Lorna Lee

• Efficiently assess and triage patients presenting to the Urgent Care Service within agreed target timescales.
• Deliver care in line with clinical guidelines and organisational policies and procedures
• Ensure effective assessment, diagnosis, and treatment for a wide range of acute and/or chronic conditions
• Ensure effective communication with patients, their families/carers and colleagues
• Prioritize timely interventions and referrals to other teams and departments as needed.
• Work with patients of all ages
• Work with patients with complex needs (psychological, poly-pharmacy, co-morbidities)
• Use IT systems as needed. I use Emis in this role but am able to use System One and Adastra as well
• Maintain detailed concise and accurate records
• Work autonomously, seeking support where needed
• Maintain accountability for my practice

Remotely assess, diagnose, treat and evaluate both NHS and private patients presenting with undifferentiated diagnoses according to national and organisation police, procedures and best practice.
Manage a wide range of patients, with a mental health background, with acute and/or chronic conditions, polypharmacy, complex needs
Refer appropriately to other services and specialties as needed for further assessment and/or investigation
Use the IT programmes effectively, I Use System One in this setting. But am able to use EMIS and Adastra also
Interpret a wide range of Blood results
Maintain accurate records
Communicate effectively with patients, carers, families and colleagues

• Remotely assess, diagnose, treat and evaluate both NHS and private patients presenting with undifferentiated diagnoses according to national and organisation police, procedures and best practice.
• Manage a wide range of patients, with a mental health background, with acute and/or chronic conditions, polypharmacy, complex needs
• Refer appropriately to other services and specialties as needed for further assessment and/or investigation
• Use the IT programmes effectively, I Use System One in this setting. But am able to use EMIS and Adastra also
• Interpret a wide range of Blood results
• Maintain accurate records
• Communicate effectively with patients, carers, families and colleagues

My current role builds upon the skills/role developed in my previous urgent care practitioner out of hours role. I continue to undertake an autonomous role but have access to senior support if required from a GP

I see patients mainly on an urgent on the day basis with a range of undifferentiated and differentiated conditions. I see patients across all age groups.

As part of my role, I also manage some more long term conditions.

I manage workflow prescribing requests as part of a team and respond to urgent tasks as needed on the day. I undertake home visits as required.

I am competent with Docman and Emis. I am an independent prescriber.

I currently undertake both an autonomous role and team role in out of hours telephone triage, face to face consultations and home visits for a wide range of patients including infants, children, adults, mental health, palliative care and the elderly frail and complex patient. This involves sound clinical assessment, critical thinking and advanced decision making skills as well as liaising with a wide range of professional teams/healthcare professionals to co-ordinate the most appropriate, safe, effective and timely care for patients.

Dispense and administer medications according to patient group directives.

Knowledge and adherence to national evidence based guidelines and local policies and procedures which supports sound and safe care for the patient. 

Undertaking of relevant clinical skills including catheterization (male and female), knowledge and interpretation of lab results.

Excellent communication skills, high standard of documentation and IT skills. This includes thorough knowledge of data protection legislation and a strict adherence to confidentiality policies.

Active participation in continuing professional development. 

Awareness of limitations and strong adherence to working within my scope of practice.

I worked within the critical care teams in Birmingham, Cambridge and Manchester and am competent across general, liver, trauma, neuro and cardiothoracic specialities. I also worked within the Emergency Departments in smaller hospitals.

Skills:

Good interpretation of lab results and communication of these to the relevant personnel.

In depth knowledge of intravenous therapy.

Cannulation and venepuncture

Male and female catheterization.

safe NG insertion and removal.

Tracheostomy care

Experienced in the care of the ventilated patient.

Experienced in the care of patient's undergoing haemofiltration

Thorough physical assessment and interpretation of observations, high level of autonomy and strong clinical judgement.

Excellent basic nursing skills and pressure care management.

Patient/family focused

Able to work well in a team with respect for different roles.

Able to work well within stressful situations and participate fully within debriefings.

Excellent communication skills

As above, within a small general critical care and high dependency unit.

Also including;

Mentoring of junior staff and student nurses.

Link nurse for intra hospital transfer of patients and diabetes.

Triage, assessment and treatment of patients from all age groups with a wide range of conditions within the minors, majors and resus departments.

As above and also including;

Plastering.

Wound closure.

X-ray requests.

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Working with Adults with learning disabilities and challenging behaviours in a variety of public sector and private services, developing, implementing and evaluating interventional behavioural plans and training for staff.