Quality Assurance of Practice Learning for Health Care Professions EDUCATION AUDIT & PRACTICE EXPERIENCE PROFILE D. LEARNING ENVIRONMENT (CLUSTER) / PRACTICE EXPERIENCE PROFILE held electronically by the HEI, Trust/Organisation (HSO) and Learning Environment TRUST / Health Service Organisation (HSO) & web link Learning Environment Lead (LEL) Contact Details NHS Isle of Wight Donna Baker and Jenny Honeyman 01983822099 ext 5410 or ext 5358 donna.baker@iow.nhs.uk or jenny.honeyman@iow.nhs.uk LEARNING ENVIRONMENT CLUSTER / DIRECTORATE Education Lead for Cluster Contact Details Shackleton Ralph Nichols 01983 616526 LEARNING ENVIRONMENT / PRACTICE EXPERIENCE NAME Address Tel / Email Shackleton Ryde, Isle of Wight ralph.nichols@iow.nhs.uk Date of LE / Practice Experience Profile: 21 July 2011 Date last Profile completed:: July 2009 LEARNING ENVIRONMENT / PRACTICE EXPERIENCE TEAM completing PROFILE and Key Contacts Name Position Work Base Contact Number and Email address Paula Smith Deputy Sister Shackleton Chris Gale University of Southampton Jenny Honeyman Learning Environment Lead NHS Isle of Wight WELCOME to Trust / Health Service Organisation From E&T Lead / LEL etc South Central Student Learning Charter Please read... 110130-South Central Student Place K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 1 of 9
GENERAL INFORMATION for ALL LEARNERS Travel Information / Getting here... Google Map link / Trust web link Access by: Web Link Comments BUS http://www.islandbuses.info/ TRAIN CAR Parking arrangements/costs: Other suggestions: Boats to the Island: http://www.wightlink.co.uk/ or http://www.redfunnel.co.uk/ or http://www.hovertravel.co.uk/ Accommodation available: St Mary s Hospital Site accommodation: http://www.iow.nhs.uk/index.asp?record=855 Catering Facilities: There are not facilities to provide food on site, it is advised that food to be brought in (there are facilities in the main kitchen, microwave, oven, hob, fridge). Staff stay on site throughout their shift, there is a park nearby where students are able to take their lunch and have a break. OTHER LEARNERS Other Universities accessing our Learning Environment / Practice Experience for Student Learning, whom you may meet whilst on placement these are highlighted below: SOUTHAMPTON PORTSMOUTH BOURNEMOUTH OPEN UNIVERSITY READING SURREY Other One week student observational placement from University of Portsmouth We also support a range of professions and different learners on the following programmes, as highlighted below: Nursing Adult field Occupational Therapy Medical HCS Cardiac Physiology, Respiratory & Sleep Nursing Child field Physiotherapy Radiography (Diagnostic) HCS Audiology, Neurophysiology, Vision Science Nursing - Mental Health field Podiatry Radiography (Therapeutic) HCS Life Sciences (Blood, Infection, Cellular, Genetics) Nursing Learning Disabilities Speech & Language Therapy Clinical Psychology HCS Med Physics (Radiotherapy, Radiation, Nuclear) Midwifery Dietetics Social Work HCS Clinical Engineering (Med, Rad, Renal, Rehab) Foundation Degree Apprenticeships Other K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 2 of 9
OVERVIEW of TRUST / Health Service Organisation (HSO) Showing divisional /directorate / community care team breakdown etc and where Learning Environment (Cluster) / Practice Experience sits PROFILE for Learning Environment (Cluster) / Practice Experience Area / Locality Service / Team Location Key Contacts Tel No / Email Address Shackleton Shackleton Shackleton Ralph Nichols 01983616526 ralph.nichols@iow.nhs.uk Shackleton Shackleton Shackleton Paula Smith 01983616526 paula.smith@iow.nhs.uk Learning Environment (Cluster) / Practice Experience Philosophy or Mission Statement At Shackleton people with Dementia are treated as individuals and are cared for in a tolerant and relaxed environment. Description of the Service we provide and Client groups who may access it: Shackleton is a Dementia Assessment and challenging behaviour unit. We look after people who have an organic illness (mainly a Dementia) with associated challenging behaviour. Mostly patients will be over 60 years of age Occasionally patients suffering from an alternative organic brain injury may require admission to shackleton. These can include those suffering: Brain Injury due to a stroke/rta etc; Huntingtons Chorea People who have MS. Occasionally people under 60 will be admitted for assessment and/or treatment if Shackleton is felt appropriate and their illness decrees it necessary. Shackleton is a consultant led unit, but with the introduction of the Advice Line and Outreach Service referrals for input can often come from Gp s, families, homes etc. K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 3 of 9
Patients do have to be seen by a consultant prior to admission, or their agreement to admission sought by the referring party. Via the Advice line and Outreach services we are able to offer verbal input and, when possible, to offer visits and on site assessments/management strategies in order to keep the person involved in more familiar surroundings. There are Inreach work stream meetings set up as part of the Dementia Strategy which include heads of nursing and residential homes and in-patient working streams which involves collaborative working with staff from wards at St Mary s and the Dementia Liaison Nurses. An Alzeimers café for relatives and others to attend serves to raise awareness, offer friendship, support and education for those wishing to attend. Other areas of interest and related experience available Key Learning Experiences: 5 Mentors (6 th mentor, experienced nurse doing the e-learning mentorship course and is a buddy ). Various forms of dementia Shackleton hold Teaching sessions in laymans terms. Communication skills, using therapeutic environment, learn a little bit about yourself. There can be verbal abuse and physical resistance. (Learn how not to take things personally, how to withdraw from a situation safely and effectively) Learn how to work with and treat someone who has Dementia as an individual. Using your environment effectively in order to provide optimum patient care. Meet physical care needs, to do daily obs (blood pressure, diabetes, hypertension). Wounds assessing wounds, using aseptic techniques, wounds dressing. Take an active part in development of our service (If you see something you don t like or if you know a different way of doing something that you think will work then let us know, you will be supported and we will look at change/ improvement.) Medications used in the elderly including side effects, alternate uses. In-house training available to students. Learn about the MHA, MCA, DOLs etc; Care planning the whole process. K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 4 of 9
LEARNER INFORMATION Work Pattern (eg Shift patterns, start & finish times) Dress / Uniform Code Staff room / Rest Room facilities Library / IT Resources Induction / Orientation Programmes Welcome Folder Student Tutorial / Seminar Programme (if available) Managing Student Issues flow chart & main contacts Abbreviations / Glossary relevant to this area Prior recommended reading / websites / resources 3 shifts with mentor a week. A shift with the nurse prescriber. Earlies 6.45 14:45, lates 13.00 21.00 and nights 20.30 7.00. (nights are optional, but encouraged). First shift is likely to be middle for induction, introduction and orientation. University of Southampton Mental Health Student uniform (purple polo shirts and trousers), proper foot wear, minimal jewellery, hair tied back (in uniform policy) 1 staff room, female cloakroom, male cloakroom. Staff toilet on the ward. Food to be brought to the site, there are facilities in the main kitchen, microwave, oven, hob, fridge. Staff stay on site throughout their shift, there is a park nearby where students are able to take their lunch. Swift and PAS are used. The mentor will have a computer. Encouraged to go to the library (Oliveira). There is a welcome folder, covering all relevant information for the placement. Students are welcome to any training sessions that are happening. Have been distributed to Shackleton. In student pack Look up various forms of dementia. Contact or look at alziemers society website for updates. Dementia strategy. Common assessments / interventions / procedures / Physical observations, MMSE (mental state examination), Management of ADL s, medication, blood glucose monitoring, K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 5 of 9
treatments / evaluations Common conditions seen Specific areas of expertise/clinical skills which students can observe / learn from / Practice LIST of LEARNING OPPORTUNITIES available in main hub placement area Wound assessment and treatment, Admission and Discharge planning, care planning Dementia of various types and Alzheimers with related challenging behaviours. Medication used in Dementia treatment and alternative uses. Invovement with Nurse prescriber. Specialist Dementia care. Wound assessment and treatment. Assessment and treatment of patients with dementia and challenging behaviour. Medicines management. Management and distraction techniques. Supervision and reflective practice/incident reviews. Care planning. Full range of opportunity for students to provide nursing care for a wide spectrum of mental health problems. Opportunity for leadership with appropriate supervision. Opportunity for in house training and mandatory updates. This list is by no means exhaustive. LIST of LEARNING OPPORTUNITIES available in Linked areas / spoke organisations Out reach team. Dementia liaison nurses at St Mary s. Visits to Homes, help with transitions. Shadowing CPN s, care managers in the memory service. LIST of Inter professional learning opportunities for students on placement Memory services include 2 OT s who come over when they can (once a week). OT s go to homes, or patients home or can work with students here. CPA s, Psychiatrists, SHO s. Clinical days are encouraged, case conferences. Social Services (2 are affiliated with the team) PCSO service may have contact but not on a regular basis. K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 6 of 9
Specifically for Nursing students, are there opportunities on this placement for the student to have experience of working with other client groups? Eg Maternity care No Memory groups held at St Mary s Child Care No Mental Health Dementia services Learning Disability No Other No Please list all other services within this Trust/HSO and external NHS/Social Care/PVI services you liaise with or refer clients onto: Please list all other Health and social care staff the student may have the opportunity to work with: OUR EXPECTATIONS of LEARNERS whilst on this Practice Experience: Podiatry, CPN service, Care Managers, Physiotherapy, District Nurses, Occupational therapy, continence Nurse advisors, maxillofacial unit, Diabetes Nurse specialist, EMH (pain control), Dermatologist, Orthopaedics. OT s, Care managers, Dementia Liaison Nurses, Nurse Prescriber, Consultant(s), other Medical Staff. We expect the student to work as part of the team in the realms of where they are in their training. We expect them to be governed by the policies and procedures. Be enthused, willing to participate, feel able to ask and to raise questions and concerns. To have an idea of what they want out of the placement. Prefer a visit before they are due to start, or at least a phone call. K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 7 of 9
The following Policies and Guidance Documents MUST be made available to learners whilst on this Practice Experience: (Trust/HSO & locality to confirm list) Policy / Guidance Health & Safety Where Located / Hyperlink Policy / Guidance http://intranet/guidelines/health%20safety%20policy%202011.pdf Patient / Client consent Fire http://intranet/guidelines/fire%20policy%20final%202009.pdf Professional Codes of Conduct Confidentiality http://intranet/guidelines/codeofcon.pdf Data Protection Equality & Diversity Infection Control http://www.ico.gov.uk/for_organisations/data_protection.aspx http://intranet/guidelines/equality%20and%20diversity%20policy%20nov%2009%20final.pdf Infection control Hand Hygiene http://intranet/guidelines/hand%20hygiene%20final%202010.pdf and http://intranet/guidelines/hand%20hygiene%20for%20patients%20and%20visitors%202011.pdf Moving and Handling Accidents and Clinical Incidents Emergency Procedures Violence and Aggression Lone Working Chaperoning & Escorting Vulnerable Adult / Child Education & Learning http://intranet/guidelines/moving%20&%20handling%20of%20loads%20policy%202011%20final.pdf Managing Student Issues Mental capacity act Disclaimer forms NMC http://intranet/guidelines/management%20of%20viole http://intranet/guidelines/lone%20and%20isolated%20 http://intranet/guidelines/escort%20policy.pdf http://intranet/guidelines/sa%20policy%20section%20 http://intranet/guidelines/sa%20policy%20section%20 http://intranet/guidelines/safeguarding%20children%2 http://intranet/guidelines/mandatory%20training%20p http://intranet/uploads/developmentandtraining/supp http://intranet/guidelines/siri%20policy%202010%20final.pdf Security http://intranet/guidelines/security%20policy%20review All PI trained. Guidelines to say that they can call on Afton, Osborne and Seagrove if needed. To send a copy to K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 8 of 9
insert. National / Local Guidance NICE Guidelines Dementia Strategy Other Management of medication K:\Learning Environment Team\Intranet documents\practice Placement profiles\community Health\SHACKLETON\part d - student audit july 2011.doc Page 9 of 9