Charmane Macaraeg

• Working with children and young adult aged 3-19 years old with complex needs, learning disability and autism.
• Liaising with school teaching team and multidisciplinary team to support children and their families on the caseload such as supporting them to adult transitioning.
• Ensuring that all healthcare plans are up to date for safety of children.
• Delivering trainings and teaching across the school- including medication management, epilepsy, asthma, allergy and gastrostomy management.
• Accessing support from external healthcare professionals such as vaccination team, oral hygienist and continence team.
• Supporting with blood clinic in school safely.

• Educating schools, families, children, and young people with managing different types of Diabetes mellitus.
• I was involved in introducing patients and their families to different ways of improving and managing their diabetes, such as pump therapy treatment and CGM (sensor) under supervision.
• Attending trainings to ensure that I am up to date with my knowledge so I provide and deliver accurate and reliable information for families and patients about pump therapy and sensors.
• Managing my own caseloads and make sure that the service is running smoothly.

Maternity Cover- 9 months period

• Lone Working- home visits, teaching and training patients and their families, administration and managing of medication at home and new caseloads initial assessments with families and patients to ensure that they are going to meet their needs at home.
• Reinserting NG tube and Mickey Gastrostomy.
• Managing my own caseload- new caseloads initial assessments with families and patients are done to ensure that they are going to meet their needs at home and to continue maintaining a good relationship with families.
• Accessing central lines (port, PICC line, Hickman)- this involves ANTT technique when performing dressing changes and also assessing patency of the lines.
• Phlebotomy- taking bloods of patients under the caseload and also supporting the blood clinics that is under the community children nursing team.

Rotation programme for newly qualified nurses:

• I worked in a general paediatric ward where I looked after inpatients including high dependency care, patients with eating disorder, children and young people with mental health conditions.
• Nurse in charge duty: Communicating effectively with other multidisciplinary team to help the ward run safely. Support the other nurses by giving them updates on their patients.
• Day surgery ward: patients that are admitted for day surgeries. Monitor them safely from admission until discharge and making sure that I discuss the discharge letter to patients and families by following the trust protocol and policy.
• I also worked in outpatient clinic where I have obtained my venepuncture and trauma dressings skills (plastic surgical team). We're also involved in other clinics- such as jaundice clinic, pre assessments and assisting with private clinics.
• I have volunteered to work in an adult environment during COVID19 surge and gained knowledge on the importance of infection control and wearing the correct protective equipment.