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Welcome Pack for the

Corporate Programmed

Investigation Unit

Author: Staff Nurse Stuart Forshaw-Hulme Created: December 2016. Version 1.

Introduction and overview

The team on CPIU would like to welcome you to the unit and hope that you enjoy your practice placement with us.

Where is the unit?

The unit can be located on the ground floor, in the purple area of the Ladywell Building.

There are two entrances to the unit, the first one being next to entrance 6 of the Ladywell building and the second directly across from the endocrine team office.

Placement Induction.

Within 48hours of commencing placement your named mentor will utilise your induction checklist in your practice assessment document. Your initial meeting will also be carried out within this time frame and off duty provided. You will work with your mentor at least 2-3 shifts per week.

In preparation for your initial interview please ensure you have met with your Personal Tutor and identified your own programme of learning needs. You must bring all relevant documentation and evidence of any mandatory training completed, such as moving and handling. We encourage that any questions are wrote down prior to the initial meeting and any concerns you may have to be made known as early as possible in order for us to help you effectively.

You will need your diary to write down an agreed time and date when you and your mentor will carry out the interim and final interviews.

You are expected to utilise and be familiar with the Student Code of Practice.

What medical specialties are treated and investigated on CPIU?

Haematology. Neurology Respiratory. Endocrinology. Gastroenterology. Dermatology. MS infusion ( Cared for by Specialist Infusion Nurse) Fabry. (Cared for by specialist Fabry nurses who use CPIU facilities.) Immunology. (Cared for by staff on CPIU and specialist Immunology Nurses on the unit.)


Student information board.

The student information board is located in the staff room on the unit. This displays some learning resources, contact information and spoke placement suggestions. However, Salford Royal Foundation Trust is committed to promoting the use of electronic resources. You will be encouraged to access the on- site library and information online via the intranet, your mentor will show you how this is done.

Bed capacity on the unit.

The unit has a total of 13 beds which are made up of: One male and one female bay, with 5 beds in each, Two side rooms for either male or female patients, One sleep study room with one bed for either a male or female patient.

There are a variety of investigations, procedures and treatments given in the bed area to patients, in which some patients will attend the unit as a ‘day case’ admission, meaning they will not stay overnight and some patients who are admitted to the unit as ‘inpatients’, which they may be staying on the unit for 1-4 days.

The unit also has two chair bays. Chair bay 1 is made up of chairs numbered 1-6. Chair bay 2 is made up of chairs numbered 7-13.

Use of chairs

Patients attend the chair area for infusions, blood tests and/or review of results, injections, bronchoscopies and blood transfusions. (Please see the student learning resource files on the shelf in the ward office for in- depth information.)

Patients are given appointment times in which to attend the unit as a ‘day case‘. Patients are allocated a chair that they will sit in for the duration of their appointment. Members of staff are allocated patients who they will look after when working in the chair

area.


Key personnel

Practice Education Lead (PEL): Staff Nurse Stuart Forshaw-Hulme. Where is Stuart based? PIU. Contact number: 0161 206 4884.Email: [email protected]

Practice Education Facilitator (PEF): Elaine Carter.Where is Elaine based? Learning and development department in the Mayo building.Contact number: 0161 206 8223.Email: [email protected]

University Link Lecturer: Maureen Mcmahon. Where is Maureen based? The University of Salford Manchester. Contact number: 0161 295 2759.Email: [email protected]

CPIU Ward Matron: Jane Mason.Contact number: 0161 206 4884Email: [email protected]

CPIU telephone number: 0161 206 4683 or 0161 206 4884.


mailto:[email protected]

The CPIU Philosophy.

On the Corporate Programmed Investigation Unit we believe that each patient:

Is unique with individual physiological, psychological, spiritual, social, cultural and religious needs.

Has the right to have knowledge and understanding of their condition and problems to enable them to make informed decisions about their care and treatment.

Needs to maintain their independence and we actively encouraged this throughout their stay.

Has the right to give their permission to involve their family and friends in providing care, where possible and appropriate.

On the Corporate Programmed Investigation Unit we believe that:

Each member of the team is also an individual and makes a valuable contribution to patient care.

Each member can promote and maintain standards of care in a safe, clean and personal environment.

There must be cooperation, coordination and collaboration between all members of the team built upon discussion, consultation, effective communication and mutual respect.

That knowledge and expertise of each team member needs to be developed in order to provide effective care management.

Shift Patterns.

All students are expected to work 37.5 hours a week.

The unit is open 5 days a week, 24 hours a day.

As a student you are able to experience the 24 hour cycle of care on MIU.

PIU has a variety of shift times to accommodate patient admission times.

Long day: 07.00am- 19.30pm

Mid- shifts: 10am- 16.00hours

Night shift: 19.00hours- 07.30am.

CPIU is a nurse-led unit, we have neurology

Staff on the unit consist of nurses, clinical support workers, an advance nurse practitioner (carries out the role of a junior doctor), ward clerk, administration clerk, house keeper and domestic.


Housekeeping arrangements

On your first day of placement you will be orientated to the unit by your mentor.

Property and valuables: Personal property can be stored in the staff locker room on the unit. The locker room is locked at all times and a pass-code is needed to unlock this door. We do not recommend items of value are brought into work. At times there are lockers available for students to use and one will be allocated to

yourself if this is the case, however this cannot be guaranteed.

Breaks: The coordinator on each shift allocates break times for each member of staff. Staff names and their break times are written on the staff allocation board behind the

nurses station. All staff are entitled to a half an hour break per shift. You will be shown where the staff break room is on your first day of placement. In the staff room there is a microwave, fridge, kettle and hand washing facilities which you

are welcome to use. Tea, coffee, milk and sugar is available. There is a WRVS café next to CPIU, two café’s, WH Smith and Marks and Spencers

simply food shop located in the Hope Building and Stotts Bistro restaurant located next to the Clinical Sciences Building where food and drink items can be purchase.


Mentoring Arrangements

The team on CPIU enjoy having students on placement and always promote supernumerary status. Staff help to maximise your learning opportunities.

We predominantly have students from the University of Salford Manchester, although both The University of Manchester and Manchester Metropolitan University allocate students to work on the unit.

CPIUadheres to the NMC requirements in that:

Students are supervised, directly or indirectly, by their named mentor for at least 40% of the time per week.

Mentors are allocated to students at least one week in advance, so that the mentor is prepared for student commencement of placement.

Student’s off duty will closely follow the shift patterns of the allocated mentor’s off duty.

Mentor allocation.

CPIU has two mentoring teams made up of qualified mentors. This means that if your allocated mentor is on annual leave for example, you will be

allocated another mentor from the same team to work with during your current mentor’s absence.

The staff members within each team will contribute towards your learning. All mentors have studied and completed the preparation for mentorship course and attend

annual updates. Information on team mentoring can be found in the student off duty file at the nurses

station.

Team 1:Charge Nurse Stuart Forshaw-Hulme.Sister Clare Bainbridge

Team 2:Ward Matron Jane Mason.Staff Nurse Debra Graves


Examples of pathways of care.

There are many patient journeys you will be able to follow whilst on placement with us. You will have the opportunity to welcome patients onto the unit who are being admitted for

planned procedures/investigations, Complete their nursing admission to the unit which provides the opportunity to get to know

individual patients and build a rapport, With the patient and staff carrying out the procedures consent you will be able to

accompany the patient to their procedure/investigation to observe and gain knowledge, Return to the unit with the patient and care for them as per post operative instructions. Safely discharge patients home.

Examples of procedures that can be observed as part of a patient’s journey are:

Renal fistula formation. Renal peritoneal dialysis catheter insertion. Lumbar Puncture Liver biopsy. Lung Biopsy. Thoroscopy. Endoscopic retrograde cholangio pancreatography. (ERCP) Colonoscopy. Oesophago- gastro Duodenoscopy. (OGD) Percutaneous Endoscopic gastrostomy (PEG) insertion.

Please refer to the student learning resource files on the unit for information on the various procedures and infusions that are carried out on the unit.


Spoke directory and contact details.

Haematology Clinical Nurse Specialist: Years 2 & 3.Ann Davies: 65265

Immunology Specialist Nurse: Years 2 & 3.Viv Doran Johnson: 65576

IV nurses: Year 1, 2 & 3. Nicky Danson: 60459

Fabry and Associated Lyosomal Storage Disorders Specialist Nurses: Years 2 & 3.Carly Bleakley: 64365

GI Unit: Years 1, 2 & 3.Suzann Andrews:65959

Inflammatory Bowel Disease Specialist Nurses: Years 1, 2 & 3. Cath Stansfield and Justine Newbury: 64023 or 64086

Radiology Department: Years 1, 2 & 3.Elaine McKnight: 60077

Lung Specialist Nurse: Years 2 & 3. Jeanette Murray: 61498 or 07730687900

Respiratory Specialist Nurse: Years 2 & 3.Tom Woodrow: bleep 4021

Endocrine Specialist Nurse: Years 2 & 3. Shashana Shalet: 63608

Vascular Access Specialist Nurses: Years 1, 2 & 3. Jackie Evans: 07515606180

Broncoscopy Suite (Based on CPIU): Years 1, 2 & 3.

The Hub & Spoke Policy can be found on the intranet as well as the student notice board on the unit.

Please discuss spoke placement arrangement with your mentor prior to arranging with members of the MDT.

Attendance of spoke placements need to be signed in the Practice Assessment Document by the spoke facilitator to prove attendance and for University record.


Examples of learning opportunities.

Year 1- Semester 1: Focus on hand hygiene and infection control. Learn about the patient stay in hospital. Gain insights into how a team works. Work with adult nurses. Gain insight into communication skills. Introduction to key policies- on the intranet. NEWS charts/ Intentional rounding/ Fluid balance and Food charts. Spoke placements predominantly observational for procedures frequently preformed. Start to focus on PDR/PDP requirements.

Year 1- Semester 2/3: As above but developing. Work towards progression point. Administration of medicines. Expanding spoke placements. More familiar EPR. Trust Values.

Year 2: All of the above. Complete documentation and admissions on EPR. Accompany a patient to theatre. Development of communication skills and confidence. Learn about discharge planning and community services. Using and articulating using evidence based practice. PDP/ PDP requirements. Learning to use patient pathways. Patient based assessments for semesters 2 and 3.

Year 3: As above but more autonomy. Developing leadership and management skills, for example taking responsibility for own

patients. Learning to delegate to team members. Articulate rationale for actions. Demonstrating effective time management. Peer learning/ teaching. Involvement with audit. Giving nurse led handover. Meeting final requirements for PDP/ PDR. Semester 3: sign off.


Abbreviations relevant to CPIU

A/W- Await.ABX- Antibiotics.Abdo- Abdomen/ Abdominal.ABG- Arterial Blood Gas.ACTH- Adrenocorticotropic Hormone.ADH- Antidiuretic Hormone.ADL- Activities of Daily Living.A&E- Accident and Emergency.AF- Atrial Fibrillation.Am- morning. AIDS- Acquired Immune Deficiency Syndrome.AVPU- A- Alert. V- Responsive to Voice stimuli, P- Responsive to pain stimuli, U- Unresponsive.BO- Bowels opened. BNO- Bowels Not Opened. bd- twice daily.BMI- Body Mass Index.BNF- British National Formulary.BP- Blood Pressure.BPM- Beats Per Minute.BPM- Breaths Per Minute.Ca- Cancer.CABG- Coronary Artery Bypass Graft.C of E- Church of England.CHD- Coronory Heart Disease.CCF- Congestive Cardiac Failure.CMS- Colour, Movement, Sensation ( limbs)COPD- Chronic Obstructive Pulmonary Disease.CRP- C-Reactive Protein.CD- Controlled Drug. Cdiff- Clostridium Difficile.Code Red- Patients identified as potential for deterioration so all staff are aware.C&S- Culture and Sensitivity.CVA- Cerebrovascular Accident.CXR- Chest Xray.CSU- Catheter Specimen Urine.CSW- Clinical Support Worker.DNAR- Do Not Attempt Resuscitation. (DNAR and NFR mean the same)D/C- Discharge.DN- District Nurse.DNA- Did Not Arrive/ Did Not Attend.DOB- Date Of Birth.DR- Doctor.D&V- Diarrhoea and Vomiting.DVT- Deep Vein Thrombosis.DM- Diabetes Mellitus.



DX- Diagnosis.ECHO- EchocardiogramEDD- Estimated Discharge Date.ENT- Ears Nose and Throat.ERCP- Endoscopic Retrograde Cholangoopancreatograph. EUA- Examination Under Anaesthetic.EWS= Early Warning Score. E&D- Eating & Drinking.EAU- Emergency Assessment Unit.Endo- Endocrinology. FB- Fluid Balance.FBC- Full Blood Count.Fe- Iron.FFP- Fresh Frozen Plasma.FC- Food Chart.g- Gram.GA- General Anaesthetic.GCS- Glasgow Coma Scale.GH- Growth Hormone.GHRF- Growth Hormone Releasing Factor.GP- General Practitioner.GTN- Glyceril Trinitrate.GTT- Glucose Tolerance Test.HCU- Heart Care Unit.HDU- High Dependency Unit.Hb- Haemoglobin.HIV- Human Immunodeficiency Virus.H/O- History Of.HR- Heart Rate.Ht- Height.Hx- History.I/c- With. IMC- Intermediate Care.ICD- Implantable Cardiovascular- Defibrillator.I&D- Incision and Drainage.Ig- Immunoglobulin.IHD- Ischaemic Heart Disease.IM- Intramuscular.INR- International Normalised Ratio.IV- Intravenous.IVI- Intravenous Infusion.IVIG – Intravenous Immunglobulin ICU- Intensive Care Unit.IDDM- Insulin Dependent Diabetes Millitus. Kcal- Calorie.Kg- Kilogram.KUB- Kidney, Ureter, Bladder. (xray)


LA- Local Aneasthetic.


LFT- Liver Function Test.LMP- Last menstrual Period.LP- Lumbar Puncture.Mane- In the morning.MAP- Mean Arterial Pressure. mcg- Microgram.Mg- Magnesium.mg- Milligram.MI- Mycardial Infarction.ml- Millilitre.MRI- Magnetic Resonance Imaging. MR- Modified Release.MS- Multiple Sclerosis.MUST- Malnutrition Universal Screening Tool.Mob- Mobilie.Mob+1- Mobile with the assistance of 1.Mob+2- Mobile with the assistance of 2.MRSA- Methicillin-Resistant Staphylococcus Aureus.MSU- Mid Stream Urine.Na- Sodium.N/A- Not Applicable.NEWS- New Early Warning Score.NBM- Nil By Mouth. NFR- Not For Resuscitation.NPU- Not Passed Urine. NAD- No Abnormality Detected.Neuro- Neurological.NG-Naso Gastric.NIDDM- Non- Insulin Dependent Diabetes Mellitus.NKDA- No Known Drug Allergies.nocte- At night.NSAID- Non- Steroidal Anti- Inflammatory Drug.N&V- Nausea and Vomitting.OA- Osteoarthritis.OGTT- Oral Glucose Tolerance Test.od- Once Daily.OD- Overdose.O/E- On Examination.OPD- Out Patient Department.OT- Occupational Therapist.PE- Pulmonary Embolism.PEARL- Pupils Equal And Reactive to Light.PLT- Platelets.PPM- Permanent Pace Maker.Pm- Afternoon.


PU- Passed Urine. PO- By mouth.


Prn- As necessary.pv- Per Vagina.PMH- Past Medical History.qds- Four times daily.RA- Rheumatoid Arthritis. RA- Risk Assessments.RBC- Red Blood Cells.Rh- Rhesus.RN- Registered Nurse.R/V- Review. Rnls- Renals. RN- Registered Nurse.Sp02- Oxygen Saturation.s/c- Subcutaneous.SHO- Senior House Officer.SOB- Shortness Of Breath.SR- Slow Release.Stat- Immediately.SVT- Supraventricular Tachycardia.Sr- Sister. SST- Short Synacthen Test.TB- Tuberculosis.TCI- To Come In.TED- Thromboembolism Deterrent Stockings.THR- Total Hip Replacement.TOE- Trans Oesophageal Echocardiogram.TIA- Trans Ischaemic Attack.TKR- Total Knee Replacement.Tlc- Tender Loving Care.TPN- Total Parenteral Nutritional.TSH- Thyrois Stimulating Hormone.TX- Treatment.TTO- To Take Out (medications)tds- Three times daily.U&E- Urea and Electrolytes.URTI- Upper Respiratory Tract Infection.USS- Ultrasound Scan.UTI- Urinary Tract Infection.VF- Ventricular Fibrillation.VTE- Venous Thromboembolism.WCC- White Cell Count.Wks- Weeks.Wt- Weight.


Dress code- Policy can be found on the intranet.

Please see below for a few points:

ID badge and alcohol hand sanitising gel must be worn at all times.

Jewellery and wrist watches should not be worn. One pair of small stud earrings and a plain wedding band can be worn.

Hair should be tidy, not requiring constant repositioning, nor causing annoyance or hazard when carrying out work duties.

Hair shoulder length and below should be tied above the collar with plain hair ties.

Flat, clean black full shoes should be worn which fit feet securely.

Tights or stockings should always be worn with dresses. They must be flesh coloured, plain and not patterned. In exceptionally hot weather conditions, the requirement for tights/stockings to be worn may be relaxed.

If socks are worn with trousers they must be black or grey.

Make- up in moderation may be worn.

To reduce the risk of infection cardigans and jumpers must not be worn when carrying out clinical procedures.

To also reduce the risk of infection fingernails should be short and clean with no nail varnish or false nails/ overlays.


Useful websites:

www.cosmofer.com

www.arthritisresearchuk.org

www.judy-waterlow.co.uk

www.labtestsonline.org.uk

www.haemochromatosis.org.uk

www.britishlivertrust.org.uk

www.fabry.org

www.mpssociety.co.uk

www.bnf.org

www.nmc-uk.org/Students/Guidance-for-students/


Achieving excellence in learning and care...Placement CharterThis Charter demonstrates the Placement’s commitment to provide a safe and high quality learning environment for all learners to prepare them for their future roles working collaboratively in multi-professional teams. The ‘Placement Pledges’ and the ‘Rights, Roles and Responsibilities of learners’ instil the values embedded within the NHS Constitution (DH 2013) and Health Education England’s NHS Education Outcomes Framework

(DH 2012).

Placement Pledges Rights, Roles and Responsibilities of learners

Ensure all learners are welcomed, valued and provided with an inclusive, safe, stimulating and supportive learning experience.

Prepare adequately for the placement, including contact with the placement in advance. Disclose any health or learning needs that may impact on the placement, or the achievement of learning outcomes.

Promote a healthy and ‘just’ workplace culture built on openness and accountability, encouraging all learners to raise any concerns they may have about poor practice or ‘risk’, including unacceptable behaviours and attitudes they observe at the earliest reasonable opportunity. Respond appropriately when concerns are raised.

Raise any serious concerns about poor practice or ‘risk’, including unacceptable behaviours and attitudes observed at the earliest opportunity. Be clear who to report any concerns to in order to ensure that high quality, safe care to patients /service users and carers is delivered by all staff.

Provide all learners with a named and appropriately qualified / suitably prepared mentor / placement educator to supervise support and assess all learners during their placement experience.

Actively engage as an independent learner, discuss learning outcomes with an identified named mentor / placement educator, and maximise all available learning opportunities.

Provide role modelling and leadership in learning and working, including the demonstration of core NHS ‘values and behaviours’ of care and compassion, equality, respect and dignity, promoting and fostering those values in others.

Observe effective leadership behaviour of healthcare workers, and learn the required NHS ‘values and behaviours’ of care and compassion, equality, respect and dignity, promoting and fostering those values in others.

Facilitate a learner’s development, including respect for diversity of culture and values around collaborative planning, prioritisation and delivery of care, with the learner as an

Be proactive and willing to learn with, from and about other professions, other learners and with service users and carers in the placement. Demonstrate respect for diversity


integral part of the multi-disciplinary team. of culture and values, learning and working as part of the multi-disciplinary team.

Facilitate breadth of experience and inter-professional learning in placements, structured with the patient, service user and carer at the centre of care delivery, e.g. patient care pathways and commissioning frameworks.

Maximise the opportunity to experience the delivery of care in a variety of practice settings, and seek opportunities to learn with and from patients, service users and carers.

Adopt a flexible approach, utilising generic models of learner support, information, guidance, feedback and assessment across the placement circuit in order to support the achievement of placement learning outcomes for all learners.

Ensure effective use of available support, information and guidance, reflect on all learning experiences, including feedback given, and be open and willing to change and develop on a personal and professional level.

Offer a learning infrastructure and resources to meet the needs of all learners, ensuring that all staff who supervise learners undertake their responsibilities with the due care and diligence expected by their respective professional and regulatory body and organisation

Comply with placement policies, guidelines and procedures, and uphold the standards of conduct, performance and ethics expected by respective professional and regulatory bodies and organisations.

Respond to feedback from all learners on the quality of the placement experience to make improvements for all learners.

Evaluate the placement to inform realistic improvements, ensuring that informal and formal feedback is provided in an open and constructive manner.

• ‘Learner’ refers to all health, education and social care students, trainees, hosted learners.

• ‘Placement’ relates to all learning environments / work based learning experiences.

• ‘Mentor’/ ‘placement educator’ relates to all trainers / supervisors / coordinators appropriately qualified / suitably prepared to support learners.

• ‘Professional and regulatory body and organisation’ relates to standards required to ensure patient and public safety, and professional behaviours.

Developed in the North West by healthcare learners, service users, carers, and health and social care staff from all professions in the North West region.


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