WARD 9 FREEMAN HOSPITAL PORTFOLIO OF

WARD 9
FREEMAN HOSPITAL
PORTFOLIO OF
LEARNING OPPORTUNITIES
Introduction
Ward 9 is a 28 bedded elderly care ward located on the 5th
floor of the Freeman Hospital. We specialise in rehabilitation
of older patients to maximise their potential. Our patients have
a wide range of medical conditions and we provide a holistic
approach to care and aim to meet their physical, social, and
psychological needs.
Our patients are transferred to us from acute medical wards
from the Freeman and RVI hospital. The ward has one
consultant: Dr Frearson who will have a team of doctors
consisting of a registrar, senior house officer and junior house
officer. He carries out two ward rounds on a Monday and
Tuesday. You will have the opportunity to work within the
multi-disciplinary team consisting of nurses, doctors, physios,
O.Ts and Social Workers.
During your first week of placement you will be orientated to
the ward and shown where everything is.
Before you start your placement you will be assigned a mentor
and you will need to work 50% off your off duty with them.
You will work 35 hours per week and depending on whether
you work long or short days your shift patterns will consist of:
Long day: 07:30 – 20:45
Early: 07:30 – 14:00
Late: 13:45 – 20:30
Night duty: 20:15 – 07:45
Short days:
Early: 07:30 – 15:30
Late: 12:45 – 20:45
We hope you enjoy your time on ward 9
and find it educational! 
Useful Information:
There are toilets for staff use out on the landing of level 5 on
the left hand side of the lifts through the double doors.
The restaurant is located on Level 1 should you wish to use it.
Most staff stay on the ward for their breaks and tend to bring
in their own food. There is a fridge on the ward for staff use.
There are changing facilities located on level 1 just past the
lifts. Should you require a locker Hotel Services is located
behind the lifts on level 1.
Useful numbers:
Cardiac Arrest: 2222
Fire: 333
Security: 333
Switchboard: 0
Ward: 2137009
Key elements:
Interpersonal Skills:
Leaning opportunities
Use of telephone:
Making/answering calls
Transferring calls
Bleep system
Ring back
Use of computer:
Obtaining patient investigation
results
Patient information
Internet
Intranet
E-Mail
Communication Skills:
Patients
Relatives
Doctors
Nurses
Members of the MDT
Nurse handovers
Booking transport in and out of
trust
Resource/relevant/personnel/
department
Ward staff/Ward clerk
Ward staff/Ward clerk
Ward staff/members of the MDT
KEY ELEMENTS
Management of Care:
Leaning opportunities
Nursing Process:
Assessments
Resource/relevant/personnel/
department
Registered Nurses/
physiotherapists/OT’s/social workers
Planning of care
Registered Nurse/Medical
Staff/OT/Physio
Implementing care
Registered Nurse/Nurse/Medical
Staff/Physio/OT
Evaluating care
Registered Nurse/Medical
Staff/OT/Physio
Care plans
Registered Nurse/OT/Physio
Care pathway
Discharge planning
Ward rounds
MDT’s
Documentation
Registered Nurse/MDT/Discharge
Liaison
Registered Nurse
Registered Nurse
Registered Nurse
Patient hygiene
Registered Nurse/HCA
Clinical observations
Registered Nurse/HCA
Policies and procedures
Registered Nurse
Philosophy of care
Registered Nurse
Referrals to other agencies
Registered Nurse
KEY ELEMENTS:
Organisational skills
Leaning opportunities
Managing a team
Organisational skills
Delegation skills
Prioritising skills
Time management
Leadership
Off Duty
Managing patient
workload
Quality
Standards of care
Implementing change
Giving information to
Staff
Doctors
Patients
Relatives
MDT
Other departments
Resources
Stock control
Materials management
Non stock requisitions
Stationary
Establishment/skill mix
Budget
Resource/relevant
personnel/
Department
Ward Sister/Registered nurse
Registered nurse/Specialist/Practice
Development Nurse/Audit Dept
Registered Nurse/Manager/Health
Care Assistant
Registered nurse/Pharmacy
Ward clerk/Housekeeper
Ward Sister
Managing Risk
Policies and procedures
Equipment safety checks
Quality
Control/Environmental
checks
Infection Control
Moving and Handling
Emergency Situations
Cardiac Arrest
Fire
Violent Incidents
Patient Falls
Staff Development
Clinical Supervision
Reflective Practice
Ward Sister/Registered
Nurse/Practice Development nurse
Registered Nurse/Health Care
Assistant/Health and Safety
Officer/Electronics
Registered Nurse/HCA/Health and
Safety Officer/Infection Control
Nurse
Registered Nurse/Infection Control
Nurse
Registered Nurse/Moving and
Handling coordinator
Registered Nurse/Cardiac Arrest team
Fire Officer/Registered Nurse
Registered Nurse/Security Officer
Registered Nurse/Risk Management
Dept
Registered Nurse/Practice
Development Nurse
KEY ELEMENTS
Clinical skills:
Learning Opportunities
Patient Hygiene:
Skin care
Mouth care
Pressure area care
Recording of physiological
observations:
Pulse/temp/respirations
Blood pressure
Blood glucose
Neurological observations
Urinalysis
Faecal occult blood
Weight
Maintaining accurate charts
Administration of medicines:
Assist in medicine rounds
Intramuscular/subcutaneous/intravenous
injections
Oxygen therapy
Nebulisation
Suction
Medical devices
Aseptic technique:
Dressings/clip/suture removal
Catheterisation
Administration of suppositories/enemas
Risk Management:
Moving and Handling equipment
Falls
Pressure areas
Resource/relevant
personnel/department
Registered Nurse/HCA
Registered Nurse
Registered Nurse/HCA
Registered Nurse
Registered Nurse/Diabetes
Nurse
Registered nurse/HCA
Registered Nurse/HCA
Registered Nurse
Registered Nurse
Registered Nurse/Doctor
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse/Electronics
Registered Nurse/Tissue
viability Nurse/Infection
control nurse
Registered Nurse/Moving and
Handling facilitator
Registered Nurse/falls
assessment
Registered Nurse/tissue
viability Nurse
Registered Nurse/Dietician
Nutrition
Prep for investigations
Registered
Nurse/Doctor/Radiology/Med
ical Physics dept/ Endoscopy
dept/Theatre
KEY ELEMENTS
Health Development
Learning Opportunities
Health lifestyle strategies in relation
to:
Smoking cessation
Cancer
Obesity
Diabetes
Drug and alcohol abuse
Promotion of exercise
Osteoporosis
Falls prevention
Resource/relevant
personnel/dept
Smoking cessation advisor/Pharmacist
Registered Nurse/Macmillan Nurse
Registered nurse/dietician
Registered Nurse/Diabetes Nurse
specialist
Registered Nurse/Specialist Nurses
Registered nurse/Doctor/specialist nurse
Registered Nurse/Falls prevention
team/Doctor/Physio/O.T
Health promotion/education
literature
Health promotion unit/Specialist nurses
Models of health promotion
Health promotion unit/Discussion with
Mentor
Counselling
Macmillan nurses/Clinical
Psychology/Bereavement/Grief
Counsellors
KEY ELEMENTS
Pathophysiological Process:
Learning Opportunities
Infection
Wound healing
Inflammatory process
Source
Nature/Spread
Treatment
Drugs
Joints/Bones/Connective Tissue
Normal/abnormal anatomy
and physiology
Osteoporosis
Arthritis
Infection
X Rays
Drugs
Cardiovascular System
Normal/abnormal anatomy
and physiology
Myocardial
Infarction/Angina/Congesti
ve cardiac failure
Hypertension
ECG’s
Drugs
Respiratory System
Normal/abnormal anatomy
and physiology
Asthma/Chronic obstructive
pulmonary disease
Chest Infection
Chest X Rays
Treatment
Drugs
Fluid and Electrolyte Balance
Resource/Relevant
personnel/department
Registered Nurse/Specialist
Nurse/Doctors/Pharmacy/Laboratory/
Observation/ Literature
Registered Nurse/Specialist
Nurse/Doctor/Literature/Physio
Registered Nurse/Specialist
Nurse/Doctors/Pharmacy/Cardiographers
Registered Nurse/Specialist Nurse /
Doctors/Pharmacy/Pulmonary technician
Normal/abnormal
electrolyte balance
Reading and understanding
blood results
Dehydration
Acidosis
Drugs
Renal and Genitourinary System
Normal/abnormal anatomy
and physiology
Investigations
Urinalysis
Infection
Drugs
Liver and Biliary System
Normal/abnormal anatomy
and physiology
Jaundice
Gall Bladder
Drugs
Circulatory System
Normal/abnormal anatomy
and physiology
Blood disorders
Anaemia
Blood transfusions
Pulmonary embolus/DVT
Drugs
Gastrointestinal System
Normal/abnormal anatomy
and physiology
Gastro-Intestinal bleeds
Gastric Ulcers
Irritable bowel disease
Colitis
Constipation/Diarrhoea
Investigations
Treatments
Drugs
Endocrine and Metabolic Disease
Diabetes Mellitius
Thyroid Disease
Steroid therapy
Drugs
Registered Nurse/Doctor/Laboratory
Technician/Pharmacy/Literature
Registered Nurse/Specialist Nurse/Doctors/
Pharmacy/ Laboratory/Literature
Registered Nurse/Specialist Nurse/Doctors
Registered
Nurse/Doctors/Laboratory/Ultrasound/
Medical Physics/Pharmacy/Warfarin Clinic
Registered Nurse/Specialist
Nurse/Endoscopy Unit/Doctors/Pharmacy
GLOSSARY OF TERMS
ABBREVIATION
ABX
ADL’s
AF
BD
BM’s
BP
C.Diff
C&S
Ca
CKD
COPD
CPR
CSU
CXR
D/C
DVT
HAV
IDDM
IHD
IM
IV
IVT
K
Mane
MDT
MI
MMSE
MSU
Na
NBM
NG
NOK
NOF
Nocte
NSAID’s
OD
OT
PMH
POC
PRN
QDS
S/C
TDS
SOB
MEANING
Antibiotics
Activities of Daily Living
Atrial Fibrillation
Twice Daily
Blood Glucose Monitoring
Blood Pressure
Clostridium Difficile
Culture and Sensitivity
Calcium
Chronic Kidney Disease
Chronic Obstructive Pulmonary
Disease
Cardio-Pulmonary Resuscitation
Catheter Specimen of Urine
Chest X-Ray
Discharge
Deep Vein Thrombosis
Home Assessment Visit
Insulin Dependent Diabetes Mellitus
Ischaemic Heart Disease
Intramuscular
Intravenous
Intravenous Therapy
Potassium
In the Morning
Multidisciplinary Team
Myocardial Infarction
Mini Mental State Examination
Mid Stream Urine
Sodium
Nil By Mouth
Nasogastric
Next of Kin
Neck of Femur
At Night
Non Steroidal anti-inflammatory
drugsOnce daily
Occupational Therapist
Past Medical History
Package of Care
As Required
Four Times per Day
Subcutaneous
Three Times per day
Shortness of Breath
TIA
TTO’s
TWOC
TVN
U&E
USS
UTI
WCC
WZF
Transient Ischaemic Attack
Discharge medication
Trial Without Catheter
Tissue Viability Nurse
Urea and Electrolytes
Ultrasound Scan
Urinary Tract Infection
White Cell Count
Wheeled Zimmer Frame
Common groups of drugs:
Proton pump inhibitor
Lanzoprazole
Omeprazole
Laxatives
Ispaghula
Sodium Docusate
Senna
Movicol
Lactulose
Diuretics
Bendroflumethiazide
Bumetanide
Furosemide
Spironolactone
Drugs for arrhythmias/hypertension
Amiodarone
Propranolol
Bisoprolol
Metoprolol
Hypertension
Lisinopril
Perindopril
Ramipril
Angina
GTN
Isosorbide mononitrate
Amlodipine
Diltiazem
Nifedipine
Analgesia
Paracetamol
Codeine phosphate
Tramadol
Nefopam
Morphine Sulphate
Anti-Emetics
Domperidone
Cyclizine
Metoclopramide
Drugs for Dementia
Donepezil
Galantamine
Rivistigmine
Memantine
Antibiotics
Co Amoxiclav
Amoxicillin
Flucloxacillin
Cephalexin
Ciprofloxacin
Nitrofurantoin
Trimethoprim
Anti Depressants
Mirtazepine
Fluoxetine
Citalopram
Amytriptyline
Drugs for Diabetes
Metformin
Gliclazide
Tolbutamide
Insulin
Hypnotics
Nitrazepam
Temazepam
Zopiclone
Chlormethiazole
Drugs which act on the Bladder
Tamsulosin
Oxybutynin
Tolterodine
Solfenacin
Doxazosin
Drugs for Parkinsons Disease
Co-Careldopa
Co-Beneldopa
Diabetes Nurse
Specialist
Dietician
Chiropodist
Physiotherapist
Speech and Language
Therapist (SALT)
Social Worker
Care agencies
GP’s
Ward 9
Chaplaincy
Occupational
Therapist
Radiography
District Nurses
Family/Friends
Medical
Staff
Continence
specialist nurse
Tissue
viability nurse
Pharmacist
WARD 9 LINK NURSES
Education………….. …..S/N Susan Hall
Infection Control….........S/N Liz Taylor
Diabetes………………S/N Kath Clayton/
S/N Phillip Swinbank
Continence………………S/N Sudesh Handa
Moving and Handling…..Sr Gill Cockburn, Sr Jane Perkins,
S/N Kath Clayton
Nutrition………………..S/N Dee Ndlovu
Tissue Viability…………S/N Susan Hall
Risk Assessment………..Sr Jane Perkins
Medical Devices……….Sr Jane Perkins
COSHH…………………Sr Gill Cockburn
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