B6 North – Haematology Ward
Royal Gwent Hospital, Cardiff Road, Newport. NP20 4SZ
Clinical Teacher Contact:
Telephone: 01633 238491
11 beds (each patient has an individual cubicle)
Key Learning Opportunities:
One adult branch student maximum on medical or management placement as will usually also have one student from the University of Glamorgan SONMS allocated at the same time. This 11 cubicle unit cannot accommodate any more than two students at once
Principles of general nursing care including assessing, planning, implementing and evaluating care of patients living with malignant and non-malignant haematology conditions. This includes the administration of chemotherapy treatments.
The management of infection control is crucial to this patient group, many of whom may be immunosupressed; Preparation and management of adults with often complex needs being discharged from the in-patient haematology setting to the community and/or other health care settings; Management of adult clients affected by disorders such as Leukaemia (Acute and Chronic), Multiple Myeloma, Aplastic Anaemia, Hodgkin’s and Non-Hodgkin’s Lymphoma, Myeloproliferative Disorders: Interdisciplinary working and liaison; Opportunities to development insights into the role of all members of the multidisciplinary team; Students can arrange to spend time with the palliative care nursing team or radiology team where many of these patients go to have Hickman Line insertions;
New referrals to haematology are initially seen in the Medical Day Unit; students are encouraged to spend time in the Unit. This is an opportunity to meet patients who have recently been diagnosed or patients who have come in for blood transfusions, or chemotherapy treatment. Patients always appear happy and accommodating to discuss their condition with the student nurse. On B6N you are given every opportunity to enhance your clinical skills:
- Meeting hygiene needs, especially oral care, as chemotherapy can cause the lining of the mouth to become very dry and very sore, ulcers may form.
- Elimination needs, most patients are prescribed analgesics, these may cause constipation. Students should be able to record bowel movement and know how to use the Bristol Stool Chart.
- Nutritional needs as most patients undergoing treatment may have loss of appetite or difficulty swallowing or eating. Most patients require assistance in meeting their nutritional needs, monitoring any weight loss, using various tools to record diet and fluid balance and dietetic referrals.
- Administration of medicines; calculations of the various infusions, increase knowledge of pharmacology, undertake the administration of drugs to each patient whilst under supervision. There are many blood and plasma infusions on B6N, observing the checking procedure, and being involved in the nursing care, will enhance knowledge of blood and blood products. A visit to the pathology laboratory can also be arranged.
- Chemotherapy is also administered on B6N by the nursing team. Staff will explain the various chemotherapy treatments and procedures; Intrathecal chemotherapy can also be administered on the ward by medical staff and as a student you may observe.
- Management of patients; as students your mentor will encourage you to manage your own patients. This will give you the responsibility not only to deliver total nursing care, but improve your documentation skills, and encourage you to liaise with interdisciplinary team members. Writing nursing notes, updating records and creating care plans, along with admission and discharge procedures can be undertaken by the student.
- Management of pain and promoting comfort. To effectively manage pain, the student should be compassionate to patients’ needs, and learn how to be confident in their pain assessment skills, using varied pain assessment tools.
Preparation for Practice:
1 maximum in module nine management placement only by prior arrangement with manager
- 0700 - 1430
- 1400 - 2130
- 2100 - 0730