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PORTFOLIO OF
LEARNING
OPPORTUNITIES
MAU/SSU
GATESHEAD HEALTH NHS
FOUNDATION TRUST
EDUCATION LEADS Tamsin Bray
Helen Hodgkinson
Nikki Wilson
(Review date Feb 2011)
WELCOME
On behalf of the medical assessment unit (MAU) and short
stay unit (SSU) welcome to the department. Enclosed you
will find a resource pack which we hope you will find useful
during your placement.
It is recognised that students who come to MAU /SSU
will be at various stages of their nurse training. This will
always be taken into consideration and each student will be
treated as an individual.
Every student will be allocated a mentor and a co-mentor
for the duration of their placement.
It is intended that learners and mentors will work
together to select the appropriate opportunities to meet
their specific competencies for their placement. Learners
should not be expected to access all of these
opportunities whilst on placement but to access
opportunities relevant to their learning outcomes.
MAU - TEL 445 5906
SSU - TEL 445 3965
Department Profile
The medical assessment unit treats approximately 10,000
to 11,000 patients per year and also treats approximately
2,000 outpatients yearly. The department lies within the
medical directorate with Claire Coyne as Divisional
Manager and Pam Naylor as Assistant Manager. Darren
Makepeace is designated Modern Matron for MAU/SSU.
Referrals to MAU/SSU are from GPs, A&E and consultant
clinics.
There are 3 distinct areas within MAU/SSU.
MAA - Consists of 15 trolleys taking referrals from A&E
and G.Ps. These 15 trolleys are broken down into 2
assessment areas, 1 male and 1 female.
SSU – 28 bedded ward for patients who once seen by the
on-call consultants are moved to base ward if hospital stay
is > than 72hours or kept on SSU if stay is <72hours
DVT clinic – Assess patients referred with? DVT
The department covers a broad spectrum of all medical
conditions some of which are minor and can be seen on an
outpatient basis to the more severe acutely unwell
patients.
There are many skilled nurses working within the
department who can pass on their knowledge and expertise
to you.
SHIFT TIMES/OFF DUTY
MAU/SSU operates a number of shift patterns. It is
preferable that you work the same shifts as your mentor
(at least 80%) of the time, however we are very flexible.
Early - 08.00-15.45 ( 7.25 hours with 30 mins lunch break)
Late - 12.45-20.30 (7.25 hours with 30 mins tea break)
12 hour shift- 08.00-20.30 (11.5 hours with 30mins lunch &
30 mins tea break)
Night Shift- 20.15-08.30 (10.5 hours with 1.5 hour break)
Students working 33 hours with 4.5 hours study will
work either:
3 day week consisting of
Day 1 - 12 (11.5 hour)
Day 2- 12 (11.5 hours)
Day 3- 10 hours (8-6)
OR
4 day week consisting of
Day 1 – E or L (7.25 hrs)
Day 2- E or L (7.25hrs)
Day 3 –12 (11.5hrs)
Day 4 – E or L (7hrs)
Students working 35 hours
3 day week consisting of:
0R
of:
Day 1 – 12 (12)
Day 2 – 12 (11.5)
Day 3 – 12 (11.5)
4 day week consisting
Day 1 – 12 (11.5)
Day 2 – E or L (7.25)
Day 3 - E or L (7.25)
Day 4 – E or L (8)
You will be required to work nights and weekends as part
of your placement as this will give you a good overview of
the department.
SICKNESS
You must report any sickness or absence from work to the
nurse in charge of MAU as soon as possible. This is
recorded and kept in a file in the department and you
MUST also inform the University of your absence. It is
accepted practice to regularly update the nurse in charge
with any developments regarding your sickness periods i.e
expected length of absence.
Early shift if phoning in sick ring before 7:30
Late shift if phoning in sick ring before 11:00
Night shift if phoning in sick ring before 16:00
Speak to mentor or nurse in charge of shift only
UNIFORMS
The uniform policy is situated on the trust intranet site
and in your student handbook general tidiness and
neatness is well expected in nursing.
There are 5 main areas which must be adhered to;
1. when providing direct patient care choose short
sleeved clothing or sleeves rolled up above the elbow.
2. never wear a long sleeved jumper, jacket or cardigan
when providing clinical care.
3. only wear a plain band ring to minimise risk of
infection.
4. keep wrists free from all jewellery.
5. keep nails short, clean and free from nail varnish.
You are required to wear your identification badge at all
times and staff must NOT travel to and from work in
uniform.
SECURITY
Within in the trust we have on site 24 hours a day security
which has good links with Northumbria Police. You will
never be put at risk whilst on placement and your mentor
will assure that your safety is paramount when dealing
with patients and relatives. The hospital has an Incident
reporting system (Datix), which will be explained to you by
your mentor.
FIRE & CARDIAC ARREST
The department uses the trust cardiac arrest team by
which you receive help by dialling 2222. In the event of
fire dial 3333.
On your first day your mentor will identify all fire
activating alarms, extinguishers and discuss the evacuation
process with you.
LEARNING OPPORTUNITIES
Utilise MAU/SSU self directed learning pack
Utilise scenarios
Utilise specialist nurse
Show students where polo file is
Areas in which you may want to develop knowledge and
skills
Communication skills
Admitting patients
Handovers
Documentation
Referring patients members of the
multidisciplinary team
Telephone communication
Computer skills
Booking porters
Booking ambulances
Checking blood results
Monitoring patient movement
Ordering mattress
Trust intranet
Ordering equipment
Knowledge and Clinical skills
Taking observations (Knowing normal values)
Recording ECG (recognising norm)
Phlebotomy & Cannulation
Taking MSU
Blood glucose monitoring
Neuro Observations
Developing pharmacology
Aseptic technique (Catheters, dressings)
Moving and handling
Risk assessment
Bereavement and breaking bad news
Emergency situations
Medical conditions
Respiratory
Diabetes
Cardiology
Gastro
stroke
Rheumatology
Toxicology
Haematology
MAU / SSU Learning Zone
List of people you may want to spend a day with
Diabetic nurse specialist
Tissue viability nurse and Vascular nurse
Heart failure nurse
Bed manager
Outreach team
Night site Managers
A&E Department
Elderly care practitioner
Discharge liaison nurse
Respiratory nurse specialist
Stroke nurse specialist
Identify learning needs ready for initial interview with
mentor in week 2 and contact your GF to arrange a
meeting with you and your mentor at a half way mark
to discuss progression.
If you would like to develop your knowledge and skills
with any of the above specialist nurses then this can be
arranged with your mentor at any point in your
placement.
IF YOU HAVE ANY PROBLEMS ON MAU/SSU THAT
YOU ARE UNABLE TO DISCUSS WITH YOUR
MENTOR
PLEASE
CONTACT
ONE
OF
THE
EDUCATIONAL LEADS AS SOON AS POSSIBLE.
Here are some useful abbreviations and commonly used
medication that you will come across throughout your
placement on MAU/SSU. You may wish to familiarise
yourself with these.
Abbreviations.
ABG
Arterial Blood Gas
ACEI
Ace Inhibitor
ACS
Acute Coronary Syndrome
ADL
Activities of Daily Living
AF
Atrial Fibrillation
ALD
Alcoholic Liver Disease
AXR
Abdominal Xray
BM
Blood Monitoring
BMI
Body Mass Index
BP
Blood Pressure
CABG
Coronary Artery Bypass Graft
CCF
Congestive Cardiac Failure
C&S
Culture and Sensitivity
COPD
Chronic Obstructive Pulmonary Disease
CSF
Cerebral Spinal Fluid
CSU
Catheter Specimen of Urine
CT
Computerized Tomography
CTPA
Computerized Tomography Pulmonary Artery
CVA
Cerebral Vascular Accident
CVP
Central Venous Pressure
CXR
Chest xray
DD
D Dimer
DKA
Diabetic Keto-Acidosis
DNR
Do Not Resuscitate
DSH
DU
DVT
DXT
ECG
EWS
FFP
HTN
IVT
IV
IM
LMP
LP
NBM
NBP
NPU
NASP
PE
R/V
S/C
SOB
TT
TBS
TCI
USS
Deliberate Self Harm
Duodenal Ulcer
Deep Vein Thrombosis
Deep Xray Therapy
Electro-Cardiogram
Early Warning Scoring (Obs)
Fresh Frozen Plasma
Hypertension
Intravenous Therapy
Intravenous
Intra-Muscular
Last Menstrual Period
Lumbar Puncture
Nil By Mouth
Nil By Peg
Not Passed Urine
Non Accidental Self Poisioning
Pulmonary Embolism
Review
Sub Cut
Short of Breath
Troponin T (cardiac Enzymes)
To Be Seen
To Come In
Ultrasound Scan
There are many more abbreviations used, please see your
mentor or any member of staff if you are unsure.
Most Common Drugs Used On MAU/SSU.
CARDIAC
Amiodarone
Amlodipine
Diltiazem
Digoxin
Frusemide(IV)
GTN
Isosorbide Mononitrate (ISMN)
Lisinopril
Ramipril
Simvastatin
Aspirin
Atorvastatin
Atenolol
Bendroflumethiazide
Bisoprolol
Bumetanide
Clopidogrel
Diltiazem
Digoxin
Frusemide(IV)
PULMONARY
Aminophylline
Prednisolone
Salbutamol(Ventolin)
Ipratropium Bromide(Atrovent)
Beclomethasone, Salmeterol, Tiotropium, Seretide (all inhalers)
DIABETES
Glicazide, Metformin, Glimepramide, Actrapid, Mixtard, Glargine, Novomix
ALCOHOLICS
Pabrinex
Thiamine
Multivitamins
Vitamin B Strong
Chlordiazepoxide
Omeprazole, Lansoprazole
NAUSEA AND VOMITING
Cyclizine
Metoclopromide
Ondansetron
ANTIBIOTICS
Amoxicillin ( oral or IV)
Cephalexin
Ciprofloxacin ( oral or IV)
Co-Amoxyclav ( oral or IV)
Flucloxacillin ( oral or IV)
Metronidazole ( oral or IV)
BenzylPenicillin (IV)
Erythromycin ( oral or IV)
Trimethoprim
Clarithromycin ( oral or IV)
Cefuroxime (IV)
Tazocin (IV)
ANALGESIA
Paracetamol
Codeine Phosphate
Tramadol
Ibuprofen
Diclofenac
Gabapentin
LAXATIVES
Senna
Sodium Docusate
Lactulose
Phosphate Enema
This list is by no means exhaustive as there are many
medications that we use daily, however, this list should
help you familiarize yourself with the most common.
Whilst you are on placement here on MAU/SSU you will
get the opportunity to perform drug rounds with your
mentor or co-mentor on a number of occasions to give you
experience.