I am Specialty Doctor ,Frailty front door ,working in ED . I have seen Rama seeing patient with her clinical supervisor and also they joined me while I was assessing patient.

Few of the times I have seen Rama seeing patient and observed her doing that. She can take detailed history from patient and also from relatives about social background, baseline cognition and do appropriate query regarding concerns and conveyed to the team. She has understanding about basic idea about how to do falls patient workout and how to measure lying standing blood pressure which has an important role for any frail patient.

She is good at time keeping and also well mannered.

Rama has shown great enthusiasm during this placement. She is well aware of her scope of practice and isn’t afraid to ask questions. She has good communication skills and work together with the team. I have been able to see Rama develop her skills throughout her placement here. I wish her the best with her future clinicals.

Mahen Lockmun,Community Staff Nurse

Rama spent with me on my community rounds ,I was impressed by a second year student nurse , especially the skills she demonstrates in her clinical works and taken blood sample was good.

She will be an excellent nurse once she is qualified.

Diane Taylor – RN for @home team – community and ED.

Worked with Rama Ruchal Thapa in our team and she worked very professional with the team and especially with the patient we visited within the community. She introduced self to patient and explained who she was and reasons for visit and followed our policy and procedures inline with the NMC Code. she used PPE when required and ensured she follow infection control rules at all times. Worked with supervision regarding empty and changing night to day bag with patient catheter.

Role : ACP, assessor.

Worked within the virtual ward and able to mentor and assess students.

Rama has worked alongside myself and other staff.

Rama worked well alongside ACP and other healthcare professional within the virtual ward.

She has shown to be very compassionate towards patients, Kind, gentle and listen to patients/carers.

Able to participate in discussion with patients’ care/planning.

Discussed about anxious patients, assessment tool for patients with anxiety/depression, using depression score.

Identify patient with sepsis and highlighted the need for urgent actions.

Good team player, helpful and organised.

Rama spent a week at our GP surgery in Ashtead working alongside myself a practice nurse and other professionals.

Rama was very proactive during her time with us. She was keen to practice her skills and always willing to help. Her phlebotomy skills are very good and she challenged herself with some harder veins. She has seen a variety of wounds with us and learnt how to bandage. Rama spent time with the GPs, minor ops and physio so has a better understanding of the primary care MDT. She is very friendly and asks plenty of questions. I wish her well for the rest of her training.

Have been on the same placement with Rama for 6 weeks. We have managed well working together with our assessors and did the staff huddle. She is well aware of her scope of practice and isn’t afraid to ask questions. She has a good communication skills and work well with the team. Good time management. She has developed more skills confidently in this placement and I wish her the best with her future clinical.