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Placement
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Introduction to Placement
area
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Ward 77/Dialysis Unit 0161 701 7700
Welcome pack, introduced to staff, mentors and ward
environment.
Placement Philosophy
The staff on Ward 77 believe in family centred care for
every child. We welcome and encourage parental
participation in the care of their child throughout their
stay in hospital. We encourage parents to be resident
on the ward. We believe the atmosphere on the ward
should be informal and we endeavour to make the
child’s hospital stay as pleasant and positive
experience.
We believe every child’s care should be supervised by
a qualified nurse therefore every patient will be
allocated a nurse on each shift.
We believe in a holistic approach to nursing children
recognising that there are many potential nursing
problems that we need to address and deal with. We
recognise the need for children to play, as a means of
expressing their fears and frustrations, and provide a
play specialist and therapist on Ward 77.
We believe it is important to involve the multidisciplinary team in our holistic care. This is to achieve
the best possible outcome for the child.
The staff on Ward 77 deliver the highest possible
standards of care at all times. The trust has a zero
tolerance policy for violence and aggression, which will
be upheld at all times.
Ward 77 is a 32 bedded unit. The ward is divided
down 2 sides comprising of 20 beds and 12 cubicles.
We receive patients from across the country with
varying conditions. Our main specialities include:
renal, urology, cleft lip and palate, plastics, general
surgery and short gut.
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Staff Facilities and Break
Allocation
Breaks are allocated by shift leaders at the beginning
of the shift.
The hospital facilities include yoo café, shop, costa
coffee, subway and are situated in the main atrium on
the ground floor.
The ward has a staff room with hot drink making
facilities, a fridge and a microwave. We also have a
locker room for personal belongings. If you wish to
leave the ward for your break you may do so, following
discussion with the shift leader.
The hospital grounds are a completely no smoking
zone. If you wish to smoke the only permitted area to
do so is the main road.
Car parking is available at the multi-storey car park on
Hathersage Road. You will need to obtain a permit
from the security office with the MRI.
During your placement you will work closely with your
allocated assessor. Your off duty should coincide with
your assessor for at least 40% of your placement. If
you need to change any of your shifts you must ask
permission as your off duty is done for your benefit.
Students during their first year of study are not
expected to work long days or nights but you can do on
request. Any off duty requests need to be made clear
prior to the off duty being completed. The student
request book is situated behind the nursing stationany diffculties you may encounter- contact Sr Faye
Taylor or Michelle Day.
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Handover / Shift Patterns
Early: 07.30-15.30 (30 mins break)
Late: 13.00- 21.00 (30 mins break)
Long day: 07.30- 21.00 (60 mins break)
Night: 20.30- 08.00 (60 mins break)
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Specialities
Renal, urology, general surgery, short bowel, cleft lip &
palate, plastics
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Commonly used terms /
Abbreviations
Biopsy: The removal of a small piece of living tissue
from an organ or part of the body for microscopic
examination.
Proteinuria: The presence of albumin or other serum
proteins in the urine which may be associated with
kidney or heart disease.
CVP: Central venous pressure, is the pressure in the
right atrium recorded by means of a catheter inserted
into the vena.
Colostomy: Part of the colon is brought through the
abdominal wall and opened to drain or decompress the
intestine.
Creatinine: A substance derived from creatinine
phosphate in muscle, creatinine is excreted in urine.
Bladder augmentation: A surgical procedure to
increase the function and capacity of the bladder.
Dialysis: A method of separating particles in different
dimensions in a liquid mixture using a thin semi
permeable membrane, using the process of osmosis.
Peritoneal dialysis: The use of peritoneum as a semi
permeable membrane.
Haemodialysis: A technique of removing waste
materials from the blood using the principles of
dialysis.
EPO: Erythopoietin is a hormone excreted by certain
cells in the kidneys in response to th amount of oxygen
reaching the tissues. Epo increases and controls the
rate of red cell production.
Acute Nephritis: It is marked by blood in the urine and
fluid retention. It is usually temporary and kidneys
should rapidly return to normal function.
HUS: Haemolytic uraemic syndrome in which a sudden
rapid destruction of red blood cells causes acute renal
failure, partly due to obstruction of the small arteries in
the kidneys. The haemolysis also causes a reduction
of platelets, which can lead to severe haemorrhage.
Several causes exist but the main pathogen Is E-Coli
0157.
HSP: Henoch scholien purpura. A common and
recurrent form of purpura found especially in young
children. It is characterised by purple rash on the
buttocks and lower legs due to bleeding into the skin
from inflamed capillaries together with arthritis,
gastrointestinal symptoms and nephritis.
Ileal conduit: To create an ileul conduit, the ureters
are surgically resected from the bladder and a channel
is made in order to drain the urine into a detached
section of the ileum (small intestine). The end of the
ileum is brought out through a stoma in the abdominal
wall. The urine is collected in a bag.
Mitrofanoff: Part of the appendix is utilised to create a
channel from the bladder connecting to a stoma on the
abdomen. Urine is typically drained several times a
day by use of a catheter inserted into the mitrofanoff
canal.
ISC: Intermittent self catheterisation is a procedure in
which the patient periodically passes a disposable
catheter through the urethra or a urinary stoma to
empty the bladder.
Cleft: an opening
Palate: The roof of the mouth, divided into 2 parts
anterior (hard) and posterior (soft). Can be isolated or
part of a syndrome.
Cleft lip: An opening in the muscle and tissue of the
lip, these can be unilateral (one side) or bilateral (both
sides). These can vary in severity, incomplete or
complete, involving the alveolus and the nose. The
mildest form of cleft lip only affects the muscles and is
referred to as a forme frust.
Aveolus: Tooth sockets
Aveolar bone graft: Bone is harvested from the hip
and grafted in to the alveolus to close cleft, thus
allowing teeth to develop in the correct position.
PRS: Pierre Robin Sequence relates to a sequence of
events first micrognathia (small mandible) which
secondly causes glossoptosis (posteriorly positioned
tongue) which thirdly leads to the palate being unable
to fuse in utero, resulting in a wide v or u shaped cleft
of the posterior palate.
Sub mucous cleft palate: This is when the palate
visually appears to be structurally intact, but there are
bony and muscular abnormalities. The subtle
appearance may delay presentation until detected by
problems with speech.
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Learning and teaching
opportunities specific to
clinical area / Spoke
Placements
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Teaching / Competency
Packs
Gastro / PN nurse specialist
Cleft nurse specialist
Urology nurse specialist
Dialysis nurse specialist
Renal transplant nurse specialist
Cleft nurse specialist
Burns and Plastics Aftercare clinic
Burns Unit
Clinical co-ordinator
Pain nurse
IV team
No teaching packs currently available