Student Induction Pack

WELCOME TO THE HEALTH VISITING TEAM Student Induction Pack Updated May 2017 Kate Evans HV/CPT This pack has been put together to assist you.

Feel free to add any information you feel may help other students who follow in your footsteps

Index 1. Introduction to Health Visiting 2. Welcome to the Health Visiting Team.. 3. Vision-Figure 1. 4. Shropshire Community Health NHS Trust Vision (i).... 5. Shropshire Community Health NHS Trust Vision (ii).. 6. Our Philosophy of Care. 7. The Current Health Visiting Service. 8. Main areas of health visiting current workload.. 9. Health Visiting Service Model 10. England Health Visiting Service Model... 11. Determining levels of service delivery 12. Mission Statement. 13. Principles of Health. 14. What is expected from the Student Learner.. 15. What to expect from the Mentor.. 16. Mentors Discussion Checklist.. 17. 6C s Essential to Compassionate Care.. 18. Student Timetable (i) 19. Student Timetable (ii).. 20. Student Timetable (iii).... 21. Student Timetable (iv)... 22. Student Timetable (v)..... 23. Student Timetable (vi)... 24. Student Timetable (vii).. 25. Student Timetable (viii). 26. Placement Opportunities Contact List. 27. Learning Opportunities whilst in placement... 28. Learning Contract 29. 9 Orientation to the Care/Learning environment.. 30. Learning Outcomes. 31. Evaluation. 32. Health Visitor Team- North. 33. Health Visitor Team-South. Page 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

34. Health Visitor Team.. 36

3 Introduction to Health Visiting An important part of your experience in the community is the time you will be spending with the Health Visitor. You will be based at:- Coral House, 11 longbow Close, Harlescott lane, Shrewsbury. SY1 3GZ From.... To If you are unable to attend any placement days please telephone as soon as possible to let your mentor know. You will also need to inform the University of your absence. We hope that you will make the most of your experience with the Health Visitor and learn a lot about the preventative side of health care. Your mentor is.. Contact Number 01743 452301.

4 Welcome to the Health Visiting Team Our aim, as health visitors, is to provide you with an insight into our role and an opportunity to work with clients and their families in this unique setting. You will work alongside experienced health visitors who will facilitate numerous learning opportunities whilst you are out on placement. The overall purpose of the health visiting service is to achieve the best health and outcomes for children from birth up to the age of five years through identifying health needs, promoting healthy lifestyles and influencing the broader context which affects and wellbeing. This includes delivery of health and development reviews, health promotion and parenting guidance tailored to individual needs. The National Health Service Act provides the framework for the provision of preventative health services. Health visiting services are delivered within a framework of professional accountability (NMC 2008) and are underpinned by evidence based practice, equity and accessibility of service provision and service user involvement. Our vision has been informed by the national and local agenda on children and families (figure1) and by SCPCT vision 2008-2018. Most clients are more than happy to accept a student nurse into their home to learn. However it is important to remember at all times you will be, as is your mentor, a guest in their home.

5 Vision- Figure 1 Choosing Health NICE Guidelines for postnatal care The CNO review of the nursing, midwifery and health visiting contribution to vulnerable children and young people Liberating the talents NSF for children, young people and maternity services Every Child Matters Every Child Matters: The children and young people s plan for Shropshire Working together to safeguard Children NICE guidelines For Antenatal and Post natal Mental Health Health for all Children 4 Baby Friendly Initiative In defining how we deliver the vision it s important to describe the health visiting service in terms of: 1. How families access our services, in other words who refers to us 2. What the main areas of our workload 3. What are the care packages we deliver to and with clients and what outcomes are we working towards 4. How we record our activities with families and other aspects of our workload

(Insert document 1 the vision) 6

7 Shropshire Community Health Trust. Our Vision We will work closely with our health and social care partners to give patients more control over their own care and find necessary treatments more readily available. We will support people with multiple health conditions, not just single diseases, and deliver care locally and conveniently as possible for our patients. We will develop our current and future workforce and introduce innovative ways to use technology. Improving Lives Our Values We make things happen to improve people s lives in our communities Everyone Counts We make sure no-one feels excluded or left behind patients, carers staff and the whole community. Commitment to Quality We strive for excellence and getting it right for patients, carers and staff every time. Working Together for Patients Patients come first. We work and communicate closely with other teams, services and organisations to make that a reality. Compassionate Care We put compassionate care at the heart of everything we do. Respect and Dignity We see the person every time respecting their values, aspirations and commitments in life for patients, carers and staff. Our Goals This over aching vision will be delivered through four strategic goals agreed by the Trust Boards, these are: To deliver high quality care To support people to live independently at home To deliver integrated care To develop sustainable community service

8 Our Philosophy of Care: We aim to treat all clients in our care as individuals and ensure that care is focused and delivered in accordance with the clients needs. To work together to improve the health and wellbeing in our local communities by: o Challenging the way we work o Giving power to the public and staff to initiate change o Being honest and open in all our dealings with people o Making the best use of our resources o Promoting good relations between people of different racial groups. The team works together to provide high standards of care, meeting the physical, emotional, psychological and spiritual needs of the clients.

9 The Current Health Visiting Service Figure 2. Demonstrates the range of ways of accessing the health visiting service Via children s centre s Parents accessing the service directly Via midwifery services Via other community based health services, voluntary agencies The Health Visiting Service The Via Primary care particularly GP referral Via acute medical services Via early years providers Via social services The Health Visiting service is a universal service with every child / family having access to a Health Visitor. Every family is provided with contact details of their health visitor s team base as a means to speak to the health visiting team during working hours. The core business hours for accessing the health visiting service are 09:00 hrs 16.00 hrs (Clients) 09:00hrs 16:30 hrs (Professionals). A Health Visiting service specification identifies the contractual agreement for delivery of the service and can be seen at www.shropshire.nhs.uk

10 Main areas of health visiting current workload (Figure 3). Safeguarding Children Activities The Healthy Child Programme Care Packages Community Public Health Interventions Health Promotion Targeted support packages for vulnerable clients Delivered by a skill mixed corporate health visiting team Underpinned by Integrated Governance Figure 3 describes the main areas of health visiting workload. The majority of our work falls into 3 main categories delivering The Healthy Child Program (HCP) www.dh.gov.uk/publications, the intensive care packages for vulnerable clients as identified by the SCPCT Strategic Plan and Children and Young People s Plan www.shropshire.nhs.uk and delivery of timed care packages designed to meet a families and / or child s assessed needs as part of the care plan arising from their assessments. These are the 3 identified levels of service delivery

11 Health Visiting Service Model Families at higher risk by criteria Vulnerable Families Solihull Approach (Increased Frequency) 2 Years Targeted by Criteria Solihull Approach Targeted Episode Multi Agency Team Approach Universal Offer PRD Pathway B/F 6/8 wks 3/4 Months 1 Year 2 Yrs A/natal contact 28-30 weeks 1 st Assessment visit 11-14 Days Ref Peer Supporters B/F Heads EPDS EPDS Growth monitoring & health promotion Promote positive parenting

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13 Determining levels of service delivery: Contacts carried out as part of the universal core offer will enable practitioners to determine which of the 3 levels of service is indicated for each family. Universal Offer Universal Plus Partnership Plus The development of specific care packages emphasizes the commitment to evidence base practice and an outcome base approach to service delivery with identified outcome and performance indicators. The value of explicit outcomes enables continual review and improvement of the service and demonstrates the value and effectiveness of health visiting. The Healthy Child Programme. (HCP) is the early intervention and prevention public health programme that lies at the heart of our universal service for children & families. The HCP offers every family a programme of screening tests, immunisations, developmental reviews & information and guidance to support parenting and health choices all services that children & families need to receive if they are able to achieve their optimum health & wellbeing. The programme will ensure that each family receives support that is appropriate for their needs with the most vulnerable families receiving intensive interventions and co-ordinated support packages. The following assessment tools are identified as appropriate for use with current Health Visiting practice within the context of the range of interventions identified in this manual Assessment Tools; Edinburgh Postnatal Depression Score (EPDS) www.shopshire.nhs.uk European Early Promotion Project Postnatal interview (EEPP1) 3-4 Months European Early Promotion Project Postnatal Interview (EEPP2) www.cpcs.org.uk World Health Organization Growth Assessment Guidelines www.growthcharts.rcpch.ac.uk Baby Friendly Initiative Breast Feeding assessment form (BFIP/N CHECKLIST) www.babyfriendly.org.uk Framework of Assessment of Need (FAN) www.shropshire.nhs.uk Domestic Abuse risk indicator tool (DART) www.shropshire.nhs.uk Parental Evaluation of Developmental Status (ASQ)

14 Mission Statement The Health Visiting Team is committed to providing a high standard of quality care, in order to achieve optimum health gain for the practice population.

15 Principles of Health Visiting The search for health needs. The stimulation of an awareness of health needs. The influence on policies affecting health. The facilitation of health enhancing activities

16 What is expected from the Student Learner a. Placement Goals The student will become acquainted with the Primary Care Teams ethos and approach to problem solving. The student will be able to articulate and summarise typical client group concerns and needs associated with for example: financial and housing problems. The student will be able to identify, with the mentor, learning opportunities that originate from practice episodes. The student will be able to effectively contribute to case discussions by offering questions or reflections for which they will be respected. The student will have the opportunity to discuss progress with the mentor at least every ten days and normally every seven days. It is a joint responsibility of the mentor and student to identify and address issues/concerns at an early stage. b. Placement Etiquette The student should arrive punctually for work, or alert the mentor in advance of any sickness or compassionate circumstances that preclude this. The student should attend placement in smart casual clothing. ID should be clearly visible when in the clinical situation. The student should treat other learners and colleagues with respect and acknowledge that the community placement represents a learning environment for many colleagues. The student should become conversant with practice protocols. The student should respect the fact that they are interacting with a client group within their own environment; and as such are regarded as a guest within that setting. Mobile phones should be switched off at these times.

17 What to expect from the Mentor 40% of practice placement time should be spent with your mentor, or associate mentor. As this is a public health placement the student will have the opportunity to arrange to spend time with other agencies.(a list of some of the opportunities available are included in this pack) The initial briefing should be conducted within the first week of placement. This should include discussion of your learning needs / outcomes; and therefore to (hopefully) accommodate individual student interests. The student should be bear in mind that inclusion in meetings, home visits and other client contact areas are entirely at the mentors discretion and are confidential. The student should expect ongoing support and regular briefings with the mentor to monitor progress. It is a joint responsibility of the mentor and student to identify and address issues/concerns at an early stage. The mentor is responsible for enabling the student to gain an appreciation of Health Visiting practice within the community setting. The mentor is responsible for enabling the student to gain an appreciation of the wider multidisciplinary team and agencies within the community setting. The mentor should ensure that learning resources are available for student nurses; e.g. journals, research materials, information technology and on-line resources.

18 Mentors Discussion Checklist Name of student... Topic Mentors signature Students signature Orientation to area Introduction to staff Confidentiality Fire Procedure Housekeeping Punctuality Reporting sick

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20 Student Name:. Week Commencing Mon AM PM Allocated time spent with mentor Tues Wed Thurs Fri

21 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

22 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

23 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

24 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

25 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

26 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

27 Student Name:. Week Commencing AM PM Allocated time spent with mentor Mon Tues Wed Thurs Fri

28 Placement Opportunities Name Telephone Number Location Audiology Dept 01743 261482 Royal Shrewsbury Hospital Child Health Dept 01743 450800 Coral House Orthoptic Clinic 01743 261000 ext 3324 Royal Shrewsbury Hospital Child Health (Speech 01743 450800 Coral House Therapy) (ask for under 5s) Gait clinic 01743283374 Princess House Clinic Lactation midwife 01743 261091 Royal Shrewsbury Hospital Named Nurse Safeguarding Julie Harris COMPASS First point of contact Ch/protection Looked After Children Nurse (to be appointed) Paediatric Liason Health Visitor Louise Hanks 01952385656 West Rd Telford 03456789021 Mt Mckinley 01743 250124 Coral House 01952641222 ext 4616 Princess Royal Hospital

29 Placement Opportunities Name Telephone Number Location Children s Centre 01743 452400 Sunflower House Help to Change 01743 454910 Coral House Smoking Cessation Claire Sweeney Community Paeds Nurse 01743 450855 Coral House Child Development team 01743 282374 Monkmoor Campus Home Start Barbara Bates Hope House DavidR@hopehouse.org.uk 01948 890458 Town Centre 01691 671999 Oswestry Severnside Housing 01743 258800 Old Potts Way County Court Shirehall 01743 260820 Shirehall School Nurse 01743 450859 Coral house

30 Learning Opportunities whilst in placement: Observing and participating in assessment process Assessing and planning care Implementing and planning care Prescribing drugs Caseload management Antenatal visiting New birth visiting Baby Clinics Multi-disciplinary team working Postnatal depression screening Participation in team meeting Experience of child protection

31 Learning Contract To be used in conjunction with the placement programme. During the course of your placement you will have the opportunity to meet some of the various health needs of the general population covered by you placement practice. Please negotiate with your mentor the learning opportunities you would like to gain from the placement. During the placement I would like to 1 2 3 4 5 6

32 9 Orientation to the Care/Learning environment It is important that you are familiar with the following: Location of Trust policies. Structure of the multi-disciplinary team, and team members. Learning resources available within the placement area. Staffordshire University Placement Handbook. How to access the Practice Education Facilitator/ Personal Tutor. Nursing & Midwifery Council (N.M.C) Code of Professional Conduct: Standards for Conduct, Performance and Ethics. N.M.C Guidelines for the Administration of Medicines. N.M.C Guidelines for Records and Record Keeping. N.M.C Guide for students of nursing and midwifery. N.M.C Standards fro Pre-Registration Nursing Education. These are all available on the N.M.C website at: http://www.nmc-uk.org/ Information relating to clinical governance and care co-ordination along with Trust policies and other useful information is accessible via the Trust website. Your mentor will assist you to access these.

33 Learning Outcomes 1. You will be able to have the unique opportunity of visiting people in their own homes and observe the search for health needs and health promotion strategies to meet these needs. 2. You will have the opportunity to observe a community child health clinic and strategies used in the promotion and protection of child health. You will finish your placement with a greater understanding of the multi-faceted health visitor role and be able to demonstrate this by describing the organisation and delivery of care in health visiting

34 Evaluation Form 1. Have you enjoyed your placement? Yes No Comments Did you feel well prepared for commencing your Health Visiting placement? Yes No Comments.. 2. Have you found the Induction pack helpful? Yes No Comments 3. How has your prior knowledge of health visiting compared to your experience in practice? Nothing like I expected What I expected Everything I expected Comments.. 4. Identify 3 elements of your placement that you have found particularly interesting? 1 2.. 3 5. Was there anything else you would have liked included during you experience?

35 HEALTH VISITOR TEAM- SHREWSBURY May 2017 NAME LEAD LINK PRACTICE HOURS PW CURRENT PROJECTS NORTH TEAM 1. Rachel Holt Rachel.holt2@nhs.net 07896 733752 2. Dawn Adams d.adams@nhs.net 07826 530561 3. Eleanor Davenport Eleanor.davenport@nhs.net 07896 733597 4. Sue Allen Sue.allen2@nhs.net 07826 530497 CONI Lead Marysville 37.5 National Leadership Programme North team leader Safeguarding/DA Lead Riverside 37.5 A/N Education B/F Lead Walk in Centre 30 Infant Mental Health Claremont Bank 22 IMH Research IY Baby Pilot and training 5. Cathy Vick Cathy.vick@nhs.net 07826 530479 6. Margot McCrone Margot.mccrone@nhs.net 07896 928476 Teenage Pregnancy Co-Ordinator Sleep Service Children s Centre Lead Integrated 2yr Lead Haughmond View 37.5 37.5 ASQ 2 year pathway 7. Sue Davies suedavies@nhs.net 07826 530586 Restorative Supervisor 22.5 8. Heather Davenport Preceptorship 37.5

36 NAME LEAD LINK PRACTICE HOURS PW CURRENT PROJECTS SOUTH TEAM 9. Annette Fury Annette.fury@nhs.net 07815 702241 10. Marie Hotchkiss Marie.hotchkiss@nhs.net 07815 510267 11. Sally Ward Sallyward2@nhs.net 07826 530516 A/Natal Lead South Hermitage 37.5 A/N Education Infant Mental Health Research 37.5 Safeguarding / DA Lead Restorative Supervisor Mount Pleasant 37.5 MARAC 12. Sara Ward Saraward3@nhs.net 07500 552647 South team leader Safeguarding Lead Marden 37.5 13. Kate Evans Kate.evans@nhs.net 07826 530618 Practice Educator Preceptorship Lead Restorative Supervisior Radbrook Green 37.5 2 Year Review Group 14. Karly Hewitt Preceptorship 37.5 15. Ashley Whiles Ashleywhiles@nhs.net 07794062723 16. Zoe Clent Zoe.clent@nhs.net 07870853165 Infection control lead. 30 HV Co-ordinator 37.5 17. Amanda Hall Amanda.hall7@nhs.net 07900827579 18. Frances Hepworth Frances.hepworth @ nhs.net

37 NURSERY NURSES 19. Mandy James amanda.james4@nhs.net 07825 450729 20. Julie Hughes Julie.hughes7@nhs.net 07826 901948 21. Sharon Rogers Sharon.rogers2@nhs.net 07826 901941 BAND 2 22. Emma Snook Emma.snook@shropcom.nhs.uk 07772 043742 23. STUDENTS North Team HVNN 30 South Team HVNN 32 NAME LEAD LINK PRACTICE HOURS PW CURRENT PROJECTS North Team HVNN 33 Clerical Officer 24 24.