Quality Assurance of Practice Learning for Health Care Professions PRACTICE EXPERIENCE PROFILE part 2 Clinical area specific

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1 Quality Assurance of Practice Learning for Health Care Professions PRACTICE EXPERIENCE PROFILE part 2 Clinical area specific PRACTICE EXPERIENCE PROFILE STUDENT WELCOME Dear Student We are pleased to welcome you to our placement area and hope that your time with us provides you with a valuable learning experience. We look forward to you contacting us 2-4 weeks prior to the start of your placement to confirm start details. The neonatal unit has a total of 12 cots comprising of 2 intensive care, 2 high dependency, and 8 special care cots. We accept infants from 27 weeks and above. We endeavour to provide a varied learning experience and you will be fully supported throughout your placement. There are 2 student link nurses on the unit Stephanie Potter and Morag Gourlay. We are responsible for allocation of mentors, off duty and managing any issues that may occur during your placement. Please contact us, preferably via [see below], prior to your placement so that we can arrange your induction. Many thanks, Stephanie & Morag NAME OF LEARNING ENVIRONMENT / PRACTICE EXPERIENCE WARD MANAGER NEONATAL UNIT, RHCH CATHY WILLIAMS ADDRESS/CONTACT DETAILS ( /PHONE) FLORENCE PORTAL HOUSE ROYAL HAMPSHIRE COUNTY HOSPITAL ROMSEY ROAD WINCHESTER SO22 5DG LEARNING ENVIRONMENT CLUSTER/TRUST DIRECTORATE / DIVISION FAMILY SERVICES CLINICAL LEAD TRISH LEFLUFY / EDUCATION LEAD FOR CLUSTER/DIRECTORATE HELEN FRIZELL Page 1 of 8

2 DATE PRACTICE EXPERIENCE PROFILE COMPLETED: 16/6/14 REVIEW DATE: 16/6/16 Name Position Work Base Contact Number and address STEPHANIE POTTER DEPUTY SISTER NEONATAL UNIT, RHCH [ preferable] MORAG GOURLAY DEPUTY SISTER NEONATAL UNIT, RHCH [ preferable] Student Induction Pack - CURRENT NNU Student mandatory training - NNU W june NGT Teaching pack NNU june 14.doc Work - drug calculations 2.doc OTHER LEARNERS ACCESSING PRACTICE AREA: Other Universities accessing our Learning Environment / Practice Experience for Student Learning, whom you may meet whilst on placement these are highlighted below: SOUTHAMPTON PORTSMOUTH BOURNEMOUTH OPEN UNIVERSITY READING SURREY Other We also support a range of professions and different learners on the following programmes, as highlighted below: Nursing Adult field Occupational Therapy Medical [working with medical team] HCS Cardiac Physiology, Respiratory & Sleep Nursing Child field Physiotherapy Radiography (Diagnostic) HCS Audiology, Neurophysiology, Vision Science Nursing - Mental Health field Podiatry Radiography (Therapeutic) HCS Life Sciences (Blood, Infection, Cellular, Genetics) Nursing Learning Disabilities Speech & Language Clinical Psychology HCS Med Physics (Radiotherapy, Radiation, Page 2 of 8

3 Therapy Nuclear) Midwifery Dietetics Social Work HCS Clinical Engineering (Med, Rad, Renal, Rehab) Foundation Degree Apprenticeships Other Learning Environment (Cluster) / Practice Experience Philosophy or Mission Statement Our philosophy is to promote family centred care within a safe, friendly and supportive environment. Our goals are a] to assess each baby and family s needs individually, b] to plan, deliver and evaluate a high standard of family centred care to meet identified needs, c]to provide excellent communication between parents and members of the multi-disciplinary team and to keep parents informed of their baby s condition, d] to be an advocate for the baby to ensure that optimal care is provided, e] to provide emotional, practical and spiritual support that will enable the family to be involved in all aspects of their baby s care and become confident and competent in caring for their baby, f] to provide staff with appropriate resources to deliver care to the babies and their families and to offer ongoing counselling, support and education to meet staff needs. Description of the Service we provide and Client groups who may access it: We are a 12 bedded level 2 neonatal unit with 2 intensive care, 2 high dependency care and 8 special care cots. We care for babies born at 27 weeks gestation and above. We have a highly skilled team of both doctors and nurses working on the unit. In addition, we have input from audiologists, paediatric physiotherapist, an ophthalmologist and a safeguarding team. There is a consultant nurse and an advanced neonatal practitioner in post on the unit. There are close links to labour ward and the midwifery / obstetric teams within the trust. Other areas of interest and related experience available Page 3 of 8

4 All students are allocated mentors on the unit to ensure that learning opportunities are met. The unit staff are committed to providing a highly motivated and positive learning environment. There may be opportunities to attend high risk / preterm deliveries / neonatal emergencies during placement if the opportunity arises. We endeavour to arrange for students to spend a day on the labour ward to follow a mother and baby through a delivery and allowing the student to experience normal antenatal, birth, and early postnatal care. There is a social round every Monday morning. This is a multi-disciplinary update on any current or pending safeguarding concerns. Students are welcome to attend this meeting with their mentor or nurse in charge of the unit. In addition, we encourage students to observe and /or participate in any care / procedures that may be going on within the unit. This may include input from other multi-disciplinary team members such as audiology, ophthalmology or physiotherapy OUR EXPECTATIONS OF LEARNERS WHILST ON THIS PRACTICE EXPERIENCE: First Year Develop knowledge and experience of nursing babies with a variety of neonatal conditions. Gain experience of the admission, transfer and discharge procedures, including use of appropriate documentation. Gain knowledge in, and acquire competence in taking and recording baseline observations including weight, temperature, respiratory rate, heart rate, blood pressure and oxygen saturations. To increase knowledge of neonatal development and outcomes and to be able to apply this to the care of babies on NNU. To be able to recognise the different roles of members of the multi-disciplinary team. To develop effective communication skills with colleagues, parents and families. Second Year To develop more in-depth knowledge of neonatal conditions and treatments To be able to assess, plan, implement and evaluate nursing care of a neonate under supervision. To increase knowledge of medications commonly used on NNU and to become more proficient in drug calculations. To be able to apply / integrate knowledge of different disease processes to practice i.e. identify reasons for different care / treatment. To develop effective communication skills when working with infants, families and the multi-disciplinary team. Third Year Acquire and demonstrate a sound knowledge of neonatal conditions and treatments. To thus be able to assess, plan, implement and evaluate the nursing care of the neonate under supervision. To be able to prioritise the needs of the neonate and family and deliver care accordingly. To become proficient with drug calculations and drug administration procedures. To work towards becoming more independent and making decisions regarding care. To establish effective communication skills when working with babies, families and the multi-disciplinary team. To be able to give a clear, informative handover to another nurse / doctor. By the end of the placement, the student should be able to manage and organise their own workload with supervision and guidance from a qualified nurse. Formative management and organisational skills should be developed for example, the ability to manage the special care room with supervision and guidance Page 4 of 8

5 from a qualified nurse LEARNER INFORMATION Is an Introduction Pack/ Student Handbook available? We have a very comprehensive induction pack for students on the unit which will be available on your first day of placement. You will be expected to complete the mandatory training section, drug and fluid calculation section and NGT competency during the course of your placement. Alternatively if you wish to access these before your placement they are available via the links below: Induction / Orientation Programmes Dress / Uniform Code Staff room / Rest Room facilities I Work Pattern (e.g. Shift patterns, start & finish times) We endeavour to provide an induction day on the first day of placement which is usually run by one of the student link nurses. Part of the day may incorporate the Trust mandatory induction session. The remaining time will be spent introducing you to neonatal care. The actual content of the day may vary depending upon the level of student experience. You are expected to present yourself in a professional manner at all times adhering to the Trust Uniform Policy. Long hair must be tied above the collar and you must not wear any necklaces, watches, or jewellery other than a wedding ring. Stud earrings are allowed but sleepers / other earrings should not be worn. The Trust has a Bare Below the Elbows policy in all clinical areas. We have a staff coffee room on the unit which you are welcome to use. It has a microwave and fridge for your own food. Tea and coffee is available on the unit but you will be expected to contribute a small sum to the staff coffee fund if you wish to use this facility. Alternatively, there is a staff canteen or Costa coffee shop within the hospital grounds. Early: , late , Night , Long Day Students are expected to work a combination so shifts during their placement including some weekends and night duty. Long days are not compulsory but you Page 5 of 8

6 may choose to work these if you wish. We will endeavour to put you on the same shifts as your mentor but this may not be possible on every shift due to skill mix and the number of students on placement at any one time. We will endeavour to meet personal requests wherever possible but this also depends on skill mix and staffing. Prior recommended reading / websites / resources Boxall Neonatal Intensive Care Nursing ; Merenstein & Gardner Handbook of Neonatal Intensive Care ; Roberton A Manual of Neonatal Intensive Care ; Kelnar & Harvey The Sick Newborn Baby ; Glasper et al. Developing Practical Skills for Nursing Children & Young People ; Kenner Comprehensive Neonatal Nursing Common assessments / interventions / procedures / treatments / evaluations Common conditions seen Individualised care assessment, planning, implementation and evaluation. Respiratory support with oxygen therapy, high flow, CPAP or ventilation. Thermoregulation. Intravenous / intra-arterial cannulation or catheterisation, monitoring and fluid administration, NGT / OGT feeding, peripheral long lines, lumbar punctures, chest drains, assistance with breast / bottle / cup feeds. Developmental care strategies. Administration of medicines Prematurity, respiratory disorders of the newborn, intra-uterine growth retardation, neonatal sepsis, hypoxic ischaemic encephalopathy, infants of diabetic mothers, hypoglycaemia, jaundice, hypothermia, feeding problems, neonatal anomalies Specific areas of expertise/clinical skills which students can observe / learn from / Practice LIST of LEARNING OPPORTUNITIES available in main hub placement area Individualised care assessment, implementation, planning and evaluation on a wide range of neonatal conditions. Discharge planning. Parental education and support. Developmental care strategies. Neonatal resuscitation / emergency situations. Newborn screening tests / capillary blood sampling. Septic screens. Observation and documentation of vital signs, recognising and reporting any deviation from normal. NGT feeding and feeding regimes. Care of baby in a cot /incubator. Care of babies with IV cannula / IVI with support. Care of baby receiving oxygen therapy / respiratory support under supervision. Care of babies who are jaundiced receiving phototherapy. Drug and fluid calculations and administration of oral / intramuscular medications under supervision. Participation in ward rounds, multi-disciplinary team working, prioritisation and organisation of workload A full list of learning opportunities is available within the student pack LIST of LEARNING OPPORTUNITIES available in Linked areas / spoke organisations We endeavour to arrange for all students to spend a day within the maternity unit during the course of their placement as the opportunity arises Page 6 of 8

7 LIST of Inter professional learning opportunities for students on placement (What other health/social care workers will the student encounter whist on placement in your area? (e.g. health visitors, police, probation officers, medics, health care assistants, pharmacists etc.) Social round Discharge planning meetings if the opportunity arises Ophthalmology Audiology Physiotherapy & Occupational therapy Specifically for Nursing students, are there opportunities on this placement for the student to have experience of working with other client groups, in order to meet EU Directives. E.g. Paediatric Community team Safeguarding team Maternity care Opportunity to attend deliveries / spend time on labour ward /maternity unit as the opportunity arises Child Care Care of the special care infant, care of high dependency / intensive care infants with support Mental Health We occasionally have mothers who are under the care of the mental health team Learning Disability We occasionally have parents with learning disabilities Other Please list all other services within this Trust/HSO and external NHS/Social Care/PVI services you liaise with or refer clients onto: Midwifery and obstetrics services Community midwives GP Health Visitor Community Children s Nursing team Page 7 of 8

8 Children s Services / Safeguarding team CAMHS Paediatric Outpatients Northbrook Ward Please list all other Health and social care staff the student may have the opportunity to work with: Helen Hudson, Named Nurse Safeguarding Children and other members of the safeguarding team Dr Luke Clifford, Opthalmologist Paediatric Physiotherapist / Occupational therapy team Audiology team Justin Wright, Social Worker with community nursing team Page 8 of 8