Over the last eighteen months the number of trainees within the trust has risen to 28. These trainees are spread over all three sites and demonstrating a clinical interest in a wide range of specialities. We’ve picked a few of the trainees to demonstrate the variety of role that we are developing and the impact that their training will make to our patients but also to the level of support available for all members of the WHH team.
Cohort 2: joined the program in September 2018,
Prior to starting as trainee ANP in Acute Care, Cally worked as part of the Acute Pain Team covering all three hospital sites. She describes the role of trainee ACP acute care as appealed to her because she wanted to work in a diverse role – retaining and expanding her clinical skills but also developing her leadership, management components and with strong roots in education.
Cally is developing her skills as an advanced practitioner roles as part of an evolving team with her colleague Louise to enhance out of hours care, together through the development of their advanced clinical skills they work as pro-active autonomous practitioners for our most vulnerable patients. My vision for the future is one of collaboration between disciplines; the Acute Care Team is uniquely placed as we cover all specialties of medicine and surgery. The Acute Care nurses form the Medical Emergency Team first responders alongside junior doctors – ANPs can offer a permanent expert service as our medical colleagues rotate annually.
Cally is about to embarking on her dissertation project, and will be looking at ward nurses’ perceptions of the Medical Emergency Teams. She plans to use this opportunity to consolidate and enhance working relationships between ICU, the MET team and ward based care here at Warrington Hospital, for the benefit of both patients and staff.
Sian Edwards, has worked in women’s health for the majority of her career, and has developed a specialist interest in gynaecology, she has strived to develop a range of skills that she feels has helped her to care for patients with a greater and more compassionate service. Throughout her career, she has focussed upon developing as a specialist practitioner in Gynaecology, completing a surgical practitioner’s degree in 2002, followed by further modules in modules in family planning and counselling. She achieved the role of specialist practitioner in 2012, within maternity services at Warrington.
As part of this role she has gained experience in a variety of clinical settings, but felt that she developed an affinity towards acute and early pregnancy care. Sian began to feel that due to service demands, access to emergency (gynaecology services) could often become prolonged due to limitations in suitably trained staffing and physical resources, envisioning that this role could be perfectly suited to that of an Advanced practitioner. With the support of her clinical supervisor Vicky Sephton and Tracy Cooper, Sian joined the ACP program and has tailored her training to help develop and stream access into gynaecology services with the vision of developing this service into an ACP lead service.
The project that has recently completed its pilot period and has demonstrated a significant improvement in how women within Warrington are able to access early pregnancy services. The development of this innovative nurse led service is a prime example of how advanced practice roles are beginning to blur and support roles predominantly associated with medicine, and enabling Warrington and Halton to be at the forefront of innovative project development programs such as these.
Accident and Emergency
Alex and Sarah are both existing band 6 nurses in the Emergency department. Over the next two years they will build upon the knowledge and skills that they learned as ED nurses to developing a range of clinical skills that enable them to see all categories of patients, both adult and paediatric.. This challenging training schedule has meant that they have a rigorous program to follow with objectives and physical skills identified to enable them to work as part of the tier 1 rota upon completion of their training.
Following completion of their training, Alex and Sarah will join an existing ACP team currently work alongside their medical colleagues, working autonomously, to make independent clinical decisions relating to the management of complex and non-complex patient presentations. Whilst the ED ACP role offers Alex and Sarah to the chance to develop a specialist skill set, they are also encourage to participate in training and education for the rest of the ED team a process that is seen as essential to allow further generations of nurses to aspire to similar training role
Cohort 2 : Left to right: Cally Littler (night prac team),Sian Edwards (gynae assessment), Sarah (ED Ale Mceneny (ED) Luoise Miekle (night Prac team)