Transcript Nursing in England

Nursing in England
Emily Stone
The National Health Service
The NHS was founded in 1948, by the labour government.
It was the first time hospitals, doctors, nurses, pharmacists,
opticians and dentists were all under the same roof.
The aim was that the health service will be available to all and
financed entirely from taxation, which means that people pay
into it according to their means.
The NHS has a set price for all prescriptions, or you can buy a
card which will pay for 3 months medicines all at once. The fee
per prescription is £7.85 per medicine. There are exemptions to
this too.
In the early 90s dentists left the NHS, however there are still NHS
dentists which have their salary supplemented by the NHS and
the most a patient will pay is £189 for a treatment.
Uniform
Tunic
White (Student)
Blue (Nurse)
Blue Trousers
Hair Tied Up
Black Shoes
Nursing Notes
Care Prescriptions
“National Early Warning Scores”
Stool Chart
Falls Diary
Drug Chart
Skin Assessment
Nursing Day (12.5 hours)
Handover
Check the Patients
Write the care prescription
Medication Round
Observations
“Board Meeting”
Lunch
Medications
IV Medications
Observations
Discharge Planning
Dinner
Medications
Observations
Handover
Home
Care Prescription
Medications
Check
Patient
Date
Time
Route
Drug
Observations
Respiratory Rate
Pulse Oximetry
Temperature
Blood Pressure
Heart Rate
Level of Consciousness
Pain
Urine Output
Board Meeting
Social Work
Physiotherapists
Occupational Therapists
Nurses
Doctors
Intravenous Medications
Nurse’s do this.
Students are not allowed.
Aseptic Technique.
Must be checked by a
second nurse.
Ward Layout
Dirty
Utility
Bay Two
Side
Room
WC
Side
Room
WC
Bay One
Nurse’s
Station
Bay Three
WC
WC
Staff
Room
University
Buildings
Lectures.
Library.
Years.
Topics.
How theory and
practice is split.
School of Health Buildings
We have 3
Buildings.
Kelmarsh
Yelvertoft
Brampton
Library
We can take out a
large number of
books.
One week loans and
three week loans.
Online catalogue of
journals.
Online catalogue of
books.
Lectures
10am-1pm
Lunch
2pm-4pm
1 day per module.
1 day a week when
in Practice.
4 days a week
when in University.
Lecture theatres.
Years
3 Years
2nd Year – Research
Methods, Primary
1st Year –
Healthcare, Anatomy,
Communication,
Caring for Older People,
Basic Anatomy,
Health Promotion, Palliative Care.
Interpersonal
3rd Year – Acute Care,
Skills.
Critical Care, Advanced
Pathology, Preparing for
Professional Practice.
Theory/Practice Weeks
Year 1 – 25 weeks
Practice, 9 weeks
of University, 4
weeks of Clinical
Skills, 4 weeks
Reading.
Year 2 – 32 weeks
Practice, 12 weeks
University, 1 week
Reading
Year 3 – 27 weeks
Practice, 10 weeks
Elective Practice,
10 weeks
University.
Qualifying
We can go into
practice nursing
straight away.
Certain professions
need experience or
additional
qualifications.
We are assisted by
the university with
a specific module
in year three which
helps to prepare us
for practice on our
own and with
applying for jobs.
The Nursing and Midwifery
Council
These are the people
that give us our
license to practice.
We register yearly and
pay a fee to practice
as nurses.
We have to follow the
code of conduct they
set us.
The code of conduct
has 15 parts.
Treat people as individuals.
Respect people's confidentiality.
Collaborate with those in your care.
Ensure you gain informed consent.
Maintain professional boundaries.
Share information with your colleagues.
Work effectively as part of a team.
Delegate effectively.
Manage risk.
Keep skills and knowledge up to date.
Keep clear and accurate records.
Act with integrity.
Deal with problems.
Be impartial.
Uphold the reputation of your profession.
United Kingdom
4 Different
Countries in United
Kingdom.
England
Northern Ireland
Scotland
Wales
English Families
17,100,000 families in the UK.
40% of families have 2 cars.
71% of families have married parents.
1.8 children per family.
52% of families own a pet.
79% have mobile phones.
79% own their houses.
65% have a computer
Money
Nurse's in the UK earn
between £21,388 and
£27,901 a year.
Nurse's pay 20% of their
wage to the government =
£2,498-£11,300.
Helping Others £11.07
Culture £0.48
Education £1.98
Running the Country/Social
Systems £1.83
Of £11,300 daily taxes are
used for;
Order and Safety £1.01
Running Government £4.19
The Environment £0.31.
Defence £2.18
Health £7.55
Streets £0.36
Money Continued
Rent 2 bedroom
apartment
(Northampton) =
£598 per month.
Utilities = £135 per
month.
Food = £140 per
month.
Internet = £40 per
month.
Nursing Students
have course costs
paid by
government.
Nursing students are
given a “bursary” to
use have when on
the course
(Average £540 per
month).
Food and Drink
Fish and Chips!
What I eat and drink on a normal day.
Breakfast
Scrambled Eggs on Toast
Cup of tea
Lunch
Sandwiches, Crisps
Dinner
Chicken, Potatoes (Mashed or Roasted)
and Vegetables
Real Ale
Tea
Royal Family
Weather
Rain – we get
700mm of rain a
year – the same as
you!
Snow – 33 days of a
year – you have 13
days of snow a year.
Fog – 39 days of fog
per year – you have
91 days of fog.
Temperature
Lowest – UK -2ºC
Lowest – Bucharest 5ºC
Highest – UK 22ºC
Highest - Bucharest
28ºC
Seaside
When in the UK you
are never more than
60 miles away from
the nearest beach.
It is colder on the
coast from the wind.
Activities include;
swimming, rock
pooling, sunbathing,
beach ball/volley ball,
building sandcastles.
London
12.5% of UK lives in
London.
Biggest City in Britain
and Europe.
Tallest Building is
Canary Wharf.
We have the “Tube”.
Royal Family lives
there.
Red London Buses.
British Stereotypes
Queuing – I was always
Tea – I love it, but
taught as a child that
like everything
we wait our turn and
some people in
give people room to
Britain do not. We
finish what they are
do not have
doing.
afternoon tea every Sense of Humour – as
day or eat
a population we are
cucumber
very sarcastic and
cynical (nothing is
sandwiches with
ever good enough for
our tea.
us).
Hospital Differences
Lack of gloves, masks, aprons.
The hospital ran out of pain relief.
No curtains.
Some students did not know that
a patient could sue for
malpractice.
Nurses do not participate in
personal care.
Cut, fold and prepare gauze.
Toilet roll is not provided.
Doctors do a lot of dressing
changes and you have special
nurse's for dressing changes.
Mum's can spend 3-5 days in
hospital post natal.
There is no option for a water birth.
Mum's of premature babies stay in
hospital too.
There is not hand sanitiser at the
bottom of every bed.
Emergency departments are very
similar – but I have never seen
sucker electrodes.
X-rays are developed onto film –
ours go onto a computer.
Medication is dispensed by
pharmacy on a daily basis –
we keep a “ward stock”.
Best Difference
None of this matters!
Patients still feel well cared for.
Nurse's are respected and
appreciated.
People like you see what a good
job they do and choose to join the
profession!
Questions?
THANK YOU
MULTUMESC !