Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Birmingham Children’s Hospital NHS Foundation Trust Ward Profile February 2009 Introduction Birmingham Children’s Hospital has been an integral part of the City of Birmingham for almost 150 years and has always led the way in child health for the City and the region. We were the first to fit a pacemaker into a three-day-old baby, the first to separate conjoined twins (joined at the base of the back), and the first to treat child patients with over 90% burns successfully. Birmingham Children’s Hospital NHS Foundation Trust is a remarkable organisation. We pride ourselves on not just caring for the child but for the family as a whole: everyone matters, and what we do is not just about cure but also about promoting health throughout the region and beyond. This is a brief glimpse of what we do, who we are, where we’re going, and how we’d like to work with you. The welfare of Children and Young People drives us all: let us show you how. Our child-friendly wards and corridors are home to one of the country’s busiest places of healthcare, and one of the biggest employers in the European city with the youngest population. We serve the people of Birmingham and the Black Country, Warwickshire, Worcestershire, Herefordshire, Shropshire, Staffordshire – and beyond for specialist services. Our facilities include: - - - A 20 bedded Intensive Care Unit – the largest single unit of its type in the UK. 15 other wards, including two Day Wards. 280 beds, including Child and Adolescent Mental Health Services. 34 Specialties and supporting departments. A modern Emergency Department treating over 45,000 patients a year. Nine operating theatres. Two MRI scanners and a CT scanner. A cardiac catheter laboratory, for diagnosing and treating diseases of the heart and blood vessels in the chest. We have one of the largest Heart Units in the UK, accepting patients from throughout Europe. Liver Unit – one of only three in the UK – treating over 500 inpatients and performing over 40 liver transplants yearly. We are the only national centre in the UK providing small bowel and liver transplants in children. One of only four services in the country caring for children who suffer with abnormalities of the skull and face. One of only two Units in the UK for treating blood disorders in children. A national centre for treating retinoblastoma (cancer of the eye). A regional blood dialysis and kidney transplant service. A Burns service which provides treatment for almost half the country, housed in our first significant new build since 1998. All of which adds up to: Over 45,000 Emergency Department attendances, 27,500 in-patient and day cases and 118,000 out-patient attendances in 2006-07 alone. Opportunities are therefore numerous for both newly qualified or experienced paediatric nurses to join our existing team. This pack contains brief descriptions of most of the services in which our nurses work. Please contact the individual departments if you wish for further information about any particular area. The main hospital telephone number is 0121-333 9999. Ambition Statement “Caring for Children, Young People and their Families” Our Core Purpose: To lead exceptional services for the health and well being of every child and young person Our Core Values: We are Focused on, Caring for and Committed to children and young people. Our Goals: The West Midlands will have the healthiest children and young people in the UK We will be the partner of choice Children and young people will be healthy, protected, educated and treated with respect We will be an international leader of children and young people’s healthcare Birmingham Children's Hospital NHS Foundation Trust provides a wide range of general and specialist health services to children and adolescents within the West Midlands and beyond. As Birmingham's lead provider of health services for children, Birmingham Children’s Hospital NHS Foundation Trust enjoys a national and international reputation in specialist areas including liver transplantation, cardiac surgery and neonatal surgery. Providing one of only two centres in the UK, the liver unit is the designated centre for small bowel transplantation, whilst the heart unit leads the field in congenital heart disease. The Trust also manages city-wide Child and Adolescent Mental Health Services (CAMHS). Nursing Philosophy of Care for the Child and Family This Philosophy outlines our beliefs about family centred nursing care, provided by staff with recognised education and training, in a variety of settings throughout the Trust. Individualised care will be planned and negotiated with the child and family. They will be supported to participate in all aspects of care, as they feel able. In each case setting the child and family will be introduced to a named person who will be responsible for planning and co-ordinating their care, respecting and valuing the contribution of the healthcare team. Care will be provided within a safe and friendly child centred environment. Each child and family will be listened to, their wishes and feelings acknowledged, and their right to privacy, dignity and worth respected. To enable participation in decision making, the child will have access to information through education and play, relevant to their age and understanding. The cultural, spiritual and religious needs of the child and family will be met in a sensitive and respectful manner. Play and education will be part of each child’s planned care. Within this Philosophy the Child refers to infants, children and adolescents. Family refers to normal carers and significant others who have a role in the care of the child. Emergency Department General profile This is a 24 hour, Consultant led, type 1 Emergency Department caring for the needs of 43000 children and young people requiring unscheduled care. Although a large proportion of our patients require intervention which is of a primary care nature, there is still large proportions that are critically ill or injured who require high level clinical expertise in this acute phase. Patients arrive here by self referral, GP referral, and also by land and air ambulance. Given the widespread clinical specialisation of services throughout the Trust, the Emergency Department team has the capability to deliver a first class service to all children and young people from ages 0-16 years, regardless of their clinical history and acute care needs. We are proud of the outstanding service delivery of this department in terms of high standards of clinical care and consistent achievement of national targets including 4 hour waiting times, trolley waiting times, Essence of Care benchmarking and NSF achievements to name only a few. There is a true team spirit in ED where there is a passion to deliver quality care with excellent health outcomes. Developments are truly collaborative and innovation is positively encouraged. New starters Whether you are newly qualified, moving from a different location or specialty, The ED will provide excellent mentorship and preceptorship to all within the nursing team. Throughout their first few weeks of appointment, all newly qualified staff undertake a comprehensive 8 day induction programme which aims to give you an overview of a variety of circumstances whether they be clinical or managerial. The programme is led by the ED nursing team and includes external speakers for some topics. For existing qualified staff that are new to the department, this programme is attended according to need and previous experience. The ED operates a system of buddies, mentors and preceptors, accounting to individual need. This is determined within the first week of your appointment to the department. Training The ED nursing team have an extremely structured approach to training and development for all members of the team. A training strategy is available to all staff and which comprehensively identifies how staff self select their training requirements through the process of Professional development. Access to the training strategy can be made using the following link: E.D. Training Strategy 2007 - 2008 On a daily basis, the nursing team are allocated 30 minutes training time for those staff on duty. These sessions are lead by the staff themselves and a robust system of allocation and evaluation is available. All nursing staff in the ED are expected to complete all ED related competencies available in order to provide evidence of individual capability reflecting the skills required to maintain high standards of nursing care. Access to the 187 page ED competency document can be made using the following link:. E.D. Nursing Competency Document Shift patterns The ED has developed a variety of shift patterns in order to cover service needs and to maintain flexibility to promote family friendly practices. A choice of long or short days can be made, working a 3, 4 or 5 day week (pro rata). Some shift patterns included are: 0730-1500 1130 - 0000 1400-2130 1400-0000 0730-2130 1600-0000 2115-0745 Nursing organisation To support professional development, line management, performance management and communication to staff, the nursing team operate a system of team leadership which is cascaded throughout the team. A copy of the performance management structure can be viewed by clicking the link below: Performance Management Structure Contact Numbers Should you wish to discuss any element of working practice in the ED please feel free to contact us on: 0121 333 9526 – Nurse Manager, or 0121 333 9510/11 – ask to speak to the most senior nurse on duty Cystic Fibrosis Unit and Respiratory Nurses Cystic Fibrosis (CF) is the commonest inherited disease in the UK affecting predominantly the respiratory and digestive systems. BCH is a regional centre providing care for approximately 350 children from aged 0-about 16 years, from throughout the West Midlands. Many children need admission to hospital with an acute exacerbation of their disease and all of the children require a daily regime of treatment involving physiotherapy, medication and dietary supplements. We also support patients with asthma and chronic respiratory disorders. Children with cystic fibrosis and patients with chronic respiratory diseases are not disabled, but they and their families need ongoing support to cope with chronic illness to maintain a good quality of life. To enable them to achieve this, the Cystic Fibrosis Unit has a highly experienced liaison staff (physiotherapists and Nurse Specialists) who work with patients and their families, community health professionals, schools and the staff at district general hospitals with whom effective shared care is essential. This involves teaching and lecturing, also visiting families at home, at schools and within other hospitals. Our involvement starts from the day of diagnosis or referral and may involve terminal care, but more often, we hope ultimately to support patients through the transition from childhood to adulthood. BCH now has a team of respiratory nurses consisting of a 5 Respiratory and CF Nurse specialists who provide clinical and emotional support, education, and advice for the patients and their families. under the care of the three respiratory consultants. One of these nurses is particularly involved in research and clinical trials. They have established teaching programmes for schools and community health staff. This team also works closely with the primary health care team and staff at district general hospitals throughout the West Midlands. All 5 respiratory nurses are involved with student nurse teaching, regularly have students to spend short periods of time with them and are available to help students with assignments. Sue Saunders: Clinical Nurse Specialist Cystic Fibrosis – Team Leader. Education Centre The Professional Development Team The Professional Development Team contributes to the constant improvement of Child and Family Centered Care within the Trust through practice development initiatives, education and training. As a Team we are committed to meeting the needs of the Trust to help maintain development opportunities for Pre and Post Registered Nurses. We offer a wide variety of training and education that enhance the provision of care for children and their families. For further information, the team can be contacted Monday-Friday on 0121 333 8606. Professional Development Team: Jo Correa West – Professional Practice Development Facilitator, Ext 8610 Lorna DeBourg – Professional Practice Development Facilitator, Ext 8610 Responsible for implementing and facilitating progressive career development opportunities for qualified Nurses, NQN programme, in order to maximise the personal and professional development of Nurses and enhance quality of care. Paul Mcvittie – Resuscitation Service Manager, Ext 8649 Responsible for planning, organising and implementing resuscitation training, including both basic and advanced paediatric life support to identified staff groups within the Trust. Provides professional advice and support in relation to training, techniques and equipment. Richard Ormonde and Helen Cope – Resuscitation Officers, Ext 8649 Responsible for planning, organising and implementing resuscitation training, including both basic and advanced paediatric life support to identified staff groups within the Trust. Provides professional advice and support in relation to training, techniques and equipment. Hermione Montgomery - Lead Nurse - Quality of Care, Ext 8609 Develops and implements a strategy to promote evidence-based practice which reflects the principles of child and family centred care. In collaboration with the senior nursing team, develops quality initiatives to promote standards of care, including the use of the Essence of Care audit tool as a benchmark. Works with the Professional Development Team and Clinical Governance Unit to contribute to the design and delivery of ‘in-house’ educational programmes, which promotes the development of evidence-based practice through the audit of nursing practice. Works with the senior nursing team and Child & Family Centred Care Group to promote a culture of child and family centred care across the Trust. Jay Kumar - Clinical Skills Educator, Ext 8617 Responsible for leading the development and implementation of progressive continuing professional development opportunities in relation to competence and clinical skills across the Trust, ensuring that the workforce has the clinical and professional skills to deliver a high quality of care. Practice Placement Managers; Nikki Hurst, Ext 8646, Lisa Gilks, Ext 8613 Responsible for ensuring all undergraduate/pre-registration healthcare students experience a high quality practice-learning environment, in order to achieve competencies/proficiency, delivered through a robust and fully integrated partnership between the Higher Education Institutions, Service Providers and the Strategic Health Authority. Responsible for facilitating and enhancing support for students by ensuring practice assessors/educators/supervisors are equipped with the appropriate knowledge and experience to support and supervise students within a practice setting. Helen McNeish - Healthcare Support Worker Development Facilitator Ext 8607 Responsible for implementing and facilitating progressive career development opportunities for healthcare support workers. Delivers high quality care in a modern multi- professional service. Supports educational and clinical best practice by facilitating the development of the healthcare support workers career framework, through implementation and effective evaluation of standards, policies and service development. Fiona Gaughan - Professional Development Team Secretary Ext 8606 Provides secretarial/administrative support for the Professional Development Team, Training & Education. Sharon Blair - Resuscitation Services Team Secretary Ext 8648 Provides administrative support to the Resuscitation Services Team. Haemoglobinopathy Service Birmingham Children's Hospital NHS Trust has the largest paediatric Haemoglobinopathy centre in the UK. There are over 500 children registered at this hospital, with a Haemoglobinopathy disorder and referrals are accepted from the whole of the West Midlands region and beyond. The greatest proportion of these children have Sickle Cell Disease or Thalassaemia Major with small numbers of the less common Haemoglobinopathy disorders for example Diamond Black Fan Anaemia, Sideroblastic Anaemia, Hereditary Spherocytosis and PKD. 2 Consultant Paediatric Haematologists and a Haemoglobinopathy Liaison Sister provide the service with support. BCH also offers shared care with the some local hospitals. Specific Services Available: Pre-natal diagnosis and counselling Neo-natal screening and follow-up (in conjunction with Clinical Chemistry) Weekly haemoglobinopathy review clinic Transfusion programme Chelation programme (subcutaneous and intravenous) Bone marrow transplant and follow up Cord stem cell collection Transcranial Doppler to assess stroke risk in sickle cell patients Endocrinology, Visual, Audiology and Cardiology assessments and follow up The Haemoglobinopathy Liaison Nurse provides an immediate point of reference for the families and act as the child and family's advocate. We have close links with other hospitals with large ethnic minority populations and are often asked advice from other centres. The service we offer is, we believe, unique in the UK and we hope may provide a model for other centres thinking of setting up similar services. We have close links with the adult services at City Hospital and have an active adolescent transition programme. We aim to host educational workshops for the 11+ patients and then take them out for a fun activity at least once a year. Activities include rock climbing and paintballing as well as meeting the president of the UK Thalassaemia Society. The unit is open from 0800 to 1700 Monday to Friday according to staffing. The unit is closed at weekends and all bank holidays. We are a team of 5 nurses so there is an excellent mentorship programme for new starters from all the team. There is the opportunity to expand the nursing role to include venepuncture and cannulation. Staff have the opportunity to attend the Haemoglobinopathy course at BCU which is run annually as well as attending national Haemoglobinopathy conferences. Natalie Lawson Senior Sister Haemoglobinopathy Unit 0121 333 8688 Isabel Adams Haemoglobinopathy liaison Sister Haemoglobinopathy Unit 0121 333 8862 Haemophilia Unit The Haemophilia Unit at the Birmingham Children’s Hospital NHS Trust is the West Midlands Regional Paediatric Comprehensive Care Centre caring for children with congenital coagulopathies or thrombotic disorders, closely associated with an anticoagulant service caring for children receiving anticoagulant therapy. A Haematological diagnostic service is provided by Birmingham Children’s Hospital Coagulation Laboratory and Genetic Diagnostic Services are available via Birmingham Children’s Hospital Haemophilia Genetics Laboratory. A consultant led genetic counselling service for inherited haemostatic disorders is provided whilst a genetic education service is led by the Senior Specialist Haemophilia Nurse. The Haemophilia and Anticoagulant services are directed by a lead Consultant Haematologists. Two Consultant Haematologists, a Senior Specialist Haemophilia Nurse, a Specialist Haemophilia Nurse, an Anticoagulant Nurse Practitioner and a Junior Sister comprise the current clinical team. A Clinical Psychologist and Physiotherapist are attached to the unit along with the close co-operation of Orthopaedic Surgeons, Dentists and General Surgeons. Other specialists are consulted as required for patient management. Approximately 20 - 30 new patients with bleeding disorders are diagnosed each year with a total caseload of > 300 children and adolescents aged up to 16 years. Both out-patient and in-patient care is facilitated, complimented by home treatment programmes for severely affected haemophiliacs and a home monitoring programme for patients requiring long term INR testing. Children and parents are trained to administer intravenous factor concentrate in the home environment to facilitate independent care, whilst patients and families complete education in home monitoring in order they may undertake safe home INR monitoring. Home and school visits play an essential role in providing and maintaining care in the community. The haemophilia unit is open 24 hours a day 7 days a week. Specialist review clinics are held weekly by the Consultant Haematologists together with scheduled multidisciplinary team clinics. Anticoagulation clinics are held twice weekly in addition to specific dose monitoring regimes to facilitate individual patient needs. In patient anticoagulant care is provided, together with scheduled home monitoring review clinics. Dianne Marshall Sr. Sp. Nurse - Haemophilia Day Services (Surgical Day care, Medical Day Care and Radiology Nurses) The pathways of care implemented in day services differentiates from those of an inpatient ward because the full spectrum of treatment is compressed into a few hours; therefore we only have a short time to get it right. Day Services consists of three areas; Surgical Day Care, Radiology and Medical Day Care. The nursing team in all three areas provide a truly teamwork approach to care and deliver a high quality service to children, young people and their families, who require admission to the units. Surgical Day Care We are a high turnover Day Surgical ward caring for children and adolescents undergoing surgery and diagnostic tests. Day Surgery offers scope to develop a multitude of skills, raise interests in different specialities and explore the concept of total patient care. We have 17 beds, but our thoughput for the day is usually 20-27 patients. We have 32 Consultants who use the ward. Excellent communication and organisational skills are essential to the smooth running of the ward and to ensure quality care. We see our patients as individuals and aim for their stay to be as fun and as free from trauma as possible. The following surgical specialities use the ward: Ophthalmic; Orthopaedics; General Surgery; Ear Nose Throat; Plastic and Laser surgery; Maxillo-facial; Hepatology; Trauma; Dental and Urology. As can be expected, the environment is lively and friendly. We cover a full range of medical and surgical specialties and that is why we work so closely within a multidisciplinary team, in order to meet the needs of our patients. The ward is open Monday to Friday 07.30hrs till 20.30hrs. The shifts are – Early 7.30-15.00 Late 11.30 – 19.00 Long Day 7.30 – 20.30 Medical Day Care We are a 10 bedded unit providing care to children aged 0-16 years undergoing a variety of investigations and treatment for acute and chronic conditions. We also provide an outpatient service where children and young people may undergo medical reviews and minor investigations at short notice. We are a diverse and busy unit where no two days are the same and every day can bring new and interesting challenges. We have 56 Consultants and a variety of specialist nurses that refer children to us, thus providing opportunities to develop a multitude of skills. The following medical specialties use the ward: Endocrinology; Gastroenterology; Audiology; Neurology; Respiratory; Radiology; General Paediatrics ; Rheumatology; Hepatology; Ear Nose Throat and Inherited metabolic Disease. Care is provided using a multi-disciplinary team approach with the emphasis on the child/young person and their family. We aim to further develop this service towards a more nurse led unit where nurses will have skills in clinical examination, venepuncture and cannulation. The ward is open Monday – Friday 07.30hrs – 18.00 hrs The shifts areEarly 07.30 – 15.00 Late 10.30- 18.00 Mid 08.30 – 16.00 Long day 07.30 – 18.00 Radiology Nurses Nurses from both wards rotate to cover the Radiology Department and care for childre/young people who have been sedated to have either an MRI or CT scan. Nurses gain experience in: Care of sedated children; Care of children undergoing scan; Working alongside the multidisciplinary team in radiology. Radiology is covered by the nurses 08.30hrs – 16.30hrs Monday to Friday. The Day Services team are very flexible and adaptable and certainly enjoy a challenge. The team are expected to be able to work in all three areas. We have an excellent newly qualified staff nurse foundation year rotational programme which allows nurses to gain experience in all three areas, supported by a preceptorship and performance management programme. Once they have completed their first year they are based on one of the two wards with all the experience and skills to be adaptable to the service needs and cover the other two areas as required. We provide placements for pupils for work experience student and nursing students from the University of Central England and Birmingham University. Therefore teaching and assessing is an integral part of our nursing role. .Professional development for all staff is actively encouraged and everyone has equal opportunity to develop themselves. A training strategy is available to all staff and which comprehensively identifies how staff self select their training requirements through the process of professional development. There are 4 team away days a year. The first one each year is an operational planning day where the team set clear objectives for the coming year. All members of the team are encouraged to participate and bring ideas so we can continue to improve the service we offer to the children and their families Debbie Walsh Ward Manager/Senior Clinical Sister Day Services Ext. 9168 [email protected] The Departments of Nephrology and Urology Including Ward 14 The departments of Nephrology and Urology have combined to form a large department that consists of outpatients clinic, Urodynamics Service, the Haemodialysis Unit, Community Team, and an inpatient ward - Ward 14, which jointly provide a comprehensive service for both Nephrology and Urology patients. The unit has an established end stage renal programme with special expertise in both peritoneal and haemodialysis, with community support. The haemodialysis unit provides a service for acutely ill patients as well as timetabled sessions for patients requiring ongoing dialysis. There is an active renal transplant programme; many transplants are now undertaken before the need for dialysis arises. All urological surgery and nephrological investigations requiring inpatient admission are undertaken on Ward 14. Ward 14 has established a reputation for the holistic care of patients and their families and for clinical excellence. The nephrology and urology services work very closely together to ensure that patients and their families receive a seamless service. The departments of nephrology and urology have a strong tradition of education and staff development. The Department has strong links with the Birmingham City University and contributes to the national Paediatric Nephro-Urology Course Caron Eyre Lead Nurse Nephro-Urology Service Community Renal Team It has long been recognised that caring for a child at home requiring dialysis (PD) can lead to increased stress in primary carers, usually the parents. The renal unit is committed to innovations in family centered care within the hospital setting and felt it necessary to extend this to the community, thus providing seamless care. The community renal team at present consists of two community liaison sister. The community liaison sister co-ordinates the transition from hospital to home for families requiring dialysis and is actively involved in both training families to undertake dialysis at home and providing ongoing support after discharge. The service works closely with all members of the multi-disciplinary team and is keen to offer staff development and training to enhance individual staff skills and benefit the service. As a community team, we are regularly involved in formal teaching and are visited by students undertaking a wide variety of courses. Sr. Sarah Taylor, Sr Carmel Capelett : Community Renal Team Haemodialysis Unit The Haemodialysis unit specialises in treating children between 0 and 16 years of age with a variety of therapies, including Haemodialysis, plasma-exchange, plasma apheresis, ultrafiltration and haemofiltration. The client group consists of a core of chronic end stage renal failure children but there is also a group of children who require these therapies to manage acute renal failure in the short term. The haemodialysis unit operates a holistic approach to the family. The named nurse concept is used to ensure that care is negotiated with the parents and children and with the multi-disciplinary team. Dialysis times for school age children are set to minimise educational disruption and there is a schoolteacher available to work individually with the children and to link with their school. A play therapist is available to help children overcome their fears and anxieties and she works closely with a nursery nurse, who provides ongoing appropriate play. The haemodialysis unit is open six days a week as a day case unit. The nurses participate in an oncall rota for treatments required out of hours. The haemodialysis unit is committed to continuing career development and there are opportunities to attend relevant local and national study days and conferences. There is the opportunity for nurse to attend the Paediatric Nephro-urology course, the only such course in the UK. Jessie Rahim. Sister Haemodialysis Unit Transplant Service The transplant service prepares children, young people and families for renal transplantation, and supports them afterwards. We work closely with the multi-disciplinary team to ensure children, young people and families have appropriate information to give informed consent for renal transplantation. The team consists of two transplant nurses, a clinic nurse and a receptionist. Children who receive a kidney transplant are nursed on Ward 14. After discharge, children and young people are seen frequently in clinic to monitor their transplant and offer ongoing support. We have an active Living Related Kidney Transplant programme, working closely with our adult colleagues at the University Hospital of Birmingham. As a team, we are involved in international trials of medications, and are committed to providing evidenced based, child and young people focused clinical care. As a team we take the lead within the department in adolescent transition to adult services, liaising with adult hospitals around the region to aid transfer for this group of patients. Fiona Gamston, Renal Transplant Sister Urodynamics Service The Urodynamics Department is a nurse led service that delivers specialist urology diagnostics tests for children up to the ages of 16. The Unit also provides teaching of catheterization to both children and their parent’s who have micturation disturbances such as neuropathic bladder. We also provide a community service whereby patients are managed at home then successfully transferred to school. The Department is staffed by 1 Sister and 3 Staff Nurses. Sister Sarah Kearney. The Oncology/ Haematology Unit & Ward 15 Birmingham Children’s Hospital is the regional centre for treating children with malignant and nonmalignant haematology disease. On average we treat 180 new patients each year. This makes us one of the largest centres in the country. Children from birth through to 18 years of age are treated through primary, secondary and regional referrals. The unit specialises in caring for children with: Malignant disease including leukaemia and solid tumours Non malignant haematology including thalassaemia and sickle cell disease Clotting disorders including Haemophilia Malignant and non-malignant disease requiring bone marrow transplantation or peripheral stem cell transplantation High dependency needs Care and treatment is provided by in-patient and outpatient facilities. The nursing team and support staff are dedicated to the promotion of family centred care, encouraging parents and carers, as and when they wish, to partake in both the planning and delivery of their child's care. An open and honest approach promotes both trust and support between nursing staff and family members. The outpatient areas include a dedicated day care clinic which has facilities for operating a day case theatre list for children who may require diagnostic examinations and intrathecal treatment along with facilities for providing day care chemotherapy, blood transfusions, immunotherapy as well as conventional out patient review. An additional clinic area is provided for children and families with clotting disorders, staffed by nurses with specialist skills and interests within this field of paediatric nursing. (See Haemophilia Unit) Within the ward there is an area used bone marrow transplant patients attending as outpatients and day cases.( See BMT team.)This room is made available for use as an adolescent recreational room in the evenings and on weekends. Facilities on Ward 15 comprise: A 6 bedded high dependency area, caring for children undergoing bone marrow transplantation or with other conditions needing high dependency care Two 3 bedded bays Two 4 bedded bay s 4 single cubicles The Nursing team is led by a Head of Nursing and a Lead Cancer Nurse, an Advance nurse practitioner, and a team of Senior Sisters/Charge Nurses each with various experience in the specialties covered across the unit. The unit has an education team and we have a well developed educational pathway to meet the needs of the qualified nurses, support workers and student team members. An active preceptorship programme is also in progress, along with performance management. to identify the individual team members learning needs, monitor their identified objectives and to provide a framework for their development. We are committed to the education of students both pre and post-registration. Jackie Hotchin/ Adam Johnson Ward Managers The Macmillan Team The Macmillan team contribute to the multidisciplinary team caring for children with a malignancy, throughout the West Midlands region for the duration of the disease trajectory. Their caseload includes some children with a non-malignant conditions. The team place special emphasis on facilitating nursing support in the home and clinical expertise in palliative care. We offer a 24 hour seven day a week telephone advice service for both the families of children requiring palliative care and the health care professionals involved in the care. The team act as a specialist resource and support to the Primary Health Care Team (PHCT)/Shared Care Centres, Radiotherapy Department and Multi-disciplinary Teams at the Birmingham Children’s Hospital (BCH) NHS Trust. Undertaking education and training (both formally and informally) and research and audit are an integral role of the Macmillan Team. The Macmillan team are based within the Haemoglobinopathy Unit. Sharon Beardsmore, Carol Davies, Nicki Fitzmaurice, Katherine Green, Sue Neilson and Claire Simpson. Macmillan Nurses. Operating Theatre Department The Operating Theatre Department consists of NINE Operating Theatres, an Endoscopy Suite, a Cardiac Catheter Suite and FOUR Recovery areas. The department provides a 24 hour service to all surgical specialties within the hospital, which include general, neonatal, neurosurgical, cranio-facial, genito-urinary including a neuropathic bladder service, ENT including cochlear implants, facio-maxillary, dental, ophthalmic, orthopaedic and trauma, cardiac, plastic, with a developing service in transplant surgery including liver and small bowel.and burns The department employs all grades of nurses and O.D.P, including newly qualified ODP’s and provides clinical training placements for Trainee Operating Department Practitioners, students from all over the West Midlands area. We have developed close links with Birmingham City University for both pre and post registration courses. We have a Lead Practitioner for Training and Education who links with the various education centres and provides support to the department. The department is managed by the Theatre Nurse Manager assisted by the Clinical Coordinators. The department is overseen by the Service Manager, who provides business support. We also have a well-developed information system, which is run by the Information Manager. Information from theatres plays a vital role in the development of the Trust as a whole, influencing the contracts from purchasers both regionally and supra-regionally. Mary Tasewych Clinical Nurse Manager Paediatric Intensive Care Unit The Paediatric Intensive Care Unit (PICU) at Birmingham Children’s Hospital is a modern, spacious purpose built 20-bedded Unit nominated as a Lead Centre for Paediatric Intensive Care (PIC) services within the West Midlands region. We undertake the care and management of critically ill children for a wide range of specialties including cardiac, hepatology, medical, oncology, renal and trauma, both from within the hospital and as referrals from major district general hospitals. It also supports a 24-hour retrieval service. The philosophy of PICU is to create an environment that is conducive to providing the highest quality of evidence based care in a family orientated environment. Education and Professional Development The PICU is committed to the on-going personal and professional development of all its staff. A Senior Nurse co-ordinates training and education and there is an established Clinical Development team that provides teaching programmes with support and supervision within the clinical setting to enable staff to fully develop their knowledge and clinical skills. Newly qualified and inexperienced nurses access the Foundations in Paediatric Intensive Care course, which is validated with 36 CAT points by Birmingham City University at Diploma/Degree level. The course duration is nine months and has theoretical and practical components. Further specialist PICU study is available by undertaking the critical care pathway of the Bsc Dimensions in Health Care. This is accessed through Birmingham City University and has a designated Lecturer Practitioner who holds a joint appointment with the university and PICU Experienced critical care nurses from adult backgrounds can access a programme of education and supported clinical practice. Programmes of study recognise the individuals existing knowledge and skills whilst equipping nurses to care for the child and family within the paediatric arena. Nurses with extensive paediatric experience may also be able to access this programme. There is opportunity for further study through secondment to complete Diploma/Degree in Child Health nursing, to enable career progression in the Paediatric field. PICU offers clinical placements for a range of pre and post graduate nursing students. To support this, the unit encourages nurses to undertake a course/module in supporting students in practice helping them to develop mentorship and assessment skills and to influence the development of the future nursing work force. In additional to the courses and study programmes available for nurse on PICU there are a wide variety of development opportunities. These include rotational posts to Clinical Development, Family Liaison and Technical Teams and the opportunity for staff to gain supervised experience in managing part of the unit or co-ordination the whole unit Managing a large workforce requires effective leadership. Each Senior Sister is responsible for a group of nurses. These Support Groups offer an opportunity for taking clinical initiatives forward, performance management and career guidance, undertaking audit and research with presentation and attendance at National and International conferences. There are several posts which support and advance practice developments within PICU. These include a research nurse and audit nurse who in partnership with medical colleagues co-ordinate multi-professional research and audit activity. A Clinical Nurse Specialist works closely with nursing staff to ensure care is evidence-based and delivered in partnership with the child and family and ensures all staff are supported in clinical practice developments. An Informatics Charge Nurse provides a cohesive approach to clinical care and Information Technology. The family liaison nursing team offers emotional, social and practical support to families during their time on PICU and is able to act as a link to appropriate agencies to ensure their needs are met. We are continually developing our service and have recently appointed a Lead Nurse for ECLS. Support Staff A technical support team lead by a Senior Operating Department Practitioner(ODP) and a Charge Nurse carries out technical maintenance work, whilst also supporting clinical transportation of critically ill Children which is vital to an efficient and effective service. The team of Nurse Technicians and Health Care Assistants ensure that all the background services are in place to support clinical activity. Clinical Support Workers (CSW’s) are locally trained to care for a range of high dependency patients under supervision of qualified nursing staff. Administration staff provides clerical support and front of house reception duties. Shifts Early = 07:30 – 15:00 Late = 13:00 – 20:30 Long Day = 07:30 – 20:30 Night = 20:00 – 08:00 PICU Nurse Manager Yvonne Heward - Lead Nurse for Education and Workforce Development Paediatric Intensive Care Unit Yvonne [email protected] Paediatric Burns Service The burns service at The Birmingham Children’s hospital provides care for children and adolescents who have sustained a burn injury within the west midlands; and then their needs for reconstructive surgery. The extent of their injury can be a minor burn up to a major burn requiring intensive care. Whatever the size of the burn there needs to be effective team work within all the health care professionals involved. Working together, everyone in the team achieves more to provide holistic and quality care to patients and their families from admission through to discharge. The burns team consists of 6 burns surgeons, a nursing team, burns lecturer practitioner, play specialist/family support worker, occupational therapists, physiotherapists, dietician, pharmacists, theatre team, intensive care team, pain team, child protection team, social worker, clinical psychologists, domestic staff plus other health professionals for individual cases. We meet every Friday as a team and discuss inpatients and any ongoing concerns. The unit consists of 5 ward beds, a high dependency cubicle, a designated theatre, its own outpatients and therapy room. The nurses’ work on the ward and within clinic therefore getting all round skills and knowledge of different aspects of nursing care, from high dependency nursing to running a busy outpatients clinic. Thus gaining wound care management, surgical and medical nursing skills. The nursing team takes every opportunity to expand their knowledge, training and education by attending study days, courses and national study days and conferences. We have close links with the lecturer practitioner in Burns and plastics at Birmingham City University and regularly works shifts on the ward. The staff are enthusiastic, motivated, friendly, flexible, supportive, dynamic and have a high regard for team work. As a new member of the nursing team you will have a named preceptor and buddy that will orientate you to the service, set learning objectives with you, guide and support you through your early months of practice. Your preceptorship will continue for at least 6 months after that your preceptor will become your performance manager. You will have a preceptor ship meeting during your first, third and sixth month of joining the team. You will also have core competencies to complete that will help you become more familiar with the ward and burns nursing. For more information please contact Vicki Hibble (Ward Manager) or Clare Thomas (Lead Nurse) on 0121 333 8964/8966 Nutritional Care Nursing Team The team first started in 1987 and was one of the first Paediatric Nutritional Care teams in the country. The service was set up due to the increasing amount of children receiving artificial feeding both in hospital and in the community. As a supra regional service within Birmingham Children’s Hospital, the specialist nurse team have a crucial role in the co-ordination of the multi disciplinary care that children and their families require. They participate in care both on an in-patient and out-patient basis. The philosophy of the team is to help with the education and support of families requiring artificial nutrition. Roles of the nutritional care nursing team The nutritional care department are responsible for maintaining high standards of care for patients receiving enteral and parenteral nutrition in the hospital and community. The department actively work with multi-disciplinary teams within the Hospital, which include the nutritional care team, headed by gastroenterology consultant and the feeding team, consisting of clinical psychologist and speech therapist, physiotherapist, dietitian and nutritional care sister. Educational booklets, including pictorial training models, for children, parents and health care professionals continue to be developed. Weekly educational clinics are available both to nursing and multi-disciplinary staff (Refer to Clinics overleaf). Research The nutritional care team actively undertakes nutritional care research (in-house) and on a national level. Audits are undertaken to ensure standards of care are maintained. Training opportunities Support all ward staff who are involved with teaching Home Enteral Feeding Act as a resource for relevant health care professionals, children and families. Weekly Clinics on Wednesday for training and supervised practice re Nutritional Care Please telephone Secretary for appointment – ext 8042 Staff orientation with Nutritional Care – discuss with Nutritional Care Nurses Information Resource / Discharge planning protocols available Training for Home Parenteral Nutrition (HPN) Our responsibilities: Planning meetings complex for HPN patients. Written referrals required to multidisciplinary nutritional care team. Assessment of suitability for Home Parenteral Nutrition (HPN) Initiate Community support network e.g. Respite etc. Training parents with designated named nurse Discuss with Business Team re-funding Organisation of equipment – Home delivery system Liaison with multi-disciplinary team Home visits Review biochemical monitoring nutritional status with Nutritional Care Team Joint/individualised clinics with multi professionals Home enteral feeding referrals Nutritional Care (NC) Close liaison and support for ward staff and families Written referrals received Initial contact made with family Community Support/arranged and confirmed Discharge planning Training needs discussed with Nurse and Family Funding arranged/contacts made Equipment Authorised The team’s roles also include: Education of health care professionals, children and families. This involves internal training at local universities, nationally and at international level. Chris Holden; Principal Nurse, Nutritional Care Nursing Department General Dermatology The Dermatology Day Care department offers the opportunity and encourages nursing staff to develop a variety of skills in order to provide appropriate treatment for children with skin disorders. We work closely with the multi-disciplinary team and the primary Care Trusts. We provide a comprehensive inpatient and outpatient service to children with skin disordersincluding diagnosis, treatment, biopsy, patch-testing, cryotherapy and cosmetic camouflage. Families are supported by specialist nurses and we work with several National Patient Support Groups. Together with Great Ormond Street Hospital we run a national service for children with rare disorder epidermolysis bullosa (“butterfly children”). We teach undergraduates, postgraduates, nurses and doctors both locally and nationally and have taken part in international trials of new treatments for eczema. With a particular interest in genetic skin disorders we have provided diagnostic expertise and clinical material for numerous collaborative studies internationally Arlene Brown/Sheila Richards CNS Dermatology Endocrine Specialist Nurses Paediatric Endocrinology – children’s hormones – covers a wide range of illnesses and disorders, varying from minor disorders to severe life threatening conditions. The most common disorder seen in a paediatric endocrine clinic is short stature (Davies, 2004), and NICE estimates that there are 1 in every 20,800 children, or 48 per million children diagnosed with growth hormone deficiency. Even higher is congenital hypothyroidism – now tested for in every newborn baby in the UK – which is estimated at 1 in 4000, or 250 per million. (Raine et al, 2006) It is clear that the need for specialist paediatric endocrine services is extremely important. Most children or young people, with the assistance of hormone replacement, can maintain a normal, healthy lifestyle. The Endocrine team at BCH consists of Consultants Dr Nick Shaw Dr Jeremy Kirk Professor Tim Barrett Dr Wolfgang Högler 2 SpRs & 1 FY1 Endocrine Nurse Specialists Angela Casey Tracey Kirkwood Secretaries Kate McBeth Liz Newey Dan Settatree The endocrine nurse team are based on Medical Day Care which is a short stay ward on the ground floor of the main hospital. We provide specialist nursing skills, knowledge, expertise and support for children with endocrine conditions and their families and aim to work as fully integrated members of the multi-disciplinary team caring for the child with specialist endocrine need. We carry out a variety of clinical investigations as part of the endocrinology team. We provide written and telephone advice to families of children with endocrine conditions, and community staff involved in their care. We teach and supervise students who visit Medical Day Care. We train and support children and families to give essential medications such as growth hormone and hydrocortisone at home. We administer GnRH agonist implants and testosterone injections and we can train and support community staff who need to do them. We act as a resource and support for primary healthcare teams, shared-care centres and multi-disciplinary teams within the hospital. We work with adult endocrine services to ensure a smooth transition of care from paediatric to adult centres. Ward 2 Ward Two is a very busy paediatric ward consisting of 19 beds of which 9 are ward beds and 10 are Medical Assessment Unit beds for patients needing a 48 hour stay. Our aim is to discharge children as soon as possible as we believe the best place for them is at home. The children we care for have a wide range of medical conditions such as chest infections, febrile convulsions, failure to thrive, infectious diseases and skin conditions. In addition we also have speciality patients for respiratory, neurology, gastro-enterology and inherited metabolic diseases. The majority of our patients are emergency admissions from the Emergency Department or District General Hospitals. We do have some booked admissions for the respiratory, neurology, dermatology inherited metabolic diseases and gastro-enterology. Ward 2 is part of the Medical Unit which includes Wards 6, 7 and Medical High Dependency. The dependency of the children on the ward varies enormously however the ward works closely with the Medical High Dependency Unit. We believe children have the right to have their parents with them at all times and their privacy and dignity respected and preserved and, that the environment should be flexible and able to adapt to different cultural and religious needs. We work closely with colleagues in all disciplines and acknowledge the importance of multidisciplinary working to provide the highest standards of care for our children and families. Newly appointed staff, are allocated a preceptor for orientation and ongoing support. Individual performance reviews are undertaken with all staff and their development needs are identified and proactively encouraged to be met. There are numerous opportunities for professional development within the Medical Unit and the Trust. Student nurses are fully supported during their allocation and the ward has developed a student's charter in recognition of their specific needs. The Medical Unit actively encourages staff working within its wards, to share practice and work in each other's areas, to enhance their experience and development. Helen McDonald Ward Two manager Telephone: 0121 333 9009 Ward Three Ward 3 is a tier 4 Child and Adolescent Mental Health unit offering ten beds. Referrals are generated from Paediatric Consultants within the Birmingham Children’s Hospital, other Children’s Hospitals around the country, and from Community Child and Adolescent Psychiatrists who do not have inpatient bed availability. Occasionally, referrals are received from Adult Psychiatrists to whom children have been referred. Referrals are often from beyond the West Midlands region. Ward 3 is one Part of a comprehensive CAMHS service managed By Birmingham Children’s NHS Foundation Trust offering a total of 44 beds across 4 units and community services covering the City. Ward 3 provides a regional service to the West Midlands meeting the needs of all young people under the age of 12 and up to the age of 16 for Neuropsychiatric referrals. The range of therapeutic activities is very varied with the mainstay of therapeutic activity being the ‘Therapeutic Milieu’ augmented by a range of weekly group activities which include; Art, social skills and relaxation. Ward 3 has a very well established link Nurse role with T4 Speech and Language services and is currently developing an ASD (Autistic Spectrum Disorder) friendly Model of practice. The ward operates on a team nursing basis, with each patient allocated a Named Nurse and an individual worker from within the nursing team. The unit is committed to developing nurses' therapeutic skills and offers exciting developmental opportunities to nurses practicing on different parts of the register. The ward uses a three shift system, coving early, late and night shift but do occasionally use a twilight if the service demands. Any person who joins the team takes part in a preceptorship package to accommodate their immediate developmental needs, particularly as inpatient CAMHS is so different to most peoples’ prior experience. Professional development reviews occur on an annual basis when individualized development plans are developed. Peter Hodgkinson: Ward Manager Neonatal Surgical Ward The Neonatal Surgical Ward is a 15 bedded neonatal and infant surgical unit. We care for babies from birth to three months, requiring surgery in the neonatal periods for a wide variety of congenital problems and problems associated with prematurity. We provide care for babies requiring general surgery, genito-urinary, hepatobiliary, orthopaedic, ophthalmic, ENT, plastics and neuro surgery. We have close links with the Nutritional Care Team as many babies require nutritional support after their surgery. Babies requiring ventilatory support post-operatively are nursed on the intensive care unit prior to transferring back to us. We aim to provide family centred care, supporting and encouraging parents to participate in their baby's care from the earliest opportunity. Newly delivered mothers need staff knowledgeable in breast feeding and bonding and parents are taught a range of skills including stoma care, tube feeding and suction. Effective discharge planning is of prime importance. We have close links with community services. Each baby has a named nurse responsible for identifying care needs and co-ordinating services. Care plans are presently based upon the Roper and Orem models of nursing. We aim to provide a supportive learning environment for all students and many choose to return for their elective. Students also have a mentorship programme throughout their ward experience. Trained staff are actively encouraged to keep themselves professionally and clinically updated. Opportunities are available for registered children's nurses to undertake the B.Sc Neonatal High Dependency and Intensive Care Award.. A well established preceptorship programme is in operation for all new members of staff and for those whose role changes due to promotion. Opportunities abound for staff wishing to extend their scope of professional practice and develop a range of intensive nursing skills in a supportive and encouraging environment. Bernadette Reda/ Jan Gardner Ward Managers Ward Five & SAU Ward 5 is a 14 bedded ward that cares for children and adolescents of all ages who have been involved in some form of accident/injury or those who require elective surgery. The elective surgical specialties that we care for are orthopaedic surgery, plastic surgery, spinal surgery, ear nose and throat surgery, and maxio-facial surgery. The length of stay varies from one day to several weeks. The surgical assessment unit is a 4 bedded unit that assesses whether a child requires surgery. The children are nursed in the assessment unit for 24 hours and are then transferred to ward 5 or another ward within the hospital if an extended hospital stay is required. Ward 5 and the surgical assessment unit offers a varied nursing experience and range of nursing dependency. The ward can be very busy at times, providing a challenging nursing experience. All children have a Named Nurse throughout their stay. We believe that a multi-disciplinary approach to care is vital and work very closely with doctors, physiotherapists, speech and occupational therapists, school teachers, play therapists, psychologists and colleagues from other disciplines. Family centred care is a high priority to us on Ward 5, so we work in an informal, friendly atmosphere and offer a range of facilities for our parents and families. We strive to involve children and our parents in decisions about their care and actively encourage and support them to be directly involved in care. We are a well motivated team and actively encourage the professional development of all staff with performance management, development work groups and teaching. All staff have an allocated preceptor for ongoing support. We are always looking for new opportunities to extend our knowledge and reflect upon our practice. We take pre and post-registration students and students, who will always be allocated a mentor and assessor for their placement on ward 5 and the surgical assessment unit. Yvonne Reed Ward Manager Lucy Collins Junior Sister/Educational Practitioner Ward Six Ward Six is a busy paediatric ward, which cares for children between the ages of 0-7. The children we care for suffer from a wide range of medical conditions such as chest infections, febrile convulsions, failure to thrive, infectious diseases and skin conditions. We also have some speciality patients for respiratory, neurology, gastro-enterology and inherited metabolic disorders. The majority of our patients are emergency admissions from accident and emergency or district general hospitals. We do occasionally have booked admissions for the respiratory and gastro teams. The dependency of the children varies enormously, but we mostly care for very sick children and babies. We believe that children have the right to have their parents with them at all times and their privacy and dignity respected and preserved. We believe the environment should be flexible and able to adapt to different cultural and religious needs. There are schooling and play facilities, which are easily accessed for those children able to do so. We try to make it as comfortable as possible for parents that stay with their children. We work closely with colleagues in all disciplines and acknowledge the importance of multidisciplinary working to provide the highest standards of care for our children and their families. We value skills that parents have learned and encourage them to continue to provide that care. Newly appointed staffs are allocated a preceptor for orientation and ongoing support. Professional development for all staff is actively encouraged and everyone has equal opportunity to develop themselves. Performance review is directed to individual needs. We have a well-established mentorship programme for student nurses allocated to our ward. We support pre and post registration, diploma and degree courses. We aim to provide support and teaching on a formal and informal basis and directed to individual learning needs. Ros Timmins Ward Manager Ward Seven Adolescent Medical Ward. Ward 7 is a busy medical ward with 13 beds. We have 9 cubicles & a 4 bedded bay. We predominantly care for the adolescent patients who require medical treatment. Our client group is varied and we care for a range of specialities including, Respiratory, Gastroenterology, Endocrine, Complex Care, Neurology, and General Paediatrics. We liaise very closely with the other medical areas. There are numerous teaching opportunities and a vast array of skills that the team use. These include tracheotomy care, discharge planning for complex care, enteral feeding, rehabilitation and general adolescent care. We aim to promote independence amongst our teenage patients in order to try & prepare them for the transition into adult services. We frequently deal with patients who need additional emotional support as you would expect from teenagers who have chronic illnesses. The team work a mix of long days & short shifts dependant upon personal preference and ward needs. All staff rotate onto night shifts every month. Ward 7 has a team of junior sisters who have their own group of staff nurses that they are responsible for developing. They are the staff responsible for completing performance reviews. If you wish to visit ward 7 or have further queries please do not hesitate to contact the ward. Rachel Evitts Ward 7 Manager. 0121 333 9056. Ward Eight Ward 8 is the in-patient facility of the Paediatric Hepatolgy and Liver and Bowel Transplant (Liver Unit) at BCH. The Unit is designated as a supra-regional centre for the management of children with liver disease and acute liver failure - one of only 3 such units in the country. It provides liver and small bowel disease diagnosis and transplantation and management of metabolic liver disease. Ward 8 has 13 beds for liver disease and transplantation.. Treatment in this specialty is evolving and changing, especially in the area Intestinal transplantation. The medical teams are led by 5 Paediatric Hepatologists and 2 Hepatobiliary and Transplant Surgeon . Other team members in addition to the ward nurses are Research Fellows and Clinical Registrars, Senior House Officers, Trust doctors, Dieticians, Play Therapist, Social Workers, Physiotherapists, Specialist Nurses and nurses experienced in caring for children with these conditions. We work together as a multidisciplinary team respecting the particular contributions of each member of the team. The work encompasses all aspects of total nursing management under the framework of our Partnership Model of Nursing and Primary Nursing. It is an exciting field of work that presents many challenges. Nurses are supported by senior members of staff to help them develop the necessary skills using a preceptorship programme and support of clinical educator. MULTI-DISCIPLINARY TEAM PHILOSOPHY The multi-disciplinary team caring for the child on Ward Eight considers the individual needs of each child of paramount importance. Each child is cared for by a Primary Nurse or in their absence, an Associate Nurse, in a warm and friendly environment. Our aim is to meet the child's physical, psychological, cultural and spiritual needs, recognising the need for privacy for each individual. The child and the family/carers are the focus of care and we believe that the maintenance of the family unit is essential. We actively encourage the parents and children to participate in care, to the extent that they are able or wish to do so. The child and family are provided with appropriate information in relation to the child’s disease and treatment, and the child’s views taken into account. The child’s Primary Nurse is responsible for the assessment, planning, delivery and evaluation of nursing care from admission to discharge and parents are regarded as equal partners in contributing to decision to be made in the child’s management and care. Parents are supported and assisted in nursing their child back to an optimum state of health, or in some circumstances aiding their child to meet a peaceful and dignified death. Professional education is offered to all our staff through the Personal Development Review process and the potential for accessing various course in the Trust or at Birmingham City University where a Hepatology and Transplant Care Course is offered at level 6 and can form the route to an Gastroenterology/Hepatology Odinary Degree under the Learning Beyond Registration Framework All staff - ancillary, paramedical, nursing and medical - are our most valuable resource. We work in a collaborative co-operative manner recognising and respecting the particular contributions of each member of the Unit. Interested? Come and visit us to see the work we do. Informal visits are very welcome. Carien Weijers Ward Manager Ward Nine Ward 9 is a 19 bedded paediatric surgical ward caring for children age 2 months to 16 years of age, admitted for both elective and emergency procedures. Our children are local and from further afield and can be short or long stay. We specialise in gastro-intestinal, thoracic, plastic, orthopaedic, some hepatic and maxilla facial surgery. The ward is committed to family centred care and our team aim is to make each child and family have the least traumatic and best hospital experience possible. Our vision is: ‘To provide the best quality evidence based care in a positive and friendly environment.’ Our organisation of care is team nursing, with the involvement of the family and the multidisciplinary team, in which good communication is the key. Confident, happy staff can increase performance and standards and ultimately provide patients with the best care available. We take all levels of students on the ward, both pre and post registration and actively promote a positive learning environment. New staff are supported by a preceptorship programme and have a supernumerary period with a local and trust induction. We have a commitment to professional development through the personal development review process. Staff can develop and extend their practice and skills though trust and external sources, for example central lines and mentorship. All staff has a senior staff member as a performance manager and a peer mentor. The ward manager is the line manager for all ward staff with the directorate head of nursing being the next tier of management. We have a self roster system for off duty, and our shifts are: Early 7.30-15.00 Late 13.30-21.00 Night 20.30-08.00 Staff may choose to do long days or a mixture of shifts. All staff has to do night shifts and weekends. Please contact the ward if you would like to visit us or have any questions. Julie Cossey Ward Manager Tel 0121 333 9087 Fax 0121 333 9088 Ward Ten Ward 10 is a busy Neuroscience ward with facilities to care for 15 children up to the age of 16. As a regional centre our service is primarily dedicated to the surgical management of the neuroscience child however it also offers diverse treatment and assessment of neurologically impaired patient to include: Surgical procedures for hydrodrocephalus, brain tumours, epilepsy etc. Video telemetrey Acute rehabilitation for children who have sustained traumatic/acquired brain injury Supra-regional centre for Craniofacial conditions. Baclofen implants for children with cerebral palsy Tracheostomies Rehabilitation for a Long Term Ventilated child with a spinal injury We work in partnership with the multiprofessional team to promote family centred care encouraging the children and their families to fully participate in their plan of care. As a unit we believe that we are progressive and forward thinking, endorsing staff to maximise their own potential in all areas of personal and professional development. A comprehensive induction and preceptorship programme is available to all new team members and we fully support staff to undertake learning opportunities encourage both within and external to the Trust. Ward 10 can be an exceptionally busy unit but rewarding environment and would appeal to someone who embraces challenge. Many patients have high dependency and complex needs, which require expertise to interpret the physiological changes of illness and injury. An enquiring mind, initiative and the ability to self-direct are qualities we look for in new staff. Effective communication skills are essential when working as part of a multiprofesional team and an interest in teaching and education complements an environment that fosters the development of diploma, degree and post registration learners who are allocated to the area. We welcome informal visits for individuals interested in the opportunities Ward 10 can offer. Ward Eleven Ward 11 is part of an internationally recognized cardiac centre. It is a busy unit caring for neonates, infants and toddlers with cardiac defects. We also accommodate infants requiring tracheostomies and/or respiratory support. We accept babies with a variety of cardiac problems, both congenital and acquired, simple to very complex. In fact we are one of the few centres in the UK treating children with Hypoplastic left heart syndrome therefore admitting babies from all areas of Britain, Ireland and parts of Europe. Within the ward is a four bedded high dependency unit which enables our nursing staff to expand their skills and become experienced in the care of very sick infants. To achieve this we offer excellent educational opportunities including a recognized high dependency qualification and in-house study days. We offer continuous support by means of a preceptor/mentorship programme. All new members of the team have a local induction package and work very closely with their preceptor for the first month initially with supernumerary status. We are flexible in our management style allowing our nursing staff work a variety of shifts to accommodate both service and personal needs. All nursing staff are required to work a shift pattern to cover a 24 hour service. We have a holistic approach to our nursing care and believe that support, information and help for our families is an integral part of our service. To achieve this we work closely with our cardiac liaison team and social worker. Jackie Clinton/ Edna Reid Ward 11 managers 01213339112 Ward Twelve Ward 12 is a busy 16 bedded cardiac ward. We care for children ranging from 3 months to 16 years with a variety of cardiac abnormalities. Our case load varies from those requiring medical intervention and cardiac catheters to those requiring complex cardiac surgery. We also care for children with tracheostomies who require long term ventilation. We have a two bedded high dependency unit and a four bedded catheter bay. We offer a structured four week supernumerary period with a competency based development programme, and are committed to the developing staff both personally and professionally. Our shift patterns are; Early Late Long day Nights Karen Byrne Ward Manager 0121-333 9117 0730-1500 1300-2030 0730-2030 2000-0800 Ward Fourteen Ward 14 is the Nephro-Urology Ward. It has 10 beds and accepts children with a wide range of conditions, including acute renal failure, urology surgery, renal transplantation and children with chronic renal failure who require peritoneal dialysis. It is a regional referral centre for children in end stage renal failure. Some of the care on Ward 14 relates to children with chronic conditions who require long-term physical, psychological and social support. This enables nurses to develop longterm relationships with this client group. The other side to Ward 14 is acute surgical care. Our team includes: A Ward Manager F grade Junior Sisters/Charge Nurses, Staff Nurses Play Specialists/Play Workers Clinical Support Workers Paediatric Urologists Paediatric Nephrologists, The nursing philosophy is in keeping with the Hospital’s being child and family orientated. Named nursing is practiced and families are empowered to negotiate their care needs on an individual basis. The Ward is a placement area for the national Paediatric Nephro-Urology Course and nurses are regularly seconded onto the Course. Ward Manager The Heart Unit Outpatients The Heart Unit Outpatients is situated on the 2nd floor separate to the Main Outpatients Department and forms part of the whole Cardiac Unit incorporating Wards 11 and 12 along with the Heart Investigations Unit. We provide a service for children with a variety of Congenital Cardiac Abnormalities from 0-16 years of age and see approximately 10,000 children per year. We offer a range of facilities including ECG, Echocardiograms, Exercise Test ECG’s and certain drug trials. Our nursing philosophy also follows that of the Trusts, and we encourage family centred care. Staff are provided with continuing education and training. As part of the Cardiac Unit’s Philosophy staff are encouraged to spend time in the Heart Unit from wards 11 and 12 as part of their induction. Students also spend time working alongside the nurses and doctors as part of their Cardiac orientation. Also held in the Cardiac Unit are Nurse Led clinic run by both the Advanced Nurse Practitioner for Cardiology and the clinic nurses where patients are seen for a variety of reasons in between hospital appointments. Also situated in the Cardiac Unit is the Cardiac Family Support Team, which includes Cardiac Liaison sisters, Social Worker and Child Psychologist this invaluable service provides support and advice for all families of patients diagnosed with Congenital Heart Defects. We hold clinics every day and the hours of work are Monday to Friday 9.00 hrs – 17.00hrs. Medical High Dependency Unit The High Dependency unit is a new area within the Medical directorate; it has been open since December 2006. The unit is located on ward six, has 4 beds and cares for children between the ages of 0-16. The children we care for suffer from a wide range of medical conditions. We also provide specialist care for children with, respiratory, neurology, gastro-enterology, endocrine, dermatology and inherited metabolic disorders. The majority of our patients are emergency admissions from accident and emergency, we also take children from Intensive care or the other ward areas in the Medical Unit. The children are the sickest children within the medical wards and require a greater amount of nursing and medical input. The unit has 2 nurses on duty on all shifts; they look after 2 patients each. The shift patterns are Early, 0:730- 15:00, Late 13:00-20:30, Night 20:00-08:00. Our operational policy endorses the safety of the patients; it also makes recommendations for staff movement if the unit is quiet. We believe that children have the right to have their parents with them at all times and their privacy and dignity respected and preserved. We believe the environment should be flexible and able to adapt to different cultural and religious needs. There are schooling and play facilities, which are easily accessed for those children able to do so, as occasionally children may have a delay being moved out of the unit We try to make it as comfortable as possible for parents that stay with their children. We work closely with colleagues in all disciplines and acknowledge the importance of multidisciplinary working to provide the highest standards of care for our children and their families. We value skills that parents have learned and encourage them to continue to provide that care. Newly appointed staffs are allocated a preceptor for orientation and ongoing support. All new starters must attend the trust induction day they will also be allowed a supernummary Period while they adapt to the working environment Professional development for all staff is actively encouraged and everyone has an equal opportunity to develop themselves. Competency booklets and the newly qualified nurse programme, if required lead to performance review which is directed to individual needs. We have a well-established mentorship programme for student nurses allocated to our ward. We support pre and post registration, diploma and degree courses. We aim to provide support and teaching on a formal and informal basis and directed to individual learning needs. Michelle Plaza Senior Clinical Sister. Ext 9047 The Irwin Unit The Irwin Unit based at Parkview Clinic, is the largest of the four inpatient CAMHS units in the Trust. There are 14 beds available for older adolescents (aged 14 – 16) with severe mental health and emotional difficulties. It is a generic ward that admits young men and women. Many of the young people who are admitted here stay for several months as often; their difficulties are complex and multiple. Frequently their lives have been disrupted in a major way and need a great deal of therapeutic intervention, containment and rehabilitation. Admissions will include young people with eating disorders, psychotic illnesses, depression, anxiety, obsessive compulsive disorders and post traumatic stress. Self harm is a common issue as a way of expressing high emotion. On Irwin the young people are encouraged to become more independent and take to responsibility for aspects of their life. This is done in a safe and consistent way with an emphasis on the importance of therapeutic relationships. The unit team is multi-disciplinary and works together in the assessment, planning, implementation and evaluation of care. Groupwork and individual therapy is part of most young people’s programmes as is attendance in the Family Therapy Clinic; a service created and staffed with Irwin team members. The young people usually attend the James Brindley School on-site and where possible have time at home during the weekend. The team works closely with the families and professionals from referring community teams. The nursing team works in rotation across 7 days a week day and night. The shifts are 0700 – 1500, 1230 – 2030, 1500 – 2300 and 1945 – 0710; of which all staff members take part. Dan O’Mara Ward Manager 243 2008 Dr David Rothery (Consultant Psychiatrist) 243 2015 Kay Insley Clinical Nurse Specialist/Liaison Nurse 243 2000 Ashfield Unit The Ashfield Unit is an inpatient Child and Adolescent Mental Health unit based at the Parkview Clinic in Moseley, Birmingham. The unit is a purpose built eight-bedded adolescent unit for young people between the ages of 13 and 16. The beds aim to function as short stay admission beds while one bed is part of a designated intensive nursing area, and can accommodate one young person with higher levels of dependency. The Ashfield unit is one part of a comprehensive CAMHS service managed by Birmingham Children’s NHS Foundation Trust offering a total of 44 beds across 4 units and community services covering the City. The Ashfield unit provides a regional service to the West Midlands meeting the needs of adolescents who present with significant mental health difficulties and related high levels of risk. The unit offers a range of therapeutic interventions, on both an individual and group basis. The therapeutic programme is supported and developed by nursing staff together with an Occupational Therapist. Interventions offered include coping and life skills groups and individual work relevant to the young person’s difficulties, such as managing self harm or hallucinations. The unit is also able to provide Behavioural Family Therapy. The ward operates on a team nursing basis, with each patient allocated a Named Nurse and an individual worker from within the nursing team. The unit is committed to developing nurses' therapeutic skills and offers exciting developmental opportunities to nurses practicing on different parts of the register. Nursing staff mainly work combinations of early, late and night shifts but do occasionally work twilight shifts if the service requires it. The unit provides a 24 hour, 7 day a week service and staff are expected to work a mixture of all shifts. The shift times are; Early – 7am to 3pm Late – 12.30pm to 8.30pm. Twilight – 3pm/4pm to 11pm/midnight Night – 7.45pm to 7.10am Any person who joins the team will be allocated an experienced member of staff to act as their preceptor and will undertake a preceptorship package to assist them in meeting their immediate development needs, with a particular emphasis on issues relevant to working within inpatient CAMHS. Professional development reviews occur on an annual basis when individualised development plans are developed. Contact Details – Acting Ward Manager Jerry Reeves – 0121 243 2020 The Heathlands Unit The Heathlands Unit is based at Parkview Clinic and provides 12 inpatient beds for young people aged primarily between 12 and 14 years with complex and severe mental health difficulties. The Heathlands Unit cares for young people who may be experiencing a wide range of mental health difficulties. These difficulties often have a significant impact on the young person’s ability to function in their day to day lives and we therefore help them to address any concerns they may have by supporting them and their loved ones in a structured and nurturing environment. The Heathlands Unit admits young people with a range of problems including depression, eating disorders, psychosis, autistic spectrum disorders, post traumatic stress, self harm, obsessive compulsive disorders, anxiety and challenging behaviour. We encourage the young people on the unit to address their issues through group work, individual therapy, social activities and health promotion. The young people are encouraged to assume responsibility for aspects of their life to help them to achieve greater independence and stability. At the heart of our unit is the belief that the therapeutic relationship between a young person and a clinician is our greatest priority. We therefore have an experienced multi disciplinary team who work very closely together to help our young people to achieve their optimal level of mental health. The team includes nurses, doctors, psychologists, occupational therapists, family therapists, social workers, advocates and teachers. The nursing team works in rotation and all nursing staff are expected to work a combination of shifts across the week. These shifts are: Early – 07.00 to 15.00 Late – 12.30 to 20.30 Twilight – 15.00/16.00 to 23.00/00.00 Night – 19.45 to 07.10 All nursing staff are given a local induction when they join the team, followed by a 6 month preceptorship by a senior member of staff. All nursing staff are expected to attend regular clinical supervision and attend group supervision sessions. Personal and professional development is supported through the Trust’s PDR process. Paul Smith Ward Manager 0121 243 2006 Liver Unit Specialist Nurse Team The Liver Unit at Birmingham Children’s Hospital is one of three centres designated by the Department of Health for assessment and management of paediatric liver disease including liver transplantation. We are also the only centre in the United Kingdom designated to provide assessment for and provision of intestinal transplant. As a supra regional service within Birmingham Children’s Hospital, the specialist nurse team have a crucial role in the co-ordination of the multi disciplinary care that children and their families receive at the Liver Unit. They participate in care both on an in-patient and out-patient basis. The philosophy of the team is to maximise the child and family’s quality of life through empowerment with information and provide the necessary skills to give safe care at home. This enables the child and family to become more equal partners in the team. The team is led by the Principle Specialist Nurse (Hepatology and Transplantation) who is responsible for the development of the teams practice. The team roles are: To assess and meet the information needs of children of all ages and their families. This is delivered through a framework of practise called “Helping children and their families to be involved with choices of treatment” established within the multidisciplinary team. It starts from the point of referral and continues through the patient’s care in the Liver Unit. (Framework document available.) This involves supporting the breaking of bad news and the bereavement process. To assess carer’s ability to give care related to treatments, and then ensure they are trained to give the care needed at home for their child. This is done in conjunction with ward nursing team and other agencies in the trust according to the Trust Discharge, Self Medication, Blood Glucose Estimation and Nutritional Care Policies. To assess the vaccination needs of patients, particularly patients with chronic liver disease, and in preparation for transplant and afterwards. Subsequently ensure that the plan is facilitated. This is done in line with The Liver Unit’s Vaccination Policy. To notify and build on networks of care and support within the children’s own primary health care and shared care teams so that discharge is planned, coordinated and families understand communication channels particularly Liver Direct. To facilitate the process of transition to adult care by acting as key workers within the multi disciplinary care offered to this group of patients. To act as a resource for nursing and general management advice for all our children throughout the country. Generally this is achieved by telephone advice on Liver Direct. To be involved in education of health care professionals internally, in local universities, nationally and at an international level. To run a nurse led telephone consultation service called Liver Direct for two sessions a day. (Guidance document available). To participate in the out reach clinics to other cities in the United Kingdom along with Consultant Paediatric Hepatologist as part of a rota within the team. To co-ordinate the management of immunosuppression for liver unit patients including liaison with Pharmacy for home delivery of medication as part of a rota within the team. This involves attending consultant outpatient review meetings. (Guidance document available). To take part in nursing related basic research, audit and be aware of clinical governance issues and to support this activity in the wider liver unit team. The team have regular weekly team meetings and longer occasional meetings to discuss developments. Time for clinical supervision is provided monthly. Diabetes Home Care (DHC) Established in 1981 by Dr. Paul Rayner, the aim of the service was to improve the care of the 250 children who attended his diabetic clinic. The service provides hospital and home support to the children and their families, establishing liaison between the two. The DHC team consists of Consultants Dr Nick Shaw Dr Jeremy Kirk Professor Tim Barrett Dr Wolfgang Höglar 2 Registrars Clinical Nurse Specialists Emma Day – CNS & Diabetes Home Care Coordinator Lorraine Shaw – CNS & Diabetes Course Coordinator Diabetes Liaison Nurses Kirsty Mobberley Hayley Weekes Susan Gleeson Diabetes Dietitians Hazel Riggall Kathy Beck Administrator Lesley Porter Call us on: 0121 333 9267 [email protected] Philosophy of care: This hospital based, community orientated service for children with diabetes, their families and carers, is based on the ground floor of the hospital. The initial treatment of the newly diagnosed children continues to be carried out either in hospital or at home, depending on the severity of the illness at diagnosis, the family situation and social circumstances. In addition the Diabetes Home Care team provides continuing advice and education to 350 children with established diabetes and their families, helping them to manage at home during periods of illness or poor control. This is provided via a 24 hour a day 365 days nurse led on call service. Education and Research: Diabetes Home Care is recognised as a centre of excellence and it’s staff are frequently invited to lecture to other professional groups and to contribute to journals. Since the DHC team was established, they have been involved in a number of research projects. DHC have established the accredited ‘Management of Childhood Diabetes Course’ for qualified nurses and dietitians. DHC also run regular ward nurse updates which can be booked directly by emailing [email protected]