NORTHUMBRIA HEALTHCARE NHS TRUST Profile of Learning Opportunities for WARD 18 NTGH HOSPITAL May 2009
Introduction Welcome to Ward 18 North Tyneside General Hospital. We are a mixed respiratory medical ward admitting patients from home, Out Patients, Emergency Care and Critical Care. We have 30 beds divided into 6 side rooms, 2 of which are en-suite and 4 bays each with 6 beds. We frequently have patients requiring non-invasive ventilation and we are the receiving ward for all tracheostomy and laryngectomy patients in the hospital. We have a Ward Manager, 2 Ward Sisters and 15 Staff Nurses. We also have 7 Health Care Assistants, 3 Support Workers (Domestics), 3 Ward Clerks and a Modern Apprentice. Ward 18 is Consultant led with 2 Respiratory Physicians, a Medical Registrar, 2 Foundation Level 2 Doctors and 1 Foundation Level 1 Doctor. We have our own dedicated Medical Social Worker, Occupational Therapist and Physiotherapist and we are supported by a large Multidisciplinary team, including the Palliative care team, lung cancer specialist nurses, respiratory nurses and a Haematology specialist nurse. Consultant ward rounds occur twice a week on a Monday and a Thursday and we have a weekly MDT meeting on a Tuesday morning. OFF DUTY: The off duty roster is usually completed 4-6 weeks in advance and can be located in a file at the nurses station on the ward. You may self roster if you wish, but please take into account your mentors shifts and how often you need to work with them. SHIFT TIMES: Early: 07.15-15.45 (including a concessionary breakfast break and an unpaid ½hr lunch break) Late: 12.15-20.30 (including an unpaid ½hr tea break) Night Duty: 20.15-07.30 (including an unpaid 1hr break) Please try to arrive a few minutes before the beginning of each shift to prepare for the handover.
SICKNESS: Please ring the ward and speak to the nurse in charge if you intend to be off sick, at the earliest opportunity, unless this is likely to be a prolonged episode of sickness it is advisable that you contact the ward on a daily basis and let them know as soon as possible when you intend to return to duty. EDUCATION/TRAINING: There is a staff notice board located in the Ward Managers office and behind the nurses station on the ward where information about upcoming events is displayed. For information on courses and study days available within the trust, please refer to the training file at the nurses station. Please be aware that not all courses will be suitable for Student Nurses. ADDITIONAL INFORMATION: You will be allocated a mentor when you start work on the ward and you will need to meet as soon as possible to discuss your learning contract and competencies. During this session you should both set out ground rules, such as how often you will get together, the length of the sessions, and the venue. You will be suppernummery for your placement with us and you will work alongside your mentor as much as possible. Night shift is optional, but please be aware that the majority of our mentors do rotate onto night shift on a regular basis, should you not wish to follow them onto night shift than a co-mentor will be allocated to you, the same applies if your mentor has annual leave or rings in sick for any length of time. Please do not hesitate to speak to ANY member of staff if you have any questions. WELCOME TO THE TEAM!!
LEARNING ZONE Bronchoscopy Dietetics Team Pulmonary Function Infection Control Team Speech and Language Therapist Ward 18 NTGH Palliative Care Team including MacMillan Respiratory Specialist Nurse Outreach Service/ITU/ HDU Haematology Specialist Nurse Lung cancer Specialist Nurse Pharmacy Moving and Handling Emergency Care Unit Care Facilitators Occupational Therapy Ward 18 NTGH Phlebotomy service Physiotherapy Oncology services Radiology Medical Social Worker/Hosp ital Discharge
INTERPERSONAL SKILLS LEARNING OPPORTUNITIES Use of the telephone Answering/making calls Booking transport Bleep system Using the Computer RESOURCE/ RELEVANT PERSONEL/DEPARTMENT Ward staff and Ward clerks Ward Staff. Doctors, other members of MDT Communicating with patients, relatives, doctors and other members of the MDT MDT referrals MDT meetings Qualified nurses, Care Facilitators Qualified nurses, Doctors, Care Facilitators, MSW, Physio, OT, Pharmacy Qualified nurses, Doctors including Consultants Consultant ward rounds Nursing Handovers Qualified Nurses, Ward Manager Qualified Nurses, Ward Manager, observation of roles Managerial structure of the Trust and working within a team Patient transfers both in and outside of the Trust Patients, relatives, all staff on ward, Pharmacy, Ambulance Control, Bed Manager, Discharge lounge
CLINICAL SKILLS LEARNING OPPORTUNITIES Patient Hygiene RESOURCE/RELEVENT PERSONEL/DEPARTMENT Qualified nurses, HCA s, OT Pressure area care Qualified nurses, HCA s, Tissue Viability Nurse Patient Observations including urine testing, weight, height, News Score Qualified nurses, HCA s, Doctors, Outreach service Giving medications via all routes including Hickman Lines and Central Lines Qualified nurses, Doctors, Pharmacists Administration of blood and blood products Qualified nurses, Doctors, Transfusion department (Rosie) Phlebotomy/Venepuncture Qualified nurses, Doctors, Phlebotomist, Infection control Medical Devices Qualified nurses, Specialist Nurses, Medical Devices library staff Aseptic Technique/dressings Qualified nurses. Tissue Viability Nurse Food and Nutrition Qualified nurses, HCA s, Dieticians Risk Assessments Qualified nurses Falls/Moving and Handling/Use of Aids/Hoists Qualified nurses, HCA s, Moving and Handling dept, Physio Infection Control Qualified nurses, HCA s, Infection control team Catheter insertion and care Qualified nurses, Continence Nurse, Urology specialist nurses Insertion and care of the under water sealed drain and pleural aspirations Qualified nurses, Doctors Obtaining Consent, preparing for investigations and giving information Qualified nurses, Doctors
Invasive and non-invasive radiological procedures Qualified nurses, Doctors, x-ray dept Endoscopic procedures Qualified nurses, Doctors, Endoscopy dept PATHOPHSIOLOGICAL PROCESSES LEARNING OPPORTUNITIES Infection/inflammatory process: Source, spread, treatment RESOURCE/ RELEVANT PERSONEL/DEPARTMENT Qualified nurses, Doctors, Infection Control team, Pharmacist, Laboratory staff Immunological Factors: Antigens, auto-antigens, suppression of immune system, drugs Qualified nurses, Doctors, Pharmacist, Laboratory staff Disturbance of water and electrolytes: Normal U&E s, reading and understanding blood results, dehydration, acidosis Qualified nurses, Doctors, Pharmacist, Laboratory staff Oncology: Epidemiology, aetiology, pathology, treatment, chemo, radiotherapy, drugs Qualified nurses, Doctors, pharmacist, Oncology team, NCCT Cardiovascular System: Heart failure, MI, LVF, cardiac arrest, arrhythmias, hypertension, angina, ECG s Qualified nurses, Cardiology specialist nurses, cardiology dept, pharmacist, Doctors, ECG technicians Respiratory System: Anatomy and Physiology, investigations, infections and treatment, Asthma, COPD, Emphysema, Fibrosis, Bronchiectasis, drugs, inhalers, oxygen therapy Qualified nurses, Respiratory Nurse specialists, Doctors, Pharmacists, Physio s Renal System: Anatomy and Physiology, infections and treatment, investigations, urine testing, fluid balance Qualified nurses, HCA s, Doctors, Urology specialist nurse Endocrine/Metabolic Disease: Diabetes, Thyroid disease, Pituitary Disease, Use of steroids Qualified nurses, Doctors, Pharmacist, Diabetic resource Centre Haematology: Qualified nurses, Doctors, Pharmacists,
Blood formation and destruction, RBC, WBC, Platelets, anaemia, blood transfusions, malignant/non malignant disorders, haemorrhage, thrombosis, venesection Nervous System: Epilepsy, tumours, headaches, meningitis, stroke, infection Acute Poisoning: Causes, treatment, drugs Haematology specialist nurse, anticoagulant specialist nurses Qualified nurses, Doctors, Stroke Unit, Physio s, Infection control team Qualified nurses, Doctors, Self harm team, Psychiatrist, Poisons unit HEALTH DEVELOPMENT LEARNING OPPORTUNITIES RESOURCE/ RELEVANT PERSONEL/DEPARTMENT
Healthy lifestyle strategies in relation to: Smoking cessation Alcoholic liver Disease Cancer Obesity Diabetes Healthy eating Pharmacist, NHS smoking cessation service Gastroenterology team, Plummer Court, dietician Macmillan team, Specialist nurses Dietician, Nutrition specialist nurse Diabetic Resource Centre, dietician Dietician, Nutrition specialist nurse Drug and alcohol misuse Stroke Rehabilitation Pulmonary Rehabilitation Cardiac rehabilitation Self harm team, drug and alcohol service, Plummer Court Physio, OT, Re-hab wards (wards23 and the Cedars), stroke unit Respiratory specialist nurses, Physio Cardiology specialist nurses, Physio, dietician ORGANISATION/MANAGEMENT ISSUES
LEARNING OPPORTUNITIES Managing a team: Organising, delegating, prioritising, time management, leadership, off duty/skill mix, managing patient work load, quality, standards of care, implementing change RESOURCE/ RELEVANT PERSONEL/DEPARTMENT Ward Manager, Qualified nurses, HCA s, Doctors Giving information to: Staff, Doctors, patients, relatives, MDT members, other departments/hospitals, breaking bad news Ward Manager, Qualified nurses, HCA s, Doctors Resources: Stock control, drugs, materials management, non-stock, stationary, budget control Ward Manager, Qualified nurses, HCA s, Ward clerks, Supplies dept, Pharmacy, Accountant Managing Risk: Policies and Procedures, equipment checks, Infection control, Moving and Handling Ward Manager, Qualified nurses, Intranet, Moving and Handling dept, infection control team, Electronics dept Emergency Situations: Cardiac arrest, security incident, violence and aggression, Fire, bed crisis/winter pressures Cardiac arrest team, fire officers, security team, Porters, bed manager, OSM, Qualified nurses
MANAGEMENT OF CARE LEARNING OPPORTUNITIES Use of Nursing model/philosophy of care documentation RESOURCE/ RELEVANT PERSONEL/DEPARTMENT Qualified nurses Nursing Process: Assessment Planning Implementation Qualified nurses, Doctors, Pharmacists, MSW, OT, Physio, Specialist nurses, MDT, patients, relatives, District Nurses, GP Qualified nurses, Doctors, Pharmacists, MSW, OT, Physio, Specialist nurses, MDT Qualified nurses, Doctors, Pharmacists, MSW, OT, Physio, Specialist nurses, MDT Communication, Time management, prioritising, dealing with difficult situations, deceased patients, bereavement, patient property, self discharge, religious needs Qualified nurses, Doctors, Specialist nurses, Hospital Chaplain, HCA s
Staff On Ward 18 NTGH Ward Manag er Sharo Ward Sisters: Evelyn Relator Deborah Bell Staff Nurses: Val Towns, Peter Fenwick, Margaret Blachford, Pia Gatchilian, Jaisy Joseph, Debbie Green, Emily Cruz, Brenda Misa, Ireneo Gaddi, Health Care Assistance: Julie Thompson, Kate Waddel, Diane Hull, Maria Burns, Claire Fogarty, Jackie Pearson, Claire Henderson, June Wilson, Evelyn Cowen, Darren Toole, Michelle Parnaby Ward Clerks: Julie Lepherd, Janice Simpson, Deborah Bowman Domestics: Pauline Smart, Stephen Hind
NAME: DATE COMMENCED:. NAME OF MENTOR:. ORIENTATION CHECKLIST TOPIC The student nurse will be able find information on: Infection Control Health and Safety Essence of Care Clinical Governance Personnel policy files Training and Development information The student nurse will be able to demonstrate the use of Trust communication systems: Telephone/Orator system Bleep/Pager system Intranet The student nurse will be able to demonstrate knowledge of the following documents: Complaints/IR1 s Admission documentation Discharge documentation Referrals Ordering medication/c.d s MENTOR SIGNATURE DATE TOPIC MENTOR DATE
The student nurse will be able to: Identify the location of the fire panel Describe the action to be taken on discovering a fire Describe the action to be taken on hearing the fire alarm Describe the evacuation procedure Identify the location of the ward fire exists and fire extinguishers The student nurse will be able to: Summon the cardiac arrest team Identify the location of the arrest trolley and portable suction Initiate basic life support The student nurse will be able to demonstrate an understanding of the Trusts Moving and Handling policies The student nurse will be able to demonstrate knowledge of the correct procedure for disposal of: Clinical waste Household waste Infectious waste/linen Sharps Cytotoxic waste Confidential documents SIGNATURE