STUDENT ORIENTATION PACK
Ward 4
Perth Royal Infirmary
STUDENT …………………………………......
INTAKE ......
PLACEMENT DATES ......
Welcome to Ward 4
Welcome to Ward 4, Medical and Surgical Admissions.
We look forward to working with you and hope you will enjoy your clinical placement with us.
Your allocated mentor and associate-mentor are
……………………………………..…………………………………………
Your first week of off duty is as follows:
Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / SundayYour shift pattern will be: 0730 – 1530 Early
1300 – 2100 Late
2045 – 0745 Night
You shall work alongside your mentor or associate mentor as much as possible to ensure the best from your placement. The off duty should be compliled by one of your mentors or one of the charge nurses to ensure adequate mentorship is delivered. It would be preferable to bring evidence of mandatory study days that you must attend so that these can also be allocated.
Ward 4: Telephone No 01738 473909 or 01738 473221.
SCN office – 01738 473910.
At the start of your placement, you will have an initial meeting with your mentor, followed by a midway assessment and final assessment.
Please discuss any issues you have with your placement and ensure that you inform your mentor of any statutory study that you must attend via the university. Please bring your CAP book on your first week.
If you are ill and unable to work your shift, it is your responsibility to contact the ward and University as early as possible. The nurse in charge is also obliged to inform the University when you are absent during your placement.
The university absence line is – 01382 388194
Full uniform must be worn on duty. At no time should uniforms be worn out-with the hospital. An I.D. badge should be worn at all times whilst on duty. Changing rooms are available. It is not acceptable to change in any other area as it is hospital policy to change in the designated areas provided. Contact the sewing room to obtain a locker for your placement.
ABOUT WARD 4
Ward 4 is a 29 bedded emergency admissions ward receiving both medical and surgical patients. Patients are admitted either from Accident and Emergency, GP referrals, Out of Hours and other areas throughout the hospital eg, out patients.
Each patient is admitted under a medical or surgical consultant. The consultant is on call for a 24-hour period (8am-8am). Both medical and surgical consultants have a registrar and FY1 to assist them. The Doctors on call are called “1st on” and they will see all new admissions.
There are 4 bays with 6 beds, 5 single 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.
The Anticoagulation clinic is also based on the ward in the assessment room and you may have the opportunity to attend this. The clinic runs 0900 to 1700.
NURSING TEAM
The ward is overseen by SCN Anne Davidson. She is assisted in the running of the ward by:
CN Lois Scobie
CN Pauline Shipman
CN Sharon Sime
CN Fiona Connolly
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 must communicate with other members of nursing staff to enable you to achieve your objectives.
Nursing staff on ward 4 work closely with other patient services including:
Acute pain team Palliative care team
Diabetic specialist nurses Pharmacists
Dietician Physiotherapists
District nursing services Occupational therapists
Speech and language therapists Respiratory Liason Nurse
Hospital Discharge Team Mental Health Liason Nurse.
You will have the opportunity to work with these teams to understand and appreciate the holistic approach to nursing care within the ward. It may be possible to spend half a shift with any of the above and this can be arranged through your mentor.
There are a variety of ways to get to the hospital, use www.travelinescotland.com to help plan your journey to us. Please let the staff know as soon as possible if you have specific problems travelling to PRI and we will endeavour to help you overcome them as much as we are able.
Limited car parking is available at the hospital. You must display a free ticket and can park from 3 – 9 hours depending on which car park you choose. there is on-street parking but that this is at your own risk and please be sensitive and courteous to the needs of the residents around the hospital.
There is also the hospital bus no 333 that operates between PRI and Ninewells.
Canteen facilities – Red Cross canteen- open until 7pm, Mon-Fri
Facilities on ward for heating meals/ drinks
Hospital canteen is closed after 1400.
Ward 4 Nursing Philosophy
It is our aim that every nurse employed within the Directorate attends their patients with a strong sense of compassion, intuition and skill and that practice is based upon a systematic researched based approach.
We trust our staff will treat all patients as individuals and that privacy and dignity is respected. Whenever possible the patient will be fully involved in decisions regarding their care. We will provide relevant information, education and support to enable informed choice by patients. Confidentiality is assured and information to relatives and friends will be only disclosed with the patients consent.
As a member if the multi disciplinary team the nurse has an obligation to safeguard the public.
We are committed to delivering a patient driven service through;
Ongoing professional development for all grades if staff to ensure our knowledge keeps abreast of advances in practice.
Maintaining strong links with the University School of Nursing for our student nurses.
Guidelines for completion of nursing documentation
Record keeping is an integral part of nursing practice. It is a tool of professional practice and one that should enhance the care process. It is not a separate part of this process and therefore is not an optional extra to be fitted in if circumstances allow. (NMC, 2002.) It is your responsibility to follow these guidelines:-
The Nursing and Midwifery council clearly states that records must:
· Be factual, consistent and accurate, recorded in a way that the meaning is clear;
· Be recorded as soon as possible after an event has occurred, providing current information on the care and condition of the patient / client;
· Be recorded clearly and in such a manner that the text cannot be erased or deleted without a record of change;
· Be recorded in such a manner that any justifiable alterations or additions are dated, timed and signed or clearly attributed to a named person in an identifiable role in such a way that the original entry can still be read clearly;
· Be accurately dated, timed and signed, with the signature printed alongside the first entry
· Not include abbreviations, jargon, meaningless phrases, irrelevant speculation, offensive or subjective statements;
· Be readable when photocopied or scanned.
Learning Opportunities for week One.
Learning Opportunity / Date Achieved / Student Signature / Mentor SignatureOrientation
· Meet members of the team.
· Identify and meet with your primary and associate mentors.
· Become familiar with ward layout, including toilets, changing room, staff room, day room.
· Identify emergency procedures and locate emergency equipment. Including arrest trolley and 2222
· Locate fire exits.
· Discuss duty rota/shift pattern and ensure students and mentor work together. Discuss request book. Mentor must take responsibility for this.
· Locate Unit Protocols/Guidelines folders.
· Know Bleep System and where to find numbers
Infection Control within Ward 4
· Read articles/posters on hand washing.
· Discuss and demonstrate hand-washing technique.
· Discuss and demonstrate use of personal protective equipment.
· Be aware of infection control guidelines and how to access them
Student Accountability within Ward 4
· Discuss the safety brief and daily checks.
· Introduce to nursing documentation.
· Discuss daily routine.
· Discuss patient allocation, location of the white board of patient names and bed space positions
· Discuss referral procedure
· Discuss the admission and discharge of patients.
· Be aware of the procedure for reporting sickness/ absence and resuming back to work.
· Discuss the professional behaviour and the importance of confidentiality.
· Discuss the importance of good time keeping.
Learning Opportunities for following weeks.
Learning Opportunity / Date Achieved / Student Signature / Mentor SignatureAdmission
· Discuss the priorities when admitting a patient including ABCDE
· Discuss Patient Placement on the ward.
· Assist in the admission of a patient.
· Observe and help to set up a bed area for admission and equipment checks.
· Discuss the implication of admission screening of patients for HAI’S (Hospital acquired infections).
Discharge
· Discuss the safety aspects of transferring a patient and the importance of good communication and documentation.
· Assist in the discharge of a patient.
· Discuss the responsibilities of cleaning bed area and equipment
· Know where to file documentation and medical notes
Hygiene
· Discuss patient hygiene needs
· Discuss oral hygiene assessment and read clinical guidelines on oral/eye care.
· Know how to refer a patient to OT
Mobility
· Discuss the use of mobility aids and know how to refer to PT
· Discuss the importance of and safety aspects of altering a patient position.
·
· Work with your mentor focusing on the mobility and hygiene needs of the patient.
Pressure Care
· Read the relevant literature relating to pressure area care.
· Discuss the assessment of a patient’s pressure areas.
· Be aware of scoring system for pressure ulcers
· Discuss wound care and the use of dressings, and introduce Trust Wound Care Guidelines available on staff net
· Discuss wound care documentation.
Learning Opportunity / Date Achieved / Student Signature / Mentor Signature
· Revise anatomy and physiology of main systems
· Discussion regarding interventions below – Why we use them, How we use them and complications surrounding them.
Monitoring
· Use of SEWS
· Use of Neuro Obs
· Blood Glucose
· Daily Weights
· Cardiac Monitoring
- Setting Up
- Alarms
- Recordings
- Central Module
- Telemetry
- Basic rhythms
- 12 lead ECG
Fluid Balance
· Intravenous Infusion
· Fluid Balance charts
· NG Insertion
· Special diets
· Catheterisation
· Bladder Scanning
· Chest Drains
Drug Adminnistration
· Oral / Nebulised / Sublingual / NG
· Injections – IM and SC
· Oxygen Therapy
· Insulin Sliding Scale
· Blood Transfusion / Infusion therapy
Specimen Collection
· Urinalysis
· MRSA Screen
· MSSU / CSU
· Sputum Sample
· Viral throat swab
· HCG
· Lab slips
Surgical
· Pre op preparations
· Post op care
· Wound care
· Pain control
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 / OGDPLEURAL TAP / COLONOSCOPY
CHEST DRAIN INSERTION / SIGMOIDOSCOPY
ULTRA SOUND SCAN / PULMONARY FUNCTION TEST
X-RAY / ECHOCARDIOGRAM
DOPPLER SCAN / EXERCISE TOLERENCE TEST
THEATRE PROCEDURE / CARDIOVERSION after discussion with CCU
LUMBAR PUNCTURE / PHYSIO
(SALT) SPEECH AND LANGUAGE TEAM / OCCUPATIONAL THERAPY
Student Questionnaire
Ward 4
Name ______
We are continually improving standards in ward 4 and we are interested in obtaining your views on the learning environment. Please answer as honestly as possible. All questionnaires are confidential.
Many Thanks
Please tick-
5= Strongly agree
1= Strongly disagree
STATEMENT / 5 / 4 / 3 / 2 / 11 / I was allocated a mentor and associate mentor on first day
2 / I was orientated to ward 4 on the first week of my placement
3 / I was introduced to other members of staff and made to feel welcome
4 / I was given the opportunity to discuss and document learning objectives in 1st week
5 / I worked with my preceptors for at least 50% of my shifts
6 / I was given the opportunity to achieve my learning objectives
7 / Staff were willing to spend time and explain things to me
8 / I was made aware of learning resources available
9 / My contribution to the ward was valued by staff
10 / I was given feedback on a regular basis
11 / A private area was available for feedback and discussion
12 / I was supervised carrying out procedures until I felt competent
Please write 3 things that were good about the ward
Please write 3 things that could have been better / we can improve on.
Any other comments
Thank you J
Please return you completed questionnaire to CN Lois Scobie, ward 4, PRI.