Transcript Woodbank Ward - cppsu.dundee.ac.uk

Ravenscraig 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 & Levenmouth
sectors (Kirkcaldy, Burntisland,
Cardenden, Kinghorn, Methil,
Buckhaven, Kennoway, Leven).
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. Medical,
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 patient’s treatment and
progression to discharge.
Ravenscraig 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,
Ravenscraig is a
small but vital cog!
• This diagram gives
you an idea of the
referrals made to
and from
Ravenscraig
GP
Practices
Dunnikier
Day Unit
Housing
Support
Services
CPN
Service
Social work
Dept
Ravenscraig
Ward2
&
Lomond
Gemini Team
Addiction
Services –
Drug &
Alcohol
Contact Point
Express Group
The Care Delivery System
We work with 5 consultant Psychiatrists – Dr
Reid, Dr Smith, Dr Philipson, Dr Boilson & Dr
Burgess who cover the GP practices within our
sectors. Who your GP is dictates who your
Consultant will be on Ravenscraig ward.
Michele NcLean SCN
Glen Lomax CN
The nursing team is divided into 3 care
management teams that work with all the
consultant psychiatrists.
Each team has a team leader who is the
named nurse and is responsible for ensuring
that all of the patient’s care needs are met.
This system and the development of nursing
staff is overseen by the SCN/CN
Nursing Team 1
Nursing Team 2
Nursing Team 3
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/disorders
co-exist and
influence the
other, thus often
presenting
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
• 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 Recovery Process & The Tidal Model
•
•
•
•
•
In 2004 The Scottish Recovery Network (SRN) was formed to
promote and support recovery.
‘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.’
Since 2004 ‘the interest in the concept of recovery has increased
greatly in Scotland. We now understand more about what recovery
means to people and are thinking carefully about the implications for
the way we support people with mental health issues.’ (SRN)
The Recovery Process & The Tidal Model
• To capitalise on the need for change in the care delivery
focus, a Values Based Practice platform was developed
by NES – the 10 Essential Shared Capabilities. These
capabilities based on the Milan principles which
underpinned the Mental Health Act Scotland 2003 are
shaped to encourage open-mindedness and free
thinking and challenge the sometimes 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
•
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
understand 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!!!
•
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 –
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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 Ravenscraig we have a ‘can do
approach!’
•
The Student Nurse in Ravenscraig
Ward
As a student nurse in Ravenscraig
ward, the fundamental objective is that
you become a member of the multidisciplinary 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!
•
The Student Nurse in Ravenscraig
It will be the care teams shared
Ward
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 their learning are valued in
Ravenscraig ward and staff will endeavour
to meet not just your the learning needs,
but your overall experience.
• Ravenscraig 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 Ravenscraig
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 illnesses & 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
Ravenscraig 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
Ravenscraig, thus your learning is important, and if you get on well
here… we hope to get you back as a staff nurse someday – that’s
how it works!
Good luck!