Newcastle Upon Tyne Hospital NHS Trust

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Newcastle Upon Tyne Hospital NHS Trust

  1. 1. Newcastle Upon Tyne Hospital NHS Trust PROFILE OF LEARNING OPPORTUNITIES Children’s Kidney Unit RVI Page 1 of 10
  2. 2. CONTENTS 1. GUIDANCE FOR STUDENTS AND MENTORS 2. ORIENTATION OF THE CHILDREN’S KIDNEY UNIT 3. INTERPERSONAL SKILLS: KEY ELEMENTS 4. CLINICAL SKILLS: KEY ELEMENTS 5. KEY ELEMENTS 6. MANAGEMENT OF CARE: KEY ELEMENTS 7. ORGANISATIONAL & MANAGERIAL ISSUES: KEY ELEMENTS 8. LINK NURSES & SPECIALIST NURSES 9.WARD 2: LEARNING ZONE Page 2 of 10
  3. 3. 1. GUIDANCE FOR STUDENTS AND MENTORS This profile details the learning opportunities available in this clinical area. It is intended that students and mentors select the appropriate elements to help meet specified competencies. Students should not expect to access all these opportunities whilst on their placement. 2. ORIENTATION OF THE CHILDREN’S KIDNEY UNIT We are the regional paediatric nephrology unit based at the RVI. The children who are in-patients are looked after on ward 7, the children having haemodialysis attend the haemodialysis unit based at the end of ward 2, the children at home with kidney problems and those on home dialysis are looked after by the renal nurse specialists and are often seen on ward 5. Jean Crosier leads a team of a team of eleven nursing staff, with a sister responsible for the day to day running of the haemodialysis unit. We welcome all students at all levels of training and hope to give you a good experience. You will be allocated a mentor prior to commencing your placement. Haemodialysis on the unit is carried out on Mondays, Wednesdays and Fridays, the unit opens at 7am and closes when all of the children are dialysed which is usually about 8.30 pm. We have space to dialyse 6 children at any one time and run a morning and an afternoon shift. Off-duty will be planned in advance. If you require any special requests please speak to your mentor. We care for children and young people from 0-18yrs who have kidney failure or another related renal problem. We have 4 consultants who look after the children and we work closely with other members of the multidisciplinary team Page 3 of 10
  4. 4. 3. INTERPERSONAL SKILLS: KEY ELEMENTS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT COMMUNICATION Use of the telephone • Answering calls All staff • Transferring calls • Making calls • Contacting other wards/departments Use of the computer • Understanding of confidentiality issues All staff • Access to patient information • Access patient blood results • Use of Trust intranet • Access to unit protocols Talking to • Patients (As appropriate) • Relatives/carers Matron • Doctors Unit Sister • Visitors Doctors/Multi-disciplinary Team • Matron Renal Specialist Nurse • Members of multi-disciplinary team Haemodialysis Nurse • All nursing staff Health Care Assistant • Other unit staff Domestic/Ancillary Staff • Other hospitals ORGANISATION/PLANNING • Facilitating investigations (As appropriate) • Booking follow-up appointments Sister/Doctors • Managerial structure in Trust Haemodialysis Nurse Renal Specialist Nurses Page 4 of 10
  5. 5. 4. CLINICAL SKILLS: KEY ELEMENTS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT PHYSIOLOGICAL OBSERVATIONS • Blood pressure (As appropriate) • Temperature, pulse/apex & respirations Haemodialysis Nurse • Oxygen saturations Renal Specialist Nurse • Fluid status Doctor • Biochemistry results Health Care Assistant • Maintaining accurate charts ADMINISTRATION OF MEDICATION • Oral (As appropriate) • Subcutaneous Doctor • Intravenous infusions Haemodialysis Nurse • Cannulation/Venepuncture Renal Specialist Nurse • Into dialysis circuits Pharmacist • Into dialysis fluids PREPARATION FOR INVESTIGATIONS • Consent (informed) (As appropriate) • Information (verbal & written) Doctor/Specialist Nurse Haemodialysis Nurse Haemodialysis Nurse Renal Specialist Nurse HAEMODIALYSIS • Principles of dialysis (As appropriate) • Dialysis access Doctor • Dialysis circuit Specialist Nurse • Dialysis water Haemodialysis Nurse • Dialysis prescriptions • Infection control • Patient safety/Risk assessment PERITONEAL DIALYSIS • Principles of dialysis (As appropriate) • Dialysis access Doctor • Home choice machine Haemodialysis Nurse • Dialysis prescriptions Renal Specialist Nurse • Infection risks/aseptic technique • Patient safety/Risk assessment MEDICAL DEVICES • Moving and handling (As appropriate) • Checking equipment Medical Device Officer Haemodialysis Nurse Renal Specialist Nurse Health & Safety Advisor Moving & Handling Facilitator Electronics Department Page 5 of 10
  6. 6. 5. CHILDREN’S KIDNEY UNIT: KEY ELEMENTS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT KNOWLEDGE/NURSING CARE OF PATIENT With: • Peritoneal dialysis (As appropriate) • Haemodialysis Haemodialysis Nurse • Chronic renal failure Renal Specialist Nurse • Gastrostomy feeding Nephrotic Nurse Specialist • Hypertension Doctor • Plasmapheresis Out-patient Department • Central line Clinical Psychologist • Renal transplant Lead Nurse Child Protection • Growth failure due to renal failure Dietician • Continence problems Transplant coordinators • Nephrotic Syndrome Endocrine Nurse Specialist Continence advisors OBSERVATION AND ASSISTANCE With: (if applicable) • Care on dialysis (As appropriate) • Insertion of central line Haemodialysis Nurse • Creation of a fistula Renal Specialist Nurse • Insertion of a abdominal dialysis catheter Doctor • Renal transplant Dietician • Recording of blood pressure Speech Therapist • Administration of EPO Paediatric surgeons • Administration of gastrostomy feeds Transplant surgeons • Venepuncture • Accessing central lines • Connecting and disconnecting peritoneal dialysis Page 6 of 10
  7. 7. 6. MANAGEMENT OF CARE: KEY ELEMENTS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT NURSING CARE Assessment • Use of Trust documentation (As appropriate) • Relevance of information Haemodialysis Nurse • Collection of information Renal Specialist Nurse • Observation Patients/Carers • Practice Community Staff Planning Care • Care plans (As appropriate) • Evaluation of care Registered Nurse • Organisation of care Health Care Assistant • Multi-disciplinary involvement Medical Staff Specialist Nurse Dietician Speech Therapist Social Worker • Patient/Carer involvement Hospital Intranet • Protocols/Policies Haemodialysis Nurse • Prioritising care/time Renal Specialist Nurse • Religious needs Hospital Chaplaincy PALS Page 7 of 10
  8. 8. 7. ORGANISATION & MANAGERIAL ISSUES: KEY ELEMENTS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/DEPARTMENT ORGANISATIONAL SKILLS • Role of the Senior Renal nurse (As appropriate) • Role of Unit Sister Haemodialysis Nurse • Delegation Renal Specialist Nurse • Off Duty Matron • Standards of care • Quality issues MANAGEMENT OF WARD/RESOURCES • Stock control (As appropriate) • Ordering drugs Ward Sister/Senior Staff Nurse • Sisters responsibilities Registered Nurse • Moving & handling Moving & Handling Facilitator • Risk management Risk Assessment Facilitator • Health & Safety • Staff Development/Appraisal • Personnel issues Page 8 of 10
  9. 9. 8. LINK NURSES & SPECIALIST NURSES Infection Control Link Nurse Risk Assessment Facilitator Moving & Handling Facilitator Transplant Co-ordinators Endocrine Nurse Specialist Continence advisors Ward 7 staff Adult dialysis unit Page 9 of 10
  10. 10. Children’s Kidney Unit - Learning Zone Renal Nurse Specialists Ward 5 Community Nurses Senior Renal Nurse Children’s Out Patients Renal Nurse Specialist Urodynamics UTI nurse Specialist Ward 7 Renal Nurse Specialist Peritoneal Dialysis Ward 3 Social work PICU department Children’s Nephrotic Dialysis Technicians Nurse Kidney Specialist Unit Children’s Haemodialysis Unit Tissue Typing Dietician Transplant Co-ordinators Parents and siblings Paediatric Continence Advisors Paediatric Endocrine Infection control Nurse Specialist team Adult Dialysis Unit Regional Local Hospitals Hospitals Schools and Health Visitors Page 10 of 10

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