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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........ D:\769838314.doc Page 1 of 9 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 D:\769838314.doc Page 2 of 9 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”. D:\769838314.doc Page 3 of 9 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 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. D:\769838314.doc 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 Page 4 of 9 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 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 D:\769838314.doc Page 5 of 9 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 D:\769838314.doc Page 6 of 9 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. D:\769838314.doc Page 7 of 9 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 D:\769838314.doc Page 8 of 9 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 D:\769838314.doc Managing Student Issues Security Other Page 9 of 9 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