Janine Preston

As a GPN I provide healthcare in primary care by:

• Administering adult and child immunisations inline with the UK immunisation schedule - often requiring me to assess a patient's medical history and/or foreign immunisation schedules to determine what an individual is eligible for, this includes communication with the CHIS team to update records, confirm vaccines received outside of our practice, or confirming immunisation plans, as well as consulting with the Green Book to ensure treatment plans are appropriate and up to date.
• Provide regular injectable medication, such as testosterone, B12, Depo, Inclisiran.
• Managing chronic diseases such as diabetes, asthma, hypertension, heart failure, COPD through vital signs, urine, and blood monitoring, as well as patient education.
• Complete regular monitoring of contraception, alongside UKMEC guidance and give patient education on alternate contraceptive options.
• Established strong rapport with clients through regular communication.
• Conducting patient assessments, including vital signs, medical history, and presenting symptoms and liaising with junior and senior doctors to ensure timely and effective patient care.
• Carry out ECGs and ensure timely management of results.
• Review blood results and arrange follow ups of abnormal blood-work.
• Maintaining accurate and up-to-date patient records using electronic health systems (EMIS).
• Work under PGD's or PSDs and ensuring either documents are up to date and appropriate.
• Organise and attend home visits for bed bound patients
• Attending weekly practice meetings to stay up to date with patient care plans, significant events, and changes to practice policies and procedures
• Making referrals to other healthcare providers with patient consent to support patients with ADL's and improving quality of life.
• Coordinating with multi-disciplinary teams to ensure continuity of care
• Participating in audits, infection control, and safeguarding procedures
• Monitor stock levels for timely replenishment and ensure doctors rooms are stocked for clinics, as well as ensuring emergency drugs are available, stocked and in date at all times.
• Ensure annual QOF/BQC targets are met

I have completed the General Practice Nurse Foundation Programme, as well as a 2-day course in Introduction to the Foundations of Vaccines and Immunisations, 1-Day course in Next steps C1 new to Travel, 2-Day course in Understanding blood results, and I am currently awaiting on confirmation of completion of my cervical smear certification (Cervical Sample Taker). In addition to these, I regularly attend the General Practice Nurse Forums for contemporary updates in primary care.

I worked as a band 5 neonatal nurse. During my time on NICU I:

• Completed the NIP (introduction to neonates course) with the neonatal network
• Was responsible for multiple special care, high dependency or intensive care babies in any given shift.
• On a day to day basis I performed regular visual and physical observations, carrying out regular cleaning and pressure-relieving cares. I communicated and built rapports with parents and family members whilst maintaining confidentiality. I completed minute medicines calculations and administered medication, delivering oxygen via neopuff, nasal cannula, optiflow, bipap and cpap, carrying out wound care, followed feeding regimes, reviewed fluid balance calculations to administer IV fluids alongside feeds and medications in-line with strict fluid regimes, carried out regular thorough cleaning of cot spaces to maintain infection control to our vulnerable babies. I also communicated and worked alongside doctors, physiotherapist, and ANP's as part of the MDT to create and deliver contemporary care plans for optimum health outcomes.
• Worked flexible hours, covering nights, weekends and bank holidays.
• During my time on the NICU unit I also supported the COVID-19 vaccination programme in working bank shifts to vaccinate staff members across the RBH.

I worked as a healthcare assistant on the bank roster where many of my skills from working as a healthcare assistant at the Prior could be transferred.

My role included caring for inpatients at Royal Bolton Hospital supporting them with their day to day needs.This included:

• Aiding service users in everyday activities, such as washing and dressing, ensuring constant safety and effective care within their capabilities
• As a healthcare assistant I supported staff with admission and discharges and generally supporting the units to run smoothly
• As bank staff worked on wards where their was low staffing it was usually very busy and time management was important as sometimes I would be expected to take on more patients than usual
• Monitored client health conditions and reported immediate issues to manager.
• Ensured infection control measures were adhered to strictly for a safe environment for both staff and patients alike.
• Kept documentation updated, ensuring accuracy of records.

At the Priory, I trained for my healthcare certificate along side working full-time, on both day and night shifts.

• I worked on the Highbank unit which is a specialised hospital for traumatic brain injury patients who were either admitted for neurological testing or for rehabilitation
• This included support with day to day cares for patients eg, showering, washing, dressing, hoisting, and regular repositioning to prevent pressure damage for our immobile patients, whilst retaining comfort and dignity.
• Vigilantly monitored changes in physical and mental health, reporting deterioration to senior carers for urgent attention.
• Improved service users' daily lives through compassionate conversation, empathetic care and community socialisation.
• Empowered vulnerable individuals to retain maximum independence through targeted care.
• I also supported dysphagia patients with eating and drinking, using different thickening agents and levels of consistency in guidance with their care plan
• I trained to support tracheostomy patients, following trachea plans with 2 hourly changes of inner cannula, regular drainage of subglottic, deep and oral suctioning, as well as full and emergency tracheostomy changes
• In addition to this, as a healthcare I administered medication, bolus flushes and nutritional drinks, as well as set up artificial feeds through a PEG, following individual feeding plans
• Collaborated with nurses to provide comprehensive patient care, ensuring a smooth recovery path.
• Kept detailed records of patient progress, assisted medical staff in treatment planning.
• Assisted in physical therapy sessions with patients to promote mobility improvement.
• Ensured infection control measures were adhered to strictly for a safe environment for both staff and patients alike.
• Monitored vital signs of patients with meticulous attention to detail for accurate readings.

As a software support technician for Open IP my roles were:

• To answer all support calls and emails, as the first point of contact, and dependant on the severity redirect to the appropriate technician or respond personally to resolve the problem as soon as possible
• Finding a resolution included connecting remotely to a customer's machine/server (Windows and Linux)/phone systems (Mitel and Splicecom)/CCTV to investigate the issue, try to find a resolve myself or with co-workers, or if we cannot work through it together, raise it with another support company in a timely manner
• This would often mean working out of hours to meet customer's needs
• The rapidly growing customer base meant that we had an increasing demand to meet deadlines to deal with the high work load as well as the ability to prioritize work
• Part of my role incorporated managing virtual and physical servers, their hosts, and storage which included arranging downtime with customers for upgrading resources, reboots, and migrations
• I also worked to ensure customers had full working backups of important servers using software such as Fbackup, Veeam Backup and Replication, VMWare VSphere and HP Central Management Studio
• I also updated the website pricing and added listings as well as admin work for sales
• I reported directly to my supervisor, manager and the Managing Director regarding various projects and tickets and was often asked to write up documentation and emails to customers and staff due to my excellent communicable and writing skills
• From December, the company recruited two apprentices which I was tasked with training and supervising, assigning them appropriate work and assisting them with their tickets, giving them training on different hardware and software as well as help managing their time and work load

My role as support technician was to:

• Answer support emails and calls from schools that used the SARS GRID software, directing them to the correct person that can answer the issues or take a message if I cannot help
• I would connect virtually with clients to resolve issues they were having with our software, which included testing different options to narrow down the source of the problem, also connecting to the client's server, database, or making changes to the registry if required
• I QA'd new software before and after release to ensure minimal problems for our clients
• Between calls I updated our information with client and software information
• Managed regular system updates for optimised performance.

I transferred all my duties from my previous work as shop assistant at Open to working at Footasylum. However, in addition to those duties, during my time at Footasylum I also helped to open the new Middlebrook store which included:

• Assisted in the unloading and organising of new stock for efficient store layout.
• Training new employees on store policies and procedures effectively.
• Merchandising the store and window displays to showcase new items and increase customer interest.

As a shop assistant, I:

• Greeted every customer warmly, promoting friendly atmosphere.
• I worked on the till with cash transactions
• Upheld company policies whilst dealing with returns and exchanges.
• Maintained clean, appealing shop environment for comfortable shopping experience.
• Completed restocking swiftly post delivery arrival to ensure immediate product availability.
• During this time I was assessed by mystery shoppers and exceeded customer service standards

I worked as bar staff where my duties included:

• Serving customers to foster a friendly atmosphere.
• Making cocktails for customer enjoyment. Serving guests spirits, lagers and stouts at bar.
• Inputting orders into register, calculating bills and collecting payments, handling cash transactions to ensure accurate accounting.
• Checking identification to maintain legal compliance.
• Restocking the bar efficiently during busy periods.
• Cleaning and sanitising bar area, maintaining high standards of hygiene.
• Completing end-of-day cleaning duties, leaving the bar ready for next day's trade.
• Handling and moved supplies between stores and bars for restocking and storage.

Duties included:

• Collected and organised glasses for efficient cleaning process.
• Provided clean, ready-to-use glassware by diligent collection, washing, and restocking duties.
• Adhered to health and safety regulations whilst handling glass items, reducing risk of injury.
• Improved atmosphere of establishment with regular upkeep and tidying tasks.
• Restocking the bar efficiently during busy periods.
• Completing end-of-day cleaning duties, leaving the bar ready for next day's trade.

When I turned 18 I was taken on full time as bar staff, where my duties changed to:

• Serving guests spirits, lagers and stouts at bar.
• Inputting orders into register, calculating bills and collecting payments, handling cash transactions to ensure accurate accounting.
• Checking identification to maintain legal compliance.
• Cleaning and sanitising bar area, maintaining high standards of hygiene.

I worked for the body shop as work experience during secondary school for two weeks

Duties included:

• Cleaning work areas and equipment to maintain cleanliness and organisation on the shop floor for easy navigation by customers.
• Monitoring stock levels for timely replenishment.
• Handling customer queries promptly and efficiently and assisting customers in choosing products, promoting a positive shopping experience.