SURGICAL PRE-ASSESSMENT PROFILE
DIVISION:
Surgical
PLACEMENT AREA NAME:
Surgical pre-assessment
DIRECT LINE TELEPHONE NUMBER:
01246 513732
SISTER/CHARGE NURSE:
Sandra Noon
E-MAIL:
sandranoon@nhs.net
LEARNING ENVIRONMENT MANAGER:
Bev Harvey
E-MAIL:
beverleyharvey@nhs.net
UNIVERSITY LINK LECTURER:
Claire Williams
CONTACT NUMBER AND E-MAIL:
c.williams1@derby.ac.uk
tel: 01246 212921
CENTRE FOR PRACTICE LEARNING TEAM:
Elaine Beddingham 2918
Carol Hickman 3465
Sheree Hall 6209
E-MAIL:
crhft.centreforpracticelearning@nhs.net
Description of environment e.g.: shift patterns, number of beds
The pre-assessment clinic deals with all adult patients on the waiting list for elective
surgery. The patients come from various specialities, general surgery, breast care,
gynaecology, orthopaedic, ENT, maxillo facial and urology. The clinic hours are
8.30am – 5pm. Hours may vary slightly.
The pre-assessment staff also manage the MRSA screening clinic, where all patients
for elective admission are screened for MRSA prior to admission. This is located
within the pre-assessment clinic in clinic 3. This clinic’s hours are 9.00am –
4.45p.m.Monday- Friday. Closed on weekends & bank holidays.
J Drive/Student info
1.
2.
Ward/Unit Philosophy of Care
•
The aim of the pre-assessment team is to ensure patients are assessed for
their fitness for anaesthetic prior to surgery, to reduce the risk of
complications post operatively. Providing access to relevant resources if
necessary to optimise patient fitness prior to surgery.
•
The multi-professional team will see patients in a timely manner, providing
information and the opportunity to discuss any concerns regarding patients’
forthcoming admission and procedure.
The Trust’s Mission Statement
‘The main aim of the Chesterfield Royal Hospital is to be your hospital of first
choice, offering a quality service in a caring environment.’
2.1
The Trust’s Purpose
To be your hospital of first choice, offering a quality service in a caring
environment.
2.2
2.4
The Trust’s Aims
To provide local specialist and hospital-centred health care, which
responds to the needs of all people in North Derbyshire.
To work with other health care providers to make sure we deliver
complementary and integrated services.
To use the resources we have to provide high quality care.
To maintain and build on our relationships as ‘partners in care’, with all
purchasers, the voluntary sector and other agencies involved in the
provision of acute health care.
To provide our staff with good career and educational opportunities, in a
pleasant and rewarding environment.
The Trust’s Values
To act with integrity - provide an open, honest and informed approach
to everyone who uses our services.
To respect the dignity of patients, recognising that each patient has
their own individual’s needs.
To give all our staff the opportunity to reach their individual potential
whilst they are working for the Trust.
J Drive/Student info
3.
3.1
Learning Environment
Is a model/framework for nursing care used by nursing staff in this area?
The medical model is used when assessing patients.
Holistic and individual care planned to meet patients needs
Evidence based practice is used and promoted within the clinic
Practitioners work autonomously within the team and are receptive
to change.
3.2 Is there an identified strategy to meet continuing education needs of
qualified staff?
A department developmental plan is reviewed on a yearly basis and is
used to help personal development and to identify training needs at
Staff development reviews.
3 .3
Are there plans to make changes to the placement area in the next
year that would affect student allocations?
A period of time in Theatre Admissions Unit will be worked into the
weekly timetable for the student to experience another part of the patient
journey for safe preparation for surgery. The mentor working with student will
be on the off duty once a week to go and work in this area. The student will
go with mentor and then stay with the Theatre admissions Staff for the rest of
the shift to experience patient preparation on day of operation and transfer to
theatre.
J Drive/Student info
4.
Student Learning Opportunities
4.1
Core Opportunities
Aim
To gain knowledge and experience of the services provided in the surgical preassessment clinic.
Learning outcomes
During the placement the student will be able to:
4 .2
•
Observe the patient’s pathway in the pre-assessment clinic
•
Gain knowledge of the assessment process
•
Understand the role of the nurse in the pre-assessment of the patient
Learning Resources
Please tick the grid and add any other available resources.
Open Learning Packages
X
Learning Resources
√
Journals
√
Resource Packs
√
Observation of procedures
√
Instructions on Special
Equipment
Research Material
√
Posters/Diagrams
√
Staff
√
Resource Room
x
J Drive/Student info
X
4 .3
Multi-disciplinary Team and Specialists with links to Area
Specialist
Telephone Numbers
(O1246 51 then ext )
Infection-Control Nurse
Ext. 3183
Anaesthetic department
Ext. 2284
Admissions planning
Ext 6014
Physiotherapist
Ext. 2186/2173
Occupational Therapist
Ext. 2180/2181
Chiropodist
Ext. 2139
Dietitian
Ext. 2358
Social W orker
Ext. 3413
Colo-rectal specialist nurses
Ext 2715
Breast specialist nurses
Ext 2356
Urology specialist nurse
Ext 3442
J Drive/Student info
5.
Additional Opportunities and Experiences
(Innovative practices or additional areas that may be pertinent for
student to visit)
Nurse led pre-assessment clinics.
•
Taking of medical history.
•
Physical examination.
Consultant led pre-assessment clinics.
•
Observe the consent process.
Pathology Department
•
The student may get the opportunity to visit the path labs and observe
how samples are processed.
MRSA screening
•
The patient pathway and the nurse’s role in the process.
•
W ork within suite 3 (MRSA screening room within surgical preassessment clinic), observe and practice pre-operative swabbing.
J Drive/Student info