Profile of Learning Opportunities

Transcription

1 Physiotherapy Department Hexham General Hospital Corbridge Road, Hexham, NE46 1QJ Tel Fax Profile of Learning Opportunities Hexham General Hospital Musculoskeletal Services Welcome to the physiotherapy department at Hexham General Hospital (HGH). HGH is a general hospital serving the community of Hexham and the Tyne Valley, a district that lies between Newcastle and Carlisle. The Physiotherapy Department is staffed by 28 physiotherapists who work on the wards, in the outpatient clinics, in outreach clinics and in the community The musculoskeletal department has a staff complement of 8 staff and covers all musculoskeletal conditions. Within these areas, we offer a variety of services, most of which are available to participate or observe (Additional Learning Outcomes). We strive to make the placement as enjoyable and productive as we can and we hope you enjoy your time with us. Please feel free to feedback on any aspect of your experience. Kristin Moat Clinical Specialist Physiotherapist Page 1 of 25 Kristin Moat Last Updated - 17 Jun 2009

2 Table of Contents Profile of Learning Opportunities...1 HEXHAM GENERAL HOSPITAL MUSCULOSKELETAL SERVICES...1 Table of Contents...2 Introduction...3 Pre-Placement Information...4 Induction Checklist...5 Placement Development Plan...6 CP 1 BSC PL057 FOUNDATIONS OF PHYSIOTHERAPY WITH CLINICAL PRACTICE 1 (MSC PL075 FOUNDATION SCIENCES WITH CLINICAL PRACTICE 1, 2 AND 3)...6 CP 2 (MSC PL075 FOUNDATION SCIENCES WITH CLINICAL PRACTICE 1,2 AND 3)...6 CP 3 BSC PL062 THERAPEUTIC SKILLS WITH CLINICAL PRACTICE 3 (MSC PL075 FOUNDATION SCIENCES WITH CLINICAL PRACTICE 1, 2 AND 3)...7 CP 4 BSC PL064 EVIDENCING PRACTICE WITH CLINICAL PRACTICE 4 (MSC PL076 CLINICAL SCIENCES 1 WITH CLINICAL PRACTICE 4 AND 5)...7 CP 5/6 BSC PL065 PHYSIOTHERAPY PRACTICE WITH CLINICAL PRACTICE 5, BSC PL063 PHYSIOTHERAPY SKILLS WITH CLINICAL PRACTICE 6( MSC PL076 CLINICAL SCIENCES 1 WITH CLINICAL PRACTICE 4 AND 5)...7 CP 7 BSC PL066 ELECTIVE CLINICAL PRACTICE 7(MSC PL077 CLINICAL SCIENCES 2 WITH CLINICAL PRACTICE 6 AND 7)...8 CP 8/9 BSC PL067 INTEGRATED REASONING WITH CLINICAL PRACTICE 8 AND BSC PL068 DEVELOPING EFFECTIVE CLINICAL PRACTICE WITH CLINICAL PRACTICE 9 (MSC PL077 CLINICAL SCIENCES 2 WITH CLINICAL PRACTICE 6 AND 7 AND MSC PL078 CONTEXTUAL ISSUES IN HEALTH AND SOCIAL CARE WITH CLINICAL PRACTICE 8)...8 Learning Zones...9 Learning Outcomes INTERPERSONAL SKILLS CLINICAL SKILLS ORGANISATIONAL/MANAGEMENT ISSUES Additional Learning Outcomes Reflective Diary Week Reflective Diary Week Reflective Diary Week Reflective Diary Week Reflective Diary Week Reflective Diary Week Additional References Section STUDENT INFORMATION PREVIOUS EXPERIENCE SNOB ANALYSIS FORM SNOB ANALYSIS FORM SNOB ANALYSIS FORM Page 2 of 25 Kristin Moat Last Updated - 17 Jun 2009

3 Introduction Policies and Procedures On your first morning we will highlight the appropriate policies and procedures you need to be aware of throughout your placement. One of the reception staff will take a copy of your signature for legal purposes. Your supervisor will show you the following during your induction: Fire points exits, alarms and extinguishers Resuscitation trolley and equipment Incident book (It is very important to report any accidents/incidents or near misses in relation to yourself or a patient when on placement) Further Safety Issues Do not proceed with any treatment following an initial assessment until you have discussed with your supervisor. If you are planning to change a treatment this should also be discussed with your supervisor first. Do not switch on any electrotherapy machines until a qualified member of staff has checked the setting/dosage. Mobile phones must be switched off before you enter the hospital as they interfere with medical equipment. Musculoskeletal Out Patient Staffing Team Leader Clinical Specialist Senior 1 Senior 2 Junior Assistant Lesley Black Kristin Moat John Alexander Static Senior II - Helen McKay 3 Rotational Senior II 1 Rotational Junior Post Ailsa Wraith Page 3 of 25 Kristin Moat Last Updated - 17 Jun 2009

4 Pre-Placement Information Placement / Specialty: Pre Placement Information Musculoskeletal Out-Patients Static Clinical Educators: Kristin Moat, Helen Bell We also have rotational staff who may have an input into your education. Contact Address: Physiotherapy Department Hexham General Hospital Corbridge Road, Hexham, NE46 1QJ Tel Fax Directions: First Day: kristin.moat@nhct.nhs.uk Nexus Journey Planner Google Maps Report to designated clinical educator Where Physiotherapy reception desk, HGH When 08:30 (normal hours 8.30am-4.30pm, lunchtime 12:15-13:15) Uniform requirements: Lockers: On site parking: Canteen facilities: Common conditions to be treated: White tunic, navy blue /black trousers, black shoes (long hair tied back) May be available, please ring to confirm. Padlock will be required. Available but limited. Canteen and WRVS shops on site if needed. All Musculoskeletal conditions from chronic pain to acute soft tissue and fracture injuries, involving all sites of the locomotor system. Suggested pre-reading: Kesson & Atkins (1998), Orthopaedic Medicine (or something similar) (ISBN ) Magee (2002) Orthopaedic Physical Assessment (ISBN ) Kenyon & Kenyon (2004) The Physiotherapists Pocket Book (ISBN X) Any favourite anatomy resource brush up on all musculoskeletal anatomy Patient Contact Students can expect to have direct patient contact on day 1 of their placement. This will initially take the form of shadowing qualified staff until we and you feel you have the required skills and knowledge to have direct involvement. Page 4 of 25 Kristin Moat Last Updated - 17 Jun 2009

5 Induction Checklist Policies and Procedures Induction Task Completed Cardiac Arrest: procedure, equipment,tel no. x2222 First Aid Box Location, Resus trolley location Fire: escapes, alarms, extinguishers, tel no. x4444 Reporting Incidents: procedure and IR1 forms Health & Safety Rep / Steward Introduction to staff Illness Procedure: phone reception 8am Housekeeping: toilets, changing/lockers, general up-keep of dept Working Hours: lunch, breaks Diary system / appointments Paperwork: documentation etc. Location of exercise sheets, assessment forms etc Computer Use Placement Development Plan Library Location / facilities Name of Clinical Educator... Date Placement Started and Ended... Signed as Complete Educator... Student... Page 5 of 25 Kristin Moat Last Updated - 17 Jun 2009

6 Placement Development Plan This is a guideline of what specific content and assessment will be included in each placement. It is in addition to the core learning and assessment provided and dictated by the University. CP 1 BSc PL057 Foundations of Physiotherapy with Clinical Practice 1 (MSc PL075 Foundation Sciences with Clinical Practice 1, 2 and 3) Content Induction and observation of workplace observing differing styles and types of subjective questioning and comparing differing models of care. Assist in subjective examination and assist in moving and handling of patients. Joint subjective assessment with staff and assist in objective examination. Leading the subjective examination if the student has shown the ability to do so. Assessment Feedback of different styles of subjective questioning and models of care used by individual staff members Observation of subjective examination. CP 2 (MSc PL075 Foundation Sciences with Clinical Practice 1, 2 and 3) Content Induction and observation of workplace Lead on subjective examination and assist in objective examination observe different styles of questioning. Joint objective assessment with staff and demonstration of clinical reasoning process using models of reasoning (Explanatory, Hypothetico Deductive, Pattern Recognition, Knowledge reasoning Integration) Improve clinical reasoning skills through assessment Increased input into clinical examination skills Assessment Observation of subjective examination Continuous assessment of knowledge, esp anatomy Production of case summary Page 6 of 25 Kristin Moat Last Updated - 17 Jun 2009

7 CP 3 BSc PL062 Therapeutic Skills with Clinical Practice 3 (MSc PL075 Foundation Sciences with Clinical Practice 1, 2 and 3) Content Induction to workplace Lead subjective assessment and joint objective assessment esp study of human movement (ie, Anatomical positions, axes/planes of movement) Increased involvement in objective assessment Increased demonstration of clinical reasoning skills, introducing/expanding on differential diagnosis Assessment Observation of full assessment (subjective and objective) Evaluation of clinical reasoning skills Continuous assessment of knowledge, esp. anatomy of spinal structures and function CP 4 BSc PL064 Evidencing Practice with Clinical Practice 4 (MSc PL076 Clinical Sciences 1 with Clinical Practice 4 and 5) Content Induction to workplace Critical appraisal of piece of literature using tool of choice (UNN, CASP, SIGN etc) Lead on subjective and objective examination and demonstrate effective reasoning using models from CP2 Create and implement treatment plans for all patients in discussion with qualified staff Increase treatment toolbox and appropriateness of each technique Assessment Observation of full assessment (subjective and objective) Evaluation of clinical reasoning skills Presentation of Case Study Appraisal of relevant literature CP 5/6 BSc PL065 Physiotherapy Practice with Clinical Practice 5, BSc PL063 Physiotherapy Skills with Clinical Practice 6( MSc PL076 Clinical Sciences 1 with Clinical Practice 4 and 5) Content Induction to workplace Lead on assessments, progress clinical reasoning, handling skills and toolbox Develop and independent caseload. Reason choice of assessment and treatment techniques through sound clinical reasoning Identify a paper of clinical relevance and appraise Page 7 of 25 Kristin Moat Last Updated - 17 Jun 2009

8 Time management priorities Assessment Observation of full assessment (subjective and objective) Evaluation of clinical reasoning skills Presentation of Case Study Appraisal of relevant literature CP 7 BSc PL066 Elective Clinical Practice 7(MSc PL077 Clinical Sciences 2 with Clinical Practice 6 and 7) Content Induction to workplace Build on previously learned skills and knowledge from CP1-6 (MSc 1-5) Assessment Observation of full assessment (subjective and objective) Evaluation of clinical reasoning skills Presentation of Case Study / In service training package of student s choice Appraisal of relevant literature CP 8/9 BSc PL067 Integrated Reasoning with Clinical Practice 8 and BSc PL068 Developing Effective Clinical Practice with Clinical Practice 9 (MSc PL077 Clinical Sciences 2 with Clinical Practice 6 and 7 and MSc PL078 Contextual Issues in Health and Social care with Clinical Practice 8) Content Induction to workplace Consolidation of prior learning Demonstrating ability to adapt provision to encompass a problem solving and goal oriented approach Implement independent and autonomous assessment and practice Integrate knowledge of national and local priorities and guidelines into treatment planning and progression Assessment Assessment of full assessment with particular emphasis on clinical reasoning, goal and objective setting. Present case study with appraisal of the appropriate literature. Throughout the placement there will be the opportunity for self directed learning and many learning opportunities as listed overleaf. This will include attending in service training with the junior staff. You will be relating evidence based practice to the clinical workplace. You will have allocated time set aside with your clinical educator to review and reflect on your caseload and treatment progression one to one. Page 8 of 25 Kristin Moat Last Updated - 17 Jun 2009

9 Learning Zones This diagram shows all the Orthotics Orthopaedi cs Rheumatol ogy relationships that you may encounter and build during your placement at Clinics HGH Physio Pain Manageme nt HGH, depending on the patients that come through the department and your own Clinical Educator Other Physiother apy Units learning outcomes and interests. Physio Staff Reception Team Page 9 of 25 Kristin Moat Last Updated - 17 Jun 2009

10 Interpersonal Skills Learning Outcomes Learning Opportunity Effective communication, talking / interaction with patients / clients / carers / relatives / teaching staff in a variety of settings. Clinical Educator/OPD Staff/ Reception staff Resource / Personnel Awareness of own communication skills both verbal and non-verbal. Clinical Educator / OPD Staff / Reception staff Demonstrate sensitivity for patients / carers / relatives in relation to distressing information Use of telephone / answering calls / bleep Systems. Use of computer, and internet Demonstrate effective communication and professionalism with other relevant professionals involved in patients care. Holistic care of different groups of people (young, elderly, learning difficulties). Promotion of patients compliance with treatment/ health promotion strategies/ medications Clinical Educator / OPD Staff / Reception staff Clinical Educator / OPD Staff / Reception staff Consultant / GP / OT / Occupational Health Nurse / ECC Clinicians etc CSP Rules of Professional Conduct Clinical Educator / OPD Staff Clinical Educator / OPD Staff Page 10 of 25 Kristin Moat Last Updated - 17 Jun 2009

11 Clinical Skills Learning Opportuity Spinal / peripheral joints Chronic / acute conditions Post surgical / trauma / elective surgery Rheumatological Conditions Resource / Personnel Clinical Educator/OPD Staff/MDT Interactive Anatomy Sessions OPD Staff Dedicated teaching time Non-patient contact time Clinical Educator There sill be time to reflect when not attending to patients (reference material is available in dept) Library facilities, internet / intranet Documentation Record keeping standards CSP documentation standards Writing should be legible in black ink Every entry should be dated, timed and signed and then countersigned by clinical educator Every side of paper requires patients name / DOB and numbered Page 11 of 25 Kristin Moat Last Updated - 17 Jun 2009

12 Organisational/Management Issues Learning Opportunity Management of workload Resource / Personnel Paper diary this will contain allocated teaching / appraisal time on starting placement, student will then be responsible for use (booking patients / additional learning opportunities etc) 1hr for new patient, ½ hr 1hr for review time allocated for documentation Use of computer systems / PAS / PACS / PhysioTools / intranet. Clinical Educator / Admin. staff Accessing patient results medical notes, PACS (x-rays) Clinical Educator / Admin. staff Interprofessional working. MDT Effective team management including appropriate delegation of duties. Awareness of knowledge base and skill mix. Departmental policies These are located in Lesley s office. Please familiarise yourself with the health and safety, manual handling and infection control policies on your first day. Reporting incidences All incidences/near misses must be documented on IR1 forms located in Lesley s office. In the event of this occurring your Clinical Educator must be informed. Faulty Equipment Inform physiotherapy staff working in the area. May also need to inform works department. Page 12 of 25 Kristin Moat Last Updated - 17 Jun 2009

13 Additional Learning Outcomes Additional Learning Outcomes Interest Completed - - Orthopaedic Theatre A session in either orthopaedic or trauma theatre to observe the orthopaedic surgeons either perform elective or trauma surgery (Eat beforehand!) Open Gym Rehabilitation This session is led by a senior physiotherapist and is an open gym session where patients are given an individual exercise programme and supervised by the staff. A good experience on how to plan, deliver and evaluate a gym based rehab programme. TENS Trial Class TENS is a modality relying on technology to help patients self manage and control their pain. This class outlines the theory and practice of TENS and allows the patients to loan a TENS machine for 1 week. Joint Replacement Class Patients who undergo knee joint replacement have the opportunity to attend this class to improve their level of function and exercise tolerance. Orthopaedic Clinic Working alongside one of the orthopaedic surgeons, you can observe the array of patients that visit an orthopaedic clinic and how the consultant approach differs from that of physiotherapy. Rheumatology Clinic Working alongside the rheumatologist who visits Hexham. See the difference in the way that the rheumatologist works in comparison to physiotherapy and how they use careful questioning and investigations to determine a diagnosis and plan of treatment. Community Musculoskeletal Physiotherapy With Northumberland being a huge geographical area, we work not only in the hospital but in the community and satellite clinics. Spend a day with one of the community staff observing the differing way of working in the community and regional centres in the treatment of musculoskeletal patients Name of Clinical Supervisor / Rotation Coach... Date Placement Started and Ended... Signed as Complete Student... Educator... Page 13 of 25 Kristin Moat Last Updated - 17 Jun 2009

14 Reflective Diary Week 1 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 14 of 25 Kristin Moat Updated - 17-Jun-2009

15 Reflective Diary Week 2 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 15 of 25 Kristin Moat Updated - 17-Jun-2009

16 Reflective Diary Week 3 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 16 of 25 Kristin Moat Updated - 17-Jun-2009

17 Reflective Diary Week 4 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 17 of 25 Kristin Moat Updated - 17-Jun-2009

18 Reflective Diary Week 5 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 18 of 25 Kristin Moat Updated - 17-Jun-2009

19 Reflective Diary Week 6 This diary is intended to be used as a reflective diary of each days experience whilst on placement, not to record appointments. Monday Tuesday Wednesday Thursday Friday AM PM Reflection Reflection Reflection Reflection Reflection Page 19 of 25 Kristin Moat Updated - 17-Jun-2009

20 Additional References University of Northumbria ( Chartered Society of Physiotherapy ( Interactive CSP ( CSP e-portfolio ( Northumbria Healthcare NHS Foundation Trust ( Wheeless Textbook of Orthopaedics ( Orthoteers ( Anatomy Tables ( Kristin s physio related delicious.com bookmarks ( Page 20 of 25 Kristin Moat Last Updated - 17 Jun 2009

21 Section 2 Student Information In order to help us contact you or your next of kin if required and get a background of your previous knowledge and experience, each student must complete the following sections and send back to the physiotherapy department prior to starting the placement. Base: Name: Address: Personal Details Hexham General Hospital - Musculoskeletal Telephone Number: Contact Person: Relationship: Address: Emergency Contact Details Telephone Number Work: Home: Mobile: GP Name: GP Address: GP Details GP Telephone Number Page 21 of 25 Kristin Moat Last Updated - 17 Jun 2009

22 Previous Experience Previous Placements and Experience Previous Musculoskeletal Experience (if any) Please identify if you have had experience in the following:- Taking a subjective history Objective Examination of: Yes / No o Lumbar Spine Yes / No o Cervical Spine Yes / No o Shoulder Yes / No o Elbow / Wrist / Hand Yes / No o Hip Yes / No o Knee Yes / No o Foot & Ankle Yes / No Management of chronic pain Yes / No Expectations of this placement Other Information Page 22 of 25 Kristin Moat Last Updated - 17 Jun 2009

23 SNOB Analysis Form Pre-Placement Halfway Final Strengths What can I do really well? Needs What do I need to develop? Opportunities What opportunities exist or might become available to help me to achieve my goals? Barriers What may act to inhibit my progress? Who might get in the way? Page 23 of 25 Kristin Moat Last Updated - 17 Jun 2009

24 SNOB Analysis Form Pre-Placement Halfway Final Strengths What can I do really well? Needs What do I need to develop? Opportunities What opportunities exist or might become available to help me to achieve my goals? Barriers What may act to inhibit my progress? Who might get in the way? Page 24 of 25 Kristin Moat Last Updated - 17 Jun 2009

25 SNOB Analysis Form Pre-Placement Halfway Final Strengths What can I do really well? Needs What do I need to develop? Opportunities What opportunities exist or might become available to help me to achieve my goals? Barriers What may act to inhibit my progress? Who might get in the way? Page 25 of 25 Kristin Moat Last Updated - 17 Jun 2009