City Hospitals Sunderland
NHS Foundation Trust
Student ______________
Mentor ______________
Date ________________
Devised by Sister Jill Bell
Updated Feb 2010
The Chemotherapy Unit is a small friendly unit consisting of ten chairs, one bed and a private room.
We have one sister of the unit, one junior sister nurse, six specialist nurses, six staff nurses and four
auxiliary nurses. We have on average 35 patients attending our unit daily and we also staff seventeen
Oncology and Haematology clinics. We focus very much on team work with each of the specialist
nurses coordinating the care for their own caseload of patients supported by the staff nurses.
Our opening times are Monday to Friday 830am to 7pm and Saturday 830am to 230pm.
We treat patients for many different reasons including adjuvant, palliative cancers as well as
supportive therapies. We support them, their relatives, carer’s throughout their cancer journey.
We also operate a home chemotherapy service and provide some treatments at an outreach
chemotherapy unit in Washington.
Our aim for you is not only to enjoy your time in the unit, but also to help you achieve your learning
outcomes. You will be allocated a mentor whom you will work with during this placement as well as
working alongside other members of the nursing team.
This pack is designed to give you a general overview of the unit and the MDT in which we work.
During your placement please feel free at any time to ask any questions or discuss any concerns you
may have.
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The Chemotherapy and Haematology Day unit comes under the directorate of General Internal
Medicine.
Matron – Jan Barclay
Business Manager – Jackie Burlison
Clinical Oncology Consultants -
Dr I Pedley (Colorectal, Urology, Prostate)
Dr Azzabi (Colorectal, Urology, Protstate)
Dr K Sumpter (Colorectal/upper GI)
Dr K Wright (Colorectal, Breast)
Dr Chatterjee (Breast)
Medical Oncology Consultants -
Dr A Hughes (Lung & Gynaecological)
Haematology Consultants
Dr S Marshall
Dr V Hervey
Dr M Galloway
Dr Y Upadhye
Dr S Lyons
Dr A Nicoll
-
Nurse Consultant -Melanie Robertson
CHDU Sister – Jill Bell
CHDU Senior Staff Nurse – Louise Davison
Haematology Research Nurse- Paula Newton
Haematology Specialist nurses- Anita Carr, Faye Laverick
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Specialist Nurses
Breast Cancer – Caroline Misell
- Michelle Derbyshire
Lung Cancer - Sue Pollock
- Joanne Anderson
Urology Cancer – Hayley Laws
- Nicola Elves
Colorectal Cancer – Marilyn Boyd
- Susan Franklin
- Rosemary Jobling
Research Trials Officer – temporary cover by STDGH CTO
Dietitian – on rotation
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The philosophy of care is a statement of professional service
offered to patients, and their families/carers, and hence forms the
basis for partnership in care.
Within General Internal Medicine we aim to provide individualised
care in a dignified and confidential manner identifying physical,
social and psychological needs of patients and their
families/carers. Your right to privacy will be respected and every
effort will be made to maintain this.
We will do this by working in a safe and secure environment where
care needs are assessed, planned and implemented in partnership
with all concerned – whilst at the same time respecting your rights
as an individual, acknowledging individual beliefs and values, and
supporting individual choices made.
Patients will be cared for by a skilled team of professional staff,
who are competent in their roles, are approachable, and able to
provide you with information, support and advice.
By using evidence based practice we aim to offer the highest
standard of care in an environment that is conducive to learning
where we support learners to acquire the necessary skills and
competencies to carry out high quality patient care.
Teaching and education for staff, patients and carers is an integral
part of care delivery in all clinical areas in General Internal
Medicine. Our aim is to help patients attain, maintain and restore
health via problem solving, goal/objective setting, leadership and
decision making.
Discharge planning will commence on admission where
appropriate, ongoing care and support arranged for patients
requiring terminal care, and all care will be co-ordinated and
facilitated by the patients Named Nurse.
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We value and welcome your views and comments, which helps us
to monitor your satisfaction with the service that we provide.
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DATE
MENTOR sign
STUDENT sign
Initial Interview between Mentor &
Student
/
Learning
Needs
Assessment
Discussion re Confidentiality,
answering phone, dealing with
difficult circumstances, breaking
bad news
Introduction to staff, Induction of
Unit, Clinics, E55 and Secretaries
office
Explain Procedure for Cardiac
Arrest
Explain Procedure in the event of a
fire
Location of Emergency Equipment
Identify Hospital / Unit Policy
Files & Discuss
Discuss Complaints Policy
Explain Student Responsibilities re
university policies
Explain Unit day to day routine
Location of Educational Link File
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HAEMATOLOGY OUTPATIENT CLINICS
ONCOLOGY OUTPATIENT CLINICS
SPECIALISTS NURSES
TRIALS/RESEARCH NURSES
HOME CHEMOTHERAPY SERVICE
DIETITIAN
E55 (HAEMATOLOGY WARD)
COMMUNICATION/BREAKING
CIRCUMSTANCES)
BAD
NEWS
(DEALING
WITH
EMOTIONAL/DIFFICULT
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Anatomy & Physiology
Practical Nursing Skills/Patient Care
Communication Skills / Breaking Bad News
Adjuvant/Palliative Care
Health Education & Promotion
Management/Organisational Skills
Diagnosing tools
Infection Control
Self Development
Quality Issues
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LEARNING
OPPORTUNITY
Normal Anatomy
Physiology
&
Cell Cycle (Normal &
Abnormal)
Oncology
–
Epidemiology,
Aetiology, Pathology,
Treatment.
Cancer types
Haematology – RBC,
WCC,
Platelets,
Anaemia,
Myeloma,
AML, CLL, NHL,
Hodgkin’s
disease.
Treatment. Neutropenia
Respiratory
Investigations,
Treatment
Cardiovascular – ECG,
Hypertension, Angina,
MI, Cardiac Arrest
Liver/ Biliary system –
Normal/Abnormal
blood results, jaundice,
clotting, alcoholic liver
disease,
cirrhosis,
failure
Renal/Urinary system –
failure, UTI’s, Fluid
Monitoring
Nervous System –
Epilepsy, CVA
Endocrine System –
Diabetes,
Thyroid,
Pituitary, Pancreatitis
Tissues,
Bones
&
Joints- Arthritis
GI System – N & V,
Diarrhoea,
Constipation,
Dysphasia, Bleeding
RELEVANT
SOURCES
Nurses,
Doctors,
books,
leaflets,
internet, x-rays
Nurses,
Doctors,
books,
leaflets,
internet, lab staff
Nurses,
Oncologists,
Doctors,
books,
leaflets,
internet,
Specialist
Nurses,
hospice
Nurses,
Haematologists,
Doctors,
books,
leaflets, internet
MENTOR
date)
(sign
&
STUDENT
date)
(sign
&
Nurses, Doctors, Nurse
Specialists,
Physiotherapists, books
leaflets, internet, E54
staff
Nurses, Doctors, CCU,
ECG
department,
books, leaflets, internet
Nurses, Doctors, Nurse
specialists,
books,
leaflets, internet
Nurses, Doctors, Renal
Unit, books, leaflets,
internet
Nurses, Doctors, stroke
unit, books, leaflets,
internet
Nurses,
Doctors,
Dietitian,
books,
leaflets, internet
Nurses,
Doctors,
books, leaflets, internet
Nurses,
Doctors,
Specialist
Nurses,
dietitian,
books,
leaflets, internet
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Recording Physiological
Observations – Temp,
BP,
Pulse,
Oxygen
Saturation,
Weight,
Height, BSA, Fluid
Monitoring,
Blood
glucose, Urinalysis
Aseptic Technique –
Hickman
line
care,
dressings, suture removal
Venepuncture
&
Cannulation
Administration of IV
fluids and blood/blood
products
Nutritional Assessment
Moving & Handling
Assessment
Risk
Assessment/Management
Mouth/ Skin care
Setting up/ Checking
Equipment – BMB,
HML insertion, Crash
trolley, HML care
Documentation
Nurses, Doctors, books
Nurses, books
Nurses, books
Nurses, Doctors, Blood
transfusion, books
Nurses,
Doctors,
Dietitian, books
Nurses, Moving &
Handling Facilitator
Nurses, Doctors, Risk
Management
Team,
MSW, OT, Physio
Nurses,
Doctors,
books, leaflets, internet
Nurses, Doctors
Nurses, Doctors, books
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Telephone Skills –
answering,
making
calls, ring back facility,
bleep system
Emergency System –
Cardiac Arrest, Fire,
Security
Interacting
with
patients,
relatives/carers, nurses,
doctors
and
all
members of the multidisciplinary team
Liasing with transport
system
ADL – New Patient
Assessment. Dealing
with
difficult
situations, emotional
issues,
distressed
patients/relatives
Computer
SkillsPatient
Investigation
results,
Patient
Information, Internet,
Email access
LEARNING
OPPORTUNITIES
Disease
Staging
Process
ie
TNM
Staging
Adjuvant Treatment
Palliative Treatment
Nursing staff
Nursing staff
Nurses,
doctors,
patients,
relatives/carers, multidisciplinary
team
members
Nursing
Ambulance
Ward clerk
Nursing staff
staff,
control,
Nurses, IT staff
RELEVANT
SOURCES
Nursing staff, doctors,
books, leaflets, internet
MENTOR (sign)
STUDENT (sign)
Nurses, Doctors, books
leaflets, internet
Nurses,
Doctors,
books, leaflets, internet
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LEARNING
OPPORTUNITES
Healthy
Lifestyle
Promotion – Smoking,
Alcoholic
Liver
Disease,
Cancer
Awareness,
Obesity,
Diabetes,
Heart
Disease,
Healthy
Eating,
Health
Education,
Drug
Abuse, Exercise
Counselling
Interface
between
Hospital & Community
LEARNING
OPPORTUNITIES
Managing a team –
Organisational skills,
Assessment
skills,
Delegation
skills,
Prioritising,
Time
Management,
Managing workload,
Implementing change
Resource Management
– stock control, non
stock, budget, drugs,
materials management
RELEVANT
SOURCES
Nurses,
Doctors,
Smoking
Cessation
advisors, Drug/Alcohol
Counsellors,
Well
Person
Clinic,
Dietician,
Specialist
Nurses, Cardiac Rehab
Nurses, Stroke team,
OT, books, leaflets,
internet
Counsellors,
Macmillan
Nurses,
Psychologists
Nurses,
Health
Promotion unit, District
Nurses
MENTOR (sign)
STUDENT (sign)
RELEVANT
SOURCES
Nurses
MENTOR (sign)
STUDENT (sign)
Nurses
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LEARNING
OPPORTUNITES
Diagnosing tools – CT
scans, X-Rays, USS,
BMB.
Having
knowledge of how they
work and how to read
them
RELEVANT
SOURCES
Nurses, Doctors, XRay department, CT
department,
books,
leaflets, internet
MENTOR (sign)
STUDENT (sign)
LEARNING
OPPORTUNITIES
Clinical Supervision
Reflective Practise
Limitations
Self Awareness
RELEVANT
SOURCES
Nurses, student, books
Nurses, student, books
Nurses, student, books
Student
MENTOR (sign)
STUDENT (sign)
LEARNING
OPPORTUNITIES
Policies/Procedures
Standards of Practise
Clinical Audits
Changing Practises
RELEVANT
SOURCES
Nurses, Policy files
Nurses
Nurses
Nurses,
Practise
Development Nurses
Nurses,
Research
Nurses
MENTOR (sign)
STUDENT (sign)
Research
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TERMINOLOGY-
CHEMOTHERAPY- Is the use of anti-cancer (cytotoxic) drugs to destroy cancer cells. The word
‘chemotherapy’ simply means drug treatment and is taken from the words ‘chemical’ and ‘therapy’.
CLINICAL ONCOLOGIST – A Doctor specialising in cancer, treating patients with both
chemotherapy and radiotherapy.
HAEMATOLOGIST- A Doctor specialising in disorders of the blood.
MEDICAL ONCOLOGIST – A Doctor specialising in cancer and chemotherapy.
NEUTROPENIC SEPSIS – Is when a patients neutrophil count is less than 1, with a fever of above 38
C and/or rigors or unexplained hypotension. It is an emergency and should be treated immediately
with antibiotics.
NEUTROPHILS – It is part of the white cell count, which fights infection and accounts for 60-70% of
them. They greatly increase in response to bacterial infection.
ABBREVIATIONS
BP – Blood pressure
BM – Blood sugar Monitoring
BBN – Breaking Bad News
BT – Blood Transfusion
DXT - Radiotherapy
EWS – Early Warning Score
FBC – Full Blood Count
HB - Haemoglobin
IM – Intra-muscular
IV – Intravenous
IVT – Intravenous therapy
PLT – Platelets
QTA – Quick Turn Around
RESPS - Respirations
SATS – Oxygen Saturation
S/C - Subcutaneous
TEMP – Temperature
WCC- White Cell Count
WT – Weight
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ALL – Acute Lymphocytic Leukaemia
AML – Acute Myeloid Leukaemia
CA - Cancer
CLL – Chronic Lymphocytic Leukaemia
CML – Chronic Myeloid Leukaemia
HD – Hodgkins Disease
LG – Low Grade
METS - Metastases
MDS – Myelodysplastic Syndrome
MPD – Myeloproliferative Disease
NHL – Non-Hodgkins Lymphoma
A&E – Accident & Emergency
CCU – Coronory Care Unit
CDU – Clinical Decisions Unit
CHDU – Chemotherapy and haematology day Unit
ICCU – Integrated Critical Care Unit
OPD – Outpatient Department
D/N – District Nurse
MSW – Medical Social Worker
OT – Occupational Therapist
SALT – Speech And Language Therapy
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Were you orientated to the unit?
Did you feel supported by the Nursing Team? (Please explain)
Did you feel supported in developing your portfolio? (Please explain)
Is there anything about the unit you feel we could improve on?
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