ANEURIN BEVAN UNIVERSITY HEALTH BOARD STUDENT INFORMATION PACK THEATRE DEPARTMENT YSBWTY YSTRAD FAWR Introduction Welcome to your theatre placement. Your time in theatre is an excellent opportunity to learning new skills and gain new information, both of which will enhance the care you offer to patients further on in your career. It is important that you see this experience as part of a bigger picture of care. Many patients that you will care for will undergo some sort of surgical intervention. By working in main theatre and day surgery you will better understand what they are experiencing and be able to give more accurate information and support. You will also have the opportunity to observe and practice skills that you may not have had the chance to be involved with before. These skills such as inserting an airway or scrubbing for a procedure will enhance your care on the wards. For example, if you scrub and observe a procedure and see how the scrub practitioner maintains a sterile field, this will enhance your own practice when performing a dressing on the wards. Philosophy of Care Every patient is to receive outstanding care in a friendly, professional environment within a forward thinking department. Individualised care will be tailored to your needs by competent and knowledgeable staff instilling confidence, empathy and respect. A non-judgemental attitude will be used at all times. We aim to care for patients as we, ourselves would wish to be cared for. Location of Theatres We are situated on the second floor of YYF hospital. Theatre access is restricted. New visitors are encouraged to follow the signs for ward 2.3 Rhymney and ask to be directed to theatres from there. Hours of Work New students will be expected to arrive at 8.30am on their first day and to work their mentors’ hours from then on. The working week is 37.5 hours. We normally work between the hours of 8am-6.30pm with either a full day off during the week, or two half days – depending on the workload. We operate a Monday to Friday rota. We do not usually work on weekends. Clothing Wear your normal outside clothing to work. You will need to change as soon as you arrive in the department. Fresh theatre clothing will be provided daily. You are discouraged from bringing anything valuable to theatres. Limited lockers are available to secure your belongings, but these are not always available. Any articles are brought to theatre at your own risk. Mobile Phones Mobile phones are not allowed in the clinical area. You may use your phone only during your breaks in the coffee room. Lunch & Breaks 30 minute lunch breaks are provided. You may eat at the canteen situated on the first floor of the hospital, but you must change into your outdoor clothes for this, and then change back into theatre clothing on your return. Packed lunches are recommended. We have a large coffee room with tea/coffee making facilities as well as two microwaves and a fridge. Rest breaks are given throughout the day. Telephone Numbers The department telephone numbers are as follows: Main desk – 01443 80 2562 Office – 01443 802561 Educational Lead Ian Dinham – 01443 802562 ian.dinham@wales.nhs.uk Current Mentors Ian Dinham Michelle Jones Theatre Manager Darren Beatty 01443 802550 Specialities at YYF Theatre Department Orthopaedics General Surgery Urology Gynaecology (all elective patients) Prior To Your Visit It’s advisable to ring the theatre department a few days prior to your first shift to enquire about your shifts, as well as ask any questions about what to expect from your placement. You should contact Ian Dinham in the first instance. Your first day You will be greeted by your mentor who will show you to the changing rooms and then meet up with you for an orientation session. Your educational needs will be discussed in the form of an induction and you will be given an overview of the department as well as an outline of the multidisciplinary team working within the theatre department. Your first day will mainly consist of observing procedures, but following this we will discuss moving on to performing more ‘hands-on’ roles. Experiences You will be rotated through the specialities of Orthopaedics, General Surgery, Urology, Gynaecology, Recovery and Anaesthetics. You will learn the principals of maintaining asepsis through good use of infection control. You will learn about airway management, pharmacology, haemostasis (stopping bleeding) as well as are of post operative patients in the recovery room. Laparoscopic (minimally invasive/keyhole) procedures will be taught, and you will be given instruction on how to work the stack systems as well as knowledge of scope work, instrumentation and accessories. Finally you will be expected to scrub for a case with direct supervision. Theatre: ♦ The student will have the opportunity to learn how to scrub and maintain a sterile field by observing and taking part in operative procedures. ♦ The student will have the opportunity to act as a “circulating nurse” by helping to give the scrubbed practitioner the equipment and supplimentaries needed for each case, this will give chance to help maintain a sterile field ♦ The student will have opportunities to take the skill of hand-washing one step further in to the skill of scrubbing ♦ The student will be able to observe how infection control is applied to practice and to dispose safely of body fluids ♦ The student will have opportunities to deal with surgical specimens ♦ The student will be able to support patients undergoing local procedures and communicate with them. ♦ The student will have the opportunity to take part in multidisciplinary care of patients ♦ The student will have the opportunity to complete documentation and pass on information to other areas of care. Anaesthetics: ♦ Checking in of patients – the student will observe and participate in the checking in procedure and be able to discuss the associated clinical risks and management. ♦ The student will be able to discuss the importance of the theatre/ward checklist and describe the fasting and consent policies. ♦ The student will be able to demonstrate the ability to communicate with patients, relatives and carers in an appropriate manner ♦ The student will participate in the communication process between theatre and recovery and members of the multidisciplinary team. ♦ The student will be able to describe different types of anaesthetic and its effects on patients. ♦ The student will observe airway management and assist where possible. Recovery ♦ Maintain a patients airway ♦ Care of drains, catheters, IVI ♦ Maintain patients fluid balance ♦ Care for a patient following different types of anaesthetic ♦ Take and record observations ♦ Monitor any pain by using a pain scoring tool ♦ Communicate with other members of the multidisciplinary team ♦ Pass on information regarding the plan of care ♦ Change the plan of care if necessary ♦ Overcoming barriers to communication caused by anaesthetics. Sickness If you are ill during your placement is extremely important that you inform the unit, please call 01443 802562 and tell the person answering who you are supposed to be working with so that the message can be passed on. You must also keep in touch if you are ill for more than one day. And finally… We look forward to meeting you at our department and feel sure that you’ll have a great experience with us. Theatres can be daunting places, but you needn’t worry. Our staff are quite used to dealing with new students (and nervous people in general) and will do everything they can to make sure you have a great placement. We hope you’ll leave here wanting more and we’d be thrilled if you’d consider a career as a theatre practitioner as a direct result of your placement with us!