University Hospital of Wales, Heath Park, Cardiff CF14 4XN
Clinical Teacher Contact:
Adult Medicine FRAME
Adults with complex medical needs.
Key Learning Opportunities:
Skills list for students
Ward C7offers the student the opportunity to learn and improve many clinical nursing skills. Here are some areas students may wish to focus on:
• Admission and discharge of patients: policies and practice
• Referral to other services – referral criteria and processes, e.g. Social workers, physiotherapy, occupational therapy etc
• Care of the acutely unwell and the management of long term medical conditions
• Multidisciplinary care of the medical patient
• Management roles, resources, decision making processes, essence of care and other benchmarking processes.
Transferable Skills for students
• Use of NEWS scoring , and when to inform Medical Rapid Response Team for intervention/ assessment - measurement and recording of observations including blood pressure, pulse, oxygen saturations, temperature and respirations and how to interpret findings.
• You will learn about aseptic technique including catheterisation and wound care.
• You will be involved with drug administration (orally, inhalation, subcutaneous, intra-muscular and suppositories).
• Nutritional and tissue viability assessment including pressure area management.
• Blood glucose testing and recording.
• The preparation and administration of insulin.
• Admission and Discharge/Transfer procedure.
• General hygiene, oral care, nutrition and hydration.
• Administration of oxygen and use of nebuliser therapy.
• Managing and preventing risk.
• Patient assessment.
Within 24 hours of admission, a patient should have had the Activities of Daily Living Assessment and a property disclaimer completed in the admission booklet.
The following risk assessments need to be completed:
• Waterlow risk assessment (within 6 hours of admission,
• Nutritional risk assessment (including weight recorded),
• Pat-e-bac assessment,
• Falls risk assessment.
Once completed, these assessments should highlight the need, if any for further intervention, for example, Airwave/Repose mattress, referral to physiotherapy, commencing a food chart, cot sides, crash mats etc. These risk assessment scores should be recorded on the daily charts for quick reference.
There will also be opportunities for students to work with other members of the multi-disciplinary team. For example: Specialist Nurses eg Substance Misuse Nurse, Occupational Therapists, Wound Team, Dietician, etc.
Some of the procedures and investigations you may be able to observe include:
• Routine blood tests
• Arterial blood gases
• CT, MRI and Ultrasound scans
• Blood sugar monitoring
• Catheter insertion
• Lumbar punctures
• Urine testing
• Wound cultures
• VQ scans
• Physiotherapy treatments
• OT washing and dressing assessments / Home Visits
• Speech and language assessments
• Dietetic screening
Preparation for Practice:
Download Induction Pack
Day shift: 07.00 - 19.30, Night shift: 19.00 - 07.30
All Wales Uniform as per policy.
24th September 2013