Marguerite Sarah Johnson

Spectrum has Integrated Sexual Health Services in three main locations; Wakefield, Barnsley, Wigan and Leigh. All three services following a similar model of delivering Contraception and Sexually Transmitted Infection Management to the populations based in those three locations. All three services follow a similar model of care, they are commissioned by Local Authorities who are mandated by law to deliver ISHS in their locality. The services models are based on Service Specification led by Public Health England, and therefore similar in their delivery. Following care guidelines issued by the British Association of Sexual Health and HIV, the Faculty of Sexual and Reproductive Health, are how we ensure clinical practice is current and best practice. We are regulated, as with other clinical services by the Care Quality Commission.

The ISHS are led by a Clinical Lead (Medical Consultant) and Head of Service, based on site, all ISHS are overseen by a Cluster Manager .We work closely with our commissioners to deliver the care model and develop services across the districts. Services are not restricted to those services staffed by Spectrum employees; we support services, both medical and non-medical to deliver care which improves public health outcomes for the local population, such as Chlamydia Screening and Condom Distribution.

Services are open and accessible to all, regardless of age, gender, sexuality and postcode. The intention is that services are easily accessible to ensure that onward transmission of infection is minimised, and the risk of unwanted pregnancy is minimised as contraception can be commenced as soon as the patient attend (medical history permitting). We work closely with agencies who support our patients to ensure smooth care transition for patients in and out of ISHS.

• 
  
• My job role includes
• Contributing to the delivery of evidence–based personalised and compassionate care which places quality at the heart of specialist sexual health practice and being responsive to individual needs and reflect current local protocols and national guidelines.
• Undertaking nurse-led clinics working alongside nursing colleagues, to ensure continuity of service provision.
• Being responsible for setting high standards of care within the resources available and to review and monitor these on a continuous basis, through the process of audit, to ensure continuing quality of care.
• Assess the contraceptive need of the client, taking a comprehensive medical, gynaecological, sexual, and social history as appropriate
• Offer testing for sexually transmitted infection, issue treatments as required, pregnancy testing and contraception provision of all methods including LARCs.
• • To safely work within Patient Group Directions criteria issuing first supply and the re-issue of contraception and relevant treatments for sexually transmitted infections.
• The fitting and removal of sub-dermal implants
• Provide pregnancy assessment, counselling and support for clients requesting referral for termination of pregnancy. To discuss contraception needs post termination with the service user.
• Perform cervical cytology as required and according to clinical practice and local eligibility guidelines
• Manage own workload to plan, organise and prioritise clinical responsibilities.
• To maintain high quality clinical electronic and paper records as applicable including plans of care, interventions and referrals, and respecting confidentiality always.
• Demonstrate awareness of clinical competencies and scope of practice.
• Communication and Relationships
• To provide advice, information, counselling, and education on all aspects of contraception and sexual health.
• Communicate highly sensitive condition related information with empathy and reassurance.
• Effectively work as an integral part of the Sexual Health team to promote the reproductive and sexual health of our service users.
• Frequently required to deal with sensitive and emotional situations, safeguarding referrals of children and vulnerable adults.
• To manage and supervise junior staff, carrying out training when authorised by the Service Lead.
• Act as a Mentor for pre-registration students
• Act as a clinical supervisor to nursing/non-nursing staff where applicable, to ensure continuity of service provision.
• Maintain an in-depth knowledge of the Fraser Guidelines regarding provision of contraception and STI treatment to people under the age of 16 being competently able able to assess Fraser competence as part of a team of professionals and be aware of referral pathways for Safeguarding children as stipulated by the local Safeguarding Children’s Board, liaising with other professionals as necessary. Decision and Judgements
• Management of a case load of clients within the speciality and prioritise workloads to meet the clients and service needs.
• Maintain awareness and follow procedures for Safeguarding children and vulnerable adults.
• Undertake training and complete Patient Group Directions Competency Framework in the supply and administration of drugs to clients.
• Follow the Sexual Health services Patient Group Directions, when planning, implementing, and delivering care and treatment to patients.
• Ensure own Continuous Professional development.
• Undertake an annual Personal Development review and agree a Personal Development Plan to identify any necessary training needs Trust and job specific.
• Attending Mandatory training as required
• Personally accountable for professional and ethical acts and omissions in compliance with the NMC code of Professional conduct.

• Adhered to all hospital procedures, policies and protocols to support patient safety.
• Educated patients about reproductive health issues and dispensed contraceptives.
• Executed patient satisfaction and independence by promoting self nursing skills and knowledge of medications.
• Appropriately diagnosed and treated variety of Sexually acquired diseases through careful questioning and assessment of patient symptoms.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Shared medication knowledge to educate patients and help make better health decisions.
• Supported patients through a prescribed care regimen.
• Discussed care plans with patients and explained test results and proper use of medications.
• Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
• Oversaw training of nursing students annually.
• Educated and guided patients on disease prevention and healthy lifestyle habits through motivational interviewing and health promotion.
• Adhered to hospital procedures, policies and protocols to support patient safety.

• Maintained accurate records of care to facilitate smooth and effective episodes of care
• Achieved and maintained positive staff morale, fostering good relationships with patients, visitors and other departments.
• Maintained the privacy, dignity and safety of all patients, consistently adhering to health and safety policies.
• Documented incidents on patient management systems in real time to maximise efficiencies.
• Maximised junior staff productivity, effectively completing preparatory work for relevant procedures.
• Led treatment updates with patients and families using patient-friendly terminology.
• Implemented and evaluated care plan efficiencies, identifying and addressing concerns to improve treatment outcomes.
• Trained, mentored Junior staff to deliver high-quality care.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Administered medication in line with stringent drug regulations.
• Supported physicians and consultants with tests and procedures.
• Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
• Educated patients on good health, providing leaflets and verbal guidance on improved wellbeing measures.
• Assisted with routine medical tests and evaluations, documenting findings to aid care planning.
• Collected Pathology samples and prepared them for lab analysis.
• Mentored student and junior nurses, building confidence and competence to ensure outstanding patient provisions.
• Maintained accurate, up-to-date patient records, maximising data accuracy.

• Delivered exceptional care to boost patient health outcomes.
• Disposed of samples and hazardous waste to prevent infection.
• Administered medication with meticulous attention to detail.
• Thoroughly disinfected and correctly stored hospital equipment to safeguard health of staff and maintain order within ward.
• Delivered consistently high standards of individualised nursing care, best maintaining patients' health and wellbeing.
• Implemented and updated treatment plans in collaboration with doctors.
• Managed patient discharges, providing relevant follow-up care advice with required prescriptions and medication.
• Analysed symptoms to effectively diagnose and treat patients.
• Safely operated hoists, wheelchairs and transfer equipment to securely manoeuvre patients.
• Provided first-class care across various wards and units for patients with complex medical needs.
• Assessed, planned and implemented treatments with precision and care, prioritising patient wellbeing.
• Managed high-volume caseloads of up to [Number] patients per shift.
• Prepared patients for surgery by following strict hygiene and fasting procedures.
• Assisted with routine medical tests and evaluations, documenting findings to aid care planning.
• Administered medication in line with stringent drug regulations.
• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Supported physicians and consultants with tests and procedures.
• Mentored student and junior nurses, building confidence and competence to ensure outstanding patient provisions.
• Liaised with senior physicians to plan timely, successful patient discharges.
• Quickly responded to medical emergencies, working calmly and professionally under pressure.
• Assisted patients with healing and recovery after surgery.
• Educated patients on good health, providing leaflets and verbal guidance on improved wellbeing measures.
• Used outstanding planning and prioritisation abilities to safely care for [Number] patients.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Followed NHS procedures and protocols to safely prepare drips and transfusions.
• Administered oxygen and medication to achieve optimum health outcomes.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Established positive rapport with patients and families through active listening and compassionate care.
• Supported patients with critical conditions, planning and implementing targeted strategies for optimal recovery outcomes.
• Facilitated efficient ward operations by maintaining stock control, promptly re-ordering low-stock medication and supplies.
• Prioritised health problems to assist patients in complex, urgent or emergency situations.
• Trained and mentored junior team members, strengthening high-functioning, efficient clinical teamwork.
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Generated detailed and comprehensive patient care plans in collaboration with clinical teams.
• Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
• Collected Pathology samples and prepared them for lab analysis.

• Monitored patient wellbeing, accurately recognising deterioration and initiating immediate emergency care.
• Implemented and evaluated care plan efficiencies, identifying and addressing concerns to improve treatment outcomes.
• Performed high-quality patient care for a [Number]-bed establishment, covering [Number]+ patients per shift.
• Achieved and maintained positive staff morale, fostering good relationships with patients, visitors and other departments.
• Reviewed administration procedures for patient discharge, implementing improvements that resulted in [Number]% waiting time reductions.
• Led treatment updates with patients and families using patient-friendly terminology.
• Maintained the privacy, dignity and safety of all patients, consistently adhering to health and safety policies.
• Trained, mentored and led [Number] staff to deliver high-quality care.
• Maximised junior staff productivity, effectively completing preparatory work for relevant procedures.
• Maintained accurate records of care to facilitate smooth and effective ward operations.
• Documented incidents on patient management systems in real time to maximise efficiencies.
• Assisted with routine medical tests and evaluations, documenting findings to aid care planning.
• Generated detailed and comprehensive patient care plans in collaboration with clinical teams.
• Facilitated efficient ward operations by maintaining stock control, promptly re-ordering low-stock medication and supplies.
• Used outstanding planning and prioritisation abilities to safely care for [Number] patients.
• Maintained accurate, up-to-date patient records, maximising data accuracy.
• Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.
• Monitored and recorded patient condition, carrying out and reporting regular observations.
• Administered oxygen and medication to achieve optimum health outcomes.
• Assessed and evaluated patient needs, supporting accurate diagnosis and care planning.
• Established positive rapport with patients and families through active listening and compassionate care.
• Supported physicians and consultants with tests and procedures.
• Delivered life support with updated first aid and CPR training.
• Mentored student and junior nurses, building confidence and competence to ensure outstanding patient provisions.
• Quickly responded to medical emergencies, working calmly and professionally under pressure.
• Trained and mentored junior team members, strengthening high-functioning, efficient clinical teamwork.
• Followed NHS procedures and protocols to safely prepare drips and transfusions.
• Upheld patient trust and confidentiality by managing information with discretion, in accordance with data protection laws.
• Administered medication in line with stringent drug regulations.
• Liaised with senior physicians to plan timely, successful patient discharges.