01476 46 4741
Welcome to Ward Six Welcome to Ward Six we are located on corridor C at Grantham and District Hospital. Please park in the car parks located through the Maternity entrance not the A and E entrance.
The ward has 26 patients and we are gastro and respiratory
The ward is divided into three teams:-
Blue- 1 bays of 6male patients and 1 male patient side rooms
Green- 2male patient side rooms, a bay of 6 female patients
Yellow- 2 female patient side room and 1 bay of 6 female patients
The ward is divided in this way to provide privacy and dignity to our patients by providing them with same-sex accommodation.
Doctors
We have 3 consultants who work on Ward Two and our patients are split between them depending on their reason for admission.
Dr J Campbell (JCA) is a Consultant Physician in Respiratory Medicine. His ward round are Tuesday and Friday from 0900.
DR Matsiko (SKM) is a consultant in Gastro his ward rounds will be Tues and Thurs from 14.30pm.
Dr Mahmood (TAM) is a consultant in Gastro his ward rounds will be Monday and Thursday from 10am.
All Consultants have Junior Doctors based on the ward from 0900 to 1700 Monday to Friday. Outside these hours we can contact the On Call Doctor.
Shift patterns
Early shift 0700-1500
Late Shift 1300-2100
Nights 2045-0707
Please speak to your Mentor and Associate Mentor to arrange your shifts. What you may see on the ward
RESPIRATORY
Develop you knowledge of the respiratory system.
Be involved in the care of patients with Asthma, Chronic Obstructive Pulmonary Disease (COPD), Pleural Effusions, Pulmonary Embolus (PE) and cancers of respiratory tract.
Assist, under supervision of mentor, doctors when inserting chest drains or performing pleural aspirations.
Observe care of patients with tracheostomy.
Participate in the care of patient during oxygen assessments, blood gas analyses, oxygen and nebuliser therapy, humidified oxygen and suction
Insight visits- Xray – CT guided lung biopsy and chest x-rays Daycase – Bronchoscopy Medical Physics – Spirometry Spend time with Physio, COPD nurse Observe role of Lung Cancer Nurse Specialist and Macmillan team
ENDOCRINOLOGY
Develop your knowledge of Endocrine system.
Care for patients with Diabetes and Diabetic emergencies, Kidney Disease, thyroid and pancreatic disorders. Observe the use of Sliding Scale Insulin Infusions Insight visits- Diabetes Nurse Specialist Medical Physics- patients undergoing scans and biopsies Observe blood glucose monitoring
CARDIOLOGY
Develop knowledge of Cardiac system. Care for patients with Heart Failure, Atrial Fibrillation (AF), Angina and patients with pacemakers.
Observe role of Cardiac Rehab and Assessment nurses, Critical Care Outreach team (Year 3 only).
Insight visits- Medical Physics to observe ECHO (Echocardiogram)
GASTRO-ENTEROLOGY
Develop knowledge of Gastro Intestinal Tract.
Care for patients with G.I bleeds, liver disease, swallowing difficulties, infectious diseases such as Clostridium Difficile, cancers of G.I tract.
Observe and participate in the care of patients requiring, gastroscopy and colonoscopy, insertion of Nasogastric (NG) and PEG tubes, swallowing assessments, Barium enemas and swallows.
Insight visits- Dietician Speech and Language Therapist (SaLT) Day Case- Colonoscopy
NEUROLOGICAL AND HEALTH CARE OF THE ELDERLY
Develop knowledge of nervous system and ageing process.
Participate in the care of patients following stroke, with M/S and Parkinson’s. Observe and participate in End of Life care and decision making
Insight visits- Physio Occupational Therapist Social Worker Intermediate Care Discharge Liaison Nurse (DLN) X-Ray- CT Scans Mental Health Liaison Nurse (MHLN) These are just some of the things you may have to opportunity to be involved in; this is dependent on the patients on the ward during your placement. Often unexpected opportunities can present themselves.
We have many Link Nurses who can offer advice on their role, please see the board around the ward form information.
Our PLT Rep is Staff Nurse Mary Belson, however if Mary is not on shift please speak to Staff Nurse Claire Davies or your mentor.
Sister Alison Strutt is clinical educator for Ward Six.
We hope you enjoy your placement with us. Useful Websites
www.ulh.nhs.uk www.lunguk.org www.asthma.org.uk www.diabetes.org.uk
www.brit- thoracic .org.uk
www.bhf.org. uk www.patient.co.uk
www. npsa .nhs.uk
www. nice .org.uk
www. stroke .org.uk
www. parkinsons .org.uk www.mssociety.org.uk www.mstrust.org.uk Oxygen therapy
1. What different oxygen therapy equipment can you find on the ward?
2. What should the oxygen flow rate be for, blue, white, yellow, red and green concentration valves?
3. Why is it important to ensure the oxygen is delivered at the correct rate?
4. What are the advantages and disadvantages of semi-rigid masks?
5. What are the advantages and disadvantages of a non-rebreather mask?
6. What are the advantages and disadvantages of humidification oxygen?
9. What equipment is required for humidification oxygen?
10. What are the advantages and disadvantages of nasal cannula?
11. What rate of oxygen should be given via nasal cannula?
12. What information do you record on a observation chart?
13. Why is it important to record what the oxygen rate is when recording observations?
14. What are the side effects of oxygen therapy?
15. What health promotion/advice should be given to people using oxygen therapy?
16. What guidelines or standards apply to oxygen therapy and how do these impact on your role? Ward Six Student Nurse Contract
Name of Student;
Name of Mentor;
Name of Associate mentor:
Intermediate Interview Date: To be Completed by:
Final Interview Date: To be completed by:
The Student will:
Follow the correct procedures and policies Work the whole shift pattern, including nights, To work with mentors or under their direction Arrange any changes to the off duty with their mentor Ensure portfolio and outcomes are brought in for every shift Seek advice and help early on if struggling with any aspect of their placement Complete practice skills clusters if required and within designated time Arrange relevant insight visits Be aware of procedure for reporting any sickness/absences
The Mentor will:
Work with the student 40% of their placement Arrange interviews dates Assess student work and provide constructive feedback Plan and Practice skill clusters with student Offer advice and projects to aid meeting student outcomes
Any other issues/ agreements
Student Signature: Date:
Mentor Signature: Date: Ward Six Social Network Agreement
I have read the NMC’s guidelines on the use of Social Network Sites, available at http://www.nmc-uk.org/Nurses-and-midwives/Advice-by- topic/A/Advice/Social-networking-sites/, and agree to work within the these guidelines whilst on placement on Ward Two
Student Signature: Date: