290 PRI Gynaecology Unit

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							GYNAECOLOGY WARD

 Perth Royal Infirmary



Student Nurse/Midwife
  Welcome/Induction
        Pack

Students Name:……………………………………………….

Mentors Name:………………………………………………

Associate/Team Mentor(s)………………………………
INTRODUCTION

Welcome to the Gynaecology Ward. We want your experience
to be both enjoyable and an educationally enriching experience.
You will be allocated a Mentor and an Associate Mentor and will
be given their names when you phone to check your starting
time or on your 1st day on the ward.

Directions to the ward

The Gynaecology & Obstetrics Department is located in a
separate building, in front and to the left, of the main hospital.
It is easily accessed from the main entrance off Jeanfield
Road.



           The Senior Charge Nurse is – Jane Black




“Experience and especially shared experience is infinitely more
                    educative than books”
                       JOHN DEWEY
                  (Educational Philosopher)




                                2
                                LOCAL

                          INFORMATION


There are a variety of ways to get to the hospital, use
www.travelinescotland.com to help plan your journey to us. Please
let the staff know as soon as possible if you have specific
problems travelling to PRI and we will endeavour to help you
overcome them as much as we are able.
Contact telephone number: 01738 473426

Car parking is available at £1.20 for 6 hours, there is on-street
parking but this is at your own risk and please be sensitive and
courteous to the needs of the residents around the hospital.

Canteen facilities – 7am-4pm, situated in the old building.
                     WRVS café in the main entrance area.
Generally speaking students usually bring a packed lunch/tea.
There are microwave and coffee making facilities.
Changing facilities – male: situated in the theatre area on
level1.
                      Female: lockers & shower facilities are
provided in the changing area located on the ground floor of
the building.


   Other Useful Websites: -
      University of Dundee; Clinical Placement
       Support Unit (CPPSU): www.cppsu.dundee.ac.uk
      NHS Education Scotland: www.nes.scot.nhs.uk
      NMC: www.nmc-uk.org
      Literature search facility, free with Athens log on
       details, full articles available: www.elib.scot.nhs.uk
      Local PEF: Allison Robertson,
       allison.robertson@nhs.net ext. 13322



                                      3
The Gynaecology Ward

Facilities include:
 4, 4 bedded rooms and 3 single rooms.
 An examination room where Early Pregnancy Assessment
  Clinics are run Mon-Fri 10am-3pm. (EPAC)
 An emergency Out Patient Service
 Theatre is located along the corridor on the same level.
 There is an Ultrasound department located on the lower
  level.

Within this department the services we offer are:

Genito Urinary Pelvic Medicine
Major Surgery and Day Case Surgery
Breast/General Surgery
EPAC
Emergency Out Patient Service e.g. Blood tests, Morning after
pill

You the student will be able to follow the patient’s journey by
admitting them, observing their operation in Gynaecology
theatre then caring for them post-operatively.

Women’s Clinics- (separate building located nearby).

 Within this setting there are many different learning
opportunities. The clinics that are run throughout the week
are:

Urodynamics
Lletz Clinic (Large loop excision of the transformational zone)
Colposcopy
Infertility

                               4
General Gynaecology
Uro Gynaecology
Termination of Pregnancy

Your mentor will encourage you to attend some of these clinics
as it can be of educational benefit for you.


Shift Times

We are a Monday through to Friday ward. The 2 shifts you
would be expected to work are:
7.30am – 3.30pm and 2pm – 10pm

Night shift is not expected of you as the majority of learning
opportunities are to be found throughout the day.


The Gynaecology Team

The Gynaecology team consists of Senior Charge Nurse,
Midwives, Registered Nurses, Health Care Assistants and a
Ward Clerk.

The consultants and specialist registrar are as follows

Dr Phillips (General Gynae & laparoscopic/Laser surgery),
Dr Gordon (General Gynae and Obstetrics),
Dr Allen (Uro Gynae)
Dr Kay (Infertility)
Dr El-Miligy (General Gynae & Obstetrics) He is our Specialist
Registrar.




                               5
There are 2 surgical consultants Mr Murdoch and Mr
Elseedawy who have theatre lists Tues, Wed & Thurs
afternoons

Physiotherapists work on a part-time basis in the ward
throughout the week

Breast care nurses are available when required.




Operating times on the ward generally are:

Dr Phillips Mon am and Thurs am
Dr Gordon Mon pm and Wed am
Dr Allen Tues am and Fri am
Dr Kay every 4th Wednesday.




Overview of the ward

Gynaecology Ward patients comprise of ‘waiting list
admissions’ and ‘emergency admissions’.         All waiting list
admissions will have begun their journey by first being
clinically reviewed by a Gynaecology Consultant in the Out
Patient Department after an appropriate referral by the GP.
The initial consultation will reveal if the findings are
significant; if so, they will be added to a waiting list prior to
being selected for admission for surgery. Most patients who
will be attending for operations are not “ill” in the true sense
of the word and with appropriate treatment, they will
hopefully return to an independent, functioning lifestyle and
to a better quality of life.

                               6
Emergency admissions are usually sent in via a referral from
their own GP to the doctor on call that day. Emergency
admissions are only accepted before 4pm, outwith these hours
they are referred to Ninewells Hospital.


Assessment and the CAP Booklet

Your CAP Booklet is your responsibility, but we ask that it be
made readily available for your mentor and/or staff to review
when required. There are great many opportunities for you to
gain the experience and practical skills towards completing the
required competencies for this placement. As a student nurse
you will be guided in many areas, but you will also be expected
to show enthusiasm, initiative and interest.
  We expect to be asked questions and will endeavour to
answer them appropriately. However, as an adult learner, we
may nudge you in the right direction and get you to discover
the answers for yourself.
You will be allocated a mentor and an associate/team mentor.
Throughout your time with us they will provide ongoing
constructive feedback as to your progress. It will also be their
responsibility to carry out your midway and final assessments.
This will involve their liasing with all members of the team
whom you have come into contact with.




                               7
     Learning opportunities

1.     COMMUNICATION
2.     HEALTH PROMOTION
3.     NURSING ASSESSMENT
4.     ESSENTIAL CARE IN VARIETY OF SETTINGS
5.     SAFETY



1.      COMMUNICATION:
     Patients/clients/relatives/significant     others,   nursing
     staff/care team, multi-disciplinary team, verbal/non-verbal,
     therapeutic information, telephone and written.

2.      HEALTH PROMOTION
     Health promotion re lifestyle, health education, multi-
     disciplinary team, cultural sensitivity, developing health
     promotion practice.

3.      NURSING ASSESSMENT: -
     Utilising systematic approach, assessment tools (possibly
     identify specific tools), observing, recording and reporting re
     patients/clients, selection and utilisation of individualised
     patient tools, modifying said tools as required, prioritising
     workload,     delegation,    time      management,    accurate
     documentation, admission and discharge.

4.      ESSENTIAL CARE IN VARIETY OF SETTINGS: -
     Patient/client comfort, hygiene, toileting etc., participate as
     member (full) of multidisciplinary team, collaborative care with
     patient/family, formulating realistic goals (long & short term),
     moving & handling, care re surgical intervention, therapeutic
     interventions, medication (knowledge and administration),




                                    8
5.     SAFETY: -
     Recognise and deal/cope with emergency situations, recognise
     personal    limitations,     environmental    risk     strategies,
     patient/client risk assessments, infection control issues, de-
     escalation skills, safe administration therapeutic interventions.



     Your Placement
     During your time in the clinical area you should expect:
      A named Mentor (and in some areas Associate or Team

       Mentor).
      Initial discussion regarding your learning needs, outcomes

       and competencies.
      Regular and constructive feedback on your performance

       including Mid-way & Final Assessment.
      A supportive learning environment.

      Provision of learning opportunities including clinical skills and

       visiting related areas.
     Remember to bring your CAP Booklet with you.


     Aims during Placement

     During your time within Gynaecology…you, the student, will
     (further) develop both clinical and managerial skills, both
     personal and professional. You will research relevant theory
     and utilise and/or explain how it can be used to enhance nursing
     practice, and improve patient care.


     Objectives

     A Learning Contract will be employed to document agreed
     objectives with a view to the student achieving the
     competencies required from the placement.



                                      9
Outcomes
   At the end of the placement the student will have met the
    required competencies.
   The student will have demonstrated that they can
    effectively manage their time and prioritise their workload.
   The student will have had the opportunity to plan and assess
    care with their Mentor and other members of the team.
   The student will reflect on the care that they have provided
    during their placement.
   The student will have liaised and worked (if applicable) with
    other members of the multidisciplinary team.
   The student will have a clear understanding of the issues
    relevant to this area re what and how care is provided.



Practice Education Facilitators

There are 9 Practice Education Facilitators (PEFs) across NHS
Tayside, with responsibilities for all NHS clinical placements.
Your local PEF is Allison Robertson.
Their role includes supporting the Mentor, facilitating
communication and improving links between the clinical areas
and the Universities and Colleges. They also aim to ensure that
the students’ experience in the clinical placement is of the
highest quality and greatest benefit. The PEFs can be
contacted about issues regarding the clinical placement,
however we suggest you follow protocol as per your student
handbook.




Signature of Learner:- --------------------

Signature of Mentor:-      ---------------------

                                10

						
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