LEAH JOYCE LANIBA-CROUCH

Work history

Clinical Nurse Specialist- Endocrinology

Kings College Hospital NHS Foundation Trust

London, GREATER LONDON

05.2019 - 03.2025

Conduct detailed assessments of patients with endocrine disorders, including taking medical histories, performing physical examinations, and reviewing laboratory results (e.g. pituitary or adrenal hormone profiles).
Monitor patients for symptoms of endocrine disorders and assist with the management of symptoms such as fatigue, weight changes, dizziness, and changes in mood or skin. Offer interventions and support to alleviate discomfort or distress.
Managing caseload of patients over 30-50 patients per week with Pituitary and Adrenal conditions
Helps administer prescribed treatments such as growth hormone replacements, gonadotropin replacements, Somatostatin injections, testosterone injections, thyroid hormone replacement for hypothyroidism, or other hormone therapies. Ensure that patients understand how to manage their treatment regimens.
Providing care and support to adult patients with various endocrine conditions, including Cushing's disease, Acromegaly, Hypopituitarism, Growth Hormone Deficiency, Hypogonadism, Conn's Disease, Phaeochromocytoma, Paragangliomas, and Adrenocortical Carcinoma.
Providing direct patient care for individuals with aggressive pituitary lesions and adrenal cancer, including clinical and biochemical monitoring during chemotherapy treatments using Temozolomide and Mitotane therapies
Ordering diagnostic tests, such as blood tests or imaging.
Making and receiving referrals for nurse reviews.
Developing and conducting nurse-led clinic reviews, including initiation and follow-up reviews for patients on long term hormone replacement therapies.
Offering patient education and support, including guidance on using oral steroid replacement therapy and emergency hydrocortisone injections for adrenal insufficiency and adrenal crisis..
Assisting in the delivery of advanced specialist nursing services such as Adrenal Venous Sampling or Inferior Petrosal Sinus Sampling for patients with endocrine conditions.
Prescribing patient medications within the scope of practice in endocrinology, ensuring patients receive medications promptly.
Participating in Multidisciplinary Team (MDT) discussions and collaborating with the Endocrine and Surgical Teams to develop patient care plans.
Providing patient feedback based on the Pituitary MDT and Adrenal MDT outcomes.
Advocating for patient rights while maintaining high ethical standards in nursing practice.
Maintained up-to-date knowledge on nursing best practices through continuous professional development opportunities.
Developed individualised care plans to enhance patient recovery.

Clinical Nurse Specialist- Skull Base

Kings College Hospital NHS Foundation Trust

London, Greater London

03.2018 - 05.2019

Progressed further into a Clinical nurse specialist in Skull base tumours, covering a secondment post.
Providing direct patient care and support for individuals with skull base lesions, including benign and malignant tumours such as Meningiomas, Acoustic Neuroma, Epidermoid Tumours, Chondrosarcoma, and Craniopharyngiomas.
Educate and prepare patients for skull base surgeries, such as those for tumours, fractures, or vascular abnormalities. This includes discussing the surgical procedure, expected outcomes, potential risks, and the recovery process.
Coordinating with the multidisciplinary healthcare team, including Neurosurgeons for effective patient care
Provide specialised care for patients recovering from skull base surgery. Monitor vital signs, neurological function (e.g., cranial nerve assessments), and manage any immediate complications, such as bleeding, infection, or changes in cognitive or motor function.
Communicating Skull Base Multidisciplinary (MDT) outcomes to patients.
Acting as the keyworker for a caseload of patients, ensuring patients and their families are well-informed and supported by offering both clinical support.
Oversee and coordinate the patient's care across multiple phases, from initial diagnosis through surgery and postoperative recovery. This involves ensuring that the patient receives the appropriate tests, consultations, and therapies at each stage of their treatment.
Provide education to patients and families about the nature of skull base disorders, treatment options, surgical procedures, and recovery expectations. This helps alleviate anxiety and prepares them for what lies ahead.
Assisting in the request for blood tests and imaging for patient surveillance and monitoring.
Achieved consistent delivery of high-quality care with meticulous attention to detail.

Junior Sister-Neurosurgery

Kings College Hospital NHS Foundation Trust

London, Greater London

03.2015 - 03.2018

Role progression from staff nurse to Junior Sister or Charge Nurse in the same neurosurgical unit
Supervise and support the junior nursing staff and other healthcare workers on the neurosurgical unit, ensuring they follow protocols, adhere to safety standards, and provide high-quality care.
Provide guidance, mentorship, and training to less experienced nurses, student nurses, and healthcare assistants. Ensure they are familiar with neurosurgical care, including patient assessments, procedures, and emergency responses.
Allocate tasks to nursing staff based on their skills and experience, ensuring that the unit operates efficiently while maintaining high standards of care.
Help in coordinating the daily activities within the neurosurgery unit, ensuring that patient care is continuous and well-organised, and that all shifts are covered.
Oversee continuous monitoring of patients, including the use of intracranial pressure (ICP) monitoring, if applicable, and ensuring the appropriate use of devices like ventilators, ECGs, and other monitoring tools.
Ensure that medications, including IV fluids, antibiotics, and analgesics, are administered according to the prescribed plan. Double-checking medication dosages, especially for high-risk drugs, is a critical responsibility.
Monitor and manage patients' pain levels postoperatively, ensuring that pain relief is adequate and adjusting care as needed.
Recognise signs of common neurosurgical complications such as bleeding, increased intracranial pressure, or infections and take immediate action to address them, involving the surgical team if necessary..
Demonstrated excellent organisational and interpersonal skills, fostering strong relationships with colleagues and patients alike.
Adhered strictly to health safety protocols, minimising infection risks.
Liaised between doctors and patients to ensure clear communication and understanding of treatment plans.
Fostered a supportive environment for patients through empathetic communication.
Provided excellent care with focus on patient safety, comfort and dignity.
Led staff to improve patient care through valuable coaching, teaching and mentoring.
Handled annual appraisals for employees and facilitated personal development plans in compliance with mandatory training.
Dealt with emergencies with calm and composure.
Collaborated with multidisciplinary team for improved patient outcomes.

Staff Nurse- Neurosurgery

Kings College Hospital NHS Foundation Trust

London, Great Britain

09.2013 - 03.2015

Transferred to the United Kingdom and worked as a staff nurse in a neurosurgical unit with a 31-bed capacity.
Assess the patient's physical and mental health status, including vital signs, medical history, and neurological status.
Provides direct patient care and support in assistance with morning care routine
Preparing and administering patients medications via oral, intravenous, intramuscular, subcutaneous medications route.
Ensure the patient is ready for surgery by following preoperative protocols (e.g., Nil by mouth status, pre-operative blood tests, IV access).
Provide emotional support to patients and their families before surgery.
Continuously monitor the patient's vital signs and neurological status after the surgery (e.g., blood pressure, heart rate, oxygen levels, Glasgow coma scale).
Demonstrated respect, friendliness and willingness to help wherever needed.
Assist in manual handling, and provides close supervision to patients with mobility problems
Works with the neurosurgical team ward staff nurses and doctors, and other healthcare professionals to ensure delivery of safe and effective patient care
Recognise and manage potential complications such as seizures, increased intracranial pressure, or haemorrhage.
Good communication and interpersonal skills in dealing with patient/family
Implemented safety procedures in compliance with regulations, following Trust protocols.
Follow strict infection control protocols to minimise the risk of post-surgical infections.
Provide education on recovery, rehabilitation, and the importance of follow-up care.
Keep accurate and up-to-date records of patient care, surgical procedures, medications, and any complications.
Escalates concerns to Junior Sister

Charge Nurse- Medical Surgical Ward

San Pedro Hospital of Davao City Incorporated

Davao City, Philippines

03.2009 - 08.2013

The medical surgical ward has a bed capacity for 64 patients
Patient Oversight: Ensure that all patients receive appropriate care, and that care plans are being implemented effectively.
Assessed patients' health conditions during daily ward rounds with the doctors
Ensure that medications are administered accurately
and on time, according to the doctor's orders.
Prepares patient medications and administer the oral, intravenous, subcutaneous, intramuscular medications
Provides direct patient care such as nursing care and assessments, vital signs monitoring and assisting in daily activities
Managed emergency situations for swift and efficient response.
Staff Oversight: Supervise and guides the nursing team in the unit, including delegation of appropriate task in line with best practices.
Provided excellent care with focus on patient safety, comfort and dignity.
Collaborates with the medical team and ensure delivery of patient care for entire unit, including implementation of care plans.
Provides support from patient's admission until patient discharge
Actively participated in team meetings, contributing valuable insights into patient care.
Led a team of nurses for better patient management.
Ensured adherence to hospital policies and procedures by all nursing staff members.
Planned individualised care plans according to the needs of each patient and monitored patients recovery progress by conducting daily reviews
Improved patient care by implementing effective nursing practices.
Ensured high standards of hygiene with regular inspections.
Accurate and timely medical records are maintained, including progress notes, assessments, and interventions.

Summary

Overview

Work history

Clinical Nurse Specialist- Endocrinology

Clinical Nurse Specialist- Skull Base

Junior Sister-Neurosurgery

Staff Nurse- Neurosurgery

Charge Nurse- Medical Surgical Ward

Education

Master of Science - Clinical Nursing

Bachelor of Science - Nursing

Skills

Certification

Work availability

Affiliations

Timeline

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