Date Commenced Date Finished

MONTROSE

MINOR INJURIES AND ILLNESS UNIT

WELCOME PACK FOR STUDENTS

STUDENT NURSE Name......

Date Commenced...... Date Finished......

MENTOR ASSOCIATE MENTOR

Name...... Name......

Designation...... Designation......

Personal Tutor

Please report for duty to: ......

In the Minor Injuries/Illness Unit on: ...... CONTENTS

1. Introduction to Montrose MIIU

2. MIIU Philosophy

3. Practical Information

Starting work

Security

Staff amenities

Good housekeeping

Fire and electrical safety

Smoking at work policy

4. Procedural Information

Communications

What to do if...

Shifts worked in the M.I.I.U

Role of the Practice Education Facilitator

5. Departmental aims and objectives

6. Student centred learning

7. Suggested Reading INTRODUCTION TO MONTROSE MIIU

Montrose Minor Injuries and Illness Unit is a nurse-led unit.

Working hours are:

Monday – Friday 09.00 - 16.30hrs Saturday, Sunday and Public Holidays 07.45 – 22.00hrs (A 20 minute courtesy break is allocated for each shift)

Montrose MIIU is located within the Links Health Centre, Frank Wood Way, Montrose, DD10 8TY. The centre opened in 2003 and is also home to 3 GP surgeries, Out Patient, Podiatry, Dentistry, Physiotherapy and Community Nurses.

We see patients from newborn upwards with a wide and varied range of presentations of injuries week days. At the weekend and Public Holidays when the GP surgeries are closed we provide an Out- of- Hours Service (OOH) in conjunction with the OOH GP. Injuries patients can self present, whilst illnesses patients are referred through NHS 24. MIIU PHILOSOPHY

The Minor Injury and Illness Unit endeavour to treat students as individuals acknowledging their needs and encouraging their participation in formulating care management plans. We encourage students to feel part of the care team by involving them in assisting and directing healthcare professionals in providing patient care. We recognise and value the contribution of all students in the process of planning and carrying out patient care and assist them to achieve/maintain knowledge and skills in order to provide safe and effective care.

We encourage students to ask questions and will always try to answer them. However, we will expect the student to assist with their own learning by developing a questioning approach.

We look forward to hearing your views and suggestions about how we can improve the learning experience for you during your placement and on completion of the questionnaire.

PRACTICAL INFORMATION Starting work

When you come to work on your first day please bring:

 Proof of ID e.g. university student card  Student Nurse welcome pack

Introduction to the department

On your first day in the department you should report to the senior nurse on duty, who will then introduce you to your mentor and of course the rest of the staff. You will also receive a guided tour of the Unit, as well as the Health Centre.

Security arrangements

You will be given the key to your own locker, which you can use for the safekeeping of your personal possessions.

Staff amenities

There is a staffroom which will be shown to you on your first day. There is no provision on site to purchase meals, snacks or drinks, so please bring these with you. There is tea/coffee making facilities, microwave and fridge and drinking water available.

There are staff toilets throughout the Unit.

Good housekeeping

It is the responsibility of each member of staff to be economical in their use of resources such as stationery. Please also remember to conserve heat and energy where possible by switching off lights if they are not in use and shutting doors to keep the heat in.

Smoking policy

Smoking is NOT permitted in any NHS building or within the grounds under the control of NHS Tayside. Fire and Electrical Safety

The reduction and prevention of accidents can only be achieved with the involvement and commitment of all employees. It is the responsibility of all employees as well as NHS Tayside to ensure that a healthy and safe working environment is created and maintained. This section does not intend to cover all aspects of safety, but rather to draw attention to some of the more general aspects of safety.

 Fire Safety Training

A programme of Fire Safety Training is in operation, which all employees must attend as required by their manager. This is intended to provide all staff with basic awareness of hazards associated with fire and how to react in the event of a fire incident. As this programme is for your safety and that of others, it is compulsory for you to attend when required.

General Fire Safety Precautions

 Familiarise yourself and keep up to date with the fire precaution arrangements in your work area.  Familiarise yourself with the location of fire exits and extinguishers around the building, including the assembly point for all staff.  Observe No Smoking signs.  Keep fire exits, points and corridors clear.  Switch off and remove plugs from sockets on any electrical appliances which are not considered necessary.  Do not leave combustible articles, flammable liquids or aerosols near any source of heat.  Dispose of waste correctly.

Fire Drill and Alarm

The fire alarms are tested on a regular basis and fire drills will be carried out without prior notification. Please familiarise yourself with the fire procedure folder within the Unit.

Precautions for Electrical Equipment

 Always check that switches are OFF before connecting or disconnecting any appliance.  Do not handle electrical equipment with wet hands.  Do not over-stretch leads.  Do not remove plugs by pulling the lead.  Report frayed or damaged cables.  Never tamper with electrical equipment.  Report any faults immediately.  All repairs must only be carried out by suitably qualified personnel.  If a person suffers from an electric shock, turn off the electricity supply and seek urgent medical assistance.

PROCEDURAL INFORMATION

Communications The value of effective communication cannot be underestimated in creating and maintaining job satisfaction and the quality of care we provide to users of the service. In order to make communications effective within the Units and throughout NHS Tayside, the following methods are in place and will be clarified to you during the induction period.

1. Face to Face communication

 Nurse/patient consultations  Staff meetings  Local Consultative Groups

2. Written communication

 Email  Minutes of the staff meetings  Circulation file  Notice boards  Patient records  Trust Newsletter detailing minutes of Board meetings

Good communication must and is a two-way process, so if you think something could be improved, or if you have good news, let us know! If you have other ideas for communication which you think could be used we would be glad to hear of them. Please be assured that all feedback from staff is valued, and it does make a difference.

Confidentiality is of the utmost importance in the Unit and we endeavour to uphold and respect patient information.

What to do if...

 You are ill (a) At home -

You must notify your Mentor/Nurse in Charge of the unit before 10 am on the first day of your absence. You must also notify the University regarding your absence and your return to work as per student policy. This policy is available on the Placement Profiles website.

(b) At work

Tell your Mentor/Nurse in Charge how you feel, and action will be taken.

 You are upset

Again, tell your Mentor/Nurse in Charge how you feel. It may be more appropriate for you to go home than to stay at work.

If you feel you cannot go to your Mentor/Nurse in Charge for whatever reason several other channels are open to you. You can approach another member of staff or speak to your personal tutor form the University. Never feel that you have to suffer in silence.

The Role of the Practice Education Facilitator

The Practice Education Facilitator (PEF) role is designed to enhance the quality of the practice learning experience.

Their role includes:

 Supporting the mentor.  Facilitating communication and improving links between clinical areas and the Universities and Colleges.  Ensuring that the students experience in clinical placement is of the highest quality and greatest benefit.

The Practice Education Facilitator for this area is Mhairi Thompson and can be contacted on 01356 647291 Ext 65511 regarding issues with clinical placement. However we suggest that you follow protocol as per student handbook.

DEPARTMENTAL AIMS AND OBJECTIVES

Aim: To provide a warm and friendly environment for the student

Objective: Staff should introduce themselves to the student by name Staff should involve the student in any conversations Provide an opportunity to voice your opinions/concerns

Aim: To provide adequate support to enhance and develop students existing knowledge in a suitable learning environment

Objective: Ask student about past experiences and expectations from placement Discuss learning objectives and set realistic goals e.g. learning contracts Ensure student has opportunity to ask questions/seek explanations Demonstrations of skills e.g. bandaging, wound care Ensure periods of reflection with the student Give positive instruction, praise and constructive criticism Mentor evaluation - student questionnaire STUDENT CENTRED LEARNING

Minor Illnesses An awareness of the parameters of vital signs including within the different age groups of children would be beneficial to the student.

Anatomy Knowing the basic human anatomy will greatly enhance the student’s learning experience.

Communication Skills  Reception, documentation, triage, history taking, verbal/non-verbal communication skills  Clear instructions  Special needs of patients  Stressful situations  Patients/relatives presenting with challenging behaviours

Emergency Situations  Emergency procedures e.g. CPR, anaphylaxis  Emergency transfer to other hospitals

Priority Situations  Asthmatic  Burns  Chemical splash

Wound Care  Classification of wounds  Physiology of wound healing  Factors affecting would healing  Types of wound dressings  Signs of infection  Tayside Wound Formulary  Local Anaesthetic administration  Suturing

Orthopaedic Injuries  Anatomy and Physiology  Types of fractures  Clinical features  Physiology of bone healing  Splint application  Thumb spica application  Slings: poly, collar and cuff, high arm and broad arm

Ophthalmology Issues  Irrigation of eye and free flow method  Installation of eye drops/ointment and application of eye pad  Advice regarding anaesthetic eye drops

Drug administration  Types of drugs used in the department including the PGDs  Documentation  Adverse drug reactions

ECG and Glucometer  Observation only

Observation of the extended nursing role  Use of guidelines/protocols within the department  Use of Patient Group Directives (PGDs)  SIGN guidelines/Clinical Knowledge Summaries (CKS)

Transfer procedures  Alternative hospital  Orthopaedic support service  Discharge against medical advice

Knowledge of legal issues in the department  Importance of confidentiality  Knowledge of legal implications around documentation  Dealing with suggestions and complaints  Dealing with abusive patients

Health and Safety  Safe disposal of sharps  Clinical waste  Wearing gloves  Care and maintenance of equipment  Staff/ patient care and safety of belongings and valuables

Ordering and Storage

 Pharmacy, surgical, general, stationery and special orders

SUGGESTED READING  Department algorithms and drug formulary  Wound care formulary  Cardiac arrest procedures  Anaphylaxis procedures  Fire procedure  Health and safety policy  Department nursing articles  NMC 2015 Code of Conduct

BOOKS Minor Injuries – A Clinical Guide (Denis Purcell) 3rd Edition, 2016 The Minor Illness Manual (Gina Johnson, Ian Hill-Smith, Chris Ellis) 4th Edition, 2012 Bones and Joints – A Guide for Students (Chris Gunn) 6th Edition, 2012 Symptom Sorter (Keith Hopcroft) 5th Edition, 2014

APPENDIX BONE HEALING

TYPES OF FRACTURES

THE SKELETON THE POSTERIOR VIEW

THE HAND

A wee pneumonic for the carpal bones is: She Looks Too Pretty Try To Catch Her She – scaphoid Looks – lunate Too – triquetral Pretty – pisiform Try – trapezium To – trapezoid Catch – capitate Her – hamate BASIC NERVE DISTRIBUTION OF THE HAND THE EYE

THE EAR LABEL THE EAR

WORD BANK:

Typanic membrane, semicircular canal, auditory tube, ear canal, pinna, incus, stapes, malleus, inner ear, choclea