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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.