Continence & Catheter Training For Nursing Homes For Jan-June 2016

Transcription

1 Continence & Catheter Training For Nursing Homes For Jan-June 2016 To secure your place Please fax or the booking form on the back to Or fax to Fax:

2 The Continence Education Service for This training supports the following statements- Nursing Homes Continence is a vital aspect of care (Francis report 2013) Poorly managed continence care in older people and those with disabilities contributes to ill health, and can lead to falls and fractures, severe infections and pressure ulcers (Continence Care Service England Survey Report 2013) Every patient presenting with bladder or bowel dysfunction should receive a continence assessment (DOH 2000 Good Practice in Continence Services) The following training is free and provided by the continuing health care continence service to support nursing homes in Staffordshire and Stoke on Trent. The training is offered to all homes to help improve bladder and bowel care for residents and those in receipt of CHC and FNC. It also provides education around completion of continence assessments for the additional FNC continence payment for those who may require it. This training booklet is produced every 6 months and sent via post to your home, this includes details of the different courses and training venues across Staffordshire County (an electronic copy is available if preferred). Each course has a short narrative to explain its target audience, the content that will be covered and the time and venue of the session, please read this before booking onto any training. The continence service runs a special interest group to encourage good communication links for all homes. These meetings run in the South and North of Staffordshire x3 per year. Please make sure your home has a continence link nurse to cascade information and encourage best practice around continence care. To book on to any training please fill in the form on the back of the training booklet and return it as requested, you will receive confirmation via fax or post. If you cannot attend or find someone to take your place please give 5 days notice. Additionally one off training events will be held with local trusts and companies, this is offered in collaboration with the nursing home continence service and these events and details will be sent directly to your home throughout the year.

3 Other Training Options The continence service is happy to come to your home is you have between staff that needs the same training, you have an appropriate venue and the continence service has capacity. Please remember that the content of the courses may contain images and topics of a sensitive nature so the room needs to be separate from residential areas and not visible to by the general public. If you want to discuss this please contact Sue Eley for availability and individual requirements. Further short training sessions on the following are also available- Sheath fitting Pad/product fitting Urinals, washable products alternative to pads Bowel management session (faecal incontinence, faecal smearing and constipation) If you have specific training requirements around bladder and bowel care that you require for your home please contact Sue Eley Continence Nurse Specialist to discuss. Sue Eley Lead Continence Nurse Specialist for Nursing Homes, Wheelhouse Road, Rugeley, WS15 1UL Tel: ext Mob:

4 Bladder and Bowel Dysfunction Course Description This is an essential course for all health care professionals, nurses, team leads, senior care and carers who work in nursing homes, it is two half day sessions. This course focuses on the assessment, treatment and management of bladder and bowel dysfunction. This course provides detailed information on the functional aspect including urinals, sheaths, disposable pads, washables and other alternatives for continence products. This session includes practical demonstrations and occasional guest speakers to support deeper understanding for the learner. This programme discusses local and national guidelines relating to good continence care. The course is based on the Good Continence Care DOH (2000), National Audit of Continence Care Royal College of Physicians (2010), NSF Older People (2001), Essence of Care (2010) and SSOTP Continence Care Pathway (2009). Please note both the 2 half day sessions need to be attended for successful completion of this course. Course content Brief overview of the anatomy and physiology of the urinary tract The prevalence of incontinence Brief overview of the emotional, physical, psychological and economical costs of incontinence Overview of the main causes and types of bladder and bowel dysfunction Brief discussion on the assessment process for bladder and bowel dysfunction Discussion of treatments for bladder and bowel dysfunction Causes of urinary tract infections and possible sampling techniques Discussion on continence promotion sheath fitting, toileting techniques, washable products Review of products available for functional solutions Review of disposable products (pads) Discussion on bowel management/faecal leaking/smearing/constipation Learning objectives To gain an understanding and increased knowledge of the main types and treatments of urinary and faecal incontinence To have an increased understanding in the assessment process for suffering from bladder and bowel dysfunction To be aware of potential causes of urinary tract infections and possible sampling techniques To be aware of alternative products to manage bladder dysfunction other than disposable pads To have an increased awareness of the referral process for an individual who requires further support.

5 Catheterisation Complete 2 Day Course Current Policy and Practice Description This 2 day catheterisation course is for nurses who require the complete theoretical and practical experience in principles of urethral, suprapubic and intermittent catheterisation. It will examine the theoretical aspects of catheterisation and encourage practitioners to apply an evidenced based approach to the technique of catheterisation. It will include information around effective management of the catheterised patient and incorporating trouble shooting and problem solving techniques. This course will include a practical session of catheterisation on a manikin for urethral (both male and female) intermittent and suprapubic catheterisation with an opportunity for practitioners to receive feedback while practising and improving their skills. Please see assessment and important pre course information This course will be based on Continence Service Guidance NICE (2006), RCN Catheter Care (2012), local SSOTP Catheter Care Guidelines (2009) and the Code of Conduct NMC (2015) Course Content Review of national and local guidelines in relation to catheterisation and catheter care Overview of urinary tract system Overview of consent/capacity/documentation around catheter care The assessment process and documentation Prevalence data around catheterisation and risks including infection, trauma and possible long term effects of catheterisation The theoretical information regarding principles of best practice during the procedure of catheterisation The techniques for the different types of catheterisation urethral, suprapubic and intermittent and practical experience on a manikin Troubleshooting techniques in catheter management Discussion around catheterisation products lengths of catheters, material types Discussion around drainage products- leg bags, collection bags, securing devices, valves, sample port

6 Learning Outcomes To develop an enhanced understanding of anatomy and physiology related to catheterisation To understand the best techniques in the procedure of catheterisation To understand the associated infection (CAUTI) risks in catheterisation and how to minimise these risks and the importance of appropriate documentation To apply the principles of current evidence-based practice relating to catheterisation examining the physical, psychological and emotional impact upon the person To gain information and practical solutions around trouble shooting including associated pain, blockage, bypassing and trauma To have an increased knowledge in providing evidence based catheter care and how to disseminate this information to work colleagues To have an awareness of alternative products for catheters and drainage systems for individual care Assessment and important pre course information This requires the person undertaking the course to complete a multi choice/short answer paper on the principles of catheterisation and the management of catheterisation and catheter care. It is the responsibility of the individual to source assessment of their own competencies. It is advised this is confirmed before the course starts, by enrolling on the course it is assumed that there is someone, usually within your place of work, can support you with this requirement. The catheter work/competency booklet will be sent to your Nursing Home address for downloading and printing 2 weeks before the course start date, if you have any problems with this please contact Susan Eley on ext. 2445

7 Catheterisation Update for Nurses Description This full day update is for qualified nurses who have had some experience of catheterisation previously. It gives practitioner up to date information relating to the principles of catheterisation and on-going management of the person with a catheter which can then be applied to the clinical setting. It will discuss local and national guidelines relating to catheterisation and the use of a DVD to review the technique of catheterisation. It will incorporate the practice guidelines for the reason for catheterisation and documentation around catheterisation. The emphasis will be on catheter care and problem solving for both urethral, suprapubic and intermittent catheterisation. This course is based on the RCN catheter care guidelines (2012) and local SSOTP catheter guidelines and should be repeated 2 yearly by staff as per local policy. Course Content National and local guidelines in relation to catheterisation and catheter care Overview of urinary tract system The assessment process and documentation for catheterisation and catheter care Overview of consent/capacity and prevalence data around catheterisation and risks to include infection, trauma and possible long term effects of catheterisation Procedure for the different types of catheterisation urethral, suprapubic and intermittent Troubleshooting techniques in catheter management Discussion around catheterisation products lengths of catheters, material types Discussion around drainage products- leg bags, collection bags, securing devices, valves, sample port Learning Objectives To understand the best techniques in catheterisation To be aware of the assessment process and documentation around catheterisation and catheter care To understand the associated infection (CAUTI) risks in catheterisation To gain information and practical solutions around trouble shooting including associated pain, blockage, bypassing and trauma. To have an increased knowledge in providing evidence based catheter care and how to disseminate this information to work colleagues To have an awareness of alternative products for catheters and drainage systems for individual care.

8 Catheter Care Description This half day session is for senior care and carers who work within nursing homes. This gives healthcare workers the insight into the reason for catheterisation, the potential risks associated with infection and trauma in catheterisation. The emphasis is on catheter management concentrating on practical demonstrations around drainage products and securing devices for individualised care. It will also include the importance of meatal care, changing/emptying the drainage bag and documentation around this. Trouble shooting and problem solving will be discussed for support in catheter management. This session will be based on the RCN catheter Guidelines (2012), Essence of Care/Skills for Health tools (2010) and local SSOTP guidelines Course Content National and local guidelines in relation to catheter care Overview of the urinary tract system Overview of consent/capacity/documentation around catheter care Overview of the different types of catheterisation- urethral, suprapubic and intermittent Prevalence data around catheterisation and the risks including infection and when to/how to take a catheter sample of urine Overview of the different products available for catheterisation material types/catheter size Information on the procedure when emptying and changing drainage bags Information and demonstrations on securing devices for indwelling catheters Learning Objectives To increase awareness of the management of indwelling catheters for individuals within national and local guidelines To be aware of best practice in relation to documentation and catheter care To understand the associated infection (CAUTI) risks in long term catheterisation To have an increased understanding around practical solutions around trouble shooting covering pain, blockage, bypassing and trauma prevention To have increased knowledge when providing evidence based catheter care To have an awareness of alternative products for drainage systems for individual care

9 UTI s & Sampling Session (Prevention of urinary tract infections and sample collection techniques in nursing homes) Description This half day session is for all nursing staff and carers working within nursing homes. This course is based upon the NICE Guidelines Urinary Tract Infections in Adults (2015) quality standard 90 and the Antimicrobial Prescribing Guidelines in General Practice (SSOTP 2014) North Division. It supports the statement- Urinary tract infection incidence increases with age for both sexes and it is estimated that 10% of men and 20% of women over the age of 65 years have asymptomatic bacteriuria. In people aged 65 years and over, asymptomatic bacteriuria is common but is not associated with increased morbidity. The diagnosis of urinary tract infection is particularly difficult in older people, who are more likely to have asymptomatic bacteriuria. Older people in long term care frequently have unnecessary antibiotic treatment for asymptomatic bacteriuria despite clear evidence of adverse effects with no compensating clinical benefit; this can lead to unnecessary risk of adverse clinical events, including Clostridium difficile and methicillin-resistant Staphylococcus aureus infections. (NICE UTI Guidelines 2015) Course content National and local guidelines in relation to urinary tract infections and awareness of the quality statements from the NICE guidelines June 2015 Brief overview of the urinary tract system Agreed signs and symptoms of urinary infection Prevention of UTIs Correct use of urinalysis dip sticks Agreed urine collections techniques for microbiology culture within nursing homes in Staffordshire and Stoke on Trent Learning objectives To increase awareness of the national and local guidelines around urinary tract infections To be aware of agreed signs and symptoms of urinary tract infections To gain information around prevention of urinary tract infections. To be aware of best practices around dip sticks to diagnose urinary tract infections To gain practical solutions in collecting urine samples in nursing homes.

10 Pathway and Continence Assessment Session Description This is a short 1-2 hr session for nurses and team leads on the assessment pathway resource pack, used across Staffordshire and Stoke on Trent. Nursing Homes are welcome to use this pathway to assess and treat individuals with a bladder or bowel problem supporting the statement every patient presenting with bladder or bowel dysfunction requires a continence assessment Good Practice in Continence Services (DOH 2000). This document can also be used to support the additional payment each week for residents in receipt of funded nursing care (FNC) if they require continence products. This session is brought to your home on request, it is advised that the matron, link nurse and at least 2 other qualified members of staff are present to so the tool can be explained and cascaded. Please contact Sue Eley to book this session Course Content Brief overview of the resource pack Brief discussion on best practice guidelines Overview of how to use this tool Discussion on the assessment form Discussion on the symptom profile Discussion on the bladder diary Discussion of the management form Information on additional FNC funding requirements via Continuing Health Care Learning Objectives To understand the importance of conducting a continence assessment if the individual is suffering from bladder or bowel dysfunction To have an increased understanding on how to use the pathway resource pack To understand the requirements by continuing health care for additional funding for FNC if the individual needs continence support

11 Special Interest Group (SIG) This is a Special Interest Group that takes place in both the North and South localities 3 times a year January, June & November from 1pm 4pm. It is advised each home has a Continence Link Nurse/Person. It is advised that the Link Nurse/Person should attend all three dates for their area. (Both North & South dates for January and June are included on this flyer) The meeting gives Homes:- Access to up to date information. Access to the Continence Care Pathway. Access to Catheter Care Guidelines. Access to the local formulary for continence equipment and products. Encourage strong networks with the continence service and works with the community and secondary care. To improve quality of continence care in the home by having up to date information and knowledge. There is also an educational element to the meeting to support the Link Nurse with their continual professional development. Please note:- It is essential that a Link Nurse attends from each home to cascade information and encourage best practice in Continence Care.

12 Date/Time Training Venue 20 th January pm 4pm 21st January pm 4pm 10 th February am 1pm 24 th February am- 1pm 9 th March 2016 (1) 16 th March 2016 (2) 9.30am- 1pm 10 th March 2016 (1) 17 th March 2016 (2) 9.30am 1pm Special Interest Group (SIG) SOUTH Special Interest Group (SIG) NORTH Catheter Care Catheter Care Bladder and Bowel dysfunction 2 sessions to be attended Bladder and Bowel dysfunction (2 sessions to be attended) Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH, HP RM Heron House, Building 120, Grove Road, Stoke On Trent, ST4 4LX, RM 1 Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH, HP RM Heron House, Building 120, Grove Road, Fenton, Stoke On Trent, ST4 4LX RM 1 Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH (HP RM) Heron House, Building 120, Grove Road, Stoke On Trent, ST4 4LX RM 1 13 th April th April th May th May th May am 12pm 19 th May am 4pm 8 th June am 12pm 15 th June am 4pm 23 rd June pm 4pm 29 th June pm 4pm Catheterisation Course Day 1 & Day pm Catheterisation Course Day 1 & Day pm Prevention of UTI s & Sampling Techniques Catheterisation update for Nurse s Prevention of UTI s & Sampling Techniques Catheterisation update for Nurse s Special Interest Group (SIG) NORTH Special Interest Group (SIG) SOUTH Heron House, Building 120, Grove Road, Fenton, Stoke On Trent, ST4 4LX RM 1 Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH (HP RM) Heron House, Building 120, Grove Road, Stoke On Trent, ST4 4LX,RM 1 Heron House, Building 120, Grove Road, Stoke On Trent, ST4 4LX,RM 1 Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH(HP RM) Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH(HP RM) Heron House, Building 120, Grove Road, Stoke On Trent, ST4 4LX, RM 1 Springfield s Health & Wellbeing Centre, Rugeley, WS15 2FH,HP RM

13 BOOKING FORM CONTINENCE TRAINING Course Date Time of course Venue of course Name Job Title Care Home Telephone Number Fax Number address If you can no longer attend and cannot send someone in your place please give the CHC continence service at least 5 day s- notice places are limited and it may occur in a charge being applied to your home if there is non-attendance. Please fax back on Or susan.eley@staffordshirecss.nhs.uk Or Post to Sue Eley,, Wheelhouse Road, Rugeley, WS15 1UL contact number ext. 2445

14 References Continence Care Service England Survey Report (2013) DOH (2000) Good Practices in Continence Services olicyandguidance/dh_ DOH Essence of Care (2010) Benchmarking for Bladder, Bowel and Continence Care DOH National Service Framework (2001) Older People Francis (2013) Mid Staffs inquiry report Nice Guidelines (2015) Urinary Tract Infections in Adults NMC (2015) Code of conduct RCN (2012) Catheter Guidelines Royal College of Physicians (2010) National Audit of Continence Care SSOTP Staffordshire Stoke on Trent Partnership Trust (2009) Continence Care Pathway SSOTP Staffordshire Stoke on Trent Partnership Trust (2014) Antimicrobial Prescribing Guidelines in General Practice. North division