Rochdale Pathways - PCRP 5

Placement Overview

Placement Title Rochdale Pathways - PCRP 5
Trust
Your Placement Contact Sarah Ahmad - Send Email
Placement Address 13 St Chads Court, Church Lane, Rochdale, OL16 1QU
Placement City/Town: Rochdale
Placement Phone 01706 711355
Your University Contact: Neil Withnell - Send Email

About this placement

What is organised for students on commencement of placement?

Students are allocated to mentors prior to commencing their placement in advance.

Orientation to the placement environment and introduction to staff.

An induction pack will be given to students (this is currently being updated and will also be available online in advance of starting placement).

Students will be given a copy of the Drug misuse and dependence: guidelines on clinical management, Pennine Care's Titration Clinic policy and a small pack of information including information leaflets on medicines, BBVs and a DVD with short films on overdose prevention.

All other important clinical guidelines and policies will be included within the induction pack. First year nursing students will receive a copy of the above information and also copies of the NMC Code of Conduct, Record Keeping and the Standards of Medicines management.

One to one meeting with mentor to undertake initial paperwork, to discuss and set individual goals / learning needs / learning experiences, arrangement of mid-point and final interviews and discussion of any projects, OSCEs or clinical skills that need to be undertaken whilst on placement.

Third years will be allocated a small caseload to develop their leadership skills and transition to working towards becoming a registered nurse. Students will discuss this on an individual basis with their mentors in advance to working unsupervised with clients.

We take past learning experiences into consideration with student nurses within other years of their training.

What are the arrangements for mentors/assessors?

We have two mentor leads on placement one of whom is a sign off mentor.

We have four nurses (3x RNMH / 1 x RGN) whom are fully qualified mentors, and three associate mentors (RNMH).

All registered nurses whom have been qualified and in their position for over six months will be encouraged to undertake the Associate Mentor training and work towards studying for their Mentorship registration.

We ensure that all Mentors and Associate Mentors attend updates as required and are up to date with knowledge surrounding mentoring students as per NMC guidance.

If a students' allocated mentor is on annual leave or on training days, you will work with an identified nurse or have work allocated to you for that day.

Students will work closely with their mentors and are encouraged to also work with the wider MDT and other nurses within the team to ensure exposure to different styles of working and a broad range of knowledge and skills.

What shift patterns are students allocated for learning?

Shift Notes:

Monday to Friday 9am - 5pm and weekly evening clinics on Wednesdays till 7pm. 

What patient care situations are available in this placement?

We hope that students leave their placement with us having had a broad range of learning experiences and have gained knowledge and skills that they will use throughout their training and future careers.

This includes:

Engaging clients into treatment and developing communication skills with our cli ent group.

Triage Assessments, including undertaking our specific paperwork, TARA Risk assessments.

New starter and treatment review appointments with Doctors and clients.

Exposure to prescribed medications used within substance misuse services - Methadone hydrochloride, Buprenorphine Hydrochloride, Naltrexone, Naloxone, Lofexidine.

1:1 Keywork sessions with clients, developing a rapport and utilizing communication skills, developing personalised recovery focused care plans with the client, offering advice, support and information giving, referral to other services with the area.

Titration Clinic - A nurse lead clinic where clients prescribed medication is titrated to a dose that they feel comfortable on and stops any withdrawal symptoms.

Student nurses can develop their skills in making clinical decisions, administration of medicines (Controlled Drugs) and offering brief interventions / advice, such as overdose risks.

Offering advice to clients with alcohol problems - including referral to ADS, Brief Interventions, Motivational Interviewing, calculating units

Administration of medicines (Controlled Drugs)

Undertaking Clinical Opiate Withdrawal Scales (COWS) and annual Physical Health Checks - including undertaking manual blood pressure, pulse.

Needle Exchange facilities - including demonstration of how to use injecting equipment. Wound Care and physical health clinics with our Clinical Nurse Specialist BBV screening / LFTs - Pre and post-test counselling

Working with clients receiving treatment for Hepatitis B/C / HIV Safer injecting advice - DVDs are also available to students

Overdose Risks / tolerance levels / relapse prevention work - including using the alcohol meter / breathalysed clients - DVDs are also available to students

Safe storage of medication advice including home visits Attending Child Protection meetings / working with clients with Child Protection concerns

Liaising with community pharmacies / exposure to prescriptions

Updating and reviewing Recovery Plans, Risk assessments, TOPs, Clinical Management Plans. Undertaking drug screening with clients, this also includes pregnancy testing

Harm reduction advice - Overdose preventions / safe storage of medication.

Dual Diagnosis, including monitoring clients whose mental health is managed by their GP Mental health promotion including referrals to Psychological Therapies

Undertaking PAD assessments with clients presenting with Mental Health problems and liaising with CMHTs, Crisis Resolution, Access and Liaison and in-patient wards Multi-agency working - CRI Reach, ADS, Ramp, High Level, Intuitive Recovery, Probation, Childrens Social Services / Child Protection, housing services, domestic violence agencies, Gps.

We also have a Nurse Prescriber and Detox Nurse whom have specialist knowledge and skills

Auricular acupuncture - All students will have the opportunity to try this treatment themselves

What nursing model is used for planning care?

What core clinical skills can be learnt?

Assessment, Planning, Implementing and evaluating client care. Administration of Medicines. Exposure to controlled drugs, ordering and other medications. Assessments with Doctors. Physical Health Checks, including blood pressure, pulse, temperature, weight, BMI. Wound Care Clinic / BBV clinic. Assessing of injection sites / leg ulcers. 

What additional clinical skills can be learnt?

Students are encouraged to develop skills in an area of interest, ie undertaking a spoke placement at a sexual health clinic to develop skills in offering advice to clients regarding sexual health. 

What resources are available to help students learning?

In addition to practical experience as outlined above:

We have a small collection of text books specialised in substance misuse, including guidelines, policies, up to date journal articles and physical health guidance, such as Physical Health Matters and sections from The Royal Marsden Hospital Manual of Clinical Nursing Procedures.

We are in the process of developing an induction book that will cover evidence based practice, important clinical documents and guidelines, scenario work, reflection work with the option to complete this to receive a certificate of learning.

Learning resource packs are given to students within their first week. Access to DVDs and set periods for study leave to develop knowledge - you will also be asked questions related to the DVDs if given study leave.

We have a student area that can be used in the afternoons.

Access to computers - students will be asked to research evidence based practice/ research and find information relevant to clients that they are working with.

Occasionally training will be available to students, for example BBV, Child Protection, Physical Health Training.

Spoke Placements

  • CRI Reach
  • RAMP
  • ADS - Alcohol detox nurse
  • High Level Chapman Barker Unit (In-patient)
  • Smithfield (In-patient)
  • Shared Care
  • Criminal Justice
  • Early Break
  • Sexual Health Clinics / GUM Clinics.
  • We can also discuss specialised spoke placements to encourage deeper learning when working with clients with specific needs. Ie. Hepatitis C, Pregnancy, Children's social services.

Additional Information

Updated April 2012