Showing posts with label nurse. Show all posts
Showing posts with label nurse. Show all posts

Saturday, 28 September 2013

A day in the life of ... a second-year student nurse

Alex Collyer No two days are the same for student nurse Alex Collyer who used to work for the ambulance service. Photograph: University of Southampton

Life as a student nurse means that no two days are the same, whether it's clinical placements, lectures, presentations or simulated practice. It's varied and challenging but that's why I enjoy it.

I am currently studying for a bachelor degree in child and adult nursing at the University of Southampton. I have just finished my first year and I am about to begin a placement in the neonatal unit at the Princess Anne hospital. This is the start of my nursing adventure, after four years in the ambulance service.

My first placement was at the children's assessment unit (CAU) at Queen Alexandra hospital in Portsmouth, which deals with children referred by GPs, ambulance crews, community nurses and has open access for families with children who suffer from long-term conditions.

It is a 24/7 unit with nurses and doctors on 12-hour shifts starting at 7.30am. My day on CAU started with the night team bringing us up to speed with those patients already in the unit. The mornings there could be a bit of a whirlwind – assessing, treating, playing, talking to families, observing and dispensing medication – as we attempted to get as many children as possible to the point where they could be safely discharged home. For the children who were not well enough to go home, we arranged for them to be admitted to either a medical or surgical ward. And, seriously ill children were stabilised before being transferred to the paediatric intensive care unit at Southampton general hospital.

Working in a children's unit was fast paced and you deal with the full spectrum of medical conditions. It was also rewarding as children tend to bounce back quite fast and you see their personalities return. I also had a placement in the community working with a health visiting team where I had the opportunity to study child development.

I have been lucky enough to get a place on the National Junior Leadership Academy (NJLA), a pilot project set up by Stacy Johnson, a lecturer at the University of Nottingham, to identify nurse leaders at an early stage. So far we have spent three days in Nottingham discussing what change could mean in healthcare and how to lead that change. All the NJLA students have now returned to their local areas to try and create improvements in their healthcare localities and we meet again in December.

It is opportunities like this, and going on placement, that ensure nursing students are learning from the people who are delivering healthcare, as well as academics and researchers at universities. Both aspects allow nursing students to have a well rounded training programme that prepares us for life in healthcare.

The nursing degree offers 50% clinical placement time and 50% university study and I have been able to take what I have learnt in the classroom on to the wards. During the next few years, my placements will rotate around the various wards and departments in different NHS organisations to gain a wide range of clinical experience. After qualifying, I am hoping to start in an intensive care unit or an emergency department to build on my experience with the ambulance service.

Student nursing is time intensive, we work nights and weekends and, when we're not on the wards, we have essays to write and pharmacology and anatomy exams to get ready for. Due to the nature of the course, student nurses rapidly form a close community. We all have a common goal of helping others and caring for those in need.

When I'm not in hospital or at the university, I am a combat medical technician in the Territorial Army and I have previously served in Iraq. To de-stress I go running with the University of Southampton athletics team, which is my only break from healthcare.

Before drifting off to sleep I normally have a slight moment of apprehension when I realise I have to be up in five hours to get back to the ward. But I don't mind; there is nothing else I would rather be doing. Working in healthcare can be relentless but you're constantly motivated by your colleagues and the interactions with patients to provide the very best care the public deserves.

If you would like to feature in our 'day in the life of series', or know someone who would, then let us know by emailing healthcare@theguardian.com

This article is published by Guardian Professional. Join the Healthcare Professionals Network to receive regular emails and exclusive offers.


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Tuesday, 24 September 2013

A day in the life of ... an Admiral Nurse

Celia Stamper Celia Stamper is an Admiral Nurse based at a mental health unit for older adults.

My day usually starts at 7am with an early morning run with my cocker spaniel, Monty. I am a fair-weather runner but try to run three times a week, I prefer the early mornings. Most of my work is sitting down so this is an energising start to the day.

Once I have had breakfast, which is my favourite meal, I set off on the 35-minute drive to work. I am based at Southlands Assessment Unit, a mental health unit for older adults within the Kent and Medway partnership trust. Dementia UK is the charity behind the Admiral Nurse model, supporting us in our practice development and ensuring we all work consistently to the charity's standards.

My day starts with a 9am appointment. Mr Jones is a younger carer who is supporting his wife; she was diagnosed with Alzheimer's disease when she was 53. It is an emotional appointment, working through feelings of loss and adjustment – Mr Jones has experienced lots changes to their relationship.

I have another appointment at 10.30am so I complete my electronic records and make a couple of phone calls. I get a call from the reception to let me know my next client Miss White has arrived. It is a new referral so this will take up to two hours to assess and understand her needs. Miss White is struggling to care for her mother who lives with her and has a diagnosis of Lewy Body dementia.

I think I have the best job in the world, but it can be emotionally exhausting. I receive both managerial and clinical supervision from my manager. I also receive specific Admiral Nurse group clinical supervision with an independent facilitator provided by the Dementia UK as part of our practice development day. Clinical supervision provides an opportunity to talk through themes and reflect on some of the more complex cases.

I have worked within the mental health trust for 26 years; the last four of those years have been within my current role. During my career, I have been supported to study psychotherapy, mindfulness CBT, counselling and behavioural family therapy, I feel this addition to my original nurse registration has been hugely beneficial in my work.

Admiral Nurses are specialist mental health nurses who work clinically with families affected by dementia and particularly those with complex needs. We also provide consultancy in the form of teaching, education and raising the profile of dementia. I enjoy the mix of clinical and consultancy work, and although I am ambitious to progress within my career it is difficult to find a job that equals what I am doing now. I feel hugely privileged to have the opportunity to work with and be able to make a difference to the lives of the people I meet.

At 1.15pm, I leave the office to drive to the local university in Medway. I am going to talk to a first-year cohort of nursing students prior to their older adult placement. I present the Admiral Nurse role and talk about dementia. It is a lively group of students with lots of questions and some apprehensions. It is important that we are involved in this work to talk through common myths held about dementia and reduce some of the stigmas and fears.

I finish at the university at 4pm; my last appointment is with a lady whose husband has recently moved into residential care. She was his sole carer until his move and has struggled in making the decision. Mrs Smith developed some compulsive behaviour, and she hasn't visited her husband since he left the marital home. She is tearful but she agrees to accompany me on a visit to see her husband.

This evening I am meeting friends for supper, so once home I walk Monty. We have a few games of chase the stick before getting ready to go out. When I get home at around 10pm, I have a cup of tea and cuddle with Monty before going to bed … as I drift off to sleep, I think how lucky I am.

If you would like to feature in our series, or know someone who would, let us know by emailing us at socialcare@theguardian.com

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Wednesday, 4 September 2013

Five minutes with ... Jan Flawn, nurse turned chair of PJ Care Ltd

Jan Flawn 'I am passionate about ensuring patients receive the best quality care from skilled and experienced staff,' says Jan Flawn.

Describe your role in one sentence: I am chair of my company, PJ Care Ltd.

Why did you want to work in healthcare? I had a passion to become a registered nurse from a young age and when my daughter was born with a disability this urged me on.

How do you want to see the sector change in the next five years? A slimmed down NHS executive that will listen to the highly skilled NHS and private sector clinicians.

My proudest achievement at work was ... winning The First Woman In Business Award.

The most difficult thing I've dealt with at work is ... managing the unreal expectations of commissioners. NHS commissioners don't understand the cost breakdown of providing a bed; it is unrealistic that we can provide a bed for less. If we want quality care we have to pay for it.

The biggest challenge facing the NHS is ... integration of health and social care, and maintaining healthcare budgets that will focus on obtaining high-quality care for its patients.

The people I work with are ... highly skilled and dedicated within the NHS, social care and the private sector.

I do what I do because ... I am passionate about ensuring patients receive the best quality care from skilled and experienced staff.

Sometimes people think that I ... have expectations that are too high for what I want to achieve – I don't.

Right now I want to ... share my life experiences with other women who have not achieved what they want to in life, but who have a dream and would like to reach their full potential.

At work I am always learning that ... each day will bring a new challenge and to treat each day as a learning experience.

The one thing always on my mind at work is ... to keep to my planned day so I have time for anyone (staff) who wants to chat.

If I could go back 10 years and meet my former self I'd tell them ... the same as I did then – they are wrong and that I will achieve my business case!

If I could meet my future self I'd expect them to be ... just the same as I am now – maybe with a few less pounds on the hips!

What is the best part of your job? Meeting and helping the people I come into contact with.

What is the worst part of your job? Being stuck in my office. I'd rather have my uniform on and be out working with the clinicians and patients, because that is my passion.

What makes you smile? The care staff and how they shine in their work looking after the patients in my neurological care centres.

What keeps you awake at night? Too much Diet Coke and dishonesty from others.

If you would like to feature in our 'Five minutes with ...' series, or know someone who would, then you can let us know by emailing healthcare@theguardian.com

This article is published by Guardian Professional. Join the Healthcare Professionals Network to receive regular emails and exclusive offers.


View the original article here

Thursday, 29 August 2013

Five minutes with ... Jan Flawn, nurse turned chair of PJ Care Ltd

Jan Flawn 'I am passionate about ensuring patients receive the best quality care from skilled and experienced staff,' says Jan Flawn.

Describe your role in one sentence: I am chair of my company, PJ Care Ltd.

Why did you want to work in healthcare? I had a passion to become a registered nurse from a young age and when my daughter was born with a disability this urged me on.

How do you want to see the sector change in the next five years? A slimmed down NHS executive that will listen to the highly skilled NHS and private sector clinicians.

My proudest achievement at work was ... winning The First Woman In Business Award.

The most difficult thing I've dealt with at work is ... managing the unreal expectations of commissioners. NHS commissioners don't understand the cost breakdown of providing a bed; it is unrealistic that we can provide a bed for less. If we want quality care we have to pay for it.

The biggest challenge facing the NHS is ... integration of health and social care, and maintaining healthcare budgets that will focus on obtaining high-quality care for its patients.

The people I work with are ... highly skilled and dedicated within the NHS, social care and the private sector.

I do what I do because ... I am passionate about ensuring patients receive the best quality care from skilled and experienced staff.

Sometimes people think that I ... have expectations that are too high for what I want to achieve – I don't.

Right now I want to ... share my life experiences with other women who have not achieved what they want to in life, but who have a dream and would like to reach their full potential.

At work I am always learning that ... each day will bring a new challenge and to treat each day as a learning experience.

The one thing always on my mind at work is ... to keep to my planned day so I have time for anyone (staff) who wants to chat.

If I could go back 10 years and meet my former self I'd tell them ... the same as I did then – they are wrong and that I will achieve my business case!

If I could meet my future self I'd expect them to be ... just the same as I am now – maybe with a few less pounds on the hips!

What is the best part of your job? Meeting and helping the people I come into contact with.

What is the worst part of your job? Being stuck in my office. I'd rather have my uniform on and be out working with the clinicians and patients, because that is my passion.

What makes you smile? The care staff and how they shine in their work looking after the patients in my neurological care centres.

What keeps you awake at night? Too much Diet Coke and dishonesty from others.

If you would like to feature in our 'Five minutes with ...' series, or know someone who would, then you can let us know by emailing healthcare@theguardian.com

This article is published by Guardian Professional. Join the Healthcare Professionals Network to receive regular emails and exclusive offers.


View the original article here

Tuesday, 27 August 2013

Five minutes with ... Jan Flawn, nurse turned chair of PJ Care Ltd

Jan Flawn 'I am passionate about ensuring patients receive the best quality care from skilled and experienced staff,' says Jan Flawn.

Describe your role in one sentence: I am chair of my company, PJ Care Ltd.

Why did you want to work in healthcare? I had a passion to become a registered nurse from a young age and when my daughter was born with a disability this urged me on.

How do you want to see the sector change in the next five years? A slimmed down NHS executive that will listen to the highly skilled NHS and private sector clinicians.

My proudest achievement at work was ... winning The First Woman In Business Award.

The most difficult thing I've dealt with at work is ... managing the unreal expectations of commissioners. NHS commissioners don't understand the cost breakdown of providing a bed; it is unrealistic that we can provide a bed for less. If we want quality care we have to pay for it.

The biggest challenge facing the NHS is ... integration of health and social care, and maintaining healthcare budgets that will focus on obtaining high-quality care for its patients.

The people I work with are ... highly skilled and dedicated within the NHS, social care and the private sector.

I do what I do because ... I am passionate about ensuring patients receive the best quality care from skilled and experienced staff.

Sometimes people think that I ... have expectations that are too high for what I want to achieve – I don't.

Right now I want to ... share my life experiences with other women who have not achieved what they want to in life, but who have a dream and would like to reach their full potential.

At work I am always learning that ... each day will bring a new challenge and to treat each day as a learning experience.

The one thing always on my mind at work is ... to keep to my planned day so I have time for anyone (staff) who wants to chat.

If I could go back 10 years and meet my former self I'd tell them ... the same as I did then – they are wrong and that I will achieve my business case!

If I could meet my future self I'd expect them to be ... just the same as I am now – maybe with a few less pounds on the hips!

What is the best part of your job? Meeting and helping the people I come into contact with.

What is the worst part of your job? Being stuck in my office. I'd rather have my uniform on and be out working with the clinicians and patients, because that is my passion.

What makes you smile? The care staff and how they shine in their work looking after the patients in my neurological care centres.

What keeps you awake at night? Too much Diet Coke and dishonesty from others.

If you would like to feature in our 'Five minutes with ...' series, or know someone who would, then you can let us know by emailing healthcare@theguardian.com

This article is published by Guardian Professional. Join the Healthcare Professionals Network to receive regular emails and exclusive offers.


View the original article here