WELCOME You have been allocated a placement on the orthopaedic trauma ward at Pilgrim Hospital. We have devised an orientation pack for your benefit. Please familiarise yourself with this prior to your placement as it aims to give you a brief insight into the ward routine. We aim to orientate you to the ward area on your first shift and it would be helpful if you could work an Early shift on this day. This day provides you with opportunities such as meeting your mentor (if available), discussing off duty and discussing learning opportunities (so please bring any documentation necessary). Please contact the ward 1-2 weeks prior to commencing the placement so we are aware that you a) have received this pack and b) b) will be attending the orientation day. We look forward to meeting you and hope that you enjoy our area of work! Your mentor will be: Your associate mentor will be: CONTACT DETAILS 01205 445632/5532 ORTHOPAEDIC MATRON: JANET SHARMAN WARD MANAGER: SR REBECCA TAYLOR JUNIOR SISTER/ CHARGE NURSE: MICHELLE TURNER DAVID DONOHOE TRAUMA COORDINATORS: SR SAM GOY EMMA BECK WARD PROFILE Ward 3B is an acute orthopaedic trauma ward, consisting of 29 beds. It is a mixed sex ward and takes adults aged 16 and over. The ward comprises of: Bays 2 and 3 (Beds 2a-3d) Bay 4 and side rooms 5 and 6 (Beds 4a-6) Bays 7 and 8 (Beds 7a-8d) Bay 9 and side rooms 10-12 (Beds 9a to 12) MEDICAL MANAGEMENT Wards 3A and 3B both share orthopaedic consultants within the directorate. They are: Mr Motkur (Lead Clinician) Mr Deshmukh Mr Kurrup Mr Raj Mr Minhas Mr Shaikh Mr Qadir Mr Joachim Mr Heaton Mr Singh Mr Rajkumar The consultants visit the ward regularly to attend ward rounds. When on call, the consultant will visit the new trauma patients daily (am) with the trauma coordinator to plan and manage the care for those patients. Each consultant has a registrar/associate specialist assigned to them. There are also a number of FY1 and FY2 doctors who regular rotate and work within the department. Sometimes due to bed shortages, Ward 3B cares for medical patients transferred from medical wards. These patients are looked after by: Dr Ihama STAFF COMMUNICATION Working hours: Early shift: 7am-15.00pm Late shift: 13:30pm-21:30pm Night shift: 20:50pm-7:30am A number of staff members now also work 12 hour shifts, but you are not expected to do this! Visiting times: This is advocated as 2pm-4pm and 6.00pm-8.00pm. This is subject to the discretion of the nurse in charge and visitors are requested to discuss any visiting out of these times with a staff member. Uniform Policy: This is advocated in this area of work and all staff members are expected to adhere to this policy. Any visits requiring a separate uniform will be supplied prior to the visit. Confidentiality: The ward takes this very seriously. The ward has a large number of enquiries daily regarding patients. Please ensure you remember the policy on communicating via the telephone and always say who you are. Please remember to shred any written handover that you may have at the end of every shift. The ward works very closely with other professions particularly, occupational therapy, physiotherapy and the social work department. The ward has its own OT’s and physio’s. Every morning there is a MDT board meeting between the Nurse in Charge, the OT’s, physio’s, ward doctors and social worker at about 09.00 hrs. WARD 3B NURSING PHILOSOPHY The trauma unit believes that the future of the speciality lies beyond the walls of any building. That any person of any age, admitted to the unit will receive the right care and the most appropriate pathway of care, at the right time, and in the right place to ensure optimal delivery of service and patient satisfaction foremost. AIM The trauma unit aims: to ensure that the patient is in equal partnership with all health professionals to maintain a commitment to strive towards better practice and excellence to encourage the spread and adaptation of good practice through multi-professional cross boundary team working to provide an environment which encourages patient participation and involvement to value each member of the directorate team to support and encourage a culture of learning for all. PATIENT GROUP Ward 3B specialises in caring for patients with trauma or disease to the neuromuscular skeletal system. The patients require either surgical or conservative management ranging from minor to major interventions. Trauma care ranges from extensive multiple fractures, and organ injuries, often sustained through road traffic accidents, sports related injuries, to domestic injuries and infections. A large proportion of the patient group consists of the older person following a fall at home, often with complex physical, social, cultural, psychological and spiritual needs. This creates an ideal learning environment with strong emphasis on collaborative working. WARD 3B NURSING TEAM Orthopaedic Matron Ward Manager Junior Sister/Charge Nurse Trauma Coordinators Janet Sharman Rebecca Taylor Michelle Turner/David Donohoe Sam Goy/Emma Beck Staff Nurses: HCSW’s: Karen Cooke Dave Donohoe Fran Farmer Katie Hare Sicy Joseph Sijo Joy Cheryl Pitts Pillay Sanassy Avril Smith Tinu Taiwo Jayne Wealthall Lisa Wilkinson Lijo Joseph Chrissie Smith Andrea Barker Jodie Barwick Amy Bell Natalie Eyes Janet King Julia Layton Vicki Henderson Hayley Peace Terri Rose Lisa Shoebridge Julia Walker Scott Fuller Ward Clerks: Ann Luffman and Luan Brettan Housekeepers: Tina Babutan, Ann Davis, Glyn Dyer, Nicola Fairweather, Vilma Pranaityte, Chris Sharp LEARNING OPPORTUNITES BASIC Personal hygiene Elimination Moving and Handling Communication Vital Signs Drug Administration Equipment use Assisting patients to rest Assessment, planning, implementing and evaluating care Liaison with members of MDT Care of patients in isolation Maintaining dignity Bed making, receiving and theatre bed SPECIALIST Care of patient in plaster Ward Rounds Aseptic Technique Invasive Monitoring Injections Complex Dressings Use of VAC system MRI, CT and dexa scans Care of patients in traction Care of poly-trauma Care of external fixators Participation in management Theatre Visits Care of complex #’s This list is just a few examples. It will depend upon type of patient on the ward as to what you will observe and become involved with. The ward staff will attempt to provide you with teaching sessions related to the work area. This will depend upon staff availability and time. If there are issues that you are interested in, please ask, and we will do our best to provide you with the information. Please enjoy your placement! We look forward to working with you. Updated by Sr Rebecca Taylor Dec 2013