WARD 8 WANSBECK GENERAL HOSPITAL PROFILE OF LEARNING OPPORTUNITIES. Link Mentor: Trudy Parkin Review date: May 2010
GUIDANCE FOR PRACTICE PLACEMENT EDUCATORS AND STUDENTS. This profile of learning opportunities is a document that details learning opportunity within your placement. This file is a growing and dynamic document, with staff and students being responsible for keeping it updated and relevant for their clinical area. It is intended that practice placement educators and students utilise this resource to select appropriate learning opportunities to help students meet their specified competencies. It is expected that students will use this file as a resource and be proactive in identifying their learning needs. Many of these learning opportunities will take place with a variety of professionals including other allied health professionals, district nurses, health visitors, public health nurses, specialist nurses and practice nurses. This resource gives an overview of the inter agency and multi professional contacts which students may encounter during their placement, however not all of these opportunities will be accessible. On the first day of practice placement within primary care, the student must have an induction into their practice area. Please ensure that the induction checklist is completed and retained in this portfolio. Following placements, student evaluation forms should be retained in the practice area. These should be used to reinforce good practice placement education and developmental opportunities. Please retain student evaluations (with students permission) in this portfolio for audit purposes. 2
CONTENTS 1. AREA PROFILE. 2. LEARNING ZONES. 3. LEARNING OPPORTUNITES. 4. ADDITIONAL LEARNING OPPORTUNITIES SPECIFIC TO AREA OF PRACTICE. 5. REFERRAL PATHWAYS 6. RELEVANT STANDARDS OF PRACTICE 7. INDUCTION 3
1. AREA PROFILE. CLINICAL AREA (DESCRIPTION) 27 Bedded medical ward for the Older Person. The ward also takes anyone over the age of 65 years who has had an un-explained fall. LOCATION Ward 8 Wansbeck General Hospital TELEPHONE NUMBER 01670 529108 SHIFT PATTERNS Early 07:30-16:00; Early half finish at 13:00 or 08.00-1600 Late 12:00-20:30; or 13.00-20.45 Night 20:15-07:45 PHILOSOPHY OF CARE The nursing staff on ward 8 will strive to deliver a high standard of individualised, holistic nursing care. The prescribed plan of care will be devised to meet the physical, psychological, spiritual and social needs of the patient. Patient s relatives will be encouraged to participate in care where applicable. The nursing staff on ward 8 will assess patients on admission, this vital information will ensure us to plan, implement and evaluate individualised nursing care, planned specifically to resolve problems and meet the needs of the patient. The nursing care on ward 8 will be evidence based. This means that the care is 4
adjusted accordingly to any recent research findings. Research based care ensures that the most effective and proven way to deliver nursing care is provided. The nursing staff on ward 8 will endeavour to provide constant and accurate information to both patients and their relatives. The nursing staff will liase with other health care professionals, the multi-disciplinary team, and then relay information to the patient. The nursing staff on ward 8 will aim to understand and respect any individual patients specific beliefs, needs or preference in relation to culture, religion and ethical issues. All patients on ward 8 will be fully informed of any nursing intervention, clinical procedure, investigation or operation. Any advantages or risks will be clearly identified. Consent will be obtained, either written or verbal prior to any investigation. The nurse will always act in a manner to safeguard the patient and act as the patients advocate if the situation arises. PRACTICE PLACEMENT EDUCATORS Helen Siney Ward Manager. Derrick Tait Charge Nurse Dawn Smith Sister Trudy Parkin Staff Nurse Laura Burrow Staff Nurse 5
NAMED PERSON RESPONSIBLE FOR POLO Trudy Parkin PoLO REVIEW DATE May 2010 6
2. LEARNING ZONES. 7
Endoscopy unit OT Physiother apy Social Workers Dietician X-Ray Dept. Mcmillan WGH ward 8 District & GPs Medical Staff SALT GI Nurse Specialist Modern Matron Psychiatri c nurses & doctors Pharmacy 8
3. OPPORTUNITIES. INTERPERSONAL SKILLS. LEARNING OPPORTUNITY Effective communication, talking/ interaction with patients/clients /carers/relatives/teaching staff in a variety of settings. RESOURCE/PERSONNEL. Awareness of own communication skills both verbal and non-verbal. Use of telephone/answering calls/bleep Systems/ring back. Use of computer, email and internet Multi-disciplinary and multi agency meetings. ; OT; Physiotherapy; Medical staff; Care Manager; CLPN Discussions with other relevant professionals involved in patients care. Podiatrist; Specialist ; Holistic care of different groups of people, young, elderly, asylum seekers, dying. ; OT; Physiotherapy; Promotion patients compliance and concordance with treatment/ medications/health promotion strategies ; OT; Physiotherapy Demonstrate sensitivity for patients/carers in relation to distressing information. ; Support and enable patients/carers/groups and communities to take action and prioritise health needs. Demonstrate effective communication between primary care networks. All members of MDT 9
Bereavement support. ; CPLN Experiences with clients from a variety of ethnic backgrounds and asylum seekers All staff 10
CLINICAL SKILLS. LEARNING OPPORTUNITY Wound Care Continence Care Diabetes Respiratory diseases Orthopaedic care Catheter Care Bowel Care Nutrition Hydration Mental Health Hygiene Care Mobility skills Palliative Care Pressure Area Care Observation skills RESOURCE/PERSONNEL. ; Continence Advisor ; Diabetic Nurse Specialist ; Respiratory Specialist ; ; NTGH ward 5 & 6 staff; ; Dietician ; CPLN ; OT ; Physiotherapists ; MacMillan ; 11
HEALTH PROMOTION OPPORTUNITIES. LEARNING OPPORTUNITY Risk Assessment Dietary Advice Continence Training Mobility Diabetes RESOURCE/PERSONNEL. Nursing Staff Dietitian; Specialist Nurse; Physiotherapy; Specialist Nurse; 12
CARE MANAGEMENT OPPORTUNITIES. LEARNING OPPORTUNITY Use of computer to access patient information both written and electronic if available. RESOURCE/PERSONNEL. Ward Manager; Ward Clerk, Patient/ client handovers/information sharing both written & verbal between teams. All staff Undertake assessment based on patients/clients holistic needs. Participate in ongoing assessment of holistic health needs Patient documentation/care assessment/ planning/implementation and evaluation. Identify timescales related to patient outcomes. Identifying the role of non professional, voluntary and statutory agencies in patient care. Analyse and interpret information to inform care delivery and take appropriate action. Clinical audit. Clinical Excellence Dept; Health promotion opportunities. specialist nurses 13
Cardiac rehabilitation. Specialist Nurse; Child protection, case conferences, care team meetings, strategy meetings. Working with ethnic minorities. All staff Special needs. All staff 14
ORGANISATIONAL/MANAGEMENT OPPORTUNITIES. LEARNING OPPORTUNITY Use of computer systems/ EMIS/ email/internet/intranet. RESOURCE/PERSONNEL. Admin support. staff Accessing patient results and planning appropriate action. Medical staff; Time management/ prioritising needs. Interprofessional working. All members of the Multi-disciplinary team Geographical prioritising. Locality awareness/health needs assessment. All staff Caseload delegation. RGN: Community development work/ Health need assessment. Effective team management including appropriate delegation of duties. Awareness of knowledge base and skill mix. 15
4. ADDITIONAL LEARNING OPPORTUNITIES SPECIFIC TO AREA OF PRACTICE. LEARNING OPPORTUNITY RESOURCE/PERSONNEL. Gastro medicine Multi-disciplinary meeting Ward rounds Home assessment visits medical staff; dietician; endoscopy staff All members; OT; 16
5. REFERAL PATHWAYS. There are referral forms for the following disciplines: Occupational Therapy Dietician Speech And Language (SALT) Tissue Viability Nurse District Nurse Podiatrist Diabetic Specialist There are verbal referrals made to the following disciplines: Physiotherapy 17
There are written transfer letters for the following: Nursing Home/Residential Homes Community nurses Medical staff referrals forms: MRI scan X-Ray CT scan Consultation (to another Consultant) 18
6. RELEVANT STANDARDS OF PRACTICE. Nursing and Midwifery Council: Code of Conduct Department of Health: The NHS Plan National Service Framework A First Class Service The NHS Knowledge and Skills Framework (NHS KSF) and the Development Review Process The New NHS: Modern, Dependable Northumbria Healthcare NHS Trust: All policies and procedures. 19