First year
placement talk
CLAIRE EGAN
FINAL YEAR GENERAL NURSING SVHG
Overview:
▪ Exam tips
▪ Placement tips
▪ What do nurses do?
▪ Assessment on placement
▪ Why I decided to study general
nursing?
▪ Hard parts
▪ Types of placement you do in
general nursing
▪ Best parts
▪ General advice
▪ Second semester
▪ Extra resources
▪ UCD teaching hospitals
▪ Questions
Claire Egan UCD SVHG
1-Jul-16
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Exam tips:
▪ RDS- find out which part of RDS you will be in and how to get there
▪ Allow extra time for travel as it is very busy during exam periods
▪ Must sit in allocated seat number and MUST have UCD student card
▪ Shuttle bus from UCD
▪ Written(essay style)/MCQ*/short-answer
▪ Read the whole exam paper first, then start
▪ Keep an eye on the time
▪ Know how many questions there is on the paper, and how many you have
to answer
▪ Make sure to have enough stationary
Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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What do nurses do?
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▪ What do you think nurses do?
▪ What is nursing?
▪ Attributes/traits/qualities of a good nurse
▪ Why do you want to be a nurse?
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Why I decided to study general nursing?
▪ Personal Story-my parents caring for my Granny/ my dad
▪ A definitive career
▪ Multidisciplinary team/ team work
▪ Travel opportunities
▪ Meeting new people
Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Second Semester and Placement:
▪ 5 weeks placement (orthopaedic ward)
▪ 4 weeks of college
▪ Midterm (1 week)
▪ 6 weeks placement (day ward)
▪ 1st year- medical and surgical nursing
▪ College allocates your placements (ARCWeb)
▪ Other students
▪ Check your ucd email while on placement
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Video clips:
▪ https://www.youtube.com/watch?v=eiyVIoAhbH8&list=FLpY8iMbv
4mT7Ko9q0yfkQfA&index=7 (Royal College of Nursing-”How would
you feel?”
▪ https://www.youtube.com/watch?v=cDDWvj_q-o8 (Cleveland
Clinic Ohio, compassion video)
Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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UCD Teaching Hospitals:
▪ Large university hospitals- tertiary referral centres, centres of
excellence, better experience, international reputation
▪ SVUH,SMH,SCH, Beacon Clinic, Blackrock Clinic, and St. Vincent’s
Private Hospital-unique public/private opportunity
▪ MMUH/ MPH
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Semester Two:
▪ Uniforms
▪ Black shoes (fashionable shoes are not comfortable, comfortable shoes are not
fashionable!!)
▪ Black/navy socks
▪ Name badge, epaulettes (yellow)
▪ Security card
▪ Fob watch
▪ Small notebook
▪ Black and red pen
▪ Clean ironed uniform
▪ Do not wear your uniform to or from placement (Infection control)
▪ Keep hair tied back off your face at all times
▪ Minimal makeup
▪ No nail polish/keep nails cut short
▪ No jewellery (?small stud earrings only)
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Placement tips:
▪ Be on time and return on time from break, lunch, reflection
▪ Use of mobile phones not permitted on the ward
▪ Breaking test results
▪ Confidentiality-shred handover, don’t discuss pts. outside hospital
with anyone
▪ Professional manner at all times towards all staff, patients and
visitors
▪ If you are not sure how to do something please ask a staff nursesafe practice is critical
▪ Remember Scope of Practice and Code of Conduct at all times
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Social Media and the 6 p’s:
▪ Extremely careful use of social media (NMBI (2013) guidelines on social
media)
▪ Professional- Act professionally at all times.
▪ Person-free; patient-free: Keep posts patient or person free.
▪ Positive: Keep posts positive.
▪ Protect yourself-Protect your professionalism, your reputation and
yourself
▪ Privacy: Keep your personal and professional life separate. Check your
privacy settings and respect privacy of others
▪ Pause before you post: Consider the implications of what you’re posting.
Avoid posting in haste or in anger. Don’t respond to other posts in haste.
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Placement tips:
▪
▪
Documentation-different in every hospital
▪
NEWS Obs. Score chart
▪
Must get your entry co-signed everytime
Staff:
▪
Staff wear different colour uniforms in each hospital
▪
SALT, Physiotherapists, Dieticians, Secretary, HCA,OTs
▪
Clinical Nurse Manager 1: CNM1/Junior Ward Sister
▪
Clinical Nurse Manager 2: CNM2/Senior Sister
▪
Junior/Intermediate/Senior Nurses
▪
CNS-Clinical Nurse Specialist
▪
ANP-Advanced Nurse Practitioner
▪
Medical staff: Intern, SHO (Senior House Officer), Registrar, SpR Registrar, Consultant
▪
▪
Surgeon: Mr./Ms.
▪
Medical Consultant: Dr.
CPC: Clinical Placement Co-ordinators
▪
Some educational sessions before certain ward placements
▪
Come visit you on the ward most days of your placement
▪
See how you are doing/ask staff for feedback on your performance
▪
Reflective time: Entitled to it every day of placement whilst supernumerary (1st-3rd year)
▪
Preceptor/co-preceptor: Ideally* should work with either when you are on placement
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A typical day:
▪ Handover from night staff
▪ Pts. May have physio/OT
▪ Patient prioritization
▪ Discharges/admissions
▪ Observations/Vital Signs
▪ Dressings
▪ Making beds
▪ Morning rounds
▪ Assisting pts. with getting up/dressed/toilet
▪ Evening rounds
▪ Helping feed patients
▪ Abbreviations-you should receive a booklet on
approved medical abbreviations
▪ Pts. For theatre get prepared and go to surgery
for morning list
▪ Nursing notes
▪ Medication round
▪ Checking blood results
▪ Afternoon theatre list
▪ Checking medical notes
▪ Visiting hours
▪ Encourage independence é ADL’s
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Specialist Placements:
▪
Community- 1 week, Intellectual disability, Irish Wheelchair Association, National Rehabilitation Hospital, Methadone Treatment Clinics
▪
Public Health Nursing-1 week, children and the elderly
▪
Accident and Emergency (A &E)-2 weeks, very different to ward placements
▪
Care of the Older Person-4 weeks
▪
Theatre- 4 weeks, (urology and PACU)
▪
Psychiatry/Mental Health- 2 weeks
▪
Children's- 2weeks, Crumlin
▪
8 week Medical or surgical placement in 3rd year
▪
Maternity Care-2 weeks, Holles St, antenatal, delivery, post natal
▪
Outpatients- 2 weeks, clinics
▪
ICU/CCU -2 weeks
▪
36 weeks internship in 4th year-pay!
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Assessment on Placement:
▪ Pass (P) or Fail (F) grade-doesn’t count towards overall GPA
▪ DoCat- Domains of Competency Assessment Tool:
▪ Professional and Ethical Practice
▪ Holistic Approaches to Care and Integration of Knowledge
▪ Interpersonal Relationships
▪ Organisation and Management of Care
▪ Personal and Professional Development
▪ Must pass each domain
▪ Three interviews with preceptor:
▪
▪
▪
▪
▪
First meeting-set goals
Middle meeting-track progress
Final meeting-outcomes achieved?
Medication workbook
Skills workbook
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Hard parts:
▪ Long days-12/13 hours
▪ Feeling of uncertainty, challenging new environments, fitting in
▪ Paperwork-’if it’s not written down, it’s not done’
▪ Demanding patient’s and families
▪ Use of cadavers
▪ Death and dying
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Claire Egan UCD SVHG
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Best parts:
▪ Variety of people
▪ Accomplishment and making a difference every day
▪ Hugely rewarding-a ‘thank-you’ from a patient or relative
▪ Open heart surgery
▪ Patient’s going home healthy and recovered
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Advice:
▪ ‘There is nothing you are given you can’t handle’
▪ ‘Be the kind of nurse you would like to have as a patient’
▪ B.Sc. (Hons.) Degree- opportunities!
▪ Talk to other nurses and student nurses
▪ It’s nothing like the T.V shows
▪ Grown up/ mature/professional-not your typical student!
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Advice:
▪ Teaching others
▪ Grow in confidence-outside comfort zone!
▪ Insight into patient’s life
▪ Advocacy
▪ Great stories!
▪ Wearing scrubs
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Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Claire Egan UCD SVHG
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Extra resources:
▪ https://www.youtube.com/watch?v=Xib5hT7FBw&list=FLpY8iMbv4mT7Ko9q0yfkQfA&index=2 (Dear First Year Me, UCD)
▪ https://www.youtube.com/watch?v=ueLqAJRxKpQ&index=3&list=FLpY8iMbv4mT7Ko9q0yfk
QfA (Dignity-little things make a big difference)
▪ https://www.youtube.com/watch?v=HVF0273iHus&index=4&list=FLpY8iMbv4mT7Ko9q0yfkQ
fA (Compassion, dignity and respect in healthcare)
▪ https://www.youtube.com/watch?v=eO6gxJ4BFnA&index=10&list=WL (Career profiles-nurse)
▪ https://www.youtube.com/watch?v=r842Ylpa-nQ&index=15&list=WL (Say this not that,
patient experience video)
▪ https://www.youtube.com/watch?v=Qo0Q975u_WQ&list=WL&index=16 (Life advice from the
older person)
▪ https://www.youtube.com/watch?v=5GEuwfo4k7s&list=WL&index=17 (Why I nurse?)
▪ https://www.youtube.com/watch?v=URlKV0ewrhM&list=WL&index=18 (This is nursing-RCN)
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