Harrington building
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- Bu səhifədəki naviqasiya:
- Team Leaders
- Clinical Support Workers
- PRACTICALITIES
There are a number of people who can support you during your placement. Galaxy House is linked to both Manchester Victoria University and The University of Salford and accepts students from both the paediatric and mental health branches of the course. The following is a list of individuals from the Higher Education Institutions, the Trust and clinicians from Galaxy House who take a lead with students. All our E and F grades have attended recent associate mentor study days and curriculum updates and should be familiar with your paperwork. The following individuals are all available for advice, guidance and support; Clinical Placement Development Managers (CPDMS); Roisin Bradley CMFT Roisin.bradley@cmft.nhs.uk Manchester Mental Health and Social Care NHS Trust, Andrea Fox andrea.fox@mhsc.nhs.uk Academics in Practice/University Link Lecturer Salford University Moira McLoughlin m.mcloughlin@salford.ac.uk Manchester University Steven Pryjmachuk steven.pryjmachuk@manchester.ac.uk Practice Based Educational Support Practice Development Nurse Jane McEneaney jane.mceneaney@cmft.nhs.uk Support is also available from your personal tutor and your clinical guide. The people in the list are involved in evaluating, reviewing and improving the placement standards and the educational experience. This happens through audit, working to agreed standards and benchmarking to promote excellence in learning. Of course the most accessible people to ask for support will be those you are directly involved with on placement. These include all other staff including NA’s, Clinical Support Workers, nurses, and other students who may have been there longer than you or may be more experienced than you. Your primary source of guidance and support will be your mentor and associate mentor who will be allocated to you prior to your arrival.
When you arrival, a member of the nursing team will be allocated to complete your induction. This will ensure you become familiar with issues in relation to security, safety and the geography of the unit. The team structure, hierarchy and function will also be explained to you with a brief outline of the role of different members of the team. The induction package is currently under development so any ideas you have following your induction would be welcome. You should also have the introductory meeting with your mentor and associate mentor. It is advisable that you familiarise yourself with the trust and Galaxy House policies and guidelines, these are available in the nursing office and on the intranet and will be available throughout your placement. You may also find it helpful to review any recent literature in relation to child and adolescent psychiatry and any current research, audit and practice development being undertaken within Galaxy House and the wider Greater Manchester CAMHS network. There are various books and resources available in the Family Room. Different members of staff have literature on various topics depending on their area of interest. The Practice Development Nurse can advise you where to access these resources. Evidence Based Practice is seen as a priority at Galaxy House and is promoted through Case presentations and Journal Clubs which the student can attend. The RMC Hospital site also has a library with copies of numerous journals which the student can access. The Practice Development Nurse is also available to help students with electronic literature searching on a particular topic through electronic databases. Useful websites include;
These websites have information on research and best practice within the field of child and adolescent mental health as well as published clinical guidelines and integrated care pathways. You can also download the National Service Framework for Children and Young People from the Department of Health website.
These times can be modified to meet the needs of the student however this would involve negotiation between the practice placement manager, your allocated mentor and yourself. It is advisable to vary your shifts to obtain a greater understanding of the service and to gain an insight into a 24 hour period on Galaxy House. You should aim to work the majority of your shifts alongside your mentor. You must notify the ward and the university as soon as possible should you require time off, study leave or if you are off sick. When telephoning Galaxy House you should ask to speak to the shift co-ordinator. Study days are not routinely allocated during the placement as the course structure allows for these to be taken whilst the student is at University. If you are researching a topic related to a clinical/practice development issue pertinent to the placement you could request ward based study time to facilitate this. Support will also be given if a student is basing an academic piece of work on their placement experience e.g. a reflection, care study. WARD MANAGEMENT Handovers are at 07.00 am, 09.00 am, 13.00 pm and 20.30pm. You will be expected to attend the handover at the start of your shift. They are held in the “family room”. Handovers are read from the documentation in the patient’s notes which will have been completed prior to handover. SHIFT CO-ORDINATOR Qualified staff take turns in co-ordinating individual shifts. They will allocate team members to individual young people dependent on who is in whose care team. This person will be responsible for all aspects of a young persons care throughout the shift including contemporaneous documentation. The practice is to follow the primary nursing model rather than task allocation. If there is a particularly challenging patient you will only be caring for them with the close supervision of a qualified nurse. Dependent on your level of training you will get the opportunity to co-ordinate a shift by shadowing a shift co-ordinator. TEAM MEETINGS These are every Monday morning from 0930 to 12.00. Everyone from the team can attend. Once you are more confident you can present at this meeting and provide feedback afterwards. SECURITY All students must have been police checked. The ward is locked not to detain patients but to prevent intruders. Entry is gained via an intercom system, or by using a swipe card. Your university identity badge must be worn at all times. There are car parking facilities near by, but these come at a cost. There is some parking available on the roads nearby. OFF-DUTY REQUESTS Your off duty will be negotiated with your mentor. Please be aware that the aim is to have no more than two students a shift and that students are not to alter the sheets themselves. Students are reminded that they cannot take annual leave days outside the leave already granted by the university. Promptness, reliability and good organisation will be reflected in the student’s final assessment. UNIFORM POLICY We don’t wear a uniform at Galaxy House. Smart casual attire is fine, jean and trainers are acceptable too provided they are not too scruffy. No lip/eyebrow piercing, open toed sandals, high heels, g-strings on show, crop/low cut tops, mini skirts, hot pants or low hipsters. Please be sensitive to the client group, and think about what may be provocative. Skirts are okay but are not very practical when pursuing more active activities. Students who wear spectacles should also be aware of the additional risks to them during outdoor activities. STAFF FACILITIES Staff and young people share meals together in the dinning room. This provides a good role model, encourages a sense of community. You can have the hospital food or bring your own. Outside this you are entitled to a half hour break away from the unit. This will be allocated at the start of the shift by the co-ordinator. Decent facilities for taking breaks are limited. There is a staff toilet; this is located just off the ward. There is a staff room; here you can keep your bag and coat. CHILDREN’S FACILITIES Play is one of a range of creative activities used in CAMHS settings. It is can be initiated by staff with specialist training i.e. play therapists and occupational therapist but also by the nurses. Staff employed with Manchester Hospital Schools and Home tuition services provides education. School starts at 9 30 am and finishes at 3 15 pm. There are 15-minute breaks at 11 00 am and 2 00 pm and an hour for lunch between 1200 and 1300. The nursing staff serve meals and promote a sense of community and normalisation by sitting down and eating our meals with the young people. Breakfast is between 8.30 and 9 00 am, lunch is at 12.00 and tea is at 17.00 pm. The young people also have snacks at break times. Some young people will be on fairly structured eating programmes. These are care planned and must be rigorously followed. Young people who do not have an individualised dietary regime have a tendency to put weight on in in-patient units. Therefore sweets and chocolates should be given out sensibly and healthy eating promoted at all times. Visiting time is between 18.00 and 20.00 pm and is more flexible at weekends open at the weekend. There are no visits on Monday &Thursday evenings; this is the young people’s activity evening. There is now parent accommodation, off the ward at the newly opened Ronald Mcdonald house. Young people have access to the TV in the main lounge and can watch this after school. Dependent on age and normal routine all the children have individual bedtimes, however a rough guide is, primary school age bath time, lights out and settled down by 20.30 pm and for secondary school age by 22.00pm. Young people have access to the hospital chaplain and other religious services if needed, we also devise culturally sensitive plans of care if a child has a particular spiritual needs e.g. support with fasting during Ramadan, a quiet space for praying, halal/kosher diet. ACCOUNTABILITY AND RESPONSIBILITY All students should be aware of the limitations of their role contingent with where they are up to in their training. Students must never carry out a task unsupervised if they feel uncomfortable doing so. In reality this applies to most 1st and 2nd year students. It is in the 3rd year where students will be expected to practice more autonomously with less direct supervision. The student must always
We have developed a set of criteria to aid your learning and to link to the taxonomy that guides both theory and practice learning for pre-registration nurse education. This is also be linked to your practice assessment documentation, so that when you are preparing for final summative assessment with your mentor you will have been supported and enabled over the period of your placement to achieve the learning outcomes in a specialist child and adolescent mental health service. PAN Manchester nursing assessment documentation outcomes. Proficiency Evidence that must be provided to achieve in this area Professional & Ethical 1). Using a copy of the Code of Conduct explore expectations and document in initialplan. Yr3 provide an example of how you have utilized the C of C during placement. 2). Be able to describe ‘informed consent’ and ‘Frazier guidelines’ (Gillick). Yr 3 Provide an example of consent. 3 ).Reflective piece ready for mid-point meeting Care Delivery 4). For mid-point discuss stages of therapeutic relationship with mentor. Yr 3 describe the stages of the therapeutic relationship. Highlight any particular problems associated with this client group. 5). Entry in nursing notes or care plan. Entries in notes or care plans with relation to promoting health 6). Attend ‘assessment’ or ‘New case clinic’ (NCC), or ‘home visit’ (H/V). Write up the ‘assessment’ using documentation. 7). Care plan - must be signed by Nurse YP and carers. 8). Choose 1 medication - Discuss risks and benefits. Locate a copy of the CMMC ‘side effect medication questionnaire‘. 9). Verbally reflect on the assessment documentation completed for 6 10).Complete ’team meeting’ document, and action the points agreed. 11). Attend ‘Intake & Allocation’ meeting. Observe how decisions are made, and discuss what factors could influence the outcome of the decisions made. Care Management 12). Evidence of reporting ’jobs’ ’Job reporting book’ of completing an ‘incident form‘. 13). Attend a ‘Review’ meeting. Document recommendations in the nursing notes, and handover to the team at next shift. 14). Look at guidelines for ‘Role of the Co-ordinator’ Co-ordinate shift, and discuss time management & organizational skills. 15). Can use the report from the NCC or H/V or assessment as at point 6. 16). Calculating weight charts, and medication administration. 17). Evidence of a typed report stored on computer in the correct place. This could be report from 6, or care plan from 7, or inc rep from 12 18). Attend ‘care team’ meeting or ‘Nurse business meeting’, or assessment with a nurse, as at Personal /Professional Development 19). Attend Friday teaching sessions. Observe a ‘Quality Care round’ audit. 20). Regular documented meetings with associate mentor / mentor. Co-ordinate shift as at 14 Provide evidence of learning a new skill to mentor, in the form of a teaching session. E.g. Following eating plan, preparation, supervision and documenting. Blood sugars. Urine dipstick. Describe ‘behaviour reward’ programme.
At Galaxy House we are committed to providing holistic evidence-based care with a focus on a family-centred approach. We aim to respect difference and diversity by providing care that is individual and un-biased by age, race, gender or the child’s learning and developmental level. Individualised plans of care are provided for young people with complex needs, who often present with two or more diagnoses. We promote a culture of user and carer involvement in care planning to ensure the young people have their say in their care, and we encourage a collaborative approach promoting honesty, trust, and open communication and feedback. Young people and their families are valued as an integral part of the care team and their views are treated with respect. The care we provide for the young people is multi-faceted using a variety of interventions with an emphasis on cognitive behavioural and psychosocial approaches. We place a strong emphasis on the development of therapeutic relationships as foundation for the development of future intervention. These relationships are based on empathy, warmth, a non-judgemental attitude and a strong sense of self-awareness on behalf of the nurse. We endeavour to be holistic in our care drawing on models of nursing that use a variety of theories and approaches. Underpinning the nursing care is the Therapeutic Milieu model which looks at the individuals needs through safety, support, structure, involvement and validation, and Maslow’s hierarchy of needs, which highlights the need to provide young people with shelter and nourishment but also encourage and empower them to fulfil their potential. By focussing on needs rather than problems we attempt to build and nurture young people? At Galaxy House we work with young people who present with challenging behaviours. Young people are encouraged to take responsibility for their behaviour and the impact it may have on others, in order to develop respect and empathy for others. Bullying amongst the peer group will not be tolerated and is dealt with fairly and assertively. Our approach to challenging behaviour is non-punitive and focuses on re-enforcing the positive and avoiding re-enforcing the negative. This is to build self-esteem and develop the insight and social skills of the young people so they can begin to make more positive choices about their lifestyle and future. We provide a nurturing, relaxed home for young people during their stay with a strong commitment to the “therapeutic day”. This is a day that is structured to provide meaningful, recreational, therapeutic and educational activities appropriate for each young person. It also encourages young people to develop their organisational skills, a meaningful regime and pride in their environment. Adherence to the therapeutic day discourages boredom and frustration, which in turn can trigger negative and aggressive behaviour. The environment is designed as such to provide the right amount of stimulation and young people are encouraged to be as autonomous as possible. Every effort is made to promote and up-hold strong multi-disciplinary team working and interagency working in order to provide clinical excellence for young people. We aim to continually diversify and change practice according to evidence based recommendations, clinical audit and published guidelines. We have an active interest and commitment to provision of care that is culturally sensitive for all ethnic groups. We also act as advocates on behalf of the young people and access other agencies such as the Patient Advocacy and Liaison Service (PALS) to support this process. Nursing staff have the right to feel valued and supported and are encouraged to access clinical supervision to develop self-awareness and reflect on practice issues. We also have a thorough induction and appraisal process to identify staff’s strengths and development needs, and accordingly access training for their personal and professional development. All nurses’ practice within the Nursing and Midwifery Council code of professional conduct for nurses, midwives and health visitors and professional development is positively encouraged. We are committed to developing evidence based care and change accordingly and lastly our service continually seeks to enhance user involvement and consultation. 
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