Maddison Thompson

• I currently work as an Registered Nurse in the Doncaster South district nursing service.

My role entails delivering healthcare interventions to clients 18 and above, in their home environment, this includes care homes.

Assumed a variety of nursing responsibilities

• Conducting First visit assessments identifying health needs and concerns by implementing individualised care planes and holistic intervention. From initial assessment caring out risk assessments including environmental, patient and families/ friends' behaviours and calculating impacts to safety of patient and staff. Ensuring documented risk assessments, all involved aware and care plans such as double ups are implanted for safety and reviews are performed. Clinical risk assessments such as moving and handling, falls risk assessments and assessing patients' mobility and discussions of wants and needs regarding mobility. From assessment referring to correct services such as occupational therapy and falls services.
• Safeguarding is an important aspect of my role ensuring clients are safe within their living environment, care and health needs are met. I undertake assessments to ensure patient has the capacity to make choices regarding care, health and living choices. If deemed unable to work within their best interest and liaising with services for advocates, potential refuge if required and implanting education and care services to keep patient at home if appropriate. Assessment with families/ carers to ensure understanding of patient health and care needs, providing education where appropriate, recognising signs of carers stress and implementing support to prevent crisis. I liaise with trust safeguarding team and Clinical leads when required, reporting all safeguarding's to local authorities, reporting all safeguarding via trusts digital incident and auditing system and liaising with Emergency services when required. Ensuring all documentation on patient record and updating all involved in care if appropriate. When required attending multidisciplinary meetings with acute hospital and other services to discuss plan of safety and care for patient.
• Managed daily caseload, preformed daily allocations for team, triaging tasks, updating care outcomes from tasks from other services and collaboratively worked with interdisciplinary teams on or regarding visits.
• End of life and Palliative support visits including providing emotional support to Families and patient during challenging times. Administering of pre-emptive medications and administering constant flow medication via syringe drivers and providing care for symptom management in the community preventing hospital admissions and working alongside patients' preferences. Discussions with patient and family on End of Life and care wishes. I liaise with specialist services to enhance support for patient and families at home, further education and treatment for symptom management and services for patient to attend support groups and bereavement support.

· Carried out infection control measures resulting in reduced risk of infections using aseptic technique. I also worked alongside infection control protocols for hospital acquired infection for Vancomycin-resistant enterococci and MRSA. Following all PPE requirements and prevention of cross infection from households.

• Management of Diabetes - Blood glucose reading levels, observing ranges, acting on hypoglycaemic and hyperglycaemic episodes and calling emergency services if required. I administer insulin. Providing support and decision making for healthcare support workers on diabetic visits. I also educate and train patients in relation to diabetes management and self-administration. I liaise with GPs and Diabetic Specialist Nurses to review patients' management regimes if ineffective.
• I administer anticoagulation medication, immunosuppressant medication and Vitamin injections. I educate and train patients in relation to the medication management and how to self-administer medication if appropriate.
• I preform wound care which includes assessing the wounds, provide the correct dressing regimes, deliver education in relation to wound care and infection prevention pathways. For any wound infections I liaise with GPs re swabs and request medication where indicated. I am trained to carry out soft bandaging, compression, ABPI's and Dopplers to ensure compression is suitable on following a lower limb assessment and refer to specialist service on results of compression assessments if required. I am trained in negative pressure therapy enhancing wound healing. I preform wound reassessments including obtaining photographs to evidence deterioration or healing and if current regimes are effective, if ineffective working alongside Local wound pathways, clinical senior members of staff and specialist services. I deliver Food first education around the role of nutrition in healing and prevention as well as liaising with skin integrity teams including Tissue Viability and Lymphedema services. I assess any pressure areas and educate on repositioning, identify and order pressure relieving equipment, reporting incident through trusts digital, integrated risk, audit, and quality assurance system and referring to specialist per protocol. I deliver care to drain sites and monitor for infection or blockages and report patient to ESAC services if required.
• Preformed suture and clip removal for patients 18 and above.
• Monitored vital signs, ensured stability and responding to indications swiftly and appropriately and calling for emergency services if patient acutely unwell.
• I take bloods and deliver within time restrictions ensuring results are available at the earliest opportunity.
• I deliver catheter care including changes and maintenance. I support patients in self-catheterisation and trained in bladder scanning. I liaise with continence team for further services and assessments such as trails without catheters. I preformed bowel care including pre rectal examinations and suppositories administration.
• Having in depth assessments with patients exploring emotional and psychological impacts of physical health conditions and referring to appropriate services such as Talking therapies Long Term Conditions.
• I liaise with GP's and surgeries daily. Documenting in patients' records, completing and reviewing care plans. Tasks are a main part of the role in ensuring safe and effective communication and care delivery.
• I liaise and hand over to our team daily to ensure continuity with patient care and prevention of repeat care and/or delays. I support my colleagues by way of picking up extra work as required, supporting on double visits as well as supporting the wider teams when demand requires. Ensuring continuity for patient health and wellbeing's and support to families.
• I support and supervise new starts and students. Sharing skills and knowledge of services provided, liaising services and protocols. Able to support in efficient clinical documentation and systems/ forms that require completion such incident reports and referrals.

• Completed mandatory training requirements

and been up to date with pathways and protocols by attending and responding to emails, handovers and training sessions.

• To ensure I engaged in 1 to 1s, clinical supervision and group supervisions.

I worked as a Registered Nurse Associate in the South community district nursing service. My role entails delivering healthcare interventions to clients in their home environment, this includes care homes.

Engaged in various nursing responsibilities to ensure optimal health outcomes.

· Preforming Palliative support for stable patients and families. Assessing and recognising decline in presentations or symptoms management. Liaising with senior staff, specialist and GPs for advanced care planning and support.

· Management of Diabetes - Blood glucose reading levels, observing ranges and administer insulin. I act on hyperglycaemic and hypoglycaemic episodes and contact emergency services if required. I also educate and train patients in relation to diabetes management and self-administration.

· Administered Dalteparin and hydroxocobalamin injections. Assessed wound care, provided appropriate dressing regimes, and delivered education on wound care and infection prevention. Liaised with GPs regarding swabs and medication for wound infections and performed photographic reviews of wounds to identify deterioration or healing, reporting to specialists as needed.

· I am trained to carry out soft bandaging, ABPI's to ensure compression is suitable on following a lower limb assessment. I deliver Food first education around the role of nutrition in healing and prevention as well as liaising with skin integrity teams including Tissue Viability and Lymphedema services. I assess any pressure areas, raising this on trust incident and auditing system as per local protocols, educate on repositioning, identify and order pressure relieving equipment.

· Carried out infection control measures resulting in reduced risk of infections using aseptic technique. I also worked alongside infection control protocols for hospital acquired infection for Vancomycin-resistant enterococci and MRSA. Following all PPE requirements and prevention of cross infection from households.

· Took blood samples and ensured timely delivery of results, facilitating prompt clinical decision-making.

· I deliver catheter care including changes and maintenance. I support patients in self-catheterisation and trained in bladder scanning. I liaise with continence team for further services and assessments such as trails without catheters. I preformed bowel care including pre rectal examinations and suppositories administration.

· Safeguarding is important to my role. I assessed and recognised red flags and raised all Safeguarding Concerns to Clinical leads. Support family and carers in education and prevention ensuring patient safety at home. I liaised with safeguarding team, emergency services when required. I reported this on trusts incident and auditing system, local authorities updated, all involved in care informed and ensured patients clinical records where up to date.

· I liaise with GP's and surgeries daily. Documenting in patients' records and reporting on trust incident and auditing system, complete care plans and update those involved in patient care.

· Tasks are a main part of the role in ensuring safe and effective communication and care delivery. I liaise and hand over to our team.

· I support my colleagues by way of picking up extra work as required, supporting on double visits as well as supporting the wider teams when demand requires.

• I support and new starts and students. Sharing skills and knowledge of services provided, liaising services and protocols. Able to support in efficient clinical documentation and systems/ forms that require completion such incident reports and referrals.
• Responsibility for mandatory training to be completed

and been up to date with pathways and protocols by attending and responding to emails, handovers and training sessions.

My role entails delivering 24/7 unplanned urgent and non- urgent at home care interventions to clients 18 and above, in their home environment, this includes care homes in Doncaster area.

· Dressing wounds per care plans set out via planned case managers, urgent wound swab and escalated to GPs and request medication where indicated. I liaised with planned case managers of dressing changes to review wound care regimes.

· I take urgent bloods and deliver within time restrictions ensuring results are available at the earliest opportunity.

Performed ECGs for the trust geriatrician and escalated findings to the medical team.

· Diabetic management and insulin administration

· I deliver catheter maintenance and raise as appropriate for blockages to seniors. I trained in bladder scanning. I liaise with senior team members for catheterisation and liaised with specialist services investigation. I preformed bowel care including pre rectal examinations and suppositories administration.

· I also worked alongside nurses per chaperone service on night shift to ensure staff safety.

I left this role to attend the Nurse Associate Training

Being the single point of contact for referrals into RDaSH community services for physical and mental health.

• I accepted calls of referrers including professionals from health, emergency services and social care services, patients and families.
• The role entailed speaking with a range of referrers, eliciting appropriate information, entering this accurately onto the electronic system and ensuring it reached the most appropriate service at the earliest opportunity.
• Managed high volume of calls daily to ensure prompt service delivery and support efficient referral processes.
• Being the single point of contact for referrals into RDaSH community services for physical and mental health.
• Communicated with various referrers to gather necessary information and entered it accurately into the electronic system.
• Showed resilience under pressure, handling challenging situations with composure.
• Prioritised urgent cases for immediate resolution or escalation.
• Multi-tasked effectively while maintaining professional demeanour to enhance communication and service quality.
• I initially started as a band 2 call handler and progressed to a band 3 senior role which included training new starters, supervising and leading the shift. I left this post as I was successful in being appointed into a band 3 Healthcare Assistant in unplanned district nursing services.

• Handling customer service calls for British Gas in relations to bills and solar panel payments.
• Managed customer issues to successful resolution.
• Listened to clients' concerns and facilitated positive resolutions.
• Responded to difficult situations calmly, gained trust of aggrieved customers.
• Managed daily high call volume to resolve customer issues promptly.
• Handling customer service calls for British Gas in relations to bills and solar panel payments.
• Transferred customer calls to respective department or personnel to address specific issues.
• I had key performance targets to meet, and the role required compliance with protocols and policies
• Adhered strictly to policies and procedures for continued company compliance.

• Boosted client loyalty through personalised haircuts tailored to individual preferences.
• Specialised in modern hairstyling trends to increase client retention.
• Conducted comprehensive client consultations to tailor services to individual needs.
• Cultivated strong client relationships by consistently delivering desired services and understanding needs.
• Ensured adherence to industry standards and regulations; promoted safe working environment.
• Maintained clean and safe salon environments, ensuring consistent compliance with COSSH regulations.
• Set up workstations and treatment rooms with necessary products, equipment and supplies.
• Managed appointments and schedules to smooth workflow.
• Managed busy schedule to minimise appointment delays.
• Assisted with front desk operations to enhance overall salon efficiency.
• Mentored junior stylists, enhancing skill levels and contributing to a cohesive salon team.