Laura Pamment

Deliver advanced specialist care to patients with heart failure:

• Undertake inpatient reviews, interpret echocardiography results, initiate and optimise treatment in line with NICE guidelines, and provide comprehensive patient education.
• Arrange and coordinate inpatient transfers for advanced diagnostics (e.g. coronary angiography, cardiac MRI) and complex device therapies.
• Identify inpatients suitable for early discharge and provide outreach support to the community to avert crisis and reduce avoidable hospital admissions.
• Optimise heart failure pharmacological therapy to improve outcomes and avoid admission.
• Prescribing and supporting delivery of IV furosemide and IV iron, within the day hospital.
• Request and interpret investigations including ECGs, chest X-rays, blood tests, and monitoring.
• Manage an independent caseload, delivering nurse-led clinics (face-to-face and telephone).
• Running nurse-led Rapid Access Heart Failure Clinics with consultant support as required.
• Triage and vet referrals and waiting lists for Rapid Access Heart Failure and GP referrals, ensuring compliance with NICE-recommended waiting times.
• Support heart failure patients and their families in outpatient settings through education, self-management support, and quality-of-life improvement initiatives.
• Refer and prepare patients for consideration of complex device therapies ( ICD, CRT).
• Undertake pre-assessment for PPM and DCCV in line with local SOPs.
• Lead and participate in complex discussions including DNAR, TEP, advance care planning, and device deactivation (ICD/CRT-D).
• Act as the palliative care lead for the heart failure service within the trust, ensuring timely integration of palliative support.
• Have advance care planning discussions and coordinate end-of-life care in collaboration with MDT and community services.
• Lead and manage the heart failure cardiac rehabilitation service on a daily basis, ensuring safe, effective, and efficient service delivery.
• Manage the operation of the cardiac rehabilitation gym, including staffing and service organisation.
• Conducting IPR and supporting personal development of staff.
• Act as a specialist expert resource for staff across the Trust and community, providing advice and guidance on heart failure management.
• Work collaboratively with the wider MDT to manage patients with complex comorbidities.
• Support, supervise, and educate student nurses and junior team members.
• Deputise for the Lead Heart Failure Nurse as required.
• Complete and contribute to national heart failure audits.
• Maintain accurate, timely, and comprehensive clinical records and correspondence in line with professional and organisational standards.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.

Band 5 Staff Nurse Acute Cardiology & Stroke (ACCU):

• Delivered high-quality, compassionate personal care to patients in an acute cardiology and stroke setting.
• Administered medications safely in accordance with prescriptions, policies, and clinical guidelines.
• Maintained accurate, timely documentation, including care plans, assessments, and clinical notes.
• Completed ward admission documentation and carried out comprehensive patient assessments.
• Educated patients and relatives on conditions, investigations, and treatment plans to enhance understanding and engagement in their care.
• Prepared and transferred patients for angiograms and complex cardiac device procedures.
• Provided pacing support when required.
• Applied telemetry to patients on general wards, reviewed the cardiac monitoring.
• Performed venepuncture, cannulation, ECGs, and requested blood tests.
• Completed swallow assessments for stroke patients in line with clinical protocols.
• Liaised effectively with the multidisciplinary team to ensure coordinated patient care.
• Supported junior staff and mentored student nurses in clinical practice.
• Maintained Immediate Life Support (ILS) competency.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.

Band 5 Staff Nurse Emergency Department:

• Worked as a Band 5 nurse in a busy Emergency Department, initially as a newly qualified nurse.
• Delivered care across minors, majors, and resuscitation areas.
• Performed wound dressings, contributing to faster healing process.
• Supported medical staff in the delivery of emergency care, including venepuncture and cannulation.
• Performed ECGs and recorded vital signs, including blood pressure, GCS, and MEWS.
• Administered medications safely in accordance with prescriptions and local policy.
• Maintained accurate, timely, and comprehensive patient documentation.
• Provided compassionate support to patients and relatives during their attendance to the department.
• Applied temporary back slab plaster casts where required.
• Transferred patients to inpatient wards and delivered clear, structured handovers.
• Delivered personal care while maintaining dignity and comfort to the patient.
• Liaised effectively with the multidisciplinary team to ensure coordinated emergency care.
• Ensured adherence to nursing standards by maintaining up-to-date knowledge of nursing practices and ethics.

Healthcare Assistant Care of the Elderly & Stroke Ward:

• Provided high-quality personal care to elderly and stroke patients, maintaining dignity and comfort.
• Maintained clear, accurate, and timely documentation in line with care plans and ward requirements.
• Monitored and recorded vital signs, including blood pressure and Glasgow Coma Scale (GCS).
• Delivered essential mouth care and supported patients with personal hygiene needs.
• Assisted patients during mealtimes, ensuring appropriate support and nutritional intake.
• Reported any concerns, changes in condition, or issues promptly to the registered nurse.
• Worked collaboratively with the multidisciplinary team to support safe and effective patient care.