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Student Nurse Guide for East Cheshire NHS Trust

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					     Student Nurse Guide for East Cheshire
                  NHS Trust
Welcome to East Cheshire NHS Trust.




This guide has been designed to provide information to help you while on
placement at our hospital. Our aim is to provide you with a high quality,
positive placement experiences throughout your training. We hope your
experience will make you feel a valued member of our team.




Updated April 2010




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Practice Education Facilitator (PEF)

Julie Brown is employed by East Cheshire NHS Trust as a Practice
Education Facilitator and works closely with students, mentors and
university staff. Julie is based in the Education and Training Centre on the
blue zone and her contact number is 01625 661986. If no one is available
please leave a short message on the answer phone and you will be
contacted as soon as possible.

The Practice Education Facilitators role is to enhance the placement
quality. This includes, working with students on an individual basis,
facilitating skills session and liaising with you, your mentor, ward staff, the
multi-professional team and link tutors to enhance your learning
experience. The PEF also provides mentor support and development in line
with the NMC standards to support learning and assessment in practice
(2008), placement development and educational audit. The PEF will
support and advise you and your mentor to achieve your learning
objectives during your clinical placements. Link tutors will also regularly
visit you on your placement area.

Clinical skills sessions

Macclesfield has a well equipped multi professional skills lab with a wide
range of equipment and mannequins. During placement you will have the
opportunity to participate in skills sessions, clinical scenarios using our
SimMan with video and audio feedback, inter professional learning
sessions, reflective sessions and OSCE practice sessions. Please gain
permission to attend from your mentor or nurse in charge of the ward.
Information on all the above skills sessions is displayed on the wards, the
notice board next to the PEF office and the pre registration nursing site of
the trust intranet.

Essential equipment when on duty.

Black pen, pocket note book, scissors, pen torch, watch with second hand
preferably a fob watch, (no wrist watches to be worn).

Your practice assessment documents, ongoing achievement record, any
retrieval document, action plans and skills inventory. Learning outcomes
are achievable in all areas of placement and should be with you every day
so your mentor, tutors or PEF can access them at anytime.

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On each placement

Contact or visit your area at least one week prior to commencement to
introduce yourself, establish who your mentors are and what shifts you will
be working. Student information packs are available in most areas. You
may be given two mentors. Remember to arrange your midpoint and final
assessment interviews with your mentor, allowing the mentors sufficient
time to complete it. Remember wards can be very busy, so don’t leave it to
the last minute. If you or your mentor need help or advice completing the
assessment paperwork please contact the PEF Julie Brown on ext1986
who will be happy to advise and support both you and your mentor.

Some placements have an agreed rotation or spoke placements in place to
help maximise learning opportunities to reflect the service available to
patients. These include spending time with specialist nurses, time in other
departments or multi professional teams. Details will be given to you on
your placements. However other relevant learning opportunities can be
arranged through negotiation with your mentor. Record any spoke
placements on the off duty so mentors and tutors know where you are.
Take your assessment documents and spoke record to any learning
opportunities you attend. It is good practice to keep a photocopy of your
attendance or make up sheets as this reduces time owing verification
problems when nearing qualification.

Irrespective of where your placement is, you will need to know the location
of resuscitation equipment, cardiac arrest procedure and number to
summon help 2222, location of fire exits, extinguishers and fire policy,
location of Trust policies, procedures and guidelines and how to use the
bleep /idoc system.

Sickness and absence

Please ring both your University and your placement as soon as you know
you will not be on duty. Keep both informed about the duration of absence
and planned return date. Mentors should record each shift on the student
attendance sheet. Remember to let them know when you will be resuming

Library and computer access.

 You can use the Trust Health Science library to access the internet,
intranet, journals text books, university sites and other learning resources.
For Chester students, Jet library books can be returned via this library, but
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fines must be paid when next at your theory campus site. You may borrow
additional books to those borrowed from your university. Speak to the
library staff if you require additional help or IT skills courses.

Additional Information.

The hospital has a no smoking policy.

Mobile phones should not be used in clinical areas as they may interfere
with vital hospital equipment and phones with cameras means there is a
potential to breach patient confidentiality

Replacement ID badges. Contact Julie Brown who will need to authorise
the form.

Information on learning support is available from Julie Brown or your link
tutor. Chester Students can contact them at iss@chester.ac.uk

Student Information

The trust intra net has a Pre registration nursing site which contains useful
information for both students and mentors including, list of skills sessions
inter professional learning opportunities available, examples of student
assessment documents, good practice event information and Nursing and
Midwifery Council links. To access the site go to departments on the Trust
intranet and click on pre reg nursing.

Consent

Remember to inform a patient that you are a student when seeking consent
to administering care.

    Social networking and professionalism

Student Nurses and midwives should remember that anything posted on a
social networking site is in the public domain. ‘The Code: Standards of
conduct, performance and ethics for nurses and midwives’ (2008) states:

     You must treat people as individuals and respect their dignity
     You must respect people's right to confidentiality
     You must uphold the reputation of your profession at all times

What you may consider to be letting off steam about a situation at work can
potentially be read by someone who may take offence at the content.
Students could be putting their future registration at risk by posting
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inappropriate comments about colleagues, patients, tutors or by posting
any material that could be considered explicit.

Remember we are here to facilitate you to gain a range of practical
experiences and achieve the required standard of knowledge, skills and
competencies to be fit for practice. The Trust aims to provide a high quality
learning environment. If you have any problems or concerns please don’t
hesitate to contact either Julie Brown (PEF) or your link tutor for help or
advice.

Please ensure you complete your practice evaluations after each
placement as this provides us with valuable feedback.

Uniform Policy See full uniform policy on the trust intranet.
The trust believes uniform helps to maintain the professional image and
should be worn with pride. Certain behaviour in public is inappropriate
when wearing uniform, as it detracts from the caring professional image the
wearer is representing.       Students are provided with uniform by the
university, but are subject to the uniform/dress code of the Trust when in
practice. Failure to comply will be taken up with the link tutor. Good practice
includes the following key points;

Wear a clean uniform at the start of the shift and change immediately if
becomes soiled or contaminated.

Wear your identity badge.

Keep nails short and clean, no false nails, nail extensions or nail varnish

Hair should be neat, off the face and secured off the collar Facial hair well
groomed.

Wear soft soled closed heel and toes shoes.

 Uniform should not be worn outside hospital premises (e.g. when
shopping) and should be covered if travelling to and from work.

Only one plain wedding band (no stones) and one pair stud earrings
permitted. No necklaces or chains allowed.

Be naked below the elbow when providing clinical care.

Be a good role model. Please remember to wash your hands at the
sinks provided when entering and leaving clinical areas.

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 All Trust policies which students need to know about are available via the
Intra Net. Please take time to read them.

The good nursing handover

Patients name, age and consultant

Relevant past history e.g. Diabetes,

Presenting complaint e.g. collapse ?cause, abdominal pain

Surgery details

Hydration and nutritional status

Do they have a cannula or infusion

Do they have a catheter, frequency of measurements, output

Do they have any drains & amount of drainage per 24 hour

Mobility

Special observations e.g EWS, neuro obs, foot pulses

Details of referrals, update on discharge.

Any treatment or special tests outstanding

Other information which needs passing on

Useful contacts

Julie Brown PEF juliedbrown@nhs.net or ext 1986

Deborah Dent PEF Community deborah.dent@cecpct.nhs.uk or 665566

Cassie Hadfield PEF Mental Health cassandra.hadfield @cwp.nhs.uk

Leighton Faculty of Health site for Chester University 01625 612331




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Link tutors

The following link tutors regularly visit Macclesfield placement areas Link
tutor contact details are displayed on each placement area.

Chester university Leighton site 01270 612331

Abe Ginourie Adult i.ginourie@chester.ac.uk
ward 3, 4,7,8,9, theatres, haemodiaysis CCU

Joy Parks     Adult j.parkes@chester.ac.uk
ward1,2,DCU,A&E,CRC,ETU,main OPD, Tatton ward

Janine Upton Adult     j.upton@chester.ac.uk
ward5,6,10,11, Ortho OPD, Aston ward

Adam Keen         Adult    A.Keen@chester.ac.uk
ICU/HDU,

Dr Mary Steen Midwifery        m.sten@chester.ac.uk
all midwifery placement areas.

Ruth Sadik       Child Branch R.sadik@chester.ac.uk
all child placement areas University of Chester

    Manchester Metropolitan University Adult nursing

    Declan O’Reilly Adult Branch D.Oreilly@mmu.ac.uk 0161247 2524

About East Cheshire NHS Trust Customer Care Code

What we expect from everyone working in and using our hospitals

       To provide a friendly, caring, safe environment for patients, visitors
        and staff
       That staff will treat patients, their families and visitors as they would
        like to be treated themselves
       To respect people’s privacy and dignity at all times
       To provide a polite and helpful telephone service
       To support colleagues with team work
       To take pride in our work and appearance and wear ID badges visibly

       And to all our patients, their relatives and friends, please be polite
        and respectful to staff
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Mission statement

To be the hospital where you would choose to be treated

    The Vision

     • To continue to provide and develop an Emergency Department, a
       wide range of planned and emergency acute services for adults and
       children and maternity services.

     • To provide clinically effective services in a fit for purpose
       environment.

     • To maintain a friendly and helpful approach where patients and staff
       feel respected and work together.

     • To expand service provision to meet additional acute and
       rehabilitation demand.

The following Board Objectives are a priority of East Cheshire NHS
Trust

To continuously improve the quality of services and therefore the
experience of patients in order to remain the hospital of choice

Cleanliness

To achieve the best possible standard of cleanliness in all premises owned
by the Trust

Staff

To continuously improve the development and support of staff

Money

To achieve the financial plan

The Future

To continuously improve Hospital and Community services which are
valued by the public and our commissioners, taking the opportunity to work
with partner providers to offer integrated seamless care.

Social Responsibility

To strengthen and promote Corporate Social Responsibility
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Each year the Trust provides




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    As a Trust we offer a wide range of placements for pre registration nurses
   and also the opportunity to work in other areas with members of the multi
   professional team. This includes placements for Adult, Child and Maternity
   branch students from Chester, Manchester Metropolitan university and
   Manchester university. Students from Mental Health and Learning
   Disabilities can also work within the Trust on their alternative branch
   placements. A range of spoke opportunities including areas such as
   Discharge Co- ordinators, Bed Managers, Pre -op assessment, main
   outpatients, Nurse led clinics, Orthopaedic Outpatients, specialist nurses
   and multi professional team members.

Placements                 description                              phone

Ward 1                     General surgical                         1001

Ward2                       surgical                                 1002

Ward3                      Gastroenterology        medical          1003

Ward4                      Respiratory              medical         1004

Ward5                      Orthopaedic                              1005

Ward6                      Orthopaedic                              1006

Ward7                      Cardiology               medical         1007

MAU&EAU                    Medical admissions/emergency             1008
                           admissions unit

Ward9                      Short stay medical                       1009

Ward10                      Care of the elderly and general         1010
                           rehabilitation

Ward11                      Integrated Stroke care Includes acute   1011
                           stroke unit and rehabilitation

Day case unit              Surgical day cases                       1737

Main Out patients          Range of consultant and nurse led        1117
                           clinics

CCU                        Coronary care unit                       1016

                                                                            10
Cancer resource centre    Chemo therapy and other cancer            3198
                          services includes spokes to Macmillian
                          nurses

Orthopaedic outpatients   Range of outpatient clinics and
department                experience with multi professional team
                          for orthopaedic care

Theatres                  Main theatre, orthopaedic theatre and     1402
                          day case theatre

Intensive care/High       Critical care                             1032
dependency unit

A&E                       Minor and major accident and              1452
                          emergency

Endoscopy & treatment     Scopes and minor procedures               1030
unit

Knutsford District        Rehabilitation and outpatients            7251
Community Hospital
Tatton Ward

Congleton war memorial    Rehabilitation, Out patients and minor    7838
Hospital & Aston Ward     injuries

Paediatrics               Childrens ward                            1084

Child community nursing
Team

Neonates                  Special care baby unit

Early pregnancy unit      Ante Natal care

Maternity ward            Labour ward and post natal care




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