Ward G3 Trauma Stabilisation Unit - RBHP 36

Placement Overview

Placement Title Ward G3 Trauma Stabilisation Unit - RBHP 36
Trust
Your Placement Contact Kim Ashcroft - Send Email
Placement Contact's Role

PEL

Placement Address Royal Bolton Hospital. Minerva Rd, Bolton, BL4 0JR
Placement City/Town: Bolton
Placement Phone 01204 390315
Your University Contact: Lis Bourne - Send Email

About this placement

What is organised for students on commencement of placement?

Please dowload the Student Welcome Pack prior to commencing placement.

In order to ensure that you get the most from your induction/orientationperiod & also to help you feel more welcome/less nervous on commencement ofplacement, we are quite happy for students to visit our placement area prior tocommencing placement, to have a “look around”, meet the staff & pick upwelcome packs. This is not essential,however, if you would like this, please either email me (Kim Ashcroft, PEL) orring me on 01204 390315 & I will arrange this to coincide with when yourmentor is on shift.

For all students, if you can try to email me 2-3 weeks before yourplacement commences, I will send you placement, mentor & off duty/shiftinformation.

In all instances, we aim to complete your orientation within the first24 hours of placement commencement. Canstudents ensure that this is recorded on the induction form on our studentboard as well as in your assessment booklet.

We also aim to complete your initial assessment within the first 24hours of placement commencement. (If,for any reason, this does not occur, can you please make me aware & I willensure that this is completed). At thismeeting, your mentor will discuss your learning outcome needs & action planfrom these in order to structure your learning/placement journey. Learning opportunities & spokeopportunities will be discussed (and are included in our welcome pack) relevantto your stage of training. We will alsoutilise the Trust/University PAD document to ensure that you get the very bestfrom your time with us. Dates for your midpoint& final assessments should also be set at this initial meeting. Can students please ensure that they are wellprepared for their initial meeting to allow us to aid you in achieving yourgoals more effectively; bringing all relevant paperwork & assessments.

What are the arrangements for mentors/assessors?

Each student is allocated a mentor & must work at least40% of their placement with their mentor. We realise that students have lives/pressures outside of placement &we try to incorporate these needs as best as possible & be as flexible aswe can, however, please ensure that you work the required practice hours, therequired hours with your mentor & the required numbers of weekends/nightsetc, as these are vital to ensuring that you meet course requirements.

Please ensure thatyour off duty is documented each week in the relevant section of the off duty& that the relevant section of your assessment document is completed byyour mentor/appropriate member of staff after each shift

What shift patterns are students allocated for learning?

Early:

07.30am - 3.00pm

Late:

12.00pm - 20.00pm

Night:

17.30pm - 08.00am

Shift Notes:

Days: Students from Year1 Semester 2 have the option of working long days: which are 7.30am – 8pm: 3shifts per week for 3 weeks of the month & a 4 shift week for the remainingweek of the month. Students should notwork more than 2 consecutive long days together: at least 1 rest day isrequired in between

It is not essential that you work long days & if you arereturning from a period of sickness/have health issues/certain practice basedconcerns; then these may not be appropriate for you

If extra hours need to be made up whilst on placement with us, you should ensure that your working week does not exceed 48 hours

What patient care situations are available in this placement?

Ward G3 is an 11 bedded predominantly male orthopaedic traumaward catering for patients age 16 years & upwards. We take emergencyadmissions from A&E, plaster room & also GP referrals. We may also take elective/list patients;& medical & surgical outliers.

Trauma Stabilisation Unit (TSU): We have 2 TraumaStabilisation Units each with 6 beds (1 male bay & 1 female bay). TSU provides early nursing care for our mostvulnerable patients, for example hipfracture patients. It benefits fromhaving an orthogeriatrician review of patients on week days & a slightlyhigher staffing level. This is not astep up in care but aims to optimise & stabilise the care of vulnerableadults at ward level.

We encourage students to follow the whole patient journey from admission to discharge/transfer, pre, peri & post-operative care; aspects of rehabilitation; palliative care

What nursing model is used for planning care?

Roper, Logan & Tierney's 12 Activities of Daily Living (12 ADLS)

What core clinical skills can be learnt?

  • Essential Nursing skills: attending to personal hygiene needs, bed bathing, bed making, oral hygiene requirements, eye care, continence issues (bowel & bladder care), mobility issues (moving & handling), nutrition, infection control & pressure area care issues/management, privacy & dignity issues (to name a few)
  • Nursing Admissions & all aspects of the nursing process
  • Care Planning
  • Risk Assessing
  • Pain Management
  • Administration of medications
  • Taking specimens, for example, urine (MSU & CSUs)
  • MRSA swabbing & treatment
  • Pre & post operative care requirements/management
  • Early Warning Score (EWS); taking vital signs/Acute Illness Management & Sepsis Six steps utilised
  • Discharges
  • Referrals
  • Communication skills
  • Handovers/ward rounds
  • wound inspections; clips & suture removal
  • Aseptic technique (ANTT/Aseptic Non Touch Technique)
  • Care of & removal of venflons (VP scores)
  • Dementia care & care of vulnerable adults
  • Liaising with members of the multidisciplinary team (MDT)/MDT meetings
  • IT skills; accessing laboratory results, Extramed, Ascribe
  • Palliative Care issues
  • Management/Clinical Judgement Skills

What additional clinical skills can be learnt?

  • ECGs
  • Catheterisation & catheter care
  • Blood sugar monitoring
  • Traction
  • Care of central lines
  • Occasionally NG tube insertion & care associated with this

What resources are available to help students learning?

Student Induction Booklet

Trust Teaching Workbooks are available on the intranet (in the student area), please ask your mentor for access to these & utilise appropriately in order to enhance your specific learning needs & in order to provide evidence of your progress. WE HIGHLY RECOMMENT UTILISING THESE

Our Student Board highlights teaching/training sessions available for students & up to date student information

Orthopaedic & individual Spoke Reflection Booklets (please ask your mentor for these) WE HIGHLY RECOMMEND UTILISING THESE IN ORDER TO LEARN FROM YOUR EXPERIENCES

Our Multi-Disciplinary Team (MDT) have a wealth of skill, knowledge & experience which you can observe, question, work alongside & learn from

A range of spoke placements

We very much encourage reflection/reflective activities on care situations/practice & asking questions

What research and practice development activities are being undertaken?

We are currently devising a student journey workbook for first year students & are hoping to extend this to second & third year students following the trial/success of this.

All members of staff are link nurses for specific areas in practice, for example, nutrition, tissue viability, infection control, pain etc. They attend regular updates, teaching sessions etc in regards to their own areas & update the rest of the team on the latest developments in that field & drive standards for these areas.

Members of our team are undertaking various degrees/ in-house development programmes Regular audits are carried out, for example nursing care indicators, key performance indicators, CQUINs, Best Practice Indicators ie for hip fractures

We are part of the Exemplar Programme within the Trust.

We encourage students to evaluate our area/practice, we have various tools for doing this; questionnaires, a student evaluation book, encouragement to feedback on practice on a daily basis.  We are going to be trialling SurveyMonkey as a means of placement feedback shortly also

Spoke Placements

Plaster room/Orthopaedic Outpatients/Fracture Clinic (Book as a day rotating around this area) this may also offer opportunities to reflect on a wide range of individuals for exposure to branches ie vulnerable adults, children, learning disabilities

Theatre (please ensure that you have completed your theatre induction before booking onto a day in theatre. If you have not completed; ask staff to arrange this for you as soon into your placement as possible-theatre induction dates may have a wait) THIS IS ONLY AN OPTION FOR YEAR 1 SEMESTER 3 STUDENTS ONWARDS

Physiotherapist

Occupational Therapist

Social Worker

Dietician

SALT Speech & Language Therapist

Trauma Coordinator Year 3

Pharmacist/Pharmacy technician

Trauma Stabilisation Unit (Ward G3)

Pain Team Year 3

Nurse Practitioner Year 3

Tissue Viability Nurse

RAID (Mental Health)

Bereavement Team

Palliative Care Team

Matron Year 3

Bed Management

Additional Information

We look forward to seeing you & hope you have an enjoyable stay with us!

Practice Educator Facilitators - Denise.Lilley@boltonft.nhs.uk - Royal Bolton Hospital