MARIA LORRAINE CHUMA

• Clinical Nurse Specialist for health team under Clinical Governance
• Provide support to House Managers and Accommodation Managers with any client health needs and any support required for Disability practitioners to help them perform their duties effectively
• Provide education and training for staff working together with training Alliance in Bowel care , Enteral Feeding , Catheter Care , Diabetes Management .
• Attend Complex Case review meetings and IMT meetings for homes that are allocated to me to help support House Managers and Accommodation managers in management of any complex cases or any COVID Positive cases in homes and assist them with zoning of affected houses.
• Provide support to House managers when client is hospitalized to ensure discharge planning is done and support required post discharge is identified for clients safe return home.
• Involved in Policy and procedure review to provide excellent services based on current evidence based practice.
• Creating onboarding Guideline document for new staff to be able to have understanding of CNS role and required trainings to be attended and all processes involved in their new role
• Attend weekly team meetings for allocation of workloads and discussing any new items on agenda
• On call roster for supporting House Mangers
• Working together as part of team supporting each other and getting support from peers

• Community based Clinical Nurse Consultant - Continence
• Providing bladder and bowel health Comprehensive Continence Assessments for NDIS clients, ICare clients as well as Workers Care clients in comfort of their own homes and in Group Homes.
• Doing Continence Assessment via Telehealth using different platforms like GP Now, ZOOM and Microsoft teams
• Writing extensive reports and product scripting for NDIS and Icare Assessments.
• Providing Personal Care Attendant Training
• Client education on Self Catheterization
• Education on how to use Peristeen Bowel Irrigation System
• Education on how to use Aquaflush bowel irrigation system
• Education on Self Catheterization and different types of catheters available
• Organizing sample products for trial by clients
• Provide wound management to client with wounds requiring daily or 3rd daily dressings

• Community Based Continence Clinical Nurse Consultant working with people with Spinal Cord Injury (SCI) and other Neurological conditions that include Cerebral Palsy, Downs Syndrome , Parkinson's Disease , Intellectual Disability, Autism and Chromosomal defect conditions in both children and adults
• Provide evidence based bladder and bowel health management for people with Spinal Cord Injury (SCI) and other Neurological Conditions to assist them with strategies on how to manage their bladder and bowel health issues and providing high quality services for Continence Assessments for NDIS, ICare and providing
• Education to Carers ,Support Workers and family’s on bowel management and doing catheter changes and supporting them in the care for their clients bladder and bowel health
• Duties
• Provide Comprehensive Continence Assessments for NDIS clients, ICare clients as well as Workers Care clients in the comfort of their own homes and in Group Homes
• Doing Continence Assessment via Telehealth using different platforms like GP Now, ZOOM and Microsoft teams -
• Writing extensive reports and product scripting for NDIS and ICare Assessments
• Providing Personal Care Attendant / Support workers Training in Client education on Self Catheterization - -Education on how to use the Peristeen Bowel Irrigation System Education on how to use the Aqua flush bowel irrigation system -Education on Self Catheterization and the different types of catheters available -Organizing sample products for trial by clients -Attending Conferences -Attending Network Meeting with Reps from different Supplier organizations re product education and new available products
• 
  
• 
  
• -Catheter Changes for both Indwelling Catheters and Supra Pubic Catheters for clients in the community -Providing advice to customer care clients regarding products like catheters, pads, urine bags and other continence products
• Liaison with Case managers and Service providers regarding client’s continence needs.
• Sought opportunities to improve patient care, outcomes and nursing staff performance.
• Involved in the organizations Quality and Risk Management team as an internal auditor for Paraquad for a year and half

• Urology Clinic based continence advisor working with people living with Multiple sclerosis helping them manage their bladder and bowel health issues working together with a Urologist who comes in every Wednesday fortnight to do a clinic and an average clinic has 12-15 people and it starts at 0830 and finished at 1215hrs
• Duties
• Coordinate urology clinic days with the Urologist -Doing Continence Assessments for NDIS and non NDIS Clients -Establishing Bowel Management plans -Doing Clean Intermittent Catheterization to assist in bladder emptying -Doing Uroflow and residual as well as post void bladder scans -Client education on Self Catheterization -Education on care of supra-Pubic catheters -Pelvic floor muscle training as well as bladder retraining -Assist clients with product prescription and ordering of products -Applying for funding for Clients with Enable and CAPS for products -Bladder and Bowel Health direct Education Sessions and presentations on good bladder and bowel habits
• Presenting Webinars on Bladder and Bowel health twice a year -Ordering of clinic stock and ensuring a clean clinic environment -Doing follow up assessments as per urologist orders -Proof reading and printing out Letters to the Doctors and Specialists -Acting as an advocate for clients in hospital or care facilities with concerns regarding their continence
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Carried out day-day-day duties accurately and efficiently.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Maintained energy and enthusiasm in fast-paced environment.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
• Used critical thinking to break down problems, evaluate solutions and make decisions.

• Clinical Nurse Consultant -Continence
• Community based Continence Clinical Nurse consultant with PEBBLES which is continence service for children with disability ages 0-16 years in Western Australia both Metropolitan and regional areas including Kalgoorlie, Wheatbelt, Pilbara , Albany and others area up north WA.

Duties-Appointment booking with clients for continence Assessments for both NDIS and Non NDIS clients

-Over the phone support with parents and schools as well as attending to school conferences and meeting regarding clients

-Clinical assessments for underlying bladder and bowel health

- Establishing a clinic in the rural areas that was new to the service and managed to service up to 20 children at the clinic that I established in the wheat belt in WA

-Home visits and working with families to help toilet train their children

-Working with school to ensure that there is consistency with toileting at home and school

-Doing Bladder scans, uroflows as well as using the Real Time Ultrasound in the diagnosis and management of bladder and bowel health issues

-Formulating toilet training programs for clients

-Formulating drinking programs for children who are not drinking adequate fluids to help in increasing their fluid intake

-Application for funding for families to receive nappy subsidies

-Application for equipment funding and referrals to dietician for support with diet as most of the clients have sensory issues and have restricted diet.

-Offering Psychological support to the families and offering new strategies to assist in managing the bladder and bowel health issues

-Developing a Rural Visit policy and Procedure document for the organization

• Stroke and Geriatric rehabilitation unit
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Implemented medication and IV administration, catheter insertion and airway management.
• Managed care from admission to discharge.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Monitored patient condition by interpreting and tracking ECG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Monitored patient reactions to drugs and carefully documented findings.
• Organized and managed care of patients undergoing various therapies and procedures.
• Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Secured controlled narcotics and distributed medication on schedule to meet patient needs and minimize misuse opportunities.
• Maintained quality care and comfort for patients post Stroke, and other conditions.
• Provided exceptional care to high-acute patients needing complex care such as Thrombosis Treatment TPA to reverse the symptoms of stroke.
• Audited charts and reviewed clinical documents to verify accuracy.

• Stroke and Geriatric Rehabilitation Ward
• Collaborated with multidisciplinary team to evaluate patient data and determine patient care plans.
• Monitored patients, evaluated results and recommended further courses of treatment to quickly improve patient outcomes.
• Stayed current with health system initiatives and incorporated evidence-based practice and research into care routine.
• Developed and maintained departmental policies, procedures and patient care standards based on evidence-based practice guidelines and expert opinions.

• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Carried out day-day-day duties accurately and efficiently.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Worked flexible hours; night, weekend, and holiday shifts.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
• Maintained energy and enthusiasm in fast-paced environment.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Offered friendly and efficient service to customers, handled challenging situations with ease.
• Developed and maintained courteous and effective working relationships.
• Maintained excellent attendance record, consistently arriving to work on time.
• Participated in team-building activities to enhance working relationships.
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
• Used coordination and planning skills to achieve results according to schedule.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.

• 4-week rotations were done on the Medical Ward annually to upskill and keep up to date with acute care nursing
• Duties -Admission of medical patients for acute care
• Checking vital observations
• Blood pressure monitoring using the dyna map machine
• Administering of medications as prescribed by the doctor
• Inserting Naso gastric tubes
• Monitoring blood sugar levels
• Administering schedule 4 and schedule 8 drugs
• Administration of antibiotics
• Monitoring intake and output charts
• Administering insulin to diabetic patients on insulin
• Assisting patients with activities of daily living
• Catheter care
• Tracheostomy care -Doing ECG and Bladder scans as prescribed -Administering intravenous fluids as prescribed
• Monitoring patients with behavioral issues
• Administration of oxygen to patients with decreased oxygen saturation
• Wound dressings done using the aseptic technique
• Applying Holter Monitors on patients as prescribed
• Division 1 Nicholson Rehabilitation Ward Latrobe Regional hospital 12 JUNE 2OO7 to 3, Nicholson Rehabilitation ward has a bed state of 26 beds and a nurse patient ratio of 1:6
• CONDITIONS NURSED -Rehabilitation and reconditioning of the following conditions
• Multiple Sclerosis; CVA patients -Amputees for both upper and lower limbs
• Patients post abdominal surgery
• Post hip surgery and knee surgery
• Head injuries (Acquired and Traumatic) -Multiple trauma post motor vehicle accidents
• Gait retraining post fracture pelvis or fracture vertebrae
• DUTIES -Provision of high-quality nursing care to all clients
• Admission of patients for rehabilitation using the Hospital protocols
• Always Ensuring patient comfort
• Administration of drugs as per prescription
• Monitoring and recording vital signs and reporting any abnormalities
• Assisting patients with daily shower and dressing
• Assisting with the grooming of patients
• Administering of Dangerous Drugs of Addiction and the Schedule 11 drugs and ensuring that they are double checked by 2 qualified staff before and during administration
• Handing over to other nursing staff during shift change over
• Monitoring of patients on blood transfusion using the Hospitals transfusion policies
• Use of computer programs to predict and actualize patient care and to access pathology results for patients
• Doing ECG and bladder scans as per orders
• Monitoring intake and output chart and recording
• Administration of intravenous infusions using infusion pumps as per orders
• Doing wound dressings using the aseptic technique to reduce wound infection
• Doing Vac dressings on patients with large wounds
• Administration of oxygen to patients with reduced saturation levels
• Liaising with Pharmacy for patients discharge medication
• Attending discharge team meetings to discuss progress and patients discharge date and destination on discharge
• Referring patients to therapist depending on patient’s needs
• Preceptor for graduate nurses on attachment.

• Conditions Nursed -Pelvic Inflammatory Diseases, Urinary tract infections in pregnancy, threatened abortions, inevitable abortions, miscarriages, puerperal sepsis, recto vaginal fistula, vesical vaginal fistula, anemia in pregnancy ,dysfunctional uterine bleeding
• Bartholin’s abscesses
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Carried out day-day-day duties accurately and efficiently.
• Worked flexible hours; night, weekend, and holiday shifts.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
• Maintained energy and enthusiasm in fast-paced environment.

• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
• Provided direct patient care, stabilized patients and determined next course of action.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Implemented medication and IV administration, catheter insertion and airway management.
• Managed care from admission to discharge.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Collected blood, tissue and other laboratory specimens and prepared for lab testing.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Monitored patient condition by interpreting and tracking ECG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
• Monitored patient reactions to drugs and carefully documented findings.
• Organized and managed care of patients undergoing various therapies and procedures.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.