Theatre Placement for Pre - Registration s, C level Theatres, Sunderland Royal Hospital. : Mentor: Allocation Dates:
Structured Learning Experience for Pre-registration s Inter- Professional Learning within C Level Theatres, S.R.H. 1 2 3 4 5 Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Vascular PAAC ENT Colorect al Faciomaxillary Ortho. Th Anaes. Room ICCU ENT Colorect al PAAC Faciomaxillary Ortho. Anaes. Room ICCU PAAC Colorect al Gynae. Faciomaxillary Ortho. ENT PAAC PAAC Acute Pain Facio- Maxillary Ortho. Urology Day Case Specialist Nurse Anaes Room. ICCU Acute Pain Vascular Gynae. Urology Day Case. Specialist Nurse Anaes. Room. ICCU Acute Pain Vascular Gynae. ENT Anaes. Room. ICCU. Acute Pain Gynae.Th Colorectal Urology Day Case Specialist Nurse Acute Pain Gynae.Th Vascular Choice Urology Day Case Specialist Nurse Faciomaxillary Ortho. Choice. Vascular Choice. Urology Day Case Specialist Nurse ENT Choice Colorectal Choice Mentors. All mentors will meet with their student every week of the allocation to discuss their progress to date. Every meeting with students must be documented. Any problems with students or mentors must be reported to educational link nurses ( Lynn Grant, Ralph Boutflower) or Senior Team Leader immediately. Problems must not be allowed to carry on until the final week before they are addressed. Week one of the allocation is orientation. A preliminary interview must be given in this week. Discuss opportunities of learning. Identify any specific objectives the student needs. Prepare action plan for allocation. Week four of the allocation is the mid-point interview. A progress report must be given this week by mentors. Week Eight a final progress report and mark must be given this week. Key. Areas in bold type indicate one week spent in that theatre. Areas in italics indicate one day spent in that theatre. Areas in normal type indicate half day as arranged by mentor within that learning zone. Notes. TSSU visits are now incorporated into theatre induction day, usually a Monday afternoon. Other learning zones may be accessed based on learner needs. Those above are those core learning zones identified by Educational Link Nurses to be essential to holistic theatre placement.
Pre-registration, Theatre Induction Checklist, C Level Theatres Activity Date. Learner signature. Orientation to unit; including, Reception Anaesthetic Rooms, Rooms, Theatres, Washer Disinfectant Rooms, Storage areas, Mentor signature. Identification of specialist trollies; including, Crash Trollies, Latex Allergy, Chest Drain, Emergency Intubation ( Adult + Paed) Introduction to Team members; including, Senior Team Leader, Team leaders, Teams, Mentor, Associate Mentor, Explanation of Structured Learning Experience; including, Identification of s specific learning needs, Access to Learning Zones, Specific Learning Zones beneficial to theatre experience, i.e; T.S.S.U, I.C.C.U, Acute Pain Team, P.A.A.C, Surgical Admissions Ward, Pre-set objectives given for these learning zones. Explanation of Dress Code; including, Jewellery policy, Theatre Hat Colour Code, Theatre Uniform Policy, Hospital Uniform Code, ( for learning zone visits) Personal Hygiene, ( finger nails, hair, hand washing) Off Duty; including, Shift Times, Request Book, Audit Days, Study Time Allowance, Departmental Philosophy; including Room Philosophy,
Sickness Policy; including, Informing University, Informing Nurse in Charge of Department, Informing mentor, Identify Policy Files; including, Health and Safety, Control of Infection, Latex Allergy, Standards, Nursing Policies, Risk Assessment, Informed Consent, C.H.S Drug Policy, Explanation of Emergencies; including, Fire Drill; i.e, Fire Points, Extinguisher / Alarm location points, Emergency Number, Closing doors, Patient Care in Fire Situation, Cardiac Arrest; i.e, Emergency Number, Location of emergency trollies, Miscellaneous; including, Canteen Facilities, Parking Facilities, Changing Room Locker Allocation, Departmental Security codes, Understand Theatre Ettiquette; including, Entering and exiting theatres, anaesthetic rooms, recovery areas, Speaking to Medical / Theatre Staff when scrubbed, Wearing of Identity Badge,
Preset Learning Objectives for Pre-Registration s Accessing Learning Zones from C Level Theatres, S.R.H. Learning Zone Date. Learners signature. Theatre Sterilising Services Unit, (T.S.S.U) Rationale to appreciate the service supplied to theatres Objectives; - to understand the concept of sterilisation, - to appreciate the knowledge and skills of the operatives, - to gain an understanding of the instruments / products supplied by the sterilising unit, - to identify the role of the unit as part of the theatre team, - To reflect on this visit with mentor. Pre- Assessment Clinic, (P.A.C) Rationale to appreciate the role of the pre-assessment nurse and the assessment process within the patient journey Objectives; - to discuss the concept of pre-assessment and link to the concept of holistic care, - to appreciate the skills and knowledge of the preassessment nurse, - identify the anatomy and physiology of the surgical procedure the patient is to experience and discuss and reflect with unit staff and mentor, - to understand how the medical history of the patient will have an impact on the procedure the patient is to experience, - to understand any moral / legal/ ethical implications the surgical procedure may have for the patient or specific client group, - to discuss relevant documentation necessary for these implications to be identified as part of that patients / client groups care, - to choose a patient / client, following their permission, through informed choice, to follow as a case study on their journey through theatre. Mentors signature. Intergated Critical Care Unit, ( I.C.C.U) Rationale to appreciate the role of the Critical Care Nurse and the care given to patients within the I.C.C.U Objectives; - to observe and assist with the care of critically ill patients, - to follow through and observe the care given to patients / clients discharged from theatres, - to understand the difference between Level 2 and Level 3 care, - understand the role of the Critical Care Outreach Team, ( C.C.O.T) - to discuss and reflect on the experience with unit staff and mentor.
Surgical Admissions Ward, Rationale to assist in the admission of the selected patient / client and appreciate the role of ward personnel in the patients journey through theatre Objectives; - assist with the admission of the selected patient / client for the case study, - to discuss all aspects of nursing care with patient / client, nursing and medical staff, - practise within guidelines of professional code of conduct, - maintaining privacy, dignity and confidentiality of patients at all times, - to be involved in the management of the patients journey to and from theatre, - to reflect with ward staff and mentor on learning experience. - Acute Pain Management Team, Rationale to appreciate the role of the Acute pain management team Objectives; - to appreciate the role and workload of the Acute pain management team, - to discuss the concept and physiology of pain and acute pain management, - to identify a definition of what acute pain is - to understand the basic principles of the analgesic ladder, - to visit patients / clients affected by acute pain following surgery or referral to the Acute Pain Team, - to differentiate between acute and chronic pain, - to observe and discuss the tools available for pain management, - to discuss and observe the demonstration of P.C.A ( Patient Controlled Analgesia) and P.C.E.A ( Patient Controlled Epidural Analgesia) infusion pumps and recognise their differences, - to discuss and reflect on this learning zone with Acute Pain Team and mentor, - under supervision apply theory to practise in recovery area during placement allocation.
Learning Zones for Pre-registration s, C level Theatres, Sunderland Royal Hospital. Specialist Nurse Link Acute Pain Sister Chronic Pain Sister Urology Nurse Vascular Nurse Macmillan Nurse Infection Control Related Specialities Anaesthetics Post Anaesthetic Care. Adult recovery Paediatric Departmental Visits A+E Dept I.C.C.U - Level 2 Care Level 3 Care Outreach T.S.S.U Pre-assessment Clinic Surgical Admissions Medical Equipment Library Miscellaneous or Unusual Organ Donation Bone Marrow Harvest Caesarean Section X-ray Post- Anaesthetic Care Level 3 ICCU Care C Level Theatres Learning Zones C level Surgical Specialities Speciality Vascular Colo-rectal Urology Vascular E.N.T Urology Facio-Maxillary E>N.T Colo-rectal Breast Surgery Minimal Access Emergency Paediatric Cryo Surgery Dental Access to Other Surgical Specialities Orthopaedic Gynae Opthalmic Day Case
Pre-Registration Learning Contract for Non Pre-set Learning Zones, C Level Theatres, Sunderland Royal Hospital. Mentor Identified Area Within Learning Zones Aim / Purpose of Visit Objectives of Visit Agreed Date / Time Identified Supervisor ( Within Learning Zone)
Reflective Summary ( BY ) Key Learning Points Signed (Allocated Supervisor) ( Testimony of Witness) Date. Signed ( ) Date. Signed ( Mentor) Date.
Pre- Registration s Placement Evaluation Form, C Level Theatres, Sunderland Royal Hospital. 1. Have you enjoyed your placement within C Level Theatres? 2. Could you list what you liked / disliked about the placement? 3. Did you discuss your dislikes with your mentor? Please State why you didn t, if your answer is no. 4. Were you allocated a mentor during your Placement? 5. Did you work with your mentor 50% of your allocation? 6. If your mentor was absent, were you allocated an associate mentor? 7. Did you find the structured allocation beneficial? 8. If no, please state what could be improved, in your opinion. 9. Did you access any learning zones during your allocation?
10. If not, why not? 11. What, in your opinion, could we improve in this allocation for future Pre-registration students? 12. Would you consider spending you internship with C level Theatres? 13. Please explain your answer to question 12. 14. Do you feel this placement has taught you new or transferrable skills? 15. Please explain your answer to question 14. Thank you for completing this questionairre. Please ensure that your mentor submits a copy into the Evidence File.