Woodbank Ward

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Woodbank Ward

• Learners Resource Pack

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What we are

• We provide an acute admission service for the
  under 65 patient group with mental health needs
  for the kirkcaldy sector (Kirkcaldy, Burntisland,
  Cardenden, Kinghorn).
• Admissions to our service tend to be emergency in
  nature, but referrals can be made by the
  appropriate professionals (GPs, Community
  Nursing Teams, Social Work Dept, Addiction
  services) for those who have mental health needs
  and require inpatient care for specific treatment.

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What We Do

• We provide treatment that is based on holistic
  assessment and centred on the principles of
  recovery.
• This treatment can be provided in a range of
  forms i.e. Medicinal, Physical, Group Therapies,
  1 to 1 Interactions with nursing staff.
• The care is delivered with education and
  empowerment a priority focus, although the use of
  Mental Health Act 2003 may place significant
  restrictions on a patient.
• Accompanying the treatment is the intensive
  co-ordination that is necessary in addressing
  basic needs (housing, financial, social
  inclusion, vocational etc) and future care needs.
  Dealing with these needs requires a significant
  amount of MDT consultation, inter agency liaison,
  referrals and ultimately teamwork!
• A large part of what we do is observation and
  risk assessment. Both go hand in hand in safely
  managing a patients treatment and progression to
  discharge.

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Woodbank in The Middle

• We network, utilise liaise with many other
  organisations, departments agencies.
• In the system that responds to mental health
  crisis within our sector, Woodbank is a small but
  vital cog!
• This diagram gives you an idea of the referrals
  made to and from Woodbank

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The Care Delivery System

• We work with 3 consultant Psychiatrists Dr
  Reid, Dr Smith Dr Chadrasehker whom equally
  cover the GP practices within our sector. Who
  your GP is dictates who your Consultant will be
  within Woodbank ward.
• The nursing team is divided into 3 care
  management teams a team for Dr Reid Dr Smith
  and a joint team that absorbs the overflow from
  the other teams, thus functioning for both
  consultants.
• Dr Chandrasehker manages the continuing care
  patients for Dr Reid/Smith.
• Each team has a team leader whom is the named
  nurse and is responsible for ensuring that all of
  the patients care needs are met.
• This system and the development of nursing staff
  is overseen by the SCN/CN
• Peter Brockie is the wards trained Phlebotomist.
  

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What we Treat

• We treat people with a wide range of mental
  illnesses and disorders, the majority of which
  are functional, affective, addictive and organic
  in nature.
• Many of the symptoms within these
  illnesses/disorders, co-exist and influence the
  other, thus often providing complex and intensive
  treatment needs.

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The Recovery Process The Tidal Model

• Rights, Relationships Recovery (2006) was the
  report of the National review of Mental Health
  Nursing in Scotland. The report contained the
  delivery action plan on which the future of
  mental health nursing should be developed.
• Pivotal to the action plan is the implementation
  of a recovery focused strategy for care delivery.
  Now many of us may ask ourselves haven't we be
  doing that all along? In short, yes we have, but
  have we maximised the full potential for
  recovery, by understanding and building on what
  can help people to recover. The Scottish Recovery
  Network (SRN) has been formed to promote and
  support recovery in response to the health
  review. Recovery is a highly personal process
  no two peoples experience will be the same.
  Raise awareness of the fact that people can and
  do recover from long-term mental health
  problems. Develop an understanding of how best
  to promote recovery and learn more about what
  helps people recover and stay well.
• Now to enable us to audit our service in terms of
  how well we meet expectations in terms of
  Equality, Social Inclusion Recovery and Rights,
  the SRN developed and introduced the Scottish
  Recovery Indicator (SRI), which is now being used
  Fife-wide for service development.
• To capitalise on the need for change in the care
  delivery focus, a Values Based Practice platform
  was developed by the Sainsbury Centre the 10
  Essential Shared Capabilities. These capabilities
  based on the Millan principles are shaped to
  encourage open-mindedness and free thinking and
  challenge the rigid thought processes and ways of
  care delivery in existence. The capabilities are
  essential in maximising recovery and developing
  professional practice. They are the foundations
  on which practice and education will be developed
  for the future.
• Go and check them out!

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The Tidal Model

• Tidal emphasises the discovery of mental health,
  as its meaning varies from one person to another.
  It is hoped that people will discover what mental
  health means for them as unique persons.
• Tidal helps people navigate their way to
  recovery.
• The accompanying documentation currently in use
  is designed to encourage a Strengths based
  solution focused way of getting to know and
  understanding our patients. Capitalising on who
  they are, what they value and what their
  strengths are. It also encourages the bread and
  butter of our work 1 to 1 time!!!
• Againyou may ask yourself haven't we been doing
  this all alongyes and no! Do the Tidal
  training and you will recognise that we (nurses)
  may have lost our way a little bit.

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The Professional Approach

• Our practice is guided by
• Our level of professional registration
• Our continued professional development and post
  grad qualifications.
• Trust Policies.
• The NMC Code of Professional Conduct and other
  NMC guidelines
• The Mental Health Care and Treatment Act 2003
• Our attitude towards personal service
  development.
• In Woodbank we have a can do approach!

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The Student Nurse in Woodbank Ward

• As a student nurse in Woodbank ward, the
  fundamental objective is that you become a member
  of the multi-disciplinary team!
• With this in mind your willingness, participation
  and teamwork skills will inevitably progress you
  towards meeting all of your clinical objectives,
  whilst under the watchful eye of your mentor.
• You will have an identified mentor and will join
  the ranks within a care team. You will be
  expected to participate in all of the activities
  that your care team has to offer as well as
  working alongside the rest of nursing team!
• It will be the care teams shared responsibility
  to support you through your placement, with your
  mentor supervising and managing your placement.
  It is hoped that you would spend the majority of
  your shifts with your mentor in attendance.
• Students and there learning are valued in
  Woodbank ward and staff will endeavour to meet
  not just your the learning needs, but you overall
  experience.
• Woodbank ward regularly liaises with the
  University regarding practice placement
  development and your individual needs when
  necessary.
• Your orientation will be measured, but
  comprehensivewelcome to the team!

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• A new face with new ideas and enthusiasm can have
  a profound effect on permanent members of staff
  and the ward in general.
• Although you will be supernumerary, you will have
  a significant role within the team in terms of
  you participating in those activities that enable
  you to meet your educational objectives.
• Its not all worka lot of what you will do will
  be done by observing, interacting and by learning
  with your preceptor/team members. What you get
  from Woodbank ward is what you put in.
• Your Learning Objectives
• To actively participate in the admission and
  discharge process.
• Participation in clinical/CPA/discharge
  planning/care team meetings.
• To actively participate in Medication management
  the requisitioning, prescribing, administering
  and recording of medications in concordance with
  policy.
• To develop current knowledge of medications and
  in particular, those medications commonly used
  within our area.
• To actively participate in Group therapies 1 to
  1 therapeutic interactions.
• To experience the process of preparing,
  escorting, and observing somebody for ECT.

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Learning Objectives Cont-

• The care planning process how it is done, the
  theory behind it and your participation.
• To actively participate in the Risk
  assessment/management process.
• Active participation as a member of a care
  management team involving yourself in the
  various organisational activities and support
  strategies.
• To develop a working knowledge of The Mental
  Health Care and Treatment act 2003.
• The illness symptoms we treat and the
  complexities that can arise during the treatment
  process.
• To develop experience in managing challenging
  behaviour.
• Participation in the various referral processes
  i.e. CPA, CPN Service, DDH.
• To develop multi-disciplinary/agency networking
  skills.

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• Learning Objectives/Key Experiences Management
  Placement
• Medication management - requisitioning,
  prescribing, administering and recording of
  medications in concordance with policy.
• To gain experience in co-ordinating shifts i.e.
  managing staff, ensuring clinical needs are met
  and organisation needs are dealt with.
• To give reports across all shifts under
  supervision.
• Where appropriate, take the lead in clinical
  meetings for the care team, ensuring that care
  objectives are articulated negotiated with the
  MDT.
• To further develop current knowledge of
  medications and in particular, those medications
  commonly used within our area.
• To actively participate in the area of clinical
  risk assessment/management.
• Active participation as a member of a care
  management team involving yourself in the
  various organisational activities and support
  strategies that take place.

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Learning Objectives/Key Experiences Management
Placement -cont

• To further develop a working knowledge of The
  Mental Health Care and Treatment act 2003.
• To take a more active role in managing
  challenging behaviour within the ward.
• To further develop personal networking skills
  through multi-disciplinary/agency liaison.
• The Standing Financial Instructions the
  imprest, income, special cash request systems etc
  and how they are managed.
• The ordering of stores.

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Your Development

• This resource pack has been designed to give you
  an introduction to Wood bank ward and to give
  you relevant material to both facilitate
  supplement your learning objectives.
• The pack contains a wide range of folders that
  will provide both necessary and interesting
  information for you personal development.
• The general idea is that you browse through the
  pack at your leisure to discover what is here,
  and to keep coming back during the course of your
  placement to draw specific information or to
  productively cure boredom!
• We like to see ourselves as being very student
  friendly in Woodbank, thus your
  learning is important, and if you get on well
  here we will endeavour to bring you back as a
  staff nurse thats how it works!
• Good luck!