Lincoln County Hospital
Placement Information
Contents
Pages 2 – 4: General Information
Pages 5 – 6: Out-Patients
Pages 7 – 8: Cardiovascular – Respiratory
Pages 9: Neurology – Ashby Ward
Pages 10 – 11: Medical and Care of the Elderly
Pages 12 – 13: Orthopaedics
Page 14 – 15 : Neurology – Stroke and Neuro Outpatients
Page 16: Women’s Health
1
GENERAL INFORMATION
Student Co-ordinator – Caroline Cook
Tel: 01522 573945
Email: caroline.cook1@nhs.net
Team Leads for all specialities: The Team Leads will put you in contact with the
appropriate educator when required i.e. rotational staff.
Speciality
Name of
Telephone No.
Email
Educator
Out-Patients
Carole Thacker
01522 573945
Carole.Thacker@ulh.nhs.uk
CVR
Wendy
01522 573945
Wendy.Leonard@ulh.nhs.uk
Leonard
01522 512512
Bleep 3152
Medical and
Erica Ward
Erica.Ward@ulh.nhs.uk
Health Care of
the Elderly
Orthopaedics
John Wilson
01522 573945
John.M.Wilson@ulh.nhs.uk
Bleep 3095/3254
Stroke Unit
Alwyn Sproul
(NEM)
Phillipa Ireland
Ashby Ward
Sue Williams
01522 572582
Sue.Williams@ulh.nhs.uk
(NEM)
Laura Wilmott
01522 572582
Laura.Wilmott@ulh.nhs.uk
Women’s
Corinna Bunn
01522 573945
Corinna.Bunn@ulh.nhs.uk
Health
Diane Boyer
01522 573945
Diane.Boyer@ulh.nhs.uk
Paediatrics
Leanne
01522 573945
Leanne.Richmond@ulh.nhs.uk
Richmond
Bleep 3271
Caroline Cook
01522 573945
Neurological
01522 573945
Alwyn.Sproul@ulh.nhs.uk
Phillipa.Ireland@ulh.nhs.uk
Caroline.cook1@nhs.net
Out-Patients
2
Hospital Contact Details
Address: Physiotherapy Department,
Lincoln County Hospital,
Greetwell Road,
Lincoln.
LN2 5QY.
Physio Dept No. 01522 573945
Main Hospital No. 01522 512512
Contacting your Educator
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Please contact your clinical educator 2 weeks prior to coming out on
placement. If you are unable to get through to your clinical educator please
contact the student co-ordinator.
Uniform Policy
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Please wear your physiotherapy white tunic and navy trousers.
Black shoes or clean trainers to be worn.
Please wear your University identification at all times.
Jewellery – one pair of stud earrings and one plain wedding ring can be worn.
Please do not travel to and from the hospital in your uniform. Changing
facilities will be provided in the Physiotherapy Department.
Please tie long hair up above the shoulders.
Navy Cardigans and jumpers can be worn however not when treating
patients.
Working Hours
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On the first day please arrive for 8:30am at the main Physiotherapy
Department to be inducted.
Hours are normally 8:30 – 4:30 however these are negotiable with your
clinical educator.
In May 2014 our trust changed to seven day working. This is negotiable with
your educator whether you take part in this. Over an eight week placement
this will be a maximum of two weekends and you will receive two days off in
the week to compensate for this. Participation in this will be encouraged as
you will experience different areas and type of working in comparison to
weekday working.
Car Parking
For those student commuting car parking is available although often quite difficult
after approximately 9am. On your first day if you require a parking permit please
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inform the student co-ordinator or your clinical educator. You will need to go to
Facilities with your educator and £1 per day to get your permits for the duration of
your placement. If you are staying in accommodation there may be parking places
near this that the accommodation staff can advise you on.
For those commuting on your first day if you park in the Main Entrance car park and
walk through the main entrance. Follow the signs to the Therapy Departments.
Physiotherapy is signposted left further down the corridor after Ashby Ward. You will
go out of the building and then physiotherapy is just on the left in a separate building.
Travelling
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By train - There is a direct train service to Lincoln and it is a 20-25 minute
walk from the train station to the hospital. There are also regular buses up to
the hospital from the bus station which is opposite the train station.
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By car – Turn off the A1 following signs to Lincoln on the A57. Continue on
the A57 towards Lincoln for 20 minutes. Go left at the main, 2 lane,
roundabout onto the ring road (A 46 - dual carriageway) and follow signs to
Lincoln County Hospital. Traffic through Lincoln at rush hour can be very
congested so please leave enough time to allow for this.
Other Information
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On site there is a small WH Smiths, a coffee shop, the hospital restaurant and
the “Time-Out” café all available to use.
There is a Library available for use both in working hours and out of hours. In
order to have access out of hours approach the library staff for further
information.
Band 5 In-Service Training – Every other Thursday from 1-2pm in the Main
Physiotherapy Gym. All students to attend unless discussed otherwise with
clinical educator.
Computer access will be organised – during the first week your educator will
be provided with the forms to gain computer access during your placement.
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Out-Patient Department
Contacts
Clinical supervisors
Carole Thacker
Dawn Harmer
Tom Wilkinson
Tel;
01522 573945
01522 597555
E mail
carole.thacker@ulh.nhs.co.uk
Area of work
Out Patient Department. – Referrals from consultants, GP’s. A+E clinic and staff selfreferrals.
Gymnasium for various rehabilitation classes
Other opportunities are available e.g. working with a senior physiotherapist in a
physiotherapy clinic at one of the local GP practices.
Participation in joint OT/ Physiotherapy hand rehabilitation classes,
Learning opportunities whilst on placement
1)
2)
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5)
6)
7)
Attendance at the multidisciplinary orthopaedic training meeting
Attendance at the Department In-service training sessions.
Attendance at the Junior In-service Training programme.
Opportunity to shadow a specialist physiotherapist in pain clinic.
Opportunities to work with senior physiotherapists in local GP practices.
Opportunity to spend time with other members of the team.
Observation of x-rays with senior physiotherapist as part of patient
assessment,
8) Opportunity to observe clinical specialist/team lead in administration of joint
injections.
9) Opportunity to observe the application of acupuncture as a treatment
modality.
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Competencies
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Ability to carry out a full subjective assessment
Ability to carry out objective assessment
Ability to use SOAP note format
Able to palpate bony landmarks
Good applied anatomical knowledge
Knowledge of exercise and its progression
Knowledge of specific joint handling and testing e.g. diagnostic tests
specific to the joint in question.
Knowledge
1) Joint ROM and how to measure this
2) Electrotherapy and contraindications to treatment
3) Understanding of osteoarthritis disease process and pathology affecting
peripheral joints and the spine.
4) Demonstration of a sound awareness/understanding of commonly
encountered conditions in the out-patient setting e.g. fractures of the upper
limb/lower limb and spine, soft tissue injuries, joint problems and spinal
degeneration.
5) Demonstration of awareness/understanding of common surgical procedures
encountered in the outpatient setting e.g. Shoulder: rotator cuff repair, sub
acromial decompression (SAD). Knee: ACL reconstruction, TKR.
Spine: Decompression and fusion.
6) Knowledge of soft tissue/fracture healing and repair.
Useful Reading
Tim Watson: Electrotherapy
Maitland: Peripheral and spinal mobilisations
The Physiotherapists Pocketbook: Karen Kenyon. Jonathan Kenyon.
Neuromuscularskeletal examination and assessment: Nicola Petty
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Cardiorespiratory
Contacts
Clinical Supervisors: Wendy Leonard
Tel: 01522 573945 or 01522 512512 Bleep 3152
Email: wendy.leonard@ulh.nhs.uk
Area of Work
ICU (surgery, medical and trauma patients)
Providing a service as part of a team to all patients on ITU we assess patient’s
conditions and adapt treatment techniques as required.
Our aim is:
 To prevent any musculo-skeletal problems developing where possible by use
of active or passive exercises
 Assessment and treatment of respiratory conditions
 Work as part of as team with nurses and doctors.
Surgical wards
The bulk of your work on the wards will be dealing with the respiratory and mobilising
aspects of patients post surgery. Each patient is an individual and each prepared for
home as such, so that they are discharged at their maximum potential. Liaison with
all members of the MDT may be required to achieve successful discharge, and home
visits may be attended providing your workload and staffing allows.
You may have the opportunity to attend cardiac rehab, work with amputee
outpatients, attend ITU low level exercise group and ITU follow up clinic.
Competencies
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Respiratory assessment
Able to teach ACBT / breathing exercises
Auscultation
Position for V/Q matching and drainage
Assess moving and handling / mobility
Recognition of complications associated with surgery or prolonged bed rest
Discharge planning
SOAP notes
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Knowledge (Pre-placement)
 Respiratory assessment
 Arterial Blood Gases
 Modes of ventilation including NIV and CPAP (not first placements)
 Common abdominal surgical incisions
 Suction
 Manual hyperinflation
 Common complications following surgery
Useful Reading
Pryor and Prasad
Hough
(Ventilatory modes may not be the same terminology in each – broad concept only)
(Ignore paediatrics in both books)
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NEUROLOGY - ASHBY WARD
Contacts
Clinical Supervisors: Sue Williams Clinical Specialist Physiotherapist, Band 7
Laura Wilmott Neurological Physiotherapist, Band 6
Tel: 01522 512512 Ext 2582 physio office on Ashby Ward.
01522 572380 Ashby Ward reception.
01522 573945 Physio dept.
Email: Sue.Williams@ulh.nhs.uk
Laura.Wilmott@ulh.nhs.uk
Area of Work
Ashby Ward – Neurological rehabilitation ward treating patients with MS, acquired
brain Injuries or other neurological deficit.e.g Guillain Barre.
Learning Outcomes
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Effective neurological assessment of patients with MS and acquired brain
injury.
Use of outcome measures e.g. Berg Balance, Rivermead, 10 Metre Walk,
Functional Independence Measure.Effective goal setting, with liaison with
family members in treatment and goals setting meetings.
Working closely within the MDT, including feeding back via physio reports or
in MDT meetings.
Improve handling of neurological patients and use of specialist equipment
(e.g. walking harness, Richter Standing frame, Oswestry frame, Sara standing
hoist and tracking/mobile hoists).
Maintaining up to date records and clear treatment plans with appropriate
patient goals.
Pre-placement Reading
FIM/FAM outcomes, Berg Balance and Northwick Park Therapy dependency score.
Bases of Evidence for practice Neurological physiotherapy edited by Cecily
Partridge.
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MEDICAL AND HEALTH CARE OF THE ELDERLY
Contacts
Medical Team Lead Physiotherapist- Erica Ward (Band 7)
Email: erica.ward@ulh.nhs.uk
Area of Work
Medical wards – General medicine/ Complex Needs/ Respiratory/ Oncology/
Cardiology
Students will be working on the medical wards. Students will mainly be assessing
and treating patients with mobility problems, there may be the opportunity to assess
and treat respiratory and neurological patients. There will be involvement in complex
discharges for the older person.
Competencies
Year 1/Early year 2 placements
- You will be expected to complete subjective and objective assessment of
mobility and respiratory patients with guidance
- You will be expected to treat mobility patients, set SMART goals and
progress treatment
- With guidance you will be expected to complete respiratory treatments, set
SMART goals and progress/modify respiratory treatments
- You will start to develop your clinical reasoning skills
Year 2
- You will be expected to complete the same as for year 1/early year 2
placements with less guidance
- You will be expected to start to manage a caseload
- You will be expected to select and carry out a wider range of treatments and
clinically reason appropriately
Year 3
- As for year 1/early year 2 and year 2 (above)
- You may be expected to manage a ward
- You will be expected to treat more complex respiratory and medical patients
with guidance where needed
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Knowledge (Pre-placement)
Please have a basic understanding and knowledge of the following conditions:
 COPD / Asthma
 Pneumonia/Chest Infection
 Diabetes
 Falls
 Heart failure
 Heart attack/myocardial infarction (MI)
 Atrial fibrillation (AF)
 Hypertension
 Hypercholesterolemia
 Dementia
 UTI
 Stroke
Books:
Alex Hough
Pryor/Prasad
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ORTHOPAEDICS
Contacts
Clinical Supervisors: John Wilson
Rotational Band 6
Tel: 01522 573945
01522 512512 Bleep 3095
Email: John.M.Wilson@ulh.nhs.uk
Area of Work
You will see a mixture of elective and trauma patients although your placement will
predominantly be one or the other, dependent on your supervisor.
There are 2 Orthopaedic wards at Lincoln:
1. Neustadt Welton Ward – Elective and some trauma
2. Stow Ward – Acute trauma
Typical conditions
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# Neck of Femur
Upper limb fractures
# ankles
Polytrauma patients
Spinal #’s
Spinal surgery
Hip replacements
Knee replacements
Shoulder surgery
We also carry out mobility assessments to provide walking aids to A&E patients and
Day surgery patients undergoing minor surgery.
Learning Outcomes
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Able to carry out subjective assessment.
Able to carry out an objective assessment.
To carry out a mobility assessment and provide appropriate walking aids.
To set short term and long term SMART goals for individual patients and
develop treatment plans.
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To improve moving and handling skills of patients with a wide range of
complex needs, with guidance as necessary.
To develop clinical reasoning skills.
Opportunity to observe surgery.
Pre-placement Reading
Have a basic understanding knowledge of :
 The healing process and timescales of healing (e.g. bone and soft tissue).
 Types of fractures
 Joint replacement e.g. knee/hip/shoulder
 Types of surgery following a # neck of femur.
 Mobility assessment
 Walking aids
On talking to your supervisor you will be told which ward you will be on and therefore
you can be directed to which area is more appropriate to read up on.
Useful Resources
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Therapeutic exercise, Foundations and Techniques. Carolyn Kisner and
Lynn Allen Colby (2002).
www.wheelessonline.com - Wheeless’ Textbook of Orthopaedics
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Neurology - Stroke Unit
Contacts
Clinical Supervisors: Alwyn Sproul, Philippa Ireland and rotational Band 6 therapists
Tel:01522 573945 or 01522 512512 extn 3265 or 2561
Email: Alwyn.sproul@ulh.nhs.uk
Phillipa.Ireland@ulh.nhs.uk
Area of Work
Based on stroke unit.
 Acute stroke (and up to approx 3 months rehab)
 Haemorrhagic stroke and infarctions
 Transient ischemic attack (TIA)
 Pre-existing medical conditions eg respiratory conditions, arthritis (RA, OA),
pre-existing stroke
 Respiratory complications post stroke
 Communication and swallowing problems post stroke
 Neglect (of weak side and or visual neglect)
 Older and younger patients
Competencies
During the placement the student will have opportunity to improve their skills in all or
some of the following areas:
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Assessment of acute stroke patients
Treatment skills and progressions
Communication with patients who are receptively and or expressively
dysphasic and with those who are aphasic
Handling skills and moving and handling/positioning stroke patients
Knowledge of CT scans
MDT working
Involving relatives in treatment progressions or discharge planning and
communicating appropriately with them
There may be an opportunity to observe a video fluoroscopy (x-ray of a
patients swallow) dependent on patient availability
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Knowledge (Pre-placement)
1) Prior to placement it would be of benefit to have had time to observe the
‘normal movement of others’ (class mates, family, housemates) in movements
such as sitting and reaching, sit to stand and when stepping/walking.
2) Read up on high and low tone (spasticity and flaccidity), neglect, ‘pushers or
pusher syndrome’, neglect and communication difficulties post stroke.
3) It may also be of benefit to read over some basic neuro-anatomy i.e. what left
and right hemispheres are responsible for, what the lobes of the brain are
responsible for and where they are
Useful Reading
 Steps to follow. Patricia M Davies. 2nd edition
A dated text and some of the moving and handling activities are definitely out
of date however a good overview to get started.
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Neuroanatomy. An illustrated colour text. AR Crossman, D Neary. 3rd
edition
An easy to read colour text
Neurology – Neuro Outpatients
Educator: Caroline Cook
Email: caroline.cook1@nhs.net
Phone Number : 01522 573945
Common Conditions encountered and pre-reading
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Multiple Sclerosis – different types and awareness of progression
Parkinsons Disease – awareness of common issues
Stroke (rehab post three months)
Cerebral Palsy
Mobility Assessments for elderly patients
Vertigo within elderly patients
Spinal Injury patients including cauda equina
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WOMEN’S HEALTH & PAEDIATRICS
This placement is am in one area and pm in the other.
Contacts
Clinical Supervisors: Diane Boyer – Women’s Health
Corinna Bunn – Women’s Health
Leanne Richmond - Paediatrics
Tel: 01522 573945
E-mail: Corinna.Bunn@ulh.nhs.uk
Diane.Boyer@ulh.nhs.uk
Leanne.Richmond@ulh.nhs.uk
Area Of Work and Learning Outcomes
Wards:
 Postnatal patients
 Gynaecology patients post-op
Outpatients
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Pregnant ladies with pelvic pains in pregnancy.
o Know the anatomy of the sacroiliac joint and symphysis pubis
o Know the tests to assess the pelvis
o Know lumber spine assessment
Gynaecology outpatients
o Assist in assessing incontinence patients
o Assist in assessing prolapse patients
o Treat an incontinence patients
o Treat a prolapse patients
Paediatrics
o Assess MSK conditions
o Treat MSK conditions
Recommended reading
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Physiotherapy in Obstetrics and Gynaecology 2nd Ed - Barton, Haslam and
Mantle
Women's Health, A Textbook for Physiotherapy, Sapsford et al
Physiotherapy in Children – Teresa Pountney
Recommended Websites
www.pgop.csp.org.uk
www.apcp.csp.org.uk
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