Mary Carter

• I work for Duality Health as a Nurse Practitioner offering, but not limited to Urgent Care, OOH service and Women's Health services.
• I assess, diagnose, treat and manage patients within my professional competencies and capabilities.
• Work closely with a team of doctors, clinical and administrative staff to ensure high standards of service provision are maintained and delivered.
• Currently, as the only nurse in the service, I am responsible for ensuring governance standards are met and maintained. I have been responsible for writing SoP's, policies, procedures and protocols for the new site in Galgorm.
• Treatment of common infections ie: otitis media, UTI’s, URTI’s, sinusitis ect.
• As part of my position I also undertake some treatment room duties by way of dressings, medicals, wound care ect.

• Provided guidance and leadership to the SRH team clinically and operationally.
• Managed staffing and procurement budget for SRH service.
• Facilitated the provision of a gold standard, faculty-led service, ensuring necessary training, guidelines and protocols were in place for this to be maintained.
• Identified gaps in service provision or possible areas of development, initiating and developing a structure for implementation.
• Ensured local and national protocols and policies were disseminated, understood and adhered to by staff.
• Oversaw the day-to-day running of the SRH service.
• Managed staffing and operational issues as they arose with decision-making being underpinned by HR policies, local and national directives.

This post involved working across three surgeries within the local area, each with a very different demographic. One surgery already had an established ANP so joined her in the provision of service delivery. As the other two surgeries did not have an ANP, I was part of successfully initiating the working role of an ANP, responding to increased service demand with a high level of clinical service provision. Other responsibilities were as follows:

• Assessed, diagnosed, treated and managed patients within my professional competencies and capabilities.
• Worked closely with a team of doctors, nurses, HCA’s and administrative staff to ensure high standards of service provision were maintained and delivered.
• Worked closely with local homeless charities to provide an accessible service to those who most needed it but were often unable to acquire it.
• Lead for Safeguarding Adults, MCA and DoL's.
• Lead for Safeguarding Children and Young People.
• Lead for recognising and responding to domestic abuse.
• Partaking in or initiating clinical audits.
• Ensured allocated QOF directives were met.
• Treatment of common infections ie: otitis media, UTI’s, URTI’s, sinusitis ect.

The position of ANP was a new role for both myself and The Hollies team. Therefore, in partnership with colleagues considered how the role could be developed and effectively used.

• Assessed, diagnosed, treated and managed patients within my professional competencies and capabilities.
• Treatment of common infections ie: otitis media, UTI’s, URTI’s, sinusitis ect.
• Worked closely with a team of doctors, nurses, HCA’s and administrative staff to ensure high standards of service provision were delivered.
• I initiated the setting up and management of a weekly Women’s Health Clinic
• Initiated and developed a triage service.

This was a new, short-term developmental role created in response to a government directive involving the implementation of a patient streaming service to improve patient flow and waiting times in the A&E Department

• Leading and managing a team of Senior Nurses.
• Developing care pathways for patients attending A&E with symptoms which were not, by definition, an accident or emergency.
• Motivation and direction in cohesive team working.
• Triage.
• Treatment room duties ie administration of medication, simple dressings ect.

• Lead Nurse for integration of Contraceptive and Sexual Health Services in Thurrock.
• Completed full sexual, medical and contraceptive histories.
• Competently diagnosed, treated and managed asymptomatic and symptomatic patients.
• Competently assessed and provided appropriate contraception.
• Lead Nurse for Safeguarding Children & Young People.
• Lead Nurse for rape, assault, Domestic Abuse and Female Genital Mutilation.
• Provided regular Safeguarding Supervision for all clinical staff.
• Deputised in the Clinic Manager's absence.
• Managed allocated members of junior and senior staff.
• Oversaw the daily running of the clinic.
• Completed 1-2-1’s and appraisals.
• Ensured where appropriate and within my remit, mandatory requirements and standards of running and managing a busy Outpatients Department were met.
• Met with Drs and Senior Management to discuss clinical and managerial issues, including budgets.

The Care Co-Ordinator roles were new, innovative and trial positions which were established Trust-wide across Essex.

Each Co-Ordinator was responsible for, within their allocated catchment area, identifying frail, vulnerable and at-risk patients aged 75 and over from the patient list where they were based.

As a Co-Ordinator, I devised a care plan template used to assess the individual needs of each patient seen.

Having met the identified patient I would create, initiate and ensure an individualised and appropriate care package was in place that met all biopsychosocial needs.

The function of this position was varied and involved being able to work well with multidisciplinary teams and agencies, with much of the Co-Ordinator role being strategic and administrative, although there was a small amount of clinical responsibility.

Essentially, once the initial assessment had occurred and a robust care package created, the clinical care was implemented by the various agencies involved.

As this was a new trial position the were few defined KPI’s or targets that needed completing. Therefore, as the role developed I was also responsible for considering not only what the parameters of the post should be but also what would need to be audited to show efficacy of the role and what it’s purpose was achieving.

• Completed medical, family and sexual histories.
• Competently assessed and prescribed appropriate and safe contraception for each patient seen.
• Lead Nurse for Sexual Health and HIV.
• Ran clinical audits.
• Deputised in the absence of Senior Staff.
• Regularly undertook the role of clinical lead during a shift.
• Managed allocated junior members of staff.
• Completed 1-2-1s and appraisals.
• Lead for integration of Contraception and Sexual Health Services within the locality, one of the first established in the UK.
• Ran satellite clinics.
• Pre/post termination of pregnancy counselling.
• Lead nurse in Safeguarding Children and Young People.

• Obtained full sexual and medical histories.
• Obtained male and female sexual health screens in both asymptomatic and symptomatic patients.
• Treated identified STI’s under PGD criteria.
• Lead Nurse for Contraception.
• Initiated and partook in clinical and patient audits.
• Chaperoned Drs.
• Provided advice and promotion of healthy sexual lifestyles.
• Phlebotomy.
• Deputised in Clinic Manager's absence.
• Managed allocated junior members of staff.

• Administration of travel and childhood vaccination and immunisation.
• Wound and pressure care dressings.
• Suture removal.
• Contraception provision and advice.
• Diabetes care.
• Asthma care.
• Chaperoned Drs for various procedures including minor surgery.
• Pre-and post-operative care for patients undergoing colposcopy, hernia repair, colonoscopy and gastroscopy.
• Phlebotomy.
• Cervical screening.
• Fitting of diaphragms and vaginal rings.
• Ear-irrigation.

• Administration of travel and childhood vaccination and immunisation.
• Wound and pressure care dressings.
• Suture removal.
• Contraception provision and advice.
• Basic diabetes care.
• Basic asthma care.
• Chaperoned Drs for various procedures including minor surgery.
• Lead Nurse for Sexual Health.
• Lead Nurse for Audit.
• Phlebotomy.
• Cervical screening.
• Fitting of vaginal rings.
• Ear-irrigation.

This was a new role being implemented in Primary Care for nurses to work, liaise with and support District Nurses, Health Visitors, School Nurses and Practice Nurses in response to increasingly over-burdened community service provision. The role included, but was nit limited to:

• Administration of childhood vaccinations and immunisations.
• Wound and pressure care dressings.
• Provided care packages to patients in their homes to prevent hospital admission.
• Basic diabetes care.
• Monitored and recorded child development and progression.
• Home visits to support new mothers.
• Support to patients suffering from dementia.
• Chaperoning doctors.
• Attended child protection conferences.

• Chaperoning doctors.
• Obtaining sexual health swabs from male and female patients.
• Administer treatment for STI’s with instruction and advice.
• Advice and promotion of healthy sexual lifestyles.
• Phlebotomy.
• Cervical screening.

• Pre-and post-operative care for patients undergoing day-stay gynaecology surgery.
• Administration of medication and analgesia where appropriate.
• Provision of basic STI testing and advice.