On C3 ward we practice team nursing using Roper Logan and Tierney nursing model.
We feel that it is important to create a warm friendly atmosphere, where nursing care is patient centred and relatives can be encouraged to take part in care. We help patients to make a recovery from ill health at their own pace. We endeavour to take into account the wishes and views of the patient, before making decisions relating to nursing care and act as the patients advocate and maintain patients confidentiality.
An important part of our role is to give the patient knowledge about their condition, helping them understand their illness and interventions required.
We set and maintain the highest possible standards of nursing care, using all resources available, utilizing up to date research, and knowledge from specialist nurses. Patients care is individualised, using appropriate care plans, which are then used as a working document throughout their stay.
We try to provide a supportive atmosphere for staff, so as to encourage growth, learning and research.
Trained staff act as role models to student nurses therefore teaching and disseminating knowledge.
We realise the importance of keeping accurate, concise nursing records and adhere to policies and procedures.

Snr Sister /Ward Manager
Jnr Sister
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Staff Nurse
Assistant Practitioner
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Health Care Assistant
Ward Clerk
Vivien Bates
Toni-Ann Breeze
Amy Charnock
Sue Fearon
Lisa Millard
Michelle Gee
Kayleigh Orrell
Hannah Graham
Leah Carr
Heather Dalglish
Louise Thompson
Jenny Elliot
Sheralee Webb
Rebecca Edge
Bernadette Samuels
Karen Kirkman
Amanda Walker
Rose Nuttall
Emma Aslett
Diane Taylor
Tracey Brown
Joanne Fitton
Sheryl Hennessey
Lee Dube
Nicola Mcgreavy
Kathleen Kramarczyk
Lynn Middleton
Audrey Hurst
Amanda Donnelly
Kirsten Brown
Anne Kirby

Welcome to c3, whether student or new member of staff, we hope to make your time with us a happy one. This pack aims to give a brief insight into the world of c3.
Type of Ward:
C3 is an acute mixed gastroenterology ward and is part of the Adult division of specialist medicine. The ward has 26 beds including 8 side wards of which 6 are en-suite.
Management of the ward:
Snr Sister/Ward Manager: Vivien Bates
Jnr Sister/ Deputy Ward Manager: Toni-Ann Breeze & Amy Charnock
Specialist Nurses:
Nurse Consultant – Veronica Hall
IBD Nurse – Suzanne Tattersall
Alcohol team- Samantha Osborne, Rebecca Blackwell, Nicola Liggett, Lizzie
Thomas
Consultants and Doctors:
We have 5 Consultants on C3.

Dr. K Moriarty

Dr. G Lipscomb

Dr. K Padmakumar

Dr. S Singh

Dr M. Bhalme

The junior doctors are ward based and change every 4 months.
Ward Rounds:
These take place every day at 9.30am

Multi-Disciplinary team Meetings:
We have a multi-disciplinary team consisting of consultants, doctors, nurses, alcohol/liver nurses, physiotherapists, occupational therapists, dieticians and social workers who meet every day at 11.45am in the doctor’s office. The MDT are all involved in working together to ensure care is patient centred and all disciplines are aware of the patients needs, and measures are in place to ensure a safe and timely discharge.
Telephone Numbers:
 Main Hospital Switch Board – O1204 390390, Internal press 0
 C3 external number – 01204 390608, Internal 5608 or 4572
 To transfer a call to another number, Press R followed by the number required
 To ‘camp’ on to an internal number, Press R # 1
 To dial an outside line, Press 9, followed by the number
 To bleep, dial 8 followed by the bleep number, followed by the number of the phone you are dialling from, and wait for the call to be accepted
Cardiac Arrest:
The arrest call is ‘2222’

When the operator answers state ‘Cardiac Arrest C for Charlie 3’.
Repeat the message. The operator will then alert the crash team.
As a student or new member of staff it maybe your role to either
1.
Put the crash call out
2.
Bring the crash trolley
3.
Direct the crash team to the appropriate patient
It is important that you are aware of where the crash trolley is (Near the nurses’ station). Don’t forget to ensure that it is unplugged before moving it.
Every bed has oxygen and suction already fitted, these are checked daily and when a patient goes home ensure that they are in working order with the right attachments.

Remember you can learn alot by watching and assist if required. Also you can help by reassuring other patients and help keep the ward running smoothly.
If a patient is extremely poorly and needs medical attention urgently even though they have not yet arrested, you may be asked to fast bleep a doctor.
You do this the same way as cardiac arrest call but state ‘Fast Bleep’ and give the doctors bleep number (If known).
Fire Procedure:
If you see or suspect a fire you must:
1.
Immediately alert others
2.
Break the glass in the fire alarm or...
3.
Dial 2222 – stating that you suspect a fire and the area being ‘ C for
Charlie 3’
The fire escapes are in Bay 1 and also the main corridor.
There are ski sheets available to allow mattresses to be dragged safely by the loop provided.
Continuous fire bell means Fire in C block
Intermittent fire bell means that there is a fire in the hospital but not in your area
Domestic Arrangements:
We have a staff room for staff to have breaks...
Note: Staff should keep this room tidy at all times, and pots washed and not left for others to clean up.
We also have a locker room with a secure code.
Please try to familiarise yourself with the ward layout as soon as possible.
Taking note areas such as Treatment room, Sluice, Kitchen and the location of equipment especially manual handling equipment.

Visiting:
 14.00hrs – 15.30hrs / 18.30hrs – 20.00hrs
 2 visitors per bed
 Visitors must not sit on patient beds
 Children are allowed to visit but risk of infections should be explained to those with small babies
 Children must have adult supervision at all times
 Strict protected meal times – unless family are assisting with feeding or with extremely poorly patient, and emergencies.
Shift Patterns:
C3 ward provides 24hr care to a variety of patients.
 Day Shift – 7.30hrs - 20.00hrs
 Night shift – 19.30hrs – 8.00hrs
Mentorship:
Each student will be allocated a mentor and an associate mentor with whom you will mainly work alongside. However you will find everyone on the ward willing to share their knowledge, if unsure ASK.. (We were all new once)
Please discuss your aim and objectives with your mentor, as they may be able to suggest some specific ones to this ward. Please remind staff of the dates when paper work and interviews are due. There is up to date literature available, but do not remove from the ward.
Preceptorship:
Preceptorship is available to all newly qualified staff. We have a preceptorship pack available. New members of staff will have a supernumerary period of two weeks, while they settle in their new role.

Conditions you may not encounter on other wards. These are just definitions..
Alcoholic: An individual dependant on excessive amounts of alcohol
Ascities: Free fluid in the peritoneal cavity or oedema of the abdomen
Crohn’s Disease: A chronic condition of the terminal portion of the ileum
Colitis: Inflammation of the colon
Colonoscopy: An endoscopy passed through the anus to examine the Colon
Celiac Disease: Gluten entropathy, failure of the carbohydrate and fat metabolism
Diverticulitis: inflammation of the diverticulum
Encephalopathy: Cerebral dysfunction with diffuse disease or damage to the brain
ERCP: Endoscopic Retrograde Cholangio Pancreatography examination of the pancreas and bile duct
Gastroscopy: An Endoscopic examination of the oesophagus reaching to the stomach
Haematemisis: Vomiting of blood
Hepatitis: Inflammation of the liver
Hepatosplenamegaly: Enlargement of the liver and spleen
Irritable Bowel Disease: Reacting excessively to a stimulus
Jaundice: A yellow discolouration of the skin and conjunctiva due to presence of bile pigment
Korsakoffs: A chronic impairment of memory with disorientation of toxic or metabolic origin or alcoholism
Maleana: Darkening of faeces by blood pigment
Oesophageal Varicies: Varicose veins of the lower oesophagus secondary to portal hypertension
Sigmoidoscopy: An investigation in which he sigmoid and rectum can be seen

D&V
DU
DOA
ECG
FBC
FOB
GTT
GA
HB
H/O
HV
IVI
IDDM
IM
IV
LVF
LP
MDT
MSSU
MI
METS
COAD
COPD
CCF
CA
CT
C&S
CDT
CSU
CXR
CSF
DVT
POAB
AF
AXR
ALD
B/O
BWO
BNO
Bx
BM
BP
Oral Antibiotics
Atrial Fibulation
Abdominal X ray
Alcohol Liver Disease
Bowels Opened
Bowels well opened
Bowels not opened
Biopsy
Blood sugar monitoring
Blood pressure
Chronic obstructive airways disease
Chronic obstructive pulmonary disease
Cerebrovascular accident
Carcinoma
Cat scan
Culture and Sensitivity
Clostridium difficile
Catheter specimen of urine
Chest X-ray
Cerebrospinal fluid
Deep vein thrombosis
Diarrhoea and vomiting
Duodenal Ulcer
Dead on arrival
Electrocardiogram
Full blood count
Faecal occult blood
Glucose tolerance test
General anaesthetic
Haemoglobin
History of
Home visit
Intra venous infusion
Insulin dependent diabetic
Intra muscular
Intra venous
Left ventricular failure
Lumbar puncture
Multi disciplinary team
Mid stream urine sample
Myocardial Infarction
Metastases

TDS
TBA
SOB
S/B
SPA
STAT
SBE
SALT
SL
S/C
USS
UWSD
U+E
WR
OGD
OT
OBS
OPD
PU’D
PCA
PE
PIV
PRN
MANE
NOCTE
NG
NIDDM
NAD
O/D
O/A
PR
PV
QDS
TIA
TLC
Morning
Night
Naso Gastric
None insulin dependent diabetic
No abnormality detected
Overdose
On admission
Oesophageal Gastroscope
Occupational therapist
Observations
Out patients department
Passed urine
Patient controlled analgesia
Pulmonary embolism
Pelvic inflammation disease
As required
Per rectum
Per vagina
Four times daily
Trans ischemic attack
Tender loving care
Three times daily
To be arranged
Short of breath
Seen by
Salt poor albumin
One dose
Small bowel enema
Speech and language therapy
Sublingual
Sub cut
Ultrasound
Under water seal drain
Urea and electrolytes
Ward round