You are due to start on Day Ward Grantham on : Your Mentor will be:Your Associate will be:Your first week of off duty will be:Monday Tuesday Wednesday Thursday Friday If you have any problems with this rota or any other questions please don’t hesitate to phone us on 01476 464408 Our Expectations of you Uniform As a Student nurse you are expected to wear appropriate uniform according to the ULHT uniform policy. It is not appropriate for students to wear lots of jewellery but a plain wedding band and plain stud earrings are permissible. Make up should be discrete Fingernails should be short clean and without nail varnish. False nails should not be worn when carrying out clinical duties. Hair must be clean neat and off the face. Men should be clean shaven or make sure their beards are neatly trimmed. Professionalism You are expected to behave in a professional manner and it is important that you introduce yourself to all patients before you become involved in their care and gain the patients consent to do so. Off Duty Work rotas will be planned by the Ward Manager, if you have any requests please let them know well in advance. Changes to the rota can only be made with agreement of the ward manager. Computer Access Students are advised to contact the IT department on 01476 465800, either prior to their allocation or early in their placement, to get a pass word in order to access the Intranet. Parking Students requiring parking can obtain reduced daily parking rates of £1 if parking on site. Please contact the Estates Department on 01476 464601. Failure to display a valid parking ticket could result in a fine. Catering facilities There is a hospital canteen and small WHSmiths shop onsite for meals and snacks during the day. There are dedicated facilities on the ward for staff – fridge, microwave and kettle. Day Ward Grantham We are a 12 bedded day surgery ward. We have a quick turnover of patients which are both male and female. The ward consists of day surgery, inpatient admission and day treatment. From October 2012 we also became the designated Escalation area for winter bed pressure management, which means during times when the hospital has to open extra in-patient beds our area is used to facilitate this. Except for periods of Escalation Day Ward is open from 07.00 to 20.00 Monday to Friday Shifts are allocated between these times and there is a choice to do short days (8hours with 30minute dinner break) or long days (11.5 hours with 30minute dinner break). Day Surgery The patients having day surgery will go to theatre and usually be well enough to be discharged home in the same day. There are many different specialities:Orthopaedics e.g. arthroscopy of knee or shoulder or Trauma e.g. fractures Gynaecology e.g. hysteroscopy, surgical termination of pregnancy (STOP) Urology e.g. circumcision, trans-urethral resection of bladder tumour (TURBT), cystoscopy General Surgery e.g. hernia repair, Laparoscopic cholecystectomy, haemorrhoidectomy. Breast Surgery e.g. Wide Local Excision of Breast Dental e.g. extractions of teeth Pain Management e.g. lignocaine infusion/lignocaine steroid injection Ophthalmology - mainly cataract surgery Maxillofacial e.g. removal facial cancer and moles Inpatients Inpatients are admitted here and wait to be called to theatre, afterwards they will be taken to the appropriate ward for their stay. Here are some examples of inpatient surgery: Orthopaedics - Joint replacements e.g. knee and hip General Surgery - Major bowel ops e.g. Hemicolectomy Breast Surgery - e.g. Mastectomy Day Treatment This area also receives patients attending for medical treatments such as: Blood transfusions Liver and lung biopsy Trial without catheter (TWOC) Paracentesis Medical termination of Pregnancy (MTOP) Infliximab infusions (Used to treat inflammatory Bowel Conditions) The Board The board is key to communication and all staff use it. It is made up of all the wards bed spaces to which a patient is allocated, along with the surgeon they have been admitted under. There are then boxes that should be ticked as to whether they have been admitted, consented, seen by anaesthetist, taken to theatre or back from theatre. The names of patients are written in different colours according to the treatment they are having:Black – Morning Day Case Green – Afternoon Day Case Blue – Inpatients Red – Day Treatment There is also a list of symbols used to communicate amongst staff. The key is attached at the end of this welcome pack. There is also a list of Consultants and their different specialities Insight Visits Surgical Pre-assessment – Louise Hyde Orthopaedic pre-assessment – Ruth Martinelli Ophthalmology Pre-assessment Maxine Motley (Sister Out-Patient) Theatres – Chris Glencross Colposcopy Clinic - Elizabeth Gaywood Colorectal nurse – Bobby Lee Outreach Nurse (3rd year only) Bed Manager (3rd year only) Site Sister (3rd year only) Breast Nurse – Nicky Turner Urology Nurse – Zina Bojin Lung Nurse – Kate Brady Endoscopy – this is an internal examination using a scope, which is used to diagnose conditions. Endoscopy can involve procedures such as colonoscopy, gastroscopy, sigmoidoscopy, bronchoscopy. There may also be an opportunity to observe the insertion of a PEG. Patient Journey One of the main ways to achieve your proficiencies during this allocation is to follow a patient journey which starts in pre-assessment. At pre-assessment patients will be given a date for their surgery. You can then make sure you are on duty for that day so you can admit them, accompany them to theatre, then recovery and from there you will be able to care for them on day ward before discharging them . Things to look up It will be useful for you to have some understanding of the procedures and treatments mentioned earlier although you will obviously have an opportunity to learn more about them on this placement. There are some commonly used drugs in theatre that you may want to look up before starting on the day ward: Propofol Fentanyl Midazolam Ondansetron Atracurium Dexamethasone Your First Day On your first day it can be quite daunting in a place that is unfamiliar to you. This orientation guide should help you to become acquainted with the area. Take your time to walk round and find all these things. Fire Exits Fire Break Points Fire Extinguishers Resuscitation Trolley Defibrillator Student Resource Shelves Staff room Staff Toilet Staff Changing Room Waiting Room Patient Toilets Store Room Linen Room Reception Pod Shoot Sisters Office Sluice Kitchen Oxygen and suction points Also whilst looking around see if you can find the following items: Syringes/needles BM box Drip Stands Gloves and aprons Dressings Disposable urine bottles Patient information leaflets Patient notes Sharps bins Crutches It would also be useful if you walked around the hospital and found these places. Pharmacy Pathology Lab Theatres Physiotherapy X-ray Useful Numbers Cardiac Arrest and HIT (High Intervention Team) 2222 Fire or another emergency 3333 If you need to bleep anyone the number you dial is 4333 followed by the bleep number then the number of the ward which is 4408 List of Staff Kate Cole – Sister/Ward Manager Jane Strawson – Junior Sister Raina Robinson – Registered Nurse/ PLT rep Debbie Sach – Registered Nurse/ Health and Safety, Safeguarding and Diabetes Link Nurse Jane Elsom – Registered Nurse/ Learning Disabilities Link Nurse and Dignity Link Nurse / Jill Wright – Registered Nurse/ Diligence (Moving and Handling) and Medicine Management Link Nurse June Poddar – Registered Nurse/ Gynaecology Nurse/ Infection Control Link Nurse Jenny Blakemore – Registered Nurse/ Tissue Viability Link Nurse Kirsty Dingwall – Registered Nurse Holly Robertshaw - Registered Nurse Samantha Fields – Falls Champion Carole Pring – HCSW/ Moving and Handling Ruth Davies – HCSW/ Pre-assessment Soo Perry – Ward Clerk Julia Borthwick – Housekeeper Lynda Crook – Housekeeper Margaret Hensen – Housekeeper Housekeepers work between Dayward and Endoscopy. List of Consultants and the Abbreviations used to Represent them Orthopaedics General Surgery Urology Gynaecology WAN - Mr Niezywinski ONP - Mr Paramasivan AYO - Mr Othman RTR - Mr Trehan GKS - Mr Singhania MOD - Mr Modi NPP - Mr Potdar DRA - Mr Andrew IRM - Mr Mark PDD -Mr Darha RPH - Mr Husemeyer NAK - Miss Kangeyan Dental MHC – Mr Clark MKB – Mr Buah Maxillofacial MHC - Mr Clark Pain Management EJD - Dr Dedhia Medical SKM - Dr Matsiko JCA - Dr Campbell lMHJ - Dr James jk Patients who have the same name. D LA The Patient is Diabetic Patient is having a Local Anaesthetic Patient is having a Spinal Anaesthetic Patient has had Morphine Inpatient bed required Patient has eaten Patient is using Ambulance/Volunteer transport Patient has had a nerve block. Risk assessed for Venous Thromboembolism. More commonly known as Deep Vein Thrombosis (DVT). This welcome pack was updated and complied by 3rd year management student Emma Kelly and 1st year Kerry Grocock. We hope you find it helpful Updated on 31/12/13 by Raina Robinson