Erica Twining

Provides effective managerial and clinical leadership of ward/department staff in conjunction with or in the absence of the Ward Manager.


Responsible for implementing educational programmes within the ward/Represents the ward at meetings as and when required.
Facilitates open and effective communication within the ward team. Acts in accordance with the NMC Professional Code of Conduct.
Acts as a role model at all times and contributes to the provision of nursing expertise and specialist knowledge within the area of practice. department area which meet the development needs of both nursing and other support staff.

Undertakes individual performance reviews and identifies and implements personal development plans for junior staff. Assists in the effective management of the ward/department consumables budget.
Complies with all Trust policies and national guidelines. Deals personally with patients, families and carers in order to aid resolution of complaints.


Enhanced own professional, clinical and managerial education and development in line within my personal development plan.
Encourages staff towards an environment in which individuals take ownership for their own development.
Responsible for implementing educational programmes within the ward/department area which meet the development needs of both nursing and others

Attends mandatory training and update sessions.
In conjunction with the Ward Manager, develops and reviews patient education and health promotion programmes for patients, relatives and carers.


Managing staff and off duty
Completing daily, weekly audits
Attending meetings
Rotational site co ordinatior of Saint cross hospital, managing beds assessing and liaising with control room to enable appropriate transfers of patients to other wards in the hospital, this also entails being a senior member of the on call medical emergency team assisting with urgent care, security alerts, fire alerts and staffing issues throughout the site.

Working flexibly as a experienced clinical professional providing public health advice, contact tracing and telephone management of a complex caseload.

Working to Public Health England (PHE) protocols and guidance you will be responsible for completing the initial telephone interview/assessment of COVID-19 cases who have tested positive, are in self isolation & either vulnerable, unable to use the digital contact tracing or more complex cases requiring direct input. Form part of a team of Contact tracers who will normally provide the first point of contact of cases of COVID-19 (i.e. the people who have just received a positive lab result)
Undertake case interviews and perform an initial public health risk assessment of COVID-19 cases identified for contact tracing in line with the contact tracing and management protocol and further protocols or guidance as indicated (45-60 mins).
Ensure the timely and accurate recording of information from those interviews using systems provided
Provide clinical advice to cases and their contacts as directed by protocols and procedures.
Receive escalation queries from non-clinical Call Handlers, provide advice and take action as appropriate.
Escalate and refer challenging or complex cases or incidents and outbreaks of COVID-19 to the Tier 2 Team Leader.
Ensure accurate, up to date records of contacts/action by completion of relevant records and compliance with team handover procedures, in line with PHE operational guidance and procedures.
To work within their own competence, seeking senior advice as/when appropriate.
Be able to (and be able to recognise the need to), modify and adapt methods of communication to account for the differing needs of contacts especially in stressful and difficult situations and ensure polite, efficient and appropriate communications exist at all times
Utilise clinical judgment, knowledge & expertise to advise or redirect a caller as appropriate
Contribute to the maintenance of effective systems for the surveillance of COVID-19 through providing accurate data and information.
To undertake and participate with any training required for the post holder to fully carry out their duties, including mandatory updates/refresher training
Contribute to any necessary ongoing development of current protocols, guidance and standard operating procedures as appropriate.
Responsibility for reporting complaints, incidents and near misses through the Complaints and Incidents Management System (CIMS)
Responsibility for assisting with risk assessments.

To provide excellent nursing care, and to actively participate in and contribute to the management of the Endoscopy Unit. Participate in the maintenance of endoscopes and other specialised equipment used in endoscopic and non-endoscopic procedures and provide technical assistance during such procedures.
Ensuring a high standard of nursing care to patients attending the Endoscopy Unit, working within company policies and procedures. Providing technical assistance during diagnostic and therapeutic Endoscopic procedures, ensuring safe working practice.
Setting, monitoring and maintaining excellent standards of nursing care. Maintaining personal contact with patients and relatives, being sensitive to their needs for courtesy, dignity and privacy and ensuring a friendly environment at all times.
Maintaining timely and accurate nursing records and ensuring that confidentiality is respected.
Storing, checking and administering drugs in accordance with established standards and guidelines
Cannulation, administering and checking drugs and injections;
setting up IV drips and blood transfusions, responding quickly to emergencies.
On call, attending resus and UTI emergencies.
Working closely with doctors during endoscopic procedures taking biopsies, removal of poylps, banding of emergency bleeds. ensuring safety .
Admission and recovery of patients and other related procedures  Contributing to the local resolution, investigation and follow up action of any informal or formal complaints.
Participating in the care and maintenance of endoscopes and other specialised equipment, ensuring an agreed standard of decontamination at all times including accurate records of traceability of all endoscopes and associated equipment. 
Ensuring the safe discharge of all patients from the Endoscopy unit. Maintaining a safe and clean environment within the clinical area in accordance with established standards and regulations.

Co-ordinating ward organising staff, and prioritising patient beds, assessing suitability of patients for safety of ward.
Admitting and discharging patients pre operatively and post operatively, arranging follow up appointments.
Responsible and accountable for administering medication,
implementing plans through tasks such as preparing patients for operations, wound treatment and monitoring observations particularly in recovery, ensuring a safe discharge.
observing and recording the condition of patients,
Cannulation, administering and checking drugs and injections;
setting up drips and blood transfusions.
assisting with tests and evaluations, carrying out routine investigations, ECG's, Bladder scans, catheterisation and responding quickly to emergencies.
Identifying unsafe circumstances in patients admissions and discharges.
Planning discharges from hospital and liaising with community nurses, GP's and referring to specialist teams.
Communicating with patients, relieving anxiety and comforting their relatives, advocating on behalf of patients.
Educating patients regarding their health.
Guiding student nurses, maintaining patient records, making ethical decisions related to consent and confidentiality.
Actively involved in audits.
referrals to MDT