PROFILE OF LEARNING OPPORTUNITIES.
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1 NORTH TYNESIDE PRIMARY CARE TRUST. PROFILE OF LEARNING OPPORTUNITIES. COMMUNITY BASE
2 GUIDANCE FOR MENTORS AND STUDENTS. This profile of learning opportunities is a document which details learning opportunity within your community / primary care placement. This file is a growing and dynamic document, with staff and students being responsible for keeping it updated and relevant for their clinical area. It is intended that mentors and students utilise this resource to select appropriate learning opportunities to help students meet their specified competencies. It is expected that students will use this file as a resource and be proactive in identifying their learning needs. Most of these learning opportunities will take place with a variety of community nurses including, district nurses, health visitors, public health nurses, specialist nurses and practice nurses. There will also be opportunity to work with many allied health care professionals. Despite the diversity in learning opportunities within primary care, not all of these opportunities will be accessible during placement. However, this resource gives an overview of the inter agency and multi professional contacts which students may encounter during their community/ primary care placement. On the first day of practice placement within primary care, the student must have an induction into their practice area. Please ensure that the induction checklist is completed and retained in this portfolio. Following placements, student evaluation forms will be returned to the practice area. These should be used to reinforce good mentor practice and developmental opportunities. Please retain student evaluations in this portfolio for audit purposes. Lynn Dracup. Practice Placement Facilitator. Tel: (Copyright Lynn Dracup December 2003) 2
3 CONTENTS 1. AREA PROFILE. 2. LEARNING ZONES District Nurse Health Visitor Public Health Nurse Practice nurse. 3. LEARNING OPPORTUNITES. 4. ADDITIONAL LEARNING OPPORTINITIES SPECIFIC TO AREA OF PRACTICE. 1. AREA PROFILE. 3
4 CLINICAL AREA (DESCRIPTION) LOCATION TELEPHONE NUMBER BUILDING ACCESS CODE SHIFT PATTERNS
5 PHILOSOPHY OF CARE NURSING MODEL USED MENTORS NAMED PERSON RESPONSIBLE FOR POLO POLO REVIEW DATE
6 2. LEARNING ZONES District Nurse Health Visitor Public Health Nurse Practice nurse. 6
7 2.1 District nurse. Pharmacist Community disabilities Practice nurse Age concern/ voluntary agencies Chiropody Cardiac rehab nurse Palliative care District nurse Diabetic specialist Tissue viability nurse Social services CPN s & other specialist nurses. Wheel chair services/ joint loans Sexual health/ midwives Moving & handling Others include, Health visitors. GP s. Marie Curie day hospice. Caring for Cancer at Home. 7
8 2.2 Health visitor. Dieticians Social services Practice nurse Learning disability team Dental department Child & Family psychiatry GP s Health visitor Community physiotherapist Nursery nurse Speech & language therapist Health promotion Midwives Public health nurse Smoking cessation Others include, Family support teams. Perinatal mental health service Community paediatric nurse. 8
9 2.3 Public health nurse. Ward 10 NTDGH. Nursery nurses Teenage pregnancy services Education welfare officers. EWO Sexual health services Police, YOT. Public health nurse CAMH s Child +Family services Learning mentors. Teachers Speech therapy Asylum seekers unit. Dental health Youth services Others include, Nursery, Primary and Secondary schools. Health promotion department. Youth workers. Mosaic. 9
10 2.4 Practice nurse. Asylum seekers team. Health visitor District nurse Social service. Relate. Mental health service. Admin support. Practice Nurse Citizen Advice Bureau. Special nurse teams Chiropody Tissue viability nurse Pharmacy Staff. Dietician Public health nurses 10
11 3. LEARNING OPPORTUNITIES. 11
12 INTERPERSONAL SKILLS. LEARNING OPPORTUNITY Effective communication, talking/ interaction with patients/clients /carers/relatives/teaching staff in a variety of settings. RESOURCE/PERSONNEL. District nursing team/ health visitors/ practice nurse/ nursery nurse/ public health nurses (PHN). Awareness of own communication skills both verbal and non-verbal. Use of telephone/answering calls/bleep Systems/ring back. Use of computer, and internet Multi-disciplinary and multi agency meetings. Discussions with other relevant professionals involved in patients care. Holistic care of different groups of people, young, elderly, asylum seekers, dying. Admin support. District nursing team/ health visitors/ practice nurse/ nursery nurse/phn. District nursing team/ health visitors/ practice nurse/ nursery nurse. District nursing team/ health visitors/ practice nurse/ nursery nurse/phn. District nursing team health visitors/ practice nurse/ nursery nurse/phn. Cancer care/macmillan team/ward 10/ Avenues acorns. Promotion patients compliance and concordance with treatment/ medications/health promotion strategies Demonstrate sensitivity for patients/carers in relation to distressing information. Support and enable patients/carers/groups and communities to take action and prioritise health needs. District nursing team/ health visitors/ practice nurse/ nursery nurse/phn/ practice nurse. District nursing team/practice nurse/health visitor/phn/ Cancer Care/ Macmillan team. District nurse/health visitor/ practice nurse/phn/ Health Development Team. Demonstrate effective communication between primary care networks. District nursing team/ health visitors/ practice nurse/ nursery nurse/phn/ practice nurse. 12
13 Bereavement support. Primary mental health care team. Perinatal mental health service. Councillors. Clinical psychologists. Experiences with clients from a variety of ethnic backgrounds and asylum seekers Transitional care team. Interpreting services. 13
14 CLINICAL SKILLS. LEARNING OPPORTUNITY Aseptic/ clean dressing techniques RESOURCE/PERSONNEL. District nursing team/practice nurse. Clinifax. TPR, BP, ECG, BMI, weight & height, pulse oximitry, urinalysis, fluid balance, blood glucose, peak flow taking, fluid balance, neurological observations, monitoring, recording, and interpreting. Observation of venepuncture. District nursing team/ health visitor/phn/ Practice nurse. District nurse/ practice nurse. Awareness of nutritional score/ needs for patients. Weaning babies / formula/ breast milk District nursing team/ health visitor/ Practice nurse/community dieticians. Health visitor /Nursery nurse. Promotion of continence and Management of continence and use of appropriate aids (Indwelling and external). District nursing team/phn enuresis clinic/ Stoma specialist nurses/continence advisor. Apply knowledge of pharmacology to patients. Community pharmacists. District nursing team/health visitor/practice nurse. Pharmofax. Management of patients with acute/chronic pain. District nursing team/ Cancer care/ Practice nurse. Health screening/health surveillance. Immunisations. Awareness of patient handling scores. District nurse/health visitor/practice nurse/phn. District nurse/health visitor/practice nurse/phn. District nurse. 14
15 Awareness of pressure risk scores. Awareness of psychosocial/ behavioural problems. Identify any communication difficulties. Antenatal care. District nurse District nurse/health visitor/practice nurse/phn. District nurse/health visitor/practice nurse/phn. Midwife/health visitor. Cardiac rehabilitation after myocardial infarction and revascularisation. Health visitor/ district nurse/ cardiac rehab nurse/ GP/ healthy Hearts Team. Post natal screening/ support Health visitor/ GP/midwife//Perinatal mental health team. Child developmental assessment, parent held records, centile charts. Health Visitor/PHN/Nursery nurse 15
16 HEALTH PROMOTION OPPORTUNITIES. LEARNING OPPORTUNITY Network with professional and nonprofessional agencies involved with health promotion/health education. RESOURCE/PERSONNEL. Health development team. Sexual health services. Dieticians. Community nutrition team Community Pharmacist. Sure start. Dental services. Participate in smoking cessation, well women/ well man, diabetic, asthma, coronary heart disease, family planning, well baby clinics, immunisation and vaccine campaigns. Health education; topics include, Hygiene. Dental care. Healthy lifestyles. First aid. National targets for coronary heart disease, teenage pregnancy, accident prevention, mental ill health. District nursing / health visitor/ Practice nurse/phn/ smoking cessation. PHN/practice nurse/health visitor/district nurse/ health promotion/local community services/local authority/police/ fire service/ smoking cessation/ primary mental health care team/ dieticians/ sexual health/voluntary organisations etc. Sexual health; topics include, Contraception. Sexually transmitted diseases. Testicular/breast cancer awareness. Puberty. Breast feeding/ post natal support groups. Baby massage. Health visitor/ midwife. Health visitor/ nursery nurse/ Sure Start. Participate in groups promoting physical and mental wellbeing. Health visitor/ nursery nurse/ Sure Start. 16
17 Participate in Public health work including, displays, community drop-ins, community events. Health visitor/ nursery nurse/ Sure Start/ community development worker/phn. Participate in opportunistic health promotion activities, for example visiting house bound clients/ carers. District nurse/ health visitor. 17
18 CARE MANAGEMENT OPPORTUNITIES. LEARNING OPPORTUNITY Use of computer to access patient information both written and electronic if available. RESOURCE/PERSONNEL. District nurse/health visitor/practice nurse/phn. Collecting patient notes from GP surgery/ District nurse filing system. GP reception staff. District nurse/practice nurse/ health visitor/phn. Patient/ client handovers/information sharing both written & verbal between teams. District nursing team health visitors/ practice nurse/ nursery nurse/phn. Undertake assessment based on patients/clients holistic needs. District nursing team health visitors/ practice nurse/phn. Participate in ongoing assessment of holistic health needs District nursing team health visitors/ practice nurse/phn. Patient documentation/care assessment/ planning/implementation and evaluation. District nursing team health visitors/ practice nurse/phn. Identify timescales related to patient outcomes. District nursing team health visitors/ practice nurse/ nursery nurse/phn. Identifying the role of non professional, voluntary and statutory agencies in patient care. Analyse and interpret information to inform care delivery and take appropriate action. District nursing team health visitors/ practice nurse/ nursery nurse/phn. District nursing team health visitors/ practice nurse/ nursery nurse/phn. Refer to information files. Clinical audit. Health promotion opportunities. District nurse/health visitors/ practice nurse/phn. District nurse/health visitors/ practice nurse/ nursery nurse/phn. 18
19 Sleep, feeding and behaviour problems in children. Cardiac rehabilitation. Child protection, case conferences, care team meetings, strategy meetings. Health visitor/ nursery nurse/ PHN/ family support team/ social services. District nurse/health visitors/ practice nurse/cardiac rehab nurse. Social services/ Health visitor/ PHN/police/ probation/ legal departments/education/nursery workers. Working with ethnic minorities. Special needs. Primary healthcare team/gp/practice nurse/ transitional care team/ support workers/education/housing/voluntary agencies. Special needs team/primary healthcare teams/community physiotherapists/phn/paediatricians/social services/education/voluntary agencies/respite care. Report writing, including Child protection/ referrals/interagency referrals Health visitor/ district nurse/phn/sure Start. 19
20 ORGANISATIONAL/MANAGEMENT OPPORTUNITIES. LEARNING OPPORTUNITY Use of computer systems/ EMIS/ /internet/intranet. RESOURCE/PERSONNEL. Admin support. District nursing team/ health visitor//phn. Practice nurse. Accessing patient results and planning appropriate action. District nursing team/ health visitor//phn. Practice nurse. Time management/ prioritising needs. District nursing team/ health visitor//phn. Practice nurse. Interprofessional working. Geographical prioritising. Locality awareness/health needs assessment. District nursing team/ health visitor//phn. Practice nurse. District nurse/health visitors/practice nurse/phn. Sure Start. Healthy living centres. Caseload delegation. Community development work/ Health need assessment. District nurse/health visitor/practice nurse/phn. Health visitor/district nurse/ community development team/local authority / local health statistics/national heal statistics/case load assessments/primary health care teams. Effective team management including appropriate delegation of duties. District nurse/ health visitor. Awareness of knowledge base and skill mix. District nurse/ health visitor. 20
21 21
22 4. ADDITIONAL LEARNING OPPORTUNITIES SPECIFIC TO AREA OF PRACTICE. 22
23 LEARNING OPPORTUNITY RESOURCE/PERSONNEL. 23
24 5. REFERAL PATHWAYS. 24
25 6. RELEVANT STANDARDS OF PRACTICE. 25
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