
Registered Nurse with 27 years of extensive experience across a wide range of healthcare settings, delivering high-quality, patient centred care within acute , community and multidisciplinary environments. For the past three years I have worked within a Hospital at Home Service providing autonomous assessment , clinical management and co-ordinated care for acutely unwell patients in the community to support admission avoidance and early discharge pathways.
Over the past three years working within a Hospital at Home service, I have developed extensive experience in delivering acute, patient centred care within community settings, supporting admission avoidance and early supported discharge pathways.
My responsibilities include comprehensive patient assessment, clinical monitoring, care planning, escalation of deteriorating patients, multidisciplinary collaboration and coordinating complex care within patients' homes.
Key achievements include successfully managing acutely unwell patients in the community, contributing to safe hospital avoidance initiatives and enhancing clinical decision making through advanced assessment skills. I have completed Masters level modules in Physical Assessment and Clinical Reasoning (PACR) and Remote Clinical Decision Making, further strengthening my autonomous practice. I am currently undertaking my Independent Prescribing qualification to expand my scope of practice and to support advanced clinical management within the service.
Working within a call centre setting interfacing across primary and secondary care settings. Providing an essential link within patient pathways, easing the route into hospital and also preventing hospital admission when appropriate.
Assessment and management of referrals based upon clinical need to ensure the most appropriate pathway to meet needs.
Signposting or advising of alternative pathways and support to avoid unnecessary admission to hospital.
Co-ordination of referrals and taking remote clinical responsibility for patients and clinical decision making.
Supporting patient flow within DGH across Somerset and neighbouring hospitals.
Taking referrals for Rapid Response and Urgent Community Response in Somerset, providing an initial point of triage.
Working with service users who may be in crisis and liaising with the patient, family, care providers and across a network of health care professionals. Working to proactively support admission avoidance where clinically appropriate .
Being responsive to change and embracing new challenges and services in order to provide the best outcome for all service users.
Maintaining good standards of record keeping and communication with all.
Working both autonomously and as part of a team, carrying out holistic, patient centred and complex assessments on individuals for the purposes of applying for NHS funding.
Liaison with individuals, family, care providers, nursing home, named healthcare professionals and social care colleagues. .
Funded Nursing Care assessments, Continuing Healthcare Checklists and Complex Continuing Healthcare assessments. Working within the scope of achieving statutory 28 day targets for completion of assessments.
Leading meetings with the individual, their family, care provider/ other involved professionals
Making recommendations to improve patient quality of life.
Capacity assessments, use of MCA.
Working with CHC Safeguarding to improve the quality and safety of patient care.
Assessment of CHC Fast Track applications
Formal MDT meetings and presentation of key information in order to make an informed decision.
Insight into management of complex long term health conditions.
Temporary, voluntary redeployment due to Covid-19 pandemic
Set up as a pilot service to monitor service users remotely as in a virtual ward environment.
Regular contact with service users monitoring their health and well-being, triaging and escalating appropriately.
Temporary, voluntary redeployment due to Covid-19 Pandemic.
Participating in mass vaccinations of cohorts as identified by mass vaccination plan. Working alongside PCN colleagues to meet vaccination targets.
Assessment of patient suitability to receive the vaccination. Administration of vaccinations. Monitoring patients for adverse reactions and provision of prompt and appropriate treatment when required.
Temporary, voluntary redeployment due to Covid-19. Working in a call centre taking referrals from healthcare professionals.
-triaging the information provided and working with the client to achieve the best outcome to meet their needs.
Working within a call centre setting interfacing across primary and secondary care settings. Providing an essential link within patient pathways, easing the route into hospital and also preventing hospital admission when appropriate.
Assessment and management of referrals based upon clinical need to ensure the most appropriate pathway to meet needs.
Signposting or advising of alternative pathways and support to avoid unnecessary admission to hospital.
Co-ordination of referrals and taking remote clinical responsibility for patients and clinical decision making.
Supporting patient flow within DGH across Somerset and neighbouring hospitals.
Working with service users who may be in crisis and liaising with the patient, family, care providers and across a network of health care professionals. Working to proactively support admission avoidance where clinically appropriate .
Being responsive to change and embracing new challenges and services in order to provide the best outcome for all service users.
Maintaining good standards of record keeping and communication with all.
The hospice rotation was designed to aid recruitment and retention at YDH whilst giving experience of the hospice and care of the dying patient and also keeping acute skills up to date.
I worked across the Hospice inpatient unit and Yeovil District Hospital, working in a range of clinical settings: Orthopaedics, Gynaecology and General surgical wards.
I had a comprehensive induction to Yeovil Hospice and did many short courses related to care of the dying patient.
Alongside other staff we rolled out the Liverpool care pathway for care of the dying patient to the wards at YDH. Although this pathway has now been discontinued, at the time it was revolutionary at bringing much needed change within the acute setting to standardise care provision for the patient within the end of life phase. It was a step towards recognising and effectively managing the needs of the dying patient.