Tracey Johnstone

• Collaborates with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions within Resuscitation area.
• Manages and maintains efficient, appropriate, acuity based and timely flow within an extremely busy Emergency Department.
• Nursing Staff leadership through coordination of Emergency Department flow, Resuscitation 1 and 2 EAU 1, DPOD 1 leadership roles.
• Recognition and management of the sick child in ED
• Continually confers with senior physicians to discuss diagnosis and devise well-coordinated treatment approaches.
• Advocates for patients by communicating care preferences to practitioners, verifying interventions and meeting treatment goals.
• Exemplary communication skills with patient and practitioners.
• Utilizes critical thinking skills to prioritize nursing interventions based on patients acuity levels and individual needs.
• Promotes a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
• Participates in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
• Provides skilled, timely and level-headed emergency response to critically-ill patients.
• Major Incident Management.
• Quickly responds to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations. Maintaining Departmental safety.
• Skillfully manages challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
• Uses first-hand knowledge and clinical expertise to advocate for patients under care and enacts prescribed treatment strategies
• Triage of incoming patients, determines severity of injuries and illnesses, using advanced critical thinking and assessment skills, to provide an appropriate ATS score.
• Manages multiple priorities simultaneously while maintaining focus on providing exceptional patient-centred care within a fast-paced critical care environment.
• Utilizes advanced assessment skills to quickly identify changes in patient condition requiring intervention or escalation of care.
• Enhances interdisciplinary collaboration by effectively communicating with physicians, therapists, and support staff to ensure optimal patient care.
• Communicates with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
• Maintains strong knowledge of medical terminology, diseases, conditions and procedures.
• Enhances patient care by ensuring accurate and complete medical records through timely and efficient documentation practices.
• Initiates use of PRC and Medway to expedite prompt diagnosis, and prioritize nursing and medical interventions based on patients results.
• Expedites accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.

Worked in a variety of areas as per organisational staffing needs.

Including;

HDU, Medical, Surgical, Orthopaedics, DPU, Paediatrics, Rehab, TCU, O&G and After Hours GP clinic,

• Co-ordination of a busy Surgical, Medical, Transplant and Dialysis ward.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options. Within Renal , Liver, GI and Transplant.
• Care of patient on Dialysis. CAPD and Haemodialysis.
• Administered medications and treatment to immunocompromised patients and monitored responses while liaising with healthcare teams to adjust care plans.
• Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches for complex patients.
• Provided exceptional care to high-acute patients needing complex care such as dialysis and immunosuppressant therapy.
• Maintained strong knowledge of medical terminology, diseases and conditions and procedures.

• Coordination of a busy Transplant unit which included specialized HDU.
• Leading weekly transplant list meetings with Multidisciplinary team, and co-ordination of organ retrieval.
  

Responsible for co-ordination of a 32 bed Respiratory Ward.

Accepting direct acute asthma Patients.

Cystic Fibrosis speciality Ward.

Collaboration with multidisciplinary Teams.