Transcript Woodbank Ward - University of Dundee

Woodbank Ward
Learners Resource Pack
What we are
We provide an acute
admission service for the
under 65 patient group with
mental health needs for the
kirkcaldy sector (Kirkcaldy,
Burntisland, Cardenden,
Kinghorn).
Admissions to our service
tend to be emergency in
nature, but referrals can be
made by the appropriate
professionals (GP’s,
Community Nursing Teams,
Social Work Dept, Addiction
services) for those who
have mental health needs
and require inpatient care
for specific treatment.
What We Do
• We provide treatment that is based on holistic assessment and
centred on the principles of recovery.
• This treatment can be provided in a range of forms i.e. Medicinal,
Physical, Group Therapies, 1 to 1 Interactions with nursing staff.
• The care is delivered with education and empowerment a priority
focus, although the use of Mental Health Act 2003 may place
significant restrictions on a patient.
• Accompanying the treatment is the intensive co-ordination that is
necessary in addressing basic needs (housing, financial, social
inclusion, vocational etc) and future care needs. Dealing with these
needs requires a significant amount of MDT consultation, inter
agency liaison, referrals and ultimately – teamwork!
• A large part of what we do is observation and risk assessment. Both
go hand in hand in safely managing a patients treatment and
progression to discharge.
Woodbank in The Middle
• We network, utilise
& liaise with many
other organisations,
departments &
agencies.
• In the system that
responds to mental
health crisis within
our sector,
Woodbank is a
small but vital cog!
• This diagram gives
you an idea of the
referrals made to
and from Woodbank
GP
Practices
Dunnikier
Day Unit
Housing
Support
Services
CPN
Service
Social work
Dept
Woodbank
Ward2
Lomond
Rothes
Gemini Team
Addiction
Services –
Drug &
Alcohol
Contact Point
Express Group
The Care Delivery System
We work with 3 consultant Psychiatrists – Dr
Reid, Dr Smith & Dr Chadrasehker whom
equally cover the GP practices within our
sector. Who your GP is dictates who your
Consultant will be within Woodbank ward.
The nursing team is divided into 3 care
management teams – a team for Dr Reid & Dr
Smith and a joint team that absorbs the
overflow from the other teams, thus
functioning for both consultants.
Dr Chandrasehker manages the continuing
care patients for Dr Reid/Smith.
Each team has a team leader whom is the
named nurse and is responsible for ensuring
that all of the patients care needs are met.
This system and the development of nursing
staff is overseen by the SCN/CN
Peter Brockie is the wards trained
Phlebotomist.
Michele NcLean SCN
Glen Lomax CN
Dr Smith
Ricky Davies SN
Stephen Scott SN
Morag Millar SN
Anne Methven EN
Jane Redpath SN
Mary Fowler NA
Trisha Connelly NA
Maureen Baxter NA
Joint Team
Wendy Anderson SN
Peter Sinclair SN
Shona Rose SN
Alison Thomson EN
Sandra Brown SN
Heather Lockhart EN
Peter Brockie NA
Sandra Russell NA
Dr Ried
Richard Watson SN
Anna Flaws SN
Gayle Morris SN
Steven Portsmouth SN
Robert Mubvumba SN
Margaret McClymont EN
Linda Murray NA
Denise Peat NA
Michael Mackie NA
We treat people
with a wide range
of mental
illnesses and
disorders, the
majority of which
are functional,
affective,
addictive and
organic in nature.
Many of the
symptoms within
these
illnesses/disorder
s, co-exist and
influence the
other, thus often
providing
complex and
intensive
treatment needs.
What we Treat
Addictions
Alcohol & Drugs
Functional Disorders
Schizophrenia,
Paranoid Psychosis,
Puerperal Psychosis
Affective Disorders
Hypomania
Bipolar Disorder
Depression
Organic Illnesses
Alzheimer's,
Dementia,
Korsakoffs
The Recovery Process & The Tidal Model
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Rights, Relationships & Recovery (2006) was the report of the National review of
Mental Health Nursing in Scotland. The report contained the delivery action plan on
which the future of mental health nursing should be developed.
Pivotal to the action plan is the implementation of a recovery focused strategy for
care delivery. Now many of us may ask ourselves ‘haven't we be doing that all
along?’ In short, yes we have, but have we maximised the full potential for recovery,
by understanding and building on what can help people to recover. The Scottish
Recovery Network (SRN) has been formed to promote and support recovery in
response to the health review. ‘Recovery is a highly personal process – no two
people’s experience will be the same.’ ‘Raise awareness of the fact that people can
and do recover from long-term mental health problems.’ ‘Develop an understanding of
how best to promote recovery and learn more about what helps people recover and
stay well.’
Now to enable us to audit our service in terms of how well we meet expectations in
terms of Equality, Social Inclusion & Recovery and Rights, the SRN developed and
introduced the Scottish Recovery Indicator (SRI), which is now being used Fife-wide
for service development.
To capitalise on the need for change in the care delivery focus, a Values Based
Practice platform was developed by the Sainsbury Centre – the 10 Essential Shared
Capabilities. These capabilities based on the Millan principles are shaped to
encourage open-mindedness and free thinking and challenge the rigid thought
processes and ways of care delivery in existence. The capabilities are essential in
maximising recovery and developing professional practice. They are the foundations
on which practice and education will be developed for the future.
Go and check them out!
The Tidal Model
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Tidal emphasises the discovery of mental health, as its meaning varies from one
person to another. It is hoped that people will discover what mental health means for
them as unique persons.
•
Tidal helps people navigate their way to recovery.
•
The accompanying documentation currently in use is designed to encourage a
Strengths based & solution focused way of getting to know and understanding our
patients. Capitalising on who they are, what they value and what their strengths are.
It also encourages the bread and butter of our work – 1 to 1 time!!!
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Again…you may ask yourself haven't we been doing this all along…yes and no!
Do the Tidal training and you will recognise that we (nurses) may have lost our way a
little bit.
The Professional Approach
Our practice is guided by –
• Our level of professional
registration
• Our continued professional
development and post grad
qualifications.
• Trust Policies.
• The NMC Code of
Professional Conduct and
other NMC guidelines
• The Mental Health Care and
Treatment Act 2003
• Our attitude towards personal
& service development.
• In Woodbank we have a can
do approach!
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The Student Nurse in Woodbank
Ward
As a student nurse in Woodbank ward, the
fundamental objective is that you become a
member of the multi-disciplinary team!
With this in mind your willingness, participation
and teamwork skills will inevitably progress you
towards meeting all of your clinical objectives,
whilst under the watchful eye of your mentor.
You will have an identified mentor and will join
the ranks within a care team. You will be
expected to participate in all of the activities that
your care team has to offer as well as working
alongside the rest of nursing team!
It will be the care teams shared responsibility to
support you through your placement, with your
mentor supervising and managing your
placement. It is hoped that you would spend the
majority of your shifts with your mentor in
attendance.
Students and there learning are valued in
Woodbank ward and staff will endeavour to
meet not just your the learning needs, but you
overall experience.
Woodbank ward regularly liaises with the
University regarding practice placement
development and your individual needs when
necessary.
Your orientation will be measured, but
comprehensive…welcome to the team!
A new face with new ideas and enthusiasm can have a profound effect
on permanent members of staff and the ward in general.
Although you will be supernumerary, you will have a significant role
within the team in terms of you participating in those activities that enable
you to meet your educational objectives.
Its not all work…a lot of what you will do will be done by observing,
interacting and by learning with your preceptor/team members. What you
get from Woodbank ward is what you put in.
Your Learning Objectives
•To actively participate in the admission and discharge process’.
•Participation in clinical/CPA/discharge planning/care team meetings.
•To actively participate in Medication management – the requisitioning,
prescribing, administering and recording of medications in concordance
with policy.
•To develop current knowledge of medications and in particular, those
medications commonly used within our area.
•To actively participate in Group therapies & 1 to 1 therapeutic
interactions.
•To experience the process of preparing, escorting, and observing
somebody for ECT.
Learning Objectives Cont• The care planning process – how it is done, the theory behind it and
your participation.
• To actively participate in the Risk assessment/management process.
• Active participation as a member of a care management team –
involving yourself in the various organisational activities and support
strategies.
• To develop a working knowledge of The Mental Health Care and
Treatment act 2003.
• The illness’ & symptoms we treat and the complexities that can arise
during the treatment process.
• To develop experience in managing challenging behaviour.
• Participation in the various referral processes i.e. CPA, CPN
Service, DDH.
• To develop multi-disciplinary/agency networking skills.
Learning Objectives/Key Experiences – Management Placement
• Medication management - requisitioning, prescribing, administering
and recording of medications in concordance with policy.
• To gain experience in co-ordinating shifts – i.e. managing staff,
ensuring clinical needs are met and organisation needs are dealt
with.
• To give reports across all shifts under supervision.
• Where appropriate, take the lead in clinical meetings for the care
team, ensuring that care objectives are articulated & negotiated with
the MDT.
• To further develop current knowledge of medications and in
particular, those medications commonly used within our area.
• To actively participate in the area of clinical risk
assessment/management.
• Active participation as a member of a care management team –
involving yourself in the various organisational activities and support
strategies that take place.
Learning Objectives/Key Experiences – Management Placement -cont
• To further develop a working knowledge of The Mental Health Care
and Treatment act 2003.
• To take a more active role in managing challenging behaviour within
the ward.
• To further develop personal networking skills through multidisciplinary/agency liaison.
• The ‘Standing Financial Instructions’ – the imprest, income, special
cash request systems etc and how they are managed.
• The ordering of stores.
Your Development
• This resource pack has been designed to give you an introduction to
Wood bank ward and to give you relevant material to both facilitate
& supplement your learning objectives.
• The pack contains a wide range of folders that will provide both
necessary and interesting information for you personal development.
• The general idea is that you browse through the pack at your leisure
to discover what is here, and to keep coming back during the course
of your placement to draw specific information or to productively
cure boredom!
• We like to see ourselves as being very student friendly in
Woodbank, thus your learning is important, and if you get on well
here… we will endeavour to bring you back as a staff nurse – that’s
how it works!
Good luck!