Jessica Thurston, Chief Operating Officer at Somek and Associates, has recently had an article...
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Advanced Dip Nursing (Child), B.Med.Sci (Hons)
Since qualifying as a Registered Nurse in 2000, I have gained significant experience as a senior Paediatric Nurse working in a busy, dedicated children's hospital.
During the course of my career, I have worked within numerous ward and department areas including; General Medicine (covering respiratory, cardiology, endocrinology, neurology, metabolic medicine, immunology, metabolic bone disease and gastroenterology), General Surgery, Orthopaedic and Spinal Surgery, Neurosurgery, Burns Unit, Neonatal Surgical Unit (Critical Care), Complex Neurodisability Respite Services, Emergency Department and Acute Assessment Unit Day Care Surgery, Sleep Disorder Unit and Post Anaesthetic Care Unit (Critical Care).
My areas of expertise include:
• All aspects of ward work (including care planning and assessment, family support and teaching, neurological, neurovascular and cardiovascular observation monitoring)
• Acute and Emergency Care
• Post - Anaesthetic Care
• Complex patient management and care delivery including the management of tracheostomies
• Safe administration of medicines via all routes and the management of peripheral cannulas and central lines
• Acute pain management
Currently, I undertake weekly bank shifts for the Trust via NHS Professionals. My work predominantly involves caring for children with a high level of dependency including those who are; tracheostomy ventilated (using both BiPAP and CPAP systems), gastrostomy and nasogastrically fed and/or require supplementary oxygen therapy at the Trust’s offsite Neurodisability Respite Unit. I regularly provide care for complex patients and the deteriorating child, some of whom are on Limitation of Care Agreements and require escalation for symptom management, often in highly charged, demanding and emotive situations.
In addition, I have developed a sound knowledge base of the safe administration of medicines and legislative requirements having previously taught this subject as a Distance Learning Tutor to community care providers and return to practice nurses. Also, as part of the Trust's CQC preparations, I have contributed to clinical audit by reviewing nursing records against a set criterion.
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 Civil Procedure Rules (CPR) pertaining to expert witnesses.