Emergency

Department (PRUH)

An Orientation Guide for Student Learners

Patients attend by ambulance or as ‘walk- ins’. We see patients of all ages from birth to 100+years. Presentations vary from mild infections and injuries to cardiac arrest. We are a trauma unit and a Hyper- Acute-Stroke-Unit so will often receive patients of these categories from London Ambulance Service and South East Coast Ambulance Service.

Emergency Department (PRUH) An Orientation Guide for Student Learners Learning Introducing the Ward/Unit Opportunities

 A-E systematic patient

We are quite a large A&E department. We have 21 Majors cubicle, 3 subacute cubicles, a fit to sit seating area with 2 assessments further assessment cubicles and a 4 bedded resus  department. We also have a designated paediatric area  Improve with 5 cubicles and a HDU bed. In addition we have a 9 knowledge of bedded & 6 chair ward called Clinical Decision Unit (CDU). resus equipment

 How to Find Us  Potentially be involved in CPR

ED is located at the opposite end to the Main Entrance of the Sepsis 6 - Hospital at entrance E. recognition and (PRUH) Department Emergency justification

Who’s Who? Improve ECG knowledge Matron: Nikki Wilcox & Alison Godfrey Clinical Practice Facilitator: Lauren Payne [email protected] Student Support Champion: Maria Langtry [email protected] Donna Apostol [email protected] 1 Main Ward Contact: 01689 863514 Nurse In Charge: 01689 863720

(Only use NIC number for reporting lateness or sickness): Specialism

Our teams specialise in recognising the sickest patients, prioritising correctly and treating emergency effectively to preserve life.

Common Diagnostic and Therapeutic Procedures Routine Clinical Skills Patients in the ED could have a variety of investigations. Listed below are just some examples of what you may Checking vital signs witness:

ECG X-Ray CT scan Venepuncture & ECG Cannulation Ultrasound (FAST scan)

Arterial Lines Medication administration Central Lines Chest Drains Catheterisation Intubation

Emergency Department (PRUH) Department Emergency Doctors regularly use chest auscultation and PR exams

Patient A-E Assessment Neurological Assessment Pain Assessment

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Staffing & Routine Due to the nature of the department and to provide you with the best learning opportunities you will be expected to work shifts that cover 7days a week and 24 hours a day. If this is a problem due to health reasons, please ensure you provide us with a letter from occupational health or have your link lecturers or academic assessors contact us in advance so it can be taken into account when your mentors and shifts are allocated. Normal staffing levels Day Shift Night Shift 1 Overall Nurse In Charge 1 Overall NIC 13 Registered Nurses in Adult ED 12 Registered Nurses in Adult ED 3 Registered Nurses in Paeds ED 2 Registered Nurses in Paeds ED 2 Registered Nurses in CDU 2 Registered Nurses in CDU 2 ED technicians 1 ED technician

3 HCAs in ED 2 HCAs in ED 1HCA in CDU 1 HCA in CDU + 2 RN twilight shifts – 1 adult and 1 paediatric

Shift Patterns Available

7 day week Weekends Nights (PRUH) Department Emergency 5 day Week Long Days Earlies/Lates

Shift Times 12-hour Shift: Day Shift 07.45 to 20.00hrs Night Shift 19.45 to 08.00hrs

Meal Breaks = Days – 2x 30min breaks (breakfast & lunch)

Nights – 1x 1hour break

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Specialist Courses Unit Staff Undertake

Nurses in who chose to come to work in ED will have opportunities to complete further learning, examples of which are listed below

 Emergency Nursing University Module  Plastering Study Day  Suturing Study Day  Triage Study Day  Major Incident Study Day  Advanced Trauma Nursing Course (ATNC)  Advanced Life Support (ALS)

Emergency Department (PRUH) Department Emergency

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MDT Members Useful Numbers Registered Nurses

Cardiac Arrest 2222 Doctors/Surgeons

Fire 2222 Trainee Nurse Associates

Security 3333 ( Emergency only) Healthcare Assistants

65909 Volunteers Clinical Site Manager Bleep 221 Chaplaincy iMobile Ext 63854 or bleep 319 Domestic/Housekeeper

Helpdesk 63377 Social Workers Speech and Language

Switchboard 0 Therapists

Occupational Therapists How to Bleep

Physiotherapists To bleep a member of staff from a King's at PRUH internal telephone: Dieticians Clinical Nurse Specialists:

Dial 14 followed by the bleep number, followed by the (PRUH) Department Emergency  Continence extension you want the recipient to call back. i.e. "14 123 34567"  Falls  Tissue Viability Wait for the message saying that call has been accepted,  Pain and hang up. The bleep holder will shortly receive a  Spinal message with the extension number you want them to call back on.  iMobile  Trauma

See the directory for the bleep number of the person you wish to contact.

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Relevant Trust/Local Policies To find policies, go to Kingsweb, click on kingsdocs or Kwiki and type the relevant word in the search box.

Please ensure you familiarise yourself with the following policies:

* Out of Hours Pharmacy Service Guidance * Disciplinary and Behaviour Standards Policy

* Medicine Management Policy * Sickness Absence Policy and Procedure

* Controlled Drugs Policy * Infection Prevention and Control Policy

* Blood Transfusion Policy * Dignity Toolkit

* Continence Policy * National Service Framework for Older People

* Datix Report Form and Guidance * Whistleblowing Policy

Useful Pre-Reading You will be given a second booklet on arrival to ED but please revise you’re A-E assessment and visit the UK resus council website.

Emergency Department (PRUH) Department Emergency

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Student Resources

The Pre-Registration Nursing team manage a kwiki page within which we keep information important to students, including information on student support, student forums, additional teaching opportunities and changes to the role of student, supervisor and assessor. To access kwiki, go to the home page on any trust computer and look for a red square icon with “kwiki” written in it. The Kwiki service is very much like Wikipedia and is navigated the same way. Using the search bar, look up Pre-Registration Student Nurses. There is a nav bar on all pre-registration nursing pages to help you find what you are looking for.

The pre-registration nursing team are available Monday to Friday, 0800 – 1700 and will respond to any issues you may have on placement, and can be contacted on extension 31619. Pre-Registration Nursing Team

Email: [email protected]

Ext: 31619 Tel: 0203 299 1619

Lead PDN: Tosan Okubule

PDN: Thomas Hutchins

CPF: Adrian Palmer

CPF: Jili Joseph

Admin/Coordinator: Clare Winter (PRUH) Department Emergency Student Feedback

The Pre-Registration nursing team has created a survey online that you can use to record your feedback about your placements. This survey is anonymous and will be used to help us improve the student experience moving forward. The Pre-Registration Nursing Team is committed to enhancing your learning and experiences whilst on placement, and this survey is important in this endeavor, as the data collected becomes the basis and evidence for the improvements we wish to make. Please give us feedback on how your placement has gone using the link below; the survey is anonymous and may be completed at any time. www.bit.ly/S2dent

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Assessor and Supervisor Details The boxes below can be used to record the details of your Practice Assessor, Academic Assessor and Practice Supervisors.

Role Name Email Address Academic Assessor Practice Assessor Practice Supervisor Practice Supervisor Practice Supervisor Student Support Champion

Getting Here Farnborough Common Orpington Kent BR6 8ND

Use our Princess Royal University Hospital map (pdf) and our wards page to help your find your way around. There is limited parking on site and locally, so we advise you to use public transport to travel here. Plan your journey using the Transport for London (TfL) journey planner.

Emergency Department (PRUH) Department Emergency By bus

 These bus routes stop in the hospital grounds: 261, R3 and R4  These bus routes stop within a 10-minute walk: 61, 336, 353, 358 and R2

TfL’s Map of public transport for Princess Royal University Hospital shows stops close to the hospital as well as the routes. By train Regular bus services run to the hospital from the nearest mainline stations:

 Bromley South – 61, 261, 336 and 358  Orpington – 61, 353, R2 and R4

Accessibility

8 Bromley South and Orpington have step-free access and lifts to all platforms.

Emergency Department (PRUH) Department Emergency

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