WARD 8 FREEMAN HOSPITAL STUDENT RESOURCE PACK & POLO

Transcription

1 WARD 8 FREEMAN HOSPITAL STUDENT RESOURCE PACK & POLO STUDENT NAME:... MENTOR:... GUIDENCE FACILITATOR:... INTAKE/YEAR + SEMESTER:... Pack modified for review January 2014.

2 INDEX. 1. INTRODUCTION INTERVIEW DATES INDUCTION CHECKILIST WARD 8 INFORMATION WARD 8 POLO USEFUL VISITS USEFUL SOURCES OF INFORMATION FEEDBACK, EVALUATION + SUGGESTIONS....

3 INTRODUCTION. Welcome to ward 8. We hope you enjoy you placement with us here at the Freeman Hospital. We look forward to sharing and facilitating your learning experience with us and welcome you as a fresh and vital part of our team. We understand and remember what it is like to come to a new and unfamiliar environment and all the pressure that entails. We have therefore developed this information document to help you achieve the requirements and expectations set by the university. This document contains essential information about the ward, an induction checklist and a profile of learning opportunities. In addition we have made suggestions for possible visits to enhance your time in this learning zone. It allows you to establish dates for initial, intermediate and final interviews in advance, whilst establishing key points of your learning contract with your mentor. Using this document along with one of our year specific competency booklets, we hope to provide a useful framework for your time here in order to fulfil your learning experience The Education Resource box (black box) is also a valuable resource for you to use. Here on ward 8 we appreciate that learning is a multi-directional process and we welcome this concept. Please share with us anything that you find particularly useful or any resources that may be of benefit to other students in the future and to us on the ward. We welcome your contributions, suggestions and evaluations. If you have any particular worries please discus these with your mentors, ward managers or any member of our team. Finally, we hope that you have an enjoyable and productive experience with us as part to our team, dedicated to providing outstanding patient care. Ward eight Team.

4 INTERVIEW DATES Set your interview dates with your mentor at your introductory interview and document these dates on the off duty rota. INTITAL INTRODUCTORY INTERVIEW DATE: INTERMEDIATE INTERVIEW DATE: ISSUES TO DISCUSS: FINAL INTERVIEW DATE: ISSUES TO DISCUSS:

5 INDUCTION CHECKLIST FIRE IDENTIFY THE LOCATION OF FIRE EXTINGUISHERS AND FIRE EXITS ON THE WARD. IDENTIFY THE LOCATION OF THE FIRE ALARM PANEL. DESCRIBE THE ACTION TO BE TAKEN ON HEARING THE FIRE ALARM SOUND. IDENTIFY THE MEETING POINT IN THE EVENT OF THE FIRE ALARM BEING SOUNDED. DESCRIBE THE EVACUATION PROCEDURE IN THE EVENT OF A FIRE IN THE WARD. SIGNATURE OF MENTOR DATE EMERGENCY/ CARDIAC ARREST PROCEDURE IDENTIFY THE LOCATION OF EMERGENCY EQUIPMENT. DESCRIBE THE METHOD OF SUMMONING THE RELEVENT ARREST TEAM WHERE APPROPIATE INITIATE LIFE SUPPORT PROCEDURES WHERE APPROPRIATE ASSIST THE ARREST TEAM THROUGHOUT THE RESUSITATION PROCEDURE SIGNATUREOF. MENTOR DATE HEALTH AND SAFETY STUDENT CAN LOCATE AND DEMONSTRATE AND UNDERSTANDING OF: HEALTH AND SAFETY MANUAL CONTROL OF INFECTION FOLDER OPERATIONAL POLICES LOCAL HEALTH AND SAFETY PROTOCLS NURSING POLICIES SIGNATUREOF. MENTOR DATE

6 DISPOSAL OF WASTE STUDENT CAN IDENTIFY THE PROCEDURE FOR THE CORRECT DISPOSAL OF: CLINICAL WASTE NON-CLINICAL WASTE INFECTIOUS WASTE BODY FLUIDS SHARPS CONFIDENTIAL WASTE SIGNATUREOF. MENTOR DATE PERSONAL DOCUMENTATION ACCIDENT/ INCIDENT REPORTING SICKNESS/ ABSENCE REPORTING SIGNATUREOF. MENTOR DATE SECURITY STUDENT CAN DEMONSTRTAE A KNOWLEDGE OF SECURITY EMERGENCY NUMBER REPORTING SECURITY INCIDENT DATA PROTECTION PRINCIPLES SIGNATUREOF. MENTOR DATE FOOD HYGIENE STUDENT CAN DEMONSTRATE A KNOWLEDGE OF; FOOD STORAGE/ USE OF REFRIGERATORS CORRECT FOOD HANDLING PROCEDURES. SIGNATUREOF. MENTOR DATE

7 INFECTION CONTROL STUDENT CAN DEMONSTRATE A KNOWLEDGE OF; COMMODE CLEANING CORRECT CONSTUTION OF CLEANING SOLUTIONS ISOLATION POLICY AND PROCEDURES HAND HYGIENE MRSA C DIFFICILE MRSA SWABBING SIGNATUREOF. MENTOR DATE

8 YOUR MENTOR WARD EIGHT INFORMATION. On arrival to the ward, you will be introduced to your mentor who will be responsible for you during your allocation. Your mentor will show you around the ward and ensure you are familiar with nurse call system fire and cardiac arrest procedures. It may not always be possible to work with your mentor, but this will give you the opportunity to experience different approaches to care. ORGANISATION OF THE WARD Various shift patterns are currently in practice on Ward 8, most staff work 2 long days and two short days, the long day is from 07:30 20:00, short days are early 07:30 15:15 and 12:15 20:00, Nights are 19:30 08:00. Please discuss your preference with your mentor. The ward implements a form of team nursing. Team 1 consists of the patients in Bay 1, bay 2 and cubicle 1-3. Team 2 consists of the patients in Bay 3, bay 4 and cubicles 4-7. You and your mentor will be allocated a team of patients to care for during your span of duty. You may change teams after days off. Each team has there own team leader, who will coordinate the care for that group of patients. The nurses on the ward provide holistic care toward their patients, from completing the admission procedure, providing pre- and post-operative care, administering drugs and organising the patient s discharge from hospital. THE SURGERY Ward 8 is a vascular surgical ward but can also care for general surgical patients. Common vascular operations include: - AAA repairs - EVAR - Femoral-popliteal bypass - Embolectomy - Amputations COMMON INVESTIGATIONS Angiogram Angioplasty

9 Try to find out about what these involve before you start to gain maximum benefit from your placement. LEARNING OPPORTUNITIES There are many learning opportunities available on the ward, so try and experience: Aseptic technique, including removal of sutures, clips and wound drains Catheterisation Care relating to naso-gastric tubes Nutritional support Pain management Infection control Saving lives documentation. Transfer of patients to and from theatre Drug and ward rounds Nursing hand-over reports Nursing documentation Development of care pathways Patient education sessions Admission and discharge of patients Students are allowed to use the ward computer to access selected information. The ward computer has many articles and the indispensable intranet on it. (try looking in the ward documentsresource file folder). We also have a teaching room with a selection of books and handouts. If you wish to have a pre-placement visit, telephone and it will be arranged.

10 PROFILE OF LEARNING OPPORTUNITES (POLO) District Hospitals Macmillan Nurses ITU Outreach District nurses UNN Hospices Social Services Social Worker Chaplaincy Pain team Equipment library Nutrition nurse specialist Vascular nurse specialist Diabetic Team IT dept Ward 8 Freeman Hospital Out patients Occupational Therapist X-ray Palliative Care Team Theatre Tissue viability nurse Dietician Pharmacy Library Pre admission clinic Endoscopy Physiotherapist G.Ps Carers Pt Services Co-ordinators Support groups

11 KEY ELEMENTS INTERPERSONAL SKILLS LEARNING OPPORTUNITIES Use of the telephone Answering calls Making calls Ring back etc Bleep system Use of the computer to get Patient investigation results E Record Patient information Internet E mail access Administration of medication E record Talking to Patients Relatives Doctors Other nurses including specialist nurses Multi disciplinary team referrals Ancillary staff MDT meetings Doctors ward rounds Consultants ward round Booking transport Facilitating investigations Nurses handovers Managerial structure in Trust Team working Patient transfer in Trust Patient transfer outside the Trust RESOURCE/ RELEVANT PERSONEL/ DEPARTMENT Ward clerk/ ward staff Ward clerk / sister / any staff member Registered/HCA. Ward sister/ charge nurse Doctors, multi disciplinary team s/ OT/physio/social worker/ specialist nurses Domestics s Doctors/registered nurses/ pharmacists Ward clerk/ ambulance control in DC s / doctors / ward clerk s Managers/ sisters Observation of roles Patient / relative/ registered nurse/ winter pressures co- coordinator/bed co - coordinator / ambulance crew

12 KEY ELEMENT CLINICAL SKILLS LEARNING OPPORTUNITIES RESOURCE/ RELEVANT PERSONEL/ DEPARTMENT Patient hygiene Mouth care Hair/nail care Skin care Pressure care prevention (waterlow scoring) Recording of physiological observations BP TPR WT Blood glucose Urine output Maintaining accurate charts Giving medications Oral Intramuscular Subcutaneous Rectal Intravenous IV infusions Cannulation/ care of venflons Medical devices Phlebotomy Administration of blood and blood products Aseptic techniques i.e. dressings Nutritional intake Risk assessment BMI nutritional assessment Braden FALLS DVT-VTE assessment Moving and handling Infection control Catheter insertion and care Test urine CVP lines Patient safety Checking equipment Preparation for investigations / Theatre Consent Information Invasive radiology Non-invasive radiology Transferring to theatre Registered/HCA /HCA Registered/HCA Registered/HCA Registered/HCA Tissue viability nurse Registered/HCA /doctor / diabetic specialist nurse Registered/ HCA Registered/ HCA /pharmacist/doctors / infection control nurse /medical electronics/equip library Phlebotomist/laboratory/team assistant / tissue viability /HCA / nutritional nurse/ dietician /nutrition nurse sp/dietician / M+H facililatator Registered/HCA/control of infection nurse /doctor/continence advisor /practice development nurse / medical electronics/works department/housekeeper /HCA/doctors Doctors Doctors/registered nurse/nurse specialist in radiology/doctors Radiologist Nurse in radiology / HCA

13 KEY ELEMENT PATHOPHYSIOLOGICAL PROCESSES LEARNING OPPORTUNITIES RESOURCE/ RELEVANT PERSONEL/ DEPARTMENT Vascular Vascular nurse specialist Interventional radiology Disablement service centre Theatre Vascular lab. Anatomy education circulation Discharge planning Mentor to organise visits physios Books/computer/mentor OT PAIN Cause Treatment Patient controlled analgesia Epidural patient controlled analgesia Oral analgesia Nausea + vomiting PALLIATIVE CARE Symptom control Pain control Nausea + vomiting Support Communication Doctor / / Pain team / Palliative care team / Doctor KEY ELEMENT

14 HEALTH DEVELOPMENT OPPORTUNITIES LEARNING OPPORTUNITIES RESOURCE/ RELEVEANT PERSONEL/ DEPARTMENT Healthy life style strategies in relation to Smoking cessation Alcoholic Liver Disease Bowel disorders Cancer Obesity Diabetes Eating for a healthy heart Drug and alcohol abuse Promotion of exercise Stroke rehabilitation Healthy heart Pulmonary rehabilitation Health education and health promotion literature Models of health promotion/education Interface between hospital and community care Counselling Smoking cessation adviser / Registered nurse Dietician //Doctor Dietician /nutritional nurse/ Colo-rectal nurse Palliative care nurse Dieticians/ Nutrition nurse// Dieticians/ diabetic nurse specialists Dietician / CCU / rehab nurse Drug and alcohol team Physiotherapist Stroke unit / physio / OT CHD / Heart failure specialist nurse Health promotion unit Patient wise data base Internet Specialist nurses clinics Discussion with mentor Health action zone ( HAZ) District nurse Patient advisory liaison service (PALS) Specialist nurses Palliative care Clinical psychology

15 KEY ELEMENT MANAGEMENT OF CARE LEARNING OPPORTUNITIES Use of nursing model Philosophy of care Documentation used 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 Risk assessment tools Care pathways Multi disciplinary plan/working Discharge planning Referrals to other agencies OT Physio S/W D/N Discharge liaison Specialist nurses Macmillan nurse Hospice Relevant departments Implementation / Evaluation Ward rounds MDT Documentation Standards Protocols Policies Communication/ rel/patient Time management Planning priorities Dealing with difficult situations Deceased patients Patient property/valuables Self discharge Religious needs /arranging priest/communion /etc RESOURCE/ RELEVANT PERSONEL/ DEPARTMENT / Pre-assessment nurse Sources of information Patient, relatives, doctor, pharmacist, notes, district nurses, specialist nurses. MDT / nurse specialist / liaison nurses s s Register nurse / nurse specialist / liaison nurse / Palliative care team /Macmillan nurse /sister/doctors / royal marsden handbook/intranet / doctor /nurse specialist /doctor/ nursing manager / bereavement officer General office/ /doctor / hospital chaplain/priest

16 KEY ELEMENT ORGANISATIONAL AND MANAGERIAL ISSUES LEARNING OPPORTUNITIES Managing a team Organisational skills Delegation skills Prioritising skills Time management Leadership Off duty Managing patient work load Quality Standards of care Implementing change Documentation Giving information to Staff Doctors Patients Relatives Multi-disciplinary team members Other departments Resources Stock control Drugs Materials management Non-stock Stationary Establishment/skill mix Budget control Managing risk Policies and procedures Equipment safety checks Quality control Weekly environment checks Infection control Moving and handling Emergency situations Cardiac arrest Fast bleep system Violent incidents Fire Bed alerts Patient falls Staff developments Clinical supervision Reflective practice RESOURCE/ RELEVANT PERSONAL/ DEPARTMENT / nurse managers s /doctors / all ward staff Sister Sister / audit tools/specialist nurses s s Ward clerk / Sister/nurse manager Sister/ /doctors / doctors s s/doctors /pharmacists/stores /pharmacist / stores /materials management Sister/charge nurse/ stores dept Sister/charge nurse/ ward clerk Sister Sister Sister / registered nurse / computer Health &safety officer/electronics / housekeeper Health and safety officer Housekeeper Control of infection sister Moving and handling co-ordinator Cardiac arrest team/s s/switchboard /security officer Fire officer/ /pt, service co-ordinator /health and safety officer s s

17 Ward 8 Link Nurses Infection control Diabetes Pain Wound care Moving and handling (including falls prevention) Blood Transfusion S/N Samantha Peace H/K Margaret Reid HCA s Julie Gibson + Sylvia Donnelly S/N Donna Carty S/N Stacey Wingate & HCA Anna Dawson S/N LeighAnn Cochrane S/N Sam Martinez S/N Jeanette Newton S/N Helen Child & HCA Christine Malloy S/N Lisa Osborne S/N Heidi Dennhofer S/N James Cranswick & HCA s Rod Laucin + Sandra Cullen S/N Portia Ndebele S/N Amy Patterson DVT S/N Hannah Gunning TPN/Enteral feeding/must S/N Heidi Dennhofer Health and Safety & Risk assessment Sister Linda Fowler & HCA Lynn Turner C.O.S.H.H Mattress Champion Dignity Champion Continence Care Education & Mentorship Palliative care Sister Emma Birchall H/K Margaret Reid H/K Margaret Reid Sister Linda Fowler S/N Ann Mather S/N Stacey Wingate & HCA Sylvia Robson Sister Emma Birchall S/N Hayley Little S/N Sharveen Ali S/N Laura Finn

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19 USEFUL VISITS Ward 8 aims to offer a variety of learning opportunities. It may be possible to visit various departments or shadow specialist nurses during your time with us as part of your placement. Whilst these visits are important, they represent only part of the ward experience and must planned with your competencies in mind and organised through your mentor. The list of contacts included with the POLO, will help you to decide upon any visits you may find useful. DEPARTMENT OR SPECIALIST DATE COMMENTS NAME + SIGNATURE OF PRACTITIONER

20 WARD FEEDBACK, EVALUATION & SUGGESTIONS We welcome your comments, suggestions and evaluation. Please feel free to make use of this opportunity to help us improve this learning experience for future students. Comments should be left either with your mentor, education link nurses or ward managers.