HAEMATOLOGY
TAYSIDE UNIVERSITY HOSPITALS NHS TRUST
STUDENT NURSE ORIENTATION AND
MENTORSHIP PROGRAMME
NAME:
MENTOR:
WARD:
START DATE:
PACKAGE REVIEWED AND UPDATED 2008
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INTRODUCTION
Welcome to Ward 34
This programme has been designed to help you settle into our ward as
smoothly as possible, we hope you find it useful. It is by no means
comprehensive, but will give you some background in this area of Nursing.
You will be allocated a mentor and an associate mentor. They are
experienced Nurses who will guide you through the ward. You will also be
given the opportunity to discuss what it is you would like to gain from
working in Haematology in addition to the skills you require to complete
your CAP booklet.
Your mentors will discuss and develop an action learning plan, to assist
them please bring your CAP booklets with you. Your mentor will also assist
you should you experience any difficulties within the area, but this does not
mean you cannot see the Senior Charge Nurse and Charge Nurses at any
time for any reason.
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HAEMATOLOGY AND ONCOLOGY IN TAYSIDE
Haematology serves the population of Tayside and Northeast Fife.
Specialist Haematology services includes the intensive management of
haematological malignancies (leukaemia, myeloma and lymphoma),
including autologous stem cell transplantation and the Area Haemophilia
service.
In Tayside, Ninewells Hospital has been designated a Cancer Centre,
providing a full range of services for a large number of patients with
commoner cancers and specialist services for less common cancers; Perth
Royal Infirmary has been designated as a Cancer Unit, providing a range of
services for common cancers.
Haematology has established links with Ward 32 (Oncology), the Cancer
Unit of Perth Royal Infirmary, Primary Care, Specialist Palliative Care and
the School of Nursing and Midwifery at the University of Dundee and
Abertay University.
Within the Cancer Centre cancer services are delivered by several
specialities in addition to the services provided by Oncology and
Haematology
General Surgery and Urology
Plastic/oral Surgery
Neurosurgery
General Medicine
Dermatology
Orthopaedics
Obstetrics and Gynaecology
ENT
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AIM OF CANCER NURSING
The aim of cancer nursing in Tayside University Hospitals is to:
a)
b)
provide the highest quality of nursing care to patients with cancer, and
be recognised as a centre of excellence for clinical practise, research
and education in cancer care,
and is based on the following values:
 Helping patients, families and their carers to cope physically and
emotionally with cancer.
 Achieving the best quality of life for patients.
 Treating each patient with cancer as an individual.
 The right for each patient with cancer to receive the truth about their
diagnosis, treatment and prognosis, and be actively involved in decisions
about their care and treatment.
 Responsibility of the nurse to provide the highest quality of nursing
practice which is evidence based, through the assessment, planning,
implementation and evaluation of cancer nursing care.
 Nursing practice is provided within a multidisciplinary context.
 The importance of the rehabilitation of the patient with cancer.
 The caring component of cancer nursing.
 The importance of support from the nurse management, nurse educators
and nursing research.
 The need for continuing education in nursing.
 Support for the cancer nurse.
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ORIENTATION
Tour of ward areas
Explanation of fire procedure
Show all fire points and hoses
Explain what to do on hearing the fire alarm
Explain what to do in the event of a fire in the immediate area.
Explain CPR procedure.
Secretaries office
Show how to find notes and leave a message if taking notes away.
Registrars room
Swan room
Haematology Day Area.
Haematology Liaison Nurse Room
Absence and sickness policy.
Explain off duty requests or changes..
Nurses Station.
Clip board for SMR forms for admissions, explain white/green/red copies.
In’s and Out Diary.
Admission Diary (ward34)
Ward round books.
Equipment Book.
Explain the role of the ward assistant.
Ambulance ordering system, show how to order an ambulance and the
criteria for patients to receive the service, recording time of special
appointments and special arrangements for the terminally ill.
Making appointments.
Reporting faults.
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Staff structure Ward 34
Explain the bleep system
Explain the allocation of patients to ward areas bearing in mind the
following: Infected/clean/neutropaenic patients, gender, acute/confused
patients.
Explain the admission procedure in terms of
documentation, and
dependency score.
Pharmacy
Explain the CIVA service, the importance of reading storage instructions i.e.
drugs stored correctly in fridge or cupboard.
It is the responsibility of all nurses to empty the grey chemotherapy/CIVA
and blue pharmacy boxes when they arrive on the ward. Explain the use of
the fluid balance prescription sheet.
Blood
Show the blood fridge and how to fill out various forms.
Explain the blood product request forms.
Emphasise that student nurses cannot be the second nurse checker for
transfusion inward 34 but should take the opportunity to observe good
practice.
CURRENT FACILITIES
Clinical Haematology, Ward 34, Clinical Oncology and Cancer Medicine is
situated in ward 32.
Clinical Haematology:
13 beds, including 5 side rooms, counselling room
Haematology day patient area,
Haemophilia Centre
Use of general outpatient rooms for outpatient clinics
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VISITS
The following is a list of areas to visit that would be both interesting and
educational. It will allow you to meet many members of the extended team
involved in caring for patients with cancer. Some areas are relevant to
Haematology and some to Oncology.
AREA
Haematology Day Patient Area
Haematology Liaison Nurse
Haemophilia Centre
Haematology Out Patient Clinics
Blood X-match Laboratory
Theatres-hickman line, lymph node biopsy
X-ray – CT, MRI, U/S
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EDUCATION
To enable you to develop a sound basic knowledge of the Haematological
malignancies commonly met within your area.
There is a teaching plan for each of the common malignancies. Each plan
follows the same format i.e. disease, incidence, symptoms, investigations
and treatment.
These are of great educational value.
TRAINING PLAN
SIGN
NON-HODGKIND LYMPHOMA (NHL)
HODGKINS DISEASE (HD)
ACUTE MYELOID LEUKAEMIA (AML)
ACUTE LYMPHOBLASTIC LEUKAEMIA (ALL)
MYELOMA
BONE MARROW/STEM CELL TRANSPLANTATION
HAEMOPHILLIA
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DOCUMENTS TO READ
These documents provide an overview of the ward policies and procedures.
It is not essential that you read these documents, however, they provide a
wealth of information about our unit.
Infection control/disinfection policy.
Nutritional policy.
Pain folder.
General ward policy, including pressure area care.
Haematology chemotherapy folders.
Cytotoxic administration and extravasation folders (show the whereabouts of
the extravasation and cytotoxic spillage kits).
Chemotherapy monograph folder.
LEARNING RESOURCES ON WARD 32/34
Educational folders
Teaching/learning packages
Experienced nursing and medical staff
Library within the ward, books and journals
Ward protocols and documents, trial booklets
Pateint information leaflets/ booklets
Case notes/nursing notes
UKCC guidelines and documents
Drug Company Talks
Study Days
Tutorials: AML. NHL, Sepsis, Psychosocial support etc.
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MENTORSHIP
Within the first week of your placement you must discuss your learning
needs with your mentor. This will assist you and your mentor to form a
learning action plan and write a learning contract.
Learning Needs
Learning Outcomes:
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Learning Strategies
Resources:
Assessment and Evaluation
Criteria:
Methods:
Date of Contract
Date to be Completed By:
Mentee’s signature:
Signature of:
Mentor:
Manager:
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This is a list of the roles and responsibilities of your mentor.
It is intended as a give an overview of the ethos of mentorship within
our unit
GUIDE/RESOURCE/TEACHER
Introduction/welcome
Introduction to staff/ clients other disciplines
Specific role – ensure mentorship checklist is completed and within six
months
Negotiate with other staff/disciplines with specific learning needs
Raise awareness of available resources
Assist with the socialisation into ward area, role, current developments and
politics.
COUNSELLOR
Listen and explore feelings, initially and regularly
Discuss goals, curricular and personal
Recognise stresses and encourage exploration
Help with the development of coping strategies
Be available for the ventilation of feelings after critical incident
Recognise and draw attention to the need for further help
ROLE MODEL
Initial ‘shadowing’ period one week
Uphold standards and policies of the ward
Model particular skills and interactions involved in the assessment, planning,
implementation and evaluation of individualised care.
Encourage reflection, identification, and discussion of skills
Relate to philosophy/model of care and care plans
SUPERVISOR/ASSESSOR
Monitor move from observation into practice
Assess competencies, initial and developmental
Give regular feedback and encourage reflection/self evaluation
Liase with other staff and teacher/practitioner
Complete mentor checklist with mentee
Liase with Senior Charge Nurse/Charge Nurse to discuss the individual
nurses performance and appraisal
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