Francisco Quinon

• Working in partnership with senior managers and play key role in leadership and development of Inpatient (IPU) Service
• Experienced clinical practitioner pivotal in developing clinical practice, ensuring continuous quality improvement and embedding the Hospice's clinical governance agenda
• Part of the remit of my role is to innovate and support new ways of working that demonstrate more efficient and patient focused service
• Part of the role is also Safeguarding lead and In Patient Infection Control Manager
• Both roles ensuring that clinical governance initiatives are being met in the department
• The role is also involved in fostering relationship and working collaboratively with community palliative team ensuring that we continuously engage with them and remain robust in providing a service in both Merton and Sutton ICB that our service covers
• Conducted regular performance reviews, thus raising standards of excellence.

* Works in highly regarded and well-established resuscitation training and service provision company operating across the UK. An approved RC UK ALS, EPALS, GIC, ILS and PILS course center.

* Part of my job is participating in designing and delivering training programmes in critical care and resuscitation practice . Provides professional advice on resuscitation attempts, policy development, training, clinical governance issues, resuscitation techniques and equipment relating to resuscitation.

* Undertake and support the programme of in-situ simulations across various client sites. Support the development of other staff members. Participate in projects and/or research activities undertaken by the company. Undertake resuscitation officer roles and lead roles for client sites, as directed by the senior resuscitation officer(s).

• Responsible for the immediate co-ordination and first line management of the Trust's emergency response to Fire, Major Incidents, Security alerts, Code 10 (mental health emergency) and Serious/Critical site incidents
• Provide leadership to the ‘Out of Hours' teams, and to co-ordinate the hospital handover focusing on safety, support, patient referrals and new admissions
• Responsible ‘out of hours' for the operational management of the Trust, implementing Policies and Procedures as required and providing support and advice to patients, staff and Trust employees
• In addition to this recognising when to escalate to Senior Site Nurse Practitioner team
• Routinely undertake ward walk around, and to provide senior nursing support, advice and clinical leadership to clinical areas within the Trust to provide a safe clinical environment for patients
• Manage and implement the Trust's Complaints, Disciplinary, Violence and Aggression Policies and other policies as required
• Liaise with Security managers and communication team, and on behalf of the Trust to external agencies such as the police and media
• Co-ordinate and redeploy staff to maintain safe staffing according to acuity levels in Hospital and community settings
• Utilising the ‘Safe care system' to plan and mitigate staffing levels to maintain patient safety
• Responsibility as a hospital manager to formally accept mental health section papers for any patient detained under the Mental Act (1983) on behalf of the Trust and inform the patient of their rights under the MHA and how to appeal against the section
• Appropriate escalation of patients needing placement within mental health services as per locally agreed guidance, both in and out of hours with senior management
• Act as a trouble-shooter, and give support and advice to all Trust employees

• Directed patient flow and bed availability for AAU and inpatient units
• Assessed ICU capacity and collaborated on patient movement to suitable ward locations
• Administer CMS information input and escalate when necessary
• Worked with A&E and AAU staff to secure swift patient bed transfers
• Identify pressure points in securing a smooth flow of patients and initiate action to resolve any problems
• Adhere to the bed management policy
• Ensure that protocols for the repatriation of patients from other hospitals are managed effectively and that delays in transferring patients to other hospitals is escalated as appropriate
• Facilitated daily bed meetings, maintaining accurate spreadsheets and clear management plans for each speciality
• Mitigating risks of mixed-sex breaches
• Work closely with the AAU senior medical and nursing team to ensure that patients are appropriately zoned taking into account available beds
• Assess the impact of elective admissions and escalate where there is concern that there is inadequate capacity to admit
• Ensure that policies concerning the admission of patients from the elective inpatient waiting lists are implemented
• Involved with Trust wide audits and data collection

• Resolve Clinical Site Management and Hospital at Night service issues within the hospital
• Implement any recommendations following the resolution or investigation of conflicts/complaints/adverse incidents
• Ensure that all Health and Safety assessments are carried out and that corrective measures are implemented in own sphere of responsibility
• Lead on the development/implementation of hospital wide and local policy as required
• Identify and inform the Head of Nursing for Clinical Site Management of any areas for improvement
• Develop and implement tools to monitor and improve the quality of service
• Be highly visible, accessible and approachable to staff, patients and public to ensure that an open and honest communication channels are created and evaluated
• Ensure the nursing service provided by the team is of a high quality and responsive to the changing service needs
• Regularly carry out audit of the nursing service
• Act as a reasonable resource for Trust staff, to guide support developmental projects
• Advise the Head of Nursing for Clinical Site Management on the need for both extra internal and external resources
• Act as a mentor, coach and clinical supervisor to the Clinical Site Practitioners within the team
• Performed advanced clinical tasks, including cannulation, phlebotomy, and verification of death

• Providing senior leadership to the Patient Flow/Clinical Site Managers team
• Ensuring the functions of the Patient Flow and Clinical Site Managers are undertaken as specified and required, providing training, support and guidance to the staff in these roles
• Day to day running of the Co-ordination Centre to optimize patient flow for patients in UCH Tower and NHNN, 24/7, 365 days a year
• Deputizing for the Clinical Operations Manager – Coordination Centre when they are not on duty
• Act as Bronze Commander for major incident at all times and support Divisional Managers in dealing with internal incident in hours
• Out of hours to take the lead in initial responses to all incidents
• Be responsible for supporting Hospital at Night and ensuring that the Clinical Site Managers are leading on this process

• Provides 24/7 on-site managerial cover
• Managed on-site clinical operations and supported directorate leads
• Oversaw capacity management and effectively implemented escalation procedures during high-demand situations
• Provided first-line leadership during major incidents outside regular working hours
• Led Hospital @ Night team and supported Outreach Nurses and Clinical Site Managers
• Served as key contact for operational and staffing matters during out-of-hours periods across the Trust
• Resolved capacity issues through contingency planning and effective patient and staff management
• Supported clinical areas with greatest need as Senior Clinical Site Manager
• Oversaw daily operations on-site, promoting effective workflow management.
• Demonstrated leadership skills during challenging circumstances, ensuring team morale remained high.

• Managed unit shifts, maintaining corporate standards and adhering to clinical regulations from health bodies
• Managing resources personnel and supplies ensuring that these are maintained in safe levels to meet patient's needs appropriately and safely
• Deputizing for the Ward Manager coordinating the activity of the unit and escalating issues to agreed cascade order within the organisation
• Mentoring and supporting junior staff as well as student nurses in their learning objectives and developing staff in achieving developmental goals
• Career Highlight – Introduced Hospital at Night Practice
• Introduced the ITU Teach initiative- an outreach teaching for the ward staff to enhance post transfer assessment of patients step down from ICU

• Coordinates admissions, transfers and discharges for all patients at the Queen Square Division.
• Responsible for appropriate use of beds and resources while maintaining clinical quality and safety, coordinating inpatient care, the management of resources and performance of staff
• Provide clinical and professional advice and guidance to staff, as required
• Provide a clear focus for clinical leadership and responsible for ensuring the provision of a high standard of holistic, patient-centered care
• Responsible for the implementation of Audit, Quality and Risk Management initiatives
• Undertake Out-of-hours Bronze Commander duties, in a Major Incident, until Bronze Commander arrives on site

• Coordinates the Care for specific individual needs of patient or patient groups by consistently compiling care plans which meets identified treatment goals
• Consistently provides high quality advice to patients, carers and colleagues and acts as health promoter, incorporating health promotion themes into the nursing practice
• Demonstrate enhanced nursing practice by acquiring knowledge and skills in reading, interpreting and evaluating research to pursue evidence based practice
• Acts as education resource for other members of staff within the department and the trust

• Undertake pre –transfer checks of equipment and anticipates and possible problems that may arise during transfer
• Conducted comprehensive pre-transfer assessments using evidence-based practices
• Assess, prioritize and plan care holistically for patient requiring ambulance transfer care
• Anticipate the effects to individuals of transfer environment
• Demonstrate awareness of health and safety legislation around transfers and make appropriate risk assessment
• Assess patient's suitability for transfer and ensure safe repatriation
• Coordinates and communicates with necessary point of contacts during transfer making sure that effective flow of communication is maintained for the key points of contact in the transfer pathway.

• Work as a part of the project team implementing clinical IT projects into the Trust
• Responsible for coordinating operational activities identified in the project plan in order to manage and implement defined targets reporting to the manager any occurrence of issues
• Facilitate changes to clinical practice or operational procedures in order to manage systems implementations
• Document workflows in a logical manner and analyse these processes in order to identify problems and opportunities when implementing new solutions
• Deliver presentations and demonstrate products with confidence to all levels of clinical, administrative and managerial staff in a manner that is appropriate to the audience

• Undertake pre-flight/pre –transfer checks of equipment and anticipates and possible problems that may arise during transfer
• Undertake a full pre-flight assessment of patient using evidence based approach to practice with regard to patient's medical condition taking into account individual need and proposed itinerary
• Assess, prioritize and plan care holistically for patient requiring in flight/ambulance transfer care
• Anticipate the effects to individuals of in-flight environment including time zones, stress and long haul flights
• Demonstrate awareness of health and safety legislation around in flight transfers and make appropriate risk assessment
• Demonstrate a comprehensive understanding and knowledge of the gas laws and the effects of altitude and travel and the principles of aviation medicine in a day to day practice
• Assess a patient's suitability for flight and act to ensure safe repatriation.

• Communicated effectively patient care in the intensive care setting with colleagues to facilitate teamwork.
• Worked with colleagues to streamline clinical processes and improve care workflow.
• Conducted thorough clinical data entry tasks, maintaining accuracy in information management systems adhering to information governance .
• Assisted patient and families with queries, improving overall patient experience in ITU.

• Supporting patients through their treatment as part of a clinical trial.
• Preparing trial protocols and other trial-related documentation.
• Dealing with data / sample collection.
• Coordinating and conducting clinical trials that involve human subjects ( Phase 1).
• Educating subjects about the trial protocols.
• Collecting and preparing biological samples.
• Monitoring the expected and unexpected side effects of drugs and other trial modalities.

* Develops specialist knowledge and competence in caring for critically ill adults by working with mentors , colleagues and clinical practice educators.

* Maintains a safe clinical environment conducive to patient care.

* Responsible for the assessment of care needs and the development, implementation and evaluation of program of care for critically ill adults with supervision from senior staff.

* Delivers planned holistic care in collaboration with the MDT.