CONTENTS
PAGE 1: CONTENTS
PAGE 2: INTRODUCTION
PAGE 3: MENTORS
PAGE 4: OFF DUTY/SHIFT TIMES
PAGE 5: THE STAFF
PAGE 6: THE CONSULTANTS
PAGE 7: LEARNING OPPORTUNITIES
PAGE 8: CONTINUATION OF LEARNING OPPORTUNITIES
PAGE 9: CHECKLIST
PAGE 10: ORTHOPAEDIC GLOSSARY OF TERMS
PAGE 11: SURGICAL GLOSSARY OF TERMS
PAGE 12: SURGICAL GLOSSARY OF TERMS
PAGE 13: ORTHOPAEDIC ABBREVIATIONS
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INTRODUCTION
Welcome to Ward 2!
We hope that you enjoy your placement here and that it will be an invaluable
learning experience. If at any time you have a problem, please feel free to
discuss them with either your mentor, nurse in charge, or the Ward PLT
representatives.
Ward 2 is a mixed Surgical/Orthopaedic ward consisting of 28 beds. The ward
layout is 5, 4 bedded bays and 8 side rooms.
The workload is variable and the patient turnover is high.
Our orthopaedic patients are generally undergoing planned surgery, or who
have sustained traumatic injuries to their musculo-skeletal system. Our
Surgical patients undergo Breast and Bowel surgery, Hernia repairs,
Cholecystectomy, Urology (TURB/TURP)
Patients are admitted to Ward 2 usually from A+E, EAU, Day Ward or from an
elective list. A comprehensive nursing assessment is performed, care and
interventions planned, care initiated, implemented and evaluated. We
generally use core care plans, adapted to the patients’ individual needs. Most
of the nursing documentation is done manually, although there will be
opportunities to access computer based information, such as Trust policies and
procedures.
We work very closely with other members of the Multi- professional team:
Medical staff, Physiotherapists, Occupational Therapists, Social Workers,
Dieticians, Pharmacy and Plaster room staff.
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MENTORS
For the duration of your placement, you will be assigned to a Mentor,
Associate Mentor, and an experienced Healthcare Support Worker, who has
undertaken the NVQ Assessment level 1+2. Sometimes you may also be
allocated a Student Nurse Buddy.
MENTOR………………………………………………………
ASSOCIATE…………………………………………………..
HCSW……………………………………………………………
STUDENT NURSE BUDDY……………………………………
Wherever possible, we try to allocate you to work with a single mentor during
your placement. When this is not possible an associate mentor is allocated,
you will gain the most from your placement if you work the same hours as your
mentors. If this cause any difficulty, please discuss with your mentor.
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OFF DUTY/SHIFT TIMES
Ward 2 operates a 4 shift pattern
Early (E) 0700-1430
Late (L) 1230-2000
Long Day (LD) 0700-2000
Night (N)1930-0730
Your off duty is…………………………………………………………………………………………………
We have enclosed your first weeks off duty to ensure a smooth transition into
your placement. This is to ensure that you are assigned to your mentor when
starting this placement. At times we have a high number of students on the
ward at the same time, at these times you may find your off duty is completed
for your whole placement. This is to give you all the chance to have the same
learning experiences. Please do not change these shifts without speaking to
either your mentor or one of the Jr Sr in charge, you may also note that we
have assigned an insight visit on a set weekly pattern, this is to ensure that you
gain enough insight days to enhance your learning opportunities whilst on this
placement. Please note, that as adult learners, it is your responsibility to
arrange these insight visit days and not use them as study days.
The Ward telephone number is 01476 565232 (Ext 4420/4245).
If the need arises that you need to call in sick, we would ask that you follow the
guidelines given to you by the School of Nursing and that you also call the ward
to let us know that you will not be on duty that day.
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THE STAFF
Ward Sister:
Di Woods
Junior Sisters:
Janet Brassington
Sharon Kelham
Julie Record
Ward Clerks:
Rachel Barrett
Debbie Buttigieg
PLT Reps:
Jo Macmillan
Joy White
Pharmacists:
Claire Vaughan
Physiotherapist:
Maggie Close
Breast Care Nurse:
Nicki Turner
Colorectal Nurses:
Bobby Lee
Rachel Jefferson
Outreach/Pain Nurses:
Linda Gough
Carole Hay
Mental Health Liaison:
Jo
Jeanette
Amanda
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THE CONSULTANTS
ORTHOPEADIC:
Mr A Y Othman (AYO)
Mr Paramasivan (ONP)
Mr G K Singhania (GKS)
Mr Trehan (RTR)
Mr Uryszek (DUR)
BREAST:
Mr Modi (MODI)
Mr Potdar
COLORECTAL:
Mr Mathur (DM)
Miss Varma (AVA)
Patients are seen on a daily basis by the Consultants or their Registrar and
surgical teams, usually early morning. The team of orthopaedic doctors are
based on the ward but they also have theatre time and cover A+E.
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LEARNING OPPORTUNITIES
AND
INSIGHT VISITS
There are a variety of learning opportunities on ward 2 including:
 Investigative procedures, e.g. x-ray, ultrasound, MRI
 Ward Rounds
 Discharge Planning
 Drug rounds
 Patient transfers
 Accompanying patients to Plaster Room
 Transferring and collecting patients from theatre
 Post-operative care
 Multidisciplinary meetings
Insight Visits include:
 Pre Assessment Clinic
 Hip and Knee classes
 Ward physiotherapist and OT’s
 Porters
 Pharmacy
 Any of the specialist nurses working in conjunction with Ward 2
patients e.g. Breast Nurse, Colorectal Nurse.
 Dietician
 Accompanying any of the Ward Team to extended Role Meetings
e.g. Infection control, PLT, Tissue Viability.
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 We suggest you follow a patient journey from Pre Admission
clinic, through theatre and back to rehabilitation on the ward,
through to discharge. This is of great value to both Student and
the Patient.
The staff on Ward 2 acknowledge the individuality of each student and
therefore, after discussion with your mentor, every effort will be made
to tailor available opportunities to your individual needs.
Please come to placement prepared, with your Action Plan outlining
goals, learning needs and objectives for this placement.
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CHECKLIST
Whilst on placement, ensure that you are able to:
Find:
 Emergency phone numbers
 Emergency bells and recognise the sound
 Resuscitation Trolley
 Fire alarms and exits
Have Knowledge of:
 Visiting Times and arrangements
 Staff Breaks
 Protocol for telephone enquiries
 Facilities for relatives refreshments
Have knowledge and understanding of individual bed areas:
 The oxygen, suction and air points
 How each bed works
 Documentation and observation charts
Be able to contact the following:
 Porters
 Standby Sister
 On call Doctor
 Pharmacy
 Emergency Call out/ medical emergency
At the end of your placement we appreciate feedback, please be as honest as
you like, we can only be aware of our strengths and weaknesses if you tell us!!
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GLOSSARY OF TERMS
ABDUCTION: Moving a limb away from the mid line of the body
ADDUCTION: Moving a limb towards the mid line of the body
ARTHROPLASTY: Remodelling or reorganisation of a joint
AVULSION: Forcible separation
DISLOCATION: Displacement of joint surfaces
DORSIFLEXION: Bringing the foot and toes upwards
EFFUSION: An increase of synovial fluid within a joint causing swelling
MENISCUS: A semilunar cartilage in the knee
ORTHOSIS: Splint or surgical appliance
OSTEOTOMY: Surgical division of the knee
PLANTAR FLEXION: Bringing the foot and toes downwards
PROTHESIS: An artificial part fitted to the body to replace a
diseased/damaged part
SUBLUXATION: Partial dislocation of two surfaces that are normally in
contact with each other
TENOTOMY: Surgical division of a tendon
VALGUS: A limb deformity which the extremity is moved away from the mid
line
VARUS: A limb deformity which the extremity is moved towards the mid
line
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SURGICAL GLOSSARY OF TERMS
ABDOMINOPERINEAL RESECTION: the surgical removal of the anus,
rectum, and sigmoid colon, resulting in the need for a permanent
colostomy.
ADHESION: a band of scar tissue that connects two surfaces of the body
that are normally separate.
AXILLARY NODES: The lymph nodes (or glands) located under the arms
COLOSTOMY: the surgical creation of an opening between the surface of
the skin and the colon; also referred to as a large intestine stoma. This is
usually done when very large areas of bowel are removed, and the ends
cannot be joined, or when there is a blockage in the intestine.
DIVERTICULITIS: an inflammation or infection of small sacs or outpouchings
(diverticula) of the inner lining of the intestine that protrude through the
intestinal wall.
ENDOSCOPY: a method of physical examination using a lighted, flexible
instrument to see the inside of the digestive tract. The scope can be passed
through the mouth or through the anus, depending on which part of the
digestive tract is being examined. This method is referred to by different
names depending on the area of examination, such as: esophagoscopy
(esophagus), gastroscopy (stomach), upper endoscopy (small intestine),
sigmoidoscopy (lower third of the large intestine), and colonoscopy (entire
large intestine).
FISTULA: abnormal connection that forms between two internal organs or
two different parts of the intestine.
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ILEOSTOMY: the surgical creation of an opening between the surface of the
skin and the ileum, the lowermost section of the small intestine.
LAPAROSCOPY/LAPAROSCOPIC SURGERY: a method of surgery that is
much less invasive than traditional surgery. Tiny incisions are made to
create a passageway for a special instrument called a laparoscope. This thin
telescope-like instrument with a miniature video camera and light source is
used to transmit images to a video monitor. The surgeon watches the video
screen while performing the procedure with small instruments that pass
through small tubes placed in the incision
LUMPECTOMY: Removal of a small area of breast tissue with or without
healthy tissue, also known as Wide Local Excision (WLE).
PERISTALSIS: the means by which food or waste is propelled through the
gastrointestinal tract in a series of muscular contractions.
STOMA: an artificial opening of the intestine to outside the abdominal wall
TURBT: Transurethral resection of a tumour in the bladder
TURP: Transurethral resection of a tumour in the prostate
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ORTHOPAEDIC ABBREVIATIONS
#
Fracture
PIP
Proximal Inter Phalangeal
DIP
Distal Inter Phalangeal
MC
Metacarpal
MT
Metatarsal
#NOF Fractured Neck of Femur
#SOF Fractured Shaft of Femur
THR
Total Hip Replacement
TKR
Total Knee Replacement
DHS
Dynamic Hip Screw
ORIF
Open Reduction + Internal Fixation
MUA Manipulation under Anaesthetic
CSM
Colour Sensation Movement
NWB Non Weight Bearing
PWB
Partial Weight Bearing
FWB
Full Weight Bearing
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