Student Nurse 2017 HOP: Undergraduate students 2017 Kenepuru Hospital Orientation Listen Learn Care Respect Let s Get This Right Page 2 Updated by (Nurse Educator HOP) 1101/2017
Name: Area: Listen Learn Care Respect Let s Get This Right Hello Welcome to Health of the Older Persons Service at Kenepuru Hospital. We are really excited to have you here. Wards 4,5 and 6 are Dedicated Education Units that support your clinical learning opportunities. We look forward to sharing our knowledge and skills with you and learning new ideas and practices from you. This is a fantastic learning opportunity and we encourage you to make the most of every opportunity to learn while you are here. We have a huge multidisciplinary team working with our patients. You will be able to learn alongside these people to broaden your nursing knowledge and be introduced to the concept of a team approach to care provision. During your time with us you will be actively encouraged to participate within the team. This booklet has been designed to support that process. Philosophy Within the HOP service we all work to achieve the best outcome for the patient and their family. In order to do this we ensure that our practices are provided with dignity and respect. It is our expectation that dignity and respect are also given to each other within the multidisciplinary team. This includes you and your practice. You will notice from this philosophy that caring is central to all we do. Background Health of the Older Persons Service The focus of this service is to encourage patient independence so that they are able to go home. Home might be their house, supported living or an aged care facility. The approach to enable this progression relies heavily on the Multidisciplinary team working together. Assessment Assessment is the process of a systematic evaluation of a person and their family/whanau by a multi-disciplinary team (MDT) or practitioner who is part of the MDT. The purpose of assessment is to identify the person s physical, cognitive, cultural, social, medical and emotional needs and link these needs to an outcome- Page 3 Updated by (Nurse Educator HOP) 1101/2017
focused plan for treatment, rehabilitation and education. In addition a comprehensive assessment will support the needs and long-term management that is appropriate for the person and their individual circumstances. As a Student Nurse you assessment skills will play an important part in your decision making and care and will influence the MDT plan. As a student nurse we encourage you to practice the assessment skills you currently know and incorporate those found in the patient admission to discharge planner (PDAP). It is important to recognise that assessments are not limited to these tools. The PDAP is enclosed in your welcome package. It is a legal requirement that all patients have a PDAP completed and is central to your nursing care provision. Plan of Care / Treatment / Rehabilitation Approach The patient s plan of care and its implementation is a coordinated, multidisciplinary approach that incorporates a holistic view of patient needs. The purpose of this approach is to address reversible conditions, minimise symptoms and /or identify appropriate management strategies. In doing so it is anticipated that patients will return home or to a supported environment that encourages independence and self care when appropriate. Your knowledge of patients conditions and plans of care supporting independent outcomes and wise use of resources will contribute to favourable patient outcomes. Rehabilitation Nursing Rehabilitation nursing is a specialised, individualised practice committed to restoring and maintaining the optimum level of functioning of the patient and their family/whanau which enables them to achieve their life goals. The nurse s responsibility is to support a partnership approach that meets patients medical, educational, vocational, environmental cultural and spiritual needs. Central to this approach is the philosophy of treating patients with dignity and respect. Patient goals are set in consultation with the patient and their family and supported by the multidisciplinary team. As a Student Nurse we encourage you to talk to patients and their families and reflect their stories, goals and visions during MDT meetings. You are in a unique position to hear what patients and families would like to achieve. Rehabilitation nurses base their practice on rehabilitative and restorative principles. By Managing complex patients in collaboration with other specialists Ensuring the patient/family/whanau are actively engaged and supported in decision making and care provision The Associate Charge Nurse Manager, Clinical Nurse Educator, your preceptor and colleagues aim to support you during your orientation to ensure that you access all relevant information to be able to support positive patient outcomes. Page 4 Updated by (Nurse Educator HOP) 1101/2017
Contacts To contact staff from outside of the hospital ring the hospital switchboard and ask for the extension number. For inside calls dial the extension number only. Please email the Clinical Liaison nurse as first point of contact Hospital Switchboard 2370179 HOP Inpatients Unit Ward 4 Ward 5 Ward 6 Ext 7006 Ext 7240/7005 Ext 7330/7332 Clinical Educator Nurse Ward 4 & 5: Eugene Andrada Ward 6: Adelaide Jason-Smith DD Ext 7022 Cell 0277115036 Clinical Liaison Nurse Senia Francois Senia.Francois@ccdhb.org.nz Nurse Manager Mikaela Shannon DD Ext 7028 Pager Ext #6852 Associate Charge Liz Forward (Ward 4) DD Ext 7022 Nurse Managers Julie Smallbone (Ward DD Ext 7210 5) After Hours Duty Manager Pager 362921 Phone : #6373 Your Preceptor: Your Preceptor will work alongside you to support your practice and learning during your placement. You will work with your preceptor in a shared care model for your orientation period. This means you will be allocated your own workload and be supported by your preceptor for this time. Clinical Liaison Nurse Siena is the Dedicated Education Unit Clinical liaison nurse (CLN) for wards 4,5,and 6 and your main clinical contact.. Siena will provide you with some structured clinical learning during your clinical placement. Siena has an excellent understanding of your programme and academic study and will work alongside your academic tutors and yourself to support your learning needs and complete formative and summative assessments during your placement. Expectations of All staff and Students Please arrive to work and be ready for handover at least 10 minutes before the start time below. If you are late or sick please ring us as soon as possible to let us know Page 5 Updated by (Nurse Educator HOP) 1101/2017
Ward Shift Time 4 & 5 AM 0700-1530 PM 1430-2300 Nocte 2245-0715 You must complete the full shift that you are allocated to work if you are unable to do so please discuss this with the CLN and Academic Liaison nurse (ALN) Please wear correct uniform. If you are unsure of what this is review the uniform policy PLEASE ASK HEAPS OF QUESTIONS THERE ARE NO SUCH THINGS AS DUMB QUESTIONS HANDOVER Please use the handover tool that is given to you at the beginning of the shift. It is important that you take notes and plan your care using the handover template, by listening to the handover and taking notes, reading the patients notes and by rounding your patients at shift change over You are responsible for the handover of your patient. You handover should include but is not limited to:- Patients General condition Observations including EWS and noted changes in same Medication given and what time. Changes in medication orders Fluid Status (input and output) including nutrition, FBC charts and Bowel motions (BM) Observe wounds/line dressings; e.g. PICC or IVC Mobility aids required physiotherapist- instructions / Falls risk Doctors Plan for the next 24hrs CARE PLANS All patients admitted to Kenepuru Hospital require a care plan to be completed within the first 24 hours of their admission. Ideally this should be completed at the time of admission. This is particularly important as all of the assessments included in the plan will determine the patients care, their level of safety and well being. Patient admission to discharge plans must be updated daily and more frequently if required and when patient care changes frequently. PATIENT PROGRESS NOTES It is your responsibility to write in the patient progress notes. Most nurses write their notes at the end of their shift however progress notes may be written throughout the shift. Please remember that patient notes are a legal document and that you writing should reflect this in terms of professionalism and health literacy. Remember if it is not written down it did not happen. Page 6 Updated by (Nurse Educator HOP) 1101/2017
Meetings Whiteboard Meeting: Daily 0830 This is a multi disciplinary team meeting to update everyone on patient goals and planning. The Student Nurse is supported by their preceptor to hand over their allocated patients. Multi Disciplinary Team meetings (MDT) As the Student Nurse you will attend your patients MDT meeting with your preceptor. Meetings are run by consultant group order. This means that not all of your patients will be discussed at all of the meetings. Time Monday Tuesday Wednesday Thursday Friday 1100 Colin Feek Kate Scott Colin Feek 1300 Kate Scott Katia Lang Emergency Management In the event of an emergency situation don't panic It is your responsibility to locate your allocated leader for that shift and be directed by them. Call 777 In any emergency situation and ask for help Emergency Bells Ring three call three bells at the bedside if you have an emergency in ward 5 and push the emergency bell if you are in ward 4. Please respond to others who have called emergency bells and offer help. If in doubt call the emergency. It is better to have help soon and not need it than to not have help and need it. Treasure Hunt This is a great way for you to get to know where everything is please have a good look round and find:- Page 7 Updated by (Nurse Educator HOP) 1101/2017
IV fluid store Controlled Drug cupboard Emergency trolley Emergency cabinet Medication cupboard Treatment rooms Linen supplies Charge Nurse Manager Office CNE Office IV Syringes Kitchen store room Weighing scales Staff tea room Cleaners room X-ray facilities Clean utility room Dressing Materials Oxygen isolation shut off valve Store cupboard Alcohol Swabs District Nurse Referral Plain Gauze Clinical policies & procedures Oxygen tanks Gym Notes on Injectable Drugs OT kitchen Manual BP machine ACNM Office Suction Equipment Bio-hazard bags Tympanic thermometer covers Stationery supplies Photocopier Patient charts Laboratory forms Alginate linen bags Incident Forms Assessment Room Sterile Gloves Where to store your bags Common Medications Name of Medication What is it for? common adverse Page 8 Updated by (Nurse Educator HOP) 1101/2017
Metoprolol reactions/side effects Simvastatin Thyroxine Allopurinol Aspirin Oxycontin Quinapril Amlodipine IV Therapy: As a second third year student Nurse you may practice the administration of intravenous medication in accordance with CCDHB policy All IV therapy must be checked and given under the direct supervision of an IV certified Registered Nurse. Controlled Drugs: All controlled drugs must be double checked by Registered Nurses. Please be very particular to use the 7 rights of medication administration when checking and dispensing drugs. Useful Information PADP policy Early Warning Score Assessment Tool (CCDHB policy CCP AST-01) Pressure Risk Assessment Tool (CCDHB policy CPP SAF-07) Falls Risk Assessment Tool ( CCDHB policy CPP SAF-02) Ward resources folders Nursing Handover Policy Drug measurements' and calculations Acute Pain Management PCA ( CCDHB policy CPP APM-02) Medicines Administration (CCDHB policy CPP MED-06) Hand Hygiene (CCDHB policy CPP PAT-02) NOTES Page 9 Updated by (Nurse Educator HOP) 1101/2017