WELCOME TO DAY WARD

You are due to start on Day Ward Grantham on :

Your Mentor will be:-

Your Associate will be:-

Your first week of off duty will be:-

Monday

Tuesday

Wednesday

Thursday Friday

If you have any problems with this rota or any other questions please don’t hesitate to phone us on 01476 464408

WELCOME TO DAY WARD

Our Expectations of you

UniformAs a Student nurse you are expected to wear appropriate uniform according to the ULHT uniform policy.

It is not appropriate for students to wear lots of jewellery but a plain wedding band and plain stud earrings are permissible.

Make up should be discrete Fingernails should be short clean and without nail varnish. False nails

should not be worn when carrying out clinical duties. Hair must be clean neat and off the face. Men should be clean shaven or

make sure their beards are neatly trimmed.ProfessionalismYou are expected to behave in a professional manner and it is important that you introduce yourself to all patients before you become involved in their care and gain the patients consent to do so.

Off DutyWork rotas will be planned by the Ward Manager, if you have any requests please let them know well in advance. Changes to the rota can only be made with agreement of the ward manager.

Computer AccessStudents are advised to contact the IT department on 01476 465800, either prior to their allocation or early in their placement, to get a pass word in order to access the Intranet. Parking

Students requiring parking can obtain reduced daily parking rates of £1 if parking on site. Please contact the Estates Department on 01476 464601. Failure to display a valid parking ticket could result in a fine.

Catering facilities

There is a hospital canteen and small WHSmiths shop onsite for meals and snacks during the day. There are dedicated facilities on the ward for staff – fridge, microwave and kettle.

Day ward Philosophy of Care

We Endeavour to :

Provide Individualised patient care using a patient centred approach

Maintain patients’ privacy and dignity at all times

Respect and be sensitive to individual cultural or religious beliefs or needs

Involve relatives, carers or members of the multi-disciplinary team as appropriate to facilitate a safe discharge from hospital

Promote an environment of mutual respect between patients and staff

Day Ward Grantham

We are a 12 bedded day surgery ward. We have a quick turnover of patients which are both male and female. The ward consists of day surgery, inpatient admission and day treatment. From October 2012 we also became the designated Escalation area for winter bed pressure management, which means during times when the hospital has to open extra in-patient beds our area is used to facilitate this.Except for periods of Escalation Day Ward is open from 07.00 to 20.00 Monday to Friday Shifts are allocated between these times and there is a choice to do short days (8hours with 30minute dinner break) or long days (11.5 hours with 30minute dinner break).

Day Surgery

The patients having day surgery will go to theatre and usually be well enough to be discharged home in the same day. There are many different specialities:-

Orthopaedics e.g. arthroscopy of knee or shoulder or Trauma e.g. fractures

Gynaecology e.g. hysteroscopy, surgical termination of pregnancy (STOP)

Urology e.g. circumcision, trans-urethral resection of bladder tumour (TURBT), cystoscopy

General Surgery e.g. hernia repair, Laparoscopic cholecystectomy, haemorrhoidectomy.

Breast Surgery e.g. Wide Local Excision of Breast

Dental e.g. extractions of teeth

Pain Management e.g. lignocaine infusion/lignocaine steroid injection

Ophthalmology - mainly cataract surgery

Maxillofacial e.g. removal facial cancer and molesInpatients

Inpatients are admitted here and wait to be called to theatre, afterwards they will be taken to the appropriate ward for their stay. Here are some examples of inpatient surgery:-

Orthopaedics - Joint replacements e.g. knee and hip

General Surgery - Major bowel ops e.g. Hemicolectomy

Breast Surgery - e.g. Mastectomy

Day Treatment

This area also receives patients attending for medical treatments such as:-

Blood transfusions

Liver and lung biopsy

Trial without catheter (TWOC)

Paracentesis

Medical termination of Pregnancy (MTOP)

Infliximab infusions (Used to treat inflammatory Bowel Conditions)

The Board

The board is key to communication and all staff use it. It is made up of all the wards bed spaces to which a patient is allocated, along with the surgeon they have been admitted under. There are then boxes that should be ticked as to whether they have been admitted, consented, seen by anaesthetist, taken to theatre or back from theatre.

The names of patients are written in different colours according to the treatment they are having:-

Black – Morning Day Case

Green – Afternoon Day Case

Blue – Inpatients

Red – Day Treatment

There is also a list of symbols used to communicate amongst staff. The key is attached at the end of this welcome pack. There is also a list of Consultants and their different specialities

Insight Visits

Surgical Pre-assessment – Louise Hyde Orthopaedic pre-assessment – Ruth Martinelli Ophthalmology Pre-assessment Maxine Motley (Sister Out-Patient) Theatres – Chris Glencross Colposcopy Clinic - Elizabeth Gaywood Colorectal nurse – Bobby Lee Outreach Nurse (3rd year only) Bed Manager (3rd year only) Site Sister (3rd year only) Breast Nurse – Nicky Turner Urology Nurse – Zina Bojin Lung Nurse – Kate Brady Endoscopy – this is an internal examination using a scope, which is used

to diagnose conditions. Endoscopy can involve procedures such as colonoscopy, gastroscopy, sigmoidoscopy, bronchoscopy. There may also be an opportunity to observe the insertion of a PEG.

Patient Journey

One of the main ways to achieve your proficiencies during this allocation is to follow a patient journey which starts in pre-assessment. At pre-assessment patients will be given a date for their surgery. You can then make sure you are on duty for that day so you can admit them, accompany them to theatre, then recovery and from there you will be able to care for them on day ward before discharging them .

Things to look up

It will be useful for you to have some understanding of the procedures and treatments mentioned earlier although you will obviously have an opportunity to learn more about them on this placement.There are some commonly used drugs in theatre that you may want to look up before starting on the day ward:-

Propofol Fentanyl Midazolam Ondansetron Atracurium Dexamethasone

Your First Day

On your first day it can be quite daunting in a place that is unfamiliar to you. This orientation guide should help you to become acquainted with the area.

Take your time to walk round and find all these things.

Fire Exits Fire Break Points Fire Extinguishers Resuscitation Trolley Defibrillator Student Resource Shelves Staff room Staff Toilet Staff Changing Room Waiting Room Patient Toilets

Store Room Linen Room Reception Pod Shoot Sisters Office Sluice Kitchen Oxygen and suction points

Also whilst looking around see if you can find the following items:-

Syringes/needles BM box Drip Stands Gloves and aprons Dressings Disposable urine bottles Patient information leaflets Patient notes Sharps bins CrutchesIt would also be useful if you walked around the hospital and found these places.

Pharmacy Pathology Lab Theatres Physiotherapy X-ray

Useful Numbers

Cardiac Arrest and HIT (High Intervention Team) 2222

Fire or another emergency 3333

If you need to bleep anyone the number you dial is 4333 followed by the bleep number then the number of the ward which is 4408

List of Staff

Kate Cole – Sister/Ward Manager

Jane Strawson – Junior Sister

Raina Robinson – Registered Nurse/ PLT rep

Debbie Sach – Registered Nurse/ Health and Safety, Safeguarding and Diabetes Link Nurse

Jane Elsom – Registered Nurse/ Learning Disabilities Link Nurse and Dignity Link Nurse /

Jill Wright – Registered Nurse/ Diligence (Moving and Handling) and Medicine Management Link Nurse

June Poddar – Registered Nurse/ Gynaecology Nurse/ Infection Control Link Nurse

Jenny Blakemore – Registered Nurse/ Tissue Viability Link Nurse

Kirsty Dingwall – Registered Nurse

Holly Robertshaw - Registered Nurse

Samantha Fields – Falls Champion

Carole Pring – HCSW/ Moving and Handling

Ruth Davies – HCSW/ Pre-assessment

Soo Perry – Ward Clerk

Julia Borthwick – Housekeeper

Lynda Crook – Housekeeper

Margaret Hensen – Housekeeper

Housekeepers work between Dayward and Endoscopy.

List of Consultants and the Abbreviations used to Represent them

Orthopaedics WAN - Mr Niezywinski

ONP - Mr Paramasivan

AYO - Mr Othman

RTR - Mr Trehan

GKS - Mr Singhania

General Surgery MOD - Mr Modi

NPP - Mr Potdar

DRA - Mr Andrew

Urology IRM - Mr Mark

PDD -Mr Darha

Gynaecology RPH - Mr Husemeyer

NAK - Miss Kangeyan

Dental MHC – Mr Clark

MKB – Mr Buah

Maxillofacial MHC - Mr Clark

Pain Management EJD - Dr Dedhia

Medical SKM - Dr Matsiko

JCA - Dr Campbell

lMHJ - Dr James

jk

LA D

Patients who have the same name.

The Patient is Diabetic

Patient is having a Local Anaesthetic

Patient is having a Spinal Anaesthetic

Patient has had Morphine

Inpatient bed required

Patient has eaten

Patient is using Ambulance/Volunteer transport

Patient has had a nerve block.

This welcome pack was updated and complied by 3rd year management student Emma Kelly and 1st year Kerry Grocock. We hope you find it helpful

Updated on 31/12/13 by Raina Robinson

Risk assessed for Venous Thromboembolism. More commonly known as Deep Vein Thrombosis (DVT).