KERRY RENEE GRACE

I currently work via an agency. I mainly work at York NHS Hospital and I usually work on Acute Medical Admissions Unit. This is a busy fast based ward with constant admissions from A&E. Obviously admitting patients for a number of reasons and often many are acutely unwell. I usually have 10 acute patients in my care at any one time with a quick turnover once they are stable enough to transfer off. Assessments are performed on admission. I am proficient in Venepuncture and cannulation. Any Intravenous fluids and medications are administered by myself.

If required I will refer out and escalate to consultants and critical care staff. Less urgent referrals are made to Physiotherapists, Dieticians and Tissue Viability Nurses.

I am capable of recognising and escalating a deteriorating patient in my care. I have commenced CPR and alerted emergency calls and attended at numerous Cardiac Arrests.

I have often been in charge on some wards at York Hospital. I work well within the team on AMU. I am familiar with computer systems for admissions and recording details for observations, assessments and care planning

I also own and am the Aesthetic Nurse at Renee Grace Aesthetics Limited. I see clients for initial consultations, take full medical history and discuss a plan of treatment for each individual. I listen to their concerns and their wishes but am always careful in patient selection for certain treatments and I always make them aware of realistic expectations before agreeing to a plan together. I assess all my patients for Body Dysmorphia.

I offer Botulinum Toxin injections and dermal fillers for Lips, Cheeks. Jawline, Chin, Tear Trough, Temples and Non Surgical Rhinoplasty. I am trained to administer dental blocks although rarely use these.

I advise my clients on skin treatments as well as injectables.

Obviously my time here was limited, this was due to my marriage breakdown and the travel distance with young children, however I was already seeing couples independently . I was carrying out venepuncture for screening. I was also straight back doing Trans Vaginal Scanning as this was a skill I learnt earlier in my career. I was assisting at Egg Collections, ie collecting follicular fluid and passing through to embryologist. I was carrying out abdominal ultrasound during embryo transfer and IUI's. This is for the consultant to ensure the embryo's/sperm are placed in an optimum place in the uterus. I assisted at Sugical Sperm Retrieval (SSR) also. I spent time in recovery, caring for the egg collection ladies and the men from SSR.

I very quickly became familiar with their IT system and was competent at putting data on the system. I was very quickly familiar with the HFEA policies and procedures and paperwork and was able to provide guidance for women and couples. Unfortunately the sad and hard part of the job is when treatment is unsuccessful. I was involved in the follow up care with these ladies/couples although we did have a qualified counsellor on site some days who I would refer clients to.

• As a Midwife, working at the Friarage Hospital site in Northallerton
• We had 1600 births per year
• I worked between labour ward and ante-natal/post-natal ward
• There was often only 2 midwives on Labour ward and we had 5 delivery rooms so I worked well as an autonomous practitioner but also well within a team across the maternity floor
• We had a theatre within the unit and I was often the lead midwife in elective and emergency Caesarean Sections
• I am competent at Venepuncture, IV Cannulation and Perineal Suturing
• We were constantly carrying out audits and I was involved in this process
• I was involved in the Time to Care project
• I was also involved in Risk Management and gathering data for this.

This was casual agency nursing work due to trying to start a family and travelling to where my then husband was working.

• During my time here I was employed as a Laser Nurse Therapist
• This included carrying out laser hair removal and also using lasers to treat wrinkles around the eye area
• I would conduct the consultations for these treatments providing full details and allowing an informed decision to be made by clients .I would then book clients in and do treatment plan
• I would also assist our surgeons in consultations for cosmetic surgery
• We would do the pre op and post op care in Birmingham however surgery was carried out in London
• I left this post to relocate to Harrogate.

• At this unit we practiced Team Midwifery
• This involved carrying our own caseload of ladies
• I worked within the Community, running antenatal clinics at GP surgeries, par- entcraft classes and then would go in to labour ward to deliver these ladies or carry out home births on an on call basis
• We then followed these women up in the post natal period at home
• I particularly enjoyed this way of working as it allowed great continuity of care and autonomy and this led to greater job satisfaction.