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Oxford Children’s Services Cat Leeman Practice Development Sister – Children’s Hospital Annie Evans Practice Development Sister – Paediatric Critical Care
Children’s Hospital • Consists of 7 wards: • Surgical • Tom’s Ward-18 bedded ward caring for children under urology, trauma, orthopaedics, neonatal surgery and general surgery • Robin’s Ward-14 bedded ward caring for children with neurological conditions or requiring neurosurgery, ENT, craniofacial or plastic surgery. • Ambulatory Care - Has three main areas-Children’s Day Care Ward, Children’s Outpatient’s at the Oxford Children’s Hospital and Children’s Outpatients at the Nuffield Orthopaedic Centre.
Medical Wards • Bellhouse-Drayson-18 bedded ward caring for children under acute paediatrics or with cardio-respiratory and gastroenterology conditions. • Children’s Clinical Decision Unit (CDU) • Kamran’s Ward-specialises in oncology and haematology. Has 9 inpatient beds plus a day care service. • Melanie’s Ward-12 bedded adolescent ward caring for teenagers under all specialities. • Children’s ward at the Horton Hospital in Banbury
Critical Care • PHDU-9 bedded unit taking children from all specialities, including high risk elective surgery or the deteriorating child from the wards and local DGH’s. The ward also manages complex children on non-invasive ventilation. • PICU-8 bedded unit providing intensive care for the region. Runs a retrieval service with Southampton. • Critical Care Outreach – Offering support to ward teams with Critical Care step-downs, deteriorating patients, and complex management
Neonatal Care • New unit opened in 2013 • The OUH Neonatal Unit is one of the largest tertiary neonatal centres in the UK accepting referrals from near and far. • Has on-site transport services providing a vital link with other units throughout the country and sometimes beyond! • The unit benefits from leading- edge research and technology and is involved in many clinical trials. • http: //www. oxfordneonatalcare. co. uk • Contact Laura Willoughby, clinical Nurse Manager for neonates for more information. Laura. [email protected] nhs. uk 01865 221367
Foundation Programme • Newly qualified staff will have a 2 year Foundation Programme. Year 1 • 3 Children’s skills based study days Ensuring all newly qualified nurses finish their first year with key core skills. E. g. Catheterisation, tracheostomies, orthopaedics, diabetes, advanced respiratory management, IDT, IV. • Core Study Days Expectations and Accountability of B 5 practitioners Putting Patients First RAID & Ox. STa. R Simulations – Promoting Autonomy Multidisciplinary Communication (inc. Mental Health) Developing Leadership Looking to the future and Poster Presentation
Foundation Programme (cont) • Clinical Supervision. Enables clinical staff adequate supervision and the ability to debrief and learn constructively from situations that they experience within their work environment. Offers Peer support in the Foundation Programme. Service Improvement Project – Look at an area in your practice that needs improving, research, audit, present findings at the end of the programme. .
Foundation Programme Year 2 The second year of the Foundation Programme consists of 3 core taught days for all participants to attend based on the following themes: • Leading Safety In addition to these 3 days you can undertake 20 hours of CPD of your choice.
Foundation Programme Year 2 Leading Safety: This day study day covers a variety of topics from preventing complaints, Datix and error reporting, investigating complaints, root cause analysis, and how to share and embed learning from mistakes Leading Change • This day uses the 15 step challenge toolkit linked to The Productive Ward programme. The 15 steps challenge is a toolkit with a series of questions and prompts to guide you through your first impressions of a clinical area. The toolkit is based on feedback from staff and patients; in particular the mother of a child who required frequent inpatient stays who stated ‘I can tell what kind of care my daughter is going to get within 15 steps of walking on to a ward ’. Leading Learning in Practice • Leading Learning in Practice covers a wide range of topics from creating a learning environment that encourages people to learn, to giving and receiving feedback on performance, to delivering an appraisal for staff, to buddying a new member of the team. This study day is designed to help you in your role as a senior band 5 to support learners and learning in practice through the provision of feedback and developmental conversations.
Preceptorship • All nurses allocated 1 -2 preceptors on each ward. • Preceptors will facilitate your induction and orientation and work with you during your supernumerary period. • They will conduct regular reviews with you (3 monthly) to confirm that things are running smoothly and set goals. • You will work on the same shift as your preceptors for 2 shifts per month to provide an opportunity to discuss your ongoing goals and “check-in”
Rotation Programme • 13 places • Consists of 3 “rotations” lasting 4 months each over 1 year. • Everyone gets 1 choice that they are definitely honoured (preferably as a last rotation. ) • Consists of a range of medical, surgical, ambulatory care, high care wards.
Paediatric Critical Care Preceptorship programme. • 12 month programme to run alongside Trust preceptorship. • Extended supernumerary time • 3 x study days to learn additional practical skills unique to Critical Care • Additional workbooks and competencies to provide knowledge behind skills
Further Learning Opportunities • Support from Practice Development Sister/ward based C. E’s • Band 5 Development Days for qualified staff covering medical, surgical and critical care skills. • Working alongside Oxford Brookes University, we offer opportunities to further education/courses such as mentorship. Further courses that are relevant to the areas of work are also available, neuro, oncology, psychosocial, HDU and PICU.
What Oxford has to Offer…. A quiz for you www. menti. com
We like to socialise too!
Contact Us • If you would like anymore information or would like to arrange an informal visit, please contact us Cat Leeman 01865 234389 Catherine. leeman @ouh. nhs. uk Annie Evans 01865 21267 Annie. [email protected] nhs. uk We are holding an open day on Friday 16 th December from 14. 00 -17. 00 come and visit!