Rhian James

• Stayed up-to-date on the latest nursing developments to provide best patient care.
• Helped deliver stabilising and life-saving treatments during medical emergencies.
• Used oral, topical and IV medications to manage patient symptoms.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• I have worked across medical and surgical clinical areas.
• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Dressed surgical wounds, monitored healing and replaced bandages to prevent infections.
• Coordinated care across large wards based on patient priorities and requests.
• Eased family anticipation by updating regularly on patient progress, developments and treatment changes.
• Assisted team with developing balanced care plans incorporating physical, mental and social needs.
• Worked across multiple trusts and gained and developed professionally within mant different specialities.

A Custody Nurse (also known as a Forensic Custody Nurse or Healthcare Practitioner) provides high-quality clinical care to individuals in police custody. The role involves assessing and treating detainees, supporting police staff with health-related matters, and ensuring the legal and ethical management of individuals within the criminal justice system. Custody Nurses play a critical role in safeguarding vulnerable people and maintaining clinical standards in a secure environment.

• Conduct forensic procedures such as obtaining blood/urine samples, documenting injuries, and providing clinical statements for legal use.

• Maintain accurate, confidential, and legally defensible clinical records.

• Provide expert clinical opinion when required to support ongoing investigations.

• Ensure compliance with relevant legislation, such as PACE (Police and Criminal Evidence Act) or equivalent local laws.

• Perform comprehensive physical and mental health assessments of detainees.
• 
  

• Provide urgent and routine medical care, including wound management, medication administration, and chronic condition management.

• Assess and monitor individuals under the influence of alcohol or drugs, ensuring safe withdrawal management where appropriate.

• Identify and respond to acute medical issues, escalating to emergency services when necessary.

• Deliver mental health assessments and support, including suicide-risk screening and self-harm prevention planning.

• I have carried out PIP assessments for Capita on behalf of the Department for Work and Pensions (DWP).
• I have review and analyse supporting medical evidence from General Practitioners, Consultants, specialist nurses, physiotherapist, occupational therapists and mental health services such as psychiatrists.
• Assessed claimants with multiple conditions such as mental health, musculoskeletal, conditions and sensory impairement.
• Collaborated and communicated with multidisciplinary teams such as GPs and safeguarding teams.
• Evaluated and determined the level of functional impairment of a person with a disability. The assessment includes a thorough evaluation of a person's medical history, a physical examination and other relevant factors.
• I have continued to learning and understand a variety of different cases and conditions by assessing different conditions.
• I have effective communication skills to be able to communicate with claimants and to listen attentively.
• I have gathered precise details about an individual's medical condition to make an accurate assessment. This role also requires you to explain complex medical information in a way that's easy for them to understand.

Agency work

Staff Nurse - Ophthalmology - Tysul eye unit

• Visual Acuity
• Ishihara colour test
• Eye drops administration
• Preparing patients for theatre; Cataracts, Pars plana vitrectomy and caring for patients post- operatively.
• Being sympathetic to patients during their vulnerable period which can be a detached retina.
• iCare pressure check
• Providing patients with the correct information following a procedure

Staff Nurse - Cleddau ward - General Surgery

I have gained multiple skills and knowledge across the surgical field by being exposed to multiple specialties through the surgical assessment and triage on the ward. These are: Colorectal, Upper GI, Urology, ENT, Trauma and Orthopaedic and Gynaecology. Therefore, I believe I will be adaptable, able to provide a broad range of knowledge, I am eager to learn and develop in a new setting, flexible and proactive.

• Catheters
• Urostomies / ileostomies
• PICC lines / Midlines
• PCA
• Syringe drivers
• NG feeding / TPN feeding/ NG aspirations
• Pre-operative check listing and post-operative care

Staff Nurse - Teifi ward

• Developed knowledge in Trauma orthopaedics and elderly care.
• Developed the understanding of compartment syndrome
• Maintained Picco dressings - compression dressings
• Used strong assessment skills to determine necessary patient care.
• Maintained outstanding patient care levels through attentive, compassionate monitoring of physical and mental wellbeing.
• Collaborated with doctors to plan post-treatment home care.
• Assisted doctors and other nursing staff.
• Responded to emergency situations quickly within appropriate procedures.
• Dispensed medications and administered pharmacological and non-pharmacological interventions via IVs, subcutaneous and intramuscular injections, as well as orally or rectally.
• Administered medication with meticulous attention to detail. Tested glucose and administered injections.
• Developed and updated initiatives to improve patient care and quality of service.
• Developed and implemented successful patient care plans.
• Administered colostomies and ostomies, urostomies and Foley tubes accurately to provide exceptional patient care.
• Implemented and maintained core measures in patient safety, patient satisfaction and holistic approaches to nursing.
• Built caring, compassionate relationships with patients, providing emotional support and encouragement during complex surgeries.

• Maintained strict confidentiality of information regarding patients.
• Observed and documented accurate recordings of patient observations including temperature, pulse blood pressure, oxygen saturation and respiratory rate, reporting significant findings to nurse in charge.
• Performed set tasks according to individual patient care plans as assessed and delegated by nurse in charge to ensure provision of cohesive, tailored care.
• Supported patients through personal care tasks such as toileting, showering and feeding, maintaining sensitivity to needs and ensuring comfort, dignity and safety throughout.
• Provided hygiene care to patients, ensuring skin integrity and accurately observing, recording and reporting on changes to minimise damage.
• Accurately completed and recorded patients' NEWS scores, reporting findings to nurse in charge to maintain cohesive patient care.

• Monitored patient conditions, continuously assessing vitals to ensure ongoing quality care.
• Dealt with emergencies with calm and composure.
• Bathed, changed and fed patients with ailments and disabilities.
• Built positive rapport with patients from various backgrounds.
• Completed shifts alongside university-based learning.
• Collaborated with staff members to facilitate quality care, increasing patient satisfaction.
• Monitored patient behaviour and responses to treatments and reported concerns to senior staff.
• Cooperated with multidisciplinary teams to deliver health care plans.
• Cleaned and treated patient wounds with guidance from head nurse.
• Handled patients' hygiene needs in support of personal dignity and optimum wellness.
• Reviewed charts, doctor notes and test results and registered data on computer system.
• Worked with clinical team to carry out prescribed treatments addressing individual patient needs.
• Assisted with routine medical tests and evaluations, documenting findings to aid care planning.
• Participated in health education programmes and nurse education activities in clinical and community settings.
• Followed modern nursing standards for optimum treatments and patient protection.

• Continually replenished stock in line with sales records, keeping well-maintained, presentable item displays.
• Greeted customers and offered assistance with selecting merchandise, finding accessories and completing purchases.
• Processed product returns, ensuring items were clean and resaleable.
• Regularly exceeded weekly sales targets through exceptional service and proven upselling techniques.
• Received stock deliveries, accurately completing paperwork and updating system records.
• Maintained outstanding till service efficiency during peak hours, reducing customer wait times for optimised satisfaction.
• Used outstanding product knowledge, sales and customer relations skills to drive substantial profit increases.
• Assisted customers with product selection and sales, recommending items to increase transaction value.

I worked as a saturday girl in Neath market as a counter assistant on availability.

• This enhanced my communication with members of the public and my aware to the importance of food hygiene. I maintained and developed excellent client satisfaction by providing professional, courteous customer service.
• I operated cash registers with proficiency during high-volume shopping times, reducing customer queues. I Bagged, boxed and wrapped goods with care to maintain quality and presentation.

• Assisted customers with additional needs in transporting goods to vehicles, elevating client service.
• Regularly restocked, arranged and organised merchandise across front aisles to drive product sales.
• Recorded daily transaction information using POS systems, enabling stock success monitoring.
• Maintained, organised and cleaned customer areas, efficiently completing daily recovery checklists.