Mark Gates

Provide comprehensive nursing care within a multipurpose facility encompassing aged care, acute care, and emergency department support. Responsibilities include delivering person-centred care to aged-care residents, managing acute presentations, assisting with emergency triage and interventions, and responding effectively to rapidly changing clinical situations. Work collaboratively within a small multidisciplinary team, often in an autonomous capacity, to ensure safe, effective, and continuous care across all service areas.

Outline

To plan, assess and deliver evidence based nursing care to individuals in the community whilst undertaking assessments and nursing interventions for patients with diverse and complex health needs. Working autonomously, without direct supervision, under the guidance of a caseload holder, whilst liaising and collaborating with a variety of MDT members and outside agencies on a regular basis to ensure a holistic approach.

Key Responsibilities

• Assist in assessment, planning, implementation, evaluation and monitoring of nursing needs of patients and relatives.
• Safely administer prescribed medication by variety of routes, including administration of injections and vaccinations in line with anaphylaxis policy.
• Undertake effective wound management, involving intricacies of removing sutures, clips and staples.
• Collaborate with specialist nurses and perform complex wound care to enable positive changes for patients recovering from surgery.
• To perform insertion and removal of male/female urinary and suprapubic catheters, following health board policy and procedure.
• Provide effective care to terminally ill patients with support and advice to relatives through different stages of bereavement.
• Communicate effectively with doctors and specialist palliative care nurses regarding patient best interests, pain management, medication and set up/replenish syringe drivers.
• Promote self-care and maximise independence for individuals in community setting.
• Provide nursing care, education and insulin administration to diabetic patients and families.
• Act as mentor/supervisor for junior staff/student nurses.
• Ensure that NMC registration is maintained, and participate in annual Personal Development Plans and revalidation.
• Manage time efficiently in order to complete all tasks within deadlines.
• Complete paperwork, recognizing discrepancies and promptly addressing for resolution.
• Administer medications via PEG (Gastrostomy), IV, orally and intramuscular injections whilst monitoring responses.
• Collaborate with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Remain calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time.
• Meet with patients to discuss and distribute information on health maintenance and disease prevention.
• Practice infection prevention control during Vascular Access Device Care - flushing of PICC lines & dressing changes.
• Administer medications and treatment to patients and monitor responses while working with healthcare teams to adjust care plans.
• Maintain quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
• Maintain Pressure Area Care and prevention and provide appropriate equipment to patients.
• Provide exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
• Primarily visits patients in their own homes or another place of residence eg: residential care home, respite homes and sheltered accommodation.
• Passionate about learning and committed to continual improvement.
• Work within the Nursing and Midwifery Council Code of Conduct.

Outline

Worked alongside experienced nursing professionals to learn new procedures in a variety of wards and clinical placements, helping me grow personally and professionally.

Key Responsibilities

• Administered close patient care, checked vital signs, and monitored telemetry.
• Built rapport with patients and members of patients' support systems.
• Employed knowledge in growth and development principles to provide care appropriate to age of patients.
• Administered CPR to patients in cardiac arrest following Resuscitation Council UK guidelines.
• Assessed care needs of patients and families utilizing nursing process.
• Monitored patient vital signs, reporting any changes to experienced nursing staff.
• Facilitated patient discharge by providing instructions for home care and follow-up care.
• Participated in team meetings to discuss patient progress and plan for care.
• Assisted with patient transfers, observing safety protocols to prevent damage to patient and self.
• Observed patient behaviour and reported changes to nurse in charge for resolution.
• Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Facilitated patient discharge by providing instructions for home care and follow-up care.
• Performed regular rounds to check on well-being of patients.
• Performed triage on incoming patients and determined severity of injuries and illnesses.
• Investigated and resolved issues affecting hospital operations and patient care.
• Managed patients recovering from medical or surgical procedures.

Outline

Providing high-quality evidence-based care to adult patients within their own homes to prevent deterioration, and hospitalization. Duties included; gathering any relevant information before attending patients home to identify any risks and maintain personal safety. Adhere to lone worker policy whilst driving to and from patients homes safely.

Key Responsibilities

• Checking patients vital signs such as temperature, blood pressure, Blood Glucose levels and respiration rate whilst undertaking risk assessments.
• Visually assessing patients and recognising deterioration and improvements to patients condition and ensuring care is escalated effectively to registered nurses whilst documenting in clear, factual manner.
• Performing Venepuncture, bladder scans, blood glucose monitoring, performing ECG's, catheter care, pressure area monitoring, personal care and palliative care were also key, whilst communicating with family members, health professionals and other members of the multi-disciplinary team to ensure optimum patient care.
• Ensuring mandatory training is up to date and participation in clinical audits, thus promoting quality improvement to safeguard high standards of care within the team.
• Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and oral care.
• Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
• Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
• Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.

Outline

Worked in a residential home with clients who had been diagnosed with various mental health issues. My role involved monitoring clients progress and providing feedback to families and the team members whilst maintaining client records to document assessment, treatment plans and progress.

Key Responsibilities

• Assisted clients with day to day activities and tasks to support independent living and help develop social skills whilst collaborating with mental health professionals to coordinate comprehensive care for clients.
• Daily tasks for medication involved sorting, counting all incoming medications to keep optimum inventory level and preparing medication doses accurately by following medication administration record (MAR) written by healthcare providers.
• Provided clients with recommendations to community resources.
• Documented client progress in confidential files.
• Maintained client records to document assessment, treatment plans and progress.
• Implemented crisis intervention plans to support client safety.