Download Undergraduate midwifery students

Undergraduate
Midwifery Clinical
Placement
Orientation Manual
January 2011
1
Table of contents
Content
Front Cover
Table of contents
Welcome
About Werribee Mercy Hospital
Mission statement
Core values
Ethical Guidelines in Clinical Practice
Facilities and Amenities
Café
Change Rooms
Car Parking
Public Transport
Pastoral Care
Chapel
Mobile Phones
Smoking
Identification bands
Clinical Uniform
Customer Service
Infection Control
Manuals
Notes
Orientation - objectives
Student’s Responsibilities
Clinical Teachers Responsibility
Rosters
Clinical Debriefing / Group Supervision Contract
Student Privacy and Confidentiality Agreement
Code of Contact
Hospital Units
C2 Surgical Unit
C3 Acute Medical Unit
D Medical Unit and Gabrielle Jennings Centre
Ambulatory Care Unit
D2 Child Birth Unit
Midwifery In The Home
Breast Feeding Support Services
Breastfeeding Objectives
Pregnancy Booking Clinic
Team Midwifery
Antenatal Classes
Special Care Nursery
Operating Suites
Diabetes Education
Hospital Admission Risk Program (HARP)
Page Number
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Handover
Patient allocation
Documentation Guidelines
Patient Histories
Routine Observations
Medication management
Commonly Used Medication
Drug Sheet
Time Line eg 1
Time Line eg 2
Time Line eg 3
Time Line eg 4
Emergency Response Codes
Midwifery Responsibility for Code 1 Em C/S
Basic Life Support Summary
Medical Emergency Team – MET
Checklist
Midwifery Etiquette
Contact numbers For Education Unit
Abbreviations
Evaluation
Documentation of your daily activities
Plan of the new Child Birth Unit
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WELCOME
Welcome to Werribee Mercy Hospital. This orientation booklet has been designed to
provide you with some general information to assist you with your clinical placement.
Our aim at Werribee Mercy Hospital is to provide you with the support that enables you
to develop and achieve your assessment criteria. This placement will further provide the
opportunities that will help facilitate the development of becoming a competent and
confident registered nurse.
ABOUT WERRIBEE MERCY HOSPITAL
Werribee Mercy Hospital is a general community hospital comprising 200 beds and treats
approximately 20, 000 inpatients annually. It is a public hospital campus that was opened
in 1994 and is part of the Mercy Health & Aged Care Group. The hospital offers general
surgical, general medical, maternity, neonatal, ambulatory care, palliative care services,
day chemotherapy, renal dialysis, mother/baby unit, allied health services, hospital in the
home and a 24 hour emergency department. There is also a large psychiatric service
comprising acute care, community care and rehabilitation. The hospital is currently
undergoing rapid expansion and redevelopment in order to meet the increasing demand
for health services within the region. The hospital is busy, modern and provides a wide
variety of current clinical experiences.
Mission Statement
In keeping with this statement of philosophy, Mercy health care institutions shall:
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Provide general and acute health care services to those who come to us in need;
Design programs for the provision of acute health care services so as not to ignore
the dispossessed of our times;
Provide quality services with dignity and with the belief that the spirit of those
rendering such services is paramount to the fulfilment of patient needs;
Establish a continuing commitment to health education at all levels to meet the needs
of our times.
Core Values
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Compassion
Hospitality
Respect
Innovation
Stewardship
Teamwork
Ethical Guidelines in Clinical Practice
Students must respect staff, patients, families and all who are welcome to Werribee
Mercy Hospital regardless of their religious beliefs, nationalities and cultures.
The dignity of each person must be upheld at all times.
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FACILITIES AND AMENITIES
Café
Zouki offers a wide variety of hot and cold food, toasted sandwiches, salads,
cappuccinos, soft drinks and cakes.
Food may be eaten in the Café’s comfortable surroundings or in the outdoor eating area.
Each ward also has a small kitchen area.
Hours
07:00 - 20:00
07:00 - 17:30
Monday to Friday
Saturday to Sunday
Change Rooms
Change rooms and showers are available for staff. The change rooms are located
opposite the kitchen.
Car Parking
Car parking is available for staff members at a cost of $3 per day. ID badges must be
presented at the car park booth.
Public Transport
The Hoppers Crossing Railway Station is located within 5 minutes walking distance of
the hospital.
Pastoral Care
The Department of Pastoral Care aims to create a caring atmosphere through which the
service of Christian ministry is made available to all people within the hospital and in
particular provides support to enable patients, families and staff to call on their spiritual
and/or personal resources, in meeting the events and challenges of life.
Chapel
Staff are welcome, to use the Chapel which is located at the end of the main corridor, for
prayer or as a place of peace and rest.
Mobile Phones
Students are not permitted to carry their mobile phone on them whilst providing patient
care. Mobile phones can be checked during breaks.
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Smoking
Werribee Mercy Hospital is a totally smoke free hospital.
Identification Badges
ID badges are a means of identifying the particular person. Students are required to
wear their ID badge at chest height at all times whilst on duty.
Clinical Uniform
It is compulsory for students to wear the correct university uniform at all times whilst on
clinical placements. Students must adhere to the uniform code outlined by the university.
I f a student does not present in uniform they may be sent home from the clinical.
Neat and professional attire must be maintained throughout the clinical placement
including;
 The uniform must be clean.
 Long hair must be worn tied back.
 Nails are to be short and clean, without nail polish.
 Artificial / porcelain nails are not acceptable.
 Earrings: plain studs or sleepers should be worn.
 A plain wedding band may be worn.
 Necklaces and bracelets are not acceptable.
 For safety reasons, rings or studs worn in facial piercing may not be appropriate.
Customer Service
The Werribee Mercy Hospital values the provision of a quality service. In our working
environment there is a clear relationship between the quality of care to customers and a
collaborative and supportive working team.
Customer satisfaction is integral to the process of ongoing evaluation. Patients are
encouraged to complete a hospital questionnaire, in which their suggestions and
comments are a welcome contribution to our continuous quality improvement program.
All patients receive a brochure outlining their rights and responsibilities.
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Infection Control
Infection control is an implicit component of the day to day activities of all health care
workers. All staff and students will ensure that they understand the hospital’s infection
control objectives and be able to articulate their role in reducing the risk of infection in the
hospital environment.
Standards Precautions apply to work practices which assume that all blood and body
fluids are potentially infectious, and should be used as a first line approach to infection
control. These precautions include good hygiene practices, particularly hand washing
before and after patient contact, the use protective barriers which may include gloves,
gowns, plastic aprons, masks, eye shields or goggles, appropriate handling and disposal
of sharps and other contaminated or infectious waste, and use of aseptic techniques.
Standard precautions are recommended for the treatment and care of all patients,
regardless of their perceived infectious status, and in the handling of blood, all other body
fluids, secretions, excretions, non intact skin; and mucous membranes.
Health Care Workers (HCWs) maybe exposed to, and transmit, vaccine preventable
diseases Maintenance of immunity to such diseases helps prevent transmission of
infection to and from HCWs and patients. The likelihood of contact with patients and/or
blood or body substances determines vaccination recommendations.
The following vaccines are recommended for all nursing staff prior to the commencement
of placement programs or employment.
Hepatitis B
Course of three doses must be
completed.
Antibody levels checked after third dose.
Influenza
Annual vaccination is recommended for
all staff
Measles/Mumps/Rubella (MMR)
Booster dose recommended for all
persons age 18 – 30 years.
Tetanus/Diphtheria/Whooping cough
A single booster dose is recommended
for all health care workers.
Varicella (Chickenpox)
If no history of infection then blood test
check is recommended. If no immunity
demonstrated then vaccination is
required.
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Manuals
Policy manuals are readily available in all units of the hospital, and are provided to guide
staff in obtaining uniform standards of practice.
It is important that students and staff become familiar with the content of these manuals.
The policies are divided into three books: General Hospital Policies (white cover),
Infection Control (yellow) and Emergency (orange)
Mercy Intranet is also available to access the most up to date policies and procedures.
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NOTES
Clinical Teacher: Tanya Wilson, Robyn Dell, Kerry Galea
Mobile Number: 9216
8974
Phone Number: 9216 8730
Ward: Child Birth Unit
Ward Phone Number:
9216 8696
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ORIENTATION
Objectives of Orientation
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To meet the clinical teacher and review expectations of the clinical placement and
assessment criteria.
Familiarize with the hospital and general practice and procedures.
Understand the legal and ethical responsibilities of the undergraduate nursing student
in relation to clients, their relatives and the Werribee Mercy Hospital.
Identify the expected outcomes / objectives for the clinical placement that is relevant
to the clinical experience to be undertaken.
STUDENTS RESPONSIBILITIES
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Students must present a current police check on the first day of clinical placement.
Students should ensure their vaccinations are up-to-date.
Students are expected to work a 7 day rotational roster including night duty; this is an
agreement between the hospital and the Universities.
Students who are going to be absent are required to notify the unit they are working
on and also the clinical teacher.
Any absences must be supported with a medical certificate.
The Nurses Board of Victoria (NBV) perceive clinical placement as essential to
prepare nurses to be safe and competent. Therefore it is a requirement of the NBV
that nursing students attend clinical placement and complete the required hours.
Try to be punctual. If you are going to be late please contact the unit you are working
on.
Identification badges and uniforms must be worn at all times during clinical
placement.
Students are expected to complete all of the assessments identified by the university.
Students must identify themselves to staff, patients and visitors.
Students are reminded that maintaining confidentiality is paramount.
Students are expected to respect and uphold the Werribee Mercy Hospital’s values
whilst on clinical placement.
Students are required to familiarize themselves with the Werribee Mercy Hospital
policy and procedures.
Students are expected to report any concerns or changes in patient state immediately
to nursing staff.
Students should be motivated, dedicated, show initiative and actively participate in
patient care appropriate to their level of learning experience.
Students are expected to care for a minimum of two acutely ill patients depending on
their level and experience. Students will discuss the patients Medical/ Nursing
management in detail and deliver this management appropriately to their level of
learning experience.
Personal belongings should be kept to a minimum. Werribee Mercy Hospital will not
take any responsibility for missing belongings.
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CLINICAL TEACHER RESPONSIBILITIES
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The clinical teacher / preceptor / buddy must be available for students to contact him /
her. The clinical teacher will have a phone.
The clinical teacher will confirm shift times and ward allocation at orientation, and
assist students in the completion of the various universities requirements.
The clinical teacher will provide support and supervision to each student to enhance
learning and to assess his / her competence. The clinical teacher / preceptor will
complete the clinical appraisal by reflecting on the evidence of the students’
performance.
The clinical teacher / preceptor have a responsibility in providing ongoing feedback to
each student regarding his / her progress and discuss recommendations for
improvement.
Any concerns regarding a students’ progress will be discussed with the universities
undergraduate coordinator and subject coordinator within a timely manner and not
left until the interim or final appraisal. Unsatisfactory progress of a student will require
the clinical teacher to place the student on a learning program. This usually requires
written objectives for the student to achieve with a maximum of three days from
implementation. Failure to achieve the stated objectives, the student will be placed on
a clinical challenge contract to be negotiated between the subject coordinator, clinical
teacher and student.
The clinical coordinator will review each student’s completion of their personal
learning objectives weekly, and discuss these with the student.
The clinical teacher will set aside a specific time each day to meet with the students
for debriefing and discussion.
ROSTERS
Rosters will be developed on the first day of placement during orientation.
A clinical area will be allocated to each student according to availability and previous
clinical experience. Each student will have the opportunity to make some shift requests,
however there is no guarantee that the hospital will be able to accommodate these.
Child Birth Unit Shift Times
Early (D) - 0700 - 1530
Late (E) 1300 - 2130
Night (N) - 2100 - 0730
Pregnancy Booking Clinic
08:30 to 17:00
Midwifery In The Home
08:30 – 17:00
Pregnancy Assessment Clinic
08:00 to 16:30
Breast Feeding Day Stay
08:30 TO 17:00
Antenatal Clinic
TEAM MIDWIFERY CLINIC
Dr Jacqueline Van Dam
WMH Consulting Suit
08:30 to 17:00
DR. JOE GARRA
15 Princess Hwy Werribee
09:00 to 18:00
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CLINICAL DEBRIEFING / GROUP SUPERVISION
CONTRACT
1.
The supervisor and supervisee are both responsible for their own clinical
practice.
2.
Debriefing/supervision should take place in a confidential environment.
3.
Confidentiality is maintained between the supervisor and supervisees unless
there is a breach in codes of practice or MHAC policy. Prior to any breach of
this confidentiality the issue will firstly be discussed with the supervisee.
4.
The supervisor will have the option of keeping a record of clinical
supervision/debriefing sessions and agrees to keep this information stored in
a confidential place. This information will not be used for any other purpose
apart from supervision/ debriefing.
5.
The model of supervision/debriefing being used is one of support and
development. Ideally the topics for discussion will have been planned in
advance by both the supervisor and supervisees.
6.
The time is to be used to discuss clinical issues not personal or outside
issues.
7.
The supervisor will ensure that the session will remain professional. It is not
a venue for gossip and/or destructive criticism about other staff members or
units.
8.
If a session is fostering a culture of negativity or promoting discontent and
blame among the wider group it is the responsibility of the supervisor to bring
the group back on track with problem solving strategies or positive solutions.
9.
This contract whilst needing to be adhered to is always negotiable.
Date:
Name of Supervisor:
Signature of Supervisor:
Name of Supervisee:
Signature of Supervisee:
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STUDENT PRIVACY AND CONFIDENTIALITY AGREEMENT
As a student on clinical placement at Werribee Mercy Hospital I agree that I will abide
by the privacy policy, privacy legislation and privacy procedures which apply to the
Werribee Mercy Hospital. In particular, I agree that:
a) I will read both the Mercy Health & Aged Care and the Entity’s Privacy Policy
and Procedures (however named) within seven (7) days of commencing
employment.
b) I shall not, during my period of placement with Werribee Mercy Hospital,
disclose or use any patient files, medical reports or confidential knowledge
obtained through my placement with Werribee Mercy Hospital other than to
perform my duties as authorised and detailed in my University guidelines for
clinical placement or specifically requested by my supervisor to perform.
c) Any breach of Werribee Mercy Hospital’s privacy policy or privacy legislation,
caused by me, whether intentional or not, may result in disciplinary action,
including immediate termination.
d) I may be held personally liable for any compensation payable resulting from a
breach of privacy which has been caused by me, whether intentional or not.
e) The obligations contained in clauses (a) to (c) inclusive will continue even after
the completion of my clinical placement with Werribee Mercy Hospital.
f) Upon termination of my clinical placement with Werribee Mercy Hospital I will
immediately deliver to Werribee Mercy Hospital all patient files, medical
reports or other documents which are in my possession or under my control
which in any way relate to the business of Werribee Mercy Hospital or its
patients past or present.
Name: ……………………………………... Signed: ……………………… Date: …/…/…
Witness Name: …………………………… Signed: ……………………… Date: …/…/
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Code of Conduct
Policy Statement:
This Code of Conduct outlines what is expected by all people employed directly or
indirectly by entities comprising the Mercy Health group. It is designed to help you
understand your responsibilities and obligations, and provide guidance if you are faced
with an ethical dilemma or conflict of interest in your work.
Policy
It is expected that all employees will demonstrate the following behaviours at work:
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To respect and work with the Mission and Vision of Mercy Health
To aspire to demonstrate the Values of Mercy Health and the associated behaviours,
namely:
Compassion
Behaviour:
Demonstrate kindness and generosity of spirit
Provides support in times of need
Displays a passion to serve others
Hospitality
All people are greeted and made comfortable
Seek to provide assistance where needed
Provide a consistent level of customer service, internally and externally
Respect
Behaviour:
Recognises that each person is individual and unique
Strives to be open and honest in all things, at all times
Delivers good and bad news in ways that ensure people retain their sense of
dignity and self respect
Innovation
Behaviour:
Embraces change as an opportunity for renewal and improvement
Seeks opportunities to try new ideas and, as Mercy people, be acknowledged for
their contribution
Focuses on present and future actions
Stewardship
Behaviour
Holds in trust and builds on the tradition and spirit of Mercy
Develops Mercy people to be accountable for the highest standard of
performance
Seeks opportunities to lead and made decisions, within agreed financial
frameworks
Teamwork
Behaviour:
Working together to serve others and provide the best possible care
Communicates openly and honestly, to work as team members for the collective
good
Respects the need and feelings of others and actively seeks their perspective
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It is expected that all employees of Mercy Health will demonstrate the following
behaviours at work:
Policy Compliance
Comply with all Mercy Health policies, procedures and relevant statutory
regulations.
Uniform
Adhere to the specified uniform policy, or if not applicable, to present for work
neatly and professionally attired in a manner appropriate to the setting and
context of the workplace.
Position Description
Comply with the organisational Position Description (PD) for their role and
actively take part in regular appraisal process.
Smoking
Adhere to non-smoking policies with Mercy Health facilities
Alcohol and Drugs
Present for work at all times free from the effects of alcohol and or other drugs
that affect the ability to work safely (see Risk Management Alcohol and Drug
Policy).
Environmental Setting
Respect the workplace and its environmental setting
Outside Employment
Not engage in outside employment or conduct a business, trade or profession
without written authority from their General Manager, Chief Executive Officer or
Chairperson as appropriate. Consideration of requests to engage in outside
employment would need to be established to determine whether the outside
employment would give rise to an actual or perceived conflict of interest.
External Committees / Boards
Not participate as a member of any external Committee or Board that may cause
a conflict of interest with their role at Mercy Health. A written request specifying
the time and obligations of the desired membership should be provided to their
General Manager, Chief Executive Officer or Chairperson as appropriate.
Acceptance of Gifts and Benefits
Not accept gifts or benefits for services performed in connection with their
perceived duties and responsibilities, which might directly, indirectly or be
perceived to comprise them in their official capacity.
Conflict of Interest
Not engage in activities or behaviour that causes actual or potential conflict with
personal interests and employment responsibilities. Where a personal interest
exists employees must openly disclose that interest to their General Manager,
Chief Executive Officer or Chairman of the Board as appropriate.
Intellectual Property
It is a condition of employment that all employees assign to Mercy Health all
intellectual property rights in the works created by them during employment with
Mercy Health. The right to retain intellectual property rights of work may only be
approved by their General Manager, Chief Executive Officer or Chairperson as
appropriate or if it can be demonstrated that Mercy Health’s time, name,
information or resources were not utilised in producing the work.
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Moral Rights
It is a condition of employment that all employees confirm they will not exert their
moral rights during their employment with Mercy Health. For example, if an
employee creates artistic works, written material, computer programs etc for a
facility and the facility wants to move or change the original works, it needs to be
agreed that the Mercy Health facility will have rights to move or change those
works.
Excessive Hours
To ensure sufficient sleep and rest is obtained in order to perform work duties in a
safe and responsible manner.
Unacceptable behaviour / serious misconduct includes, but is not restricted to:
- Breach of patient/resident or staff privacy
- Breach of patient/resident or staff privacy
- Breaching Mercy Health policies/procedures
- Failure to report a work related accident/serious near miss
- Continual lateness for duty/unauthorized absence
- Careless action/neglect of professional conduct or duty
- Failure to report a criminal conviction or impending action, which in the opinion of
Mercy --- Health, directly relates to a risk in performing your duties
- Failure to disclose a prior or current conviction when requested to do so
- Sleeping during working hours where there is a requirement to be working
- Falsification of qualifications leading to employment
- Public misrepresentation – causing damage to the reputation or image of Mercy
Health or its employees
- Actions which deliberately or recklessly injure other employees, patients, clients
or visitors or that place their health, safety or welfare at serious risk
- Improper use of workplace equipment, supplies and other physical resources
Breaches of this policy will be regarded as a discipline issue. Cases of unacceptable
and/or serious misconduct may result in summary dismissal of employment.
Employee Declaration
I agree that I have read and understand the Mercy Health Code of Conduct Policy.
Signature: ____________________________
Date: ___________________
Witness: _____________________________
Date: ___________________
Definitions
Term
Mercy Health Group
Definition
All facilities and entities across Mercy Health
References
All Mercy Health Policies
AS8002: Organisational Code of Conduct 1983
Facility Staff Handbooks
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HOSPITAL UNITS
C2 – Surgical Unit
C2 is a 16 bed unit that primarily cares for patients who have undergone elective
and emergency surgical procedures. These types of surgical procedures include
general surgery (e.g. laparoscopic cholecystectomies, appendicectomies),
gynaecology, paediatrics and adult ENT, some orthopaedic and plastic surgery
procedures, and urology.
C3 – Acute Medical Unit
C3 is a 24 bed unit. This unit is dedicated predominately to care for patients with
medical conditions. These include COAD, cellulitis, renal failure, CVA, AMI,
diabetes and APO. The unit also includes a four-bed Monitored Beds Area which
facilitates some higher level monitoring for postoperative and medical patients.
This clinical area will enable learners to develop, consolidate and extend their
skills within the area of medical nursing.
C3 is set up with a security unit for wandering confused patients, which is
affectionately known as the ‘granny tracker system’. The unit works by activating
an alarm on the four exits to C3. The patient at risk must wear the activation
device as an anklet. If the patient wearing the devices passes through an exit
once they have been activated, an alarm sounds at the desk area and a display
panel indicates which exit has been passed. The alarm can be turned off once the
patient has been found by turning the key twice to the left until it is in line with the
black marker.
D3 – Medical Unit & Gabrielle Jennings Centre – Palliative Care Unit
D3 and the Gabrielle Jennings Centre is an integrated unit with 10 palliative care
beds and 18 medical beds. Palliative care patients are admitted for pain
management, terminal care and respite. The care provided to a palliative patient
is a team effort. Registered Nurses / Midwives work closely alongside Medical
staff, Social Workers, Physiotherapists, Occupational Therapists, Speech
Pathologist, Pastoral Carers, Pharmacists and volunteers to provide optimal
holistic care to the patients.
Ambulatory Care Unit – Day Procedure, Renal Dialysis, Hospital in the
Home (HITH), Midwifery in the Home (MITH)
The Ambulatory Care Department cares for patients who are having a procedure
where they will be admitted and discharged on the same day or require a nursing
service at home. It consists of the following units:
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Day Procedure: cares for patients having medical and surgical procedures or
chemotherapy
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Renal dialysis: Provides haemodialysis for patients with end stage renal
failure.
Hospital in the Home: provides nursing care for acute patients in the home
Midwifery in the Home: provides postnatal care in the home for women after
childbirth.
Also managed by this department is the:
 Preadmission service: All patients having surgery have their health details
checked by a nurse prior to the procedure
 Home Oxygen: Coordination of oxygen for patients who require it at home.
D2 – Childbirth Centre
The Childbirth Unit is currently a busy integrated unit that provides antenatal,
labour, birth and postnatal care. In the new development in 2011, there will be an
extra 8 beds, and the ward will be divided into a Antenatal/Postnatal and a Labour
ward. All staff will be given the opportunity to rotate through all the midwifery
services. Other services include Pregnancy Booking Clinic, Pregnancy Day Stay,
Childbirth Education, Breastfeeding Day Stay and Midwifery in the Home and
Team Midwifery Program. Obstetric care is provided by consultant obstetricians
and one GP Obstetrician. The current birth rate is approximately 2,000 births per
year.
Midwifery in the Home
Is located in the ambulatory care area of the hospital with specific Midwives
working in the area who liaise with the childbirth unit. Patients receive 1 – 2
visits after discharge from hospital depending on individual needs.
Breastfeeding Support Services
This Unit operates two day a week, and is staffed by Lactation Consultants and
Midwives from the CBC who have an interest in this area. Women who are
experiencing breast feeding difficulties or settling issues are seen in this unit.
Two staff are rostered on to assess and educate 5 women per day. Referrals to
this service are made by healthcare providers or the breastfeeding mother
herself. In addition to this service, Midwives with qualifications in Lactation
Consulting are available to handle ward referrals on the ward while the patient is
still admitted in CBC.
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Breastfeeding objectives
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Receive, and be familiar with, the Lactation Service orientation package
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Read the Breastfeeding Protocol
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Complete 8 hours of breastfeeding education over a 12 month period
It is expected that all midwives will be able to:
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Have a good understanding of the Baby Friendly Hospital Initiative
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Understand the process of milk production and normal range of newborn
feeding behaviour
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Understand the importance of the first breastfeed
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Promote the practices that support breastfeeding eg.
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Skin-to-skin contact
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Demand feeding
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Rooming-in
Teach breastfeeding using Hands Off Technique and by using a variety of
teaching tools
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Recognise good positioning and attachment at the breast
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Be able to provide management and support for a baby not attaching to the
breast
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Be competent with teaching a mother how to hand express her breastmilk
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Be able to provide information on all aspects of expressing breastmilk,
including methods used, how to maintain lactation and how to store
breastmilk.
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Be familiar with the care and use of breast pumps
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Be able to provide appropriate information and support to a mother using a
nipple shield
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Manage common breastfeeding problems such as:
 Sore nipples
 Blocked ducts, mastitis
 Engorgement
 Low supply
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Provide information to the mother on post discharge breastfeeding support
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Be aware of the hazards of infant formula
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Pregnancy booking clinic
A booking clinic operates for women wishing to have their baby at Werribee
Mercy Hospital. A detailed history is taken, appropriate information given,
antenatal classes organised and a tour of the unit provided. Midwives operate
this clinic on Mondays, Tuesdays, and Saturdays.
Team midwifery
A team of 6 midwives from the CBC practice in conjunction with a General
Practitioner in the community. They provide antenatal care in his rooms and then
care for the “team” patients when they are admitted to hospital. This service
provides continuity of care for approximately 200 birthing women annually. There
is a team of Midwives who conduct antenatal care of fifty women per month which
commenced in May 2009 with a referral pathway to the Obstetric Director if
required – Jacqueline Van Dam
Antenatal Classes
Classes are held weekdays between 1900 – 2100 hours and on nominated
Saturdays. They are conducted by a Midwife (childbirth educator) and consist of
a series of six classes per series or two five hour sessions on the Saturday.
Special Care Nursery
The Special Care Nursery provides Level 2 care, and accepts babies from 32
weeks gestation. The unit can provide care for up to 12 neonates.
Operating Suites
The Operating Suite at Werribee Mercy Hospital consists of;
 General Theatres
 1 Endoscopy Room
 A seven (7) bay recovery
 CSSD
General and gynaecological surgery is the predominant types of surgery
performed in this very busy and efficient unit. Other specialties include;
 ENT
 Urology
 Plastics
 Orthopaedics
 Paediatric general
 Oral Maxillary
 Basic vascular
The Endoscopy Unit (located in the Day Procedure Unit) caters for a variety of
procedures:
 Gastroscopies
20
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


Colonoscopies
Flexible cystoscopies
Flexible bronchoscopies
ECT
Rotations for the graduates can include anaesthetics, PACU and scrub / scout.
Diabetes Education
There is a Diabetes Educator available 4 days a week (Monday, Tuesday,
Wednesday and Friday). The Diabetic Educator reviews both inpatients and
outpatients. Clinics are held for woman with gestational ( pregnancy induced)
diabetes and education given in conjunction with a Dietician and Lactation
consultant.
Hospital Admission Risk Program (HARP)
1. HARP aims to prevent avoidable hospital presentations and admissions.
2. HARP targets people with chronic disease, aged and / or complex needs
that frequently use hospitals or are at imminent risk of hospitalisation and
could benefit from coordinated care.
3. Health services may have people who present frequently for many different
reasons. HARP specialises in managing people with diabetes, chronic
respiratory disease, chronic heart failure, complex psychosocial and
complex aged needs.
4. HARP provides specialist medical care and multidisciplinary services
through an integrated response of hospital and community services,
delivered in hospital, community and home-based settings.
5. HARP works in collaboration with other acute, community, aged care and
specialist services, but does not duplicate them.
6. For clients who are acutely, psychiatrically unwell and meet the mental
health eligibility criteria, referral to an area mental health service is the
most appropriate response.
What does HARP provide?
Our HARP Care Coordination Team is multidisciplinary and includes Allied Health
and Registered Nursing staff. We also utilise the services of medical specialists
where appropriate. The services we provide are:
Short Term Care Coordination:
 Outreach service: hospital, home and community visits.
 Comprehensive assessment.
 Development of a self-management care plan.
 Education about chronic conditions and how best to manage them.
 Linking in with the local health network (GP, specialists, home services,
support groups, allied health and counselling).
 Advocating for the client’s individual needs and goals.
21
Rehabilitation (Pulmonary and Heart Failure):
 Twice weekly individualised exercise sessions for 8 weeks (Pulmonary)
and 10 weeks (Heart Failure).
 Education discussions with multidisciplinary team targeting disease
education and self-management.
Who is eligible for HARP?
Patient/Client exhibits complex care, aged or psychosocial needs, and/or
unstable or complicated chronic respiratory disease, chronic heart failure,
diabetes or other chronic disease
AND
Has had at least one (1) unnecessary or avoidable hospital presentation or
admission in the past twelve (12) months
AND
Meets the screening criteria for each HARP care stream as follows:
Chronic Obstructive Pulmonary Disease:
 Diagnosis of moderate to severe COPD as per Lung Function Test.
 No age limit.
Pulmonary Rehabilitation:
 Diagnosis of COPD as per Lung Function Test or other chronic lung
conditions (Pulmonary Fibrosis or Bronchiectasis).
 Excludes unstable cardiac conditions, unstable pulmonary hypertension
and clients with severe physical, neurological or psychological conditions
which prevent participation in exercise.
Chronic Heart Failure:
 Diagnosis of Chronic Heart Failure (CHF) as per Echocardiography.
 No age limit.
Heart Failure Rehabilitation:
 Diagnosis of Chronic Heart Failure (CHF) as per Echocardiography.
 Excludes medically unstable clients and clients with severe physical,
neurological or psychological conditions which prevent participation in
exercise.
Diabetes:
 Diagnosis of Type 1 (T1DM) or Type 2 (T2DM) Diabetes as per Fasting
Blood Glucose (FBG) pathology.
 High risk diabetic patient/client (i.e. psychosocial issues, poorly controlled
diabetes).
 Excludes gestational diabetic and juvenile clients.
Older People with Complex Needs:
22



55+ years of age.
Two or more chronic diseases.
Complex psychosocial issues contributing to hospitalisations (e.g. selfcare, limited support network, demanding care responsibilities).
Hand over
Handover is a process of communicating the current information and condition of the
patient’s on the ward. Handover is commenced at the start of the shift and last
approximately 30 minutes.
Guidelines for Handover



Be concise.
Handover any abnormal results.
Handover the women under your care
MOTHER
-Name
- Room number
- Gravida and Parity
- Relevant past history
- Observations eg) Vital signs if outside normal limits
- Mental Status if relevant
- Fluid Balance (input & output) if relevant
- Access devices eg) IV cannula, PICC
- Pain / Nausea
- Discharge planning
- Social work/ pastoral care or interpreter issues.
- Medications if applicable eg) IV antibiotics
- Blood sugar levels (if applicable)
- Procedures to be completed eg) bloods,CTG etc.
- Pre-op / post-op are (if applicable)
- GBS status
- Contraction pattern
-
BABY
Weight
Feeding Method
Output
Any test that are required
Any abnormal results
Procedures to be completed
Referrals
Blood results
Relevant patient details required for individual patient care are to be given by the midwife
in charge of the shift.
The hand over of your clients are given to your preceptor and or to the Midwife in charge
prior to the commencement of the next shift.
The primary Midwife will then give a handover to the staff member who is continuing to
care for her clients for the following shift.
23
Patient allocation
Patient allocation is used at the CBC with the Student Midwife working along side a
Registered Midwife. However the value of teamwork is embraced with Midwives
supporting and helping each other with their respective workloads.
DOCUMENTATION GUIDELINES
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
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
Always date and time all entries.
Writing should be legible.
Always print your name clearly after your signature.
Always print clearly the designation of the author.
Be objective and clearly reflect the event of the shift.
Additional entries can be added if an event occurs.
Entires should not be written prospectively ( or out of date / time order)
Liquid paper should never be used.
Errors should be initialled and a line put through them.
Do not leave any spaces between previous entries and the one you are writing.
Always ensure bradma labels are applied to the page you are writing on or that the
patient’s details are written including name, DOB, UR number.
Students must always get a registered nurse/midwife to co-sign their entries.
Ensure if referring to anyone in the notes, e.g. Doctor that you use their surname and
don’t just document RMO.
Changes in patient care should be clearly documented with investigations and plan of
treatment outlined.
Patient histories
Patient histories and current files are all kept together at the nurses station. Files are not
to be removed from the hospital. All patient information is confidential. Clinical pathways
and bedside charts are used. Accurate and comprehensive documentation is the
responsibility of each individual midwife.
Routine observations
 Post-vaginal Birth
Observations are taken and recorded ½ hourly x 3 or longer if not stable, followed by 4
hourly until 24 hours post delivery. Observations can then be attended BD.
This includes – Temp (4/24). Pulse, BP,R.
Fundal height and state of uterus
Perineum and vaginal loss
State of bladder
If BP is elevated antenatally or during labour – check 4/24 until stable.
24
 BABY – post birth
Hourly temp. until stable. A full check of the baby is preformed at birth and prior to
discharge.
Babies of GBS+ mothers A.C. temp for 48 hrs.
Babies are checked each shift, temperature, identification labels and general condition.
 LUSCS
½ hourly pulse, BP, resps, dressing and pad check for 4 hours..
Include checking of IDC, drain tubes and IV
Then 1/24 for four hours and the 4/24 for 24hrs
If intrathecal morphine has been given 1/24 observations should continue for 24 hrs postop
Please refer to observations policy
MEDICATION MANAGEMENT
Students must be supervised at all times when preparing and administrating medications.
This hospital has a double checking protocol which includes all intravenous,
intramuscular, subcutaneous medications. Please familiarize yourself with the section on
medications in the nursing procedures manual and the hospital protocol on double
checking of medications (H005).
Safe Medication Administration Principles

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



Right Record
Right Drug
Right Dose
Right Patient
Right Route
Right Time
AND





Check the expiry date of the medication
Check the patient does not have any allergies
Question the order if it is unclear or illegible.
Check the labelling of the drug or ampoule.
A patient has the right to refuse their medications if this occurs, report to doctor
and nurse in charge.
Converting Metric Units
1kg = 1000g
1g = 1000mg
1mg = 1000mcg
1L = 1000ml
Administration of drugs
There is one formula to calculate the amount of medication required for an injection or
oral tablet.
25
Drug to be given
(Mass/ volume)
Strength required
=
x
Volume
Stock strength
1
Drugs to be given: is the mass or volume of stock to be given to the patient.
Strength Required is the amount of drug required for the patient.
Stock Strength is the amount of drug in the stock per an amount of drug (volume of the
ampoule).
Volume: is the volume of the stock solution if applicable.
Intravenous Infusion Rates
Formulae:
Volume
=
Rate x Time
Time
=
Volume
--------Rate
Rate
=
Volume
--------Time
Volume is measured in units of volume (mL, L, etc).
Time is measured in units of time (mins, hours, etc).
Rate is measured in units of volume per time (mL/hour, L/day, etc).
Intravenous Drug Doses
Standard giving set: 20drops per minute = 1ml
Microdrip set: 60 microdrops = 1ml
drip rate
=
rate (mL/hr)
_________
1
x
drop factor (drops/mL)
__________________
60 minutes
To calculate mcg/kg/min
This formula is often used to calculate inotrope and vasoactive drug dosages.
mcg/kg/min = Amount required X 1000 (convert to mcg) X mls/hr (rate set)
Volume
60 (convert to min)
weight
mls/hr =
Volume
X 60 (convert to min)
Amount Required 1000 (convert to mcg) X mcg/min (dose required) X weight
A student must never administer any type of medication unsupervised
26
COMMONLY USED MEDICATIONS
SURGICAL
MEDICAL
PALLATIVE
ANAESTHETICS MIDWIFERY
Pethidine
Clexane
Fentanyl
Propofol
Syntocinon
Morphine
Heparin
Ketamine
(Ketalar)
Haloperidol
Sodium
Thiopentone
Atracurium
Syntometrin
Gabapentin
Atropine sulfate
Misoprostol
Phenobarbitone
Vecuronium
(Norcuron)
Cervidil
Clonazepam
Suxamethonium
Prostin
Rocuronium
bromide
Adrenaline
Naloxone
Metoclopramide Warfarin
(Maxalon)
Prochlorperazine Salbutamol
(Stemetil)
sulfate
(Ventolin)
Panadeine Forte Ipratropium
bromide
(Atrovent)
Paracetamol
(Panadol)
Dexamethasone
Sodium
Valproate
(Epilim)
Ranitidine
Ergometrin
Midazolam
Roxithromycin
(Rulide)
Metronidazole
(Flagyl)
Atrorvastatin
Calcium
(Lipitor)
Lanoxin
(Digoxin)
Frusemide
(Lasix)
Promethiazine
hydrochloride
Phenergan)
Ibersartin
(Karvea)
Potassium
Chloride (Slow
K)
Enalapril
Maleate
(Renitec)
Actrapid
Adalat (Nafedipine)
Protophane
Caffeine
Metformin
hydrochloride
Novorapid
Marcain
Cephazolin
Ceftriaxone
Ampicillin
Getamicin
Amoxycillin
Tramadol
(Tramal)
Dolasetron
(Anzemet)
Diflofenac
sodium
(Voltaren)
Ondansetron
Oxycodone
Lignocaine
Pethidine
Voltaren
N2O+O2
Vitamin K
Hepatitis B
Sucrose
Pentavite
Naropin
27
SURGICAL
MEDICAL
(oynorm/
oxycontin
(Insulin)
Lactulose
Oxycodone
Hydrochloride
(Endone)
Novomix
(Insulin)
PALLATIVE
ANAESTHETICS MIDWIFERY
Dostinex
Capadex
Azithromycin
28
Drug Name?
Where can it be
located in the
CBU?
What is it s action?
What is the
recommended
dose?
What is the
recommended
route?
What are the
contraindications
Are there any side effects?
Syntocinon
Syntometrine
Ergometrine
Dostinex
Misoprostal
Cervidil
Prostin
29
Drug Name?
Where can it be
located in the
CBU?
What is it s action?
What is the
recommended
dose?
What is the
recommended
route?
What are the
contraindications
Are there any side effects?
Naloxone
Lignocaine
Adalat
Pethidine
Voltaren
N2O+O2
Pethidine
Maxalon
30
Drug Name?
Where can it be
located in the
CBU?
What is it s action?
What is the
recommended
dose?
What is the
recommended
route?
What are the
contraindications
Are there any side effects?
Paracetamol
Panadeine
Forte
Metronidazole
(Flagyl)
Cephazolin
Ceftiaxone
Getamicin
Tramodol
Voltaren
31
Drug Name?
Where can it be
located in the
CBU?
What is it s action?
What is the
recommended
dose?
What is the
recommended
route?
What are the
contraindications
Are there any side effects?
Oxycodone
Oxycontin
Vitamin K
Hepatitis B
Sucrose
Pentavite
Caffeine
Marcain
32
Drug Name?
Where can it be
located in the
CBU?
What is it s action?
What is the
recommended
dose?
What is the
recommended
route?
What are the
contraindications
Are there any side effects?
Narropin
Adrenaline
Fentanyl
Clexane
33
Patient
08:00
09:00
10:00
11:00
12:00
13:00
14:00
15:00
Mother
Baby
Mother
BP  Pulse Resp  Temp  Peri  Uterus  PV loss  Wound  Blue folder  Breast  Pain relief  Drug Chart 
Risk Assessment form 
Signed care plan 
baby
Pulse Resp  Temp  Bath  weight  NST  New born examination  Feeds  Wet  Dirty 
Signed care plan 
Patient
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
Mother
Baby
Mother
BP  Pulse Resp  Temp  Peri  Uterus  PV loss  Wound  Blue folder  Breast  Pain relief 
Drug chart  Risk Assessment form 
Signed care plan 
Baby
Pulse Resp  Temp  Bath  weight  NST  New born examination  Feeds  Wet  Dirty 
Signed care plan 
34
Patient
mother
baby
Mother
BP  Pulse Resp  Temp  Peri  Uterus  PV loss  Wound  Blue folder  Breast  Pain relief  Drug Chart 
Risk Assessment form 
Signed care plan 
baby
Pulse Resp  Temp  Bath  weight  NST  New born examination  Feeds  Wet  Dirty 
Signed care plan 
Patient
mother
Baby
Mother
BP  Pulse Resp  Temp  Peri  Uterus  PV loss  Wound  Blue folder  Breast  Pain relief 
Drug chart  Risk Assessment form 
Signed care plan 
Baby
Pulse Resp  Temp  Bath  weight  NST  New born examination  Feeds  Wet  Dirty 
Signed care plan 
35
ROOM
0700
0800
0900
1000
1100
1200
1300
1400
1500
HANDOVER
36
TIME
PATIENT / BABY 1
PATIENT / BABY 2
PATIENT / BABY3
PATIENT / BABY 4
PATIENT / BABY 5
1400
1500
1600
1700
1800
1900
2000
2100
2200
37
Patient
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00
15:00
Handover
Patient 1
Baby 1
Patient 2
Baby 2
Patient 3
Baby 3
Patient 4
Baby 4
38
EMERGENCY RESPONSE CODES
EMERGENCY: DIAL 3333
RED
- FIRE
ORANGE
- EVACUATION
BLUE
- MEDICAL EMERGENCY
PURPLE
- THREATS – BOMB, ARSON, EXTORTION
YELLOW
- INTERNAL DISASTER
BROWN
- EXTERNAL EMERGENCY
BLACK
- HOLD UP, ASSAULT
GREY
- PSYCHIATRIC EMERGENCY
The students role in an emergency will be discussed on their orientation day.
39
Midwives Responsibilities for Code 1 EM C/s

Primary midwife consults with treating obstetrician and midwife in
charge.

Midwife in charge to dial 3333 and state
“Category 1, Code Caesarian, Childbirth Centre”

Pager message will be sent

Overhead chimes will sound

Announcement stating -“Category 1, Code Casesarian, Childbirth
Centre”
this announcement will alert any obstetricans, anaesthetic or paediatric
staff currently in the hospital to contact CBC.
CATEGORY 1 = IMMEDIATE , EMERGENCY.
Midwives
 Do not transport your patient until theatre is ready to receive her
directly into theatre.
 On arrival into theatre, you may be directed to go immediately into
theatre. No need to change clothes.
 Put on a white gown and/or hat if time.
 Catheterize patient in labour room if possible. DO NOT
CATHETERIZE IF THE PATIENT HAS A CORD PROLAPSE.
 Remain with the labouring woman at all times.
 It is preferable that the same midwife can be present in theatre with the
woman to reduce her anxiety, rather than introducing a new staff
member at this stage. This also enables verbal communication
40
Midwives Responsiblities for Code 1 EM C/s
 of patient history to the anaesthetist when he/she has not had
opportunity to examine the patient prior to entry to theatre.
 If documentation is not complete, the midwife is to ensure
communication to theatre staff and anaesthetist re- patient drug
sensitivities, narcotics given in labour or any other vital health
information.
 Ensures that patient labels are attached.
 If possible it is desirable that a second midwife be available to help in
theatre. E.g. to tie doctors’ gowns, attach BP cuff, so that the primary
midwife can focus on the needs of the woman. There are few on call
theatre staff and it would help the scout if CBC staff can assist.
 In the event that the midwife must transfer a sick baby to SCN and
does not have time to dispose of sharps on neonatal resuscitation cot,
she /he should place them in a safe receptacle and/or verbally instruct
theatre staff re sharps.
Theatre Staff.
 When the patient arrives, staff direct CBC midwife to appropriate
theatre.
 On call theatre staff to notify CBC when patient can be transferred from
CBC directly into theatre without delays in the corridors.
41
BASIC LIFE SUPPORT SUMMARY 2010
[Reference – Australian Resuscitation Council (ARC)]
D
R
A
B
C
D
Check for danger to self/patient/bystanders.
Response. If unresponsive, call for local help and call 3333 and state Code Blue and the
location.
Airway:
- visually inspect the airway
- clear the airway prn; suction is recommended
- open the airway – head tilt & chin lift or jaw thrust
Breathing. If not breathing normally or not at all, deliver 2 effective breaths (allowing
about one second per inspiration) with a laerdal circuit connected to Oxygen flowmeter set
at maximum delivery.
Check for * signs of life; if no signs of life, commence chest compressions (lower half of
sternum, one third the depth of the chest cavity). Aim 100 compressions per minute.
Compression to ventilation ratio 30:2. Pause compressions for ventilation.
Defibrillation – apply defibrillation pads (‘Multifunction Adult Defib Electrodes’) as soon as
available (when there are no signs of life & the individual is over 8 years of age) and
follow the audible prompts.
The defibrillator should be turned on in AED mode.
* Signs of Life
Conscious
Responsive
Breathing
Moving
No signs of life
Unconscious
Unresponsive
Not breathing normally
Not moving
Management of foreign body airway obstruction (choking):
‘…The victim with an effective cough should be given reassurance and encouragement to keep
coughing to expel the foreign material’ (ARC).
In the case of conscious victim with severe airway obstruction (ineffective cough), ‘…perform up to
five sharp back blows with the heel of one hand in the middle of the back between the shoulder
blades’ (ARC). ‘…If back blows are unsuccessful the rescuer should perform five chest thrusts.
Check to see if each chest thrust has relieved the airway obstruction. To perform chest thrusts
identify the same compression point as for CPR…these are similar to chest compressions but
sharper and delivered at a slower rate’ (ARC).
Resuscitation in late pregnancy:
‘…In the obviously pregnant woman the pregnant uterus causes pressure on the major abdominal
vessels when she lies flat, reducing venous return to the heart. The pregnant woman should be
positioned on her back with her shoulders flat and sufficient padding under the right buttock to
give an obvious tilt to the left’ (ARC).
Extra points relating to defibrillation:
- apply pads firmly to bare, dry & hairless skin
- avoid placing pads over ECG electrodes, any medication patches, implanted devices eg.
pacemakers/CVC insertion sites
- avoid having the victim in contact with metal fixtures eg. bed rails
- position pads below the right collarbone & the other, below the left breast over the ribs in
line with the armpit
- when in AED mode, follow audible prompts
if ‘shock’ is advised, loudly state ‘all clear’ & visually check that everyone is clear of the patient &
bed.
42
Medical Emergency Team – MET
Aim
-
To provide an early and rapid response to seriously ill patients with life threatening
conditions.
To offer support to nursing and medical staff in the management of critically ill
patients.
Process
1. Nursing and Medical staff can call a MET if the patient meets one or more of the
criteria below:
Airway
Difficulty Speaking
Threatened Airway
Breathing
Circulation
BP < 90mmHg Systolic
RR > 30/min
RR < 6/min
SaO2 < 90% on O2
despite treatment
PR > 130
PR < 45
Neurology Altered Conscious State
Fitting
Respiratory Distress
Other
Concerned
2. Call the Emergency Department on Ext. 8651 and liaise with the Senior Medical
Officer, clearly stating that it is a MET call.
3. You will be required to outline the reasons for the MET call, relevant events prior to
the MET call, vital signs and any care initiated.
4. The Bed Co-ordinator or After Hours Co-ordinator (AHC) should be notified on Ext.
8529 that a MET call has been made.
5. Vital signs should be monitored and documented. The Emergency Trolley and patient
notes should be readily available. A nurse must remain with the patient.
6. After a MET call has been made to the Emergency Department, a telephone or ward
assessment shall be made by the Senior Medical Officer. A decision will be made to
either manage the patient on the ward or to transfer the patient to the ED for
stabilisation.
7. The Consultant of the patient and/or other relevant medical staff eg Anaesthetist
should be notified of the situation in an appropriate time frame.
43
CHECKLIST
This needs to be completed on the first day.
CAN YOU PROMPTLY LOCATE:
()
Adult Resuscitation Trolley
Neonatal Resuscitation Trolley
Break Fire Alarms
Air Viva - Paediatric and Adult
Paediatric Emergency Equipment
Wall Oxygen and Suction
Portable Oxygen and Suction
Fire Extinguishers
Fire Hose Reels
Red Phones
Designated Evacuation Area
Emergency Buzzer
Duress Alarms
Bomb Threat Forms
Emergency Procedures Manual
Practices & Procedures Manual
Communication Book
Utility Room - clean / other
Storage Room
Drug Room
Call Bell System
44
CHECKLIST Continued
ARE YOU ABLE TO:
()
Use telephone system
Contact VMO’s / RMO’s / Obstetrians / Paedatrtian
CAN YOU PROMPTLY LOCATE:
Thermometers
Intravenous / Blood Taking Trolley
Pathology tubes, forms, plastic bags
Asthma equipment: drugs, nebulisers, peak flow meters
Blood Glucose Monitor
Suture equipment: suture material, instruments, local anaesthetic
Syringes, needles
Intravenous, intra-muscular and oral medication
Suppositories, antibiotics, vaccines
Sterile stock: gowns, drapes, dressing trays
Patslide and sliding sheets
Name bands (Adults and neonatal)
Delivery set, & instrument packs
Portable lights
Stirrups / stool
CTG machine
Warming cot
Air Viva – paediatric and adult
Wall oxygen and suction
Portable oxygen and suction : adult and neonatal
Fire extinguishers
Fire hose reels
Red phone
Designated evacuation area
Emergancy buzzer
45
Duress alarms
Rosters
Roster request list
Call bell system
ARE YOU FAMILIAR WITH AND CHECKED
Daily checks and restocking
Post Partum Haemorrhage Box
Pre-eclampsia Box
Emergency Caesarian Section Box
Neonatal Drug Box
Neonatal Advanced Box
Epidural trolley
Immunisation fridge
Maternal and neonatal resucitation equipment in each room
Labour room cupborads and room
Postnatal rooms
Latex free box
Consutling rooms
Hot box
IV trolley
CAN YOU LOCATE AND UNDERSTAND THE FUNCTION OF:
PATHOLOGY DEPATMENT
Hours of operation
Blood fridge / register
Specimen colllection : in and out of hours
PHARMACY DEPARTTMENT
Hours of operation
DDA’s
Discharge medications
Inpatient prescriptions
After Hours Emergency Drug cupboard (ED) / key
46
Pharmacy folder
RADIOLOGY DEPARTMENT
Transferrring patients
Inpatient requests
INCIDENT REPORTING
How to access form from the computer
What to report
MANUALS
Infection control
OH&S
Domicilary folder
Quality Management
Hospital Orientation
EQuIP
ALLIED HEALTH
Social worker
Patoral care
Physiotherapy
Occupational therapy
Breast feeding Day Stay Unit
Lactation consultant
Dietitian
TASKS


Access MIM’s Online and research one medication on the commonly used
medication list.
Access BOS

Access your emails.

Access Clinical Patient Folder (this system contains information on patients’
diagnostic tests).

Check Adult Resus Trolley – Adult and neonatal

Access VHIMS
47
MIDWIFERY ETIQUETTE

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

















During the birth the accoucheur should coach the woman – it is unnecessary to
have lots of different people giving instructions. One calm, soothing voice is
much less confusing
During a birth there should be NO idle chatter or needless small talk among the
staff.
All attention should be focused on the birthing woman.
Try not to talk during a contraction. Wait until in between contractions.
When a preceptor is giving instructions during a birth to a midwife student she
should speak as quietly and reassuringly as possible. This is less embarrassing
for the student and helps the birthing woman feel safer. Never, ever criticise or
yell t a student. Give constructive advice in private.
Never criticize colleagues (inc. doctors) in front of patients.
Never just barge into a labour room. Knock and wait.
Never get into a heated argument/discussion with doctors or other midwives in
front of patients – ask to speak outside the room.
Never take the baby from a mother’s room without her permission.
Get verbal consent for every procedures you do to the mother or baby (especially
VE’s)
Don’t conduct loud conversations about patients at the desk. Be very aware of
confidentiality issues.
Try not to use negative medical language eg : false labour or TOS.
Never do a VE on another midwives labouring woman – without the midwives
permission.
If unsure of a VE or palp etc… get it checked by someone else. There is no
shame in admitting you aren’t sure. Second opinions are free in midwifery.
Give unbiased advice – not your own personal experiences or beliefs – evidence
based facts only.
When doing a VE try to expose as little as possible and use nitrous if too
uncomfortable.
If a midwife has gone for a break and her labouring woman is about to give birth
try to let her know so she can be there.
Advise the midwife in charge of any relevant changes and let her know whenever
you page or ring a doctor. The midwife in charge of the shift may be busy but
they would much rather know exactly what is going on especially if a birth is
imminent and then notify her as soon as the baby is born.
Never criticise another midwives clinical decision making in pubic. Eg : “she
should have cut an episiotomy”.
Remember we are all part of a team. Offer to help – answer other midwives bells
if you have time.
Avoid the underlying jealousy that sometimes surfaces when midwives have
developed close relationships with their women. This is sometimes more evident
towards the team midwives.
Don’t fall into the trap of condoning “horizontal violence”. Let’s try to be supportive
and caring of each other.
48
CONTACT NUMBERS FOR EDUCATION UNIT
NAME
Peta Harpur
Chris Szewczyk
Di Hawthorne
Aaron Atkinson
Gabby Burchell
Susan McDonald
Heather Cochrane
Janine Malcolm
Julie Hammett
Julie Harrington
Justine Henderson
Kelly-Ann Humphrys
Mary Anne Gray
Megan Griffin
Robyn Dell
Tanya Wilson
Kerry Galea
Jennifer McLeod
Stephen Rancic
Susan Marks
Position
WORK EXT.
Peri-operative
Clinical Support
Nurse
Administration
Assistant
Senior Psychiatric
Nurse
General Clinical
Support Nurse
General Clinical
Support Nurse
Clinical Nurse
Educator
OHS Manager
8868
Infection Control
Coordinator
Manager Education
Unit
Administration
Assistant
GNP Coordinator
8521
Emergency Nurse
Educator
No Lift Nurse
OHS
Midwifery Nurse
Educator
Clinical Support
Midwife
Clinical Support
Midwife
Clinical Support
Midwife
Clinical Support
Midwife
Clinical Nurse
Educator
General Nurse
Educator
8507
ASCOM
8508
9928 7482
8703
8736
8703
8736
9928 7466
8882 / 8720
8864
8508
8725
8713
8458 4936
8730
8974
8730
8974
8730
8974
8730
8974
8730
8974
8939
8703
49
ABBREVIATIONS
A
A&B
A&E
A/N
A/V
A/W
AAA
Ab / Abort
Abdo
ABG
AB's
AC
ADLs
ADT
AE
A/F
AF
AFI
AFP
AIDS
AK
AKA
ALD
AMI
Amp
Anaes
ANC
Ant.
AO
A-P
APH
APO
Appt
APTT
ARDS
ARF
ARM
ART
ASAP
ASD
AUM
AUR
AV
AXR
B
B/F
BA
Apnoea and bradycardia
Accident and Emergency
Antenatal
Anteverted
Associated with
Abdominal aortic aneursym
Abortion
Abdomen
Arterial blood gases
Antibiotics
Antecibum – before meals
Activities of daily living
Adult diphtheria and tetanus
Air entry
Artificial feeding
Atrial fibrillation
Amniotic fluid index
Alphafetoprotein
Acquired immune deficiency syndrome
Above knee
Above knee amputation
Alcoholic liver disease
Acute myocardial infarction
Ampoule
anaesthetics
Antenatal Classes
anterior
Admitting officer
Anterior - posterior
Antepartum haemorrhage
Acute pulmonary oedema
Appointment
Activated partial thromboplastin time
Adult respiratory distress syndrome
Acute renal failure
Artificial rupture of membranes
Arterial, artery
As soon as possible
Atrial septal defect
Associate unit manager
Acute urine retention
atroventricular
Abdominal x-ray
Breastfed
Bowel action
50
Ba Enema / Meal
BBA
BBB
BCC
BCG
BD
BFDS
BGL
BHCG
BIBA
Bili
BKA
BMI
BPS
BNO
BO
BOS
BP
BPD
BPM
BSE
BSL
BSO
B/W
Bx
C
c/o
Ca
CA125
CABG
CAD
CAG
Cas
CATT
CCF
CCP
CCT
CCU
CE’s
CEA
CHB
CHD
Chol
Chole
CI
CIN
Circ
CIS
CLD
cm
Barium enema / barium meal
Born before arrival
Bundle branch block
Basal cell carcinoma
Vaccination against tuberculosis
Twice daily
Breast Feeding Day Stay
Blood glucose levels
Beta Human Chorionic Gonadotrophin
Brought in by ambulance
Bilirubin
Below knee amputation
Body Mass Index
Biophysical profile score
Bowels not open
Bowels open
Base of skull
Blood pressure
Biparietal diameter
Beats per minute
Breast self examination
Blood sugar level
Bilateral salpingo-oopherectomy
Birth weight
Biopsy
Complaining of
Carcinoma
Tumour marker for ovarian carcinoma
Coronary artery bypass graft
Coronary artery disease
Coronary artery graft
Casualty
Crisis assessment triage team
Congestive cardiac failure
Central chest pain
Controlled cord traction
Community care unit
Cardiac enzymes
Carcino embryonic antigen
Complete heart block
Congenital heart disease
cholesterol
Cholecystectomy
Coitus interruptus
Cervical intraepithelial neoplasm
Circumcision
Carcinoma in situ
Chronic lung disease
centimeter
51
CMV
CNS
CO
CO2
COAD
CP
CPAP
CPD
CPR
Creat
Creps
CRF
CRP
CS or C/S
CSF
CSU
CT
CTG
CTR
CTS
CVA
CVC
CVL
CVP
CVS
CWMS
Cx
CXR
D
D&C
D&E
D&V
D/C
D/W
DBE
DD
DIC
DM
DNA
DNW
DOA
DOB
DOM
DPM
Dr.
DRG
DT
DTA
DTs
Cytomegalo virus
Central nervous system
Clinical Nurse Specialist
Carbon monoxide
Cardiac output
Carbon dioxide
Chronic obstructive airways disease
Chest pain
Continuous positive airways pressure
Cephalo pelvic disproportion
Cardiopulmonary resuscitation
Creatinine
Crepitations
Chronic renal failure
C reactive protein
Caesarean section
Cerebrospinal fluid
Catheter specimen of urine
Computed tomography (scan)
Cardio tocograph
Carpal tunnel release
Carpal tunnel syndrome
Cerebrovascular accident
Central venous catheter
Central venous line
Central venous pressure
Cardiovascular system
Colour, warmth, movement, sensation
Cervix
Chest x-ray
Dilatation and curettage
Dilatation and evacuation
Diarrhoea and vomiting
Discharge
Discussed with
Deep breathing exercises
Differential diagnosis
Disseminated intravascular coagulopathy
Diabetes mellitus
Did not attend
Did not wait
Dead on arrival
Date of birth
Domiciliary midwifery service
Drops per minute
Doctor
Diagnostic related groups
Drain Tube
Deep transverse arrest
Delirium tremens
52
DU
DUB
DVT
Dx
E
E.coli
E/O
EAR
EBM
ECG
ECHO
ECT
ECTR
ECV
EDC
EDD
Eg.
EMD
ENT
ERCP
ESR
ESRF
ETOH
ETT
EUA
Exac
F
F/S
F/U
FB
FBC
FBE
FC
FDIU
Fe
FFP
FG
FGM
FH
FHH
FHR
FHx
FI
Fib
FMF
FOOSH
FSE
FSH
FTA
Duodenal ulcer
Dysfunctional uterine bleeding
Deep vein thrombosis
Diagnosis
Escherichia coli
Excision of
Expired air resuscitation
Expressed breast milk
Electrocardiograph
Echocardiogram
Electro convulsive therapy
Excision carpal tunnel release
External cephalic version
Estimated date of confinement
Estimated due date
Example
Electromechanical dissociation
Ear, nose and throat
Endoscopic retrograde cannulation of pancreatic duct
Endoscopic retrograde cholangiopancreatography
Erythrocyte sedimentation rate
End stage renal failure
Alcohol (ethanol)
Endotracheal tube
Examination under anaesthetic
exacerbation
Frozen section
Follow up
Foreign body
Fluid balance chart
Full blood examination
Filschie clips
Fetal death in utero
Iron
Fresh frozen plasma
French gauge
Female genital mutilation
Fetal heart
Fetal heart heard
Fetal heart rate
Family history
For investigation
Fibula
Fetal movements felt
Fall on outstretched hand
Fetal scalp electrode
Follicle stimulating hormone
Failed to attend
53
FTSG
FWB
FWT
Fx
G
G
GA
GAMP
GBS
GCS
GCT
GDM
GIT
GNC
GOR(D)
GP
GTT
GU
Gutt
Gynae
H
H&M
H/O
H/T
Hb
HCG
HDU
HELLP
Hep A,B,C,D
HITH
HIV
HIE
HMD
HNPF
HNPU
HOPC
HOT
HOV
HPF
HPV
HR
Hrly
HSG
Ht
HVS
Hx
Hypo
I
I/O
Full thickness skin graft
Full weight bearing
Full ward test
Fornix
Gravid
General anaesthetic
General anaesthetic, manipulation and plaster
Group B streptococcus
Glasgow coma score
Glucose challenge test
Gestational Diabetes Mellitus
Gastro intestinal tract
General nursing care
Gastro-oesophageal reflux (disease)
General Practitioner
Glucose tolerance test
Gastric ulcer
Eye drop
Gynaecology
Hematemesis and malaena
History of
Hypertensive
Hypertension
Haemoglobin
Human chorionic gonadotrophin
High dependency unit
Haemolysis elevated liver enzymes low platelets
Hepatitis A,B,C,D
Hospital in the home
Human immuno deficiency virus
Hypoxic ischaemic encephalopathy
Hyaline membrane disease
Has not passed flatus
Has not passed urine
History of presenting condition
Hands off Technique - Breast Feeding Education programme
Head on view
Has passed flatus
Human papilloma virus
Heart rate
hourly
Hysterosalpingogram
height
High vaginal swab
History
hypoglycaemia
Insertion of
54
I/P
ICC
ICH
ICP
ICS
ICU
IDC
IDDM
IF
IHD
II
IM
IMB
IMI
Imp
Ing.
INR
IOL
IOP
IPPV
IT
ITP
IU
IUD
IUGR
IV
IVB
IVF
IVH
IVP
IVT
Ix
J
J
JVP
K
K+
KCl
KUB
L
L
L/Min
Inpatient
Intercostal catheter
Intracranial haemorrhage
Intercranial pressure
Intercostal space
Intensive care unit
Indwelling catheter
Insulin Dependent Diabetes Mellitus
Iliac fossa
Ischaemic heart disease
Image intensifier
Intramuscular
Intermenstrual bleeding
Intramuscular injection
Impression
Inguinal
International normalised ratio
Induction of labour
Intraocular pressure
Intermittent positive pressure
Intrathecal
Idiopathic thrombocytopaenia purpura
International unit
Intrauterine device
Intrauterine growth restriction
Intravenous
Intravenous bung
In vitro fertilisation
Intraventricular haemorrhage
Intravenous pyelogram
Intravenous therapy
Investigation
joules
Jugular venous pressure
Potassium
Potassium chloride
Kidneys, ureter, bladder
Lac
LAD
Left
Litres per minute
Local anaesthetic
Left arm
Left atrium
Laceration
Left anterior descending (coronary artery)
LAMP
Local anaesthetic, manipulation and plaster
Lap
Lat
laparoscopy
lateral
LA
55
LAVH
LBBB
LBO
LBW
LC
LCM
LEEP
LFC
LFT's
LH
LHF
LIF
LLETZ
LLL
LLQ
LML
LMO
LMP
LNMP
LOA
LOC
LOP
LOT
LOW
LP
LSO
LUL
LUQ
LUSCS
LV
LVF
LWOP
M
MA
M, C & S
M/W
Mane
MAP
MBA
MCA
mcg
MCHN
M-C-P joint
mg
Mg
MG
MI
MICA
MITH
Laparoscopically assisted vaginal hysterectomy
Left bundle branch block
Large bowel obstruction
Low birth weight
Lactation consultant
Left costal margin
Loop electro surgical excision procedure
Laparoscopic filschie clips
Liver function tests
Luteinising hormone
Left heart failure
Left iliac fossa
Large loop excision transformation zone
Left lower lobe
Left lower quadrant
Left middle lobe
Local medical officer
Last menstrual period
Last normal menstrual period
Left occipito anterior (? Midwifery term – is it used?)
Loss of appetite
Loss of consciousness
Left occipito posterior (? Midwifery term)
Left occipito transverse (? Midwifery term)
Loss of weight
Lumbar puncture
Left salping-ooppherectomy
Left upper lobe
Left upper quadrant
Lower uterine segment caesarean section
Left ventricle
Left ventricular failure
Leave without Pay
Metered aerosol
Micro, culture and sensitivity
Midwife
morning
Mean arterial pressure
Motorbike accident
Motor car accident
microgram
Maternal & Child Health Nurse
Metacarpophalangeal joint
Milligram
Magnesium
Multigravida
Myocardial infarction
Mobile intensive care ambulance
Midwifery in the Home
56
ml
mm
mmHg
mmol
MO
MOW
MR
MRI
MROP
MRSA
MS
MSU
MUA
Multi
MV
MVA
MVR
MV regurg
Mx
N
N/A
N/CT
N/O
N/S
N2O
Na
NaCl
NAD
NASS
NBM
NST
NCP
Neb
NEC
Neg, -ve
NESB
Neuro
NFO
NG
NGT
NICU
NIDDM
NIPPV
NKDA
NMRI
NND
No.
Nocte
NOF
millilitres
Millimetres
Millimetres of mercury
Millimols
Medical officer
Meals on wheels
Membranes ruptured
Magnetic resonance imaging
Manual removal of placenta
Multiple resistant staphylococcus aureus
Multiple sclerosis
Mid stream specimen of urine
Manipulation under anaesthetic
Multiparous
Mitral valve
Motor vehicle accident
Mitral valve replacement
Mitral valve regurgitation
Management
Not applicable
Nasal cautery
Nil orally
Nipple shield
Nitrous oxide
Sodium
Sodium chloride
Nil abnormalities detected
Neonatal abstinence scoring system
Nil by mouth
Newborn screening test
Nursing care plan
Nebuliser
Necrotising enterocolitis
Negative
Non english speaking background
Neurological
No further orders
Nasogastric
Nasogastric tube
Neonatal intensive care unit
Non Insulin Dependent Diabetes Mellitus
Nasal intermittent positive pressure
Non-invasive positive pressure ventilation
No known drug allergies
Nuclear magnetic resonance imaging
Neonatal death
Number
Night
Neck of femur
57
NOK
NP
NPA
NPO
NSAID
NST
NVD
NVB
NVF
O
O
O&G
O/A
O/E
O/N
O/T
O2
O2 Sat
OA
Obs
Occ
OCP
OD
OHS
OP
Op
OR
ORIF
OT
Oz
P
P
p.c.
P/C
P/T
PA
PAC
PACFU
Paed
Palp
PANDA
PAP
Pb
PC
PCA
PCEA
PCOS
PD
Next of kin
Nasal prong
Naso-pharyngeal aspirate
Nil per os (nil orally)
Non-steroidal anti-inflammatory drug
Non stress test
Normal vaginal delivery
Normal Vaginal Birth
Normal vaginal flora
Orally
Obstetrics and Gynaecology
On admission
On arrival
On examination
Overnight
Operating theatre
Oxygen
Oxygen saturation
Osteoarthritis
Observations
Eye ointment
Oral contraceptive pill
Overdose
Occupational health and safety
Occipito-posterior
Out patient
Operation
Operating room
Open reduction, internal fixation
Occupational therapist
Ounce
Parity
Post cibum – after meals
Presenting complaint
Phototherapy
Postero - anterior
Pressure area care
Premature atrial contraction
Post acute care funding unit
Paediatrics
Palpation
Post and Antenatal Depression Association
Pulmonary artery pressure
Lead
Packed cells
Patient controlled analgesia
Patient controlled epidural analgesia
Polycystic ovarian syndrome
Peritoneal dialysis
58
PDA
PDS
PDPH
PE
PE(T)
PEA
PEEP
PEFR
PFO
PG
Primip
PHx
PID
PIH
PKU
PM
PMB
PMS
PND
PNx
PO
POC
POD
POP
POP
Pos, +ve
Post
PPH
PPHN
PR
PRBC
Preg
Pre-med
Pre-op
PRN
PROM
Prox
PT
Pt
PTTK
PTL
PTSD
Patent ductus arteriosis
Pregnancy Day Service
Post dural puncture headache
Pre-eclampsia
Pulmonary embolus
Pre-eclamptic toxaemia
Pulseless electrical activity
Positive end expiratory pressure
Peak expiratory flow rate
Patent foramen ovale
Primigravida
Past history
Pelvic inflammatory disease
Pregnancy induced hypertension
Phenylketonuria
Post mortem
Post meridien
Post menopausal bleeding
Premenstrual syndrome
Postnatal depression
Pneumothorax
Per orally
Products of conception
Pouch of douglas
Plaster of Paris
Persistent occipito posterior
Positive
Posterior
Post partum haemorrhage
Primary Pulmonary Hypertension
Persistent pulmonary hypertension of the newborn
Per rectum
Packed red blood cells
Pregnancy
Pre medication
Pre operatively
As required
Premature rupture of membranes
Proximal
Prothrombin time
Patient
Partial thromboplastin time with kaolin
Pre-term labour
Post traumatic stress disorder
PU
Passed urine
Per urethra
PUIT/
PUIB
PUO
Passed urine in toilet
Passed urine in Bed
Pyrexia of unknown origin
59
PV
PVC
PVD
Q
QA
QID / qid
Quad
R
R
R/O
R/V
R/V
RA
RAF
RBBB
RBC
RBG
RCM
RDNS
RDS
Reg
Rehab
RFT
Rh
RIB
RIF
RLL
RLQ
RM
RML
RMO
RN
ROA
ROM
ROP
ROP
ROS
RPAO
RPOC
Rpt
RR
RSO
RSV
Rt
RTW
RUL
RUQ
Per vaginum
Premature ventricular contraction
Peripheral vascular disease
Quality assurance
Four times daily / 6 hourly
Quadriplegia
Right
Removal of
Review
Review
Rheumatoid arthritis
Right atrium
Right arm
Rapid atrial fibrillation
Right bundle branch block
Red blood cells
Random blood glucose
Right costal margin
Royal District Nursing Service
Respiratory distress syndrome
Registrar
Rehabilitation
Renal function test
Rhesus
Rest in bed
Right iliac fossa
Right lower lobe
Right lower quadrant
Registered Midwife
Right middle lobe
Resident Medical Officer
Registered Nurse
Right occipito anterior
Rupture of membranes
Range of movement
Right occipito posterior
Retinopathy of prematurity
Right occipito posterior
Removal of sutures/staples
Routine post anaesthetic observation
Retained products of conception
Repeat
Respiratory rate
Right salpingo - oophorectomy
Respiratory syncytial virus
Right
Return to ward
Right upper lobe
Right upper quadrant
60
RV
RVF
RVH
Rx
S
S&S
S/B
S/I
S/L
SA node
SAH
SANDS
SaO2
Right ventricle
Right ventricular failure
Right ventricular hypertrophy
Treatment
SBE
Sub-acute bacterial endocarditis
SBO
SBR
SC
SubCut
SCC
SCN
SD
SDH
Se
SFD
SG
SGA
Sib
SIDS
SIMV
Sl
SLE
SO
SOB
SOBOE
SOF
SOH
SOL
SOOB
SPC
SPPS
SR
SROM
SSD cream
SSF
SSG
ST
Stat
STD
STI
STOP
Small bowel obstruction
Serum bilirubin
Signs and symptoms
Seen by
Sexual intercourse
Sublingual
Sinoatrial node
Subarachnoid haemorrhage
Stillborn and neonatal death society
Saturation of oxygen
Subcutaneous
Squamous cell carcinoma
Special care nursery
Syringe driver
Sub dural haemorrhage
Serum
Small for dates
Specific gravity
Small for gestational age
Sibling
Sudden infant death syndrome
Synchronised intermittent mandatory ventilation
Slight
Systemic lupus erythematosis
Salphingo-oopherectomy
Short of breath
Short of breath on exertion
Shaft of femur
Shaft of humrus
Space occupying lesion
Sat out of bed
Suprapubic catheter
Stable protein plasma solution
Sinus rhythm
Spontaneous rupture of membranes
Silver sulphadiazine cream
Sacrospinous fixation
Split skin graft
Sinus tachycardia
Immediately
Sexually transmitted disease
Sexually transmitted infection
Suction termination of pregnancy
61
Supp
SVC
SVD
SVB
SVT
T
T
T/L
T’s & A’s
T1DM
T2DM
Tab
TAC
TAH
TB
TBG
TDS
Tet Tox
TFI
TFT
THR
TIA
Tib
TKJR
TKR
TKVO
TLC
TMJ
TML
To
TOF
TOL
TOP
Top.
TOS
TOV
TPN
TPR
TTN
TURBT
TURP
TVT
Tx
U
U&E
U/A
U/S
UAC
UGIT
Suppository
Superior vena cava
Spontaneous vaginal delivery
Spontaneous Vaginal Birth
Supraventricular tachycardia
Term
Tubal ligation
Tonsils ad adenoids
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Tablet
Transport accident commission
Total abdominal hysterectomy
Tuberculosis
Total blood glucose
Three times daily
Tetanus toxoid
Total fluid intake
Thyroid function test
Total hip replacement
Transient ischaemic attack
Tibia
Total knee joint replacement
Total knee reconstruction
To keep vein open
Tender loving care
Temporomandibular joint
Trachea midline
Temperature
Trial of forceps
Tetrology of fallot
Trial of labour
Termination of pregnancy
Topical
Trial of scar
Trial of void
Total parenteral nutrition
Temperature, pulse, respiration
Transient tachypnoea of newborn
Transurethral resection of bladder tumour
Trans urethral resection of prostate
Transvaginal tape
Therapy
Treatment
Urea & electrolytes
Urinalysis
Ultrasound
Umbilical artery catheter
Upper gastrointestinal tract
62
UHCG
UO
UR
URTI
Ut
UTI
UTV
UVC
V
Vag
VBAC
VCS
VE
VF
VT
VV
W
WB
WBC
WCC
WNL
WPW
WRIGTN
Wt
X
x-match
XR
Y
Yr
Urine human chorionic gonadotrophins
Urine output
Unit record
Upper respiratory tract infection
Uterus
Urinary tract infection
Unable to void
Umbilical vein catheter
Vaginal
Vaginal birth after caesarean
Victorian Cytology Service
Vaginal examination
Ventricular fibrillation
Ventricular tachycardia
Varicose veins
Weight bearing
White blood cells
White cell count
Within normal limits
Wolfe-Parkinson White
Wedge resection ingrown toenail
Weight
Cross match
x-ray
year
Symbols
<
1/24
1/52
#
Less than
1 hour
1 week
Fracture
>
1/7
1/12
￪
Greater than
1 day
1 Month
Increased
￬
Ψ
Decreased
Psychiatric History / Illness
Δ
Change
63
EVALUATION
The following evaluation is designed to elicit feedback concerning your clinical
placement. Your response will be useful in assisting in the future development of the
undergraduate program.
Please circle the response that best describes your feelings concerning the following
statements and provide comments where applicable.
Hospital orientation was
informative and appropriate
to your learning needs.
Strongly
Disagree
1
Disagree
Unsure
Agree
4
Strongly
Agree
5
2
3
1
2
3
4
5
If not, please comment:
How would you describe your clinical
teacher?
A.
Professional
1
2
3
4
5
B.
Approachable and conducive
to professional development
1
2
3
4
5
C.
Supportive
1
2
3
4
5
D.
Helped me to meet my learning
objectives.
1
2
3
4
5
Please comment if you disagree with the above:
The clinical teacher gave regular
feedback concerning my progress.
1
2
3
4
5
The debriefing sessions were
appropriate to my needs.
1
2
3
4
5
If not, please comment:
64
What aspects of this clinical placement did you like the most?
What aspects of this clinical placement did you like the least?
Was your preceptor / buddy nurse supportive, informative and encouraging with clinical
interventions / nursing?
During your clinical placement was there a preceptor / buddy nurse who has had a
positive impact on your learning?
YES
NO
If yes, please name:
Additional comments:
Thank you for your participation and we hope your clinical placement has been
a positive and rewarding experience.
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