Jenifer Lacle

As a bank or locum staff I work in various disciplines including ED and other ward base care for patients. My duties are

1.Emergency Nurse

Rapid Assessment and Triage: Quickly assess patients, prioritize care based on urgency, and stabilize critically ill or injured patients.

Immediate Care: Administer emergency treatments like CPR, defibrillation, and wound care.

Coordination: Work with the emergency team (doctors, paramedics) to manage complex, fast-evolving cases.

Patient Support: Provide emotional support to patients and families in high-stress situations.

Adaptability: Manage a wide variety of medical conditions, from trauma to cardiac arrests, strokes, and allergic reactions.

• Safeguarded patients' wellbeing with diligent observation and immediate action on any changes in condition.
• Liaised effectively with patients' families, facilitating communication between medical staff and family members.
• Delivered health education programmes to promote community health awareness.
• Managed challenging behaviour in psychiatric wards by utilising de-escalation techniques.
• Conducted triage in accident and emergency department for effective patient management.

2. Acute Medical Nurse

• Enhanced patient comfort during treatment by providing emotional support and reassurance.
• Facilitated the recovery of patients through constant monitoring and evaluation of condition.

Complex Patient Care: Manage patients with acute, often undiagnosed conditions (e.g., respiratory distress, infections, heart failure).

• Carried out infection control measures resulting in reduced risk of hospital-acquired infections.
• Maintained privacy and confidentiality whilst dealing with sensitive medical information.
• Administered injections, took blood samples to aid in accurate diagnosis.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Demonstrated excellent interpersonal skills, fostering strong relationships with colleagues and patients alike.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Administered medication in line with stringent drug regulations.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Monitoring and Response: Continuously monitor patients' vital signs, recognizing and responding to any signs of deterioration.
• Administering Treatments: Deliver medications, oxygen therapy, and intravenous fluids.
• Support and Education: Guide patients on managing their condition after discharge, especially if transitioning to chronic care.
• Multidisciplinary Collaboration: Work alongside medical teams to adjust care plans as conditions evolve.

3. Gastrointestinal (GI) Nurse

• Specialized Assessments: Support patients with GI disorders like Crohn’s disease, ulcerative colitis, or liver disease.
• Procedural Assistance: Assist during endoscopies, colonoscopies, and other GI procedures.
• Medication Administration: Manage treatments like bowel prep, enzyme replacements, or nutrition therapies.
• Symptom Management: Help patients manage pain, nausea, or dietary challenges.
• Patient Education: Teach about diet, lifestyle changes, and long-term disease management.

4. Neurology Nurse

Neurological Assessments: Perform detailed neurological exams, monitor for signs of deterioration (e.g., Glasgow Coma Scale assessments).

Care for Chronic and Acute Cases: Support patients with conditions like strokes, epilepsy, multiple sclerosis, and traumatic brain injuries.

Medication Management: Administer and monitor responses to medications such as anticonvulsants or steroids.

Rehabilitation Support: Assist patients with mobility, speech, and cognitive recovery, working closely with physiotherapists and occupational therapists.

Emotional Support: Help patients and families cope with long-term or life-changing neurological conditions.

5. Surgical Nurse

Preoperative Care: Prepare patients for surgery, ensuring consent, administering pre-op meds, and providing reassurance.

Intraoperative Assistance: Assist surgeons during procedures by handing instruments, managing equipment, and ensuring sterility.

Postoperative Monitoring: Monitor patients in recovery, managing pain, preventing infections, and tracking healing progress.

Wound Care: Clean, dress, and monitor surgical wounds for signs of infection or complications.

Rehabilitation and Discharge Planning: Educate patients on post-op care, pain management, and rehabilitation exercises.

• Quickly responded to medical emergencies, working calmly and professionally under pressure.
• Administered oxygen and medication to achieve optimum health outcomes.

As a clinical nurse specialist, I work in the respiratory department, to provide comprehensive care, support, and education, to patients, whilst working towards preventing the spread of diseases such as TB within the community.

My main roles are:

• 1. Providing specialised care and support to patients who have been diagnosed with reparatory related disease
• 2. I am responsible for conducting thorough assessments of patients suspected or confirmed to have TB. This includes collecting medical history, performing physical examinations and ordering diagnostic tests to confirm diagnosis.
• 3. I also work closely with physicians and other healthcare professionals to develop individualised treatment plans for patients. I ensure that treatment plans are aligned with patients needs, preferences and conditions.
• Addressed critical health emergencies promptly, preventing further complications.
• Supported family members during difficult times providing emotional comfort and reassurance.
• Documented all nursing activities meticulously for proper record keeping and reference.
• Provided healthcare education for improved patient outcomes.
• Maintained up-to-date knowledge on nursing best practices through continuous professional development opportunities.
• Developed individualised care plans to enhance patient recovery.
• Demonstrated excellent problem-solving skills in managing challenging healthcare situations effectively.
• Implemented effective infection control measures, minimising risk of cross-contamination in the facility.
• Assisted in complex medical procedures, ensuring optimal results were achieved.
• Collaborated effectively with multidisciplinary teams for seamless patient care coordination.
• Utilised advanced medical equipment proficiently for efficient patient care delivery.
• Conducted comprehensive health assessments, enabling accurate diagnosis and treatment planning.
• Ensured patient safety by adhering to strict clinical protocols.
• Administered prescribed medications accurately thus increasing treatment effectiveness.
• Promoted a positive healthcare environment through empathetic communication and support.
• Achieved consistent delivery of high-quality care with meticulous attention to detail.
• Advocated for patients' rights and needs, enhancing their overall hospital experience.
• Analysed patient data to facilitate accurate assessment of treatment outcomes.
• Evaluated nursing practices to improve quality of care, boosting patient satisfaction levels.
• . Medication administration is also one of my key responsibilities in ensuring that administering and monitoring of medication is effective.
• I also educate patients about the importance of adhering to the prescribed medication regime, and monitoring of adverse side effects.
• Another role I am involved in is educating patients and their families about TB, its transmission, prevention, and treatment. I also provide education about infection control measures, lifestyle modifications, and most importantly, the importance of completing their TB medication.
• I ensure that patients are closely monitored throughout their treatment. I also conduct regular follow up visits, whilst assessing patients treatment response and adjusting the treatment plan accordingly. I also monitor for any potential complications or side effects of medications that could potentially occur.
• I work in collaboration with various healthcare professionals including physicians, respiratory Therapists, Social Workers and Public Health Officials to ensure that a comprehensive and a coordinated approach to TB diagnosis is maintained.
• Improved treatment outcomes by delivering clear, effective patient and family education.
• Minimised infection risks by planning suitable bed utilisation and location with bed management teams.
• Enforced clinical compliance, verifying staff used MAR charts to required parameters.
• Performed health assessments and designed specialised treatment plans.
• Closely monitored and recorded patient vitals, implementing bespoke care improvements to minimise recovery time.
• Kept up-to-date with latest developments in nursing practice to contribute to medical research.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• Eased family anticipation by updating regularly on patient progress, developments and treatment changes.
• Dealt with emergencies with calm and composure.

I work as a Locum nurse weekends at the emergency department as ST. George's hospital.

My primary role includes:

• 1 Providing immediate and specialised care to patients who are experiencing acute injuries or illnesses
• Maintained privacy and confidentiality whilst dealing with sensitive medical information.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.
• Managed ward supplies for seamless healthcare delivery.
• Demonstrated excellent interpersonal skills, fostering strong relationships with colleagues and patients alike.
• Assisted doctors during procedures, ensuring successful operations.
• Managed challenging behaviour in psychiatric wards by utilising de-escalation techniques.
• Facilitated the recovery of patients through constant monitoring and evaluation of condition.
• Coordinated discharge planning activities for smooth transition from hospital to home environment.
• Enhanced patient comfort during treatment by providing emotional support and reassurance.
• Collaborated with multidisciplinary team for improved patient outcomes.
• Carried out infection control measures resulting in reduced risk of hospital-acquired infections.
• Safeguarded patients' wellbeing with diligent observation and immediate action on any changes in condition.
• Championed the implementation of evidence-based practice within the nursing team.
• Conducted triage in accident and emergency department for effective patient management.
• Participated regularly in professional development activities to enhance nursing skills.
• Administered injections, took blood samples to aid in accurate diagnosis.
• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• . Responsible for quickly assessing patient's conditions and prioritising care based on severity of illnesses or injuries while using knowledge based clinical judgement to determine the appropriate plan of care.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Established positive rapport with patients and families through active listening and compassionate care.
• Educated patients on good health, providing leaflets and verbal guidance on improved wellbeing measures.
• Conducted informative handovers at shift end through concise and accurate reporting and communication.
• Administered medication in line with stringent drug regulations.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.
• Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
• Administered oxygen and medication to achieve optimum health outcomes.
• Prioritised health problems to assist patients in complex, urgent or emergency situations.
• Liaised with senior physicians to plan timely, successful patient discharges.
• Used outstanding planning and prioritisation abilities to safely care for [Number] patients.
• Stayed up-to-date on the latest nursing developments to provide best patient care.
• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Tracked and addressed patient pain levels, helping promote healing by minimising discomfort.
• Monitored patient behaviour and responses to treatments and reported concerns to senior staff.

Worked in Same Day Emergency Care My duties were

A Same Day Emergency Care (SDEC) nurse I a crucial role in providing rapid assessment, treatment, and discharge for patients who don’t require overnight admission. Their duties typically include:

1. Patient Assessment and Triage

Quickly assess patients' conditions and prioritize care based on clinical urgency.

Take medical histories, monitor vital signs, and perform physical examinations.

2. Clinical Interventions

Administer medications, intravenous fluids, and other treatments as prescribed.

Perform diagnostic tests (e.g., blood tests, ECGs) and assist with minor procedures like wound care or catheterization.

3. Care Coordination

Collaborate with doctors, advanced nurse practitioners, and other healthcare professionals to create patient care plans.

Ensure seamless transitions between departments or services if further treatment or admission is necessary.

4. Patient Education and Discharge Planning

Educate patients and families about their conditions, treatments, and follow-up care.

Ensure patients are stable and safe for discharge, providing appropriate advice on when to seek further medical help.

5. Monitoring and Continuous Evaluation

Monitor patients throughout their stay, evaluating their response to treatments and escalating care if needed.

Recognize early signs of deterioration and act swiftly.

6. Documentation and Record Keeping

Maintain accurate, timely, and detailed patient records to support safe, effective care and handovers.

7. Supporting Service Development

Participate in quality improvement initiatives to enhance SDEC service delivery and patient outcomes.

Engage in training and mentorship of junior staff and students.

My role as an Acute medical Nurse was to provide specialist care for patients who are experiencing acute medical conditions.

This roughly included:

• Patients with neurological problems, such as headaches, seizures, brain tumours.
• Respiratory problems such as COPD, asthma, Emphysema, Pulmonary fibrosis, bronchiectasis.
• Patients with cardiovascular disease, such as uncontrolled hypertension, chest pain, STMI & NSTMI, acute coronary syndrome, DVT.
• Patients who require mechanical ventilation etc.

My main responsibilities:

• Assessing and monitoring patients conditions
• Monitoring vital signs e.g. blood pressure, heart rate and oxygen levels
• Interpreting lab results and diagnostic tests, to help identify changes or deteriation in the patients condition
• CPR procedures, managing cardiac arrests, stabilising critically ill patients
• Documentation of patients outcomes
• Assisted doctors during procedures, ensuring successful operations.
• Provided high quality patient care by administering medication, conducting routine checks and updating medical records.
• Demonstrated excellent interpersonal skills, fostering strong relationships with colleagues and patients alike.
• Coordinated discharge planning activities for smooth transition from hospital to home environment.
• Carried out infection control measures resulting in reduced risk of hospital-acquired infections.
• Administered injections, took blood samples to aid in accurate diagnosis.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.
• Performed wound dressings, contributing to faster healing process.
• Managed ward supplies for seamless healthcare delivery.
• Managed challenging behaviour in psychiatric wards by utilising de-escalation techniques.
• Educated patients on good health, providing leaflets and verbal guidance on improved wellbeing measures.
• Conducted informative handovers at shift end through concise and accurate reporting and communication.
• Administered medication in line with stringent drug regulations.
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.
• Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
• Supported patients with critical conditions, planning and implementing targeted strategies for optimal recovery outcomes.
• Stayed up-to-date on the latest nursing developments to provide best patient care.
• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Leveraged person-centred care to develop care plans and enhance recovery process.
• Coordinated care across large wards based on patient priorities and requests.
• Oversaw, trained and mentored student and junior nursing staff.
• Helped deliver stabilising and life-saving treatments during medical emergencies.