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WARD B26 PHILOSOPHY OF CARE.doc

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  • 1. Ward B26 Profile of Learning Opportunities Information Package WARD B26 Rachel Hallowell 2005 1
  • 2. Ward B26 WELCOME TO B26 WELCOME TO B26, WE HOPE YOU ENJOY YOUR PLACEMENT WITH US. ON YOUR FIRST DAY YOU WILL BE INTRODUCED TO STAFF, ORIENTATED TO THE WARD AND ALLOWED TIME TO SETTLE IN. YOU WILL ALSO BE INTRODUCED TO THE NURSING TEAM YOU WILL BE WORKING WITH AND THE PATIENTS YOU WILL BE CARING FOR. OUR AIM ON B26 IS TO FACILITATE YOUR LEARNING AND HELP YOU IDENTIFY OPPOURTUNITIES FOR YOU TO ACHIEVE YOUR LEARNING OUTCOMES IDENTIFIED BY YOUR UNIVERSITY. YOU WILL BE ALLOCATED A QUALIFIED MENTOR TO ASSIST YOU AND ASSESS YOU WHILST ON PLACEMENT ON B26. YOUR MENTOR WILL MEET AND DISCUSS YOUR OUTCOMES AND YOUR PROGRESS. THESE DISCUSSIONS ARE FOR YOUR BENEFIT AND WILL BE AN OPPORTUNITY TO DISCUSS YOUR STRENGTHS AND WEAKNESSES, YOUR LEARNING PLAN AND ALSO ANY PROBLEMS OR CONCNERNS THAT YOU MAY HAVE. PLEASE DO NOT HESTITATE TO EXPRESS THESE TO YOUR MENTOR OR WARD MANAGER. Rachel Hallowell 2005 2
  • 3. Ward B26 WARD PROFILE WARD B26 IS A UROLOGY WARD. THE WARD OPENED ON THE 24TH OF APRIL 2006. THE WARD BELONGS TO THE GENERAL SURGERY AND UROLOGY DIRECTORATE WITHIN SUNDERLAND ROYAL HOSPITAL. WARD B26 IS A SEVEN DAY A WEEK WARD. THE PATIENTS THAT ARE CARED FOR ON B26 ARE PRIMARILY PLANNED, ROUTINE ADMISSIONS. PEOPLE WHO ARE HAVING SURGERY WHICH HAS BEEN PLANNED. THE PATIENT HAS IDENTIFIED A PROBLEM AND VISITED THEIR GP WHO HAS THEN REFFERED THEM ONTO THE UROLOGIST AT THE HOSPITAL. THE PATIENT IS SEEN BY THE UROLOGIST AND PLACED ON A WAITING LIST. IF A PATIENT HAS BEEN ADMITTED TO HOSPTAL WITH A HEALTH PROBLEM THAT REQUIRES SURGERY, THEY CAN ALSO BE PLACED ON THE WAITING LISTS THIS WAY. AT SUNDERLAND ROYAL HOSPITAL IS POLICY THAT THE PATIENT MUST HAVE THEIR SURGERY WITHIN ONE YEAR OF BEING PLACED ON THE LIST. B26 ALSO RECIEVES PATIENTS VIA TRANSFER FROM THE EMERGENCY SURGICAL ASSESSMENT UNIT (ESAU). THESE PATIENTS ARE ADMITTED WITH A UROLOGICAL HEALTH PROBLEM SUCH AS KIDNEY STONES. THEY ARE INITIALLY ASSESSED ON ESAU AND THEN ARE TRANSFERRED TO B26 FOR FURTHER INVESTIGATION AND MANAGEMENT OF THEIR CONDITION. B26 ALSO ACCEPTS DIRECT ADMISSIONS FROM THE DURHAM AND SOUTH TYNESIDE AREAS. Rachel Hallowell 2005 3
  • 4. Ward B26 WARD LAYOUT & FACILITIES B26 IS A BRAND NEW WARD IN THE MAIN PART OF THE HOSPITAL. IT HAS FOUR BAYS COMPRISING OF FIVE BEDS AND A TOILET AND SHOWER ROOM IN EACH BAY, AND ALSO FOUR INDIVIDUAL SIDEWARDS ALSO ENSUITE. ALTHOUGH WE HAVE 24 BEDS ON THE WARD WE ARE ONLY STAFFED FOR 19 BEDS. FOR THIS REASON WE HAVE 5 BEDS CLOSED AT ALL TIMES. WE ARE FLEXIBLE IN THE FACT THAT IF MORE MALE BEDS ARE NEEDED WE CLOSE BEDS IN FEMALE BAYS AND VICE VERSA. THE WARD HAS ONE BATHROOM ON THE WARD AND A FURTHER SHOWER ROOM SITUATED OUTSIDE OF THE BAYS WHICH IS MAINLY USED WHEN PATIENTS NEEDS ASSISTANCE WITH HYGIENE NEEDS. WE HAVE A TREATMENT ROOM IN WHICH ALL PROCEEDURES AND DRESSING CHANGINGS TAKE PLACE, EXCEPT FOR PATIENTS WHO ARE BEING BARRIER NURSED IN SIDEWARDS. AT THE ENTRANCE TO B26 IS THE SURGICAL PREASSESSMENT CLINIC. ALL PLANNED ADMISSIONS VISIT THE CLNIC UP TO A WEEK BEFORE THEIR SURGERY TO HAVE THEIR NURSING ASSESSMENT AND MEDICAL INVESTIGATIONS COMPLETED. Rachel Hallowell 2005 4
  • 5. Ward B26 WARD B26 PHILOSOPHY OF CARE WE AIM TO CREATE A WARM AND FRIENDLY ENVIRONMENT IN WHICH TO CARE FOR PATIENTS AND THEIR FAMILIES. WE AIM TO ENSURE THAT PATIENTS AND THEIR FAMILIES FEEL FREE TO APPROACH ANY MEMBER OF STAFF REGARDING ANY ASPECT OF CARE PROVIDED. WE BELIEVE THAT EVERY PERSON IS AN INDIVIDUAL, AND SHOULD BE TREATED WITH RESPECT AND DIGNITY AT ALL TIMES. WE BELIEVE THAT RELIGIOUS AND CULTURAL BELIEFS ARE IMPORTANT AND SHOULD BE TAKEN INTO CONSIDERATION. WE BELIEVE THAT ALL MEMBERS OF THE TEAM SHOULD STRIVE TO DELIVER HIGH QUALITY CARE AT ALL TIMES. WE AIM TO OFFER A HIGH DEGREE OF HEALTH PROMOTION, TO CREATE OPTIMAL QUALITY OF LIFE, USING AN INDIVIDUAL APPROACH. Rachel Hallowell 2005 5
  • 6. Ward B26 WE AIM TO ENSURE PATIENTS RECEIVE THE BEST CARE FROM ALL MEMBERS OF THE CARE TEAM, INCLUDING DOCTOR’S PHYSIOTHERAPISTS, OCCUPATIONAL THERAPISTS, WHILST PROMOTING INDEPENDENCE AND SELF CARE. IN ORDER TO DELIVER THE BEST STANDARDS OF CARE WE ARE COMMITED TO CONTINUAL DEVELOPMENT, UPDATING OF KNOWLEDGE AND SKILLS AND THE USE OF EVIDENCE BASED PRACTICE. Rachel Hallowell 2005 6
  • 7. Ward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achel Hallowell 2005 7
  • 8. Ward B26 OFF DUTY, REQUESTING OFF DUTY AND REPORTING SICKNESS. WARD B26 IS A 7 DAY UROLOGY WARD. THE SHIFT PATTERNS ARE 7.30AM – 4.45PM 12.30PM – 8.30PM 7.30PM – 8.30PM NIGHT SHIFT 8.15PM – 7.45AM. DURING YOUR WORKING WEEK YOU MAY WORK THE SHIFTS OVER 4 DAYS WITH 3 DAYS OFF. THE SHIFTS ARE A COMBINATION OF THE ABOVE FIRST 3 SHIFT PATTERNS, OR YOU MAY NOT WISH TO WORK THE 13HOUR SHIFT IN WHICH CASE THE SHIFTS ARE OVER 5 DAYS WITH A HALF DAY FINISH. THE OFF DUTY IS DONE TO REFLECT TEAM NURSING. NIGHT SHIFT CAN BE WORKED WITH THE AGREEMENT OF THE SCHOOL OF NURSING AND YOUR MENTOR FOR A SHORT PERIOD ONLY. STAFF CAN REQUEST A CERTAIN DAY OFF OR A CERTAIN SHIFT. THIS MUST BE PLACED IN THE OFF DUTY REQUEST BOOK FOR THE WARD MANAGER TO AUTHORISE. IF YOU NEED TO REPORT IN SICK WHILE ON YOUR PLACEMENT THEN YOU SHOULD RING THE WARD, SPEAK TO THE NURSE IN CHARGE, GIVE A REASON FOR THE ABSENCE AND WHEN YOU WILL BE RETURNING TO WORK. ALL SICKNESS WILL BE REPORTED TO THE UNIVERSITY. PLEASE REFER TO SECTION 2 FOR UNIVERSITY POLICY. Rachel Hallowell 2005 8
  • 9. Ward B26 STUDENTS RESPONSIBILITIES IT IS IMPORTANT THAT YOU ARE AWARE THAT YOU ARE RESPONSIBLE FOR YOUR OWN LEARNING AND THAT YOUR MENTOR IS THERE TO FACILITATE YOUR LEARNING. PLEASE READ SECTION 2 OF EDUCATION RESOURCE FILE AS THIS OUTLINES ALL OF YOUR RESPONSIBILITIES AS A STUDENT. YOU MUST COMPLY WITH CITY HOSPITALS POLICIES AND PROCEEDURES. A COPY OF ALL POLICIES ARE LOCATED IN WARD MANAGERS OFFICE. ALSO LINK FILES AND EDUCATIONAL AIDS ARE LOCATED IN WARD MANAGERS OFFICE. PLEASE FIND TIME TO READ POLICY FILES AND USE EDUCATIONAL AIDS AS REQUIRED. EMERGENCY ALARM CALLS AND NUMBERS THE FIRE ALARM IS A HIGH PITCHED TONE THAT SOUNDS WHEN EITHER A SMOKE ALARM IS ACTIVATED OR WHEN A FIRE ALARM IS ACTIVATED. AN INTERMITTENT TONE INDICATES THAT THE FIRE IS NOT IN YOUR IMMEDIATE AREA AND THAT ALL DOORS AND WINDOWS SOUND BE CLOSED. IN THE EVENT OF A CONTINOUS TONE, WHICH INDICATES THE FIRE IS IN YOUR LOCATION AN URGENT INVESTIGATION IS REQUIRED AND POSSIBLE EVACTION OF Rachel Hallowell 2005 9
  • 10. Ward B26 PATIENTS MAY BE REQUIRED. IN THIS CASE PLEASE REFER TO NURSE IN CHARGE FOR FURTHER DIRECTIONS. THE INTERMITTENT TONE IS SOUNDED EACH THURSDAY MORNING AS A TEST. IN THE EVENT OF A CARDIAC ARREST ON THE WARD YOU WOULD BE REQUIRED TO RAISE THE ALARM BY PULLING EMERGENCY ALARM CALL AND OR SHOUTING FOR ASSISTANCE. YOUR MENTOR WILL DISCUSS YOUR ROLE IN THE EVENT OF A CARDIAC ARREST WITH YOU DURING YOUR INTRODUCTION TO WARD. THE CRASH TROLLEY AND DEFIBRILLATOR ARE LOCATED BEHIND THE NURSES STATION. THE PORTABLE SUCTION IS LOCATED IN THE TREATMENT ROOM. CARDIAC ARREST 2222 FIRE 333 SECURITY 777 Rachel Hallowell 2005 10
  • 11. Ward B26 WARD B26’S NURSING TEAM WARD MANAGER - MICHAEL OLD – BAND 7 SENIOR STAFF NURSE – DIANE GRAY – BAND 6 WE HAVE 16 STAFF NURSES AT VARYING POINTS ON BAND 5 AND 3 HEALTH CARE ASSISTANTS AT BAND 2. THE DIRECTORATE OTHER SURGICAL WARDS • C30/ESAU – EMERGENCY SURGICAL ADMISSIONS UNIT • C31 – VASCULAR SURGERY • C32 – UPPER GI AND COLORECTAL SURGERY • C36 - UROLOGY ALL THE WARDS ALSO DO GENERAL SURGERY. Rachel Hallowell 2005 11
  • 12. Ward B26 STAFF WITHIN THE UNIT • BUISNESS MANAGER – • MATRON – ANDREA STUBBS • PDN – MARIA LEADER • WARD MANAGER C30 – SARAH JOBLING • WARD MANAGER C31 – JAN WILLIS • WARD MANAGER C32 – LYNNE COOPER • WARD MANAGER C36 – CHRIS FRASIER • PRE – ASSESSMENT MANAGER – PAULINE DRYDEN • COMPLEX DISCHARGE CO-ORDINATOR – JEAN TURLEY • COLORECTAL SPECIALIST NURSES – MARILYN BOYD, SUSAN FRANKLIN AND ROSEMARY JOBLING • VASULAR SPECIALIST NURSES – RUTH CHIPP AND FLORRIE MOWATT • BREAST CARE SPECIALIST NURSES – SHEILA KIMBER AND MICHELLE CRAMNER CONSULTANTS • MR JOHNSON • MR GREENE • MISS KIRCHIN • MR ARMITAGE • MR ENGLISH Rachel Hallowell 2005 12
  • 13. Ward B26 • MR RICHMOND • MR ROBERTS • MR OBONYO OTHER PROFESSIONALS YOU MAY COME INTO CONTACT WITH ARE:- • ANAESTHETISTS • CRITICAL CARE OUTREACH TEAM • DIETICIANS • OCCUPATIONAL THERAPISTS • PHYSIOTHERAPISTS • MEDICAL SOCIAL WORKERS • RADIOGRAPHERS • PORTERS • DOMESTIC STAFF • THEATRE STAFF • CLERICAL STAFF • SPEECH AND LANGUAGE THERAPISTS • PHARMACY STAFF • JUNIOR AND SENIOR HOUSE OFFICERS • REGISTRARS Rachel Hallowell 2005 13
  • 14. Ward B26 GUIDE TO UNIFORMS WARD MANAGER – WHITE TUNIC WITH NAVY EPILETS JUNIOR SISTER – NAVY TUNIC STAFF NURSE – PALE BLUE TUNIC / OR EPILETS HEALTH CARE ASSISTANT – BEIGE TUNIC / OR EPILETS WARD CLERK – WHITE TUNIC DOMESTIC – YELLOW UNIFORM MATRON – WHITE UNIFORM WITH RED TRIM BED MANAGER – WHITE UNIFORM WITH GREEN TRIM RADIOGRAPHER – BURGUNDY UNIFORM OCCUPATIONAL THERAPIST – GREEN UNIFORM PHYSIO – BLUE TROUSERS WITH WHITE POLO SHIRT Rachel Hallowell 2005 14
  • 15. Ward B26 LINK NURSES ON WARD B26 PLEASE FEEL FREE TO ASK LINK NURSES FOR MORE INFORMATION ON THEIR ROLES. • EDUCATION – RACHEL HALLOWELL • HEALTH & SAFETY – MICHAEL OLD • COSHH - MICHAEL OLD • PAIN - EMMA BARBER • INFECTION CONTROL - ANNA BROWNE & DAVE TURNS • DIABETES - ANNA BROWNE • HISS SYSTEM - RACHEL HALLOWELL • CPR - LESLEY THOMPSON • MANUAL HANDLING - LESLEY THOMPSON • CLINICAL SUPERVISION - DIANE GRAY • NUTRITION - EMMA BARBER • EQUIPMENT - FILBERT LANDASABAL • STOMA CARE - LINDA WARWICK & PEARL TAYLOR • CONTINENCE - RAJ BOODHOO • DISCHARGE - RAJ BOODHOO • TISSUE VIABILITY - JOHANNA QUICHO • WOUND CARE - JOHANNA QUICHO • CRITICAL CARE - LINDA WARWICK • PALLIATIVE CARE - ANNA VIRTUCIO Rachel Hallowell 2005 15
  • 16. Ward B26 GLOSSARY OF UROLOGICAL TERMS ACUTE RETENTION – SEE URINARY RETENTION. ADRENAL GLAND – A SMALL GLAND JUST ON TOP OF THE KIDNEY. AMBULATORY URODYNAMICS – SIMILAR TO STANDARD URODYNAMICS, EXCEPT THAT IT IS CARRIED OUT OVER A LONGER PERIOD OF TIME, AND INSTEAD OF BEING CONNECTED TO A LARGE MACHINE THE INFORMATION IS RECORDED IN A SMALL PORTABLE ‘BOX’ WITH A SHOULDER STRAP. ANGIOGRAM – A TYPE OF X-RAY PROCEDURE TO TAKE PICTURES OF BLOOD VESSELS. AN ANGIOGRAM IS USUALLY SPECIFIC TO AN ORGAN OR PART OF THE BODY, E.G. RENAL ANGIOGRAM TAKES X- RAYS OF THE BLOOD VESSELS IN THE KIDNEY. ANTICHOLINERGIC – A TYPE OF DRUG WHICH AFFECTS THE NREVOUS SYSTEM, COMMONLY USED IN THE TREATMENT OF DETRUSOR INSTABILITY (MISBEHAVING BLADDER). ANURIA – COMPLETE ABSENCE OF URINE. ARTIFICAL URINARY SPHINCTER (AUS) – USED IN CASES WHERE THERE IS A COMPLETE INCONTRINENCE DUE TO THE FAILURE OF THE NATURAL SPHINCTER MECHANISMS WHICH IS NOT TREATABLE BY OTHER METHODS. IN ESSENCE AN OPERATION IS DONE TO PLACE AN INFLATABLE RING INTERNALLY AROUND THE URETHRA, Rachel Hallowell 2005 16
  • 17. Ward B26 AND THE RING IS INFLATED OR DEFLATED AS REQUIRED. THEY ARE EXPENSIVE AND AS THEY CONTAIN A SYSTEM OF VALVES CAN OCCASIONALLY FAIL DUE TO MECHANICAL DEFECTS. ATROPHY – SHRUNK, BECOME SMALLER. IF AN ORGAN (E.G. A KIDNEY HAS ATROPHIED, IT IS PROBABLY ALSO NOT WORKING FULLY. AZOOSPERMIA – NO SPERM IN THE SEMEN. BACTERIURIA – BACTERIA IN THE URINE. BALANITIS – INFLAMMATION OF THE HEAD OF THE PENIS, OFTEN DUE TO POOR PERSONAL HYGIENE. BENIGN – NON CANEROUS. IF A GROWTH IS BENIGN IT WILL NOT SPREAD. FOR EXAMPLE IN BPH THE PROSTATE IS ENLARGED AND MAY GET BIGGER BUT IT IS NOT A CANCER THAT WILL SPREAD TO OTHER ORGANS. BIOPSIES – IS THE REMOVAL OF A PART OF TISSUE OR ORGAN FOR EXAMINATION. THIS MAY BE VIA A FINE NEEDLE ASPIRATION, CONE BIOPSIE, PUNCH BIOPSIE ETC BLADDER – THE BLADDER STORES URINE UNTIL IT IS VOIDED. WHEN THE BLADDER IS EMPTY IT IS LIKE A DEFLATED BALLOON BUT CAN EXPAND TO HOLD A LARGE QUANTITY OF URINE. BPH – BENIGN PROSTATIC HYPERPLASIA. ENLARGMENT OF PROSTATE BUT NOT CANCEROUS. CALCULUS – ANOTHER WORD FOR STONE. Rachel Hallowell 2005 17
  • 18. Ward B26 CALCIFICATION – CONCENTRATED DEPOSITS OF CALCIUM. CARCINOGEN – A SUBSTANCE WHICH IS KNOWN TO CAUSE CANCER. FOR EXAMPLE IT IS WELL RECOGNISED THAT SMOKING CAUSES LUNG CANCER. IT IS ALSO CONSIDERED TO BE A CAUSE OF BLADDER CANCER. CATHETER – BROAD TERM FOR MANY TYPES OF TUBE. IN UROLOGY IT USUALLY MEANS A TUBE INTRODUCED INTO THE BLADDER TO ENABLE URINE TO DRAIN OUT. CHRONIC RETENTION – SEE URINARY RETENTION CHEMOTHERAPY – TREATMENT OF CANCER USING DRUGS AND CHEMICALS. CRYOTHERAPY – A METHOD OF REMOVING TISSUE BY FREEZING IT SO THAT THE CELLS DIE. CYSTECTOMY – A MAJOR OPERATION TO COMPLETELY REMOVE THE BLADDER. CYSTITIS – INFLAMMATION OF THE BLADDER. CYSTOGRAPHY – X-RAYS OF THE BLADDER CYSTOPLASTY – A FAIRLY MAJOR OPERATION TO ENLARGE THE BLADDER. CYSTOSCOPY – AN EXTREMELY COMMON DIAGNOSTIC PROCEDURE WHERE THE INSIDE OF THE BLADDER IS INSPECTED BY A CAMERA INSERTED INTO THE BLADDER VIA THE URETHRA. Rachel Hallowell 2005 18
  • 19. Ward B26 DETRUSOR – A LAYER OF MUSCLE WITHIN THE WALL OF THE BLADDER. DIURETIC – SOMETHING WHICH MAKES THE KIDNEY PRODUCE MORE URINE. CAN BE DRUGS BUT ALSO SOME FOOD AND DRINKS SUCH AS COFFEE. DRE – DIGITAL RECTAL EXAMINATION. THE PROSTATE GLAND CAN BE FELT BY INSERTING A FINGER INTO THE RECTUM. DYSURIA – PAIN ON PASSING WATER OR DIFFICULTY IN PASSING WATER. EJACULATION – THE PROCESS OF SEMEN BEING EXPELLED FROM THE PENIS DURING ORGASM. ENDOSCOPE – AN INSTRUMENT FOR LOOKING INSIDE THE BODY USUALLY WITH MAKING AN INCISION. E.G. CYSTOSCOPE( BLADDER), NEPHROSCOPE(KIDNEY), BRONCHOSCOPE( LUNGS). ENURESIS – TYPE OF INCONTINENCE WHICH IS WHERE THE PERSON LACKS CONTROL BUT DOES NOT HAVE A BLADDER PROBLEM. NOCTURNAL ENURESIS IS BEDWETTING. ERECTILE DYSFUNCTION – DIFFICULTY OR FAILURE TO ACHIEVE OR MAINTAIN AN ERECTION FOR SEXUAL INTERCOURSE. CAN BE ORGANIC OR PSYCHOLOGICAL. ESWL – EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY – USED TO BREAK UP STONES. EXCRETORY UROGRAM – SEE IVU Rachel Hallowell 2005 19
  • 20. Ward B26 FISTULA – AN ABNORMAL CONNECTION BETWEEN TWO ORGANS. E.G. BETWEEN THE BLADDER AND VAGINA – VESICO-VAGINAL FISTULA. FOLEY CATHETER – A TYPE OF CATHETER WITH A BALLOON ON THE END. THE BALLOON IS INFLATED ATER INSERTION AND KEEPS THE CATHETER INSIDE THE BLADDER. FREQUENCY – A SYMPTOM IN WHICH THE PERONS VOIDS FAR MORE OFTEN THAN NORMAL. GENITOURINARY TRACT – A BROAD TERM TO COVER EVERYTHING FROM THE KIDNEYS TO EXTERNAL SEXUAL ORGANS. HAEMATOMA – A COLLECTION OF CLOTTED BLOOD. HAEMATURIA – BLOOD IN THE URINE. HESITANCY – A DELAY BETWEEN THE PERSON STARTING TO VOID AND VOIDING ACTUALLY HAPPENING. INDICATES OBSTRUCTION OR ENLARGED PROSTATE IN MEN. HYDROCELE – A COLLECTION OF FLUID INSIDE THE SCROTUM. HYDRONEPHROSIS – ENLARGEMENT OF THE KIDNEY DUE TO IT BEING INFLATED WITH URINE. IMPOTENCE – SEE ERECTILE DYSFUNCTION Rachel Hallowell 2005 20
  • 21. Ward B26 INCONTENENCE – INABILITY TO HOLD URINE IN BLADDER. I.V.U – INTRA – VENOUS UROGRAM. A METHOD OF TAKING X-RAYS OF ALL THE URINARY TRACT BY INJECTING A CONTRAST MEDIUM INTO A VEIN. THIS PASSES THROUGH THE TRACT ALLOWING A SEQUENCE OF PICTURES TO BE TAKEN SHOWING TRACT. NEPHRECTOMY – REMOVAL OF A KIDNEY NEPHROSTOMY – A TUBE GOING INTO THE KIDNEY TO DRAIN URINE. NOCTURIA – NEEDING TO PASS URINE AT NIGHT. OLIGOSPERMIA – A LOW NUMBER OF SPERM IN THE SEMEN. OLIGURIA – LOW URINE PRODUCTION. ORCHIDECTOMY – REMOVAL OF THE TESTICLES. PARAPHIMOSIS – WHERE THE FORESKIN IS RETRACTED AND CANNOT BE BROUGHT FORWARD. CAN CUT OFF BLOOD SUPPLY TO THE END OF PENIS. P.C.N.L – PERCUTANEOUS NEPHROLITHOTOMY – KEY HOLE SURGERY FOR REMOVAL OF STONES. PHIMOSIS – WHERE THE FORESKIN CANNOT BE RETRACTED SOMETIMES CAUSING THE URETHRA TO BE BLOCKED AND THE PATIENT BEING UNABLE TO PASS URINE. POLYURIA – PRODUCTION OF HIGH AMOUNTS OF URINE. Rachel Hallowell 2005 21
  • 22. Ward B26 PRIAPISM – CONDITION IN WHICH AN ERECT PENIS WILL NOT GO DOWN. PROSTATE GLAND – A WALNUT SIZED GLAND THAT PRODUCES SEMEN TO TRANSPORT SPERM. PROSTATECTOMY – REMOVAL OF PROSTATE GLAND. PROSTATITIS – INFLAMMATION OF PROSTATE. PYURIA – PUS IN THE URINE. RESIDUAL URINE- URINE THAT REMAINS IN THE BLADDER AFTER VOIDING. STENT – A DEVICE TO HOLD OPEN TUBES E.G. URETERIC STENT TO HOLD OPEN URETER TO KEEP URINE FLOWING INTO THE BLADDER. T.R.U.S. – TRANS RECTAL ULTRASOUND SCAN. T.U.R.P – TRANS-URETHRAL RESECTION OF PROSTATE. AN OPERATION TO REMOVE MOST OR ALL OF PROSTATE WITHOUT ANY INCISION BY USE OF SCOPE THROUGH URETHRA. T.U.R.T – TRANS – URETHRAL RESECTION OF TUMOUR. URGENCY – A SUDDEN EXTREME NEED TO VOID. URINARY TRACT – GENERAL TERM TO DESCRIBE THE WHOLE OF URINARY SYSTEM . KIDNEYS, URETER, BLADDER, URETHRA. URINARY RETENTION – INABILITY TO PASS URINE. CAN BE SUDDEN ( ACUTE ) OR A LONG TERM PROBLEM (CHRONIC). Rachel Hallowell 2005 22
  • 23. Ward B26 VASECTOMY – AN OPERATION TO STERILSE MEN BY CUTTING THE TUBES THAT CARRY SEMEN FROM TESTES. VOID – PASSING URINE. YOUSSEF’S SYNDROME – AN UNUSUAL CONDITION WHERE A FISTULA CONNECTS BLADDER AND UTERUS CAUSING BLOOD IN THE URINE AT THE TIME OF MENTRUATION. GLOSSARY OF SURGICAL TERMS ABDOMINAL CAVITY – IS THE STRUCTURE WHICH HOLDS ORGANS SUCH AS THE LIVER, SPLEEN, KIDNEYS, URETERS AND SMALL AND LARGE INTESTINE. ABCESS – IS A COLLECTION OF PUS IN A CAVITY. ACUTE ABDOMEN – IS THE SUDDEN ONSET OF SEVERE PAIN. THE ACUTE ABDOMEN IS ONE OF THE MOST COMMON SURGICAL EMERGENCIES. APPENDICITIS – INFLAMMATION OF THE APPENDIX ADENO CARCINOMA – IS A NEW MALIGNANT GROWTH OF THE GLANDULAR EPITHELIAL TISSUE. Rachel Hallowell 2005 23
  • 24. Ward B26 ADHESIONS – IS THE UNION BETWEEN 2 SURFACES WHICH WOULD NORMALLY SEPARATE. BILIARY COLIC – SPASM OF THE MUSCLE WALLS OF THE BILE DUCT. BIOPSIES – IS THE REMOVAL OF A PART OF TISSUE OR ORGAN FOR EXAMINATION. THIS MAY BE VIA A FINE NEEDLE ASPIRATION, CONE BIOPSIE, PUNCH BIOPSIE ETC CHOLANGITIS – INFLAMMATION OF THE BILE DUCT CHOLECYSTECTOMY – REMOVAL OF THE GALLBLADDER, THIS CAN BE DONE LAPARASCOPICALLY OR OPEN. CHOLECYSTITIS – INFLAMMATION OF THE GALLBLADDER COLOSTOMY – AN ARTIFICAL OPENING IN THE LARGE BOWEL BROUGHT TO THE SURFACE OF THE ABDOMEN. MAY BE TEMPOARY OR PERMANENT. CROHN’S DISEASE – MAY AFFECT THE SMALL AND LARGE INTESTINE, IT IS A TYPE OF INFLAMMATORY BOWEL DISEASE. Rachel Hallowell 2005 24
  • 25. Ward B26 DIVERTICULAR DISEASE – INFECTION AND INFLAMMATION OF THE DIVERTICULM. A DIVERTICULM BEING AN ABNORMAL POUCH ON THE WALL OF THE BOWEL. EMBOLISM – OBSTRUCTION OF A BLOOD VESSEL BY TRAVELLING BLOOD CLOT OR PARTICLE. GASTRECTOMY – REMOVAL OF STOMACH GASTROJEJONOSTOMY – SURGICAL JOINING ( ANASTOMOSIS) OF THE JEJUNUM AND STOMACH. HAEMORRHOIDS – DILATED RECTAL VEINS HERNIA – A PROTRUSION OF AN INTERNAL ORGAN THROUGH AN ENCLOSING STRUCTURE. ILEOSTOMY – AN ARTIFICAL OPENING IN THE ILEUM AND BROUGHT TO THE SURFACE MELAENA – DARKENING OF STOOL BY BLOOD. METASTASE – THE TRAVELLING OF A DISEASE AROUND THE BODY BY THE BLOOD VESSELS OR LYPMH SYSTEM. Rachel Hallowell 2005 25
  • 26. Ward B26 METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS ( MRSA) AN INFECTION RESISTANT TO SOME ANTIBIOTICS BY OVER USE OF ANTIBIOTICS. SPREAD BY POOR INFECTION CONTROL TECHNIQUES. OBSTRUCTION – CLOGGING OR BLOCKAGE PANCREATITIS – INFLAMMATION OF THE PANCREAS PERFORATION – A BREAK OR HOLE IN WALL/ MEMBRANE OF AN ORGAN. PERITONITIS – INFLAMMATION OF THE PERITONEUM PILONIDAL SINUS – OCCURE WHEN HAIR FOLLICLES DISTEND AND AN ABCESS FORMS. PIL = HAIR NIDAL = NEST SHOCK – CAN BE POST OPERATIVE COMPLICATIONS WHEN OUR BODIES METABOLIC NEEDS ARE NOT MET. VARIUOS TYPES OF SHOCK SUCH AS SEPTIC, HYPOVOLAEMIC, CARDIOGENIC AND TRAUMA SPHINCTEROTOMY – THE INCISION OF A SPHINCTER TO RELIEVE CONSTRICTION SPLENECTOMY – REMOVAL OF THE SPLEEN Rachel Hallowell 2005 26
  • 27. Ward B26 STOMA – A GREEK WORD MEANING OPENING OR MOUTH. TPN ( TOTAL PARENTAL NUTRITION) MAY BE GIVEN CENTRALLY OR PERIPHERALLY TO PATIENTS WHO MALNOURISHED DUE TO TRAUMA OF SURGERY OR UNABLE TO HAVE FOD FOR LNG PERIODS OF TIME DUE TO CERTAIN MEDICAL REASONS OR PROBLEMS SWALLOWING ETC ULCERATIVE COLITIS – INFLAMMATION AND ULCERATION CAUSING DAMAGE TO THE EPITHELIAL LINING OF THE COLON OR RECTUM VARICOSE VEINS – DILATED LONG SAPHENOUS VEINS IN THE LEGS THAT CAN BE PAINFUL WHEN STANDING OR WALKING Rachel Hallowell 2005 27
  • 28. Ward B26 INVESTIGATIONS BARIUM STUDIES – X RAY USING OPAQUE MEDIUM TO DETECT ABNORMALITIES BLOOD CULTURES – BLOOD SPECIMENS TAKEN WHEN PATIENTS HAVE A HIGH FEVER COLONOSCOPY – A FIBREOPTIC ENDOSCOPE PASSED VIA THE ANUS TO EXPLORE THE RECTUM COMPUTERISED TOMOGRAPHY ( CT SCAN) – X RAYS CREATING AN IMAGE OF A THIN CROSS SECTIONAL SLICE OF THE BODY. DOPPLER ULTRASOUND – USING HIGH FREQUENCY SOUNDS TO DETECT PRESSURE, VELOCITY AND LOCATION OF BLOOD FLOW IN VEINS AND ARTERIES ERCP ( ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) – FIBREOPTIC ENDOSCOPE IS PASSED DOWN THE OESOPHAGUS TO THE DUODENUM TO IDENTIFY THE AMPULLA OF VATER. THE AMPULLA IS CANNULATED AND A Rachel Hallowell 2005 28
  • 29. Ward B26 CATHETER PASSESS INTO THE COMMON BILE DUCT. CONTRAST IS INJECTED TO SEE THE BILLARY TREE. FBC – FULL BLOOD COUNT IVU – INTRA VENOUS UROGRAM TO PROVIDE DETAILED ANATOMICAL ASSESSMENT OF THE URINARY TRACT. KUB – X RAYS OF THE KIDNEY, URETERS AND BLADDER LFT – LIVER FUNCTION TESTS OGD – OESOPHAGOGASTRODUODENOSCOPY A FLWXIBLE ENDOSCOPE IS USED TO INSPECT THE OESOPHAGUS, STOMACH AND DUODENUM PTHC – PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY – A NEEDLE IS INSERTED THROUGH THE SKIN INTO THE LIVER. A CANNULAE CAN BE PASSED DOWN THE NEEDLE INTO THE BILIARY SYSTEM PSA – PROSTATIC SPECIFIC ANTIGEN – INDICATOR FOR PROSTATE CANCER. Rachel Hallowell 2005 29
  • 30. Ward B26 PALIN RADIOGRAPHY – PALIN X RAYS WHICH CAN SHOW AREAS OF GAS, SIGNS OF OBSTRUCTION AND DISTENTION. SIGMOIDOSCOPY – A FIBREOPTIC INSTRUMENT PASSED TO LOOK UP THE SIGMOID COLON ULTRASOUND – USING HIGH FREQUENCY SOUND, THE ECHOES, BUILDING UP AN IMAGE OF BODY STRUCTURE Rachel Hallowell 2005 30
  • 31. Ward B26 ABBREVIATIONS AAA ABDOMINAL AORTIC ANEURSYM ABG ARTERIAL BLOOD GAS ADL ACITIVITIES OF DAILY LIVING AF ATRIAL FIBRILLATION AIDS ACQUIRED IMMUNODEFICIENCY SYNDROME APTT ACTIVATED PARTIAL THROMBOPLASTION TIME AXR ABDO X RAY BA BARIUM BD TWICE DAILY BM BLOOD MONITORING BMI BODY MASS INDEX BP BLOOD PRESSURE BPM BEATS PER MINUTE CA CANCER CABG CORONARY ARTERY BYPASS GRAFT CBD COMMON BILE DUCT CCF CONGESTIVE CARDIAC FAILURE CDU CLINICAL DECISIONS UNIT Rachel Hallowell 2005 31
  • 32. Ward B26 COSHH CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH COPD CHRONIC OBSTRUCTIVE PULMONARY DISEASE C&S CULTURE AND SENSITIVITY CVA CEREBRAL VASCULAR ACCIDENT CXR CHEST XRAY DNR DO NOT RESUSCITATE DOB DATE OF BIRTH DOH DEPARTMENT OF HEALTH DVT DEEP VEIN THROMBOSIS ECG ELECTRO CARDIOGRAPH ECHO ECHOCARDIOGRAM ESAU EMERGENCY SURGICAL ASSESSMENT UNIT FBC FULL BLOOD COUNT GA GENERAL ANAESTHETIC GTN GLYCERINE TRI NITRATE HB HAEMAGLOBIN HIV HUMAN IMMUNODEFICIENCY VIRUS Rachel Hallowell 2005 32
  • 33. Ward B26 Hx HISTORY OF IBS IRRITABLE BOWEL SYNDROME ICCU INTEGRATED CRITICAL CATE UNIT IDDM INSULIN DEPENDANT DIABETES MELLITUS INR INTERNATIONAL NORMALISED RATIO IV INTRAVENOUS IVAB INTRAVENOUS ANTIBIOTICS IVT INTRAVENOUS THERAPY KCL POTASSIUM CHLORIDE Kg KILOGRAM MI MYOCARDIAL INFARCTION MRI MAGNETIC RESONANCE IMAGING MSU MID STREAM URINE MSW MEDICAL SOCIAL WORKER NACL SODIUM CHLORIDE NAD NO ABNORMALITIES DETECTED NBM NIL BY MOUTH NIDDM NON INSULIN DEPENDENT DIABETES MELLITUS NSAID NON STEROIDAL ANTI INFLAMMATORY DRUG Rachel Hallowell 2005 33
  • 34. Ward B26 PAAC PRE ADMISSION ASSESSMENT CLINIC PCA PATIENT CONTROLLED ANALGESIA PE PULMONARY EMBOLISM PID PELVIC INFLAMMATORY DISEASE PRN AS REQUIRED ( PRO RE NATE) PVD PERIPHERAL VASCULAR DISEASE Px PRESCRIBE QDS FOUR TIMES DAILY RBC RED BLOOD COUNT RCN ROYAL COLLEGE OF NURSING RSI REPETITIVE STRAIN INJURY SOB SHORTNESS OF BREATH SRC SELF RETAINING CATHETER TB TUBERCULOSIS TURP TRANSURETHRAL RESECTION OF PROSTATE TURT TRANSURETHRAL RESECTION OF TUMOR U&E UREA AND ELECTROLYTES USS ULTRA SOUND SCAN UTI URINARY TRACT INFECTION WBC WHITE BLOOD CELLS Rachel Hallowell 2005 34
  • 35. Ward B26 POLO KEY ELEMENTS INTERPERSONAL SKILLS LEARNING OPPORTUNIIES RESOURCE/ RELEVANT PERSONNEL/ DEPARTMENT USE OF TELEPHONE WARD STAFF MAKING CALLS WARD CLERK ANSWERING CALLS RING BACK FACILITY USE OF BLEEP SYSTEM USE OF THE COMPUTER WARD STAFF PATIENT INVESTIGATION PROJECT NURSES RESULTS IT PERSONNEL PATIENT INFORMATION LIBRARY INTERNET E MAIL ACCESS DISCUSSION WITH PATIENTS, ALL NURSING STAFF RELATIVES NURSING AND THE DOCTORS MDT IN THE FORM OF MEDICAL SOCIAL WORKERS HANDOVERS, OCCUPATIONAL THERAPISTS WARD ROUNDS PHYSIOTHERAPISTS MDT MEETINGS DIETICIAN REFERRALS ETC SPEECH AND LANGUAGE BED MANAGER PHLEBOTOMIST ECG TECHNICIAN Rachel Hallowell 2005 35
  • 36. Ward B26 LAB STAFF CHAPLAINCY WARD CLERK DOMESTIC STAFF PORTERS AMBULANCE PERSONNEL CLERICAL STAFF CLINICAL SKILLS LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/ DEPARTMENT PATIENT CARE BED BATHING MOUTH CARE ALL NURSING STAFF HAIR CARE OCCUPATIONAL THERAPIST NAIL CARE CATHETER CARE SKIN CARE RESEARCH FILE IN WARD PRESSURE CARE PREVENTION OFFICE PHYSIOLOGICAL OBSERVATIONS BLOOD PRESSURE REGISTERED NURSING STAFF PULSE RESPIRATIONS TEMPERATURE EARLY WARNING SCORE CRITICAL CARE OUTREACH Rachel Hallowell 2005 36
  • 37. Ward B26 URINALYSIS TEAM WEIGHT BLOOD GLUCOSE (BM) DIABETIC LINK NURSE PEAK FLOW FLUID BALANCE PULSE OXIMETRY MAINTAINING ACCURATE CHARTS DRUG ADMINISTRATION ORAL REGISTERED NURSES RECTAL BNF SUBCUTANEOUS PHARMACIST INTRA VESICAL PHARMOFAX INTRAMUSCULAR DOCTORS INTRAVENOUS DRUGS POLICIES IN WARD OFFICE INTRAVENOUS INFUSIONS DRUG POLICY MOVING AND HANDLING ALL NURSING STAFF CORRECT TECHNIQUES MANUAL HANDLING LINK NURSE USE OF AIDS AND HOISTS MANUAL HANDLING ADVISOR PROMOTING INDEPENDENCE OCCUPATIONAL THERAPIST MANUAL HANDLING POLICY PHYSIOTHERAPIST POLICIES IN WARD OFFICE INFECTION CONTROL REGISTERED NURSES SOURCE INFECTION CONTROL LINK NATURE OF SPREAD NURSE Rachel Hallowell 2005 37
  • 38. Ward B26 ISOLATION/ BARRIER NURSING INFECTION CONTROL NURSES HANDWASHING MICROBIOLOGIST GOOD PRACTICE POLICY FILE IN WARD OFFICE ASEPTIC TECHNIQUE NUTRITIONAL ASSESSMENT REGISTERED NURSES RECOGNISING RISK NUTRITIONAL LINK NURSE NBM PROTOCOL DIETICIAN RECORDING INTAKE NUTRITIONAL SUPPLEMENTS SPECIALIST DIETS PROCEEDURES REGISTERED NURSES CARE OF IV INFUSIONS DOCTORS CANNULATION ECG TECHNICHIAN VENEPUNCTURE PHLEBOTOMIST CATHETER INSERTION AND SPECIALIST NURSES CARE OF. LINK NURSES ECG RECORDING POLICY FILES ADMINISTRATION BLOOD/ RESEARCH AND INFORMATION BLOOD PRODUCTS FILES IN WARD OFFICE WOUND CARE SUTURE REMOVAL CARE OF SURGICAL DRAINS REMOVAL OF DRAINS BLADDER IRRIGATION BLADDER SCANNING CARE OF NEPHROSTOMIES Rachel Hallowell 2005 38
  • 39. Ward B26 ANATOMY, PHYSIOLOGY AND PATHOLOGY LEARNING OPPORTUNITIES RESOURCE, RELEVANT PERSONELL/ DEPARTMENT UROLOGY & SURGICAL REGISTERED NURSES ANATOMY & PHYSIOLOGY DOCTORS INVESTIGATIONS XRAY TREAMENTS SPECIALIST NURSES SURGICAL INTERVENTION LIBRARY PRE / POST OPERATIVE CARE THEATRE MEDICAL PHYSICS PG 15 – 26 POLO ONCOLOGY REGISTERED NURSES EPIDEMIOLOGY MACMILLIAN NURSES AETIOLOGY DOCTORS PATHOLOGY PATHOLOGY TREATMENTS CHEMO DAY UNIT ONCOLOGIST PHARMACY LIBRARY HEALTH DEVELOPMENT OPPORTUNITIES LEARNING OPPORTUNITIES RESOURCE/ RELEVANT PERSONNEL/ DEPARTMENT HEALTHY LIFESTYLE REGISTERED NURSES PROMOTION SMOKING CESSATION ADVISOR SMOKING CESSATION DRUG & ALCOHOL COUNSELLOR ALCOHOLIC LIVER DISEASE WELL PERSON CLINIC Rachel Hallowell 2005 39
  • 40. Ward B26 CANCER AWARENESS DIETICAN OBESITY PHYSIOTHERAPIST DIABETES DIABETIC CLINIC HEALTHY EATING MACMILLIAN TEAM HEALTH EDUCATION CAT TEAM PROMOTION OF EXERCISE SPECIALIST NURSES ANOREXIA DRUG & ALCOHOL ABUSE MANAGEMENT OF CARE LEARNING OPPORTUNITIES RESOURCE/RELEVANT PERSONNEL/ DEPARTMENT USE OF NURSING MODELS REGISTERED NURSES PHILOSPHY OF CARE DOCUMENTATION USED NURSING PROCESS ASSESSMENT REGISTERED NURSES WHO ASSESSES DOCTORS HOW TO ASSESS DISTRICT NURSES USING OPEN & CLOSED PATIENTS QUESTIONS RELATIVES OBSERVATION GP WHAT IS ASSESSED WHERE TO ASSESS PLANNING REGISTERED NURSES Rachel Hallowell 2005 40
  • 41. Ward B26 CARE PLANS SPECIALIST NURSES CARE PATHWAYS MDT DISCHARGE PLANNING DICSHARGE LIASON RISK ASSESSMENT REFERRALS DISCHARGE LIASON IMPLEMETATION & REGISTERED NURSES EVALUATION WARD MANAGER WARD ROUNDS DOCTORS DOCUMENTATION PATIENT ADVOCAY LIASON STANDARDS SERVICE ( PALS ) PROTOCOLS CHAPLAINCY COMMUNICATION TO PATIENTS MATRON AND RELATIVES TIME MANAGEMENT PLANNING PRIORITIES DEALING WITH DIFFICULT SITUATIONS COMPLAINTS CECEASED PATIENTS CARE OF THE DYING PROPERTY & VALUBLES SELF DISCHARGE RELIGIOUS ISSUES Rachel Hallowell 2005 41
  • 42. Ward B26 ORGANISATIONAL AND MANAGERIAL ISSUES LEARNING OPPORTUNIIES RESOURCE/ RELEVANT PERSONNEL/ DEPARTMENT MANAGING A TEAM ORGANISATIONAL SKILLS REGISTERED NURSES PRIORITISING SKILLS DOCTORS DELEGATION SKILLS WARD MANAGER LEADERSHIP MATRON OFF DUTY SKILL MIX MANAGING PATIENT WORKLOAD IMPLENTING CHANGE STANDARDS OF CARE MANAGING RISK POLICIES AND PROCEDDURES REGISTERED NURSES RISK ASSESSMENT LINK NURSES EQUIPMENT & SAFETY CHECKS WARD MANAGER INFECTION CONTROL HEALTH & SAFETY OFFICER QUALITY CONTROL ELECTRONICS MOVING AND HANDLING EMERGENCY SITUATIONS CARDIAC ARREST REGISTERED NURSES FIRE LINK NURSES VIOLENT INCIDENTS WARD MANAGER PATIENT FALLS FIRE OFFICER Rachel Hallowell 2005 42
  • 43. Ward B26 FAST BLEEP SYSTEM SWITCH BOARD MISSING PERSON MATRON BED ALERTS BED MANAGER SECURITY RESOURCES STOCK CONTROL REGISTERED NURSES DRUGS PHARMACY NON STOCK WARD MANAGER STATIONARY WARD CLERK BUDGET CONTROL STAFF DEVELOPMENT IPR/APPRAISAL WARD MANAGER TRAINING NEEDS REGISTERED NURSES CLINICAL SUPERVISION PRACTICE DEVELOPMENT REFLECTIVE PRACTICE NURSE LIMITATIONS SELF SELF AWARENESS GUIDANCE FACILITATOR Rachel Hallowell 2005 43
  • 44. Ward B26 Mentor checklist To be completed with 1st week of placement Checklist Date Student Mentors Signature Signature Discuss Ward Profile and Service Orientate to the layout of ward area Introduce to team members. Discuss the wards philosophy of care Discuss the roles of the nursing staff Explain about the service user and means of admission/referral Explain the use of the bleep system Orientate to the location of the emergency/ fire equipment Explain the role of the mentor Initial interview has occurred Show location of student resource file (Confirm student is aware that they are responsible for completion of their own progress reports). Explain procedures to be adhered to in case of the following: Fire, Cardiac Arrest Security Urgent response alarm Rachel Hallowell 2005 44
  • 45. Ward B26 Location and Orientation of Emergency Equipment Students Responsibilities in regard to : Professionalism Confidentiality Conduct Attire Procedure for disposal of Sharps Bodily Fluids Glass Drugs Blood Products Discuss levels of education in relation to: Manual Handling Infection Control CPR Location of Manual Handling equipment Hoist Pat slide Hours of Duty Sickness Procedure An appropriate Knowledge and Understanding of The HISS system in: Nursing Module Evaluation Discharge/Transfer Location of Policy/Procedure Files in:- Nursing Policies File Health and Safety File Infection Control Manual Standards File Complaints Procedure (discussed) Sickness Policy Blood Product’s File COSHH Drug Administration Rachel Hallowell 2005 45
  • 46. Ward B26 Please photocopy and give to educational link nurse for evidence file. Student Evaluation Form for B26 Please help us to improve student’s experience of B26 by completing this form before you leave your placement. • Were you orientated to the ward environment and introduced to staff on your first day? • Did you have sufficient time with your mentor whilst on B26? • Did the staff on B26 make you feel welcome and were they helpful to you whilst on your placement? • Were you shown the POLO documentation? Rachel Hallowell 2005 46
  • 47. Ward B26 • Were you shown where the policies and procedure files are kept? • Were sufficient learning opportunities identified by the POLO and your mentor? • Is there anything you would have benefited from doing but didn’t get the chance? • What did you enjoy about your placement? • What problems if any did you encounter whilst on placement on B26? • How could we improve the student experience of placement on B26? Rachel Hallowell 2005 47
  • 48. Ward B26 Thank you for taking the time to fill in this form. Please leave on ward for educational link nurse thank you. Please also fill in feedback form in your portfolio for NU. Rachel Hallowell 2005 48
  • 49. Ward B26 Theatre Urology Matron Treatment Centre Physio PDN MSW Pharmacy & OT MDT Dietician Discharge CCOT Liaison Medical X-Ray Urology Staff Specialist Pre- assessment Nurses Learning Zones USEFUL WEB SITES Rachel Hallowell 2005 49
  • 50. Ward B26 www.doh.gov.uk www.haznet.org.uk www.hpa.org.uk www.labtestsonline.org.uk www.malehealth.co.uk www.nelh.nhs.uk www.nice.org.uk www.nhsia.nhs.uk www.modernnhs.nhs.uk www.nmc.org.uk Rachel Hallowell 2005 50
  • 51. Ward B26 RECOMMENDED STRUCTURED LEARNING PLAN WARD/DEPARTMENT………………B26 SURGERY…………. Please use learning zone chart and select areas of interest to plan your placement interprofessional learning experience. You can allocate a morning or a few hours to visit these areas one day each week. Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 1 WARD WARD EXAMPLE PLAN FROM LEARNING ZONES Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 1 Urology Pre- Urology X-ray Dietician / Clinic Theatre: Ward assessment Treatment Physio / OT / Follow patient Ward: Orientatio Spend Centre. Follow CCOT Spend through theatre morning or patients to Work with morning or and recovery reflect on n clinical afternoon investigations while on ward afternoon practice. Rachel Hallowell 2005 51
  • 52. Ward B26 Rachel Hallowell 2005 52
  • 53. Ward B26 Rachel Hallowell 2005 53

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