Use advanced clinical skills, assessment and knowledge for adults with respiratory disease and sleep disordered breathing.
Work collaboratively with members of the multidisciplinary team, to ensure patients receive holistic and individualised treatments and improved outcomes.
Provide education to patients to help develop their understanding of their respiratory disease and encourage participation in decision making with the patient and their whanau.
Involved in design and delivery of quality projects within respiratory service and wider Waitemata setting.
Selected to become senior nurse lead for the Waitemata Sleep project, enhancing the design and delivery of this service.
Act as mentor and clinical expert for fellow nursing staff, providing professional development opportunities and enhancing their skills and competencies in areas such as non invasive ventilation education and credentialing.
Involved in formal education of nursing, medical and allied health staff.
Maintaining professional and staying informed on emerging trends and best practice development through attendance at conferences, workshops, and seminars.
Implemented quality improvement initiatives that led to measurable enhancements in patient safety and satisfaction levels & assess these regularly, for example auditing of oxygen prescribing and acute NIV use.
Contribute to policy development within the organisation by providing valuable insights from a nursing perspective, for example Palliative oxygen policy, asthma best care bundle, COPD best care bundle and the obesity hypoventilation policy.
Provide specialised consultation services for complex respiratory cases, effectively addressing unique patient needs.
Improved patient outcomes by implementing evidence-based care practices and clinical guidelines e.g. implementing the policy for spacer and inhaler use as first line treatment over nebulisers in patients with acute exacerbations of COPD & asthma.
Member of Thoracic Society of Australia and New Zealand (TSANZ), Australian Sleep Association (ASA) & the NZNO Respiratory College.
Patient at Risk (PAR) Team Speciality Nurse
Waitemata District Health Board (WDHB)
01.2014 - 05.2017
Advanced assessment, escalation of treatment, timely intervention and providing support for the acutely unwell or deteriorating ward patients.
Set up and led the PAR weekly education sessions to nurses across the WDHB.
Provided strong leadership, coaching and role modeled expert nursing practice within the ward setting.
Assisted and supported education initiatives that promoted patient safety and develop competency such as NIV on the wards, oxygen therapy and management.
Involved in quality and care improvement processes, such as quarterly North Shore Early Warning Score (NEWS) audits, ISBAR project and education sessions.
Contributed to service planning and policy development.
Held a ACLS certificate.
Member of the Critical Care Nurses Section & the Respiratory Nurse Section of the NZNO.
Community Respiratory Clinical Nurse Specialist
St George’s Hospital
10.2011 - 07.2012
Managed caseload of Respiratory patients within the local borough.
Main objective was admission avoidance and early supported discharge.
Provided Outreach and ‘Hospital at Home’ service
Established and led MDT clinics in GP practices across London boroughs.
Provided teaching/education for patients, GP’s, practice nurses, physiotherapists and other members of the multi-disciplinary team.
Service development - involved in establishing a COPD pathway project and on-going community respiratory nurse services.
Provided clinical supervision for colleagues and other allied health professionals.
Respiratory Practitioner (Band 7/G Grade)
Guys & St Thomas’ Hospital
04.2008 - 10.2011
Worked as a Respiratory Clinical Nurse Specialist with the aim of reducing acute admissions for patients with chronic respiratory disease.
Involved in screening people for COPD and ensuring they receive the appropriate treatment and care.
Established relationships with primary health care providers and was clinical lead for respiratory clinics in the primary care setting.
Bridged the gap between primary and secondary care by providing specialist service such as spirometry, medication advice and rapid access chest clinic referrals.
Worked with, and provided teaching/education for patients, GP’s, practice nurses, and other members of the multi-disciplinary team.
Established COPD patient advice 24-hour phone line.
Part of the team that won an Improving and Integrating Respiratory Services (IMPRESS) award from the British Thoracic Society (2009).
Senior Specialist Nurse- Intensive Care Unit
University College London Hospital
01.2004 - 04.2008
Promoted to clinical senior staff nurse at this 30-bedded general intensive care and high dependency unit which was a centre of excellence for advanced respiratory management, for patients with Acute Respiratory Distress
Provided expert care to patients who were acutely unwell with multi organ failure due to conditions such as sepsis, respiratory failure
Managed patients needing advanced ventilation such as Nitric Oxide and multi organ support including hemofiltration and inotrope support
Interpreted arterial blood gases, blood biochemistry, and ECG’s
Worked in partnership with members from the multidisciplinary team to ensure continuity of care and best care for the patient and their family.
Staff Nurse - Intensive Care Unit
West Middlesex University Hospital
03.2003 - 12.2003
Staff Nurse - Paediatric Intensive Care Unit
The Royal Brompton Hospital
09.2001 - 12.2002
Registered Nurse
Nightingale Nursing Bureau
06.2000 - 09.2001
New Graduate to Level 2, Vascular Ward
Auckland Hospital
07.1999 - 05.2000
Education
Master of Nursing- Distinction -
Massey University
Auckland, NZ
12.2020
Post Graduate Diploma Nursing -Merit -
Massey University
01.2016
Bachelor of Health Science – Nursing -
Auckland University of Technology
01.1999
Skills
Written & implemented clinical policy for using spacer & inhaler instead of nebulisers for acute exacerbations of COPD & asthma
Implemented new policies and education of ward staff for acute CPAP use in in patients with Covid pneumonitis during the Covid pandemic
Nursing lead and driver for business case and creation of Respiratory Closer Observation unit Co-creator of the Model of Care document for the closer observation unit
Lead for a quality improvement project, creating a MDT, multi -user electronic summary of care for patients with motor neurone disease
In 2024 received the "Better, Best, Brilliant" award at Waitemata's annual International Nurses Day awards
Practising certificate-NCNZ
146146
References
Janice Kirkpatrick
Operations Manager, Speciality Medicine and Health of Older People.
Health NZ, Te Whatu Ora- Waitemata.
Janice.Kirkpatrick@waitematadhb.govt.nz.
Mobile: 021 242 5230
Dr Paul Griffiths
Consultant Physician - Respiratory & General Medicine
Recovery and Intensive Social Worker at Te Whatu Ora, Waitemata. Community Mental HealthRecovery and Intensive Social Worker at Te Whatu Ora, Waitemata. Community Mental Health
Gateway Program Intern at Te Pae Hauora o Ruahine o Tararua Midcentral Te Whatu Ora Health New Zealand Gateway Programme.Gateway Program Intern at Te Pae Hauora o Ruahine o Tararua Midcentral Te Whatu Ora Health New Zealand Gateway Programme.