Indiana Shamroze-Tumes

Working on a casual basis as a Child and Family Health Nurse one day per week from October 2023 - December 2023 and two days per week from April 2024 until July 2024.

• Planning, implementing and evaluating the child and family health program for infants and children from 0-5 years old age.
• Immunising as per the NSW immunisation schedule and developing complex catch up immunisation schedules.
• Assessing and monitoring infant and child growth and development to ensure they are meeting the expected milestones.
• Supporting families experiencing developmental delay and providing the timely referral to specialist health professionals for early intervention.
• Actively engaging families with the service.
• Home visiting support for postpartum families upon discharge from hospital.
• Newborn assessment.
• Breastfeeding support and formula feeding support.
• Education and support on developmentally appropriate sleep and settling techniques.
• Promoting a safe and comfortable healing environment by addressing patient concerns promptly and professionally.
• Worked with interdisciplinary teams for optimized patient treatment plans and outcomes.
• Health promotion and education.

• Travel nurse contract providing specialised paediatric clinical nursing care to neonates, infants, children and young people requiring hospitalisation in a busy regional hospital over the holiday period.
• Managing the care of a wide range of paediatric hospitalisations and day cases, most commonly; respiratory illnesses, viral illnesses, bacterial infections, child and adolescent mental health inpatient care, eating disorder care, procedural sedation, CVAD infusions, trauma, head injuries, ENT and Orthopaedic surgery, general surgery, sepsis, neurological disorders, allergies, failure to thrive, childhood cancers, rare diseases.
• Educated children about their medical conditions in age-appropriate language, empowering them to take an active role in managing their health.
• Demonstrated excellent time management skills by prioritizing tasks and efficiently delegating responsibilities, ensuring all patients received timely care.
• Utilized critical thinking skills to quickly respond to emergency situations, stabilizing patients and escalating care.

• Working as a short term governess for a busy farming family of 7 trialing distance education through Bourke Walgett School of Distance Education.
• Planning and providing face to face teaching of Preschool, Kindergarten and Grade 2 school work to the children as set out by distance education.
• Working collaboratively with the teachers at School of Distance Education to ensure children were making excellent progress and enjoying school.
• Creating a fun and engaging classroom environment that fostered children's creativity and sense of self.
• Organised fun an engaging art, science and physical activity lessons.
• Effectively managed the work load to ensure children were always one week ahead in their schooling.
• Prepared healthy and nutritional meals for the children.
• Fostered a professional working relationship with the family whilst living on the farm.
• Certain days I provided care to all 5 children outside of school hours.

• Teaching Hypnobirthing Australia's evidence-based childbirth education 'The Positive Birth Program' empowering expectant parents with up-to-date information and techniques for a positive birth experience.
• Implementing Dr Pamela Douglas's Neuroprotective Developmental Care 'The POSSUMS Program' to provide mother baby care that protects the rapidly developing infant brain and gut during the critical first 12 months of life and supports parents' mental health by providing mothers and families with the evidenced-based care on breastfeeding, sleep, unsettled infant behaviour and perinatal mental health care.
• Gestalt breastfeeding assessment, education and support
• Developmentally appropriate sleep and settling techniques
• Acceptance and commitment therapy for perinatal mental health issues
• Delivering group and private childbirth education classes, ensuring exceptional support and tailored learning experiences for expectant parents.
• Cultivating strong working relationships with community organisations, fostering collaborations to enhance access to resources and services for families.
• Actively participating in continuous improvement initiatives to proactively enhance knowledge, skills, and performance based on feedback and identified professional development needs to ensure the highest quality education and support.
• Developing comprehensive teaching materials and educational resources to facilitating engaging and evidence-based learning programs for expectant parents and promote informed decision-making.

Performing administrative and bookkeeping duties for my husbands building company Remote Building Solutions on a part time basis.

• Utilised XERO software to handle all bookkeeping tasks, including invoicing and payroll, ensuring accurate financial management for Remote Building Solutions.
• Managed all insurance and licensing matters, ensuring compliance with legal requirements and providing comprehensive coverage for the business.
• Diligently maintained and organised safety and compliance documentation, prioritising the well-being of employees and ensuring adherence to regulatory standards.
• Coordinated apprenticeship programs, collaborating with teachers and facilitating attendance at trade school
• Liaising with clients and key stakeholders to schedule and manage projects, contributing to the ongoing profitability and success of Remote Building Solutions.

Working as the Clinical Nurse Specialist for Youth health and Sexual Health at a community controlled Aboriginal Medical Service, During this time I successfully coordinated and delivered primary health care to Indigenous children and young people aged 9-19 in the Broken Hill, Menindee, and Wilcannia region and coordinated and delivered sexual and reproductive health services to the district. During this time I collaborated with a clinical research team from the University of Sydney to successfully develop and implement a clinical nurse specialist managed Hepatitis, BBV and Syphilis disease register in order to manage clinical care across the district that was drastically overdue when i commenced my role.

My duties included:

• Managing the clinical care of complex and chronic diseases, general health and wellbeing, mental health and schooling and social issues.
• Conducting a nurse led youth health checks using TICKIT to compete HEADSS assessments
• Checked height, weight, vital signs and BGL's
• Venepunture
• Working collaboratively with GPs to complete ATSI health checks and STI testing.
• Provided sexual health and reproductive counselling
• Delivered sex education at local high schools as part of the love bites program.
• Managed sexual health care for Indigenous individuals in collaboration with Clinic 9 NSW Health sexual health clinic.
• Facilitated timely termination of pregnancy in consultation with Clinic 9, midwives, GPs, and obstetricians.
• Led a team of Aboriginal Health Practitioners and Trainees, supporting new graduate nurses.
• Managed recall lists and contacted all clients to schedule bookings
• Provided culturally safe nursing care for Aboriginal and Torres Strait Islander people.
• Worked closely with visiting Paediatricians and Psychiatrists to facilitate clinical care and organised client referrals and bookings.
• Improved patient recall lists, immunisation rates, and appointment attendance and organised health check days in collaboration with local high schools, conducting ATSI health checks and immunizations with GPs.
• Worked as Child and Family Health nurse in the early years program when required.
• Provided breastfeeding support when required
• Proactively advocated for the well-being and safety of children, identifying, reporting, and responding to violence, abuse, and neglect and providing a safe and supportive environment to promote their physical and emotional recovery.
• Worked closely with Department of Communities and Justice to facilitate primary health care for at risk children and those in out of home care.
• Attended professional development with ASHM, The Australian Breastfeeding Association, HETI Building Strong Foundations, HETI Aboriginal Maternal and Infant Health Services and Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine.
• Planned community health promotion events
• Assisted in coordination of Covid-19 vaccination program roll out.
• Swabbed in Covid-19 respiratory clinic.

Completed 100 hours of clinical placement as a Graduate Diploma of Child and Family Health Nursing student through Charles Darwin University. Working under the supervision of the child and family health Clinical Nurse Specialist to provide infant and child health screening and surveillance, comprehensive family assessments and referrals and promotion of child health and wellbeing to high-risk Aboriginal babies, children and families with a high prevalence of developmental delay, domestic and family violence, neglect and abuse in Broken Hill and Wilcannia.

• Completed comprehensive psychosocial assessments on families and provided effective management plans and referrals.
• Completed comprehensive psychosocial assessments on families and provided effective management plans and referrals.
• Completed developmental screening using age appropriate assessment tools and provided education and effective management plans and referrals for infants and children showing signs of developmental delay.
• Provided education to parents and families on healthy infant and child development, introducing solids, nutrition, sleep and settling.
• Holistically supported women showing signs of postnatal distress and made appropriate referrals.
• Assessment of breastfeeding and lactation, promoting correct attachment at breast and troubleshooting breastfeeding problems such as mastitis, nipple trauma and engorgement.
• Made child protection reports as appropriate and fostered professional relationships with child protection agencies to ensure children in out of home care were up to date with all health checks
• Hosted play groups and provided parental education sessions.
• Performed lead and haemoglobin testing as per local requirements and educated families on being lead safe.
• Helped parents feel comfortable whilst performing blood test procedures and immunisations

Working as a registered nurse in an 8 bed rural paediatric department caring for admissions of neonates, infants, children and young people up to the age of 18. I had previously worked on this ward for 4 years prior to becoming as registered nurse so transitioned smoothly into my role. Caring for a wide variety of paediatric presentations most commonly; respiratory illnesses including asthma and bronchiolitis, viral illnesses, bacterial infections, child and adolescent mental health inpatient care, toxin ingestion, trauma, head injuries, ENT and Orthopaedic surgery, general surgery, sepsis, allergy challenges and eating disorder admissions.

• Completing the paediatric new graduate program under clinical supervision from the paediatric CNC.
• Initiating clinical care of paediatric presentations in the emergency department when required.
• Recognition and management of infants and children who are clinically deteriorating.
• Monitoring and responding to emergencies as per the clinical emergency response system.
• Identifying, reporting and responding to violence, abuse and neglect in infants and children.
• All routes of Paediatric drug and fluid administration.
• Insertion and care of Nasogastric tubes.
• Admitting and discharging patients.
• Providing child and family centered care to infants, children and young people.
• NGT insertion.
• NGT and PEG feeding.
• Child and adolescent mental health care.
• Setting up and administering CPAP.
• Setting up and Administering HiFlow.
• Coordinating transfers via RFDS, NETS and Medstar.
• Adult venepuncture.
• Adult PIVC insertion.
• Electrocardiograms.
• Cardiac and respiratory monitoring.
• Resus for Kids.
• Clinical handover.
• Presenting in-service's on paediatric head injuries, bronchiolotis and respiratory distress.
• Breastfeeding education and support
• Safe storage and reheating of breastmilk
• Safe preparation of formula
• PARC paediatric call back clinic
• Paediatric specific assessments
• Working in the emergency department if ward closed
• Mothercraft

Working autonomously as a community registered nurse providing medication administration, clinical care and complex wound care to community members in their homes. A rewarding and educational experience as part of my new graduate program where I received clinical supervision and regular education from the wound CNC.

• Visiting clients in their home to provide clinical care.
• Complex care coordination.
• Complex wound dressings.
• Basic wound debridement.
• Wound assessment and documentation.
• Aspectic non touch technique .
• Attended regular education on wound dressing products and techniques.
• Venous compression.
• Oral Medication administration.
• IM and SC injections.
• Female urinary catheterisation.
• PICC care and management
• Administered antibiotics via baxter pump and PICC.
• Provided palliative care support.
• Coordinating client transfers to hospital via ambulance when deterioration occurred.
• Working collaboratively with General Surgeon team, GP's, OT's, Physiotherapists, Podiatrists and Aged Care Services.
• Documenting cares using CHOC.
• Working autonomously to a tight schedule
• Excellent time management skills

• Pre and post operative care to adults undergoing craniofacial surgeries
• Pre and post operative care to general surgical patients
• Care of tracheostomy and laryngectomys
• Managing a full patient load

• Working in Paediatric, Medical, Surgical, Sub Acute Rehab, Mental Health Inpatient Unit and Maternity units.
• Providing person and family centered nursing care under the direct supervision of the Registered Nurse or Midwife
• Monitoring and responding to changes in patients and reporting directly to the Registered Nurse or Midwife
• Documenting all cares using relevant charts and EMR
• Developing therapeutic and professional relationships in order to communicate effectively with patients, their families and the multidisciplinary team.
• Working in a fast paced team nursing environment
• Practicing within my scope of practice in accordance with NSW Health guidelines, the position description, local policy and protocols

• Completed an eight week Paediatric speciality clinical placement as a third year Bachelor of Nursing student in the Paediatric Intensive Care Unit
• Completed the Nursing Competency Assessment Schedule (NCAS) Registered Nurse Standards for Practice competencies at an independent level
• Attended medical emergencies throughout the Womens and Children's Hospital as part of the medical emergency team (MET)
• Worked under the direct supervision of Registered Nurses to provide a variety of multi-system life support and nursing care for neonates, infants, children and adolescents.
• Provided the care and maintenance of of a variety of central access devices
• Provided the care and management of arterial lines
• Insertion, care and management of Indwelling Urinary Catheters
• Provided care of patients requiring respiratory support in the form of invasive ventilations and non-invasive ventilations
• Provided care and management of a variety of drains including extra ventricular drains
• Demonstrated various blood sampling techniques
• Managed the admission, discharge and transfer of patients
• Conducted multi system assessments of the critically ill paediatric patient
• Monitored and responded to changes in patients condition and escalated care as required
• Communicated professionally with multidisciplinary teams
• Created and maintained therapeutic relationships with patients and their families in order to foster family centred care
• Completed the Department of Paediatric Critical Care Medicine Clinical Placement Program

• Completed a four week clinical placement as a second year Bachelor of Nursing student in the Paediatric and Obstetric unit caring for a diverse range of paediatric and obstetric presentations
• Managed the care of a group of patients under the Registered Nurses supervision
• Developed holistic and family centered nursing care plans
• Provided culturally safe nursing care
• Provided specialised care for sick and premature infants in the special care nursery
• Administered medication oral and intravenous medications
• Performed venepuncture using a variety of techniques
• Performed complex wound dressings
• Performed Paediatric specific assessments
• Breast feeding support and education
• Proficient use of Enterprise Patient Administration System (EPAS) to document patient cares

• Completed a four week aged care specialty clinical placement as a second year Bachelor of Nursing student in a high care residential aged care facilitiy
• Administered oral, intraveous and intramuscular medications utilising Medi Map
• Provided holistic, patient centered nursing care as per residents care plans
• Performed simple and complex wound dressings

Working as a live in nanny and farm hand for 3 months during the busy harvest and sowing period to support a farming family as they welcomed their second baby.

• Providing warm and nurturing care for a newborn and toddler, fostering their healthy development.
• Managed all household tasks to keep things running smoothly.
• Adhered to both baby and toddlers schedules and ensured they were always well taken care of.
• Developed strong communication with parents to provide updates on children''s progress, needs, and achievements.
• Prepared all meals and snacks for children and family based on dietary guidelines.
• Completed housekeeping and farm duties as well as running errands.
• Built positive and nurturing environments to support child social and emotional growth.
• Established lasting, professional connections with families and children by encouraging open communication and delivering positive feedback.
• Planned educational activities and outings for the toddler.
• Attended local playgroups and parents groups to socialise children.