1 Placement 2 Introduction to Placement area 3 Placement Philosophy 4 Staff Facilities and Break Allocation 5 Handover / Shift Paediatric Intensive Care Unit 0161 701 8000 The paediatric intensive care unit (PICU) has 21 beds (funded for 17 at present) and is designated as a lead centre for intensive care within the Northwest. The critically ill child will receive care provided by nursing staff trained in paediatrics and the paediatric aspects of intensive care nursing. We will provide continuing, comprehensive physical care and supportive treatment to maintain life and promote recovery of the acutely ill child. We will provide emotional and empathetic support to the acutely ill child, its parents and family. We will prevent the child being deprived of parental and family love by providing an environment conducive to visiting and facilities for residency. We will encourage, teach and facilitate parental participation in care. We will act as the child’s advocate by ensuring basic human needs and rights are respected and provided. We will act as an important member of the health care team by anticipating and assessing patient’s needs, planning and providing patient care, bases on research and evaluating its effectiveness. We will liaise with other health care professionals to give a quality service. We will ensure the sick child is free from anxieties caused by both sensory deprivation and/ or the noisy fearful environment of the intensive care unit. We will enable the dying child to be pain free and die with dignity, love and without fear. We will give support and advice and respect the needs of the bereaved family. We will teach new staff and students to become proficient in the holistic care of the critically ill child. We will promote the learning environment for staff and students by encouraging research, self-evaluation and skills which with preceptor guidance will lead to competent care of the critically ill child. We will provide emotional support for staff, especially new members and learners, therefore promoting confidence. We will provide an environment conductive to the recovery of the ill child and be aware of the developmental needs of the individual’s child and instigate appropriate expression and play. Critical Care shares a staff room for PICU & PHDU members of nursing and medical staff. Within the staff room there is facilities to cook your food within microwaves and toasters. There are fridges to store your food although your food needs labelling with your name and the date. There are table and chairs to eat your meals and comfy chairs also for relaxing on break. Break Times are as follows: Early: 30minute break. Late: 30 minute break. Long day: Two 30minute breaks. Nights: Two 30minute breaks. Core Huddles at the beginning of each shift. Patterns 6 Specialities 7 Commonly used terms / Abbreviations 8 Learning and teaching opportunities specific to clinical area / Spoke Placements Bedside Handovers at shift handover. Early Shift:07.30 – 15.30 (7.5 hours) Late Shift: 12.00 – 20.00 (7.5 hours) Long days: 07.30 – 20.00 (11.5 hours) Nights: 19.30 – 08.00 (11.5 hours) The unit is a generalised specialism which will care for patients whom have - Respiratory dysfunction - Cardiovascular instability - Renal dysfunction - Neurological / neurosurgical instability - Trauma - Metabolic and endocrine disorders - Post operative care - Spinal surgery - Ear, Nose and Throat disorders - Haematology conditions / oncology - Sepsis - Genetics / congenital abnormalities Far too many to list, information will be given once in practice of common terms and abbreviations. Spoke Placements can be taken with physiotherapists, occupational therapists, dieticians, pharmacists and any other critical care specific practitioners. You can also work a shift in alternative wards within critical care these include PHDU, Burns & Burns Clinic. Learning opportunities include - Assessment of a patient - Plan & Evaluate Nursing - Care of an invasive and non-invasive ventilated patient. - Care of a patient whom requires intubation or extubation. - Tracheostomy care - Family support - Communication skills - Oxygen therapy and pulse oximetry - Suction technique - Use of resuscitation and emergency equipment - Enteral feeding - Working knowledge of a variety of medical devices - Fluid balance - Infection control - Interpretation of blood results - Link working - Bereavement care - Neonatal care - Breastfeeding care 9 Teaching / Competency Packs Medicines management Drug calculations Legal, professionals and ethical issues Importance of play and distraction Care of a long term ventilated patient Simulation E learning Workbooks Available on Induction To Critical Care