1 Placement 2 Introduction to Placement area HAEMOPHILIA/HAEMATOLOGY UNIT WARD 84 OPD RMCH 0161 701 8444 The unit is a supra regional centre covering the North West of England. The unit sees children with a variety of haematological disorders including Bleeding disorders, Thalassaemia and Sickle Cell Anaemia. The majority of the work carried out in unit is undertaken by the specialist nurses and therefore mainly nurse led. However the nurses work very closely in collaboration with the Haemophilia Director, consultant colleagues and other members of the multi disciplinary team. The staff also liaise with a number of other disciplines e.g. schools and community nurses. The specialist nurses each have their own areas of responsibility and the lead nurse for the differing conditions seen within the unit. Our nurse led service is based upon the following: Open access Complement consultant clinics Regular liaison with the multidisciplinary team Reduction of waiting time Patients seen on a regular basis Close liaison with community teams/home delivery firms Continuity of Care Holistic cares There are many learning opportunities within the unit, which the student is encouraged to participate in fully. There are many resources within the unit, including information, books, CD ROMs and DVD’s. Access to the Internet is also available and the student may continue with their university studies when there are quiet periods. A mentor will be assigned to you for your allocation within the unit. However all staff are available to help you throughout your placement. 3 Placement Philosophy We aim to provide the highest standard of nursing care within the available resources, in a therapeutic, relaxed and friendly atmosphere, irrespective of the child’s race, religion and disability in accordance with guidelines in the Patient’s Charter. To provide continuity of care, support, advice and reassurance to children and their families or carers, offering them the maximum opportunity to participate in their care, diagnosis and treatment of the disorder under the guidance of a named nurse. To minimise hospitalisation, maintain self-respect and independence. We encourage the family to develop responsibility for the care of their child and to encourage the young adult to take care of him/herself, thereby promoting integration into a normal society. We aim to work closely with other disciplines for the benefit of the children and their families and to prevent any harm befalling them by any error or omission on our part. 4 Staff Facilities and Break Allocation There is a locker for student’s use. Refreshments are taken within the unit and lunch is usually taken between the hours of 12noon and 1pm. Exceptions to this may occur at times. A toilet for staff use is located within the unit. 5 Handover / Shift Patterns 6 Specialities Normal working hours are 8.00am- 4pm. Students will be expected to stay until the end of clinics on Monday and Wednesday afternoon. HAEMOPHILIA A & B VON WILLEBRANDS DISEASE OTHER FACTOR DEFICIENCIES V, VII, X, XI, XII AND XIII PROTEIN C DEFICIENCY THALASSAEMIA SICKLE CELL ANAEMIA SPHEROCYTOSIS I.T.P. PLATELET DISORDERS 7 Commonly used terms / Abbreviations 8 Learning and teaching opportunities specific to clinical area / Spoke Placements VWD - VON WILLEBRAND DISEASE ITP - IMMUNE THROMBOCYTOPENIC PURPURA HS - HEREDITARY SPHEROCYTOSIS Preparation of blood clotting products using ANTT Assisting with administration of treatment/ venepuncture Preparation of IV infusion (/blood) ANTT Setting up infusion pump Assisting with access of central venous device Attending Haemophilia clinic Attending Haematology clinic (Monday & Wednesday) Accompany CNS on school visit Participating in weeky MDT meeting Participating in nurse led clinics DDAVP Trials Spoke Placements Physiotherapy Haematology Laboratory Social Worker Ward 84 OPD – Bone Marrow Aspirate list Ward 84 short stay unit Bone Marrow Transplant Unit Ward 84 Oncology/Haematology Pharmacist Haematology Research Nurse Thalassemia and Sickle Cell Centre Blood transfusion nurse specialist Dentist 9 Teaching / Competency Packs Haemophilia A+B Von Willebrand Disease Thalassemia Sickle Cell Disease ITP Blood Transfusions Medicines Management