profile of learning opportunities ward 7 ntgh · care plans:- assessment. ... nursing staff nursing...
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PROFILE OF
LEARNING
OPPORTUNITIES
Ward 7
NTGH
Updated May 2009
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CONTENTS
1. INTRODUCTION TO WARD 7, NTGH.
2. PHILOSOPHY OF CARE WARD 7.
3. GUIDANCE FOR PRACTICE PLACEMENT
EDUCATORS AND STUDENTS.
4. AREA PROFILE.
5. LEARNING ZONES.
6. LEARNING OPPORTUNITIES.
7. ADDITIONAL LEARNING OPPORTUNITIES
SPECIFIC TO AREA OF PRACTICE.
8. REFERRAL PATHWAYS.
9. RELEVANT STANDARDS OF PRACTICE.
10. INDUCTION CHECKLIST.
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1. INTRODUCTION TO WARD 7, NTGH
We are a general surgical ward, where both male and female patients
are nursed before and after their operations. We look after a variety of
different patients, taking emergency admissions from casualty as well as
waiting list admissions. There are nine consultant surgeons who are
based in our surgical department, all having their own specialist area of
expertise. These include upper Gastro-intestinal surgery, pancreatic
disorders, breast surgery, bariatric surgery and colorectal surgery.
On ward seven the Ward Manager is Lindsay Rajeev. There are two
Ward Sisters Joan Moat and Ann Gregg. We also have 16 staff nurses,
8 health care assistants, four support workers and two ward clerks. We
all work together with other health care professionals to provide quality
of care for all our patients.
We mainly work early and late shifts, the early starting at 7-30 until 16-
00, the late shifts are from 12.30 until 20.30 plus half day 07.30 – 13.30.
We usually work in three teams enabling nurses to look after between
eight and twelve patients during their stay on the ward. Student nurses
will be put in a team with their mentor, enabling them to get to know
their patients and have input into the care given to patients.
Whilst on the ward students will be able to learn a great deal about
surgical patients and the care that they receive. They will be able to
work with experienced nurses both on the ward and in other areas
related to surgery. These include working with specialist nurses in pain,
outreach, breast care, colorectal surgery, upper GI surgery, stoma care
and pre-assessment.
Students will also be able to visit other departments and witness
operations and procedures that are carried out. These include going to
theatre, the endoscopy unit and the x-ray department, as well as visiting
different clinics.
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2. PHILOSOPHY OF CARE WARD 7
THE STAFF ON WARD SEVEN ARE DEDICATED
TO DELIVER/PROVIDE A HIGH STANDARD OF
CARE FOR INDIVIDUAL PATIENTS, TAKING
INTO CONSIDERATION THEIR PHYSICAL,
PSYCHOLOGICAL, SOCIAL AND SPIRITUAL
NEEDS.
PATIENTS, RELATIVES AND CARERS WILL BE
CONSULTED AND INVOLVED IN DECISION
MAKING ALONG WITH ALL OTHER ASPECTS
OF CARE FROM PRE-ASSESSMENT,
ADMISSION TO DISCHARGE.
AT ALL TIMES THE PATIENT’S DIGNITY,
VALUES AND BELIEFS WILL BE MAINTAINED
AND RESPECTED, FORMING PARTNERSHIPS
IN CARE TO AID RECOVERY, WELL BEING
AND PATIENT SATISFACTION.
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3. 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.
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4. AREA PROFILE
CLINICAL AREA (DESCRIPTION)----Surgical Ward with mainly
upper GI surgery but also Bariatric surgery and some colorectal.
LOCATION----Ward 7, North Tyneside General Hospital.
TELEPHONE NUMBER----0844 811 8111 Ext. 2035 or 2037.
BUILDING ACCESS CODE----Staff entrance press 1 & 4 together
then 2.
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SHIFT PATTERNS----Early 07.30 – 16.00 & 07.30 – 13.30
Late Shift (M – Morning off) 12.30 – 20.30
Nights 20.15 – 07.45
PHILOSOPHY OF CARE--------------------------------------------------------
PRACTICE PLACEMENT EDUCATORS----Lindsay Rajeev, Joan
Moat, Ann Gregg, Sheila Tweedy, Joy Cercado, Kay Keddam, Shelley
Goodson, Sheila Caluya.
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NAMED PERSON RESPONSIBLE FOR POLO---------------------------------
Sister – Ann Gregg
POLO REVIEW DATE---------------------------------------------------------------
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5. LEARNING ZONES.
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Ward 7
NTGH
Surgical
Theatres
Medical
Teams
Social Services
Intensive Care/ High
Dependency/
Coronary Care
Outreach
Team
Physiotherapists and
Occupational
Therapists
Pain Team
Stoma Nurse
Specialist
Palliative
Care Team
Pharmacy
Dieticians
Pre-Assessment
Team
Ward 2 Surgical
Colorectal
Ward 7 Learning Zones
This is not an exhaustive list and your mentor should be consulted about other
opportunities available to you while on ward 7.
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6. LEARNING OPPORTUNITIES
INTERPERSONAL SKILLS
LEARNING OPPORTUNITY RESOURCE/PERSONNEL
Effective communication, talking/ Patients and Relatives.
interaction with patients/clients All team members.
/carers/relatives/teaching staff in a Hospital colleagues.
variety of settings. Telephones.
E-mail.
Awareness of own communication Mentor.
skills both verbal and non-verbal. Staff.
Use of telephone/answering calls/bleep Mentor.
systems/ring back. Use of computer, Staff.
e-mail and internet.
Multi-disciplinary (MDT) and Mentor.
multi agency meetings. Senior Staff.
Medical teams.
Specialist Professionals.
Allied Health Professionals (AHP).
Discussions with other relevant AHP. GI Specialist Nurses
professionals involved in patients MDT. Breast Care Nurses
care. Pain Nurse
Holistic care of different groups of Mentor.
people, young, elderly, asylum seekers, Staff.
dying.
Promotion patients compliance and Mentor.
concordance with treatment/ Staff.
medications/health promotion MDT.
strategies. Specialist Professionals.
Demonstrate sensitivity for patients/ Mentor.
carers in relation to distressing Staff.
information. Specialist Staff, i.e. Counselling,
Chaplaincy
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Support and enable
patients/carers/groups
and communities to take action and
prioritise health needs.
Demonstrate effective communication
between primary care networks.
Bereavement support.
Experiences with clients from a variety of
ethnic backgrounds and asylum seekers.
Record and Documentation completion.
AHP.
Social Services.
Staff and Mentor.
AHP.
Social Services.
GP Surgeries.
Bereavement Officer.
Chaplaincy.
Counselling service.
Mentor.
Staff.
Interpreting service.
Mentor.
Staff.
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CLINICAL SKILLS
LEARNING OPPORTUNITY
Care of:-
Intravenous Infusions (Refer to policy for
guidance of participation).
Clips.
Sutures.
Drains:-
Low vacuum, breast drains
Corrigated.
Porto-vac.
Robinson.
Redivac.
Aseptic Technique.
Wound Care.
Stoma Care.
Patient Hygiene.
Administration and Understanding
medication (For IV and checking refer to
Trust policy).
Handover of Patients.
Care Plans:-
Assessment.
Care Planning.
Implementation.
Evaluation.
RESOURCE/PERSONNEL
Senior staff and mentor
Stoma nurses
All ward staff
Senior nursing staff and
mentor
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PATHOPHYSIOLOGICAL OPPORTUNITIES
LEARNING OPPORTUNITY RESOURCE/PERSONNEL 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
Nurses
Nurses; Continence Advisor
Nurses; Diabetic Nurse Specialist
Nurses;Respiratory Specialist Nurses
Nurses;Orthopaedic staff Wds.5&20
Nurses; Urology Nurse specialist
Nurses & Colorectal Nurse
Specialists.
Nurses; Dietician
Nurses
Nurses; CPN
Nurses; OT
Nurses; Physiotherapists
Nurses; Palliative Care Staff.
Nurses
Nurses
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HEALTH PROMOTION OPPORTUNITIES
LEARNING OPPORTUNITY RESOURCE/PERSONNEL Breast Examination and awareness
Dietary Requirements
Family History
Advice re Smoking
Bowel Care
Weight loss for the obese patient.
Breast Care Specialists
Dietician and literature on the ward
Ann Smith Colorectal Nurse Specialist.
Family History Clinic
Smoking cessation team.
Specialist Nurses
Nurses on ward and information literature.
Bariatric clinics and MDT meetings.
Mr. Woodcock, Mr. Seymour.
Dietician, Claire – Specialist dietician for
bariatric patients.
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CARE MANAGEMENT OPPORTUNITIES
LEARNING OPPORTUNITY RESOURCE/PERSONNEL Use of computer to access patient
information both written and electronic if
available.
Patient/client handovers/information
sharing both written & verbal between
teams.
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.
Health promotion opportunities.
Sleep, feeding and behaviour problems in
children.
Cardiac rehabilitation.
Ward Clerks
Nursing Staff
Nursing Staff
Nursing Staff
Nursing Staff
Care Facilitators
Patient Advice Liaison Service
Nursing Staff
Nursing Staff
Clinical Nurse Specialists
Childrens’ Ward, Ward 10
Medical Wards, Corinary Care Unit
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Child protection, case conferences, care
team meetings, strategy meetings.
Working with ethnic minorities.
Special needs.
Report writing, including Child protection/
referrals/interagency referrals.
Childrens’ Nurses
Nursing Staff
Learning Disability Nurses
Childrens’ Nurses
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ORGANISATIONAL/MANAGEMENT OPPORTUNITIES
LEARNING OPPORTUNITY RESOURCE/PERSONNAL Use of computer systems/EMIS/
email/internet/intranet.
Accessing patient results and planning
appropriate action.
Time management/prioritising needs.
Interprofessional working.
Geographical prioritising.
Locality awareness/health needs
assessment.
Caseload delegation.
Community development work/Health
need assessment.
Effective team management including
appropriate delegation of duties.
Awareness of knowledge base and skill
mix.
Admin support. Ward Clerks.
Care Facilitators.
Nursing Staff.
Nursing Staff.
Senior Staff Managers.
Senior Staff.
Community Nurses.
Senior Nursing Staff.
Senior Nursing Staff.
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7. ADDITIONAL LEARNING OPPORTUNITIES
SPECIFIC TO AREA OF PRACTICE.
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Specific Opportunities to Ward 7.
LEARNING OPPORTUNITY RESOURCE/PERSONNEL Pancreatitis.
Change of Bowel Habits.
Abdominal Pain.
Sub-acute Obstruction.
Head Injury.
Hernia:-
Inguinal.
Femoral.
Incisional.
Hiatus.
Gallstones.
Cancer:-
Colorectal.
Liver.
Gastric.
Cardiovascular Support and monitoring.
Pulmonary Support and monitoring.
Laprascopic surgery.
Breast surgery.
Bariatric surgery.
Special investigations.
OGD
ERCP
Flexi-sigmoidoscopy.
Rigid-sigmoidoscopy.
Nursing staff and other health care
Professionals and relevant information on
the ward.
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8. REFERRAL PATHWAYS
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LEARNING OPPORTUNITY RESOURCE/PERSONNEL Social Services.
Counselling.
Dieticians.
OT.
Physiotherapy.
Outreach.
Diabetic Nurses.
Palliative Care Team.
Cedars or other rehabilitation hospitals.
Nursing staff and referral forms or other
relevant health care professionals.
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9. RELEVANT STANDARDS OF PRACTICE
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Standards of Practice
LEARNING OPPORTUNITY RESOURCE/PERSONNEL Nursing and Midwifery Council (NMC).
National Service Frameworks.
National Institute for Clinical Excellence
(NICE).
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10. INDUCTION CHECKLIST.