STUDENT NURSE
Reviewed: November 12
NHS FIFE - LYNEBANK HOSPITAL
LEVENDALE
AIM
The induction package is designed to be used alongside the Student’s own booklet of learning
outcomes and the jointly agreed action plan for the placement.
This will ensure that all learning experiences and resources are utilised to their optimum level
providing the Student with accurate knowledge, promoting skills and enhancing professional
development appropriate to their stage of training.
It will also allow for Mentor/Associate Mentor to be clearly identified at the outset of placement,
and any specific learning needs to be discussed and suitable action taken, thus establishing a
positive learning environment for the Student, the Staff Team and effective support for the
Clients.
Throughout the list of competencies there are places for both the Student Nurse and Mentor to
sign and date. You are both signing to say you have discussed them and feel confident in
carrying out the competencies listed.
At the end of the checklist there is an opportunity for you to identify areas of need you feel you
have and develop action plans to meet these.
Name:
_______________________________________
Mentor:
_______________________________________
Care Manager:
_______________________________________
Agreed frequency of _______________________________________
meetings with Mentor
NHS FIFE - LYNEBANK HOSPITAL
ABOUT THE UNIT
Levendale is a Forensic Unit which can house 8 men. The ages of these men can be from late
teens to mid-sixties. The gentlemen have varying degrees of learning disability, therefore
require different levels of assistance.
The present client group require minimal assistance with self-help skills, however other
contributing factors such as poor social skills, cognitive ability, mental health issues, sociosexual difficulties and degrees of challenging behaviour lead to the men presenting with their
own unique needs, thus the importance for treating each man as an individual.
Levendale is classed as a low secure unit and has a locked door policy with each member of
staff carrying a pass key. Staff also carry personal alarms for their added security. This alarm
system reaches a back-up team from another ward in the hospital. The system is also tested
weekly.
Referrals are received from a variety of sources which include community nurses, families
themselves, group homes, courts, prisons and other hospitals for people with learning
disabilities.
The unit aims to provide a safe, secure and comfortable environment therefore many policies
and procedures are in place to promote this.
A highly motivated nursing team strives to provide a high quality service and continuity of care,
this is provided using a Named Nurse system. This then means that care is planned and
delivered on an individualised basis.
The nursing team works as part of a multidisciplinary team who meet weekly to plan and
evaluate care and the management of the unit.
NHS FIFE - LYNEBANK HOSPITAL
Levendale is an 8 bedded unit. It is referred to and known as a forensic unit due to the fact that
all who reside here have been involved in criminal activities and have come in contact with the
Police/Courts and legal system as a result. Sources of admission include courts, prison and
Scotland’s State Hospital.
The aim of the staff team is to provide quality care and achieve optimum results within the
available resources. This is a difficult job, but despite limitation, most learners enjoy their
placement here and there is no doubt it is a valuable learning experience.
Whilst this building is treated as a secure area, relationships in the ward are maintained on an
informal basis to help promote a more “homely” ethos, albeit within a “custodial” environment.
Staff new to this setting area are encouraged to “check out” any information/requests which
residents present. Some of the men are prone to making “self fulfilling prophecies” and can
mislead. No matter how trivial an issue may seem, students are encouraged to seek guidance
from experienced staff.
In order to provide individualised care and support for the resident and to facilitate effective
communication, a key worker system is implemented in the ward.
1.
Residents admitted to the ward should be allocated a Named Nurse and Associate Nurse
within 24 hours. Caseloads and individual skills of each nurse should be considered.
2.
The Named Nurse will be responsible for assessment of the resident. Input may be given
by other care staff. The initial care plan formulation and subsequent updates is the
responsibility of the Named Nurse. The initial assessment should be completed after a
72 hour period.
3.
The care plan will be formulated by:
(a)
(b)
(c)
(d)
(e)
4.
Interviewing the resident.
Interviewing relatives.
Observations made by others, e.g. care staff, medical staff, Day Services staff,
Art Therapist, etc.
Discussing the resident’s own views and goals.
Reading existing information available on resident.
Where possible, the resident should remain in the care of the allocated key staff. This
will encourage:
(a)
(b)
(c)
(d)
Nurse/resident therapeutic relationships to develop.
Continuity of care from crisis to resolution.
Increased staff/resident involvement and communication.
Continuity for relatives.
NHS FIFE - LYNEBANK HOSPITAL
Levendale provides home for 8 men. These men are regarded as “low dependency” in terms of
their self help skills and general cognitive abilities. They do, however, present with their own
distinctive needs in areas including mental health problems, socio-sexual difficulties and various
forms of challenging behaviour. At present all of the residents are detained under the Mental
Health (Care & Treatment)(Scotland) Act 2003.
The main learning opportunities available to students are as follows:
1.
Challenging Behaviour
As stated, a number of residents are placed in this ward as a result of behaviour described
as “challenging”. It is important to stress that not all residents could be described thus.
The learner will be advised accordingly regarding those residents who present such
difficulties. He/she will also be given appropriate instruction on how to approach such
residents.
NB: It must be stressed that inexperienced staff are never left to deal with difficult
residents. These situations will always be handled by experienced staff. Also, whilst it
would be wrong to understate the seriousness of these incidents, it is equally valid not to
exaggerate either the frequency or severity of such episodes. Although the nursing staff
deal with each situation first hand, all residents are of course discussed at weekly
multidisciplinary team meetings.
2.
Mental Health Issues / Mental Illness
Although the men in this ward are ostensibly defined as having a learning difficulty, a
proportion also experience other problems with super-imposed mental illness. This is an
area where learners will be able to maximise their learning experience, as distinct from
most other wards in the hospital. The learner can also gain insight/knowledge regarding
MENTAL HEALTH (CARE & TREATMENT)(SCOTLAND)ACT 2003 and its
implications.
3.
Socio-Sexual
A large percentage of the men in this ward have experienced problems in the past which
are partially or fully responsible for their admission to this ward. The usual admission
will have been processed via the judicial system.
4.
Communication
The residents in Levendale are very able in terms of verbal communication. This
enhances the learner’s opportunity to develop his/her interpersonal/interactive skills.
Paradoxically, it also creates numerous dilemmas when staff are confronted by variety of
requests/demands. We also use symbols wherever possible in communicating with the
residents.
5.
Advocacy/People First
The Advocacy Project has close involvement with a few of the residents in Levendale.
Learners can gain valuable insight into the Advocacy Service in the Dunfermline area.
People First are another advocacy organisation involved with the residents.
NHS FIFE - LYNEBANK HOSPITAL
6.
Joint Working
We work jointly with various other agencies, both internal and external.
7.
Admission / Discharge Process
A large percentage of our current residents are preparing for discharge and you will be
expected to participate in this process under the guidance of Senior Staff on the unit.
NHS FIFE - LYNEBANK HOSPITAL
MENTORSHIP PROGRAMME
MENTOR
AIM
The mentor will act as a facilitator in the promotion of learning, by creating a partnership with
an allocated student.
OBJECTIVES
1.
The mentor will demonstrate an interest in the mentorship programme.
2.
The mentor will demonstrate an ability to communicate effectively with the student,
patients, relatives and the multidisciplinary team.
3.
The mentor will possess an up-to-date knowledge of nursing practice and management
appropriate to his/her designated clinical area.
4.
The mentor will assess the practical and theoretical learning needs of the student.
5.
The mentor will correlate theory with practice at the student’s level of training.
6.
The mentor will assist the student in setting realistic goals for the development of
attitudes, skills and knowledge identified in the learning outcomes. Learning contract.
7.
The mentor will recognise learning opportunities and be able to select appropriate
teaching methods to maximise the student’s learning.
8.
The mentor agrees with the student a plan for the achievement of goals and clinical
objectives within the first week of placement.
9.
The mentor will monitor and discuss with the student his/her progress in achieving the
student’s goals and learning outcomes.
10.
The mentor will, within the framework of the ward guidelines, be responsible for the
total care of allocated patients.
11.
The mentor will involve the student in decision making on delivery of patient care and
from such discussions, assess the student’s progress, competency and objectivity.
12.
The mentor will invite student’s suggestions, ideas and comments on the delivery of
patient care.
13.
The mentor will ensure that time is available for formal and informal counselling of the
student.
14.
The mentor will if he/she deems it necessary delegate teaching sessions and/or clinical
assessment of his/her student to other suitable qualified members of staff.
NHS Fife - Lynebank Hospital
Date
Subject
Orientation to ward environment:
 Layout of hospital
 Visit other departments
 Layout of unit
 Fire procedures
 Fire role/location of Fire Points/exits
 Locked doors - pass key
 Special considerations for ward
environment
Orientation to Duty Room:
 Resident medical / nursing notes
 Main diary
 Off duty request diary
 Daily management folder
 Filing system
 Phone - Emergency numbers - location in
unit - Bleep system
Ward Philosophy, aims and objectives.
Demonstrate understanding of and adhere to.
Introduction to staff and residents and
multidisciplinary team.
History and care management:
 Ongoing
 Introduction
Staff establishment and dress code.
Duty Bleep Holder - role and locating.
Ward management:
 Style
 Use of Management Folder
Communication
 Handover reports
 Day/night reports
 Communication book
 Monthly resident meetings
 Weekly resident/named nurse meetings
 Staff meetings
 Multidisciplinary meetings
Signature of
Student
Signature of
Mentor/or
Other
NHS Fife - Lynebank Hospital
Date
Subject
Communication (continued)
 Memo folder
 Notifying relative sheet
 Incoming calls
 Regular updates to family
Location of learning resources, ward and
hospital.
Clinical Supervision: Understand  What it is
 Importance of
Identification of own learning needs in
consultation with your Mentor.
Finance
Demonstrate understanding of:
 Capax / Incapax
 Imprest System
 Special requests
Accident / Incident / near miss reporting
procedure.
Demonstrate understanding of and adhere to
procedures.
Health Needs Assessment
Demonstrate knowledge and understanding
with regard to this.
Discharge Planning
Demonstrate understanding of the procedure
associated with discharge.
Demonstrate an awareness of community
services.
Risk Assessment
Demonstrate an understanding of the process.
Demonstrate understanding of the need for
special dietary requirements.
Medication:
 Code of Practice
 Preparation, administration, recording and
completion.
 Ordering
 Drug Error Policy
 Pass Prescriptions
Signature of
Student
Signature of
Mentor/or
Other
NHS Fife - Lynebank Hospital
Date
Subject
Medication (continued)
 Other policies e.g.
Anaphylaxis
Immunisations
Flu vaccinations at Lynebank etc.
 Knowledge of commonly used
medications
Demonstrate knowledge and understanding
of all of the above.
Demonstrate knowledge and understanding
of the role of the Staff Nurse in this area.
Recognise and understand the role of other
disciplines/agencies e.g.:
 Dentist
 Podiatrist
 Day Services
 Catering Services/Facilities Department
 Finance
 Medical Staff
 Speech and Language Therapy
 Physiotherapist
 Practice Development Nurse
 Line Manager
 Dietician
Compliments, Suggestions and Complaints
Knowledge and understanding of Trust
Policies.
Sickness, Absence Reporting.
Show knowledge and understanding of
procedure and adhere to.
Specialist Knowledge.
Show an understanding of level of
knowledge required for this client group.
Signature of
Student
Signature of
Mentor/or
Other
NHS Fife - Lynebank Hospital
Date
Subject
Groups
 Learning Disabilities Professional Nurse
Forum.
 Infection Control Link Nurses
 Clinical Practice Meetings
Demonstrate an awareness and understanding
of the importance of these groups.
Special considerations for environment:
 Door checks
 Supervision / observation of residents /
general observation guidelines
 Wipe-clean board at entrance - use of
 Access to each others’ bedrooms
 Access to smoke room / duty room /
kitchen / utility room
 Access to patio / garden area
 Property list / access to storage
 Use of personal safety alarms /
documentation / testing
 Unit guidelines - copy of
 AA1 Form - Suspected abuse of service
users / Policy awareness / location of form
Protocols for Levendale:
 Read and sign
 Demonstrate knowledge / understanding
of Protocols
Working with families:
 Introduction to families
 Effective communication
 Resident confidentiality
 Regular updates
 Case reviews
 Escort guidelines
 Empathy / understanding
Recognise the importance of the above and
enhance skills in this area.
Signature of
Student
Signature of
Mentor/or
Other
NHS Fife - Lynebank Hospital
Date
Subject
Use of kitchen:
 Elementary Food Hygiene course
 Basic Hygiene
 Use of protective clothing
 Code of Practice / Food / Hygiene
 Fridge,
freezer
daily
temperature
recordings
 Food temperatures / recordings
 Food storage / labels / dates
 Stock rotation
 Designated areas for eating/drinking
YB/SW/28/11/12
Signature of
Student
Signature of
Mentor/or
Other