Roselene Arava Jayaramulu

• Assess patients with mental health needs in Accident and Emergency (A&E) and general hospital ward setting.
• Ensure appropriate signposting and referrals to primary and secondary mental health services based on patient needs.
• Communicate and collaborate with service providers to conduct joint assessments, plan care and extend support in community.
• Wide range of knowledge and experience in identifying emotional disturbances, mental health problems and complex care needs.
• Hold discussions with patient and family on treatment options, exploring least restrictive options for treatment in community and formulate safe discharge planning from A&E.
• Recognize the presentations in mental illness and make arrangements for Mental Health Act Assessment, bed allocation and transfer of patients to mental health units for treatment and follow up.
• Ability to maintain confidentiality in patient care
• Strong understanding of Mental Health related orders, policies and protocols to ensure patient safety and dignity.
• Ability to work with individuals at various levels within organization, demonstrate leadership and coordination skills.
• Proficient in using MS Office, and various Trust related software applications.

My main role is to provide training, assessment and evaluation of International nurses (overseas trained nurses) for OSCE examinations to gain Nursing and Midwifery Council (NMC) registration in UK.

I hold a dual Nursing Registration (Adult and Mental Health) in Nursing and Midwifery Council UK.

I trained nurses on various clinical skills for Adult nursing registration and Mental health nursing registration.

• Involved in recruitment process of International Nurses – Member of Trust Interview panel, preparation of induction package for training and adaptation.
• Training International nurses on ward to achieve clinical competencies for practice in various wards.
• Support newly appointed international nurses to continue professional development.
• Provide support, educational input and development activities for staff and students within practice learning environments and contribute to the development of pre-registration and post-registration education programs - reflecting the needs of the future nursing/midwifery workforce.
• Support nurses through re-validation, preceptorship, international nurse facilitation, and nurse recruitment.
• Plan and implement training programs and facilitate learning based on polices and protocols of trust to meet NMC standards.
• Plan and implement various teaching methodologies, lecture, use of Audiovisual aids, simulation, workshops and seminars.
• Providing pastoral support to help in transition and cultural adaptation new recruits and international nurses
• I extended my role as a professional nurse advocate providing training and restorative clinical supervision to support staff well being and retention in the team.
• Ability to demonstrate Leadership and Coordination skills as a lead Mental Health OSCE trainer.

I enjoy my role meeting the people who choose to become nurses. I consider it a privilege to be able to support and advise my nursing colleagues on the importance of nurse education. Ensuring that those nurses mentoring students are of a very high standard to make sure those gaining entry to the NMC register are fit to practice as registered nurses.

As a staff nurse (Elderly Care Ward), I provided holistic nursing care to my patients.

• Assess, plan, implement and evaluate nursing care needs. Prepare relevant nursing care plan as per individual patient needs
• Ensure evidence based practice is implemented as per the current research.
• Pre and post procedural preparation of patients for various invasive and non invasive procedures like MRI, CT scan, endoscopy, colonoscopy, nephrostomy, PEGS, and Midlines.
• Monitor and document the observations and escalate care as per NEWS policy.
• Administer medications as per orders.
• Admit and discharge patient as per trust policy.
• Manage elderly patients with delirium, dementia and various cognitive impairment.
• Monitor and maintain nutritional status based on Malnutrition Universal Screening Tool (MUST) assessment, record intake and output chart, and food chart.
• Referrals to services like Tissue Viability Nurse (TVN), diabetic specialist care, podiatry, Mental Health review, Dietitian and Speech and Language Therapy (SALT).
• Assess patient needs, provide appropriate care based on patients best interest following Capacity assessment.
• Communicate with patient, family and multidisciplinary team about patient care as required.
• Assessment of skin and appropriate wound dressing.
• Gained knowledge and implemented care based on Trust Medical Escalation Policy and legal frameworks like Deprivation Of Liberty Safeguards (DOLS), Adult and Child safeguarding.
• Use of MS Office, EXCEL, WORD, and safe use of Trust software like ICE, PCS, online orders, referrals and incident reporting for proper documentation and ensuring confidentiality.
• Facilitating and managing palliative and End Of Life (EOL) patients on ward.
• Enrolled as palliative care link nurse.
• Deputized in the absence of ward manager and sister in the delegation and supervision of staff on ward as in-charge on several shifts to ensure orderly functioning.
• Supporting and training student nurses and newly recruited international nurses.
• Documenting patient care and maintaining confidentiality and sharing patient information as per the Data Protection and Safeguarding Policies.