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Student Clinical

Central Adelaide Local Health Network

The Queen Elizabeth Hospital

Student Clinical

Placement Guide

Student Clinical

Placement Guide

For more information

.The Queen Elizabeth Hospital - Clinical Education Centre

28 Woodville Road, Woodville South 5011

Telephone: 8222 6746

© TQEH - Clinical Education

Q:\Clinical Education\Student handbook 2011\2012_Student clinical placement guide.doc

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Document Control Information

Document Owner: TQEH Clinical Education

Title: Student Clinical Placement Guide

Description: Clinical placement orientation/induction for students in nursing

Contributors: Anna Jones; Crystal Hynes; Danielle Orr; Gloria Munro; Jennifer Barlow ; Karen Daniels; Karen Simunov; Mandy Gallacher; Michelle Ryan and Michelle Whitehead

Location: Q:\Clinical Education\Student handbook 2011\2012_Student clinical placement guide.doc

Change History Any printed version of this document may have been superseded. If the current date is

after the value in the Document Control Information attribute “Check for new version after:”, then the reader must verify if a new version is available.

Version Effective From Effective To Change Summary

1.0 January 2006 January 2009 Initial Version

1.1 January 2009 January 2012 Reviewed

1.2 May 2011 May 2012 Reviewed

2.0 January 2012 January 2013 Revised with car parking and medication policy changes


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CONTENTS

Welcome.......................................................................................................................................................................................4

PlacementDetails......................................................................................................................................................................5

YOUROrientationChecklist..................................................................................................................................................6

YourRoster..................................................................................................................................................................................7

OverviewofTheQueenElizabethHospital....................................................................................................................8

DivisionofMedicineandStMargaret’sHospital(SMRH)...................................................................................8

DivisionofSurgery..............................................................................................................................................................8

DivisionofAcuteCareandClinicalSupport.............................................................................................................9

ClinicalEducationCentre‐Nursing..............................................................................................................................9

Otherareas..............................................................................................................................................................................9

NursingServicePhilosophy...............................................................................................................................................10

Purpose..................................................................................................................................................................................10

StatementofObjectives..................................................................................................................................................10

Expectations.............................................................................................................................................................................11

EMERGENCY:RING33#......................................................................................................................................................12

Housekeeping..........................................................................................................................................................................13

Uniform.................................................................................................................................................................................13

Rosters...................................................................................................................................................................................13

Problems/injuries.............................................................................................................................................................13

Clinicalvisits.......................................................................................................................................................................13

AssessmentRequirements............................................................................................................................................13

MedicationAdministrationandDrugCalculations.............................................................................................14

GuidelinesforQualityDocumentation..........................................................................................................................15

CarParking...............................................................................................................................................................................16

Multi‐Deckparking...........................................................................................................................................................16

OnsiteVisitorParking.....................................................................................................................................................16

StreetParking.....................................................................................................................................................................16


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WELCOME

The Student Clinical Placement Guide provides:

– YOUR orientation checklist and a roster template

– overview of the hospital including department location and map

– expectations, emergency codes, housekeeping and documentation guidelines

– car parking and map of surrounding streets

It is YOUR RESPONSIBILITY to CONTACT the clinical area you are allocated for placement and ask for the Clinical Service Coordinator (CSC) and inform them of the following:

– your name, training organisation / university and start date

If a hospital Orientation is NOT being provided please ask the CSC for a start time on the first day and who to ask for on arrival

Anaesthetics 82226332 North Ground A (NGA)

82226994

Cardiac Cath Lab 82227132 North Ground B (NGB)

8222 6495

Day Surgery 82229280 North One A (N1A)

82226470

Diabetes House 82226771 North One B (N1B)

82226863

Emergency Services (ED)

82229592 North Two (N2)

82226262

Endoscopy Unit (4BE)

82226234 Operating Theatre (OT)

82226635

High Dependency Unit (HDU)

82227560 Outpatients - Medical (MOPD)

82226384

Infection Control 82226461 Outpatients – Surgical (SOPD)

82227359

Intensive Care Unit (ICU)

82227612 Radiology and Imaging

82226894

North East Ground A (NEGA)

82227525 Recovery 82226315

North East Ground B (NEGB)

82227758 South Ground A (SGA)

82226242

North East One A (NE1A)

82226349 South Ground B (SGB)

82226244

North East One B (NE1B)

82226863 South One (S1)

82227271

North East Two A (NE2A)

82227440 South Two (S2)

82226467

North East Two B (NE2B)

82226189 Transitional Care (TCU)

82227436

Western Palliative Care(WPS)

82227588


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PLACEMENTDETAILS

Clinical Facilitator Details

Name

Contact Number

Available times/ days

Alternative contact

Clinical Area / Ward Details

CSC Name

CSC Extension / Pager

Speciality

Shift times

Early

Late

Night


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YOURORIENTATIONCHECKLIST

Week BEFORE Starting Placement

1. Contact CSC

Student Clinical Placement Guide

1. Awareness of Emergency Codes and how to access assistance

2. Review expectations and housekeeping section

a. Professional appearance/uniform

b. Rosters including any changes

c. Sick leave and other leave / Problems / Injuries

d. Clinical visits

e. Assessment requirements

3. Car Parking (refer to page 14)

Facilitator

1. To show evidence of the following to your CLINICAL FACILTATOR

(a) 100% mastery of medication calculations

(b) Police check AND immunisation status

2. Location & time of debrief and/or meetings

Ward

1. Introduce self to CSC / Team Leader / Preceptor

2. Tour of ward and facilities/telephones and explanation of paging system

3. Location of fire escapes/extinguishers, call points and emergency trolley

4. Fire and Evacuation route and Assembly Point for the area

5. Location of equipment, lifting devices/pat slides, storage areas

6. Location of documentation. (Notes, Manuals, resources etc)

7. Location and storage of medications

8. Copy of ward orientation / learning package (if available)

9. Pick up locker key & access card (if available)

10. Establish your roster with the CSC / Facilitator

11. Organise parking for LATE shifts (refer to page 14)


7

YOURROSTER

Week

Date Monday Tuesday Wednesday Thursday Friday

Week Ending:

Week Ending:

Week Ending:

Week Ending:

Week Ending:

Week Ending:

Week Ending:

Week Ending:


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OVERVIEWOFTHEQUEENELIZABETHHOSPITAL The Queen Elizabeth Hospital (TQEH) is part of the region Central Adelaide Local Health

Network (CALHN) This also includes the Royal Adelaide Hospital, St. Margaret’s Rehabilitation

Hospital and Hampstead.

Our local community consists of 210,000 residents with generally high socio-economic needs:

– Multi-cultural and social diversity

– Ageing population

– High levels of chronic disease

– Significant industrial estates

– Urban regeneration

We have 311 acute care in-patient beds, including 31 Mental Health beds. In addition 49 same-

day beds to accommodate DSU, CIS, PAC, ECT and GEU unit. St Margaret’s Rehabilitation

Hospital (SMRH) at Semaphore is part of TQEH. It has 48 beds, 44 used for rehabilitation and

post acute care, and 4 for respite care.

Each year we have approximately 46,000 inpatient admissions, 210,000 outpatient visits, 39,000

emergency admissions and 3300 ICU bed days

DIVISIONOFMEDICINEANDSTMARGARET’SHOSPITAL(SMRH)

Coronary Care, Cardiac Investigation Suite (CIS), Cardiac Step-down, Diabetes Centre,

Endocrine, Haematology/Oncology, Infectious Diseases, Medical Outpatients, Nephrology,

Neurology, Palliative Care, Rheumatology, Respiratory, Western Palliative Care Services, Acute

Medical, Dermatology, Acute Stroke, Gerontology, Geriatric Evaluation Management (GEM),

Rehabilitation and Post Acute (SMRH).

DIVISIONOFSURGERY

Operating Suite; Day Surgery Unit (DSU); Breast/Endocrine; Colo-rectal; Ear, Nose and Throat;

Opthalmology; Orthopaedics; Plastics and Reconstructive Surgery; Pre-Admission Clinic (PAC);

Surgical Outpatients; Community and Transitional Care; Urology; Vascular and Upper Gastro-

Intestinal.


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DIVISIONOFACUTECAREANDCLINICALSUPPORT

Anaesthetic Department, Emergency Department, High Dependency Unit, Intensive Care Unit,

Recovery, Nuclear Medicine, Radiology & Imaging.

CLINICALEDUCATIONCENTRE‐NURSING

Transition to Professional Practice Programmes, Post-registration Courses and Professional Development activities.

Contact Numbers:

– General Enquiries: Clinical Education Secretary extn 26746

– Undergraduate Nursing Students: Anna Jones extn 27531 or page 47697

– Diploma Nursing Students: Karen Simunov extn 27444 or page 6894

OTHERAREAS

Division of Mental Health - Cramond Clinic, Psychiatric Liaison Service

Pregnancy Advisory Service

Western Palliative Care Services


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NURSINGSERVICEPHILOSOPHY

The nursing staff of The Queen Elizabeth Hospital upholds the right of all persons to receive safe, effective, competent individualised care with respect to their culture, ethnicity, sexuality and spirituality. Nursing staff must be prepared through education, personal experience and professional development to practice in accordance with nationally accepted standards.

PURPOSE

To provide quality, individualised, cost effective care, (with compassion), during the person's episode of illness, and with appropriate liaison with the community in order to provide continuity of care.

STATEMENTOFOBJECTIVES

Ensure that nurses practice in accordance with best practice and code of conduct standards. Provide comprehensive nursing care which is non-discriminatory and is based on the specific needs of patients and takes into account their rights, cultural and religious beliefs. Improve the quality of nursing care by assessing, planning, implementing and evaluating care which is designed to address identified actual and potential health problems, aimed at facilitating maximum independence and which incorporates health promotion, education, rehabilitation. Involve the patient and family care givers in decisions regarding the management of all phases of his/her care and to establish a therapeutic relationship. Establish and maintain effective interdepartmental/interdivisional, inter and intra professional relationships and communication. Foster and maintain good public relations and to encourage consumer feedback about the nature and effectiveness of the care received. Provide continuity of care by co-operating with and participating in, co-ordination of health care services within the community. Ensure that principles relating to confidentiality and right to privacy are incorporated into nursing practice. Be actively involved in the evaluation of products for use in the provision of care and to ensure that those selected are safe and cost effective. Involve all levels of Nurses in decision making processes and ensure they accept responsibility and accountability for their actions. Develop and implement staff development programs (and in collaboration with the University of South Australia, Higher Degree Courses) designed to meet the needs of Nurses, the organisation, and the community. Participate in research programs aimed to improve the quality of care by ensuring that relevant research findings and technological advances are integrated into nursing practice. Maintain a performance management system, which demands competence and encourages excellence and progression from novice to expert nurse, and which contributes to career satisfaction and advancement. Promote measures to assist The Queen Elizabeth Hospital and Health Service to meet it's commitment to environmental conservation. Secure a safe work environment by ensuring that the policies (standards) of Occupational, Health and Safety are promoted and maintained.


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EXPECTATIONS What to expect from your Clinical Facilitator

– Approachable and fair

– Knowledgeable

– Flexible

– Professional

– Assist with clinical teaching and learning

– Provide debrief sessions for peer learning and self reflection

– Encouragement/feedback

What is expected of the students?

– Punctuality

– Maintenance of professional behavior and boundaries

– Professionalism in appearance, including wearing student ID at all times

– Maintain confidentiality

– Behave in a respectful manner

– Show initiative within scope of practice

– Utilise resources available to enhance own knowledge

– Work within the scope and limitations of the student role

– Maintain a safe working environment and adhere to OH&S guidelines

– Seek feedback on your progress and discuss strategies for improvement


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EMERGENCY:RING33#

Provide information on TYPE and LOCATION (area, floor, room)

CODE BLUE

MEDICAL

CODE RED FIRE I SMOKE

CODE BLACK

PERSONAL THREAT

CODE ORANGE

EVACUATION

CODE YELLOW

INTERNAL EMERGENCY

CODE PURPLE

BOMB THREAT

CODE BROWN

EXTERNAL EMERGENCY

CODE BLACK or SECURITY INCIDENT 27333

ADDITIONAL ASSISTANCE REQUIRED 27222


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HOUSEKEEPING

Housekeeping guidelines for a successful placement are as follows.

UNIFORM

Education provider protocols for uniform and correct identification must be adhered to.

Students not wearing correct uniform will be sent home and have to make-up clinical time.

ROSTERS

Negotiate the first week of your roster by the end of your first day and give to your facilitator before you leave.

Ensure a balance between early and late shifts. Your facilitator will try to see you according to your roster.

Any changes to your roster must be negotiated with your facilitator and the ward.

If you cannot attend an allocated shift you MUST contact ward

– ward by 0630 for an early shift AND clinical facilitator after 0800

– ward by 1230 for a late shift AND clinical facilitator

– sick certificate must be photocopied and given to the facilitator for their records

– opportunity to make up any lost clinical time will be negotiated with Nursing HR and the Training Organisation.

PROBLEMS/INJURIES

Please notify facilitator and ward Team Leader/Clinical Service Coordinator of any problems or concerns experienced on a shift as soon as possible.

All injuries must be reported and appropriate documentation completed.

CLINICALVISITS

Your facilitator is expected to visit or contact you on a regular basis to discuss your progress.

Please liaise with your organisation directly if you have any concerns.

ASSESSMENTREQUIREMENTS

Please bring any logbooks / workbooks with you every day.

Do NOT leave it until the last week to ask TQEH staff to complete them.


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MEDICATIONADMINISTRATIONANDDRUGCALCULATIONS

PRIOR to commencement of your placement you are expected to provide proof of 100% mastery of medication calculation to your CLINICAL FACILITATOR.

– Failure to do so will result in CANCELLATION of your placement.

All students participating in medication rounds must be under the direct and continuous supervision of a Registered Nurse as per the table below.

Medication Administration Guideline RN Student

3rd Year RN Student

2nd Year RN Student

1st Year Diploma EN

Student

Calculations

Verbal order

Nurse Initiated / Standing Orders

Children under 16 years of age

S2 Medications UDS UDS UDS

S3 Medications UDS UDS UDS

Nebulised Medication UDS UDS UDS

Oxygen Therapy UDS UDS UDS

Blood Products UDS UDS UDS

Chemotherapy

S4 Medications

Non Parenteral UDS UDS UDS

Subcut Heparin (and derivatives) UDS UDS UDS

Subcut and IM UDS UDS

Intravenous UDS

Infusion

IV Therapy management UDS UDS UDS

S8 Medications

Non Parenteral

Subcut and IM

Intravenous

PCA Infusion

Epidural Infusion

Intrathecal Infusion

LEGEND Outside of scope to administer

UDS Under DIRECT & CONTINUOUS RN/RM supervision

If UNSURE do NOT Administer


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GUIDELINESFORQUALITYDOCUMENTATION

You are expected to document in accordance with the Australian Nursing and Midwifery Council Guidelines and The Queen Elizabeth Hospital Nursing Documentation Standards, Criteria and Guidelines (copy available via TQEH intranet).

All documentation must be clear, concise, confidential, client centred, collaborative, correct, consecutive, contemporary and complete to provide:

– continuum of quality patient care

– evaluation of patient care provided

– information for research, audit and epidemiology

– accountability and legislation requirements

– professional responsibility

– provision of information for medico-legal purposes

– resource management

All entries must be

– in black / blue pen

– dated and timed

– legible

– use a standard format to reduce errors/omissions (ie systems approach)

Signing and Counter-signing

– sign and print name, designation and name of your training institution (e.g. ANMF)

– MUST be countersigned by either an Enrolled Nurse with Diploma or Registered Nurse.

Errors

– single line ruled through them and be dated and signed [as above and countersigned]


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CARPARKING Car parking is available onsite and in the surrounding areas [refer to attached map].

MULTI‐DECKPARKING

The multi-deck parking is only available to staff members that hold a TQEH Parking Permit – as per the guidelines for staff parking.

The permit is registered with the parking office (and valid for the vehicle you are in).

Fines do apply for parking without a permit.

ONSITEVISITORPARKING

On-site car parking is available with a fee-payment (Maximum $8 per day)

Weekly parking permit is available on application from the Car Parking office

STREETPARKING

Car parking is available on the median Port Rd, or in the surrounding streets of the hospital with sign-posted time limits.

You may need to move your car in break times to remain within the council limits.

NB Charles Sturt Council may change parking restrictions without notification. Be sure to

CHECK ANY SIGNS before you leave your vehicle

Basil Hetzel Institute

Woodville Primary School Oval

Church

Church hall

ChurchE&BS office

and workshops

North East Building

Ward Block – North Pod

Ward Block – South Pod

Outpatient Building

Emergency

TQEH child care centre

TQEH multi deck car park

(staff only)

Lizzy’s Cafe

The QE Private

Specialist Centre

B Wing A Wing

C Wing

D Wing

Link Wing

CramondClinic

Diabetes House

Redevelopment House

Research Laboratories

BankSA

Project office

Drop-off/pick-up

zone

Taxi rank

Wo

od

ville Ro

ad

Simpson Street

Wo

od

ville Ro

ad

Findon Road

Connor Avenue

Glenrowan Road

GATE 1

GATE 2

GATE 4Ambulance only

GATE 5

Ambulancebay

Main Entrance

Inpatients Entrance

Cramond Clinic Entrance

Outpatients Entrance

Stage Bconstruction zone– no public access

Restricted access

Emergency drop-off/pick-up only

Drop-off/pick-up zone GATE 3

Staff bike parking

Port Road (Adelaide CBD 10km )

Tower Block

Staff parking

Government plated vehicles parking

E & BS Contractors parking

Medical consultants

parking

Medical consultants

parking

Medical consultants

parking

Drop-off/pick-up zone

Emergency Entrance

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

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The Queen Elizabeth Hospital

NORTH

Public car parkingDisabled parkingPedestrian crossingBoom gates

The Queen Elizabeth Hospital28 Woodville RoadWoodville SA 5011Telephone: 8222 6000

ElevatorPost boxPublic phoneAutomatic pay stations

The Queen Elizabeth Hospital is a smoke-free zone

Created: October 2011. Job 11314

Area Map Level Building

23-hour ward Q 8 NE 2A North East Building

Acute Medical Unit (AMU)/General Medicine Ward

Q 8 NE GA North East Building

Admissions Office N 16 G Outpatient Building

Allied Health Reception P 15 G Outpatient Building

Anaesthetics Unit L 16 1 Outpatient Building

Bank SA ATM M 11 G Bank SA building

Basil Hetzel Institute H 3 G, 1, 2 Basil Hetzel Institute

Biomedical Engineering K 17 Basement Outpatient Building

Breast/Endocrine S 8 NE 2B North East Building

Café (public) L 13 G Lizzy’s Café

Cardiac Intervention and Investigation Suite (CIIS)

O 16 G Outpatient Building

Cardiac Stepdown/General Medicine

R 9 N 1B North Pod

Cardiology Department N 16 3D Tower Block

Carparking Office N 14 G Outpatient Building

Cashier M 16 G Outpatient Building

Chaplains M 11 G Bank SA Building

Chapel R 16 2 Link Wing

Clinical Education (Medical) N 16 2D Tower Block

Clinical Education (Nursing) O 15 5A Tower Block

Clinical Pharmacology H 3 2 Basil Hetzel Institute

Clinical Photography K 17 Basement Outpatient Building

Coronary Care Unit R 10 N 1A North Pod

Cramond Clinic S 19 G Cramond Clinic

Day of Surgery Admissions (DOSA)

O 15 1 Outpatient Building

Day Surgery Unit (DSU) L 16 2 Outpatient Building

Dental K 18 G Outpatient Building

Dermatology R 12 S 1 South Pod

Diabetes House L 23 G Diabetes House

Diabetes/Endocrine Unit R 12 S 1 South Pod

Division of Medicine L 15 5B Tower Block

Division of Surgery 0 15 6A Tower Block

Ear, Nose and Throat Department

N 13 3C Tower Block

EFM Woodville gym K 15 3B Tower Block

Emergency Department O 19 G Emergency

Endoscopy, Bronchoscopy and Day Medical Procedures

L 15 4B Tower Block

Engineering and Building Services Office and Workshops

Q 6 G E&BS Office and Workshops

Executive Suite P 15 9A Tower Block

Extended Care Unit L 14 8B Tower Block

Finance K 15 7B Tower Block

Friends of TQEH L 15 3B Tower Block

Gastroenterology Unit R 12 S 1 South Pod

Geriatric Evaluation and Management Unit (GEM)

S 12 S GB South Pod

Gift Shop M 14 G Main entrance

Gynaecology Ward S 8 NE 2B North East Building

Haematology/Oncology Ward S 8 NE GB North East Building

Haematology/Oncology Outpatients

S 8 NE 1B North East Building

Haematology/Oncology Trials N 13 8C Tower Block

Hansen Yuncken Project Office N 11 G Project Office

High Dependency Unit R 12 S 2A South Pod

Human Resources L 15 8B Tower Block

Information and Communication Technology

L 15 6B Tower Block

IMVS – Reception N 15 2C Tower Block

IMVS – Collections M 18 G Outpatient Building

Infection Prevention and Control N 13 8C Tower Block

Information/Enquiries M 15 G Main entrance

Intensive Care Unit N 17 1D Tower Block

Area Map Level Building

ISS R 16 G Link Wing

Kitchens and Food Services Q 17 G Link Wing

Library P 19 G Outpatient Building

Main Lecture Theatre N 17 2D Tower Block

Medical Administration M 15 5B Tower Block

Medical Records K 16 Basement Tower Block

Medical Staff Society P 15 G Tower Block

Memory Clinic N 13 5C Tower Block

Morgue M 15 Basement Tower Block

Neurology N 13 5C Tower Block

Neurology/Stroke Unit R 12 S GA South Pod

Newsagency L 13 G Lizzy’s Café

Nuclear Medicine O 15 3A Tower Block

Nutrition and Dietetics O 16 G Outpatient Building

Nursing Administration – Acute and Surgical

N 13 6C Tower Block

Nursing Education P 15 5A Tower Block

Occupational Therapy O 16 G Tower Block

Injury Prevention and Risk Management

M 15 9B Tower Block

Operating Theatres N 17 1 Tower Block

Ophthalmology P 15 7A Tower Block

Outpatients Department – Medical and Surgical

N 18 G Outpatient Building

Palliative Care R 10 N GB North Pod

Palliative Care Department L 15 9B Tower Block

Peritoneal Dialysis R 12 S 1 South Pod

Pharmacy M 18 2 Outpatient Building

Physiotherapy L 15 1B Outpatient Building

Plastics Ward R 9 N 2 North Pod

Psychiatry Department K 15 9B Tower Block

Queen Elizabeth Private Specialist Centre

I 10 G QE Private Specialist Centre

Queen Elizabeth Medical Imaging (QEMI)

I 11 G QE Private Specialist Centre

Radiology M 15 G Main Entrance

Rehabilitation Unit K 15 8B Tower Block

Recovery N 18 1 Outpatient Building

Redevelopment House L 24 G Redevelopment House

Renal Ward R 12 S 1 South Pod

Renal Dialysis (MDA) Q 9 NE 1A North East Building

Research laboratories Y 17 G Research Laboratories

Respiratory Medicine Unit O 15 4A Tower Block

Respiratory Ward R 9 N GA North Pod

Rheumatology Ward R 12 S 1 South Pod

Rheumatology Unit N 13 5C Tower Block

Security Office P 15 4A Tower Block

Sleep Studies Unit N 13 4C Tower Block

Social Work P 15 G Outpatient Building

Speech Therapy 0 16 G Outpatient Building

Staff dining room S 17 2 Link Wing

Sterilising Services O 15 2A Outpatient Building

Surgical Ward R 12 S 2B South Pod

Switchboard M 16 G Outpatient Building

Transitional and Community Care

N 13 3C Tower Block

Transport Office L 17 G Outpatient Building

University of Adelaide Department of Medicine

K 15 5B Tower Block

University of Adelaide Department of Surgery

P 15 6A Tower Block

Urology Unit P 15 7A Tower Block

Vascular Ward S 8 NE 2B North East Building

Women’s Health Outpatients P 15 8A Tower Block

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