WARD
EAST 7
STUDENT PACK
WARD PHILOSOPHY
The essence of the care on East 7 reflects our belief that we
aim to care for each patient as if they were the only one.
Each patient has a right to expect a high quality of care that is
based on research and is provided by a competent,
experienced and committed multi-disciplinary team of staff.
Welcome to East 7
Acute Care of the Elderley Medicine
The staff on East 7 would like to welcome you to the ward. They understand how daunting
and stressful it can be starting on a new ward and are here to make your placement an
enjoyable and interesting experience.
You will be allocated a mentor and co-mentor when you begin your placement. During your
placement you will have the opportunity to observe procedures and investigations as well as
visiting other areas and meeting specialist nurses associated with the ward.
Please discuss your individual learning needs with your mentor, so that they may assist you
in gaining a valuable and enjoyable working experience. Please feel free to utilise the
resources on the ward to help your learning needs.
Common conditions you may come across during this placement include:
Anaemia
Diabetes
Angina
Dementia
Asthma
Epilepsy
Cancer
Hypertension
Cardiac Failure
Leg Ulcers
Cellulitis
Parkinsons Disease
Chest infection
Pneumonia
CVA
Renal Failure
UTI
ABOUT THE WARD
East 7 is a 30 bedded ward. The ward is divided into three working teams. We work as part
of a multidisciplinary team, including
•
Medical and Nursing staff
•
Physiotherapists/ Occupational therapists
•
Pharmacists
•
Dieticians/speech and language therapists
Our aim, where possible is to return people to their optimum level of independence and
function, thus facilitating their discharge as soon as they are medically fit.
MANAGEMENT
Ward Manager
- Patricia Page
Deputy Ward Manager - Jacqueline Warrington
NURSES SHIFT TIMES ARE AS FOLLOWS:
Early shift
07.00 to 14.30
Late shift
13.45 to 21.15
Night shift
19.00 to 07.30
Long day
0700 to 1930
If you are unable to work due to sickness then you must phone the ward as soon as possible
and speak with the nurse in charge to inform them of your sickness and when you are likely
to return to work.
WARD INFORMATION
Please familiarise yourself with the ward layout, including the bed areas, treatment room,
CSSD room, sluices, linen room and Waste room.
Make yourselves aware of the waste policies and appropriate disposal of sharps and
contaminated and infected waste and linen.
Locate the fire alarms and emergency exits. Locate the Cardiac Arrest trolley.
IDENTIFY EMERGENCY NUMBERS:
CARDIAC ARREST
2222
FIRE
3333
Ward telephone numbers:
East 7:
Ward Office
– 02920 715530
Ward Reception
– 02920 715547 or 029220715529
To bleep at UHL – press 81 – then the bleep number you want – then your extension
number e.g. 81 (bleep no) 2456 (your extension) 25547
VISITING TIMES
15.00 to 20.00
You will be able to gain experience in implementing all aspects of care given on the ward, at
a level relevant within your stage of training.
PRACTICAL PROCEDURES MAY INCLUDE
•
Washing patients
•
Oral Hygiene care
•
Facial shaving
•
Feeding
•
Assisting with menu selection
•
Naso-gastric feeding and tube insertion/care
•
P.E.G. Feeding
•
Assisting patients to the toilet
•
Incontinence care
•
Catheter care and catheterisation
•
Specimen collection
•
Insertion of suppositories and/or enemas
•
Colostomy care
•
Drug rounds –
1. Check Id and allergies with patient
2. Demonstrate the ability to read a drug chart safely.
3. Administer sub-cut and IM injections under supervision
4. Calculate and check drug doses
5. Observe and administer CD drugs
•
Oxygen administration
Blood Glucose monitoring
Please familiarise yourself with the equipment used for blood glucose monitoring and
identify when blood glucose monitoring should be carried out.
Observations
The recording of the temperature, pulse, respiratory rate, 02 saturations, blood pressure
etc.
Pulse Oximetry
Glasgow Coma Scale
Sliding Scale Insulin Monitoring
DISCHARGE PLANNING
Discharge planning is a vital part of nursing care that is provided on East 7 and the
importance of appropriate and effective communication with all members of the
multidisciplinary team is paramount. You will have the opportunity to become involved in
the discharge planning process and attend the various discharge planning meetings held at
ward level. East 7 also has multidisciplinary team meetings once a week which includes
members of the multidisciplinary team.
MEMBERS OF THE MULTIDISCIPLINARY TEAM
Discharge Liaison Nurse
Physiotherapist
Speech and Language Therapist
Occupation Therapist
Social Workers
Pharmacist
Diabetic Specialist Nurse
Palliative Care Team
Medical and Nursing Staff.
EDUCATIONAL OPPORTUNITIES
Learning needs will be tailored to individual students, these will be discussed on initial
interview with your mentor and revisited throughout your student placement.
Core experiences students can expect are:-
Pathway of care
Following patient from admission to discharge
Access to ward nurse specialists
Multi disciplinary team meeting
Ward rounds
Clinical investigations and procedures
Nursing management (commensurate with level of your training)
Work with other members of the Multidisciplinary team and specialist nurse e.g. Nurse
Practitioners – and Infection Control Nurse
Management students
The staff recognises the importance of assisting you to develop your skills. During your
placement you will have the opportunity to develop and practice your management skills.
Please discuss management issues with your mentor, some guideline are as follows:
Oganisation of ward and staff
Checking other shifts are covered
Requesting staff
Delegating duties
Organising breaks
Check communication diary
Checking the arrest trolley
Arranging admissions and discharges
Organising TThs
Arranging multidisciplinary meetings and ward rounds
Attending multidisciplinary meetings
Reporting faults or broken equipment
Ordering ward supplies.
ABBREVIATIONS
Many abbreviations are used in nursing and a few are listed below:
AF
- Atrial Fibrillation
BM
- Blood Monitoring
BO
- Bowels Opened
BP
- Blood Pressure
CABG - Coronary Artery bypass graft
CATH - Catheter
CCF
- Congestive Cardiac Failure
Co2
- Cardbon Dioxide
CVA
- Cerebrovascular accident
DVT
- Deep vein thrombosis
DU
- Duodenal Ulcer
ECG
- Electro Cardiogram
ECHO
- Electro Encephalogram
ERCP
- Endoscopic Retrograde Cholangiographic Pancreatography
FBC
- Full Blood Count or Fluid Balance Chart
LRTI
- Lower Respiratory Tract Infection
LVF
- Left Ventricular Failure
MI
- Myocardial Infarction
MRSA
- Methicillin Resistance Staphylococcus Aureus
NG
- Nasogastric Tube
NFR
- Not for Resuscitation
NOF
- Neck of Femur
O2
- Oxygen
IDDM
- Insulin Dependent Diabetic Mellitus
NIDDM - Non Insulin Dependent Diabetic Mellitus
PE
- Pulmonary Embolus
PFR
- Peak Flow Rate
PEG
- Percutaneous Endoscopically placed Gastronomy
SATS
- Saturations
SOB
- Shortness of Breath
TIA
- Transient Ischaemic Attack
TPR
- Temperature Pulse Resperation
U&E
- Urea and Electrolyte
UTI
- Urinary Tract Infection
VF
- Ventricular Fibrillation
VT
- Ventricular Tachycardia
WCC
- White Cell Count
#
- Fracture
We hope you enjoy your placement with us and will want to
recommend East 7 to your colleagues.
Please feel free to discuss with your mentor, the Ward Training Coordinator or Ward Manager any ways in which you feel we can
improve the Education experience we have to offer to student
nurses. We value your input and wish you every success in your
career