Placement /Speciality - Respiratory

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1 Placement /Speciality - Respiratory Based at Wansbeck General Hospital - In-patient acute medical respiratory - ITU / Surgery Carole McAlpine Brian Collins Contact Address Physiotherapy Department Wansbeck General Hospital Woodhorn Road Ashington Northumberland NE63 9JJ Tel. No (Reception direct line) Address First Day Report to : Where: When: Carole McAlpine/Brian Collins Physiotherapy Department, Wansbeck General Hospital 9:00 a.m. Hours 8:45 a.m. 4:30 p.m. (department opening hours) Student hours negotiable on arrival ½ hour lunch break Time tabling Time-table given on arrival. Meeting and training times agreed. Access Rail - No Bus - X31, X32, X33 Road - A189 On site Parking Yes - (On your first day - Please contact Gloria Calder, In-patient /Paediatric Secretary, for a parking permit).

2 Uniform Required Blue trousers White tunic Shoes Study Leave Any study leave you are entitled to can be discussed at the commencement of your placement. Common Conditions Students may see COPD Asthma Fibosing Alveolitis Lung Cancer General medical / Elderly patients Suggested Pre-Reading Alexandra Hough - Physiotherapy and Respiratory Care Anatomy / Physiology and Pathology of Respiratory Systems and Conditions Library See General Information sheet.

3 Respiratory Physiotherapy Team The Clinical Director of Physiotherapy for Northumbria Healthcare NHS Trust is Catherine Carr. Karen Manners, Superintendent Physiotherapist, has managerial responsibility for the In-patients Physiotherapy Team at Wansbeck General Hospital. Clinical Director of Physiotherapy Superintendent II Physiotherapist (IPs) Senior I Senior I Senior II Rotational Post Staff:- Senior I Brian Collins Senior I Carole McAlpine Full time Senior II Dawn Kirkwood Junior Rotational Post Contact Address: Wansbeck General Hospital Woodhorn Rd Ashington Northumberland NE63 9JJ Service Provision The service provides physiotherapy assessment, treatment and advice to all respiratory patients in Wansbeck General Hospital, including ITU HDU CCU Surgical wards ( 4 & 5) Respiratory ward (2) Medical Admissions Unit (MAU) Outlying patients on medical wards Respiratory outpatients

4 Referral Pathways Physiotherapists collect their own referrals from all wards covered. Doctors, Nurse Specialists, Care Facilitators and Ward Staff also make verbal referrals to physiotherapists. Consultants and Respiratory Nurse Specialists make outpatient referrals from clinics. Preparation for Respiratory Placement Students are expected to carry-out the following work prior to commencing the placement: Background reading on common respiratory and surgical problems Update on respiratory anatomy and physiology Physiotherapy management of common respiratory conditions Individual SWOT analysis Aims and Objectives Aims of Placement 1. To gain knowledge and experience in the physiotherapy assessment, treatment and management of patients with respiratory problems 2. To gain experience of Multi-disciplinary Team (MDT) working and understand the role of each team member Objectives 1.1 To assess the patient and reach a clinical diagnosis 1.2 To use this assessment to provide an effective treatment / management plan 1.3 To formulate aims and objectives of treatment / management 1.4 To be able to evaluate the effectiveness of treatment at regular intervals 1.5 To gain experience in the use of equipment used in a variety of clinical settings for the respiratory patient 1.6 To be able to adapt level and type of communication to establish good relationships with patients 1.7 To establish a professional relationship with members of the MDT

5 Induction Plan : Respiratory Placement Learning Plan Week 1 Day 1 Orientation to the Department Housekeeping, personnel, policies, procedures, health & safety, library and learning resources, documentation Discuss learning outcomes, SWOT analysis, areas of interest / concern, preferred learning style Discuss previous experience and identify gaps in knowledge Overview of the proposed learning experience Shadowing of Senior I on wards assessment and treatment Day 2 5 Orientation of clinical setting and respiratory physiotherapist s role Observation of Clinical Educator Introduction to documentation Progression to assessment and treatment of people with respiratory conditions (discuss problems, treatment plan and goal setting) Set additional learning outcomes Timetable dates for ½ way and end of placement report Agree date for presentation i.e. case study Introduction to the MDT, nursing staff, OT, ward doctors and other Allied Health Professionals (AHPs) Week 2 Progress to responsibility for a small caseload on the wards. Progress to guided subjective and objective assessment of patients Deliver and adapt treatment programmes after discussing with Clinical Educator Observe Clinical Educator and also be observed Participate in In-service Training (IST) Independent study time. Select a subject for presentation in final week Week 3 Continuation of responsibility for a small number of patients on the wards Subjective and objective assessment under close supervision Development of goals and treatment and management Week 4 Increase responsibility for a caseload of patients on the wards Develop organisational skills ward management Development of assessment, goal setting and treatment programmes Observe and be observed performing assessments and treatment plans Discuss treatment and management options Demonstrate ability to adapt treatment to individual circumstances

6 Week 5 Consolidation of knowledge and skills gained during previous 4 weeks and review of additional learning objectives Present case study / project Final assessment and grade for placement Student assessment of placement Students will experience aspects of the Portfolio of Learning Opportunities (POLO) throughout the placement. It is hoped that some experiences may have a direct relation to the student s caseload. Progression / caseload and the degree of supervision will be adjusted according to the year group, ability of the individual student and prior clinical experience.

7 RESPIRATORY STUDENT DIARY WEEK BEGINNING AM PM MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

8 PORTFOLIO OF LEARNING OPPORTUNITIES Respiratory Physiotherapy Placement Wansbeck General Hospital

9 Portfolio of Learning Opportunities. Placement : In patient orthopaedics, elective and trauma Base : Wansbeck General Hospital Ashington Northumberland : Brian Collins Carole McAlpine POLO Learning Zone Middle: Brian Collins } Acute Carole McAlpine } Chronic Zone 1 : (physiotherapy) Pre and post-op physiotherapy Home visit assessments Multi-disciplinary ward meetings Multi-disciplinary ward hand-over / rounds Respiratory Assessment and Treatment Zone 2 : (health) Anaesthetists Care of the Elderly Physiotherapists Clinical nurse specialist respiratory / colorectal Occupational therapist Respiratory and Surgical consultants Orthogeriatric consultants Orthotist Pain team Palliative care team Pre admission nurse specialist Ward staff Zone 3 : (Primary care) Care managers Community rehabilitation hospitals Domiciliary physiotherapy Hartford final rehabilitation unit Joint equipment loan store (JELS) Out patient physiotherapy departments Wheelchair service

10 Zone 4 : ( Advisory) Care facilitators Manual handling advisory service Tissue viability nurse Zone 5 : (others) Family /Carers Product advisers for specialist equipment Dietician Podiatrist SALT

11 KEY ELEMENT Specialist Knowledge. LEARNING OPPORTUNITIES Physiotherapy- role within the MDT and approaches to assessment and rehabilitation in acute and chronic respiratory conditions. Occupational Therapy - role within the MDT Consultant Anaesthetists - Daily ward rounds for review of acute respiratory patients RESOURCE/RELEVANT PERSONNEL/DEPARTMENT and other members of the respiratory physiotherapy team as appropriate. Jane McDonald / Marcia Murray Senior occupational therapists Len Edmundson, John Laurenson, John Duggan, Jeremy Rushmer, Gwenda Cavill Respiratory and Surgical Consultants- Assessment and management of respiratory and surgical conditions. Theatre visits and bronchoscopies. Mr. Mike Bradburn, Mr. Mike Carr, Mr. Sadiq Bawa, Mr. Johnathon Guest, Mr. Magdi Youssef, Ms. Sarah Mills, Dr. Peter Brown, Dr. Stephen Bourke, Dr. Gbenga Afolabi. Wheelchair Therapist - Assessment and prescription of specialist wheelchairs Orthotist -assessment and provision of orthotics Respiratory nurse specialist Respiratory clinics, respiratory in patient advice Colorectal nurse specialist Pre op assessment and clerking of elective surgical patients Breast Care nurse specialist Breast clinics and in patient counselling Acute Pain Team - assessment and management of post operative and acute pain Palliative care team- assessment and management of patients needs Alistair McCord Head of wheelchair services. Simon Donaghy, Jan Glover Ian McWhinney, James Wall Sister Anne Gray Sister Louise Loughead Sister Barbara Stephenson Sister Gill Starkey Tim Bamigbade Gwenda Cavill Amanda Platt Carol Moore Sharon Hillock

12 KEY ELEMENT Clinical Skills LEARNING OPPORTUNITIES Chronic respiratory Surgical respiratory Critical Care/Outreach RESOURCE/RELEVANT PERSONNEL/DEPARTMENT Carole McAlpine Brian Collins Rehabilitation classes - Hartford Unit Care of the elderly Respiratory Anna Veitch / Heather Grant Lynn Henderson/Kim Ferguson Brian Collins/ Carole McAlpine Pain team Rheumatology Non Invasive Ventilation Pulmonary Rehabilitation Out Patients Amputees Liz Beattie Bronia Pethrick Carole McAlpine / Brian Collins Carole McAlpine Carole McAlpine Brian Collins / Karen Manners

13 KEY ELEMENT Organisational and Managerial issues LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT Managing a caseload Organisational skills Delegation skills Prioritisation skills Time management Standards of care /Standards file Giving information to: Respiratory / Surgical staff Patients Relatives/carers Doctors MDT members Resources Ordering of special equipment Re-ordering of standard walking aids Re-ordering of standard wheelchairs. /Physio Assistant/TI's /Physio. Assistant/ TI's Managing risk Policies and procedures Equipment safety checks Daily environmental checks Infection control Moving and Handling Emergency situations Cardiac arrest Fire Patient alarms Policies and Procedures file /equipment reps Clinical educators Infection control policy/ nurse / Moving and handling file will discuss in induction /refer to relevant procedure documents Staff Developments Reflective Practice Clinical educator will provide guidance

14 KEY ELEMENT Interpersonal skills LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT Use of telephone Answering calls Making calls Taking messages Talking to: Patients Carers/relatives Doctors Other members of MDT Writing reports/discharge summaries /Respiratory physiotherapy staff. Clinical educators/respiratory physiotherapy staff/mdt members /standard report formats

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