Specialist Vascular Nursing. Information for students. Tina Dufour July

Transcription

1 Specialist Vascular Nursing Information for students. Tina Dufour July

2 Introduction Welcome to your Vascular nursing placement. We hope that your placement will be both educational and enjoyable, and will provide you with transferable skills to aid you throught you career. Your mentor during your placement will be Sister The vascular nursing team comprises of: Helen Thompson Tina Dufour Vascular Nurse Specialist Vascular Support Nurse Nursing Links include: Sr Maggie Williams Sr Maria Bainbridge Sr Mandy Ridley Sr Liz Flude Sr Julie Richards Emma Openshaw Clinical Lead Nurse Xray Tissue Viability Nurse Specialist Pain Nurse Specialist Infection Control Nurse Urology Nurse Practitioner Staff Nurse Carr Hill. MDT Links include: Ms Borsha Sarker Fiona McClintock Tim Brown Julie Wiper Lynne Calland Vascular Sonar Physiotherapist Smoking Cessation Adviser Podiatrist Podiatrist The Nurse Specialists and links work Monday to Friday, and as such your placement will take place throughout these working days. Tina Dufour July

3 A key aim of the Make it Real curriculum is to help students engage actively and safely in evidence based practice and new ways of learning. In doing, so they will be encouraged to critically reflect upon their own performance and on the wider issues of nursing and health care. Enquiry based learning; with client/patient focus will mean that students have a responsibility for identifying their own learning needs. Mentors as `experts` within their own practice environment, will support and guide the you to ensure that available learning opportunities are matched to expected learning outcomes. The purpose of the LEARNING ZONE is to aid this process and to offer direction and continuity in how this can be achieved. Key Learning Elements are identified in the Learning Zone as necessary, the specific Learning Elements provide the you with the opportunity to identify and negotiate learning between the yourself and Mentor. Keeping a reflective diary will be invaluable to your learning whilst on placement and is actively encouraged. Your mentor will plan your 8 week allocation so that you will have the opportunity to spend time with the different members working of the entire team in ward settings, outpatients departments diagnostic imaging and theatres, so that you may experience the patients journey. Competencies will be met and achieved through an enquiry based learning approach and evidence for learning will be agreed on at the initial interview between mentor and student. Tina Dufour July

4 STUDENT NURSE INDUCTION CHECKLIST Student Name: Start Date: This programme is a guide to mentors to aid the integration of student nurses into the working environment. It is good practice to have the document completed within the first two days of the placement. Student nurses must be allocated a mentors at least one week before the commencement of the placement. Within the school health service, the mentor will arrange to be with the student on their first day of placement. NB It must be remembered that the student must work 50% of the week with her/his assessor. ORIENTATION CHECKLIST SIGNATURE DATE Shown around the working environment Introduction to team members Working hours discussed Parking & Transport discussed Procedure for reporting sick Discuss dress code Given student nurse profile & philosophy Dining room or lunch arrangements Tina Dufour July

5 TO BE SHOWN Health & safety file Trust policies Control of infection policies Service standards & protocol file Home visiting policy Emergency exits Fire drill & procedure Fire extinguishers Tina Dufour July

6 Listed below are some of the common diseases/disorders, surgery and investigations that you may come across during your placement, it would be beneficial if you could find out what these involve before you start your placement to gain maximum benefit. Vascular surgical procedures Open Abdominal Aortic Aneurysm Repair Abdominal Aortic Aneurysm Stent Repair ( EVAR) Femoral-popliteal bypass Grapht Aorto-bifemoral bypass grapft Carotidendarterectomy Carotid stenting Amputation Embolectomy Angiogram Angioplasty Varicose vein surgery Conditions Intermittent claudication Aneurysms Peripheral arterial disease Venous leg ulcers Arterial leg ulcers Diabetic neuropathy Ischaemia Carotid stenosis COMMON INVESTIGATIONS Angiogram Duplex Computerised Tomography Magnetic Resonance Imaging (Angio) Ankle Brachial Index Tina Dufour July

7 LEARNING OPPORTUNITIES There are many learning opportunities available during your placement with the vascular nursing team, this will include: Diagnostic imaging Pain management Infection control Patient education sessions Admission and discharge of patients Pre assessment ward visits Multidisciplinary team meetings Outpatients clinics Theatre Nurse led clinics Angio Specialist meetings User involvement Health promotion Students are allowed to use the department computer to access selected information. We also have a selection of books, leaflets, journals, educational resource files and handouts. CONCLUSION The specialist nurses will be willing to help throughout your 8 week placement in order for you to take advantage of the opportunities offered and gain the most from your time spent with the Vascular Nursing team. If you wish to have a pre placement visit, please phone or bleep 2127 and this can be arranged. Tina Dufour July

8 KEY ELEMENT INTERPERSONAL SKILLS LEARNING OPPORTUNITIES RESOURCE/PERSONNEL/DEPARTMENT Tina Dufour July

9 Use of telephone Answering calls Making calls Use of bleep system Vascular secretary/vascular nurse specialist /Vascular support nurse Use of the computer to get: Patient investigation results Patient information Internet access Communication with: Patients Relatives Doctors Nurses in other departments Outpatients Multidisciplinary team Primary care Colleagues Vascular secretary/ vascular nurse specialist/vascular support nurse. Vascular nurse specialist/ vascular support nurse/preassessment nurse/dietician/radiology nurses/ward nurses/members of the multidisciplinary team Members of the multidisciplinary team/ Vascular support nurse/ Vascualr nurse specialist Participation in: MDT meetings Patient transfer outside the trust Discharge of ward patients Nurse handovers Team working Tina Dufour July

10 KEY ELEMENT CLINICAL SKILLS LEARNING OPPORTUNITIES RESOURCE/PERSONNEL/DEPARTMEN T Tina Dufour July

11 Patient hygiene Patient assessment Pre assessment nurse/vascular support nurse / vascular nurse specialist/ ward staff Nutritional assessments Nutrition nurse specialist/dietician Medical devices Infection control Vascular Nurse Specialist/ Vascualar support nurse/ Infection control and Prevention officer / ward staff/ NICE Moving and handling Patient safety Vascular nurse specialist / vascular support nurse / ward staff/ physiotherapist / occupational therapist. Vascular nurse specialist / vascular support nurse / ward staff Complex wound care Vascular nurse specialist / vascular support nurse / tissue viability nurse specialist/ tissue viability support nurse/ leg ulcer nurse specialist/ leg ulcer clinic staff nurse Preparation for investigations/theatr e Consent, information, invasive radiology, non invasive radiology, transferring to theatre, post Vascular nurse specialist / vascular support nurse / ward staff / medical staff / radiology nurse practitioners Tina Dufour July

12 operative care/ considerations. Tina Dufour July

13 KEY ELEMENT PATHOPHYSIOLOGIGAL PROCESSES LEARNING OPPORTUNITIES RESOURCE/PERSONNEL/DEPARTMENT Tina Dufour July

14 Anatomy and physiology Disorders Investigations Infections Treatment Surgery Drugs Vascular nurse specialist / vascular support nurse / ward staff / diagnostic imaging staff Management of care Outpatients clinic MDT meetings Vascular nurse specialist / Vasualr support nurse Nutritional / lifestyle changes Dietician / vascular support nurse/ vascular nurse specialist / ward staff KEY ELEMENT Tina Dufour July

15 HEALTH DEVELOPMENT OPPORTUNITIES LEARNING OPPORTUNITIES RESOURCE/PERSONNEL/DEPARTMENT Healthy lifestyle strategies in relation to: Smoking Alcohol Obesity Nutrition Drug abuse Exercise Literature/dietician/ smoking cessation officer/ physiotherapist/ vascular nurse specialist/ vascular support nurse/ ward staff/ medical staff/ radiology team Health education and health promotion literature Models of health promotion/education Interface between hospital and community care Psychological care and support Tina Dufour July

16 User involvement KEY ELEMENT MANAGEMENT OF CARE LEARNING RESOURCE/PERSONNEL/DEPARTM Tina Dufour July

17 OPPORTUNITIES ENT Use of nursing model Mission statement Documentation Nursing Process Assessment Who assesses How is assessment carried out/open or closed questions What is assessed Where does it take place Planning Care plans/pathways Risk assessment tools Multidisciplinary plan Discharge planning Referrals OT Physiotherapist Social worker District nurse Discharge liaison Specialist nurses Relevant departments/hospitals Vascular nurse specialist/ vascular support nurse/ ward staff / out patient department staff/ out patient reception staff / medical team/ MDT Implementation/Evaluati on Ward rounds MDT working Documentation Standards Tina Dufour July

18 Protocols Policies Communication Time management Planning workload KEY ELEMENT ORGANISATIONAL & MANAGERIAL ISSUES LEARNING RESOURCE/PERSONNEL/DEPARTME Tina Dufour July

19 OPPORTUNITIE S NT Managing a team Organisational skills Delegation skills Prioritising skills Time management Leadership Managing patient work load Quality Standards of care Implementing change Documentation Giving information to: Staff Doctors Patients Relatives Multidisciplinary team members Other departments Vascular nurse specialist/ vascular support nurse/ dietician. radiological nursing team/ ward staff/ RCN Standards/ NICE Vascular nurse specialist / vascular support nurse Resources Stock controlstoma/fistula Managing Risk Policies & procedures Quality control Infection control Vascular nurse specialist / vascular support nurse Tina Dufour July

20 Moving & handling Emergency Situations Cardiac arrest Fast bleep system Violent incidents Fire Patient forms Staff developments Reflective practice IPR Tina Dufour July

21 Smoking cessation Patient care pathways Theatres Preassessment CCOT Communication Urology Andrology Venous leg ulcer service Patient information User involvement Tissue Viability nurses Policies Specialist Vascular Nurses Vascular Nurse Specialist Vascular Support Nurse Angio/radiology OT/MDT Community visits Physio Infection Nurse led Control/ clinics prevention podiatry Consultant clinics Vascular sonar Chronic pain management Reflective Practice dietician Tina Dufour July