Claire Hayes

• Emergency triage service (ETS)- providing virtual support to rural and remote emergency departments across WA.
• Acute patient transport coordination (APTC) - Coordinating transport via road and air, of acute patients throughout the state.
• Clinical expert for the Emergency Telehealth Service (ETS) providing professional advice and assistance in relation to clinical standards and practice throughout the WACHS network.
• Coordinate the operational management of the ETS shift, monitoring patient progress. Provide clinical support to ETS medical team and sites via video conferencing modalities.
• Liaise with ETS medical practitioners, ETS site nursing and medical staff, external agencies, intra-regional and metropolitan hospitals to facilitate patient flow. Liaise with internal and external stakeholders to support information gathering.
• Complete Clinical Transfer Assessments to determine priority for transport and the appropriate transport strategy.
• Ensure appropriate risk management strategies, including identification, assessment, investigation, controls and monitoring relevant to the safety and security of patient care in the emergency care setting in liaison with site based staff and ETS medical practitioners.
• Actively participate in data collection processes, risk management and research programs Nursing and midwifery care for primary retrieval of critically unwell patients in the Kimberley region of WA, via fixed wing and rotary aircraft.

660 hours

• Nursing and midwifery care for primary retrieval of critically unwell patients in the Kimberley region of WA, via fixed wing and rotary aircraft.
• Transfer of patients between rural and remote, regional and tertiary centres.
• Identification of potential risks in flight/special considerations required- drugs, equipment, safety of passengers and crew.
• Liaise with RFDS MO, receiving and referring sites to ensure safe, efficient transfer to the most appropriate site.
• Advanced clinical skills, often working alone on single nurse flights.
• Medical cover for search and rescue helicopter in Broome waters.
• Collaborative relationship building with stakeholders.
• Advanced communication skills- leadership at clinical sites in cases of multi trauma, rapid sequence intubation, effective handover, radio and satellite phone communications in flight.
• Neonatal emergency transfers. NETS team from PCH carry out these in most of the state. However in the Kimberley this is carried out by an RFDS nurse and a Paediatric Registrar from Broome hospital.
• Participated in quality improvement initiatives related to patient care services offered in-flight.
• Collaborated with other healthcare professionals to provide comprehensive care for trauma victims en route to a higher level of care facility.
• Performed lifesaving procedures in transit, which included CPR and care of ventilated adults, children and neonates.
• Mentoring and orientating student nurses, medical students, and new nurses and doctors.
• Attended a plane crash with 2 occupants, pilot requiring intubation for severe airway burns, passenger deceased at scene.

Key achievements:

• Commendation for management of a delivery and subsequent 3L post partum hemorrhages, at the most remote site in the Kimberley, on a single nurse tasking.
• Presentation to all bases Doctors and nurses re the above tasking and management via VC.
• Transfer of a patient requiring inotropic support on a nurse only tasking. Decision was made to transfer on balance of safety with an experienced retrieval nurse versus remaining at site for several hours with junior nurse and general practitioner.
• Auditing for culture action group, attending meetings with the group, and chairing meetings with the base team to disseminate information.
• Broome base Covid lead nurse. Attending weekly meetings with health and safety team, medical directors, and executive team during the pandemic re rapidly evolving policies and processes, disseminating information and educating and base team on updates to ensure safety of patients and team.
• Snake bite research- data collection and synthesis as part of research team.
• Wrote clinical guideline for post partum haemorrhage, including theory, assessment, and management.
• Taking leadership role or supporting and educating staff at clinical sites during multi traumas, cardiac arrest situations, and rapid sequence intubation when required.

5864 hours

Worked this job whilst completing midwifery post graduate diploma in order to register as a midwife in Australia to work for RFDS.

• Rotation through emergency and intensive care units.
• Provide high standard evidence-based care to adult and paediatric patients in emergency and adults in intensive care.
• Therapeutic communication, conflict resolution.
• Advanced clinical assessment skills.
• Monitor for deterioration and escalate appropriately.

From April 2019 to present - Casual Clinical Nurse

• Casuarina prison. Male maximum security prison.
• Provide high standard medical care to 1000 male maximum-security prisoners, working around security issues, complex health needs including mental health, addiction, and diversity of social background.
• Risk assessment.
• Chronic disease management- asthma, CHD, diabetes.
• Attend all emergencies within the prison.
• Triage of illness and injury.
• Advanced clinical assessment.
• Liaising with MO onsite or on call.
• Referral to hospital as required.
• Blood borne virus portfolio- implementation of HCV treatment programme.
• Staff education.
• Conflict resolution.
• Orientation of new staff
• Staff rostering

Key achievements:

• Developed orientation package for new starters.
• Organised and facilitated weekly staff education sessions on a variety of topics, mostly requested by staff, subjects included: advanced assessment skills of musculoskeletal injuries, plaster of paris application, respiratory assessments, abdominal assessments, advanced life support protocols, trauma management utilising TNCC principles.
• Blood borne virus/STI portfolio. This involved pre-test counselling after undertaking appropriate training, ordering blood tests, urine tests and swabs as appropriate, reviewing results, liaising with MO for prescribing of medications and dispensing these. Oral treatment of Hepatitis C became available for prisoners during this time. Ordering further blood tests/USS for HCV positive results to determine recent or previous infection and genotyping. Liaising with medical director for appropriate oral treatment regime. Maintaining active register of HCV treatments, patient details including genotype, concurrent infections, current treatment, due dates for blood testing according to regimes. Monitoring and reporting side effects. Ordering and reviewing bloods appropriately during treatment and post treatment.
• Rheumatic heart disease audit and prison register. Undertaken annually to inform national register.
• Audit of the triage process for prisoners and based on results, disseminated findings among the clinical group and management, and developed a new process that reduced waiting times and involved prisoners more, keeping them updated on wait times. This resulted in less repeat requests for the same problem, therefore less nurse time spent reviewing requests, and less doubling up and wasted appointments.

5520 hours

• A hospital avoidance programme whereby 000 calls would be answered and referred to home hospital nurses for assessment and management at home.
• Advanced assessment skills required to inform MO who would base treatment plans on my assessment and handover.
• Assessment and management of patients at home with a variety of conditions such as abdominal pain, pneumonia, cellulitis, DVT/PE requiring warfarin, complex wounds requiring negative pressure management.
• Suprapubic and PEG tube reinsertions.
• Point of care INR testing and Warfarin dosing.
• Administer IV antibiotics, fluids via PICC line/PIVC.

• Provide high quality, evidence-based nursing care to residents of rural and remote towns across WA and mine sites in the Pilbara.
• Drug and alcohol screening.
• Employment and Visa medicals.
• Management of all emergency presentations, often as lone worker or with Enrolled Nurse support.
• Advanced clinical assessment skills
• Referral to regional sites.
• Referral to RFDS.
• Chronic disease management.
• Immunisation.
• Spirometry.

• Coordinate artificial reproductive treatment cycles.
• Telephone triage.
• Coordinate the donor embryo and gamete programme.
• Trans abdominal and transvaginal ultrasound tracking of ovarian follicles and endometrial thickness.
• Undertake intrauterine insemination.

• Provide high standard evidence-based care to adult patients in all areas of emergency department from minor injuries to critical care.
• Coordinate staff workloads and resources.
• Triage using Australasian triage score.
• Monitor care delivered and documentation against standards.
• Act as resource and participate in education and preceptorship of junior staff.
• Complete annual appraisals.
• Triage working party member, attending regular meetings to plan quality improvement initiatives.
• Team leader for 1/4 of the staff in ED, organising annual study day for team.

• Provide high standard evidence-based emergency care to adult, paediatric and neonatal patients in all areas of emergency department.
• Coordinate workloads and resources.
• See and treat patients independently as Emergency Nurse Practitioner.
• Resource to and educator of junior staff.
• Coordinate student nurse allocations, preceptors, rosters, and education.

• Provide women centred, evidence-based care to women across the continuum.
• Developed competence in providing safe and effective midwifery care.
• Critical analysis of assessment information to inform care.
• Responding to emergency situations calmly and appropriately.
• Promote informed decision making and advocate for women's choice.
• Collaborate with woman, colleagues, and medical staff to create comprehensive plan of care.

• Provide women centred, evidence-based care to women across the continuum.
• Developed competence in providing safe and effective midwifery care.
• Critical analysis of assessment information to inform care.
• Responding to emergency situations calmly and appropriately.
• Promote informed decision making and advocate for women's choice.
• Collaborate with woman, colleagues, and medical staff to create comprehensive plan of care.
• Complete all required assessments and assignments.

• One year on Surgical Admissions ward developing nursing knowledge and skills post-graduation.
• Providing high standard evidence-based care to adult patients undergoing vascular, general, breast, and bowel surgery.
• Three years in Emergency Department:
• Provide high standard evidence-based emergency care to adult, paediatric and neonatal patients in all areas of emergency department.
• Rotate through all areas of department from minor injuries, triage, and critical care.