Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Nursing in England Emily Stone The National Health Service The NHS was founded in 1948, by the labour government. It was the first time hospitals, doctors, nurses, pharmacists, opticians and dentists were all under the same roof. The aim was that the health service will be available to all and financed entirely from taxation, which means that people pay into it according to their means. The NHS has a set price for all prescriptions, or you can buy a card which will pay for 3 months medicines all at once. The fee per prescription is £7.85 per medicine. There are exemptions to this too. In the early 90s dentists left the NHS, however there are still NHS dentists which have their salary supplemented by the NHS and the most a patient will pay is £189 for a treatment. Uniform Tunic White (Student) Blue (Nurse) Blue Trousers Hair Tied Up Black Shoes Nursing Notes Care Prescriptions “National Early Warning Scores” Stool Chart Falls Diary Drug Chart Skin Assessment Nursing Day (12.5 hours) Handover Check the Patients Write the care prescription Medication Round Observations “Board Meeting” Lunch Medications IV Medications Observations Discharge Planning Dinner Medications Observations Handover Home Care Prescription Medications Check Patient Date Time Route Drug Observations Respiratory Rate Pulse Oximetry Temperature Blood Pressure Heart Rate Level of Consciousness Pain Urine Output Board Meeting Social Work Physiotherapists Occupational Therapists Nurses Doctors Intravenous Medications Nurse’s do this. Students are not allowed. Aseptic Technique. Must be checked by a second nurse. Ward Layout Dirty Utility Bay Two Side Room WC Side Room WC Bay One Nurse’s Station Bay Three WC WC Staff Room University Buildings Lectures. Library. Years. Topics. How theory and practice is split. School of Health Buildings We have 3 Buildings. Kelmarsh Yelvertoft Brampton Library We can take out a large number of books. One week loans and three week loans. Online catalogue of journals. Online catalogue of books. Lectures 10am-1pm Lunch 2pm-4pm 1 day per module. 1 day a week when in Practice. 4 days a week when in University. Lecture theatres. Years 3 Years 2nd Year – Research Methods, Primary 1st Year – Healthcare, Anatomy, Communication, Caring for Older People, Basic Anatomy, Health Promotion, Palliative Care. Interpersonal 3rd Year – Acute Care, Skills. Critical Care, Advanced Pathology, Preparing for Professional Practice. Theory/Practice Weeks Year 1 – 25 weeks Practice, 9 weeks of University, 4 weeks of Clinical Skills, 4 weeks Reading. Year 2 – 32 weeks Practice, 12 weeks University, 1 week Reading Year 3 – 27 weeks Practice, 10 weeks Elective Practice, 10 weeks University. Qualifying We can go into practice nursing straight away. Certain professions need experience or additional qualifications. We are assisted by the university with a specific module in year three which helps to prepare us for practice on our own and with applying for jobs. The Nursing and Midwifery Council These are the people that give us our license to practice. We register yearly and pay a fee to practice as nurses. We have to follow the code of conduct they set us. The code of conduct has 15 parts. Treat people as individuals. Respect people's confidentiality. Collaborate with those in your care. Ensure you gain informed consent. Maintain professional boundaries. Share information with your colleagues. Work effectively as part of a team. Delegate effectively. Manage risk. Keep skills and knowledge up to date. Keep clear and accurate records. Act with integrity. Deal with problems. Be impartial. Uphold the reputation of your profession. United Kingdom 4 Different Countries in United Kingdom. England Northern Ireland Scotland Wales English Families 17,100,000 families in the UK. 40% of families have 2 cars. 71% of families have married parents. 1.8 children per family. 52% of families own a pet. 79% have mobile phones. 79% own their houses. 65% have a computer Money Nurse's in the UK earn between £21,388 and £27,901 a year. Nurse's pay 20% of their wage to the government = £2,498-£11,300. Helping Others £11.07 Culture £0.48 Education £1.98 Running the Country/Social Systems £1.83 Of £11,300 daily taxes are used for; Order and Safety £1.01 Running Government £4.19 The Environment £0.31. Defence £2.18 Health £7.55 Streets £0.36 Money Continued Rent 2 bedroom apartment (Northampton) = £598 per month. Utilities = £135 per month. Food = £140 per month. Internet = £40 per month. Nursing Students have course costs paid by government. Nursing students are given a “bursary” to use have when on the course (Average £540 per month). Food and Drink Fish and Chips! What I eat and drink on a normal day. Breakfast Scrambled Eggs on Toast Cup of tea Lunch Sandwiches, Crisps Dinner Chicken, Potatoes (Mashed or Roasted) and Vegetables Real Ale Tea Royal Family Weather Rain – we get 700mm of rain a year – the same as you! Snow – 33 days of a year – you have 13 days of snow a year. Fog – 39 days of fog per year – you have 91 days of fog. Temperature Lowest – UK -2ºC Lowest – Bucharest 5ºC Highest – UK 22ºC Highest - Bucharest 28ºC Seaside When in the UK you are never more than 60 miles away from the nearest beach. It is colder on the coast from the wind. Activities include; swimming, rock pooling, sunbathing, beach ball/volley ball, building sandcastles. London 12.5% of UK lives in London. Biggest City in Britain and Europe. Tallest Building is Canary Wharf. We have the “Tube”. Royal Family lives there. Red London Buses. British Stereotypes Queuing – I was always Tea – I love it, but taught as a child that like everything we wait our turn and some people in give people room to Britain do not. We finish what they are do not have doing. afternoon tea every Sense of Humour – as day or eat a population we are cucumber very sarcastic and cynical (nothing is sandwiches with ever good enough for our tea. us). Hospital Differences Lack of gloves, masks, aprons. The hospital ran out of pain relief. No curtains. Some students did not know that a patient could sue for malpractice. Nurses do not participate in personal care. Cut, fold and prepare gauze. Toilet roll is not provided. Doctors do a lot of dressing changes and you have special nurse's for dressing changes. Mum's can spend 3-5 days in hospital post natal. There is no option for a water birth. Mum's of premature babies stay in hospital too. There is not hand sanitiser at the bottom of every bed. Emergency departments are very similar – but I have never seen sucker electrodes. X-rays are developed onto film – ours go onto a computer. Medication is dispensed by pharmacy on a daily basis – we keep a “ward stock”. Best Difference None of this matters! Patients still feel well cared for. Nurse's are respected and appreciated. People like you see what a good job they do and choose to join the profession! Questions? THANK YOU MULTUMESC !