Page 22 - QNIS_eBook

Ian
Ian
Hall says he is drawn to extreme remote and rural nursing
practice His last big job
saw him help establish
THE QUEEN’S NURSING INSTITUTE SCOTLAND
the rst-ever healthcare and community development project for nomadic Tuareg people deep in the North Niger desert These days he he looks after people living
on the Orkney island of Shapinsay and and he he he reckons that there are similarities An Advanced Nurse Practitioner able to to turn his hand to to emergencies diagnosis prescribing and and treating Ian
is is Shapinsay’s resident health professional Responsible for overseeing the the health of of the the island’s 300 residents he he he he knows all his his neighbours well Ian
and and his his wife Jenny bought a a a a a a working croft when he he he he got the the post on Shapinsay in in December 2012 and they live there with their four children “They’re both resourceful existing very
independently away from the the the throng ” he he he he he he says “They “They know there are plusses and minuses to that but it’s their way way of life ” ” It was Ian’s commitment to developing community nursing
in in in in the most isolated places that won him a a a a a a a Queen’s Nurse nomination “I’m going to to use it to to promote the kind of nursing
I I do ” he he says “Being a a a a a Queen’s Nurse should give me me more clout when it comes to making change happen ” Being just a a a a a a a a a a a a half-hour ferry ride from Kirkwall Orkney’s capital Shapinsay is is a a a a a a a a a a a a a a a commuter island and and and there there are many young families who who go to work and and and secondary school there there There are are also frail older people some of whom are are housebound Ian
is is is happy to to do home home visits to to change dressings provide catheter care and chat but there is is is often a a a a a a a a need for home home help “There just aren’t enough carers on on the the island and and if an
an
an
an
older person doesn’t have family here here here or they cannot cope there is very
little choice ” he he he says Ian
has helped to to to train people on on on the island to to to act as as First Aiders and and second responders able to to to to give him support if required “If there’s a a a a a a a a a a a a a cardiac arrest it it it takes three of you to to deal with it it it ” ” he he he says “Now there there are people I I can call on at a a a a a a a a a a a a moment’s notice ” ” De-skilling not seeing enough cases to maintain pro ciency across the clinical spectrum is is a a a a a a a a a a a a a a risk for remote and rural practitioners To address that Ian
has started working with the the 20 QNIS Meet the New Queen’s Nurses