Welcome to the endoscopy unit, ninewells

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Endoscopy Unit

Ninewells Hospital

Student Nurse Orientation Package.

Compiled by C/N J Dwyer and

S/N A McDonald September 2015 Reviewed May 2016

Welcome to the Endoscopy Unit, Ninewells Hospital

The Endoscopy Unit is located on level 4, directly under wards 3&4/ 9&10/16&17.

The endoscopy service provides endoscopic procedures for people across Tayside, Angus and North East Fife and is delivered across 3 locations; Ninewells Hospital, Stracathro Hospital and Perth Royal Infirmary.

The Senior Charge Nurse is Wendy Dowdles and the Charge Nurses are Lisa Law and Julie Dwyer.

We are a busy unit performing approximately 300 procedures per week. This is a combination of out-patients and in-patients.

Opening Times

• Monday – Friday 0800hrs –1800hrs

• Saturday, Sunday and Public Holidays 0830hrs – 1230hrs

AIMS OF ENDOSCOPY

• To put patients first

• Do the best that we can by working as a team to provide excellent treatment and care

• To treat patients and their carers with respect.

• To respect the patients right to confidential treatment.

• To provide a friendly, supportive environment where patients can undergo their procedure with dignity whilst ensuring comfort and safety.

• To deliver a high standard of care, showing compassion and kindness.

• To continually review the service we deliver by listening to the views of patients and carers.

• To respect the right for patients and carers to be involved in decisions making about their plan of care.

• To keep the waiting time in the department to a minimum.

• Take the time to have good, open communications and be accountable for our action and behaviours

We are proud of our unit and would be grateful for your comments, feedback and/or suggestions so we can continue to improve quality and become better at what we do.

PATIENT ACCESS ROUTES TO ENDOSCOPY

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We perform a variety of diagnostic and therapeutic endoscopic tests such as

• Gastroscopy

• Colonoscopy

• Flexible Sigmoidoscopy

• EMR, RFA

• Endoscopic Ultrasound

• ERCP

• Oesophageal Stent Insertion

• Bronchoscopy/EBUS/ Thoracoscopy

• PEG Insertion/ Removal

• Flexible Cystoscopy (urology)

On your first day with us you will be orientated to the unit layout and the organisation of the daily routine.

After initial orientation to the unit both you and your mentors have a responsibility to set objectives and ensure learning outcomes are met. Where possible you should work similar shift patterns to allow maximum contact with your mentors.

Student Mentoring

A mentor is a registered nurse, midwife or health visitor who facilitates

learning, supervision and assessment for students in the practice setting.

Good mentoring depends upon well planned learning opportunities and the provision of support and coaching for students. As a student you should be aware of your expectations, make them realistic and understand that they may change throughout your stay in the clinical area. Use your mentor for guidance and support to achieve your learning outcomes and satisfactorily complete your practice assessments. As a student you should be able to give and receive constructive feedback and reflect on your progress to increase self-awareness, confidence and competence. Mentors should involve themselves in providing constructive support, developing opportunities and maintaining a nurturing learning environment.

You will be allocated a mentor and an associate mentor who will be ultimately

responsible to ensure all your needs are met during your time with us. Time will be allocated for initial interviews, reflection, feedback and monitoring of progress. Please ensure that all practice placement documents and your assessments (including the mid-way assessment) are completed on the due date.

Health and Safety

Health and safety is part of good working practice and although NHS Tayside has responsibilities to you, you also have a responsibility to NHS Tayside and the colleagues with whom you work. We expect you to follow universal precautions when dealing with any body fluid by wearing gloves, aprons and disposing of them safely, by discarding needles and sharps in the bins provided and by wearing protective glasses/visors in any situation where splashes can occur.

If you come across any damaged or unsafe equipment or furnishings please do not assume that someone else will deal with it. Bring it to the attention of the senior nurse on duty to ensure that action is taken speedily. If we share this responsibility the area we work in will be safer for everyone.

There is a health and safety representative in the department (SN Arlene McDonald) who carries out routine risk assessments on a regular basis. The findings are discussed with management to ensure that any issues raised are dealt with appropriately. Your contribution to this process is expected and adherence to all Health and Safety matters should become part of your overall working practice.

Sickness and Absence

If you are unable to come to work please contact the unit as early as possible and ask to speak to the Nurse in Charge. Information relating to duration of sickness and further contact with unit should be discussed and agreed at this time. It is expected that if you are off sick that you contact the University/School of Nursing as well as informing the clinical area of your absence. Your mentor will discuss any arising issues relating to punctuality and sickness/absence with the University.

NHS Tayside Uniform Policy

As a member of staff it is expected that you follow hospital policy for uniform and personal appearance. This is freely accessible on NHS Tayside Intranet. Please ensure that NO jewellery is worn except a wedding band and that long hair is neatly tied up. Staff should carry and display ID badge at all times. You must wear your student nurse uniform; shoes should comply with the standards set in the uniform policy. You should always change in the allocated changing room.

We value our student nurses and aim to provide:-

A friendly learning environment

Planned provision of a mentor and associate mentor

Orientation to the unit

Assistance in setting realistic/achievable objectives

Education

Appropriate feedback

An opportunity for you to voice your opinion

STUDENT NURSE RESPONSIBILITIES

• To ensure that your induction/orientation pack is completed during your placement.

• To discuss with your mentor or SCN/CN during the first 2 weeks of placement what your roles and responsibilities are.

• To make learning outcomes known to mentor in order to achieve them and maximize your experience.

• To ensure that your mentor and SCN/CN is informed promptly if you feel that you are encountering problems within the clinical area.

• Your assessment booklet should be readily available so you and your mentor can review.

• Report absences/sickness promptly to the unit and the university

Professionalism

Discuss:-

• Punctuality

• Dress code

• Reporting sickness

• Resuming from sickness

• Behaviour

• Confidentiality

• Off duty/Mentorship

• Display professional behaviour

Communication

The student demonstrates the ability to:

• Use of phones, transfer of calls etc.

• Use the bleep system

• Use the buzzer system

• Locate bleep numbers and phone numbers

• Knowledge of internal emergency phone numbers

• Ensures all documentation is legible and accurate.

• Locate and understand the need to refer to policies, local guidelines, notice boards/ communication folders.

Duty rostering/shift patterns/sickness and absence reporting

The student demonstrates the ability to:

• Locate the off duty.

• Follow the relevant steps in the event of sickness/absence in accordance with hospital policy and local guidelines.

• Discuss the shift patterns, weekend working and minimum time working with mentor.

• Understands the need for appropriate skill mix.

• Understand need for punctuality

• Know the procedure for notification of sickness/absence

Professional development.

Identify:-

▪ NMC Documents

▪ Patient Information

▪ Hospital Guidelines/policies/procedures

▪ Learning Packages

▪ Articles of interest

▪ Other learning resources

Discuss:-

▪ The purpose of mentorship and the role of both student and mentor

▪ The learning opportunities and ward specialities.

▪ The importance of demonstrating an awareness of work based learning opportunities and taking advantage of these

▪ The role of reflection in identifying learning needs

▪ Identify own personal learning and development needs (objective to be written by end of second week)

▪ The role of critical incident analysis and its role in professional development

FIRE PROCEDURE

The student nurse has attended a fire lecture within the last year Y/N

Recognise/interpret fire alarm (code 5 and code 10)

Identify location of:-

▪ Fire alarm points

▪ Fire extinguishers

▪ Shut of valves for gases

▪ Discuss the departmental evacuation procedure.

Identify/discuss the role of nursing staff during a fire alarm

Clinical emergencies management

The student can demonstrate the ability to:

• Recognise the features of clinical emergencies

• Take appropriate action to summon help in emergency situations

• Locate and be familiar with all emergency equipment and the contents of the emergency trolleys.

• Ensure concise and accurate documentation following an emergency situation.

• Recognise his/her own limitations and be able to summon help/advice as appropriate.

• Show knowledge of piped and emergency suction/oxygen points including daily check procedures.

• Ability to use Glucometers/ Dinamaps/ Genius thermometers.

Infection Control

The student will be able to demonstrate ability to practice according to:

• NHS Tayside Infection Control Policy and guidelines

Discuss:-

▪ Handwashing – read policy

▪ Linen disposal – read policy

▪ Waste disposal (including sharps) – read policy

▪ Importance of Correct use of PPE

▪ Cross Infection

▪ Ward cleanliness

▪ Environmental cleanliness including daily environmental audits

▪ ‘Clean between’ standard operating procedures

Manual handling

Discuss:-

▪ Knowledge of safe manual handling (no lifting policy)

▪ Equipment available in the ward

▪ Use of equipment

Health and safety

Discuss:-

▪ Ensuring a safe environment for patients, staff and visitors

▪ Reporting Hazards

▪ What to do in event of accident to patient, staff or visitors

▪ Completion of Datix forms

▪ Safe food handling/Hygiene- use of food trolley

Student Objectives while in Endoscopy

Have knowledge of the different members of the multidisciplinary team.

• Be introduced to all members of the Endoscopy team.

• Have an understanding of the different roles.

• Gain an understanding of the importance of effective teamwork

Have knowledge of patient admission and discharge.

• Under supervision admit patients for their procedure.

• Under supervision discharge patients after procedure.

• Be familiar with patient information leaflets.

• Be aware of the patient’s journey.

• Communicate effectively with patients and relatives.

Have an understanding of the types of investigations carried out in the department.

• Be aware of the different procedures within the dept.

• Be aware of the different preparations required.

• Be aware of the different drugs used within the department.

• Be familiar with unit policies and guidelines.

• Be familiar with symptoms patients may experience.

• Be aware of pathology.

• Be familiar with care-pathways.

Have knowledge of equipment used within the dept

• Understand processing and storage of endoscopes.

• Be familiar with the various equipment used during different procedures.

• Be able to set up room for different procedures.

Have knowledge of patient access routes to Endoscopy

• Attends consultants clinics

• Visit other related departments

You can also negotiate with your mentor to arrange visits to affiliated departments, or, to have time shadowing the Specialist Nurses who work closely with our patients.

These could include:- x-ray for barium enema, respiratory clinic, HIV clinic, fast track jaundice clinic, hepatitis C clinic, GI motility, nutrition clinic and liver clinic, IBD clinic, Coeliac clinic.

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INPATIENT

COLORECTAL

SCREENING

COLORECTAL

PATHWAY

CONSULTANT

CLINIC

REFERRAL

DIRECT

ACCESS

FROM

GP

OOH

GP

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GP

ENDOSCOPY

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