Orthopaedic Outpatient Department

WELCOME PACK

FOR

STUDENT NURSES

ORTHOPAEDIC OUTPATIENT DEPARTMENT

PERTH ROYAL INFIRMARY

CONTENTS

Welcome………………………………………………………………...1

Reporting Sick Absences……………………………………………...1

Philosophy of Care……………………………………………………. 2

Statement of Values in the Education of Students………………….2

Members of Staff……………………………………………………… 3

OOPD ………………………………………………………………….. 4

Learning Opportunities ………………………………………………. 5

Transferable Skills…………………………………………………….. 6

Orientation to Department …………………………………………… 7

Observation of Clinics ……………………………………………….. 8

Direct Supervised Practice ………………………………………….. 9

Multi-disciplinary Team Input ……………………………………….10

Further Reading …………………………………………………….. 11

Evaluation Questionaire ……………………………………………. 12

Welcome

We would like to welcome you to the Orthopaedic Outpatient Department, Perth Royal Infirmary. We hope that you will enjoy your placement here and that you will quickly feel part of the team. We will assign you a mentor who will guide you through your placement. The remaining trained nurses will provide team mentoring and will contribute to your assessment. You will be able to discuss your learning outcomes and times will be arranged for further progress meetings.

Your working hours will be 0830 - 1700 Monday to Thursday and 0830-1430 on Friday. You may be asked to alter these slightly for your participation and learning in various clinics / settings.

There is a cafeteria nearby for dining, but you are welcome to bring a packed lunch.

As with all NHS Tayside Hospitals, Perth Royal Infirmary has a no smoking policy in place.

Reporting Sick Absences

Contact numbers 01738 473781 nurses station

01738 473888 orthopaedic office

Should you be unable to attend work please telephone one of the above numbers after 8am and ask to speak to the nurse in charge.

Prior to your return please telephone one of the above numbers no later than 4pm the day before.

The University of Dundee will be notified, by the department, of student sick absences. Please remember to contact the university yourself as per current guidelines.

PHILOSOPHY OF CARE

The philosophy of the orthopaedic outpatient department is to provide individualised care to each patient ensuring that this care is of a high quality, is safe and is effective.

We will provide a caring, friendly environment recognising the need for dignity, privacy, confidentiality and respect for patients, the public and staff.

We will protect patients, the public and staff from harm and value all aspects of equality and diversity.

We will be advocates for patients, the public and staff by doing our best by promoting and protecting their interests

We will provide a safe environment for patients, the public and staff by adhering to all NHS Tayside current policies.

Statement of Values in the Education of Students

This statement is on display in the meeting room.

We will always answer any questions to assist in the student nurses learning and encourage an independent questioning approach to learning.

We look forward to hearing their views and suggestions about how we can improve the learning experience for our students.

We will: -

Treat students as individuals acknowledging their needs and encouraging their participation in formulating care management plans.

Encourage students to be part of the care team by involving them in all aspects of care. Recognise and value the contribution of all students in the process of planning and carrying outpatient care and assist them to achieve/maintain knowledge and skills in order to provide safe and effective care.

Members of Staff

Senior Charge Nurse / Audrey Reilly
Staff Nurses / Diane Guntley
Mary Smith
Joyce Stewart
Elaine Gavin
Ruth Wood
Health Care Assistants / Flora Craig
Tracey Ferguson
Kelly Campbell
Aga Adamczyk
Clinical Audit and / Lorna O’Donnell
Research Practitioners / Caroline McCabe
Clerical Officers / Margaret Jones
Susan Gray
Consultants / Mr MacLean
Mr McLeod
Mr Singer
Mr Nassif
Mr Thomas
Mr Foubister
Mr Chami
Mr Tomasek

OOPD

Types of clinics

· Fracture / review

· New patient

· Pre-admission

· Paediatric physiotherapy casting

· Audit

· Specialist i.e back, hand, knee and paediatric

· Nurse Led

· Virtual clinics

· OPAT (outpatient IV antibiotic therapy)

· Radiology injection clinic

Most casting is carried out in the plaster room, however you may also have the opportunity to attend theatre and A & E.

You will experience multidisciplinary team working and hopefully feel this clinical setting is a worthwhile learning environment.

Emergency Number 2222

State type of emergency - cardiac arrest, fire or security alert. State location - Orthopaedic Outpatients, Perth Royal Infirmary.

Bleep system and use of

Dial 88

Wait for message

Enter bleep number of the person you require

Wait for message

Enter department extension number (i.e. 13781)

Wait for message that your paging request has been accepted

Replace receiver

Learning opportunities available

There are many learning opportunities within Orthopaedic Outpatients. Patients range in age from new born to very elderly, come from varied and diverse backgrounds. Thus you will require to develop adaptive communication skills.

You will be given the opportunity to assist with clinics.

· You will gain knowledge of the science of orthopaedics, including the management and treatment of deformities, injuries and diseases of bones and joints.

· You will observe doctors viewing and interpreting x-rays through PACS (Picture Archiving and Communications System).

· You will be given the opportunity to work within the plaster room which will allow you to gain an understanding of cast application and management.

· You may have the opportunity to attend theatre to observe orthopaedic surgery.

· You may also be given the opportunity to work on one of the orthopaedic wards with the physiotherapist in order to gain a full insight into the care and management of the orthopaedic patient before, during and after surgery.

· This multidisciplinary team working will develop and enhance your communication skills.

· You will develop an understanding of the principles surrounding therapeutic relationship building as you work within the clinic setting.

You will have the opportunity to learn about the principles of wound management, different types of dressings, bandaging, and reduction of cross infection and safe disposal of clinical waste. This will link in to your cleanliness champion training.

· You will develop an awareness of how to manage patients with MRSA within the clinic setting

· You will learn about the safe manual handling of patients within a clinic setting.

· There is a wide range of learning resources available.

· Transferable Skills:

· Enhanced communication skills

· Observation and reporting of physical and psychological state of patients to appropriate person.

· Implementation and evaluation of care.

· Aseptic technique.

· Wound assessment and management.

· Appropriate intervention e.g bacteriology swab, dressing choice

· Removal of clips and sutures.

· Secondary dressings/ bandaging.

Specialist skills: assisting with

· External fixator pin site care

· Application of plaster casts

· Application of slings, splints

Orientation to Department

Date / Student Sig. / Mentor Sig.
Introduction to staff and mentor
Department orientation
Emergency equipment
Emergency procedure
Fire procedure
Fire points and Extinguishers
Complaints Procedure
Immediate Departments (A&E, X-Ray)
Housekeeping

To be completed on the first day of placement

Observation of Clinics

Date / Student Sig. / Mentor Sig.
Clinic co-ordination
Fracture/ review clinic
New patient clinic
Pre admission clinic
Paediatric clinic*
Specialist clinic *
Audit clinic
Trauma meeting
Virtual clinic

* where available

Direct Supervised Practise

Date / Student Sig. / Mentor Sig.
Assist in # clinics / new patient clinics
Assist in PAC
Choice of PPE
Aseptic technique
Wound assessment
Dressing choice
Stitch/ clip removal
Collection of bacteriology /MRSA swabs
Apply splints and slings
Bandaging technique

Multi-disciplinary Team Input

Date / Student Sig. / Mentor Sig.
Theatre
Physiotherapy
Occupational Therapy
Audit
Orthotics
Pre-assessment unit

Journals

Journal of Orthopaedic Nursing Orthopaedic Nursing

Orthopaedic Clinics of North America Nursing Standard

Journal of Advanced Nursing Journal of Clinical Nursing

Professional Nursing Nursing Times

Useful Websites

http://boa.ac.uk

http://www.somed.org

http://www.bmj.com/cgi/collection/orthopaedic_and_trauma_surgery

http://www.dundee.ac.uk/orthopaedics

EVALUATION QUESTIONAIRE

We are interested in obtaining your views on Orthopaedic Outpatients as a learning environment. It would be beneficial to us if you could please complete the following.

5 = strongly agree to 1 = strongly disagree.

Statements / 5 / 4 / 3 / 2 / 1
You received an introduction/orientation pack on arrival to dept
You were allocated a mentor on your first day in placement
At your initial meeting, you discussed and identified with your mentor learning objectives and opportunities
You were given the opportunity to identify your own specific personal learning objectives.
You worked with your mentor on two or more shifts per week.
You achieved your set objectives by the end of this placement.
You found the placement friendly and conducive to learning.

Please use space below to make any further comments.

Senior Staff Nurses OOPD April 2015