Kirsty Russell

During this interim period, I have continued my role as SCN. Although I have not had the time to fully embed myself in the CNM role below is an overview of the tasks I've been recently undertaking and managed to effectively oversee, including:

• Providing clinical expertise, leadership, supervision, and management to support the Public Health nursing and allied health team.
• Ensuring Public Health staff have the skills, knowledge, and attributes to support tamariki, rangatahi, and whānau to address health issues that impact them and the community.
• Microster/pre-payroll/DFA/FPIM
• Effectively and efficiently coordinate the day-to-day activities of the service to ensure adequate staffing/resources including but not limited to:
• Undertake daily staff allocation, including management of short-notice roster changes due to annual, bereavement, and sick leave.
• Planning for the 2024 school year which has included arranging and attending meetings with school principals/DPs.
• School allocations for the Midcentral region.
• Organising staffing and schedules for 2024 vaccinations.
• Rosters, annual leave to ensure the provision of service can continue.
• Completion of reporting for Ministry SBHS district report, Te Ikaroa monthly report.
• Fortnightly mahi tahi with Te Ikaroa leaders team.
• Health and Safety
• Service-specific Objectives / Key Performance Indicators
• Undertaking recruitment processes and performance appraisals.
• Work closely with the local leadership team including the manager of health promotion, health protection, and MOoHs.
• Facilitating monthly PHN meetings to improve service outcomes, upskill the team, and ensure ongoing, regular collegial support.
• Increased team productivity by implementing streamlined processes and effective communication strategies.
• Involved with stakeholder meetings including local vaping project planning.

• Provides leadership and clinical support to the Nursing Team.
• Mentoring new nursing staff and students to foster professional growth and develop through comprehensive training.
• Close collaboration with Nurse Educator - Primary and Public Health to improve and enhance Nursing skills and education.
• Oversee, triage, and allocate referrals including creating referral pathways and allocation tools with an equity focus.
• Collaborating with Te Ikaroa Leaders during fortnightly mahi tahi.
• Undertake more complex referrals - assess, diagnose and treat as appropriate. Prescribe where able or utilise standing order if out of Scope.
• Provides nurse-led clinics within the school-based setting or where possible.
• Create and implement KPIs for improved client outcomes.
• Works in partnership with clients and their families / whānau, and collaborates with multidisciplinary, social, and education service teams including RTLBs.
• Coordinates nursing student placements into the team.
• Leads school-based nurses within the allocated schools, including de-briefs, supervision, training, clinical oversight and support.
• Coordinates the clinical component of the School Based Health Service (SBHS), school health, immunisation programmes, and Well Child Tamariki Ora.
• Role models high-quality, youth/child friendly, accessible health services within the school setting.
• Ensures that PHN procedures, guidelines, protocols, and standing orders are current and evidence-based. Review, update, and re-write as needed.
• Audits and reports - Responsible for the identification, undertaking, and implementation of findings of audits which are undertaken annually. This has allowed me to monitor and analyse our quality of work, identify areas of improvement, and implement plans to improve our practice and reach set reach.
• Annual and continuous quality improvement initiatives. including ensuring accurate documentation of all patient records and clinical assessment documentation, and contributing to improved quality assurance measures.
• Assisted in developing continuing education programs, and enhancing staff knowledge and skills in clinical practice areas.
• Acted as a clinical resource for colleagues seeking guidance on best practices or challenging cases, contributing to a supportive learning environment within the workplace.
• Networking with local agencies and organisations to improve client outcomes including HeartKids Manawatu.
• Networking with Central Region Leaders to improve collaboration Nationally and Centrally.
• Provide Public health lectures/seminars to 2nd and 3rd year nursing students in UCOL and Massey every 6 months.
• Organises and facilitates external agency meetings to discuss our role, what Public Health offers, and how we can work collaboratively including RTLBs, schools, and Kāinga Whakatipu.
• Undertakes Ops lead role and works alongside the Medical Officer of Health (MOoH) and Public Health team to coordinate a response, manage cases, and reduce individual and population risk from communicable diseases.
• Prior involvement in the National Learning and Development forum to improve the National Collaborative Learning Management System.

• Uses leadership skills and effective communication to guide and support team members.
• Undertook the role of Covid lead for the wider Public health team including PHNs, promotion, protection, VHTs, and Child-Health community team.
• Use coordination and planning skills to achieve results according to schedule - for eg, organising vaccination schedules for schools.
• Safely administer various vaccinations, and provide education to clients on vaccines, dosage, indications, precautions, contraindications, and potential side effects.
• Assess and respond to individual and community health education needs.
• Liaising with schools, families, and other members of the multidisciplinary teams whilst working through referrals.
• Work with youth to determine specific needs based on assessing their health, mental health, and wellbeing and refer them to other community resources.
• Undertaking HEADSSS assessments on youth.
• Providing health education and assessment in schools.
• Running immunisation programs in schools.
• Undertaking sexual health assessments and clinics in schools – including contraception information and advice.
• Coordinating role during Covid-19 including training, supervising, and supporting team member.
• Works at improving wellbeing, promoting health and preventing disease with a view to preventing health inequities.
• Works collaboratively with the Public Health Nursing Team, clinical nurse manager, and clinical nurse specialist - when required I have also worked with the school senior team to ensure service delivery is appropriate.
• Participates in regular Public Health Nursing in-service education to gain knowledge in topics relevant to current issues or trends that may impact on my practice such as vaping, smoking in cars, Covid-19 variants of interest, etc.
• Improved community health by conducting assessments, identifying needs, and implementing targeted interventions.

• Shift coordinator and ACN as needed which involved close collaboration with the wider multi-disciplinary team including paediatricians, CAFs, midwives, nurses, social workers, and occupational therapists.
• Strong advocate for parents and whānau.
• NNU palliative care team.
• Champion nurse for Trisomy 21.
• Champion Nurse for teen parents.
• Providing intensive and specialist care for extremely premature infants through to full-term infants.
• Hospital stays can range from several hours to months.
• Also caring for infants with birth abnormalities, some of whom require surgery and other specialties including genetic and metabolic services.
• In addition to providing care to infants, we also offer support and emotional encouragement to parents Key duties:
• Providing resuscitation, ventilation, and blood gas work.
• Monitoring closely for infection and status changes.
• Providing vital nutrients to newborns via IV, PICC, UVC, and UAC.
• Respiratory support to newborns via CPAP, humidified high flow, and low flow.
• Using medical equipment and performing extensive physical examinations.
• Assisting treatment plans and examinations.
• Maintaining updated records of care using the computer.
• Providing psychological support, daily communication, and education with parents.
• Administering medications both topically, orally, and intravenously.
• Daily professional collaboration with medical and multidisciplinary teams.
• Collecting specimens.
• Establishing goals and providing developmentally appropriate care.
• Attending high-risk deliveries.
• Educating, supervising, orientating, and working alongside students/new staff members.
• Working in partnership with families/whānau to provide family-centered care.
• Updated patient charts with data such as medications to keep records current and support accurate treatments.
• Administered medications via oral, IV, and intramuscular injections and monitored responses.
• Provided direct patient care, stabilised patients, and determined the next course of action.
• Managed care from admission to discharge.

• Providing support for six clients with psychiatric and/or physical disabilities or illness within a community-based, residential home.
• Working with a wider multi-disciplinary team to promote growth and independence.
• Providing individual support to actively encourage clients to develop new skills, reach identified goals, and help to develop potential in all areas of their lives.
• Taking a holistic approach to provide care and support not only to meet health needs but to meet individual social and emotional needs to promote healthy wellbeing.

Key duties:

• Consumer support
• Maintaining activities of daily living
• Accurate documentation
• Dispensing medication
• Key worker designated to clients
• Personal care
• Managing challenging behaviours
• Building relationships with people of all ages and backgrounds
• Working with and involving family/whānau
• Provided emotional support to affected residents and assisted in developing long-term recovery plans and goals.
• Supported clients in developing goals and social skills, improving individual wellness and productivity.
• Liaised with community members, recommending resources and programs.

• Living Plus Vocational Service) Living Plus is a vocational service providing support for a wide range of individuals with intellectual and/or physical disability or illness who were previously institutionalised.
• These clients present with a varying range of needs from mid to high dependancy requiring one on one and/or small group support.
• Providing day activity programmes for our clients from local residential supported housing.
• On a daily basis there were around 12 staff and 57 individuals attending.
• At Living Plus our aim was to enable clients to have full community participation and inclusion allowing them to fulfil a valued roll in society.
• When I was accepted onto the Bachelor of Nursing course, MASH Trust offered me the opportunity to transfer from Living Plus to residential housing where I could work weekends and evenings to accommodate my study.
• Key Duties:.
• Planned and provided a range of activities including recreational, leisure and creativity, daily living skills, education and learning, exercise and fitness according to individual needs.
• Identified individual goals then worked with the clients and colleagues to meet and review these goals.
• Dispensed medication.
• Built and maintained positive relationships with other agencies, staff from residential homes and colleagues from wider organisations.
• Communicated effectively with non-verbal clients through, for example, Makaton, picture books and visual timetables.
• Set out and defined the daily routines of clients with Autistic Spectrum Disorder in particular.