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					Student
Welcome
 Pack
  B3
                        B3 Ward Philosophy




B3 Ward endeavours to provide quality care at a high professional
standard, to patients, carers and elatives.


Our philosophy is to create an atmosphere that enhances the healing
process and assists those that require rehabilitation to reach their
optimum level of independence prior to discharge.


We recognise that every member of staff from whatever discipline
who may be involves with out ward and patients play an equally
important role.


We regularly have students on the ward and hope to provide an
excellent learning environment where questioning is encouraged and
evidence based practice is used and taught.


As patient’s advocates, the nurses on B3 wish only the best for their
patients, our ultimate goal is to strive for excellence and work as a
team to achieve the best possible care for out patients.
                                  Welcome


The ward is a 23 bedded female complex care ward.

We have three consultants:-

Dr Varman and Dr Kallatt - take patients of any age except acute Diabetics.

The Diabetic consultants rotate on a monthly basis:   Dr Bharji
                                                      Dr Robinson
                                                      Dr Palin




The Matron is:             Felicia Onwudike

The Ward Manager is:       Yvonne Houghton

The Junior Sister is:      Fiona Connell




The ward is organised within three teams:-

Red Team                   beds 1-6 and sideward 1 (bed 22)

Yellow team                beds 7-12 and sideward 2 (bed 23)

Blue team                  beds 13-21
                                     Who’s who?




Matron                                Dark grey dress/ tunic

Ward Manager                          Navy blue dress/ tunic

Nurse Practitioner                    Navy blue dress/ tunic with red trim

Sister                                Royal blue dress/ tunic with white trim

Staff Nurse                           Royal blue dress/ tunic with white trim

Assistant practitioner (AP)           Lilac dress/ tunic

Health care Assistant (HCA)           White dress with pale green or bottle green
                                      epaulettes/ tunic

Physiotherapist                       White dress/ tunic with navy trim

Occupational Therapist                White with bottle green trim dress/ tunic with bottle
                                      green trousers

Social Worker                         Own clothes

Pharmacist                            Long white overcoat over own clothes

Housekeeper                           Plain white dress/ tunic

Voluntary Worker                      Plain white dress/ tunic

Domestic                              Bright blue tunic/ dress


There is also A Practice Educator Facilitator – linked to the unit, who will be able to help
you with any worries or concerns. Their role provides close links for Students with the
Universities.


                                    Samantha Bulpitt
                                   (Tel / Bleep 5984 )
                                            Or
                                 sam.bulpitt@rbh.nhs.uk
                     Admitting Nurse Responsibilities



Introduce self to patient/ relatives/ carers.

Provide ‘Welcome to B3’ leaflet.

Check contact details for next of kin, including telephone numbers.

Complete admission documentation (baseline information).

Complete Risk Assessments:-

Waterlow
Nutrition Score
Moving and Handling
Frase
Bedrails
Oral
And follow recommendations.

Complete care plans

Complete set of baseline observations: EWS
                                       Weight
                                       Urinalysis

(All paperwork must have patients name and PMI on it)

Refer to appropriate MDT professionals.

Complete bed state.
                                        Meal Times
The ward has protected meal times, which means that the ward is closed to visitors
during meal times. This is abided to at all times unless a patient is very poorly or when a
visitor is helping with feeding.


                                      Shift Patterns
                                7:30am – 3:30pm = Early shift
                                1:00pm – 9:00pm = Late shift
                                7:30pm – 9:00pm = Long day
                                8:45pm – 7:45am = Night shift




                      Sickness and Absence procedures


If you are sick please can you contact the ward, as well as college, prior to the
commencement of your designated shift. It is important that you inform the ward of your
intention to return.
The direct number to the ward is (01204) 390976

Internal telephone number is            5976
External telephone number is            (01204) 390976

In the event of cardiac arrest dial 2222 and tell the operator it is a crash call for B for
Bertie 3.

In the event of a fire or the need to call the police call 2222 and tell the operator it is B for
Bertie 3 and inform them of the nature of your call.
If you want to bleep someone, such as a pharmacist, press 8, listen to the recorded
message the dial the bleep number followed by the wards extension number.
Then listen until the recorded message states that your call has been accepted.
Place the handset back down.

To call switch dial 0 and wait to be put through.

To call an outside line dial 9 followed by the telephone number.

To dial a mobile number you must press 0 to go through to switch.
                                        Safety




You will find copies of the Health and Safety, Fire, Moving and Handling Policies in the
MDT office next to the staff room. All members of staff are advised to read and
familiarise themselves with the information provided in them. Staff will be happy to read
and explain them with you should you have any questions. Before using any handling or
methods of moving please do not attempt them until someone has shown you the
correct way.


The ward has its own designated cleaner who takes great pride in maintaining a high
standard throughout the ward, she works each weekday morning but other domestic
members of staff comes in each evening at the weekends for various duties, which
include mopping of the main unit. If any specific problems arise then the domestic
supervisor can be contacted via a bleep. Please help to keep our work environment safe
for all those that use it.


As a student nurse you need to identify and seize every available learning opportunity
that goes on within allocation to B3 such as:-


Ward Rounds
Handovers
Multi Disciplinary Team meetings
Procedures within the ward e.g. Wound dressings, Physio and OT assessments and
procedures.
                     Orientation Checklist


Introduced to Mentor/ Associate mentor
Shown the following areas: Treatment Room
Kitchen
Linen Room
Sluice
Staff Toilet
Staff Room
Patients Bathroom/ Toilet
Sisters Office
MDT Office
Position of Fire Exits/ Alarms
Location of Crash Trolley
Location of CD cupboard
Store Room
Dirty Room
Shown where the following documentation is kept: Care plans
Initial Assessments
Section 2
Section 5
District Nurse referral
Occupational Therapist referral
Speech and Language Therapy referral (SALT)
Dietician referral
Podiatry referral
Continuing Care Screening Forms
Visiting times/ Booklets
Names and Contact details of:
Occupational Therapist
Social Worker
Speech therapist
Pharmacist
Discharge Coordinator
STOP (Specialist Team for the Older Person)
Physiotherapist
   ‘HUBS
 & SPOKES’
  Programme for
  Students on B3
Name ………………………………………………..

Commencement Date ……………………………
                                  Introduction

Welcome to the Complex Care Speciality. The Mentorship programme has been
designed to assist you in developing your Educational/ Professional role as a
student nurse using your Hubs and Spokes criteria to guide you.

Framework of Mentorship

      Shadowing of your mentor during your placement
      Rotation to night duty if applicable to you
      Attend skills study dates
      Attend study days/ sessions appropriate to your clinical area
      Participate In your Hub and Spoke programme by following this package

Guidance of mentor and all nursing staff


Student nurse guidance for Mentorship Programme


As qualified staff nurses we are required to maintain our professional knowledge
and competence (NMC 2002)

Section 6:4 states that we have a duty to you as a student to facilitate you in
order to maintain our competency also.

You are required by law to undertake 2300 hours of practice and 2300 hours of
theory (by law) and we will do our best to assist you in meeting that goal.

We would be very grateful if you would fill in an evaluation form (devised by
ourselves) for your stay within the Elderly and Medical directorate as we can
feedback (good or bad) to enable us to meet audit standards and also maintain
or improve our own practice and teaching standards/ styles.

(The evaluation form is completely voluntary and you are not under any
obligation to complete one if you do not wish to do so).
 How the student can gain the knowledge to become competent




      Create learning opportunities
      Mentor to act as a coach and supervisor to the student
      Mentor to act as a role model
      Encourage interactive handovers and ward rounds
      Relate prior learning to work experience
      Facilitate experimental learning
      Assist the mentor in care planning exercises
      Increase the students responsibility over time
      Promote reflective practice and analytical thinking
      Demonstrate techniques followed by supervised practice
      Encourage participation in MDT meetings
      Encourage participation in Case Conferences
      Assist with personal learning objectives in line with PDP/Student learning
       outcomes and Contracts
      Facilitate creating a learning objective
      Enhance staff and student relationships




The mentor is there as an enable and facilitator and will use their experience to
assist and direct you to establish a learning plan of action and to meet your
objectives. Whilst the mentor is there as a support mechanism you do not need
to work every shift with them, but you will need to meet regularly. Remember the
rest of the nursing team will be on hand for any guidance and support.
                                   Allocations


During your stay on/ within the speciality of Complex Care, you can spend time
with various specialist nurses; attend intra – hospital departments, tertiary
centres and experience B3. These visits and allocations will give you an overview
of the patient’s journey from A&E to discharge.


For each allocation expected learning objectives will be identified, but you will
also be expected to identify personal aims and objectives for each allocation.
Reflective practice records are provided for you to complete and use in your
portfolio.


You will be able to choose which placements are of particular interest to you and
organise these with the placement areas. For the period of tie you are on Spoke
you will be out of your Hub area.


      Physiotherapy
      Occupational therapy
      Diabetes Team
      Pain Team
      SALT
      Dietician
      Podiatry
      Tissue viability
      STOP team
      MHLN
      Stroke team
      Social Workers
      Discharge Co-ordinator
      Endoscopy
                         Reflective Practice Record



Name ……………………………………………..

Venue B3 Ward Ext 5976

Date ………………………………………………



               List your person aims and objectives for the allocation
               CRITICAL OBSERVATIONS SKILLS

By the end of your placement you should be able to demonstrate the significance of
observations on patient care. To help you achieve this utilise the table below:-
    Observation         Normal       Reasons for    Reasons for &     Rationale for
                       Parameters     signs &          signs &         performing
                                    symptoms of     symptoms of       observation
                                    low readings    high readings
    Respirations




   Temperature




       Pulse




  O2 Saturations




  Blood pressure




   Fluid balance




  All students must regularly practice manual blood pressure & pulse throughout
                      their 3yrs training, to gain competence

				
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