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Specialist Vascular Nursing

Information for students.

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Introduction Welcome to your Vascular nursing placement. We hope that your placement will be both educational and enjoyable, and will provide you with transferable skills to aid you throught you career. Your mentor during your placement will be Sister…………………………………………………… The vascular nursing team comprises of: Helen Thompson Vascular Nurse Specialist Tina Dufour Vascular Support Nurse Nursing Links include: Sr Maggie Williams Clinical Lead Nurse Xray Sr Maria Bainbridge Tissue Viability Nurse Specialist Sr Mandy Ridley Pain Nurse Specialist Sr Liz Flude Infection Control Nurse Sr Julie Richards Urology Nurse Practitioner Emma Openshaw Staff Nurse Carr Hill. MDT Links include: Ms Borsha Sarker Vascular Sonar Fiona McClintock Physiotherapist Tim Brown Smoking Cessation Adviser Julie Wiper Podiatrist Lynne Calland Podiatrist The Nurse Specialists and links work Monday to Friday, and as such your placement will take place throughout these working days.

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A key aim of the Make it Real curriculum is to help students engage actively and safely in evidence based practice and new ways of learning. In doing, so they will be encouraged to critically reflect upon their own performance and on the wider issues of nursing and health care. Enquiry based learning; with client/patient focus will mean that students have a responsibility for identifying their own learning needs. Mentors as `experts` within their own practice environment, will support and guide the you to ensure that available learning opportunities are matched to expected learning outcomes. The purpose of the LEARNING ZONE is to aid this process and to offer direction and continuity in how this can be achieved. Key Learning Elements are identified in the Learning Zone as necessary, the specific Learning Elements provide the you with the opportunity to identify and negotiate learning between the yourself and Mentor. Keeping a reflective diary will be invaluable to your learning whilst on placement and is actively encouraged. Your mentor will plan your 8 week allocation so that you will have the opportunity to spend time with the different members working of the entire team in ward settings, outpatients departments diagnostic imaging and theatres, so that you may experience the patients journey. Competencies will be met and achieved through an enquiry based learning approach and evidence for learning will be agreed on at the initial interview between mentor and student.

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STUDENT NURSE INDUCTION CHECKLIST Student Name: Start Date: This programme is a guide to mentors to aid the integration of student nurses into the working environment. It is good practice to have the document completed within the first two days of the placement. Student nurses must be allocated a mentors at least one week before the commencement of the placement. Within the school health service, the mentor will arrange to be with the student on their first day of placement. NB It must be remembered that the student must work 50% of the week with her/his assessor.

ORIENTATION CHECKLIST SIGNATURE DATE

Shown around the working environment

Introduction to team members

Working hours discussed

Parking & Transport discussed

Procedure for reporting sick

Discuss dress code

Given student nurse profile & philosophy

Dining room or lunch arrangements

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TO BE SHOWN Health & safety file

Trust policies Control of infection policies

Service standards & protocol file

Home visiting policy

Emergency exits

Fire drill & procedure

Fire extinguishers

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Listed below are some of the common diseases/disorders, surgery and investigations that you may come across during your placement, it would be beneficial if you could find out what these involve before you start your placement to gain maximum benefit. Vascular surgical procedures

Open Abdominal Aortic Aneurysm Repair Abdominal Aortic Aneurysm Stent Repair ( EVAR) Femoral-popliteal bypass Grapht Aorto-bifemoral bypass grapft Carotidendarterectomy Carotid stenting Amputation Embolectomy Angiogram Angioplasty Varicose vein surgery

Conditions

Intermittent claudication Aneurysms Peripheral arterial disease Venous leg ulcers Arterial leg ulcers Diabetic neuropathy Ischaemia Carotid stenosis

COMMON INVESTIGATIONS

Angiogram Duplex Computerised Tomography Magnetic Resonance Imaging (Angio) Ankle Brachial Index

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LEARNING OPPORTUNITIES There are many learning opportunities available during your placement with the vascular nursing team, this will include:

Diagnostic imaging Pain management Infection control Patient education sessions Admission and discharge of patients Pre assessment ward visits Multidisciplinary team meetings Outpatients clinics Theatre Nurse led clinics Angio Specialist meetings User involvement Health promotion

Students are allowed to use the department computer to access selected information. We also have a selection of books, leaflets, journals, educational resource files and handouts. CONCLUSION The specialist nurses will be willing to help throughout your 8 week placement in order for you to take advantage of the opportunities offered and gain the most from your time spent with the Vascular Nursing team. If you wish to have a pre placement visit, please phone 0191 4452828 or bleep 2127 and this can be arranged.

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KEY ELEMENT INTERPERSONAL SKILLS

LEARNING

OPPORTUNITIES

RESOURCE/PERSONNEL/DEPARTMENT

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Use of telephone Answering calls Making calls Use of bleep system Use of the computer to get: Patient investigation results Patient information Internet e-mail access Communication with: Patients Relatives Doctors Nurses in other departments Outpatients Multidisciplinary team Primary care Colleagues Participation in: MDT meetings Patient transfer outside the trust Discharge of ward patients Nurse handovers Team working

Vascular secretary/vascular nurse specialist /Vascular support nurse Vascular secretary/ vascular nurse specialist/vascular support nurse. Vascular nurse specialist/ vascular support nurse/preassessment nurse/dietician/Radiology nurses/ward nurses/members of the multidisciplinary team Members of the multidisciplinary team/ Vascular support nurse/ Vascualr nurse specialist

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KEY ELEMENT CLINICAL SKILLS

LEARNING

OPPORTUNITIES

RESOURCE/PERSONNEL/DEPARTMENT

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Patient hygiene Patient assessment Nutritional assessments Medical devices Infection control Moving and handling Patient safety Complex wound care Preparation for investigations/theatre Consent, information, invasive radiology, non invasive radiology, transferring to theatre, post

Pre assessment nurse/Vascular support nurse / vascular nurse specialist/ ward staff Nutrition nurse specialist/dietician Vascular Nurse Specialist/ Vascualar support nurse/ Infection control and Prevention officer / ward staff/ NICE Vascular nurse specialist / vascular support nurse / ward staff/ physiotherapist / occupational therapist. Vascular nurse specialist / vascular support nurse / ward staff Vascular nurse specialist / vascular support nurse / tissue viability nurse specialist/ tissue viability support nurse/ leg ulcer nurse specialist/ leg ulcer clinic staff nurse Vascular nurse specialist / vascular support nurse / ward staff / medical staff / radiology nurse practitioners

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operative care/ considerations.

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KEY ELEMENT PATHOPHYSIOLOGIGAL PROCESSES

LEARNING

OPPORTUNITIES

RESOURCE/PERSONNEL/DEPARTMENT

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Anatomy and physiology Disorders Investigations Infections Treatment Surgery Drugs Management of care Outpatients clinic MDT meetings Nutritional / lifestyle changes

Vascular nurse specialist / vascular support nurse / ward staff / diagnostic imaging staff Vascular nurse specialist / Vasualr support nurse Dietician / vascular support nurse/ vascular nurse specialist / ward staff

KEY ELEMENT

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HEALTH DEVELOPMENT OPPORTUNITIES

LEARNING

OPPORTUNITIES

RESOURCE/PERSONNEL/DEPARTMENT

Healthy lifestyle strategies in relation to:

Smoking Alcohol Obesity Nutrition Drug abuse Exercise

Health education and health promotion literature Models of health promotion/education Interface between hospital and community care Psychological care and support

Literature/dietician/ smoking cessation officer/ physiotherapist/ vascular nurse specialist/ vascular support nurse/ ward staff/ medical staff/ radiology team

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User involvement

KEY ELEMENT MANAGEMENT OF CARE

LEARNING

RESOURCE/PERSONNEL/DEPARTM

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OPPORTUNITIES ENT

Use of nursing model Mission statement Documentation Nursing Process Assessment Who assesses How is assessment carried out/open or closed questions What is assessed Where does it take place Planning Care plans/pathways Risk assessment tools Multidisciplinary plan Discharge planning Referrals OT Physiotherapist Social worker District nurse Discharge liaison Specialist nurses Relevant departments/hospitals Implementation/Evaluation Ward rounds MDT working Documentation Standards

Vascular nurse specialist/ vascular support nurse/ ward staff / out patient department staff/ out patient reception

staff / medical team/ MDT

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Protocols Policies Communication Time management Planning workload

KEY ELEMENT ORGANISATIONAL & MANAGERIAL ISSUES

LEARNING

RESOURCE/PERSONNEL/DEPARTME

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OPPORTUNITIES

NT

Managing a team Organisational skills Delegation skills Prioritising skills Time management Leadership Managing patient work load Quality Standards of care Implementing change Documentation Giving information to: Staff Doctors Patients Relatives Multidisciplinary team members Other departments Resources Stock control-stoma/fistula Managing Risk Policies & procedures Quality control Infection control

Vascular nurse specialist/ vascular support nurse/ dietician . radiological nursing team/ ward staff/ RCN Standards/ NICE Vascular nurse specialist / vascular support nurse Vascular nurse specialist / vascular support nurse

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Moving & handling Emergency Situations Cardiac arrest Fast bleep system Violent incidents Fire Patient forms Staff developments Reflective practice IPR

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Specialist Vascular Nurses

Vascular Nurse Specialist

Vascular Support Nurse

Venous leg ulcer service

Patient information

User

involvement

Angio/radiology

Community visits

Chronic pain

managementVascular

sonarConsultant

clinics

podiatry

Physio

Nurse led

clinicsInfection

Control/

prevention

OT/MDT

Tissue Viability

nurses

Policies

Smoking

cessationPreassessment

CCOTUrology

Andrology

Patient care

pathways

Reflective Practice

Communication

Theatres

dietician