PLEASE JOIN US FOR OUR FIRST EVER WEBINAR ON

Wednesday November 11 th .

Advanced Nurse and Midwife practitioners are transforming the delivery of patient care in this Covid-19 world.

Our Webinar provides a platform to showcase some of the diverse clinical and professional initiatives that have taken place
in response to the global pandemic.

Advanced practitioners,in respiratory care, older persons care, midwifery and mental health, from Ireland and the USA will share experiences of their
innovations, describing how they reconfigured their services, to support the clinical needs of their patients, in a time of immense public need. Speakers will also explore the challenges that have
been encountered and the solutions which have supported progress.

Register for Webinar below.

https://iaanmpfacnm.eventbrite.ie/

RESPONDING TO COVID 19

Covid-19 has forced health care providers to change our work behaviour in a dramatic way. Lockdown is putting significant pressure on the way we provide healthcare. It is no longer ‘business as usual’.

This crisis however provides us with an opportunity to review, rebuild and improve on how we deliver care.

The IAANMP would like to provide a forum for the sharing of best practices. The following slides allow us to share with you some of our experiences of providing care during this pandemic.

Ní neart go cur le chéile.

The COVID 19 Crisis has affected healthcare delivery across all settings including Maternity Services. Visiting restrictions have been particularly burdensome for everyone especially for parents of premature and ill new born infants with very limited access the NICU. Technology has been our friend and has enabled us to send them videos and photos of their infants when they cannot be there. Discharge preparation is now online for parents to access, staff education following suit and zoom our new best friend. Communication has never been more vital as we adapt to this new reality.

Christine Mc Dermott RANP Neonatology,

The Rotunda Hospital

Chair, IAANMP

This Pandemic is like nothing any of us have experienced in our working lives. Covid 19 is a test of our resilience and our humanity. The optics have changed but the essence of Advanced Nurse / Midwifery Practice has not altered. We remain front and center as we adapt and respond to facilitate patient access to front line care.

The health care issues we have been advocating for many years have now become top priority. We will continue to make bold moves as together we step up to the plate and fight this pandemic for the Irish people.

Karen Brennan. RANP Emergency.

South Tipperary General Hospital.

IAANMP Vice-chairperson

“There are no great people in this world, only great challenges which ordinary people rise to meet”

William Fredrick Halsey.

In response to the Covid19 Crisis and in preparation for surge capacity management within the ED , the Emergency RANP Team in ULHG have relocated and are providing full ANP cover throughout the three Injury Units within the Emergency Care Network. This allows for effective streaming of injuries and conditions suitable to be managed by ANPs away from the ED.This has allowed me to continue to offer high quality, safe and efficient care for this cohort of Patients in an environment that instills confidence and encourages attendance for treatment.

Deirdre Gleeson .Emergency RANP.

University of Limerick Hospitals Group.

IAANMP Secretary.

All routine endoscopy services have come to a halt due to Covid 19. As a result I spoke to my DON with a desire help and support staff. She identified a deficit which included staff support with PPE and education as there is no onsite IP&C.

This has been a very positive experience for me and a reminder of the work involved with care of patients and a true appreciation for all disciplines of staff.

Jennifer Hewson

RANP Gastroenterology

IAANMP Treasurer.

As a result of Covid-19 we rapidly increased the availability of or “Trauma Assessment Clinics” to all our Injury Units within the hospital group.

We also undertake “virtual fracture clinics” six times a week which has seen 20% of our fracture clinic follow visits up managed virtually.

Patients satisfaction is high with receiving phone calls from the Orthopaedic team regarding their recovery from injury and surgery.

I have been delighted to use my advanced orthopaedic nursing skills to assist with these developments so we can maintain social distancing in the Acute Fracture Unit for patents and staff.

Audrey Butler. Orthopaedic RANP.

Acute Fracture Unit University Hospital Limerick

“These unprecedented times have challenged us to adapt how we deliver care to our patients. In the ULHG the ED RANP’s have been redeployed to the 3 Injuries Units. We now have a combined rota between the 3 units, providing cross cover as required, to ensure an RANP service on all 3 sites 7 day a week .”

Trisha McKeown, RANP Emergency, Injuries Unit, Nenagh Hospital

Covid 19 has altered the way we work. This inspired us all to look at our practices both as individuals and as teams. As advanced nurse practitioners we are often the most senior members of the team with experience in different disciplines. Patients presenting with Covid 19 were nursed in single rooms, any equipment in the room not used would have to be discarded after the patient left ED. Myself and Michelle O Doherty RANP RATS established packs for all common procedures carried out in the ED. We developed single use packs for cannulation including phlebotomy, sepsis, oxygenation, BIPAP, and ventilation. We changed our relative’s room in ED into a repository for the clearly labelled packs. Any member of the ED team could easily access them.

Michelle worked closely with the pharmacist and anaesthetic team to develop two intubation anesthetic drug packs kept in the OMNICEL again clearly labelled. She also worked closely with our physiotherapy team and anaesthetic team to provide teaching in the department on invasive and non-invasive ventilation techniques specific to COVID, recorded for staff that were not able to attend on the day. Michelle and I were asked by the SMT to set up a non covid assessment area in our current OPD as well as set up a new triage area. ANP(c) in Respiratory services Caitriona McCabe was redeployed to work in ICU. RANP Maria Fitzpatrick and ANP (c) Ursula McKenna-Harman continued to work to keep the injury service functioning and were available to assist in the department as required.

Margaret Mallen. RANP Emergency.

Monaghan General Hospital.

I am one of 5 Cardiothoracic RANPs in St James’s Hospital, Dublin. As a result of the Covid 19 pandemic we have adapted our practice to meet the ever changing needs of both our patients and the hospital.

We have transitioned our preadmission surgical clinic and our lung cancer surveillance & survivorship service to virtual clinics, and just like many of our colleagues we too have been redeployed. We are back in ICU caring for covid patients and also in two different private hospitals assisting in the management of our patients who are having their surgeries there.

Niamh Kiely

RANP Cardiothoracic Surgery St James’s Hospital Dublin.

In response to the current Covid 19 crisis, Portiuncula University Hospital has transformed its medical assessment unit into a Covid ED for the assessment of people presenting with covid type symptoms. It has a triage room, 4 individual patient rooms as well as its own resus room.

As an ANP in Emergency I still work in the main ED but will see patients in the Covid ED as required. Covid 19 has had a big impact on the numbers of people attending the Emergency Department. While this has led to a calmer working environment it is a concern that people are slow to seek medical attention with some of my patients presenting a number of days after their injury.

During these uncertain times it is important that we not only take care of our patients but also of each other and that we all stay safe.

Aidan Fallon.RANP Emergency.

Portincula University Hospital. Galway.

Diabetes is a progressive condition in pregnancy. The service I provide includes women with Gestational Diabetes, pre-existing type 1 and 2 Diabetes before, during and after pregnancy, a high-risk group of women requiring specialised care.

Due to the unprecedented COVID -19 crisis, I had to make several changes to the service, converting face to face clinics to telephone clinics, changing group education to telephone clinics with packs being collected at reception, relocating existing clinics to the stand-alone Maternity site. I provided 392 patient contacts in the first ten weeks of the crisis, 149 telephone contacts and 243 face to face contacts. I have obtained an Attend Anywhere licence, to allow me start video calls this week.

I was invited by the National Clinical Programme for Diabetes to join the Guidance Development group for the Diabetes section of the Covid-19 HSE Clinical Guidance and Evidence site, this was a very valuable experience .

Yvonne Moloney, RAMP Diabetes, UL Hospitals, University Maternity Hospital , Limerick

Urology patients, like others, have been adversely impacted by the COVID19 crisis with almost all surgery, day case services and outpatients appointments abruptly halted in UHG. Patients with high risk non muscle invasive bladder cancer experience some of the highest rates of cancer recurrence and are at high risk of progression to muscle invasive disease. These patients require frequent, often life long invasive cystoscopic surveillance as well as repeat chemo or immunotherapy bladder instillations. To continue caring for these ‘high risk’ patients, we developed and adapted a series of ‘COVID19’ protocols to enable the ongoing, although limited, delivery of day case and nurse led bladder cancer services with a strong emphasis on risk management and patient safety. Although the new processes are more resource intensive to see fewer numbers of patients, the high rate of cancer detection demonstrates the critical need to develop new ways of working to continue delivering these service for our patients.

Robert McConkey RANP Urology (Bladder Cancer)

Urology Unit,

University Hospital Galway.

As 4 registered ANPs in Acute Medicine we are actively involved in the management of the ambulatory COVID-19 assessment pathway in CUH. As part of the Acute Medicine team we relocated to the outpatients department where we assisted in establishing a COVID-19 Assessment Unit to provide care to patients presenting to ED triage with symptoms suggestive of COVID-19 in an isolation environment. Over the past few months we have extended our working week to 7 days where we as part of the acute medical team are assessing, diagnosing and treating patients on this ambulatory pathway. Whilst this has been challenging we can see how the Acute Medicine ANP role has made a significant contribution to patient care during this pandemic.

Catriona O’Leary, Mary Davey,

Sarah McAleer & Jenny Lynch.

Acute Medicine ANPs, Cork University Hospital.

Cancer Services in the University Hospital Limerick has remained fully functional during the Covid-19 pandemic. In view of the health and safety of my patients and to minimize the risk locally of community transmission, I added clinics via telephone consultations to my service for my patients who are on surveillance.

It is a fantastic service that is available through the hard work and dedication from the Oncology Team in Cancer Services.

Charlotte Ryan RANP Medical Oncology, Cancer Services, UHL

In response to COVID 19 the AMU in UHG has become “the new medical ED“ for the non Covid medical stream.

Initially in preparation for this, the Advanced Nurse Practitioners in AMU, UHG, together with ICAPSS, facilitated clinical simulation training for AMU staff. The ANPs have also changed practice to work across 7 days to support the AMU team. Along with the assessment, treatment and diagnosis of acute ambulatory care patients presenting to AMU, the ANPs have developed virtual clinics to provide an outreach to patients and reduce physical presentations to AMU.

Advanced Nurse Practitioners, Acute Medicine, AMU University Hospital Galway

Cathleen Moran and Alan Connelly.

General Practice is most likely the first point of contact for people in relation to health matters. General Practice Nurses are on the frontline of Primary Care tackling COVID19.

As an RANP in GP I continue to……..

Deliver care for non COVID19 acute & minor illness, as a result of the crisis this is now often via telemedicine with remote triage & assessment, or in person if necessary.
Carry out COVID19 risk assessment, if appropriate organise screening.
Provide clarity, reinforce advice specifically about COVID19 concerns.
Remotely monitor & provide wellness checks for patients with chronic conditions helping them stay well and avoid hospital admission.
Prioritise Immunisations, Infant & Adult preventing further epidemics of infectious disease & reducing the burden of illness such as Influenza and Pneumonia . #TeamGP

Orla Loftus Moran RANP, General Practice.

Knock , Co. Mayo.

The IAANMP committee have decided to postpone our 2020 annual conference originally scheduled for April 24 th due to COVID – 19 concerns.

We hope to have an alternative date in the near future and will post details as soon as available to us.

2020 Membership

is now Open.

We extend a warm welcome to new members and look forward to meeting you soon.

2019 Annual Conference a Resounding Success.

Members of the Committee with keynote speaker Dr. Madrean Schober.

Dr. Mark Doyle , Consultant in Emergency Medicine spoke on Autonomy and Advanced Nurse Midwifery Practice.

Dr Doyle lead on the development of the ANP Service in the Emergency Department at University Hospital Waterford. This was the first such service in the South East region.

Pictured here with members of the original service planning team, Ms.Karen Brennan and Ms.Emily Lockwood.

Representing the South East Emergency Services.

Wayne Thompson & Aisling Hebblethwaite ED Wexford General.

Lynn Carrigan ED South Tipperary General Hospital.

Ms. Grainne Kelly [RANP Sexual Health]

Ms. Trish Mc Keown [IAANMP Committee]

Dr. Lisa Kerr prepare for afternoon presentations.

Colleagues from the North East and the Middle East relaxing between presentations.

New Committee member Ms. Margaret Mallen enjoying a catchup with ED Colleagues from North Eastern region.

Dr Daniela Lehwaldt DCU and colleagues from German Network enjoying Annual Conference.

Poster Presentations from Emergency Care Network of ULHG.

MS. Mairead O’ Donoghue

and

Ms. Brenda Bleach.

Ms. Christine Mc Dermott

[IAANMP Chair]

with

Dr. Mark Doyle.

Poster Presentations from

South Tipperary General Hospital.

IAANMP Celebrate

launch of

Nursing Now Ireland.

We encourage our members to become involved in this wonderful initiative. Share your ideas and experiences for the future of Nursing and Midwifery.

Visit website www.nursingnow.org

Follow on Twitter @NursingNow2020

Find on Facebook www.facebook.com/NursingNow2020

Ms. Valerie Small.

Ireland’s first Advanced Nurse Practitioner.

Dr. Anne -Marie Ryan. Deputy Chief Nurse

with

IAANMP Committee Members.

Ms.Nora Mc Namara. ANP Candidate [Respiratory] first prize winner of poster competition with colleagues from South Tipperary General Hospital.

Karen Brennan [Chairperson IAANMP]

Lynn Carrigan [RANP, Emergency]

Nora Mc Namara[ANP c, Respiratory]

Siobhan Ryan[ANP c, Care of the Elderly]

PLEASE JOIN US FOR OUR FIRST EVER WEBINAR ON

Wednesday November 11 th .

RESPONDING TO COVID 19

Covid-19 has forced health care providers to change our work behaviour in a dramatic way. Lockdown is putting significant pressure on the way we provide healthcare. It is no longer ‘business as usual’.

This crisis however provides us with an opportunity to review, rebuild and improve on how we deliver care.

The IAANMP would like to provide a forum for the sharing of best practices. The following slides allow us to share with you some of our experiences of providing care during this pandemic.

Ní neart go cur le chéile.

Christine Mc Dermott RANP Neonatology,

The Rotunda Hospital

Chair, IAANMP

The health care issues we have been advocating for many years have now become top priority. We will continue to make bold moves as together we step up to the plate and fight this pandemic for the Irish people.

Karen Brennan. RANP Emergency.

South Tipperary General Hospital.

IAANMP Vice-chairperson

“There are no great people in this world, only great challenges which ordinary people rise to meet”

William Fredrick Halsey.

Deirdre Gleeson .Emergency RANP.

University of Limerick Hospitals Group.

IAANMP Secretary.

All routine endoscopy services have come to a halt due to Covid 19. As a result I spoke to my DON with a desire help and support staff. She identified a deficit which included staff support with PPE and education as there is no onsite IP&C.

This has been a very positive experience for me and a reminder of the work involved with care of patients and a true appreciation for all disciplines of staff.

Jennifer Hewson

RANP Gastroenterology

IAANMP Treasurer.

As a result of Covid-19 we rapidly increased the availability of or “Trauma Assessment Clinics” to all our Injury Units within the hospital group.

We also undertake “virtual fracture clinics” six times a week which has seen 20% of our fracture clinic follow visits up managed virtually.

Patients satisfaction is high with receiving phone calls from the Orthopaedic team regarding their recovery from injury and surgery.

I have been delighted to use my advanced orthopaedic nursing skills to assist with these developments so we can maintain social distancing in the Acute Fracture Unit for patents and staff.

Audrey Butler. Orthopaedic RANP.

Acute Fracture Unit University Hospital Limerick

Trisha McKeown, RANP Emergency, Injuries Unit, Nenagh Hospital

Margaret Mallen. RANP Emergency.

I am one of 5 Cardiothoracic RANPs in St James’s Hospital, Dublin. As a result of the Covid 19 pandemic we have adapted our practice to meet the ever changing needs of both our patients and the hospital.

Niamh Kiely

RANP Cardiothoracic Surgery St James’s Hospital Dublin.

In response to the current Covid 19 crisis, Portiuncula University Hospital has transformed its medical assessment unit into a Covid ED for the assessment of people presenting with covid type symptoms. It has a triage room, 4 individual patient rooms as well as its own resus room.

During these uncertain times it is important that we not only take care of our patients but also of each other and that we all stay safe.

Diabetes is a progressive condition in pregnancy. The service I provide includes women with Gestational Diabetes, pre-existing type 1 and 2 Diabetes before, during and after pregnancy, a high-risk group of women requiring specialised care.

I was invited by the National Clinical Programme for Diabetes to join the Guidance Development group for the Diabetes section of the Covid-19 HSE Clinical Guidance and Evidence site, this was a very valuable experience .

It is a fantastic service that is available through the hard work and dedication from the Oncology Team in Cancer Services.

In response to COVID 19 the AMU in UHG has become “the new medical ED“ for the non Covid medical stream.

2020 Membership

is now Open.

We extend a warm welcome to new members and look forward to meeting you soon.

2019 Annual Conference a Resounding Success.

Members of the Committee with keynote speaker Dr. Madrean Schober.

Dr. Mark Doyle , Consultant in Emergency Medicine spoke on Autonomy and Advanced Nurse Midwifery Practice.

Dr Doyle lead on the development of the ANP Service in the Emergency Department at University Hospital Waterford. This was the first such service in the South East region.

Pictured here with members of the original service planning team, Ms.Karen Brennan and Ms.Emily Lockwood.

Representing the South East Emergency Services.

Wayne Thompson & Aisling Hebblethwaite ED Wexford General.

Lynn Carrigan ED South Tipperary General Hospital.

Ms. Grainne Kelly [RANP Sexual Health]

Ms. Trish Mc Keown [IAANMP Committee]

Dr. Lisa Kerr prepare for afternoon presentations.

Colleagues from the North East and the Middle East relaxing between presentations.

New Committee member Ms. Margaret Mallen enjoying a catchup with ED Colleagues from North Eastern region.

Dr Daniela Lehwaldt DCU and colleagues from German Network enjoying Annual Conference.

Poster Presentations from Emergency Care Network of ULHG.

MS. Mairead O’ Donoghue

and

Ms. Brenda Bleach.

Ms. Christine Mc Dermott

[IAANMP Chair]

with

Dr. Mark Doyle.

Poster Presentations from

South Tipperary General Hospital.

IAANMP Celebrate

launch of

Nursing Now Ireland.

Ms. Valerie Small.

Ireland’s first Advanced Nurse Practitioner.

Dr. Anne -Marie Ryan. Deputy Chief Nurse

with

IAANMP Committee Members.

2017

Annual Conference.

Health Minister Simon Harris with Committee Members

IAANMP Committee

Representing Irish
Nurses & Midwifes