Kaira Nicole Pantaleon

· Working as a senior specialist nurse delivering diabetic foot nursing care within a specialist area and an acute multidisciplinary team looking after complex diabetic patients at risk of limb loss.
· Mentored and supervised band 6, band 5 nurses and HCA within the Diabetic foot clinic.
· Providing education and training to junior members of the staff.

· Maintaining own clinic list of patients under the OPAT care, compression dressing, and day-case theatre list for the diabetic foot minor- procedure rooms (assisting vascular and orthopaedic surgeons).
· Providing advanced lower limb care, such as applying larval dressings, calcium sulphate beads loaded with antibiotics, and vacuum-assisted closure (VAC) dressings,

· Managing complex intravenous access and provide care for patients with PICC lines.

· Acting as nursing lead for infection control and IV access link nurse.
· Active member of the multidisciplinary team (diabetes foot team, joint vascular and orthopaedic clinic etc.)
· Instigating and ordering haematological and biochemical blood investigations, and recognising abnormal results.
· Instigating and ordering radiological and vascular investigations for complex diabetic foot patients.
· Actively involved in in-patient and out-patient care, liaising with specialities and ward staff to ensure high quality nursing care.
· Discharging patients under nurse led protocols.
· Participating in the development of appropriate patient group directives to facilitate/enhance the discharge process.
· Acting as a resource person to others, providing accurate information, advice and support to the multidisciplinary team, patients and their relatives.
· Consenting patients for diagnostic tests and treatment in the diabetes foot clinic.

· Acting as an integral member of the multidisciplinary team, actively contributing to microbiology multidisciplinary meetings, discharge planning, and assist podiatrists with post-surgical care.

1. Providing comprehensive cardiac rehabilitation in the form of education and support to patients with CHD at King’s College Hospital. This includes inpatient ward visits and outpatient clinical review.
2. Effectively and efficiently managing own patient caseload under minimal supervision.
3. Acting as a resource to others, providing accurate information, advice and support to the MDT, patients and relatives.

4. Participating in clinical audit within the team as directed and entry of accurate data for local and national databases including NACR. 5. Attending meetings and conferences as appropriate ensuring that I am fully conversant with current issues within the trust and within cardiac rehabilitation.
6. Working with other staff in clinical areas where changes to practice are required, also where opportunities exist to improve treatment and support for patients.

7. Participating in any local change programmes in order to improve standards and communication links from acute trust through to Primary Care.
8. Keeping up-to-date with current literature and research within cardiac rehabilitation.

· Worked in multiple clinical settings including Diabetes and Endocrine Ward, Trauma Rotation, Accident and Emergency Department, Cardiothoracic High Dependency Unit, Cardiac Recovery Unit and Intensive Therapy Unit.

1. Working effectively as part of a nursing team, managing an allocation of patients safely and with compassion.
2. Practising skills with regard to fundamentals of nursing such as personal care, safe drug administration, feeding and
protected mealtime, toileting, infection control procedures , providing privacy and dignity, observation and monitoring documentation. 3. Safely conducting risk assessments and prevention of harm on individual patients.
4. Understanding of the early warning score (EWS) system and ward based escalation protocols for patients' observations and acting appropriately.
5. Extensive monitoring of patients' vital signs, telemetry (rhythm analysis), pacemakers and hemodynamics.
6. Caring for post-operative patients with extensive knowledge on signs of deterioration and immediate interventions.
7. Assertive reporting of patients' statuses to doctors and surgeons and communicating with patient's families and friends with compassion.
8. Providing safe and competent care to high dependency unit and critical care patients.
9. Practicing skills such as
• Supportive Care of Patients on Mechanical Ventilation
• Care of Post-Surgical Cardiothoracic Patients
(e.g. Coronary Artery Bypass, Valve Repair and Replacement)
• Cardio-Pulmonary Resuscitation
• Invasive Hemodynamic Monitoring
• Chest Drain (Removal, Insertion and Management)
• Management of Arterial Line and Central Venous Lines (CVC, PICC)
• Management of Temporary Pacemaker
• Pharmacological Management (Cardiac Drugs)
• Telemetry Monitoring and basic ECG interpretation