Gillian Smith

My best qualities are adaptability and patient experience, whilst working in a safe and effective way that works towards shared goals.

I have a keen interest in long term condition management and being proactive to avoid deterioration. With the deteriorating patient acting quick to avoid further deterioration or safe escalation to an appropriate place of care. Preferred place of care if palliative, SDEC/UCR if patient can be treated and returned to intermediate care centre/home.

Escalation to GP/pharmacist/clinical nurse specialist such as COPD nurse/HF nurse specialist if more appropriate. Referral to virtual ward via single point of contact if patient meeting criteria. Escalation to home when appropriate and getting patient ready for this transition, early family involvement and reablement team.

I have encouraged family involvement on the community intergrated care role to give carers confidence for when the patient returns home. Ensuring patients GP practice/temporary GP is set up if patient out of area. I am proactive to potential problems and delayed discharges.

I am also keen to prevent pressure or moisture damage being part of the minimise moisture campaign and I am keen to look at patient care holistically to reduce risk of pressure damage/ delayed wound healing/reduction or management of incontinence to prevent skin damage/ use of correct barrier products to prevent MASD. Encouragement of patient independence where able to promote self care where able.

I have been part of digital platforms to reduce surgical site infections.

I have worked with virtual wards to reduce hospital admission/aim for early supported discharges.

I have worked in cardiac rehabilitation promoting behavioural change, managing risk factors and setting goals with patients. I am keen to get patients the best quality of life and help them identify strengths and areas where they can target to improve outcomes.

I look at family history or contributing factors that can be addressed and early intervention sought for patient and future generations. When assessing the patients i consider outside factors that can contribute to health outcomes and what support networks are available for the patients.

I belive social isolation is a contributing factor to lack of motivation and depression and have a keen interest in finding local solutions that can work for the patient and their families to promote healthier lifestyle and psychological health.

These are some of my strengths. I have many more that I'm sure my current and previous team members would support me on such as being a team player, flexibility, I am respectful to others and see the value of an effective MDT, appreciating the members and their roles within it, sharing learning with members of my team and research ways in how myself/team can expand or progress. I come into work with a smile making patients and team members and other people who pass by feel valued and recognised.

Surgical ward Liverpool heart and chest hospital

Intensive care/post operative critical care unit

ITU agency nursing in Adelaide, Brisbane, Gold Coast and Sydney

Intensive care Liverpool heart and chest hospital

Tissue viability Liverpool heart and chest hospital

Telehealth Merseycare

Cardiac rehabilitation liverpool royal and broadgreen hospital

Community intermediate care clatterbridge

BTEC National in Health and social care

BAHons in Adult nursing