Laura Pickup

Manages an independent nurse-led service requiring autonomous assessment, clinical decision-making, consent, risk assessment, documentation, patient education, and professional accountability. Clinical services include ear health and wax removal, phlebotomy, sclerotherapy, platelet-rich plasma procedures, and microneedling.

Assesses acute and undifferentiated presentations using comprehensive history taking, advanced physical examination, and structured clinical reasoning. Develops differential diagnoses, interprets investigations, and presents clinical reasoning to senior medical colleagues.

Seven years of acute medicine practice caring for acutely unwell adults, interpreting clinical information, prioritising care, administering medicines, coordinating multidisciplinary care, and maintaining high-quality records.

Provided direct patient care before commencing nurse training, establishing a strong practical foundation in healthcare and multidisciplinary working.

Developed advanced experience in assessment of critically ill patients, physiological monitoring, rapid interpretation of changing clinical information, and multidisciplinary decision-making during a 12-month placement.

Contributed to implementation of Martha's Rule across the hospital, strengthening experience in patient safety, escalation systems, clinical governance, policy implementation, and multidisciplinary communication.

Progressed to Sister level after extensive acute medicine experience, with responsibility for clinical leadership, respiratory and high-dependency monitoring, deterioration recognition, escalation, and staff supervision.

Provided clinical and operational leadership during the pandemic, managing teams, competing priorities, and rapidly evolving evidence and guidance while maintaining safety and governance standards.

Developed professional written communication, confidential information handling, accurate record keeping, data management, and experience working within organisational policies and procedures.

Postgraduate study in advanced clinical assessment, diagnostics, clinical decision-making, evidence-based practice, critical appraisal, academic writing and advanced professional practice.

Advanced study of assessment, monitoring and management of patients requiring high-dependency care.

Professional undergraduate degree leading to registration as an Adult Nurse with the Nursing and Midwifery Council.

Advanced assessment and management of deterioration, cardiac arrest and resuscitation.