Craigavon Learning Disabilities

Transcription

1 Craigavon Learning Disabilities Profile of Learning Opportunities MAY 2011 GUIDANCE FOR STUDENTS AND MENTORS

2 This profile is a comprehensive document, detailing all the learning opportunities available in a specific clinical area. It is intended that students and mentors select the appropriate opportunities to help the students to meet the specified competencies for particular placements. Students should not expect to access all of these opportunities during one placement. CONTENTS 2

3 1. Area Profile 2. Learning Opportunities 3. Key Elements 4. Learning Zone 3

4 CRAIGAVON SHORT BREAK SERVICE LEARNING DISABILITIES NURSING STAFF AREA PROFILE CLINICAL AREA The service provides a short break services to people with a Learning Disability, Complex Health Needs and Mental Health Problems LOCATION TELEPHONE NUMBER STAFF LIST CNLD Craigavon 2, Cartwright Road Castletown Sunderland They can be contacted on Band 7 ward manager Band 5 staff nurses x6 nursing assistants Band 3 nursing assistants x8 Admin Support MWM HOSPITAL Epilepsy Epilepsy specialist nurse MWH 4

5 WORKING HOURS PHILOSOPHY OF CARE Craigavon is staffed 24hours a day with Qualified Nurses and Nursing Assistants Copy included in Education File MODEL OF NURSING ORGANISATION OF NURSING CARE Care plans are based on Roper Logan and Tierney s Activities of Daily Living All clients accessing the service are screened through the referral process including Craigavon s protocol and criteria resulting in assessment period at Craigavon. All clients will be allocated a named nurse to manage their care. Craigavon Learning Disabilities PROFILE OF LEARNING OPPORTUNITIES 5

6 Students have the opportunity to: Observe and participate in the assessment of patients and in the planning, implementation and evaluation of care. Liaise and work with other members of the multi-disciplinary team e.g. G.Ps speech and language therapists etc Health facilitation team day centres families and carers Access statutory and voluntary agencies e.g. social services department, Observe and assist in all nursing duties within Craigavon Access journal articles which are relevant to their placement. Access the Internet and intranet to research relevant topics KEY ELEMENTS INTERPERSONAL SKILLS LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT Use of telephone Using fax machine Office based. 6

7 Use of the computer ( , typing/wordprocessing skills) Communicating with Service users Carers Doctors Multidisciplinary team members. Social services Voluntary agencies Support staff Maintaining comprehensive records in accordance with the NMC guidelines Understanding the principles of Clinical Governance Assessment and planning of patient care Implementing care Working with members of the MDT Reflective practice Teaching sessions/discussion Mentor/ other qualified nurses. Home visits, Other departments; e.g. GP, outpatients, treatment service. Meetings; MDT, CPA, MAPPVA, client reviews Mentor/ other Qualified Nurses NMC Guidelines for record keeping Trust policy. Literature Department of health NHS Mentor/ other Qualified Nurses Trust policy Mentor / Nursing staff / nursing assistants Medical staff Members of the MDT Social services. Mentor/ other Qualified Nurses, nursing assistants Meetings MDT, CPA clinical team meeting Out patients appointments Revues Psychiatry Psychology Mentor Mentor/ nursing staff KEY ELEMENTS CLINICAL SKILLS LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT 7

8 Asses for care Mentor/ nursing staff, medical staff, social services, carers Assessment tools, egg OK Health Check, Roper Logan and Tierney Observations Physical; checks, blood pressure monitoring, Epilepsy Behaviour Mentor/ Specialist Nurses Medical teams, Psychiatry, Psychology, Multi Disciplinary Team In -Reach Team Planning care Observation, communication, discussion, liaison Mentor/ Nursing staff, carers social services, psychiatry, psychology voluntary services (carers centre) Implementing care Monitoring epilepsy Arranging checks for anti-convulsant levels Give advice on epilepsy (including recording and types of seizures.) Provide service user and carers with information on epilepsy Medication/treatment Referral to nurse specialist Mentor/ Qualified nursing staff Epilepsy Specialist nurse Nurse led clinics Monitoring behaviour Use of ABC charts Functional assessment of behaviours Concepts of behaviour therapy. Mentor /qualified nursing staff Nursing assistants Behaviour specialist nurse Acorn centre Monitoring mental health Medication/treatment Monitoring physical health Access primary care, practice blood pressures, BM monitoring, weight, Mentor/Qualified nursing staff Psychiatry, mentor/qualified nursing staff, 8

9 height general physical checks.. Medication monitoring and advice nursing assistants. Referrals Primary health Care Advisors Continence Diabetes Dietician Members of the MDT include; Epilepsy nurse Physiotherapist Occupational therapist Speech and language therapist Psychiatrist Social workers Treatment service Mentor /Qualified nursing staff. Evaluation of care KEY ELEMENTS PATHOPHYSIOLOGICAL PROCESSES LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT Organic Disorders: Syndromes, e.g. Downs Syndrome link with dementia Mental health, e.g. chemical imbalance Nursing / Medical Staff Journals, Relevant Literature Internet Drug Company Representatives 9

10 Epilepsy Autistic Spectrum Disorders Functional Disorders: Depression, Anxiety Disorders, Phobic Disorders, Schizophrenia, Nursing / Medical Staff Journals, Relevant Literature Internet KEY ELEMENTS HEALTH DEVELPOMENT OPPORTUNITIES LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT Observe and participate in; Health promotion Mentor/ qualified nurses, nursing assistants LD specialist nurses: 10

11 Epilepsy Mental health Physical health Behaviour Home visits Health facilitation Answers (resource centre.) Literature/research Liaison with other agencies (Learning zone) Other members of MDT Primary Care specialists Psychology GP Continence advisor Podiatry etc. KEY ELEMENTS MANAGEMENT OF CARE LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT Being responsible for organising and managing a small case load, (assessment and planning of an individuals care.) Mentor / nursing staff Decision making through discussion with mentor Self / Mentor 11

12 Being involved in multi-disciplinary team Members of the multi-disciplinary team Working within own limitations Accessing information relevant to recent and new legislation regarding the client group. Self, Mentor, Qualified Nursing Staff Trust Policies NMC guidelines Library, Internet, Intranet Trust Policy Nursing staff. Taking part in non- discriminatory practice and involve clients ad carers to assist empowerment Mentor Home visits KEY ELEMENTS ORGANISATIONAL AND MANAGERIAL ISSUES LEARNING OPPORTUNITIES RESOURCE / RELEVANT PERSONNEL / DEPARTMENT Taking a Leadership Role Nursing / Medical Staff Being responsible for individual assessments of patients and planning the care Nursing / Medical Staff, Multi-disciplinary Team, Families Decision making, in discussion with Mentor, Other Departments, 12

13 Mentor Multi-disciplinary Team Being involved in Multi-disciplinary Team Members of Multi-disciplinary Team 13

14 CRAIGAVON LEARNING DISABILITIES LEARNING ZONE Appliance Clinic G.P s VOLUNTARY SERVICES CONSULTANT PSYCHIATRIST ADVOCACY SERVICE Social workers DAY CARE GRINDON MEWS FULLWELL ECT TREATMENT SERVICE (LEARNING DISABILITY) CHIROPODY HEALTH PROMOTION PHARMACY Wheelchair services Craigavon SCHOOLS OCCUPATIONAL THERAPIST RESETTLEMENT NURSES PHYSIOTHERAPIST DIETITIAN SF / CNLD / 06/05/2011 Health Facilitation Team SPECIALIST NURSES EPILEPSY, BEHAVIOUR PSI, PALLITIVE CARE, SEX ED SPEECH AND LANGUAGE THERAPIST Appliance Clinic CLINICAL PSYCHOLOGIST NURSE LED CLINICS