HAWKHILL DAY HOSPITAL
PEDDIE STREET
DUNDEE
STUDENT NURSE
WELCOME/INDUCTION PACK
Students Name:
Mentors Name:
Date of Placement:
Review Date: April 2010
Hi, welcome to Hawkhill Day Hospital.
The Charge Nurse is Ritchie Harper.
Our contact number is 01382 668300.
No uniforms are worn at this time, but obviously neat appearance is necessary.
The working hours for students are 9am – 4.30pm – Monday to Friday.
We hope you will enjoy your placement with us and increase your knowledge of working with our client group.
PHILOSOPHY
We aim to provide a unique service 5 days a week to individuals with learning difficulties. Therapists from different disciplines are involved in the care of these people where appropriate. We strive, after assessment of need, to provide input using a holistic approach, which we hope to prove therapeutic to these individuals.
In doing so, we consider relevant, the fact that it is correct to provide the chance for growth and experience in areas of daily living. We recognise that it may not always be possible to explore all areas, which may maximise potential, but we feel it is ethically correct to try to the best of our abilities and skills.
We would also consider it important to provide student nurses with the opportunity to experience caring for people with learning disabilities and behaviours, which are considered by society to be challenging, thus hopefully providing a deeper understanding of the problems our clients encounter in their daily living activities and maximise opportunities to meet their learning outcomes in a supportive environment.
In accordance with the nursing and midwifery code of professional conduct, we as professional nurses, endeavour to continually update and extend our knowledge. This will enable us to acquire new skills to contribute to the implementation of research based nursing practice and the provision of an area conductive to learning for pre-registration students.
Hawkhill aims to cater for adults with a learning disability over the age of 18 with predominantly severe or profound learning disabilities and challenging behaviour whose needs cannot be met elsewhere. Hawkhill covers Dundee, as well as Angus, although, due to transport issues, there are major difficulties to serve Angus.
We are open 5 days a week all year except Public Holidays. Admission criterion is a short-term admission with a specific target, however, due to the lack of facilities in the community, long-term admissions are frequently unavoidable though undesired for the individual.
What service do we provide?
Detailed assessment and/or treatment of psychiatric disorders and behaviour disturbances with emphasis on consideration of all the individuals needs.
Multidisciplinary and named specialist nurse approach to individualise all assessment e.g. functional assessments etc, interventions e.g. behavioural strategies and evaluation of treatments.
Support to clients and carers
Enabling patients to live in the community
To assist with the investigations and treatment of physical problems in conjunction with GP and dental services.
To maintain and increase where possible, patients skills in a stimulating and therapeutic environment through activities like swimming, trampolining, gym activities, boccia, ball games, social activities (meeting peers, pub lunches, shopping) road safety training, table top activities, relaxation and multi sensory groups, gardening, music therapy, arts and crafts.
Wherever possible, individual or group education like men’s and woman’s health groups may be offered.
Liaison with other agencies e.g. Residential Care Providers, Social Work/Care Management, Community Learning Disability Nurses, Inpatient Assessment Unit, Advocacy, Voluntary Sector, Scottish Ambulance Service (for patient transport) and any other agencies involved in the care of the individual and of course, parents/relatives.
Education
Parents/carers (advice about management/behavioural programs)
Students – HNC/NC Social Work, OT, Nursing, Medical.
Staffing
Learning Disability Nurses and one staff grade are based in the Day Hospital.
The Day Hospital has Consultant Psychiatrist cover.
Input from Allied Health Professionals (OT, Physiotherapist, Speech & Language Therapy, Dietetics, Music Therapy and Psychology.
Attendance
There may be times when your absence is unavoidable, be it due to sickness or an emergency situation. In the event of sickness/absence you should be aware of how to report your absence to the University, but you are also required to contact the unit (01382 668300) at the earliest possible time. It is also important that you keep the unit informed of further absence and a return to work date. The Day Hospital will also inform the University of your absence and also of your return to duties.
Assessment and CAP Booklet
It is important to remember that completion of the CAP booklet is the joint responsibility of both the student and the mentor, but the overall safety of the booklet is the student’s responsibility. Ideally, it should be made available to your mentor or other staff at all times in order to review your progress.
This booklet will run in conjunction with your CAP booklet. Learning objectives and opportunities will be discussed when you meet with your mentor. These meetings will be arranged between yourself and your mentor and will take place at least once a week for approximately an hour. Allowing you to discuss your progress or worries/concerns you may have.
UNIVERSITY OF DUNDEE
SCHOOL OF NURSING AND MIDWIFERY
DIPLOMA OF HIGHER EDUCATION IN MENTAL HEALTH NURSING
YEAR 2 – TERM 2
HAWKHILL DAY HOSPITAL
Guide to the structure of your placement experience
- Orientation to building
- Fire awareness
- Identification of mentor
- Introduction to staff
- Introduction to clients
- Attendance
- Discussion re core purpose/history/operational policy of Hawkhill
- Discussion re student expectation and needs
- Discussion of learning opportunities
- Introduction to multidisciplinary staff
- Discussion re multidisciplinary staff roles
Involvement with members of multidisciplinary team
- One to one sessions with clients
- Socialisation in community activities e.g.
- Café visits, lunches, pub visits
- Road safety awareness
- Shopping trips
- Domestic groups
Recreational visits outside Day Hospital with nursing and physiotherapy staff when available
- Swimming
- Trampolining
- Horse riding
Involvement in sessions with
- Speech Therapist
- Occupational Therapist
- Horticultural Therapist } depending on availability
- Music Therapist
- Technical Instructors
Reflection/discussion on placement re
- Interactions with clients and staff
- Nursing practice
- Assessment
- Confidentiality
- Ethical issues
- Visit to other care agencies
- Home visits if applicable
- Elmgrove House
- Reflection
- Nursing practice
- There is an opportunity to complete a confidential questionnaire giving your views on your placement, which will allow the development of the learning environment.
Learning Opportunities
Nursing Assessment
Systematic assessment
Crisis/incident recording
Global assessment
Mood rating scales
Data collection
Client observation and reporting
Prioritising need
Individual care planning
Multidisciplinary Working
Involvement in multidisciplinary team meetings
Role of multidisciplinary team members
Attendance at client reviews
Discussion of research based practice
Application of research based interventions
Professional Ethical Practice
- Guided risk taking
- Risk assessment
- Codes of conduct
- Human rights
- Non-aversive strategies ethical models
- NMC Codes of Professional Regulation
- Confidentiality and selective information sharing
- Mental Health Care and Treatment Act (2003)
- Discussion re ethically sound practice
Planning of care in collaboration with the client and significant others
- Named nurse involvement
- Home visits – if appropriate, family
- Liaison with other relevant care agencies –
- Elmgrove House
- Hillview Resource Centre
- Sense Scotland and any other care agencies relevant at time of placement
Reflective Practice
- Self-awareness
- Client based practice
- Reflective practice
Identification of commonly prescribed pharmacological preparations
- Dispensing medication under supervision
- Discussion re medication and indications for prescription
- Recognition of drugs and side effects
- Observation of changes in mood and behaviour after administration
You are encouraged to complete this confidential questionnaire, but this is not compulsory. We are interested in obtaining your views on the benefits to you from the learning environment you have experienced in Hawkhill. Please complete the questionnaire by placing an x in the column that most accurately reflects your views. When completed, please place in the envelope provided and this will be sent to Stephen Valentine, Practice Education Facilitator. Once collated, the findings from the questionnaire will be addressed.
5 = Strongly agree
1 = Strongly disagree
Statement / 5 / 4 / 3 / 2 / 11 / I was allocated a mentor on first day
2 / I was orientated to Hawkhill on first week of placement
3 / I was introduced to other members of staff and made to feel welcome
4 / I was given the opportunity to discuss and document learning objectives in 1st week
5 / I worked with my mentors for at least 50% of my shifts
6 / I was given the opportunity to achieve my learning objectives
7 / Staff were willing to spend time and explain things to me
8 / I was made aware of learning resources available
9 / My contribution was valued by staff
10 / I was given feedback on a regular basis
11 / A private area was available for feedback and discussion
12 / I was supervised carrying out procedures until I felt competent