Francesco Di Siena, RN

Critical Care Staff Nurse · Cardiovascular Intensive Care, Cardiothoracic Surgery, PACU & Coronary Care Nursing

Author Nursing education Cardiothoracic care

Credentials last verified: July 2026

About

Francesco Di Siena is a registered nurse with more than 15 years of international clinical experience in cardiovascular intensive care, cardiothoracic surgery, coronary care, post-anaesthetic recovery, and high-dependency nursing. His career spans specialist healthcare environments in the United Kingdom, Sudan, Australia, and Italy.

He has cared for adult and paediatric patients with complex cardiovascular, respiratory, surgical, and critical care needs, including patients requiring mechanical ventilation, haemodynamic support, intra-aortic balloon pumping, renal replacement therapy, and advanced postoperative monitoring. Francesco currently works within the Critical Care Rotation Programme at Royal Brompton and Harefield in London, with rotations through the Adult Intensive Care Unit, High Dependency Unit, and Post Anaesthetic Care Unit.

Role in Cardiovascular Critical Care

Francesco’s clinical practice is centred on the assessment, monitoring, and management of patients with complex cardiovascular and cardiorespiratory conditions. His experience includes postoperative care following coronary artery bypass grafting, valve repair and replacement, congenital heart surgery, thoracic surgery, and aortic procedures.

He has worked with advanced critical care therapies including mechanical ventilation, continuous renal replacement therapy, haemofiltration, intra-aortic balloon pumping, and inhaled nitric oxide. His professional background combines technical critical care skills with patient advocacy, multidisciplinary collaboration, staff education, and a strong commitment to safe, evidence-based nursing practice.

Role as a Nursing Education Author

As a nursing education author for NurseOnShift, Francesco contributes nursing-school and education guides designed to help prospective students compare programs, admissions pathways, costs, accreditation information, and publicly reported outcomes. His extensive frontline experience in cardiovascular and critical care nursing informs practical, evidence-based educational content for nursing students and professionals.

Professional Profiles & Verification

Clinical Experience

Critical Care Rotation Programme — Staff Nurse

Royal Brompton & Harefield NHS Foundation Trust · London, United Kingdom

April 2018 – Present

Post Anaesthetic Care Unit

April 2019 – October 2019

  • Provided post-anaesthetic nursing support following cardiac and thoracic surgery and cardiac catheterisation laboratory procedures
  • Monitored airway, breathing, circulation, pain, consciousness, and postoperative recovery
  • Recognised and responded to postoperative complications and supported safe transfer to critical care or inpatient units

Adult Intensive Care Unit

October 2018 – March 2019

  • Cared for patients requiring advanced cardiovascular and respiratory support before and after complex cardiac and thoracic surgery
  • Provided specialist critical care to patients with adult congenital heart disease and advanced lung conditions
  • Worked within a specialist commissioned extracorporeal membrane oxygenation centre

High Dependency Unit

April 2018 – October 2018

  • Provided Level 2 care to patients following cardiothoracic surgery and cardiology patients requiring enhanced monitoring
  • Supported patients transitioning between intensive care and inpatient wards

Cardiovascular Intensive Care Nurse

EMERGENCY NGO · Salam Centre for Cardiac Surgery, Khartoum, Sudan

October 2017 – December 2017

  • Provided intensive care to adult and paediatric cardiac patients following complex cardiac surgery
  • Managed patients with acute decompensated heart failure, congenital and acquired heart disease, and rheumatic valvular disease
  • Supported intra-aortic balloon pumping, inhaled nitric oxide, CRRT, and CVVH
  • Supervised and taught national nursing staff within an international humanitarian environment

Cardiovascular Intensive Care Nurse

The Wellington Hospital, HCA Healthcare UK · London, United Kingdom

October 2016 – September 2017

  • Provided postoperative intensive care following CABG, valve repair and replacement, congenital and acquired cardiac defects, and aortic procedures
  • Managed patients with decompensated heart failure requiring mechanical ventilation, haemofiltration, and advanced monitoring

Cardiovascular Surgical Nurse

The Wellington Hospital, HCA Healthcare UK · London, United Kingdom

November 2015 – September 2016

  • Cared for patients with acute and chronic cardiovascular conditions including unstable angina, cardiomyopathy, coronary artery disease, and congestive heart failure
  • Provided postoperative care within a specialist cardiac surgical unit with cardiac and vascular monitoring

Health Assistant — Complex Care

The Royal Melbourne Hospital · Melbourne, Australia

November 2014 – April 2015

Patient Care Attendant

St Vincent’s Hospital Melbourne · Melbourne, Australia

September 2013 – March 2014

Staff Nurse — Intensive Care Unit and Coronary Care Unit

Gruppo MultiMedica · Milan, Italy

February 2012 – August 2013

  • Provided postoperative care following cardiac, general, vascular, and urological surgery
  • Managed patients with myocardial infarction, unstable angina, cardiac dysrhythmias, and severe respiratory failure
  • Received critically ill patients from the Emergency Department and inpatient wards

Staff Nurse — Cardiac Unit

Gruppo MultiMedica · Milan, Italy

May 2010 – February 2012

  • Provided nursing care to patients with cardiovascular disease across clinical, interventional, and surgical pathways
  • Performed cardiovascular assessments, administered treatments, and educated patients about cardiac conditions and continuing care

Education & Professional Training

First-Level Master’s Degree in Cardiovascular Nursing
University of Milan, Italy · 2011–2012

Specialist postgraduate education covering cardiovascular clinical and interventional pathways, cardiac surgical pathways, critical cardiovascular care, prevention, rehabilitation, and advanced nursing management of patients with heart disease (60 academic credits, approximately 1,500 hours).

Bachelor of Nursing
University of Milano-Bicocca, Italy · 2007–2010

Academic and clinical foundation for professional practice across cardiac nursing, coronary care, intensive care, and surgical nursing (182 academic credits, approximately 5,400 hours).

Clinical Skills & Professional Competencies

  • Cardiovascular intensive care, cardiothoracic surgical nursing, and postoperative cardiac care
  • Adult ICU, coronary care, PACU, and high-dependency nursing
  • Adult congenital heart disease and advanced cardiovascular monitoring
  • Mechanical ventilation, haemodynamic assessment, and IABP support
  • CRRT, CVVH, haemofiltration, and inhaled nitric oxide therapy
  • Acute heart failure, cardiac arrhythmia monitoring, and clinical deterioration escalation
  • International nursing education, staff supervision, and multidisciplinary critical care

Areas of Clinical Expertise

  • Cardiothoracic ICU
  • Coronary care
  • PACU
  • High dependency
  • Heart failure
  • Mechanical ventilation
  • Renal replacement
  • Patient safety

Professional Approach

Francesco’s approach to nursing is grounded in clinical vigilance, patient safety, evidence-based care, and multidisciplinary collaboration. His extensive experience across cardiac units, coronary care, intensive care, high-dependency care, and postoperative recovery enables him to understand the full clinical pathway of patients with complex cardiovascular and respiratory conditions. He is committed to providing safe and compassionate care while supporting colleagues, sharing specialist knowledge, and responding effectively to rapidly changing clinical situations.

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Profile last updated July 15, 2026.