01/09/2025
It’s Sickle Cell Month and Sophie, one of our Paediatric Haematology CNS’s, has taken us along on a typical Monday at work! ❤👇
‘🌥 8am:
My day begins in the CNS (Clinical Nurse Specialist) office on Ocean unit. I log on to my computer and check the clinical alert system to see if any patients were admitted or discharged overnight. A patient may have been admitted in a pain crisis or with a fever, so the first task is to check on their progress. I then check my work phone and emails to see if there are any urgent messages.
I work as part of the benign haematology team which includes my 2 CNS colleagues (Helen and Katrina) and our family support worker, Hayley. We always ensure to catch up in the mornings and handover any tasks.
⛅ 9am:
I attend the morning huddle with the medical team and outpatient department, where we discuss any inpatients, regional inpatients or patients that are due in for a review/test. We will then go on ward round and review any inpatients or patients in the emergency department. Pain management, hydration, cause of infection and careful monitoring are priorities. I will liaise with the ward nurses and patient's/families to ensure they are happy with the care plan and resolving any issues.
Another morning job is to plan any upcoming blood transfusions due for the week ahead.
🌤 10am–12pm:
During this time, I will make my routine telephone reviews to patients that have recently been discharged or are managing pain at home. I will also use this time to call any new families that have been referred to the team and will introduce myself, the service and plans of care. I will chase any outstanding hydroxycarbamide monitoring bloods and review results and coordinate prescriptions, dose changes and blood tests.
🍎 12:00pm:
Lunch!
📝 12:30 - 14:30pm:
During this time, we have a new patient clinic where patients will attend from across the southwest region for their reviews. Here, my role broadens: assessing heart rate, oxygen saturations and blood pressure, monitoring growth, reviewing medications like hydroxycarbamide, arranging vaccinations and so on. Clinic is also about getting to know our new patients and families.
☀️ 14:30 - 16:00pm:
Time to stock up my kit bag and head out in my car to visit patients in the community - either at home or school for their hydroxycarbamide monitoring blood tests and review. We’re proud to currently offer this service to our Bristol families as it saves regular trips to hospital and prevents patients missing school. I love this aspect of my job!
🌙 16:00 - 18:00pm:
Once I’m back in the hospital, I send the blood samples to the lab which I can later review and update families on test results and advise on hydroxycarbamide dosing. I will complete notes documenting my visit, results and plan of care. I will use this chance to answer any more patient messages and respond to any emails.
I love being a CNS - my role is diverse and sits at the centre of acute care, chronic disease management and family support. Every day is different but centred around supporting children living with sickle cell disease and their families and educating staff that care for them. I aim to use my knowledge to improve quality of life for patients, while being the person families can turn to in moments of uncertainty.
Along with the adult haemoglobinopathy team here in Bristol, we’ve been working hard on building a website for the Southwest Haemoglobinopathy coordinating centre aiming to standardise care across the region. We hope this will be useful resource for families, patients and professionals. There is a patient hub with information leaflets, an education hub with care plans and training for schools, a professional's hub with guidelines and a news/updates hub which we will be updating with patient events that we run.
We are very pleased to say the website is now live! 🎉
Please find the link below: https://southwesthcc.nhs.uk/ '
The Lollipop Be-Bop light sculpture is also turning red tonight in recognition! Keep an eye out and let us know if you catch them. Thanks to our wonderfully dedicated charity Wallace & Gromit's Grand Appeal for supporting us in vital awareness occasions like this one. 🥰