WARD 6

Welcome to ward 6 Perth Royal Infirmary.

This orientation package has been produced to support the induction of nursing students in ward 6. The purpose of this package is to help you settle into the area and to enable you and your mentor(s) to identify you learning needs / objectives.

You will be allocated two mentors for your placement in ward 6. Your allocated mentors will have at least one year's experience within this clinical area and will demonstrate the ability to facilitate a positive learning environment.

We will endeavour to informally discuss your progress as an ongoing process. There should also be a minimum of three meetings with your mentor: one in the first week to discuss orientation and learning needs: one interim meeting for discussion and reflection and a final meeting at the end of your placement.

We suggest you contact the ward as soon as possible and you will be given the name of your mentor.

Ward 6 is a 24 bedded acute medical ward receiving both medical and coronary/HDU/ITU step down patients. We also admit patients as day cases for various procedures. There are 3 bays with 6 beds, 6single rooms and an assessment room. Where possible the bays remain same sex but on some occasions there may be male and female patients located in the same bay.

NURSING TEAM

Lois Scobie is the Senior Charge Nurse in ward 6 and has overall responsibility of the ward.

Each shift you will be allocated to one side of the ward and work with your allocated mentor. If your mentor is off duty you shall be allocated to another member of the nursing team to work alongside.

SHIFT PATTERN

Early: 07.30-15.30 Late: 13.00-21.00 Nights: 20.45-07.45

Nurse in charge allocates patients on board.

If you require shift change discuss with Senior Charge Nurse or Charge Nurses who will try and facilitate your request.

ORIENTATION

The mentor and the student nurse should discuss and ensure that the following issues are addressed within the first week of the student’s placement in ward 6.

COMMUNICATION

Meet mentor/associate mentor

Introduce to other members of staff

Roles and responsibilities

Explain

-Bleep System

-Buzzer system / emergency buzzer

-Location of bleep numbers and phone numbers

-Location of resus trolley

-How to call cardiac arrest team

-Off duty

-Request book

-Contact number (optional)

-Sickness / absence procedures

-Visiting times

-Telephone calls / confidentiality

GEOGRAPHICAL LAYOUT

Orientate and become familiar with general layout of ward

-Day room

-Staff room / lockers

-Toilet and code

-Boys/ side rooms

-Kitchen

-Sluice

-Doctors room

-Preparation room

Where to locate supplies and equipment

Where to locate manual handling equipment

There are facilities on the ward to heat meals and a staff sitting room. There is also a dining room and a WRVS tearoom. If you wish to use the hospital facilities we will inform you of their opening times on the first day of your placement.

EMERGENCY PROCEDURE

Ensure the student can recognise the features of clinical emergencies.

Locate emergency equipment and ensure the student is familiar with all equipment and contents of emergency trolley.

Ensure the student is aware of the appropriate actions to summon help in an emergency.

FIRE POLICY

Discuss what actions should be taken in the event of a fire.

Describe the procedure for reporting fire and evacuation

Locate fire alarms, fire exits and fire extinguishers

POLICIES, PROTOCOLS & PROCEDURES

Locate and discuss policies procedures and guidelines.

Please sign when above issues have been addressed.

STUDENT
NAME / DATE / SIGNATURE
MENTOR
NAME / DATE / SIGNATURE

INITIAL ASSESSMENT

ACHIEVING CLINICAL COMPETENCE

In discussion with the student, the mentor(s) should make an initial assessment of their competence and identify the learning opportunities / activities required for their level of training in relation to their OAR booklet. The following are some examples of learning opportunities available in ward 6 and can be used to assist the student in setting their ward-based objectives.

Please identify by placing a tick in the appropriate boxes.

OSERVATION
/ PLEASE
TICK
TPR,BP AND O2 SATURATIONS
NEURO OBSREVATIONS
BLOOD GLUCOSE
DAILY WEIGHTS
PEAK FLOW
CARDIAC MONOTORING:-
-SETTING UP
-ALARMS
-RECORDINGS
-CENTRAL MODULE
-CARDIAC TELEMETRY
-BASIC RHYTHM RECOGNITION

PATIENT CARE

CLEANSING AND DRESSING
MOBILITY
PRESSURE AREA CARE
ORAL HYGIENE
CARE OF IV CANULAE
CARE OF THE UNCONCIOUS PATIENT
LAST OFFICES
CATHETER CARE

FLUID BALANCE / DIET

INTRAVENOUS INFUSION
FLUID BALANCE CHARTS
NG INSERTION
NG FEEDING
PEG FEEDING
SPECIAL DIETS
CATHETERISATION
BLADDER IRRIGATION
CARE OF CHEST DRAIN

DRUG ADMINISTRATION

ORAL, NEBULISED, NASOGASTRIC / PEG, SUBLINGUIAL
INJECTIONS – INTRAMUSCULAR AND SUBCUTANEOUS
OXYGEN THERAPY
INSULIN SLIDING SCALE
NITRATE PROTOCOL
INFUSION THERAPY / BLOOD TRANSFUSION
INFECTION CONTROL
BARRIER NURSING
REVERSE BARRIER NURSING
WASTE AND LINEN DISPOSAL
UNIVERSAL PRECAUTIONS
EQUIPMENT CARE
COMMUNICATION – RELATIVES, PATIENT, PUBLIC HEALTH,
INFECTION CONTROL NURSES

SPECIMEN COLLECTION

URINALYSIS
FOB
24HR URINE COLLECTION
MRSA / WOUND SWABS
MSSU / CSU
SPUTUM SAMPLE
STRAIN / TEST URINE
LAB FORMS

SURGICAL

PRE OP PREPARATION
POST OPERATIVE CARE
WOUND CARE
PAIN CONTROL
TROLLEY PREPARATION FOR INVASIVE PROCEDURES

COMMUNICATION / DOCUMENTATION

ADMISSIONS / CARE PLANS
PATIENT INFORMATION
TRANSFER TO OTHER WARDS
NURSING HANDOVER
TRANSFER LETTERS
WARD ROUNDS WITH MEDICAL STAFF
DATIX REPORTING
REFERRALS:- DIETICIAN, OT, SALT, PHYSIO & SPECIALIST
NURSES
DISCHARGES

INVESTIGATIONS / PROCEDURES

It is expected that you and your mentor will draw on a range of learning opportunities from within and out with the clinical environment to enable the acquisition of new knowledge and skills.

Please identify which investigations / procedures you would like to participate in during your placement in ward 4.

BRONCHOSCOPY / OGD
PLEURAL TAP / COLONOSCOPY
CHEST DRAIN INSERTION / SIGMOIDOSCOPY
CENTRAL LINE INSERTION / BARIUM MEAL
ULTRA SOUND SCAN / BARIUM ENEMA
X-RAY / ECHOCARDIOGRAM
DOPPLER SCAN / EXERCISE TOLERENCE TEST
THEATRE PROCEDURE / ELECTROCARDIOGRAM
LUMBAR PUNCTURE / PULMONARY FUNCTION TEST
O.T. / PHYSIO / SALT

SPECIALIST NURSES

There may be the opportunity to spend ½ a day with one of the following specialist nurses whom liase frequently with the ward. If there is any particular speciality you are interested in please let your mentor know and we will try our best to accommodate your request.

-Respiratory Nurse

-Diabetic Nurse

-Palliative Care Nurse

-Cardiac Rehabilitation Nurse

-Heart Failure Nurse

-Community Liaison Nurse

-Stroke Liaison Nurse

-Stoma Nurse

-Pain Relief Nurse

-Breast Care Nurse

PATIENT TRANSFER

Patients are often transferred to HDU/CCU and transferred out of this area. You will be given the opportunity to assist with this procedure. On negotiation with the senior nurse in both ward 6 and CCU/HDU you may be given the option to stay in the unit and see what happens to the patient in the first few hours of admission to a specialist area.

COMMENTS:-
Date arranged for interim assessment: -

INTERIM ASSESSMENT

Discuss learning needs and progress

What has been achieved / still needs to be achieved

Reflect on issues

Feedback on students progress

Complete mid-way assessment in OAR booklet.