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TRANSCRIPT
Updated Feb 2010
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Sunderland Royal Hospital
Welcome to
Ward B25 THE GI UNIT
Portfolio of Learning Opportunities
Student………………………….
Mentor………………………….
Date……………………………..
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INTRODUCTION
Welcome to the GI Unit
The GI Unit is planned to be on C31 and will be under the combined
management of the General Surgeons and the Gastroenterologists. 12 beds
are allocated to these and the remainder will be allocated to the Bariatric
consultants. At present the unit specialises in Bariatric Surgery and General
Surgery.
The ward is a mixed sex ward. At present consisting of 4 bays, with 4 beds
to a bay. No side wards. This will change when we move to our allocated
ward. Date as yet to be given.
We receive our patients either as direct admission from home (elective), from
clinic or from ESAU (Emergency Surgical Assessment Unit). The elective
surgery which is undertaken on the Unit at present is as follows :
Bariatric Surgery - Gastric Balloon insertion, Gastric Banding, Gastric
Bypasses.
General Surgery - Laparoscopic Cholecystectomy, various hernia repairs,
preparations for other procedures e.g. colonoscopies. To name a few.
Sunderland Royal Hospital has a restricted visiting policy. Daily visiting hours
are:-
2pm-5pm
6pm-8pm
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The hospital promotes protective mealtimes for all patients, which enables the
patient to enjoy their meals free from interruptions and distractions.
Visitors will be asked to leave at these times unless it has been agreed with
the ward manager that they are aloud to stay, e.g. to assist to feed a relative.
A mentor and associate mentor will be assigned to you before you start on the
ward. They will guide you through your stay with us, providing support, advice
and expert knowledge. They will also go through the Induction Checklist with
you. There is also an evaluation form to be completed upon completion of
your placement.
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LEARNING OPPORTUNITIES
PRACTICAL NURSING SKILLS
Recording Physiological Observations
Temperature Pulse Blood Pressure Oxygen saturation Blood Glucose Weight Urine output Fluid Intake Administration of Medicines Oral Medication Intravenous Medication Controlled Drugs Intra Muscular Injections Subcutaneous Injections Care of IV infusions Medical Devices Venflons Central Lines Line Surveillance Administration of Blood Blood Products Aseptic Technique Wound care Dressings
Nutritional Assessment / support MUST Tool Weight NJ/NG feeding
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Total Parental nutrition
Moving & Handling Use of Aids, e.g. hoist, slide sheets Piling & Handling Assessment Tool
Catheters Insertion of catheters Care of catheter Surveillance of catheter Mouth/ Skin/Pressure Area Care Oral Hygiene Braden Assessment Tool Pressure Care Prevention Risk Assessment Fall Risk Assessment Equipment Crash Trolley, checks Ordering of equipment from library Infection Control Hand Hygiene Aseptic Technique Infections, e.g. MRSA NG Tube Insertion of Care of Preparation for Investigations OGD Colonoscopy
Sigmoidoscopy ERCP
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MRCP MRI CT Scan Ultra Sound Scan Gastro graphing Barium meal Barium follow through Preparation for Theatre Pre Op Care Post Op Care Consent/Information for Investigations and Procedures Communication Use of HISS Patient Information, e.g. results Single Assessment Process (SAP) Care Plans Evaluation Patient Assessments Nursing Policies Standards Protocols Documentation Telephone manner Health Education and Promotion Managerial & Organisation Skills Prioritising Delegation Time Management Leadership Off Duty Management of a Team Policies Standards of Practice Clinical Audits Handling Complaints
Resource Management Stock Control/Ordering Drug ordering Non-Stock Materials
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Handling Emergency Situations Fire Cardiac Arrest Violent Incident Accident/Near Miss Patient Falls Self Discharges Religious Needs Arranging Priest
Referrals to Other Agencies Medical Social Worker Occupational Health Physiotherapist Specialist Nurse, e.g. Pain Team SALT Dietician including Bariatric Dietician Macmillan Nurses Palliative Discharge Liaison Team
Bed Managers
Admission of Elective Patient Transferring of Patient from ESAU Discharge Planning Remember it is your responsibility to approach your mentor to arrange to observe any of these procedures. It is also your responsibility to fulfill your objectives to gain your competencies.
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THE DIRECTORATE
Surgical and Urology
Matron Denise Simpson
Business Manager Michelle Ferguson
Practice Development Nurse Julie Porter
ICP Matron Jackie Mains
Consultants
Bariatric Mr Small
Mr Balupuri
Mr Schroeder
General Surgeons Mr Surtees
Mr Corson
Mr Boobis
Mr Farook
Mr Holtham
Mr O’Dair
Mr Iwuchukwu
There is also a Registrar, Senior House Officer and Junior House Officer
assigned to each team. All have there own bleep numbers. There numbers
are found on the notice board in the office which is allocated as nurses station
at present.
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Nursing Staff
Ward manager Band 7 Sarah Jobling
Junior Charge Nurse Band 6 Arun Sekhar
Staff Nurses Band 5
Health Care Assistants Band 2
Specialist Nurses Band 7 Kim Common & Jane Rodger
OFF DUTY/MENTOR
As previously mentioned, your mentor will be allocated to you prior to
commencement of your placement. Your mentor will help co-ordinate your
experience during your stay, enabling you to gain the knowledge you require
for your competencies. All members have been prepared for their role as a
mentor and are familiar with your training requirements. Your mentor and
other members of the team will help to orientate you to the ward and its
layout. As a student you are welcome to visit the ward before you start your
placement. All of our team are approachable and are available to give you
support and advice. REMEMBER we can learn from you as well. Should you
have any problems regarding your placement please speak to the ward
manger or any senior members of staff as soon as possible.
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OFF DUTY TIMES
Early 07.30 - 16.45
Early half 07.30 - 13.00
Late 12.30 - 20.30
Long day 07.30 - 20.30
Night shift 20.15 - 07.45
TEAM NURSING
As a Unit we promote team nursing. Staff are divided into 2 teams, Team 1
and Team 2. Where possible staff keep to their allocated team, this is to
encourage continuity of care for our patients.
Within your team you will be allocated a patient or patients (depending which
year you are in) whose care you will be responsible for, under the supervision
of your mentor. An important feature of team nursing is communication
between mentor and student. The student needs to inform of any problems or
changes in patients which may compromise their care, so enabling the nurse
to act on straight away.
WARD ROUNDS
All consultants have daily ward rounds. The ward has a co-ordinator
allocated each shift, this team member goes on the ward round unless there
is more than one ward round going at the same time. Consultants will turn up
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on the ward any time from 08.00 hours. There is an on call team after 17.00
and on weekends and Bank Holidays there are separate bleep numbers for
these, which again are found on the notice board.
INFORMATION AND RESEARCH
We encourage research and evidence based practice. At present organising
regular teaching sessions on the Unit. We have link nurses. With which you
are welcome to approach for advice. All information files are kept in the
managers office. Students are welcome to read but must not be removed
from the office.
As previously mentioned, the aim of the unit is to be a combined G.I. Unit.
Below is a brief out line of the unit.
Conditions to be admitted
Gastrointestinal haemorrhage
a. Upper G.I bleeding
b. Lower G.I bleeding
Inflammatory bowel disease
Gall stone pancreatitis
Obstructive jaundice
Patients with entero-cutaneous fistulas
Patients on TPN (Not ICCU/HDU patients)
Conditions NOT to be admitted
Bowel obstructions
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Bowel cancer (unless presenting as acute haemorrhage)
Liver disease, including jaundice
Non-gall stone pancreatitis ( including chronic, alcoholic and idiopathic)
Admissions
Admission rights
All general surgeons
All gastroenterologists
Sources of admissions
Direct
Indirect
Nutritional Unit
It is intended to have a nutritional team attached to the unit. This will be under
the delegtation of Dr Painter and Dr Hobday. They will advise on the
nutritional requirements of patients within the Unit and any patients on other
wards within the hospital
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THE G.I. UNIT
NURSING PHILOSOPHY
It is the aim of the ward staff to provide a warm, friendly and clean
environment in which to care for patients and relatives during their stay in
hospital.
On arrival you will be introduced to your named nurse who will plan,
implement and evaluate care in partnership with the patient / carer.
Your named nurse will also efficiently and promptly plan your discharge aided
by members of the multi-disciplinary team.
To treat patients with respect at all times and help maintain their privacy,
dignity and individuality, taking into account any cultural or religious beliefs
they may have.
We strive to maintain good lines of communication, relaying information
promptly to patients and their relatives. We also aim to promote and
encourage self care.
To promote Health Education for patients and relatives by providing help,
advice and information on how to prevent illness and disease, we will play an
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active role in the education of patients and relatives with regard to individual
conditions.
To work as part of a multi-disciplinary team promoting effective
communication channels and developing good working relationships.
We have an ongoing responsibility for enhancing our knowledge, skills and
expertise and to share this knowledge with our colleagues and patients. The
staff of The G.I. Unit play an active part in the training of the students and the
development of the new staff members by providing learning opportunities
and mentorship.
We have a commitment to quality and monitor this alongside our nursing
practice by listening to patients, carrying out audits, collating information and
altering practice in line with finding new research.
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Student Induction Checklist
The G.I. Unit
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Date
Mentors Signature
Students Signature
Introduction &
Orientation
Discuss the Ward’s
Philosophy of Care
Discuss the roles
Of the MDT
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Discuss the Roles of the
Nursing team
Orientate to Location of Emergency Equipment
Explain the Bleep System
The Role of the Mentor
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Locations of Policies and Procedures
Discuss and Ensure, student
Is aware of Complaints
policy
Level of education
e.g. Control of Infection
CPR
Hours of duty
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Discuss cleanliness of
ward
Discuss learning
opportunities
Discuss what the
G.I. Unit Is about
Informal interview Including Students
responsibilities
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Student Evaluation Form
Were you allocated a mentor and associate
mentor?…………………………….....
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Were you introduced to staff on the ward on your 1st
day?…………………………….
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Were you orientated to the ward on your 1st
day?……………………………................
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Have you worked alongside your mentor through out your
placement?………………..
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Have you gained the competencies you set out to
achieve?…………………………….
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If not, can you explain the reasons
why?……………………………..............................
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Have you enjoyed your stay with
us?……………………………...................................
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If not can you tell us
why?……………………………...................................................
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What do we do best as a Unit for students coming into our
area?……………………
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What do we do worse as a Unit for students coming into our
area?……………………
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Were you made welcome throughout your
placement?……………………………......
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Did you gain enough learning
opportunities?……………………………......................
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Is there anything we could do to improve learning
opportunities?……………………..
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.......................Were you made aware of the POLO file and learning
zones?…………………………
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What year student are
you?……………………………..................................................
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Were you given a student pack at the commencement of your
placement?…………….
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Are there any suggestions you could give us to improve the learning for
student who come to our
Unit?…………………………….................................................................
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Thank you for taking the time to complete this evaluation form.