Iona McKay
      • Iona McKay
      • Registered Nurse
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    Iona McKay

    Registered Nurse

    Qualifications

    MSc, PG (Cert) Advanced Clinical Practice, BSc (Hons), ENB 8870, ENB 8A29, ENB DO1, RGN

    Specialisms

    • Care Home Nurse Specialist

    Introduction

    I qualified as a registered general nurse in 1991, and I currently work as Lead Nurse for Dementia at the Golden Jubilee Hospital in Glasgow. This job involves offering education and training for all members of staff to ensure that the care delivered to those with dementia meets the standards as set out in the Scottish National Dementia Strategy for Acute Care. I work in this job part time and link with the Alzheimer Scotland Dementia Nurse Consultant network. In addition to this job, I remain part time in a clinical role as a Clinical Services Manager for a large private care home that offers care for those with dementia and also frail elderly. This is a clinical support role for all members of staff to ensure that the highest standards of care are delivered in line with the Scottish Care Inspectorate Standards of care. These 2 part time posts mean that I currently work within the NHS and private sector. 

    Prior to commencing in the above posts I worked for 6 years with a team of 13 care home nurse specialists who offered a nurse triage service for the Glasgow Nursing Homes Medical Practice, a designated GP practice that looks after care home residents in Greater Glasgow as a locally enhanced service. I looked after 6 nursing homes in the north and west of the city and as well as triage, I offered advice and support to the nursing home staff, by way of clinical supervision and education days for palliative care, catheter care, wound care and nutritional support, in conjunction with the care homes services dietician, in order to improve practice within the care homes. I also offer ongoing support with chronic disease management where required These skills are all transferrable to my new job as a clinical services manager. Before returning to this clinical role, I managed a dementia unit within a private care home for 2 years. 

    Prior to this, my early work experience was in Intensive Care, Spinal Injuries and Cardiology where I then specialised in heart failure. Since this time I have had an interest in non malignant palliative care, and use this knowledge in the care and treatment of patients with dementia and other chronic diseases within the nursing home environment.

    During my time in post as care home nurse specialist, I was involved in five practice development initiatives including;
    • Palliative Care Training, verification of expected death, anticipatory care planning and the introduction of a supportive palliative care register in all care homes across Greater Glasgow in order to provide best practice in end of life care. 
    • Nutrition Guidance and Care Pathway in conjunction with the care homes services dietician; where the nurses on the team take the lead on nutrition assessment and prescribing of nutritional supplementation where appropriate.
    • Subcutaneous fluid administration in care homes to allow for treatment of mild to moderate dehydration within the care home setting - project lead.
    • Audit of the use of buprenorphine patches for pain management in advanced dementia within the Glasgow Nursing Homes Medical Practice population. This was a follow on project from part of my MSc studies entitled ‘Measuring quality of life in advanced dementia in relation to assessment of pain’ - project lead
    • Nurse prescribers within the liaison nurse team took responsibility for the prescribing of all tissue viability products for all care home residents attached to the Nursing Homes Medical Practice to improve compliance with the Greater Glasgow and Clyde wound formulary. This showed a 90% compliance with recommended dressing product and has been achieved through education and training of care home staff and has had a positive impact on the standard of care and cost efficiency in 2013. 

    In addition, I also undertake medico-legal work for Somek and Associates. I accept instructions from both Claimant and Defendant Solicitors and Insurers. I have undergone formal training in the medico-legal process and am fully aware of my responsibilities under the Civil Procedure Rules (CPR) pertaining to Expert Witnesses.

    Professional Education
    2012    MSc Advanced Nursing Practice, University of Dundee
    2010    PG (Cert) Advanced Clinical Practice, University of West Scotland
    2009    Nurse Independent / Supplementary Prescriber
    2004    BSc (Hons) (Open), Upper Second Class, Open University
    2003    Principles of Care Management for the Patient with Chronic Heart Failure - Level 3, Glasgow Caledonian     University
    2002    ENB Certificate 8870: An Understanding to the Application of Research
    2002    ENB Certificate 8A29: Learning through Reflection on Experience
    2002    K302: Critical Practice in Health and Social Care, Open University
    2002    Clinical Leadership Development Programme, Greater Glasgow Primary Care Trust
    2001    ENB Certificate DO1: Promoting Health: Skills, Perspective and Practice
    1997    Nutrition and Health - Level II, University of Paisley
    1996    NBS Professional Studies Part II - Cardiac Critical Care Nursing, Glasgow Caledonian University
    1996    NBS Professional Studies Part I - Communication and Interpersonal Skills, Glasgow College of Nursing and Midwifery 
    1993    NBS Professional Studies Part I - Learning, Teaching and Counselling, Glasgow College of Nursing and Midwifery
    1991    Registered General Nurse Training, Glasgow South College of Nursing