Wendy Roohan

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure Clinical nurse position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

I received an award for Excellence in patient and Family care when working at Fairview Retirement Village Moree

Initiated the first Memorial service at Fairview Retirement Village in Moree as part of an assignment for my Pastoral care Diploma in 2009 which I received a $7000 scholarship from the College of Nursing for.

The RACF has continued annual memorial services ever since.

My current Palliative Care Clinical Nurse Role -Job description

• This is a Nurse led position -Working in a Community setting within a Multi-disciplinary team -with 12 other clinical nurses and 5 Doctors.Two are Palliative care consultants. Including OT/Physio/Social Worker/ Counsellor and Pastoral Care.

A Primary CN role being responsible for 20-30 patients and their families at home.

• Tasks include-* Triaging within 48hrs of receiving the referral and scheduling a timely initial home visit pending phase of their condition and admitting them to our Palliative care service.

* The initial visit may only be with a CN if symptoms stable or with a doctor as well if unstable.

* 1-2hr- Complete comprehensive symptom assessment using PCOC-discuss any bothersome symptoms and if they have medications to assist with management. Discuss use of the medications or alternative therapies and ensure they are confident in their use. Discuss with carer or relative if cognition affected. May need to discuss medications with our service doctor or their GP during the visit if none prescribed and symptoms not managed.

* Included in assessment is diagnostic history/other medical background/treatment history/social/goals of care.

* Mention Advanced Care Planning and discuss if patient and family open to discussing otherwise discuss at a later date.

* The Primary nurse will refer to the OT if assessed that equipment required or there are safety issues within the home or H/O falls. We will arrange Mass application for continence aides/oxygen or equipment as needed.

* Referral to a Nursing provider if personal hygiene required. Also refer to external nursing provider for ascites drainage or IDC care.

* Our service receives funding for Bupa/MBP and NIB-patients with these insurances can have 7 x 8hr AIN nursing shifts free of charge during the course of their admission to our service or during their final days at home.

* We are able to admit our patients to our inpatient palliative care unit of 40 beds or other treating hospital of their choice-if symptoms unable to be managed at home or family are no longer managing the care. Some families can afford to supplement care with private carers at home.

*We offer the patients and their families at home a 24hr ph number and can provide home visits as needed. There is always one of our nurses and doctor on call to offer advice as needed.

* We provide sc medication and CSCI support at home-initiating and providing the medications if after hours then scripts written by our doctors with our hospital pharmacy or community pharmacies providing the medication.

*We use Pall/care software programme to document which provides a platform for the ongoing patient care documentation-used by all the disciplines including the doctors. We use some paperwork for in the home documentation then upload to pall/ care when the patient dies.

*There is also a Bereavement service offered. ie counselling up to 12mths.

* We have a monthly memorial reflection for the patients who have died over the month.

* We mentor nurses doing RN and PEPA training. Medical students also spend time with our service and other doctors complete their Advanced Palliative Training with our service over a 6 month period.

* Some of our patients are in RACF and we support the RN's in their roles and palliative care management of our patients.

*The primary nurse completes a letter which is sent to the GP post the initial visit. If the Doctor attends the initial visit with the CN the doctor will send a letter. We work alongside the GP and the treating hospital we don't take over the care.

*Our service completes a life extinct form for people dying at home and the Form 9 completed by the GP or or service doctor.