WELCOME TO WARD C6 WARD INFORMATION This information pack has been compiled with the intention of helping you settle onto the ward, by providing information about the ward and how it is run on a day to day basis. We hope it will be of benefit to you throughout your time spent on the ward. We are a 38 bedded Medical ward with an interest in acute rehab and a multi- disciplinary focused approach. We make up part of the Medical Directorate consisting of other medical wards, each with different specialism. Ward A1 & A4 are short stay wards, A7 specialises in Gastroenterology and Infectious Diseases, C7 Medicine and Stroke Rehabilitation, A6 South Medical Rehab & B7 Respiratory. Our ward is divided into two halves, the North and South, with 19 beds on either side. We operate a team nursing approach to manage the caseload of patients. There are 3 nursing teams (Red, Blue and Yellow). At either end one team will manage the care of the patients in the 9 bedder and the other will take the side rooms. Each team has a team leader, these are the more senior nurses on the ward and provide support for all levels of staff. Our aim for this system of nursing is to promote continuity of care by reducing the number of different nurses caring for patients. We have recently introduced 12.5 hr shift working pattern which means there are 4 qualified nurses with 5 health care support workers on duty by day and on a night shift there are 2 qualified and 2 health care support workers plus 1 HCSW on a twilight shift. On your first day, on arrival to the ward please report to Nurse in Charge for the shift. You will have been allocated a mentor and co-mentor for the duration of your placement. Our aim is for you to work alongside your allocated mentor or co-mentor for the majority of the time spent on the ward. However due to shift patterns, annual leave and rostered days off, this cannot not always be possible. We do apologise for this in advance and it is for this reason we have allocated a co-mentor as well. On your first day you should have the opportunity to discuss your aims and objectives for the placement, in order for the clinical team to support and assist you in pursuit of your personal and educational goals. You will also be able to organise your shifts for the following week/s. As well as working on the ward, we do encourage students to spend time with the specialist nurses in fields you may be interested e.g. Discharge Liaison Nurse, Stroke Liaison Nurse or wound Care Nurse. We do hope you find the following sections beneficial during your placement spent on ward C6. Who’s who? Ward Manager Deputy Ward Manager Sue Patchett Lisa Williams Receptionists Jean Powell (Evenings only) Emma Rogers Karen Addicott (Mondays & Fridays) Caterers Dave Farouk Paul Shift Patterns Day Shift Night Shift: Twilight Shift -0700– 1930 (early 7-1430 late 1200-1930) -1900– 0730 - 1900- 0100 Internal rotation is practiced on the ward, with the qualified nursing staff and health care support workers rotating between day and night duty. If you unable to attend your placement at any time due to sickness or any other reason, please inform the nurse in charge. If you are experiencing any difficulties at all please do not wait until the end of your placement, seek advice immediately. If your mentor is unavailable or you would prefer, Sue or Lisa would be more than happy to discuss them with you. Useful Ward Contact Numbers C6 North 20743778 C6 South 20743183 Ward Managers Office 20744998 Clinical Teacher- Tricia Brown 20726865 Throughout your time with the Medicine Division, there are policies in place to ensure both your safety and the safety of others Fire Policy - In order to report a fire dial 3333 from any ward telephone - In the event of fire smash glass panel nearest to you these are situated throughout each ward. Security - Emergency 3333 UHW telephone extension – 8043 Bleep number – 5129 Llandough telephone number – 5305 Bleep number – 526 and 812 Cardiac Arrest - Each ward will have a Cardio Pulmonary Resuscitation trolley. Please make yourselves aware of its location and its contents. C6’s is situated at the emergency station opposite the main desk. You will also find portable suction & O2 here. - Each ward should have an emergency bell alongside the call bell system. In the event of an emergency, utilise this system and telephone 2222 from a ward telephone for emergency assistance. Personnel - You will be allocated a Mentor & Co-mentor on arrival to the ward - Your off duty will be provided, if any problems please speak to your mentor or the nurse in charge of the shift. - You should work with your Mentor for over 40% of your time on the ward - If you are unable to attend the shift for which you are rostered for as a result of sickness. Alongside notifying the University you must notify the ward. Ideally this should be done at least 4hrs before you are due to start a shift. You should always phone in person where possible and always speak to the nurse in charge at the time of phoning in. - To Bleep at UHW – 181 – Number you want – Your ext - # - When answering the telephone, you should speak clearly, identifying the ward and yourself - For example – “Good morning C6 Student Nurse speaking” Alongside this induction pack, your mentor or a member of ward staff will orientate you to the clinical area and make you aware of the following Tick boxes when completed - Orientation to Ward and Hospital Health and Safety - Fire exits / Assembly Points / Fire Control Equipment Fire Alarms / Location of policy folders & how to Access via the intranet Personal Safety - The role of Security Staff Emergency Equipment - Defibrillator, CPR trolley, Portable suction unit Personnel - Mentor identified, Location of off duty, Sickness notification Bleep system, Answering the telephone EXAMPLE OF ROUTINE ON WARD C6 – day shift Allocation of staff for that shift is found in the co-ordinators book on the main desk Handover is given by the night staff at the nurse’s station at the north side and the south side of the ward – all staff attend a safety briefing led by the shift co-ordinator Patients are assisted to position themselves by all staff for breakfast & assistance is given to feed if required- food & fluid charts are to be updated Qualified staff conduct the am drug round & administer IV meds adhering to 2 nurse policy HCSW conduct & complete the 8am observations while drugs are being administered All patients are offered assistance with their hygiene needs by the bedside, shower or bath by all staff Qualified staff participate in the ward round with the consultant (set days) or with the ward based doctors if required. MDM’s also occur on set days. All staff conduct and complete/update bedside paperwork Qualified staff complete planning, assessing, updating care plans & documentation in combined multi-disciplinary notes at the patients bedside Patients are assisted with pre lunch hand washing & pre lunch blood sugars are recorded Patients are assisted to position themselves by all staff /dietician assistant for supper & assistance is given to feed if required-food & fluid charts are to be updated Qualified staff conduct lunchtime drug round & administer IV meds adhering to 2 nurse policy Continuous reviewal throughout shift by all staff of pressure area care, incontinence care, oral care, repositioning, food & fluid administration and all other individual patient needs 1.30pm brief update/patient handover if required 1.30pm–2.30pm occasional slots for informal teaching sessions, nurse development groups or meet with students/mentors Bedside documentation to be checked & updated–risk assessments, weights etc Qualified staff complete unified assessments (UA’s) including enquiry & baseline assessments. Discharge summary’s, transfer letters, DN letters, green cards for next day discharges Continuous reviewal throughout shift by all staff of pressure area care, incontinence care, oral care, repositioning, food & fluid administration and all other individual patient needs Ensure ward areas are clean & clutter free Patients are assisted with pre supper hand washing & pre supper blood sugars are recorded Patients are assisted to position themselves by all staff /dietician assistant for supper & assistance is given to feed if required-food & fluid charts are to be updated Qualified staff conduct evening drug round & administer IV medication adhering to 2 nurse policy. Medication requested from pharmacy before they close All staff to provide incontinence care prior to handover Non urgent jobs for medical staff are documented for reviewal after 5pm & clinical workstation to be updated Handover commences to staff for night shift at 7pm at nurses stations on both sides of the ward 7.30pm end of shift & time for individual reflection EXAMPLE OF ROUTINE ON WARD C6 – night shift Handover @ 7pm is given by day staff at nurses stations on each side of the ward All staff attend a safety briefing led by the shift co-ordinator All staff commence 8pm observations & assist patients to bed if they consent Qualified staff commence drug round at 9pm & administer IV medication adhering to 2 nurse policy Non urgent jobs for medical staff are logged in H@N folder (blue) on main desk for reviewal after 10pm Bedside paperwork is updated. Fluid balance charts written in preparation for new day & calculated in daily obs chart All staff reposition & settle patients for the nights – lights out Continuous reviewal throughout shift by all staff of pressure area care, incontinence care, oral care, repositioning, food & fluid administration and all other individual patient needs Arrest trolley, defib, portable O2 & suction checked each night by qualified nurse. 2 qualified staff check & correct the controlled drugs / temazepam each night Ward notes, care plans & documentation are updated. Unified assessments (UA’s) including enquiry & baseline assessments, discharge summary’s, transfer letters, DN letters, green cards for next day discharges to be reviewed Items e.g. pads, CSSD, linen & storage racks replenished Pre- breakfast blood sugars are recorded IV medication is given adhering to 2 nurse policy Handover to early staff is commenced at 7am at nurses station 7.30 am end of shift and time to go home to bed!