Cavin Jonathan

• Provision of direct nursing care in accordance with National Safety and Health Quality Standards for patients within paediatric emergency settings.
• Undertake professional development to maintain and advance clinical skills and knowledge within paediatric emergency.
• Contribute to ensuring clinical practice is within best practice guidelines using evidenced based practices and in keeping with established quality frameworks.
• Provision of education and support of fellow nursing staff, graduate and student nurses and other members of our multi-disciplinary team.
• Provision of guidance and leadership to registered nurses within our unit including formal and informal preceptorship and mentor ship.
• Provision of support, advocacy and education of patients and their families within ED.
• Team leading and shift coordination at and advanced level inclusive of emergency flow coordinator, resuscitation nursing team leader and triage coordinator roles.
• Nursing team leader during MET response for ward or external code blue events.
• Clinical lead of short stay ward portfolio and member of patient flow working group which is involved with several quality improvement projects to review and improve our emergency flow and short stay unit operation.
• These activities are aimed at improving flow of patients through short stay and acute zones to reduce effects of surge in the department and to ensure optimal delivery of safe patient care from all nursing staff.
• Personal involvement in development of early morning discharge pathway which has led to upskilling of staff and change processes that have improved discharge processing and patient flow through the ED.
• Change champion for several other department projects:
• Kids Pain collaborative
• Paris 2 and high flow oxygen therapy roll out.
• Paediatric SEPSIS pathway roll-out.

• Provision of clinical leadership for paediatric services through application of advanced clinical knowledge, critical thinking and reasoning, skills and competency and expert clinical judgement according to contemporary nursing practice and nurse practitioner standards of care.
• Accountable for delivery of contemporary nursing practice, patient outcomes, and achievement of associated service performance targets and indicators within paediatric emergency specialty.
• Provision of clinical expertise and person-centred practice during episodes of direct patient care across acute care continuum for paediatric patients.
• Utilisation of advanced clinical skills and expertise to support nurses in patient care planning, delivery, and education, including formulating policies relating to provision of paediatric nursing care/services.
• Utilisation of established interpersonal and negotiation skills to inform and train healthcare team of clinical practice updates and research findings within paediatrics.
• Working collectively to apply principles of clinical governance.
• Active involvement in supporting operational and strategic departmental goals, collaborating with clinical teams to achieve benchmarking, maintaining standards, and optimizing patient/divisional outcomes.
• Provision of staff education to increase skill-set across rovide quality support & leadership for NSQHS standards including auditing, research, clinical incident assessment & management.
• Provision of staff education to increase skill set across emergency care continuum.
• Utilisation of appropriate pharmacologic and non-pharmacologic treatment modalities to support management of pain under nurse initiated prescribing competency.
• Able to perform comprehensive physical examination, document patient histories and gather information to identify health issues.
• Collaboration with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.

• Utilisation of clinical skills to provide direct nursing care in accordance with National Safety and Health Quality Standards to patients within a paediatric setting inclusive of both medical and surgical and emergency department patients.
• Undertake professional development to maintain and advance clinical skills and paediatric knowledge.
• Contribute to ensuring clinical practice is within best practice guidelines using evidenced based practices and in keeping with quality frameworks.

• Provision of education and support to fellow nursing staff, graduate and student nurses and other members of the multi-disciplinary team.
• Provide guidance and leadership to registered nurses within our unit including formal and informal preceptorship and mentorship.

• Promotion of family-centred care through adoption of Mater Hospital's mission and care statements.
• Provide support, advocacy and education to patients and their families.

• Key skills required for tenure at Mater Hospital emergency department included:

• Team leading a 12-bed emergency department inclusive of resuscitation area, acute zone, 8 bed short stay ward and a fast track zone.

• Resuscitation and trauma nursing team leader and MET response nurse for ward and external code blue events.

• As a clinical initiatives nurse acquisition of skills necessary to manage the fast-track area and patient waiting room. Skills include:

• Paediatric peripheral intravenous cannula insertion competency.

•Procedural sedation competencies.

• Nurse initiated XRAY (NIXR)

•Plaster application competencies.

A key achievement of my time in this role was an opportunity to undertake secondment with cardiac services at the Starship Children's Hospital in Auckland, New Zealand. I was selected along with a cohort of nurses from critical care, to participate in acquisition of new skills required to care for the post-operative child with diagnosed cardiac anomaly. With the move of paediatric cardiac services from the Prince Charles Hospital to the Mater Hospital precinct and eventually QCH, critical care nursing staff needed to be adequately prepared and trained.

This opportunity was a joint initiative between our intensive care and emergency departments. Working collaboratively within this setting allowed me to form lifelong working relationships with staff that enhanced the delivery of cardiac care within both clinical areas.