in support of the medical activities; this might include promoting medical services, hygiene promotion, information on subjects linked to maternal health, malnutrition, malaria, HIV/AIDS,
- I identified Sexually Gender Based Violence victims and referred them to the medical team so they can receive the necessary treatment whilst being aware of the importance and appropriate use of the Post Exposure Prophylaxis (PEP).
- My role was also going to Out patient departments to ensure triage of patients in waiting areas, wards or during emergencies, detecting the priority acute/emergency cases, carrying out first aid care and referring them to the doctor when necessary
- Carrying and supervising administrative procedures and documents (fill in patient’s files, forms, consumptions, statistics, registers, health files, etc.), ensuring an appropriate written/oral handover, and reporting any problematic situations and cases that may arise.
- Participating in data collection and keeping doctors/supervisors informed.
- I managed, trained and supervised the health practitioner teams through activities such as recruitment, defining job descriptions, capacity-building, briefing/debriefing and evaluation of staff.
- Organising feeding centres, outbreak management or outreach activities. Going to provide health education and providing nursing health care support in the rural health centres, mobile clinics, existing local healthcare structures, refugee camps and urban settings
- supervise, monitor, train and coach the team of locally hired nurses in the targeted project area. I completed data collection, analysis and reporting. Furthermore, I was responsible for forecasting medical supply needs and monitoring consumption.
- responsible for recognising patients' symptoms, taking measures within my scope of practice to administer medications, providing other measures for symptom alleviation, and collaborating with other professionals to optimise patients' comfort and families' understanding and adaptation.
- organising mother-child health programmes
- training, supervising and managing local nursing staff or community health providers
- Processed referrals with speed and accuracy to minimise delays to treatment.
- Prepared correspondence, audio transcription, reports and general typing.
- Managed and successfully resolved patient inquiries, maintaining records and informing relevant personnel.
- Implemented and maintained efficient office management systems to enable staff to optimise their patient care services.
- Promote MSF services according to MSF principles, protocols and standards with the aim of increasing the knowledge of the target population in relation to their health
Education
Non-Medical Prescribing - Single module
University of Salford
Salford 01.2022 -
Clinical Examination - Single module in Nursing Practice
Edge Hill University
Ormskirk 01.2012 - 07.2012
BSC Hons in Nursing - Nursing Practice
Manchester University
United Kingdom 01.2007 - 09.2008
Diploma in Nursing and Midwifery - Diploma in nursing practices
Muhimbili University Of Allied Health Sciences
Tanzania 01.1991 - 09.1995
Secondary School Education - Secondary Education
Arusha Meru Secondary School
Tanzania 01.1986 - 10.1990
Primary School Education - Primary School
Arusha International School
Tanzania 01.1980 - 10.1986
Kindergarten and Primary School Education - Kindergarten and Primary School Education
Old Kampala Primary School
Kampala, Uganda 01.1976 - /1981
Skills
Effective communication skills
Due to the long term experience I have in the clinical industry, I am able to translate complex medical information into terms and language that is understandable for patients to understand I am realistic about risks, diagnoses and prognosis without being alarmist I am able to be supportive and encouraging without being overbearing I am able to strike a balance in my communication so that patients feel empowered to take the necessary steps to achieve good health while fully understanding the reality of their current condition
I am able to communicate with my fellow physicians and other medical providers to whom are involved with patient care and relay all findings and history verbally and in written form excellently I have good technological knowledge and can utilise technology skillfully
Clinical examination skills
I assess patients physical condition and note any anomalies that could be the cause or symptoms of illness Physical exams can include a number of measures that is needed so as to get the full picture of a patient’s health, such as:
- Blood pressure
- Heart rate
- Body weight and BMI
- Respiratory capacity
Physical exams also helps to check for the presence of lumps, bumps, or other skin lesions that could indicate underlying disease Along with assessing a patient’s body during the physical exam, I will also compile a health record, including family history, to understand how a patient’s past can affect their health and for what conditions they may be at increased risk of
Ordering tests, laboratory works and interpreting results
I have some understanding in the utility of various tests, such as blood work and specimen swabs, when appropriate to order them When results come back, I have the ability to interpret them for patients Beyond just relaying results, my practitioner skills enable me to educate patients on what the results mean for their health
Ability to Diagnose
diagnosing help patients understand the root of their illness and serves as the basis of a treatment plan In some cases, I will feel a specialist is better suited to make a diagnosis, then I will use additional nurse practitioner skills to make a referral and manage the transition of care to another provider
Prescribing medication and formulating treatment plans
With a confirmed diagnosis, I could then construct a treatment plan, including medication, bearing in mind that there are some conditions for which the treatment may be straightforward, I also take into consideration each patient’s circumstances, such as their social determinants of health, and ensure that treatment plans are realistic for them and their life style
Good Listening skills
it is important to allow the patient to express themselves, their thoughts and needs without judgement or criticism as this will encourage them to stay open and truthful which will help in the appropriate course of action to be taken
Good leadership skills
I am calm regardless of the pressure, organised and supportive to the rest of the team to ensure all members work together effectively for the best outcomes for patients, staff and members
Great administrative nursing skills
I have great skills in assessing, taking health histories and conducting general health evaluations, which is a unique skill set that requires attention to detail and impeccable listening skills, especially to with patients suffering from mental health issues like delirium, confusion, dementia and many others, taking into consideration the Mental Capacity Act 2005
I am knowledgeable in treating patients across the lifespan, including children and geriatrics, which is a broader skill to work with all age ranges of patients Working with such a vast age range requires me to change my communication style and even my demeanour to make patients feel comfortable at every stage of life and I am aware of the need to change my education methods to match the maturity and life experience of each patient
Leadership and Management
I studied leadership and management as part of my degree, and I have been utilising the skills learnt to date in my day-to-day practice
I continually advance my leadership and management skills in both the clinical and personal areas My duties include maintaining discipline, writing reports for patients’ care and service given and performing other administrative duties ie, when we have students to mentor I demonstrate effective clinical leadership when liaising with the multidisciplinary staff in the management of my patients I act as a shift coordinator where needed, and I have done this successfully so far I am a clinical supervisor, I coordinate meetings regarding work and act as a link between staff and the managerial levels
Teamwork
I have extensive experience of operating effectively in teams Having qualified and worked in a different country, different cultures and our diverse society, it has helped me enormously to have an open mind in dealing with our multicultural diverse colleagues and patients
I find good teamwork and understanding helps us better evaluate each other as well as our patients We increase comfort for each other as well as patients, and there is a better learning environment with a better positive outcome for all involved
Other responsibilities
-Emergency response
-Responsibility for continuity of care for the patient
-Patient safety
-Organising care with Social services
-Assessing patients in their own homes, manage them appropriately in a timely manor whilst trying to avoid unnecessary hospital admissions and safely discharge or refer them appropriately
-Reviewing patients’ medications and liaising with the patient’s GP as well as other relevant discipline
-Triaging
-ECG
-Phlebotomy
-Venipuncture
-Chronic health disease management
-Basic nursing skills, ie, manual BP check, vital signs monitoring
-I participate in the quality and outcome framework in comparing the delivery and quality of care provided in the service
-Wound care and management
-Diabetes management and care
-Immediate Life Support care and management
-Indwelling urinary catheterisation and management
-Tracheostomy care and management
-End of life crisis support
-Care of increased frail patients due to events such as infection
-Urgent equipment provision for example when equipment is needed to support function and keep person safe at home
Timeline
Non-Medical Prescribing - Single module
University of Salford
01.2022 -
Clinical Examination - Single module in Nursing Practice
Edge Hill University
01.2012 - 07.2012
Urgent Community Response Nurse
Bridgewater Community Healthcare NHS Foundation Tr
09.2009 - Current
Intermediat Care Nurse
Bridgewater Community Healthcare NHS Foundation Tr
09.2007 - Current
BSC Hons in Nursing - Nursing Practice
Manchester University
01.2007 - 09.2008
Registered Nurse
Central Manchester University Hospitals NHS Founda
12.2001 - 08.2009
Medical Secretary and Nurse
Medecins Sans Frontieres
11.1998 - 11.2001
General Nurse, Paediatric nurse and Midwife
TMJ Hospital
09.1995 - 10.1998
Diploma in Nursing and Midwifery - Diploma in nursing practices
Muhimbili University Of Allied Health Sciences
01.1991 - 09.1995
Secondary School Education - Secondary Education
Arusha Meru Secondary School
01.1986 - 10.1990
Primary School Education - Primary School
Arusha International School
01.1980 - 10.1986
Kindergarten and Primary School Education - Kindergarten and Primary School Education
Old Kampala Primary School
01.1976 - /1981
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