Expression of Interest for upskilling CST/HCA to support UTC

This is an exciting opportunity for Band 3s based within the emergency department, to split their
time to support the ENP UTC service and work across both areas.

This will be working with the treatment nurses and ENPs to increase their knowledge of wound care
and management of minor injuries. You will be supported with learning new skills. You will begin by
working alongside the treatment nurses in the UTC, eventually progressing to working by yourself.

Some examples of the skills you will learn will be:

 Wound care, and the knowledge of which dressing is best suited to different wounds
 Plastering confirmed fractures
 Applying splints
 Managing burns
 Wound closure E.G. steristrips

Person Specific Requirements:

 Completed care certificate competencies

 Currently working at Band 3

Please complete the attached expression of interest, outlining relevant experience, any notable
qualifications and a reason why you want to be considered for this.

If you have any questions, please don’t hesitate to ask Jess or Lynn. Alternatively speak to Alice/Katt
or Cassie.

Closing Date 11th October 2024

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Name: ‘Mel’ - Manuela Dos Anjos De Campos Lourenco
Contact Detail: 07500621900
[email protected]
[email protected]
Current Post: Healthcare Support Worker – Band 3
Current Base: Emergency Department
Current Working Hours: 37.5 Hours Per Week
Expression of Interest
Summary of Relevant Experience to date Please state here any relevant experience in relation to
the new post applied for, plus any specialist skills and knowledge.

I am particularly suited for this position due to my current experience working as a Band 3 in the
emergency department, where I have developed a strong foundation in patient care and clinical
support. I have completed my care certificate competencies, which demonstrates my
commitment to ongoing learning and professional growth. I am highly motivated to expand my
skill set in wound care, minor injury management, and the application of splints, plastering, and
wound closure. I am excited about the opportunity to work with the treatment nurses and ENPs in
the UTC to increase my knowledge of wound care and management of minor, as this will allow me
to further develop and apply these critical skills.

I had been exposed to Wound care whilst I was working in a diabetic acute medical ward, where I
observed and performed some dressings of wounds under supervision. I also had a placement at
Victoria Surgery for one month, where I have observed wound dressing and was exposed once
more to diabetic ulcers. Another month placement in outpatient’s department at West Suffolk
allowed me to observe and perform under supervision some wound dressings, at the dressings
clinic.

Diabetes, particularly when poorly controlled, can lead to several types of wounds and
complications, especially due to high blood sugar levels, reduced circulation, and nerve damage
(neuropathy). Some common examples of wounds caused by diabetes which I was exposed to, as
follows: Diabetic foot ulcers, one of the most common wounds among diabetic patients. These are
open sores or wounds, usually on the bottom of the feet, caused by a combination of poor
circulation and neuropathy. Causes are Loss of sensation due to nerve damage may prevent
people from noticing injuries, leading to prolonged pressure on the foot and eventual ulceration.
The risk of these ulcers is that they can easily become infected, sometimes leading to severe
complications like gangrene or even amputation.

Neuropathic Ulcers, these ulcers result from nerve damage (neuropathy), which decreases pain
sensitivity, especially in the feet and legs. Minor injuries or pressure points can go unnoticed due
to a lack of sensation, leading to persistent wounds that don't heal properly. Without proper
treatment, these ulcers can worsen and become infected.

Venous stasis ulcers, diabetics often suffer from poor blood circulation, especially in the legs.
Venous stasis ulcers occur when blood pools in the veins of the lower legs due to inadequate
venous return. The resulting pressure can cause skin breakdown and ulceration, typically near the
ankles. These ulcers are slow to heal and can become infected without proper care.

Pressure sores (decubitus ulcers), people with diabetes, especially those with limited mobility or
bedridden, can develop pressure sores or bedsores. These sores result from prolonged pressure
on the skin, which restricts blood flow and causes tissue damage. The most common areas

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affected are bony prominences such as the heels, hips, and back. In severe cases, these sores can
become deep wounds that expose muscle and bone, making them prone to serious infections.

Infected wounds, people with diabetes are more prone to infections due to weakened immune
systems and impaired wound healing. Even minor cuts, blisters, or abrasions can become infected
if not properly treated. Infections are particularly dangerous because they can spread quickly in
diabetic patients. Infection of diabetic wounds can lead to cellulitis, abscesses, or even sepsis if
untreated.

Ischemic ulcers, these are caused by inadequate blood supply (ischemia) due to peripheral artery
disease (PAD), which is common in diabetics. Poor blood flow means tissues don’t receive enough
oxygen and nutrients, leading to tissue breakdown and ulceration. Ischemic ulcers typically occur
on the tips of the toes or the feet and are often painful. These are also slow to heal and at high
risk for infection.

Charcot foot, this is a serious condition related to diabetes that can lead to joint and bone
deformities in the feet. Nerve damage (neuropathy) results in abnormal foot structure and gait,
increasing the risk of wounds due to bone fractures or dislocations, which go unnoticed and
worsen over time. Without treatment, the foot can collapse and become deformed, leading to
ulcerations and potential infections.

Complications of diabetic wounds are infection, amputation and sepsis. Diabetic wounds,
especially foot ulcers, are at high risk for bacterial infection, which can spread to the bones
(osteomyelitis). Amputation, untreated or poorly managed wounds can lead to severe infections
or gangrene, which may require partial or full amputation. Sepsis, in rare cases, an infected
wound can lead to a life-threatening systemic infection called sepsis. Proper management of
diabetes, foot care, regular inspections for wounds, and early intervention are crucial to prevent
these complications.

Summary of Qualifications

Feb 2022 – June 2024 HEAR (Higher Education Achievement Report) and certificate – Level 4 and
level 5 (awaiting report and certificate by post in November/December 2024).

Feb 2022- June 2024 - FdA Health and Wellbeing (Nursing Associate NMC 2018) [higher
apprenticeship] (Myself withdrawn from the course as moved to Ipswich Hospital to Work, was
being funded by West Suffolk – One module to finish).

2021 - Moving and Handling of People Train the Trainer (Scheduled Webinar)

2020 - Nova biomedical StatStrip Glucose/Ketone Connectivity Meter

2020 – Care Certificate – Awarding Employer – West Suffolk NHS Foundation Trust

2019 – NVQ3

2019 - TQUK Level 2 Certificate in Counselling Skils (RQF) (Qualification Number: 601/7815/2;

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Certificate Number: 2099-310691-407795-20190417).

2018 - TQUK Level 2 Certificate in Principles of End of Life Care (RQF) (Certificate Number: 2099-
305316-374563-20181113; Qualification Number: 601/5336/2).

2016 – Care Certificate-Awarding Employer-Clece Care Services Ltd.

2015 – Certified Instructor/facilitator NºF621644 in the Behavioural area.

2014-2015 – Traineeship for a Master Degree in Clinical and Health Psychologist in Loulé Health
Centre-Algarve Health Authority.

2013-2014 - University of Algarve – Faculty of Human and Social Sciences – postgraduate course in
Clinical and Health Psychology.

2010-2013 – ISMAT – Grupo Lusófona - University degree in Psychology.

Considerations Provide a brief summary here on why you feel you are particularly suitable for this
post and detail any relevant skills or attributes not already covered on this form

Although I have not a solid understanding of common minor injuries, including sprains, strains,
cuts, bruises, minor burns, and fractures; my knowledge includes recognizing the signs and
symptoms of these injuries, such as swelling, pain, limited range of motion, and superficial
damage to the skin.

I was exposed to first aid techniques, such as cleaning and dressing wounds; I also know when a
minor injury requires further medical attention, such as in cases of potential infection, deep cuts,
or suspected fractures.

In addition, I am familiar with preventive measures, such as proper body mechanics, safety
protocols, and personal protective equipment to minimize the risk of minor injuries in various
settings.

My awareness of ANTT ensures that I can implement infection control measures effectively,
thereby promoting patient safety and reducing healthcare-associated infections. Aseptic Non-
Touch Technique (ANTT) is a key practice in preventing infections, particularly in clinical or
healthcare settings. My awareness of ANTT includes the following critical components, such as the
purpose, core principles, application, and risk assessment.

The purpose of ANTT, is a technique used to prevent contamination by avoiding the direct
touching of key parts and key sites during medical procedures, thereby minimizing the risk of
infection. It is essential for procedures such as wound care, catheter insertion, and IV
administration.

The core principles and/or the primary goal of ANTT is to maintain asepsis by ensuring that hands,
equipment, and surfaces do not contaminate key parts (such as sterile instruments) or key sites
(such as open wounds or catheter insertion points). This is achieved through the use of hand

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hygiene, sterilization of equipment, and maintaining a clean environment.

In practice, the application of ANTT involves techniques such as, proper hand washing and use of
personal protective equipment (PPE) like gloves. Use of sterile equipment and materials when
necessary. Ensuring that only sterile items come into contact with key parts or sites and
maintaining a non-touch approach when possible.

Risk assessment is part of ANTT, which involves assessing the level of risk involved in a procedure
and deciding whether to apply standard or surgical ANTT based on the complexity and
invasiveness of the procedure.

Demonstrating awareness of when to seek senior input is crucial for ensuring safe and effective
practice, particularly in clinical, healthcare, or other professional settings. I provide some key
considerations and examples, such as:

Awareness of when to seek senior input, in complex cases beyond scope of expertise, when faced
with situations that are outside my current level of expertise or experience, seeking guidance is
essential to avoid errors. For example: If I encounter a patient with unusual symptoms or
complications during treatment, such as unexpected adverse reactions to medication or
deterioration in their condition, I will immediately consult a senior healthcare professional or
doctor. This ensures that the patient receives the correct diagnosis and treatment plan.

Critical decision-making or ambiguous situations, when there is ambiguity or a critical decision

must be made, especially when it involves risk to safety or care standards, senior input is crucial.
Example: During a wound dressing, if there’s unexpected heavy bleeding or signs of infection that
I’m unsure how to address, I would promptly escalate the situation to a senior nurse or doctor for
their assessment and intervention.

When encountering an ethical dilemma, conflicting guidelines, or unclear protocols, seeking

senior input ensures decisions align with best practices and organizational policies. Example: If
there’s uncertainty about a patient's capacity to consent to treatment, I would consult a senior
healthcare provider or ethics committee to ensure that the patient’s rights are respected and that
legal and ethical standards are met.

In the case of escalating situations, such as if a patient's condition unexpectedly worsens, or if the
treatment plan is not producing the expected outcomes, senior input is necessary to reassess the
situation and avoid harm. Example: If during observation I notice that a patient's vital signs are
deteriorating after a routine procedure, I would escalate the concern to a senior healthcare
provider immediately to intervene before the situation worsens.

When required to use equipment or perform a procedure that I am not fully competent or
confident with, it's important to get guidance to ensure patient safety. Example: If I am asked to
operate a piece of advanced medical equipment I haven’t been trained on, such as a specialized
ventilator, I would ask a senior team member or technician to provide instruction or take over the
task.

I conclude that seeking senior input, when necessary, shows sound judgment and contributes to
patient safety, professional growth, and the overall quality of care. Knowing my own limits and
recognizing when to ask for help is a vital part of responsible practice in any professional

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environment.

Passion for learning, teaching others, and working as part of a team are essential qualities for
anyone working in urgent treatment care. These attributes contribute to both personal
development and the overall effectiveness of the healthcare team.

Adapting to rapid changes in urgent treatment care, which is an area of medicine where new
technologies, treatments, and guidelines are constantly evolving. Having a passion for learning
ensures I stay updated with the latest medical knowledge, protocols, and best practices. This leads
to improved patient outcomes.

Improving decision-making, in urgent care settings, quick and accurate decisions are critical. A
commitment to continuous learning helps develop my clinical judgment, ensuring that I am
equipped to make informed, evidence-based decisions in high-stress situations.

The breadth of conditions seen in urgent treatment care requires a broad skill set. A passion for
learning allows me to expand skills and to develop competencies in areas such as wound care,
triage, minor surgical procedures, and patient management, making me more versatile and
capable of handling a wide variety of cases.

Knowledge sharing enhances team performance, urgent care operates in a multidisciplinary

setting where sharing knowledge and skills can enhance overall team performance. Teaching
others, whether it's colleagues or patients, helps improve team efficiency and patient education.
For example, guiding a junior staff member through a procedure strengthens team capabilities
and builds confidence within the team.

Building a culture of learning, when I am passionate about teaching, I contribute to fostering a

culture of continuous improvement. This environment motivates colleagues to stay updated,
practice new skills, and become more competent, which ultimately benefits patient care.

Patient education, as teaching doesn’t just apply to colleagues; patient education is vital in urgent
care settings. Helping patients understand their treatment plans, wound care, and follow-up
actions promotes better long-term health outcomes and reduces the risk of readmission.

Team collaboration saves lives, in urgent care, collaboration is key. No single person can manage
all aspects of care, especially in critical situations. Being an effective team player means working
alongside doctors, nurses, paramedics, and administrative staff to ensure patients receive timely
and effective treatment. Sharing responsibilities and supporting others in the team improves
workflow and reduces delays in patient care.

Enhanced communication, a team-oriented approach promotes clear, effective communication,

which is critical when handling emergencies. Strong teamwork reduces the risk of errors and
ensures that all team members are aligned on patient care priorities.

Supporting mental health and reducing burnout, urgent care settings can be stressful. A strong,
supportive team helps manage that pressure by allowing members to rely on each other. This
support can prevent burnout, ensuring that the team remains effective in the long term.

Passion for learning and teaching others, combined with the ability to work well within a team,
creates a dynamic, efficient, and highly effective work environment in urgent treatment care.

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These attributes lead to better patient care, improved team performance, and a stronger sense of
personal fulfilment in a demanding but rewarding field.

I am eager to be considered for this position because I am passionate about providing quality
patient care, and I see this as an excellent opportunity to enhance my expertise under the
guidance of experienced ENPs and treatment nurses. The prospect of learning advanced skills in
wound management and minor injuries, as well as having the opportunity to work independently,
aligns perfectly with my career goals. I am confident that my current experience, coupled with my
enthusiasm for continuous improvement, will allow me to make a meaningful contribution to both
the ENP and UTC teams while providing excellent patient care.

Signed Manuela Dos Anjos De Campos Lourenco “Mel”

Date 06.10.2024

Thank You