Michelle Ryan

- Educating new graduates

- Organising staff to complete mandatory training

- Signing off nursing competencies

- Updating staff on new policies and procedures

- Educating students to the centre

- Supporting nursing staff with any nursing tasks

- Supporting staff with any nursing interventions needed

Working as a Registered Nurse at Dillwynia my responsibilities are,

- Attending patient care from administrating medications BSLs, administrating insulin, wound care, administrating intramuscular Buvidal injections and general care of patients.

- Completing RIT assessments

- patient transfers in and out

- Working with a multidisciplinary team from GP. Mental health, POP health, aboriginal and women's health.

- Communicating with correctional officers and

• The leadership of nursing staff on shift manages, directs and

support the nursing team to ensure that care is delivered within a team member's scope of practice.

• Ensure evidence-based procedures are performed, while safe and high-quality care is in line with local policies and protocols.
• Working towards daily KPIs, conducting budgets
• daily meetings with executives
• reporting huddles to the executives of the current state of the centre.
• Interacting with multidisciplinary teams requesting reviews and discussions on future plans for the patients.
• Ensuring the new staff, new graduates, and junior staff are supervised by senior staff members or the clinical educators
• Rostering a team of 20 nursing staff
• Implement programs for all nursing staff, updating staff on new programs within the centre
• Further key responsibilities of my position are to ensure staff allocation for all nursing staff is fulfilled.
• Ensuring all areas had the appropriate skill mix within different areas.
• Management of conflict resolution, and de-escalation of situations with both patient/family members and staff.
• Conducting IMMS and OH&S issues
• Managing the unit of any issues and problems that may arise
• Answering IMMS and complaints

• As one of the Clinical Nurse Unit Managers, I am responsible for leading a multidisciplinary healthcare team to provide safe high-quality evidence-based clinical care for patients entering the Emergency Department
• I oversee the delivery of care for patients who enter the healthcare environment while utilising a collaborative and multidisciplinary approach.

• Actively contributes to the development of clinical practice in the Emergency Department
• Implementing quality improvement strategies within the emergency department
• Monthly meeting with both NUM 2 and 3 about implementing new models of care for patients, while reviewing team nursing strategies and development
• Education on new programs/policy and clinical procedures
• Acts as a resource and mentor to others concerning clinical practice
• Actively contributes to my own professional development
• Work a rotating 12-hour roster
• Weekly In-services to all staff of the Emergency Department
• Working in all areas of the department.

• Triage, Resuscitation and Advanced Life Support trained
• Clinical Initiation Nurse (CIN) initiating the ordering of extended protocol medications, Xray, insertion of cannulas, ECG and increasing triaging if needed, deciding the level of care and placement within the emergency department
• Clinical Assessment Nurse, In-charge and support person of a team of 10-12 acute patients
• Primary and secondary nursing assessments
• Effectively recognition of the deteriorating patient, while resourcing to the primary teams to response
• Extensive aged care experience
• Communication with Nursing homes about the care for their residents
• Referring to age care services, eg
• ACAT, ASET, GFS, physio, OTs, services within the homes and residential care facilitates
• Inserting peripheral intravenous cannulas, taking/ordering a blood test
• Referring to the current local district policies and procedures in emergencies and for self-education
• Basic and intensive wound dressings
• Initiating strategies and implementing new guidelines
• Monitoring patients on the cardiac monitor
• Inserting nasal gastric tubes, Indwelling catheters
• Effective communication with multidisciplinary teams
• ISBAR format, competent with computer skills using EMR
• Initiating care plans, pressure area care and medication reviews
• Referring to multidisciplinary teams for outpatient appointments and implementing appropriate home medications and ASSET reviews
• Caring for cancer and palliative care patients
• Receiving and communicating handovers from Emergency services
• Educating fellow nurses within the emergency department
• Mentoring the new graduates and critical care year nurses
• Teaching new resuscitation nurses procedures and policies
• In services with small groups of nursing staff on emergency equipment
• Educating on how to read, andanalyse arterial/venous blood gases
• Team leader within the emergency department.

• Cultural awareness working with the indigenous population, learning and respecting different cultures
• Trained in resuscitation for trauma calls/alerts, treating patients with multiple trauma injuries, ventilation and sedating
• Triage trained within a Trauma Centre, deemed competent to ensure the patients are given the right category and placed in the correct area within the Emergency Department
• Caring for Indigenous elders and working with their bush medicine approach
• Clinical team leader/In charge of the front end of the Trauma Centre ensuring staff and patients are allocated to the appropriate areas while prioritizing their medical needs and guaranteeing their safety
• In serves/education in critical trauma procedures within the resuscitation team
• Running debriefs for the trauma nursing team within the emergency department
• Utilizing my clinical thinking skills to recognise the deteriorating patient, while educating staff on the signs and symptoms of a decline in the patient.

• EMERGENCY CRITICAL CARE YEAR
• Intensive Care Unit: 4 months treating patients that are requiring critical care
• Nursing ventilated, BiPAP and high-flow patients
• Accessing patient's airlines, central lines and peripheral lines
• Administration and monitoring of patients receiving blood products
• Assistance in intubation and extubation of patients under a doctor's supervision
• Coronary care unit: 4 months
• Monitoring patients with cardiac disease
• Removing sheath post-cardiac angiogram
• Performing cardiac pacing
• Monitoring patients with SVT and assisting with adenosine procedures
• Teaching junior staff and fellow staff to recognise ECG changes
• Emergency Department for 4 months, continued within the Emergency Department for a further 2 years
• Trained as a resuscitation nurse for adults and children
• Trained to operate and use (LUCAS) device
• Advanced life support, Triage, CIN certificates
• Detect and Resuscitation for Kids certificate
• Nursing acutely unwell patient
• Communicating with a multidisciplinary team
• Non-violent crisis intervention
• De-escalation of Mental Health Patients.

• New Graduate Nurse
• Aged Care Ward for 6 months
• Caring for palliative care patients
• Learning time management
• Escalating care and condition to appropriate teams
• Monitoring fall risks among high-risk patients
• Working with families and patients diagnosed with dementia or other neurovascular diseases
• Implementing Infection Control with infectious diseased patients
• Ordering medications from the pharmacy, initiating medications as needed
• Comprehensive assessments/pressure injury assessments
• Recognition of deteriorating patients and escalation through the appropriate response system
• Referring to home services for the aged
• Involved in meetings for further care needed for patients
• Garrawarra Inpatient Unit for 6 months
• Working with patients with aggressive behaviours
• Exercising my critical thinking knowledge with a patient who is unable not communicate verbally
• Education staff on Infection Control
• Using professional take-downs for aggressive and dangerous patient
• Able to DE-escalate situations with a calm approach
• In charge nurse every shift of the 30-patient unit.