Pre-Placement Information

Transcription

1 Pre-Placement Information Midlands Regional Hospital, Tullamore Address Contact Person Where to Check In Arden Rd, Tullamore, Co. Offaly Claire Donnelly, Physiotherapy Manager Colette Finnegan, Clinical Tutor Physiotherapy Reception Rehabilitation Unit Preferred Contact Method Phone Physiotherapy Department: Fax How to Get Here Car Bus Luas/Dart Working Hours Breaks Uniform Policy Standard - white tunic, navy trousers. Appropriate black shoes Accommodation Accommodation is available in a B&B, Tudor House located 5 minutes walk from the hospital on Arden Road, Monday to Thursday night except bank holidays. Placement on Monday morning starts at to facilitate travelling down from Dublin by train Monday morning. Each student will be accommodated in their own room. Towels are provided, tea and coffee making facilities available. Contact: Marie Donegan (Proprietor) or for directions and to confirm your arrival on Monday evening. Please ensure that you have a 10 Euro deposit on the first day of placement for a security/swipe card which is required to gain access to all areas in the hospital and the car park. This is fully refundable on return of the card at the end of placement. **Tullamore Hospital is a Smoke Free Campus**

2 Student Facilities Access to Staff Room Yes Canteen Changing Facilities Yes. A locker will be available in the physiotherapy department Car/Bicycle Parking Bike racks available. Staff car park accessible with swipe. Park in public car park on first day. Library HOSPITAL LIBRARY Monday Tuesday Wednesday-Friday (open through lunch) Study Areas Internet On-site Reading Resources PUBLIC LIBRARY Monday: Closed Tuesday , Wednesday Thursday , Friday: In library The internet is available in the department but certain websites (hotmail, gmail etc) are blocked. Please ask your Practice Educator. The library has full internet access. There is free wifi for staff and patients. There is poor phone coverage for all networks bar O2 in the hospital. Yes

3 Clinical Information It is suggested that students familiarise themselves with the following pathologies, assessment procedures and treatment options prior to the beginning of placement. Students are expected to utilise the physiotherapy facilities available in preparation for all placements. Specialty Area Conditions Seen Assessment Procedures Used Treatment Options MDT Opportunities Outcome Measures Useful References (3 max) ORTHOPAEDICS THR, including min invasive procedure TKR ACL repair LBP (in-patient) Range of lower limb fractures Day surgery arthroscopies, shoulder MUAs. Post shoulder surgery External fixation procedures Discectomy and Spinal fusion Hemiarthroplasties Spinal (Cx, Tx, Lx) & peripheral joint assessment Goniometry Exercise prescription Appliance/brace application spine, hip, knee Gait re-education Mobility aids TENS, IF, US, cryo- & thermotherapy Electrical neuromuscular stimulation Multidisciplinary team work McRae R: Practical Fracture Treatment (Churchill Livingstone 1994) Hunt D: Minimal Access Orthopaedics (Radcliffe Medical 1995) Donatelli: Orthopaedic Physical Therapy Evans P (1980) The healing process at cellular level a review. Physiotherapy 66:8 (1980) McKibbin BC (1978) The biology of fracture healing in long bones. Journal of Bone & Joint Surgery 60-B(2): McRae R: Practical Fracture Treatment (Churchill Livingstone 1994) Tidswell ME: Orthopaedic Physiotherapy ( Mosby 1998)

4 Useful Additional Information Revise: Peripheral joint examination especially hip and knee Early post-surgical management of THR and TKR Awareness of treatment precautions OA and RA pathology and X-Ray changes Healing process and fracture repair Management of spinal and peripheral fractures Other: Attendance at: theatre, ward rounds, case conferences Attendance at/participation in joint school Attendance at/participation in in-service education sessions Attendance at/participation in journal club Goal setting at start, formal feedback at mid- & end placement Monitoring of documentation and record keeping STUDENT RECOMMENDATIONS Be sure to bring down own orthopaedic books, choice is limited in department. They have Apley s Ortho Be aware of different protocols for different surgeons. Very important for treating patients. Specialty Area Conditions Seen Assessment Procedures Used Treatment Options RESPIRATORY Asthma, COPD, Pneumonia, LRTI, Bronchiectasis, Type II respiratory conditions Post Surgery Respiratory Conditions Post fracture ribs/sternum ICU ventilated pts. CF, Pneumonia Cardiac Rehabilitation Phases I, II & III. Pulmonary Rehabilitation Respiratory assessment & treatment ICU general wards X Ray reading ABG PFT interpretations Patient Handling and Education Percussion/Vibs ACBT, FET, IPPB Pulmonary exercise Testing Development and Progression of Exercise Programmes Positioning Bagging (MHI) and Suctioning O2 and other Medication Nebulisers and Ventilators (depending on patients)

5 MDT Opportunities Outcome Measures Useful References (3 max) Useful Additional Information Hough A: Physiotherapy in Respiratory Care an evidence based approach to respiratory and cardiac conditions (Nelson Thornes 2001) Pryor J & Webber B: Physiotherapy for respiratory and cardiac problems (Churchill Livingstone 1998) GOLD guidelines This placement may be shared as a Resp/COE or Resp/Cardiac Rehab. It is suggested that students familiarize themselves with the following skills / techniques prior to beginning the placement Respiratory subjective history taking Respiratory objective examination Peak flow Chest x-ray reading Auscultation Blood Gases Exercise Tolerance, Breathing Patterns Vital signs and normal values Outcome measures ie Borg, Berg, EMS etc A good knowledge of the physiology, signs, symptoms and management of COPD is essential. Students will be involved in all phases of cardiac rehabilitation. Background reading includes information relating to all phases of rehabilitation and common cardiac investigations and procedures. STUDENT RECOMMENDATIONS Pre-placement information important to read up on.