My job

60 seconds with surgical nurse practitioner Arniel Bautista Hernando

What I’ve learned in a career that has spanned London, Wales and the Philippines

What I’ve learned in a career that has spanned London, Wales and the Philippines

Arniel Bautista Hernando: take every opportunity to learn and develop as a professional.

Arniel Bautista Hernando qualified as a nurse in the Philippines in 1991. After working in a range of care settings including theatres, emergency departments and intensive care he moved to the UK in 2000. He took up a healthcare support worker post at Ysbyty Gwynedd Hospital in Bangor, north Wales, while working towards completing his registration with the Nursing and Midwifery Council. After working his way up to a band 7 night nurse practitioner and advanced nurse practitioner in the hospital’s acute intervention team he moved to London in March 2016. There he worked as a haematology advanced nurse practitioner at University College Hospital. He returned to Wales in March 2017 to take up his current role as a surgical advanced nurse practitioner at Ysbyty Gwynedd and to complete his MSc in advanced clinical practice at the University of Wales.

What are your main work responsibilities?

The initial assessment, diagnosis and treatment of surgical, urology, vascular, ear, nose and throat paediatric patients. I am part of an on-call rota and manage a team of clinical support workers, and am also involved in the day-to-day management of a surgical assessment unit.

How did you get your job?

After working in London for almost a year I missed the countryside and fresh air of north Wales. I contacted my former manager at Ysbyty Gwynedd and she suggested I apply for the role of surgical advanced nurse practitioner. I was appointed to the role and haven’t looked back. It’s great to be back working for NHS Wales, where nurses are valued, empowered and supported.

Who are your clients/patients?

Most of the patients are from GP and emergency department referrals, and need surgical review prior to possible surgical intervention.

What do you love about your job?

In my current role I can provide nursing care at the same time as surgical input. My broad experience and knowledge enable me to provide expertise when my colleagues need it, and I enjoy seeing patients getting the best person-centred care and going home feeling better with their problems sorted out.

What do you find most difficult?

The NHS is a large multi-faceted organisation, and there are challenges with the ageing population and changing healthcare needs. But as an advanced nurse practitioner I am supported with adopting the best approaches to care delivery, and I try to stay focused on doing the best job.

What's your top priority at work?

Patient safety is always my top priority, but I also ensure I am making the best use of NHS resources.

How have you developed your skills in this role?

I have taken every opportunity to develop my nursing skills, and gained a huge amount of experience across the four pillars of clinical practice, leadership, education and research. In Wales we have a nationally adopted framework for advanced practice which has supported my development.

What has been your most formative career experience?

My career experience and journey to date have taught me that we are all different, but as nurses we have the patients’ best interests at heart.

What will be your next career move?

I am passionate about gaining more knowledge and experience in the surgical field. I would like to establish an advanced nurse practitioner clinic for minor surgery, and work towards becoming a nurse consultant.

What is the best lesson nursing has taught you?

In my 27 years as a nurse I have learned to be myself, appreciate others, to never forget the core principles around the fundamentals of nursing practice, and to be dedicated to my profession.

What career advice would you give your younger self?

Be sure what you want to do in your career and take every opportunity to learn and develop as a professional, building on your skills to meet your goals. Doing a job you love is the best feeling you could ever have, so be sure to follow your passions.


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