Download Quality Assurance of Practice Learning for Health Care Professions

Quality Assurance of Practice Learning for Health Care Professions
EDUCATION AUDIT & PRACTICE EXPERIENCE PROFILE
D. LEARNING ENVIRONMENT (CLUSTER) / PRACTICE EXPERIENCE PROFILE held electronically by the HEI, Trust/Organisation (HSO) and Learning Environment
TRUST / Health Service Organisation (HSO) & web link
NHS Isle of Wight
LEARNING ENVIRONMENT CLUSTER / DIRECTORATE
ITU
LEARNING ENVIRONMENT / PRACTICE EXPERIENCE NAME
Sister Laura Moody
Date of LE / Practice Experience Profile:
Learning Environment Leads (LEL)
Donna Baker and Jenny Honeyman
Education Lead for Cluster
Laura Moody
Address
Intensive care Unit, St Mary’s Hospital, Newport, Isle
of Wight.
28th May 2014
Contact Details
01983 822099 ext 5410 [email protected]
Contact Details
As below
Tel / Email
01983 534753/2
Date last Profile completed::
18th may 2012
LEARNING ENVIRONMENT / PRACTICE EXPERIENCE TEAM completing PROFILE and Key Contacts
Position
Work Base
Contact Number and Email address
Matron
Intensive Care Unit
01983 534753/2 [email protected]
Sister / Educator
Intensive Care Unit
01983 534753/2 [email protected]
Name
Louise Webb
Laura Moody
WELCOME to “Trust / Health Service Organisation” NHS Isle of Wight provides Acute Care, Mental Health, Ambulance and Community Services that would otherwise be provided by lots of different organisations
on the mainland. This is because living on an island makes travelling elsewhere in the UK for treatment more difficult and, with quite a small population, we can provide care more cost effectively as a single organisation. NHS Isle of
Wight employs approximately 3,000 staff, is committed to personal development and has strong links with Southampton, Portsmouth and Bournemouth Universities. In addition to the central hospital site of St Mary's, Newport, there
are a variety of health clinics and community bases across the Island from which many of the Trust's services are delivered.
South Central Student Learning Charter – Please read........
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110130-South
Central Student Placement Charter.FINAL.doc
GENERAL INFORMATION for ALL LEARNERS
Travel Information / Getting here...
Google Map link / Trust web link
Access by:
Web Link
Comments
BUS
http://www.islandbuses.info/
TRAIN
CAR
Parking arrangements/Costs: limited parking on site, student permits available
Other suggestions:
Boats to the Island: http://www.wightlink.co.uk/ or http://www.redfunnel.co.uk/ or http://www.hovertravel.co.uk/
Accommodation available: http://www.iow.nhs.uk/index.asp?record=855
Catering Facilities: Full Circle Restaurant on site serving breakfast, lunch & dinner; vending machines throughout hospital
OTHER LEARNERS
Other Universities accessing our Learning Environment / Practice Experience for Student Learning, whom you may meet whilst on placement – these are highlighted below:
SOUTHAMPTON
PORTSMOUTH
BOURNEMOUTH
OPEN UNIVERSITY
READING
SURREY
Other
We also support a range of professions and different learners on the following programmes, as highlighted below:
Nursing – Adult field
Occupational Therapy
Medical
Nursing – Child field
Physiotherapy
Radiography (Diagnostic)
Nursing - Mental Health field
Podiatry
Radiography (Therapeutic)
Nursing – Learning Disabilities
Speech & Language Therapy
Clinical Psychology
Midwifery
Dietetics
Social Work
Foundation Degree
Apprenticeships
Other
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HCS – Cardiac Physiology, Respiratory &
Sleep
HCS – Audiology, Neurophysiology, Vision
Science
HCS – Life Sciences (Blood, Infection,
Cellular, Genetics)
HCS – Med Physics (Radiotherapy,
Radiation, Nuclear)
HCS – Clinical Engineering (Med, Rad,
Renal, Rehab)
OVERVIEW of TRUST / Health Service Organisation (HSO)
Showing divisional /directorate / community care team breakdown etc and where Learning Environment (Cluster) / Practice Experience sits
Z:\Learning
Environment Team\Audits\UoS Audits\Clinical Services.pdf
PROFILE for “Learning Environment (Cluster) / Practice Experience “
Area / Locality
Intensive care Unit
Service / Team
Led by Matron Louise Webb
Location
St Mary’s Hospital
Critical care Outreach service
Led by Matron Louise Webb
St Mary’s Hospital
Key Contacts
Tel No / Email Address
01983 534753/2
[email protected]
01983 534753/2
[email protected]
Learning Environment (Cluster) / Practice Experience Philosophy or Mission Statement
Our Philosophy:
“To provide the highest level of holistic, evidenced-based care, by competent, multi-professional staff to all patients, their families and
carers”.
“We aim to restore health whenever possible and where not, to minimise distress and suffering to patients, their families and carers.
Consider the different cultures people have and always be respectful of ethical and religious beliefs”.
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Description of the Service we provide and Client groups who may access it:
The Intensive care unit aims to deliver support to patient requiring level 2 and 3 care. We are an adult general Intensive Care unit taking medical, surgical, urology,
orthopaedic, gynaecology, renal, gastrointestinal, and obstetric patients. We are able to deliver the following treatments;
Non invasive ventilation-CPAP
Invasive ventilation
Advanced monitoring and organ support.
Haemofiltration/dialysis
Advanced 1:1 Nursing care for level 3 patients.
Other areas of interest and related experience available
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Develop effective communication skills with patients, families and all members of the multi-disciplinary team within scope of practice.
Carry out methodical assessment of your patient.
Detailed observation recording.
Understanding of fluid balance and management.
Develop basic care skills adapted to specific needs of ICU patients.
Assist in the administration of oral, nasogastric, gastrostomy, jejunostomy medications.
To observe the administration of other forms of medication within ICU.
To manage time effectively.
To develop skills required to safely prioritise care.
To develop skills of effective documentation.
To assist in obtaining blood samples from lines within ICU.
To consider blood results and their interpretation.
To assist with diagnostic/therapeutic procedures within ICU.
To gain a basic understanding of the advanced procedures and equipment used within ICU, eg, volumetric pumps and syringe pumps etc.
To assist with patients individual nutritional requirements within ICU
To manage patient care and provide an holistic environment
To observe the insertion of invasive monitoring lines, chest drains, and tracheostomys etc
To observe and take part in chest auscultation and listening to breath sounds
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19.
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To assist with physiotherapy treatment within ICU
To witness intubation and extubation technique and drugs used
To understand the importance of decision making to provide effective patient care and prioritise work load
To understand the importance of the supportive role between ICU and other clinical areas
Be able to recognise and understand the early signs of deterioration in patients outside the critical area
Experience ethical dilemmas faced within critical care
The opportunity to discuss brain stem death organ and tissue donation
To take the opportunity to observe leadership and management styles and work alongside senior nursing staff within the unit
To participate in the teaching/learning activities within the unit
Opportunity to accompany Critical care Outreach Nurses.
Taking part in audit and research practice.
Renal filtration
LEARNER INFORMATION
Work Pattern
(eg Shift patterns, start & finish times)
24 hour shift rotation is expected for all members of the team allocated by the electronic roster
Early shift =07.30-15.30
Late shift=13.15=21.15
Night shift= 21.00 – 07.45
Long Day=07.30-21.15
Dress / Uniform Code
As per NHS Isle of Wight uniform policy
Staff room / Rest Room facilities
Staff room available within department +very near access to Hospital canteen
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Library / IT Resources
Easy access to Library+ Library “outreach service” , IT facilities available within the workplace.
Induction / Orientation Programmes
Welcome Folder
Within department
Student Tutorial / Seminar Programme (if available)
In-house training/mentoring/support available when applicable
Managing Student Issues – flow chart & main contacts
Contacts available via University link tutor + University staff available via on-sight department.
Abbreviations / Glossary relevant to this area
See university/student information folder
Prior recommended reading / websites / resources
NMC website-code of conduct, Intensive care Society website, British Association of Critical Care Nursing (BACCN), Care
Quality Commission (CQC) standards.
Common assessments / interventions / procedures /
treatments / evaluations
Methodical A,B,C,D,E assessment of patients, Chest drains, Tracheostomy-insertion and care, Haemofitration, Cardiac output
monitoring, Invasive and non-invasive ventilation, Central line and arterial line insertion and care, enteral and parenteral
feeding techniques and equipment preparation.
Common conditions seen
Pneumonia, exacerbations of Chronic obstructive pulmonary disease, Renal failure, Liver failure, Multiple organ failure,
Trauma, Septicaemia, Hypovolaemia, Asthma, Cardiogenic shock, Post operative observation, Patients with altered levels of
consciousness, Guillan Barre̒ syndrome.
Specific areas of expertise/clinical skills which students
can observe / learn from / Practice
Intensive care Anaesthetists (Intensivists), Specialist Intensive care trained Nurses, Critical care Matron, Critical care Outreach
Nurses, endoscopy services.
LIST of LEARNING OPPORTUNITIES available in main
‘hub’ placement area
See above list.
LIST of LEARNING OPPORTUNITIES available in
Linked areas / ‘spoke’ organisations
Opportunity to accompany critical care outreach nurses, possible attendance in operating Theatres, attendance at bedside
during complex procedures such as Intubation/extubation/line insertion etc, opportunity to accompany allied healthcare
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professionals with roles that link into ICU e.g Physiotherapy, tissue viability, specialist respiratory nurses, members of the
adult emergency/cardiac arrest team. Students may participate in intra-hospital transfer to CT scanner, diagnostic imaging
etc. according to patient need. Students may participate in inter-hospital transfer for specialist car or repatriation (by road
ambulance only, NOT air) depending on patient condition/clinical situation/staff required/equipment/vehicle capacity etc.
LIST of Inter professional learning opportunities for
students on placement
See above
Specifically for Nursing students, are there opportunities
on this placement for the student to have experience of
working with other client groups? Eg

Maternity care
Yea, if female becomes critically ill/requires critical care at any time.

Child Care
Very rare as we are an adult Intensive care unit-but may be experienced very rarely.

Mental Health
Yes, if a critically ill adult has an underlying mental health need / is referred to services during admission to ICU.

Learning Disability
Yes, if an adult with a learning disability becomes critically ill/requires level 2 or 3 care.

Other
Please list all other services within this Trust/HSO and
external NHS/Social Care/PVI services you liaise with or
refer clients onto:
Safeguarding vulnerable adult services, specialist respiratory centres e.g. Lane Fox unit. Mental health services, specialist
respiratory services, rehabilitation services, physiotherapy, speech and language therapy, tissue viability, specialist
respiratory nurses, endoscopy services etc.
Please list all other Health and social care staff the
student may have the opportunity to work with:
Opportunity to accompany critical care outreach nurses, possible attendance in operating Theatres, attendance at bedside
during complex procedures such as Intubation/extubation/line insertion etc, opportunity to accompany allied healthcare
professionals with roles that link into ICU e.g. Physiotherapy, tissue viability, specialist respiratory nurses, members of the
adult emergency/cardiac arrest team.
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OUR EXPECTATIONS of LEARNERS whilst on this Practice
Experience:
That all learners abide by the code of conducts respective to their chosen profession, a professional appearance and attitude
at all times and to ensure that all patients are treated with dignity and respect at all times. That all local and departmental
policies are abided by at all times.
The following Policies and Guidance Documents MUST be made available to learners whilst on this Practice Experience: (Trust/HSO & locality to confirm list)
Policy /
Guidance
Health &
Safety
Where Located / Hyperlink
http://intranet/guidelines/Health%20safety%20policy%202
011.pdf
Fire
http://intranet/guidelines/Fire%20Policy%20FINAL%20200
9.pdf
Confidentia
lity
http://intranet/guidelines/codeofcon.pdf
Data
Protection
Equality &
Diversity
Infection
Control
http://www.ico.gov.uk/for_organisations/data_protection.
aspx
http://intranet/guidelines/Equality%20and%20Diversity%2
0Policy%20Nov%2009%20Final.pdf
Hand
Hygiene
http://intranet/guidelines/Hand%20Hygiene%20FINAL%20
2010.pdf
and
http://intranet/guidelines/hand%20hygiene%20for%20pati
ents%20and%20visitors%202011.pdf
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Policy /
Guidance
Patient /
Client
consent
Professional
Codes of
Conduct
Violence
and
Aggression
Lone
Working
Chaperoning
& Escorting
Vulnerable
Adult / Child
Education &
Learning
Where Located / Hyperlink
http://intranet/guidelines/management%20of%20violence%20and%20aggression%20new%
202007editsb.pdf
http://intranet/guidelines/Lone%20and%20Isolated%20Worker%20Guidelines%202010.pdf
http://intranet/guidelines/Escort%20policy.pdf
http://intranet/guidelines/SA%20Policy%20Section%201%20Feb%202011.pdf
http://intranet/guidelines/SA%20Policy%20Section%202%20Feb%202011.pdf
http://intranet/guidelines/SA%20Policy%20Section%203%20Feb%202011.pdf
http://intranet/guidelines/Safeguarding%20Children%20Training%20policy%20DEC%2009%
20final.pdf
http://intranet/guidelines/Mandatory%20Training%20Policy%202010%20FINAL.pdf
Moving and
Handling
http://intranet/guidelines/Moving%20&%20Handling%20o
f%20Loads%20Policy%202011%20FINAL.pdf
Accidents
and Clinical
Incidents
Emergency
Procedures
National /
Local
Guidance
http://intranet/guidelines/SIRI%20policy%202010%20FINA
L.pdf
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Managing
Student
Issues
Security
Other
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http://intranet/uploads/DevelopmentandTraining/supporting%20learning%20in%20practic
e%20docs/Student%20Issues%20Flow%20Chart%20Feb%202010.pdf
http://intranet/guidelines/Security%20Policy%20Reviewed%20October%202010%20FINAL.
pdf