Faye Gao

• Attending multiple endocrine outpatient clinics including Lung Transplant and Endocrinology Clinic, Type 1 Diabetes Clinic, Insulin Pump Clinic, Diabetes Outpatient Clinic.
• Conduct advanced and comprehensive patient assessments inclusive of diabetes micro and macrovascular complications, family and genetic history taking, foot examination, cardiovascular disease risk assessment, and other autoimmune disease screenings.
• Consulting people with diabetes at various outpatient clinics.
• Managing and supporting patients in the community to prevent ED presentation and hospital admission by closely collaborating with DCNCs, internal medical teams including Hospital In The Home and Hospital Admission Risk Program, and community services eg Bolton Clarke service
• Acutely managing patients’ presentations with hyperglycaemia which are not in ketotic or Hyperosmolar Hyperglycaemic Status (HHS) as a means of hospital admission avoidance.
• Initiating, ordering, and interpreting diagnostic tests that are relevant to diabetes and other endocrine conditions.
• Making referrals to internal and external service providers for continuity and ongoing care.
• Providing expert advice to other ambulatory service teams for patients with diabetes.
• Providing care and support to patients with diabetes or pre-diabetes aged between 17 to 18 in transition to adult service from paediatric teams.

Employment: Part-time - June 2022 to present.

I have demonstrated advanced-level nursing practice as a Diabetes Clinical Nurse Consultant at Alfred Health. All my work activities integrate into four domains and align with the position description attached to this application.

1) Domain 1: Clinical

• Responding to inpatient referrals within 24 hours.
• Triaging referrals to support other services to meet their targets for enhanced patient care. For example: Response to ED referrals within 4 hours, and response to discharge clearance in a timely manner.
• Assisting multiple diabetes outpatient clinics. For example: Type 1 Diabetes Clinic, High Risk Foot Service, Diabetes Review Clinic.
• Providing remote assistance to people with diabetes via phone, email, and telehealth. For example, review glucose levels and adjust insulin doses via phone review.
• Providing ongoing support to vulnerable diabetes population. For example, cancer patients receiving chemotherapy at Alfred, people with Type 1 diabetes, and other complexities.
• Making appropriate discharge arrangements with patients' consent. For example, collaborating with other ambulatory programs and making referrals to community diabetes care services.
• Collaborating with community services, extended hospital services, and other care teams in planning complex discharges and ongoing diabetes care.
• Attending family meetings, case conferences regarding patients, as required. For example, attending the Endocrinology Unit meeting on a weekly basis.

2) Domain 2: Education

• Developing educational programs based on professional and institutional standards, in consultation with, and as allocated by, the diabetes education manager.
• Implementing structured patient education materials.
• Providing orientation and ongoing training to junior diabetes nurse educators.
• Cultivating a continuous learning culture within the team.

3) Domain 3: Research

• Completing necessary statistical data, including entry, to support financial recuperation as appropriate.
• Continuously reviews existing practices and policies according to evidence-based practice to minimize adverse effects and promote positive patient outcomes.
• Contributing to data collection for the Australian National Diabetes Audit.
• Contributing to quality improvement project.
• Attending the Endocrinology and Diabetes Research Meeting hosted by the unit director on a weekly basis.
• Attending the Monash Health Journal Club on a weekly basis to keep updated with clinical guidelines, clinical research, and future research directions.

4) Domain 4: Leadership

• Promoting a culture of innovation, education, excellence, and a patient-first focus through policies and practices that support and recognize individual and collective team contributions.
• Providing leadership in clinical situations demanding actions. For example, providing productive suggestions to other medical and nursing teams on complex case management.
• Maintaining relationships with internal and external stakeholders.
• In a working group preparing for the 'Advanced Practice Nursing Innovations Forum.'
• Attending the Advanced Practice Nursing Leadership Meeting monthly.

Employment: Part-time - December 2020 to June 2022.

I have demonstrated advanced level nursing practice as a Diabetes Clinical Nurse Consultant at Western Health. All my work activities integrate into four domains and align with position description as attached with this application.

1) Domain 1: Clinical

• In a consulting capacity, providing clinical nursing expertise and direction in line with clinical standards, policies, and procedures to people living with diabetes, including providing high-level nursing assessment, care planning, and interventions. For example, home visitation and conducting a comprehensive assessment of an individual's competency in diabetes self-management.
• Being responsible for a timely response to referrals, and managing and helping others in prioritization and completion of tasks. For example: discharge clearance from Diabetes Clinical Nurse Consultant perspective, participating in discharge planning
• Providing efficient and people-centered care. For example, collaborating with people with diabetes and their families to make a tailored care plan.
• Providing education to people with diabetes and their families and up to date technologies information. For example: empower people to use diabetes care related technology device including but not limited to Continuous Glucose Monitoring and insulin pump

2) Domain 2: Education

• Maintaining and updating one's professional development portfolio to demonstrate an ongoing commitment to learning and best practices.
• Exchanging and sharing information from participation in seminars and conferences with colleagues via in-services, presentations, and team meetings. For example: case study presentation at team meeting, information sharing for 5th annual Australasian Diabetes Advancements and Technologies Summit (22/10/21)
• Working with junior diabetes nurse educators to develop their capabilities.

3) Domain 3: Research

• Completing necessary statistical data including entry to support financial recuperation as appropriate.
• Continuously reviews existing practices and policies according to evidence-based practice to minimise adverse and promote positive patient outcomes. For example: assisting people with diabetes access to evidence supported technologies.
• Contributing to data collection for the Australian National Diabetes Audit.

4) Domain 4: Leadership

• Promoting a culture of innovation, education, excellence and patients first focus, through policies and practices that support and recognise individual and collective team contribution.
• Providing leadership in clinical situations demanding actions. For example, providing productive suggestions to ward-based nursing staff on discharge planning.
• Maintaining relationships with internal and external stakeholders.