Pre-Placement Information

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1 Pre-Placement Regional Hospital Mullingar The Midland Regional Hospital Mullingar is an acute general and maternity hospital. It provides a wide range of acute hospital services on an inpatient, day case and outpatient basis. The Physiotherapy Department comprises approx. 15 physios. The most common placement is in the area of respiratory but outpatients (in Mullingar or St Josephs Care Centre Longford) may also be available. Address Contact Person Where to Check In Midland Regional Hospital, Longford Road, Mullingar. Kate Plunkett, Practice Tutor Outpatient Reception of Physiotherapy Dept The Physiotherapy Department is located on the ground floor of the hospital; walk straight in past the main reception, turn right at the end of the corridor before the lifts. The department is halfway down this corridor on your right. Preferred Contact Method Phone Practice Tutor: Hospital Reception: Physiotherapy Dept: /7 kate.plunkett@hse.ie How to Get Here Car Bus Luas/Dart The hospital is located just off the N4 outside Mullingar Bus - There is a bus stop beside the hospital Trains - Dublin to Sligo line. Timetables may change every few months Station is 15 minutes walk from the hospital Working Hours Monday: 11:30-5 Tuesday to Thursday: 9-5 Friday: 9-4 (34 hours total) Breaks Break: 11:00 11:30 Lunch: 13:00-13:30 Uniform Policy As per student uniform policy (Practice Education Handbook) Accommodation Railway House B&B, Dominick St, Mullingar This B&B accommodates medical students also, so it would need to be booked in advance. It is 10 minutes walk from the hospital, located very near to the train station. The Discipline of Physiotherapy pays for accommodation from Monday Thursday nights only and is invoiced by the B&B

2 owners directly. Students will be liable for any accommodation booked outside of the days specified. Please ensure that you have a 10 deposit on the first day of placement for a security/swipe card which is required to gain access to all areas of the hospital and the car park. This is refunded at the end of placement once you return the card and receipt for the payment. Student Facilities Access to Staff Room Canteen Changing Facilities Car/Bicycle Parking Library Study Areas Internet On-site Reading Resources None available Staff Canteen Yes. Students must not travel to and from placement in uniform. You must change if leaving the hospital grounds for any reason. Infection Control guidelines are available on-site. Both available on-site. Swipe card (see above) required for car park access Hospital Library on-site (opening hours vary, check times on arrival) Physiotherapy Dept/Library Internet access available. Some sites are blocked Some reading material is available in the department. Photocopying facilities are available. Clinical 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 RESPIRATORY PLACEMENT The respiratory placement covers the Intensive Care Unit (ICU), medical wards, surgical wards and, caseload allowing, paediatric wards. There are two senior and three rotational physiotherapists. Conditions Seen COPD, Bronchiectasis, Asthma, Pneumonia Abdominal surgery Ventilated and tracheostomy patients ARDS Pneumothorax General mobility patients or neurological cases

3 Assessment Procedures Used Treatment Options MDT Opportunities Outcome Measures Useful References (3 max) Respiratory assessment including auscultation, ABGs, CXR interpretation 6 minute walk tests Mobility assessments/falls risk assessments ACBT Patient handling skills and patient positioning Manual chest techniques Physiotherapy adjuncts acapella, PEP, incentive spirometry Autogenic drainage Exercise prescription NIV Suction Manual hyperinflation Ventilator use and ventilator hyperinflation Attend Pulmonary Function Tests Attend Bronchoscopies Pulmonary Outreach Deliver an in-service/article review Attend Smoking cessation clinic Attend Cardiac and/or Pulmonary Rehab Pulse oximetry Borg Breathlessness Scale 6 Minute Walk Test Elderly Mobility Scale Berg Balance Scale TUG Test Pryor & Prasad (2008) Physiotherapy for Respiratory and Cardiac Problems. (4th Edn) Churchill Livingstone Hough A (2014) Physiotherapy in Respiratory Care an evidence based approach to respiratory and cardiac conditions. (4th Edn) Cengage Learning Guidelines for the Physiotherapy Management if the Adult, Medical Spontaneously Breathing Patient Available at: Clinical/ Physiotherapy/PhysiotherapyGuideline/tabid/375/Default.aspx Useful Additional Stethoscopes: Students going on placement to a respiratory area are requested to bring a stethoscope with them. If you don t have your own stethoscope you can get a loan of one from Lucy Alpine (Practice Education Co-ordinator) before placement commences. Please ensure you borrow this in good time before start of placement. Revise: Medical respiratory conditions, including COPD, asthma,

4 bronchiectasis Surgical incisions and procedures abdominal Post-operative respiratory physiology and physiotherapy Ventilation/perfusion Thoracic anatomy and surface marking of the lungs Specialty Area OUTPATIENTS PLACEMENT It is suggested that students familiarise themselves with the following skills / techniques prior to beginning the placement Conditions Seen Assessment Procedures Used Treatment Options MDT Opportunities Outcome Measures Useful References (3 max) Acute and chronic neck, back and shoulder complaints Hip/knee/ankle complaints Treatment post fractures Treatment post TKR, ACL reconstruction, shoulder stabilisation Manual Handling Joint mobilisation techniques Maitlands, Mulligans Nags/Snags, Cyriax Spinal and Peripheral joint assessment Core stability training Soft tissue/myofascial/trigger point release Use of traction Designing home exercise programme, use of Physio Tools Assessment and treatment at Falls programme Observe acupuncture Observe and assist at foot biomechanics and orthotic assessment Goniometry Jamar Hand Dynamometer Visual Analogue Pain Scale Rowland-Morris Disability Questionnaire Falls Risk Assessment Tool Berg Balance Scale Rivermead Mobility Index Various Post Surgery Protocols e.g. ACL reconstruction Brukner, P & Khan, K (2002) Clinical Sports Medicine, 2nd Ed., The McGraw Hill companies Inc. London. Corrigan, B., Maitland, G., (1994)Practical orthopaedic medicine, Butterworth Heinemann, Cambridge Kesson, M, Atkins, E (2011) Orthopaedic Medicine, A Practical Approach. 3rd Ed., Elsevier Butterworth-

5 Heinemann Maitland, G. (1991) Peripheral Manipulation. 3rd Ed., Butterworth Heinemann, London McRae R: Practical Fracture Treatment (Churchill Livingstone 1994) Petty, N, Moore, A., (2002) Neuromuscular examination and assessment: a handbook for therapists, 2nd edition, Churchill Livingstone, Edinburgh Useful Additional If placed in Longford, please read PCCC Longford Preplacement

Pre-Placement Information

Pre-Placement Information 2014-2015 Midlands Regional Hospital, Tullamore Address Contact Person Where to Check In Arden Rd, Tullamore, Co. Offaly Claire Donnelly, Physiotherapy Manager Colette Finnegan,