Liam Cairns

• Completed shifts as acting ANUM when required or rostered
• Mentors to newer staff members by setting good example and ongoing education. Always available for assistance.
• Educational power-point ready for presentation

As the Urology CNS in 2023 I initiated a Post Operative Retention Study. I recorded multiple post operative retention cases that occurred on the ward at the start of the year in order to find similarities and work out an intervention. At the time of recording intrathecal morphine was being used leading to 90% of of the retention rates. With these findings I was able to speak with the anaesthetist at the time who acknowledged this result and changed the policy to IDC insertion for ITM patients. This changed the retention rates significantly. I have also developed a educational power-point to educate the ward about post operative retention.

• As a RN on a Gen Surgical ward my shift consists of caring for multiple patients; ratios are dependent on the shift
• I receive patients from emergency or surgery and my primary duties would be to prepare them for an operation, and tend to their post-operative care
• Each patient requires their own individualized care, dependent on the surgery and guided by our pathways and policies
• As part of my duties I need to recognize signs of deterioration and advocate to the doctors about my patients needs
• I take pride in making sure my patients have a good experience throughout their hospital stay.

• As an Epworth RN my shift consists of team nursing and coordination of care for 8-10 patients
• Patients may be received as general admission, post operative or as a transfer from other wards/ED/ICU
• Following admission my duty is to assess the patient, stabilize the patient, organize the appropriate documentation, contact the doctor/surgeons involved and work towards developing a current care plan
• I deliver directed care as per orders and send referrals to the appropriate holistic team
• When on duty some examples of the care I deliver to my patients include: assistance with ADL's, administration of medication, wound dressings, various documentations, post operative care, early detection of deteriorating patients, working with doctors/surgeons/patients and families to deliver the best possible care
• As an advocate for my patients I am responsible for using my clinical knowledge to prioritise and administer to patients' care needs.

• One of my wards during my graduate year was transformed into a Covid ward where we took positive residential care patients and cared for them
• During my time I was responsible for appropriate PPE wearing and spotting for others, administering medications, swabbing, meeting patient individual care needs, close contact with family who couldn't visit and sadly end of life care.

• As an EEN I coordinated the care of 30 residents per shift
• I was responsible for the administration of medication, basic wound dressing, monitoring blood sugar levels, documentation, observations, early detection of deteriorating health and maintaining strong communication with residents' families.

• As an agency PCA I was on call to receive jobs at multiple hospitals and residential care facilities
• The shifts included special shifts with confused, aggressive, high fall risk, frail or deteriorating patients or working as a carer at the care facilities.