MENTOR NAME STUDENT NAME START DATE

INTERIM DATE FINAL ASSESSMENT SIGNATURES

STUDENT NURSE ORIENTATION PACK FOR WARD 6 PRI WARD 6

Welcome to ward 6 Perth Royal Infirmary. This orientation package has been produced to support the induction of nursing students in ward 6. The purpose of this package is to help you settle into the area and to enable you and your mentor(s) to identify you learning needs / objectives. You will be allocated two mentors for your placement in ward 6. Your allocated mentors will have at least one year's experience within this clinical area and will demonstrate the ability to facilitate a positive learning environment. We will endeavour to informally discuss your progress as an ongoing process. There should also be a minimum of three meetings with your mentor: one in the first week to discuss orientation and learning needs: one interim meeting for discussion and reflection and a final meeting at the end of your placement. We suggest you contact the ward as soon as possible and you will be given the name of your mentor. Ward 6 is a 30 bedded acute medical ward receiving both medical and coronary/HDU/ITU step down patients. We also admit patients as day cases for various procedures. There are 4 bays with 6 beds, 6single rooms and an assessment room. Where possible the bays remain same sex but on some occasions there may be male and female patients located in the same bay.

NURSING TEAM Sandra Forrest is the Senior Charge Nurse in ward 6 and has overall responsibility of the ward. Each shift you will be allocated to one side of the ward and work with your allocated mentor. If your mentor is off duty you shall be allocated to another member of the nursing team to work alongside.

SHIFT PATTERN Early: 07.30-15.30 Late: 13.00 -2100 Nights: 2045-07.45 Nurse in charge allocates patients on board. If you require shift change discuss with Senior Charge Nurse or Charge Nurses who will try and facilitate your request.

ORIENTATION The mentor and the student nurse should discuss and ensure that the following issues are addressed within the first week of the student’s placement in ward 6.

COMMUNICATION Meet mentor/associate mentor Introduce to other members of staff Roles and responsibilities Explain - Bleep System - Buzzer system / emergency buzzer - Location of bleep numbers and phone numbers - Location of resus trolley - How to call cardiac arrest team - Off duty - Request book - Contact number (optional) - Sickness / absence procedures - Visiting times - Telephone calls / confidentiality

GEOGRAPHICAL LAYOUT

Orientate and become familiar with general layout of ward

- Day room - Staff room / lockers - Toilet and code - Boys/ side rooms - Kitchen - Sluice - Doctors room - Preparation room Where to locate supplies and equipment Where to locate manual handling equipment There are facilities on the ward to heat meals and a staff sitting room. There is also a dining room and a WRVS tearoom. If you wish to use the hospital facilities we will inform you of their opening times on the first day of your placement.

EMERGENCY PROCEDURE Ensure the student can recognise the features of clinical emergencies. Locate emergency equipment and ensure the student is familiar with all equipment and contents of emergency trolley. Ensure the student is aware of the appropriate actions to summon help in an emergency.

FIRE POLICY Discuss what actions should be taken in the event of a fire. Describe the procedure for reporting fire and evacuation Locate fire alarms, fire exits and fire extinguishers

POLICIES, PROTOCOLS & PROCEDURES Locate and discuss policies procedures and guidelines. Please sign when above issues have been addressed.

DATE SIGNATURE STUDENT NAME

MENTOR DATE SIGNATURE NAME

INITIAL ASSESSMENT

ACHIEVING CLINICAL COMPETENCE

In discussion with the student, the mentor(s) should make an initial assessment of their competence and identify the learning opportunities / activities required for their level of training in relation to their CAP booklet. The following are some examples of learning opportunities available in ward 6 and can be used to assist the student in setting their ward-based objectives. Please identify by placing a tick in the appropriate boxes.

PLEASE OSERVATION TICK TPR,BP AND O2 SATURATIONS NEURO OBSREVATIONS BLOOD GLUCOSE DAILY WEIGHTS PEAK FLOW CARDIAC MONOTORING:- - SETTING UP - ALARMS - RECORDINGS - CENTRAL MODULE - CARDIAC TELEMETRY - BASIC RHYTHM RECOGNITION

PATIENT CARE CLEANSING AND DRESSING MOBILITY PRESSURE AREA CARE ORAL HYGIENE CARE OF IV CANULAE CARE OF THE UNCONCIOUS PATIENT LAST OFFICES CATHETER CARE

FLUID BALANCE / DIET INTRAVENOUS INFUSION FLUID BALANCE CHARTS NG INSERTION NG FEEDING PEG FEEDING SPECIAL DIETS CATHETERISATION BLADDER IRRIGATION CARE OF CHEST DRAIN

DRUG ADMINISTRATION ORAL, NEBULISED, NASOGASTRIC / PEG, SUBLINGUIAL INJECTIONS – INTRAMUSCULAR AND SUBCUTANEOUS OXYGEN THERAPY INSULIN SLIDING SCALE NITRATE PROTOCOL INFUSION THERAPY / BLOOD TRANSFUSION

INFECTION CONTROL BARRIER NURSING REVERSE BARRIER NURSING WASTE AND LINEN DISPOSAL UNIVERSAL PRECAUTIONS EQUIPMENT CARE COMMUNICATION – RELATIVES, PATIENT, PUBLIC HEALTH, INFECTION CONTROL NURSES

SPECIMEN COLLECTION URINALYSIS FOB 24HR URINE COLLECTION MRSA / WOUND SWABS MSSU / CSU SPUTUM SAMPLE STRAIN / TEST URINE LAB FORMS

SURGICAL PRE OP PREPARATION POST OPERATIVE CARE WOUND CARE PAIN CONTROL TROLLEY PREPARATION FOR INVASIVE PROCEDURES

COMMUNICATION / DOCUMENTATION ADMISSIONS / CARE PLANS PATIENT INFORMATION TRANSFER TO OTHER WARDS NURSING HANDOVER TRANSFER LETTERS WARD ROUNDS WITH MEDICAL STAFF AIM REPORTING REFERRALS:- DIETICIAN, OT, SALT, PHYSIO & SPECIALIST NURSES DISCHARGES INVESTIGATIONS / PROCEDURES It is expected that you and your mentor will draw on a range of learning opportunities from within and out with the clinical environment to enable the acquisition of new knowledge and skills. Please identify which investigations / procedures you would like to participate in during your placement in ward 4.

BRONCHOSCOPY OGD PLEURAL TAP COLONOSCOPY CHEST DRAIN INSERTION SIGMOIDOSCOPY CENTRAL LINE INSERTION BARIUM MEAL ULTRA SOUND SCAN BARIUM ENEMA X-RAY ECHOCARDIOGRAM DOPPLER SCAN EXERCISE TOLERENCE TEST THEATRE PROCEDURE ELECTROCARDIOGRAM LUMBAR PUNCTURE PULMONARY FUNCTION TEST O.T. / PHYSIO / SALT

SPECIALIST NURSES

There may be the opportunity to spend ½ a day with one of the following specialist nurses whom liase frequently with the ward. If there is any particular speciality you are interested in please let your mentor know and we will try our best to accommodate your request.

-Respiratory Nurse -Diabetic Nurse -Palliative Care Nurse -Cardiac Rehabilitation Nurse -Heart Failure Nurse -Community Liaison Nurse -Stroke Liaison Nurse -Stoma Nurse -Pain Relief Nurse -Breast Care Nurse PATIENT TRANSFER Patients are often transferred to HDU/CCU and transferred out of this area. You will be given the opportunity to assist with this procedure. On negotiation with the senior nurse in both ward 6 and CCU/HDU you may be given the option to stay in the unit and see what happens to the patient in the first few hours of admission to a specialist area.

COMMENTS:-

Date arranged for interim assessment: -

INTERIM ASSESSMENT

Discuss learning needs and progress What has been achieved / still needs to be achieved Reflect on issues Feedback on student’s progress Complete mid-way assessment in OAR booklet.