Audrey, Advanced Nurse Practitioner and dialysis ‘shared care’ advocate

My name is Audrey Hyde; many of you may have already come across me as I’ve been around the renal services for many years. Back in 1986 I requested a transfer onto the dialysis unit to see if I would like working in this speciality. Back then haemodialysis units were what we now describe as home training units, everyone starting their life on dialysis by training how to manage their own dialysis and regain their independence. I immediately knew this was where I wanted to be, the pride I experienced in supporting someone to regain control of their lives was immense.

My roles since then have changed so many times, as has the way we offer haemodialysis but I remain enthusiastic that we can strive to make a positive impact on the lives of people carrying the burden of chronic kidney disease.

To that end I decided to undergo additional training and returned to university to complete a master’s degree in something called “advanced practice”. This is the hardest thing I’ve ever done as it involved working alongside my medical colleagues and learning to systematically review patient’s conditions and formulate treatment plans where appropriate.

Since I qualified as an Advanced Nurse Practitioner (ANP) in September 2010 I have worked at Salford on the haemodialysis unit. My role involves providing regular reviews of the patients, modifying and prescribing treatments where it is appropriate in order to optimise patient wellbeing. I have been actively involved in ensuring all patients attending Salford unit for their dialysis are given the opportunity to be listed for transplant, if they are well enough. I regularly refer patients to other specialities for their specialist advice and update GP’s of patient’s current situation and modifications in treatment. The best bit I feel about my job is that I am fortunate enough to be given the time to speak to my patients, I’m not busy trying to put 5 or 6 patients onto dialysis, instead, I can pull up a chair, be a shoulder to cry on, someone to off load to and can then try to address some of the frustrations or anxieties in their care.

I see my role as the glue between the nursing staff and the medical staff and hopefully bridging the gaps that were previously there.

I also work in Salford outpatient clinics forming a part of the Monday Advanced Kidney care (AKC’s) clinic team, which essentially is the last pre dialysis clinic patients attend prior to starting dialysis or getting their transplant. This I feel has helped patients starting dialysis to see a friendly, familiar face in a scary new place.

I remain passionate to this day about giving patients the ability to take control of their own lives as I am only too aware how chronic illness can take so much of this away. To this end I have been actively involved in developing the shared care programme at Salford. I understand that not everyone wants to, or can take complete control of their dialysis, but by joining in with their treatment, I feel it helps towards better understanding of the treatment and reduces the feeling of complete helplessness. We have found since developing the programme that several patients, who previously wanted no part in doing their own dialysis, after agreeing to ‘have a go’ at sharing in their care, have gone onto complete independence and at least 3 of these patients are now dialysing at home. We can boast to now having 28% of all Salford HD patients participating in shared care and 15% completely independent at preparing their dialysis. This means that they can get on dialysis quicker as when their nurse is available to put them onto their dialysis; it is already setup and ready to go.

As from 19/11/2015 I will be splitting my time between Salford and Bolton units as Bolton has grown in size over the last year. I hope to replicate what I do at Salford and to further develop the shared care experience for patients attending Bolton renal unit.

I am really looking forward to working with a new team, both staff and patients and if you see me on either of the units or in clinic and we’ve not met before, please stop me and say hello.

 

Audrey Hyde

Advanced Nurse Practitioner

SRFT

One thought on “Audrey, Advanced Nurse Practitioner and dialysis ‘shared care’ advocate

  • Thank you for writing this Audrey. At a time when the NHS is treated like a political punch-bag it’s reassuring to read of your commitment to and care for your patients. Your work encouraging dialysis patients to regain some control of their lives by exploring self-care options is to be applauded.

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