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Added to Practice Placements Website May 12 1

Portfolio of Learning

Opportunities

Orthopaedic Physiotherapy Placement

South Tyneside

District Hospital


Portfolio of Learning Opportunities.

This portfolio of learning outcomes will outline the potential opportunities within South

Tyneside District Hospital within and Orthopaedic In-Patient Rotation. It is in place so that

students can utilise this information to choose the most learning opportunities in order to

meet your own specified competencies. This will allow you to be proactive in understanding

your independent learning needs. Preparing a SWOT analysis prior to the placement is also

useful to ensure proactive learning.

There are many opportunities to work with varying professionals within the Multi

Disciplinary Team such as; Nurses, Consultants, Occupational Therapists, Social Workers etc.

This can also provide the opportunity to gain Multi-Source feedback as required.

On your First Day of Placement an Induction will take place with the practice area. Your

Clinical Educator will have a copy of the Induction checklist and will welcome any remaining

queries.


Orthopaedic Physiotherapy Team

Bronia Fleet

The Clinical Lead Physiotherapist within South Tyneside District Hospital is Judith McNaught.

Victoria Pawley

Jennifer Hurst

Band 6 Physiotherapists Orthopaedic Inpatients and Facilitated Discharge Team

Rotational Junior Physiotherapist

2 Assistant Physiotherapists

Orthopaedic Inpatients: Elective and Trauma

Clinical Educators: Victoria Pawley - 01914041000 Bleep 297

Jennifer Hurst - 01914041000 Bleep 297

Contact Address: South Tyneside District Hospital Harton Lane South Shields NE340PL E-mail: [email protected] [email protected] Routine: Day Case Unit Ward 4, Ward 2, Wards 1 and 3 as required. Hours: 8.30-4.30 30 minutes Lunch Break ( Canteen and Staff Kitchen available.) You will be provided with a timetable on your placement. A blank copy is attached with this document.

mailto:[email protected]

mailto:[email protected]


Orthopaedic Wards: Referrals are picked up from each ward on a daily basis. Ward 4: Day Case unit for Pre Operative Assessments Ward 2: Elective and Trauma such as: Joint Replacements Hip and Knee Revision Surgery Shoulder Procedures ACL Surgery Foot Surgery Cute Back pain Fracture Management ie: femur/nof Pelvis Tibia and Fibula Patella Ankle Wrist Humerus Discharges: Patients are discharged to either home with gym follow up, home for

community follow up, Palmers hospital or Perth Green House for further Rehabilitation.

Other Activities: Home Visits where appropriate Working with Occupational Therapists Working within the Physiotherapy Gym and/or Treatment room. First Day: Report To Physiotherapy Reception Ingham Wing. South Tyneside District Hospital at 9.00 am Uniform: White university Tunic or T-shirt and navy trousers. Black shoes or trainers and

black socks. Recommended Reading: Essential Orthopaedics and Trauma Dandy Orthopaedic Physiotherapy Marion Tidswell Physiotherapy in Orthopaedics Karen Atkinson/Fiona Coutts Orthopaedic Reahabilitation Brent Brotzman Objectives:

1) To assess Patients and form an initial Diagnosis 2) To use assessment to formulate a SMART treatment plan 3) Effective use of manual handling skills 4) Effective and accurate use of measuring tools 5) Selecting and teaching the use of appropriate walking aids 6) To assess treatment outcomes regularly and evaluate treatment plans 7) To be aware of Operative and fracture complications 8) To treat patients holistically with consideration to multipathology and PMH. 9) To establish communication within the mdt


Orthopaedic Placement Plan Week 1 Orientation to the Department Day 1

Housekeeping, policies, procedures, health and safety, library and learning resource centre and documentation.

Discuss Learning Outcomes, SWOT analysis, areas of interest /weakness and preferred learning style.

Discuss previous experience and identify gaps in knowledge.

Introduction to ward based staff Day 2-5

Observation of the Clinical Educator and other Physiotherapy staff and progression to assess and treat orthopaedic patients. Including Manual Handling experience.

Set Learning Outcomes

Timetable half way assessment, tutor visit and presentation.

Observe Pre-operative an Postoperative assessment

Attend an MDT

Observe the Hip and Knee school Week 2

Progress responsibility for a small number of Elective and Trauma Patients with supervision from the clinical educator.

Spend time with other members of the MDT

Daily time to discuss patients

Half way assessment Week 3

Completion of subjective and objective assessments with supervision

Developing problem lists treatment plans and sdischarge goals.

Prioritise patients and work alongside TI staff to assess and treat patients

Week 4

Continued development of organisational skills and clinical reasoning skills

Communicate effectively with the MDT

Present on a patient case study

Final assessment

Student assessment of placement


South Tyneside District Hospital

Orthopaedic Physiotherapy Services

Academic Year:

September /August .

University:

Placement: Clinical Educator:

Start Date of Placement: End Date of Placement:

Name of Student: Emergency Contact Name:

Address: Emergency Tel:

Emergency Tel:

o Induction Checklist:

o Location of Educational Resources

o Orientation to area of work

o Changing Facilities/Toilets

o Dining Facilities

o Introduction to Colleagues

o Time Keeping

o Sickness Notification

o Documentation Guidelines

o Stats Completion

o Location of First Aid

o Security

o Awareness and Location of Policies and Procedures:

Confidentiality

Risk management

Fire Safety

Resuscitation Guidelines

Control of Infection

Moving and Handling

Initial Interview to Agree Learning Objectives

Signature of Student: Date:

Signature of Educator: Date:

Student has completed a Full Placement

Student has missed Half Day Sessions


Specialist Opportunities Physiotherapy Jennifer Hurst/Victoria Pawley Occupational Therapy Kayleigh Smith/Diane Rossiter / Stephanie Consultant Falls Management Dr Thuru/ Dr Rogers Orthopaedic Consultants Mr Pizon, Mr Gehling, Mr Hugh, Mr Rao, Mr

Odumala Orthotist Ed Trauma Specialist Nurse Liz Smith Pain Specialist Nurse Mandy Muir Pharmacist Various Specialist Discharge Nurse Mandy Samuels


Learning Outcomes

Learning Opportunities Resources

Managing Caseload Organisation Delegation Prioritisation Time Management Standards of Care

Clinical Educator

Communication with: Orthopaedic Staff Patients Relatives MDT

MDT/ Clinical Educator

Resources Ordering specialist equipment and maintaining stock.

Clinical Educator/ Assistant staff

Managing Risk Policies and Procedures Health and Safety Infection Control Moving and Handling

Policies Files Clinical Educator

Emergency Situations Cardiac Arrest Fire Safety Patient Alarms

Clinical Educator and Induction Process

Use of telephone Orthopaedic staff

Writing reports/discharge summaries and onward referral

Clinical Educator


Student Responsibilities:

Adhere to the CSP code of practice/ethics

Comply with local policies and procedures such as health and safety and professional

conduct discussed within the university and at the induction process.

Inform the Clinical Educator if you are remaining on trust property for example to use library

facilities or for a meeting.

Awareness of responsibility involves the university, the clinical educator and the student

although compliance is the students individual responsibility.

Be polite and punctual at all times

Adhere to Uniform Policies

Be adequately prepared for each placement

Use their portfolio to document evidence to support Learning Outcomes

Demonstrate effective communication, assessment and ongoing management of patients.

Evaluate the Placement and provide feedback to the Clinical Educator.

Report any problems or concerns to the Clinical Educator asap.

Complete the appropriate university assessment forms including hours completed and the

final assessment record.

Uniform Policy

Students are required to be neat and presentable to ensure the professional image is upheld.

Studnets can wear a white tunic top or white t-shirt, Navy blue trousers ( Not denim, cord or

canvas), Black shoes or trainers. White clean trainers can be worn. No watches or bracelets are

permitted, only a plain wedding band is permitted to adhere to infection control policies. Otherwise

minimal jewellery such as stud earrings is acceptable. Hair should be neat and tidy, if it falls below

shoulder length it should be tied back. Nails should be clean and short without nail varnish or

extensions and care must be taken with personal hygiene.

Male students- Facial hair should be neat or clean shaven.


Appendix 1

Student Diary

Week Beginning:

Monday Tuesday Wednesday Thursday Friday

Induction

Lunch Lunch Lunch Lunch Lunch


Appendix 2

Learning Outcomes and Evidence Log

Learning Outcome How Will You Complete

This?

Evidence


What did you do......... ...........and why?

What went well......... .......and what could have been

better?

What would you differently if faced with a similar situation?

Describe what you have learnt from this experience. (Learning Outcomes)

Appendix 3

South Tyneside District Hospital

Orthopaedic Physiotherapy

Reflective Practice: Learning from Doing.

Describe an experience in your recent professional life.......


Appendix 4

Using Walking Aids Following Lower Limb Surgery

When considering the use of walking aids it is essential to consider the

surgery completed, the patient’s age, preoperative mobility level and

comorbidities such as balance problems. Post operatively patients will be

assessed on their ability to transfer and mobilise if able according to current

Protocols and Consultant requests. Initially Patients would be assessed using

a wheeled walking frame, as this allows maximal support for the operated

lower limb thus easing pain with mobilising.

Using Elbow Crutches

All walking aids must be

measured for each patient

to maintain safety and to

allow the optimum gait

pattern.

As the patient progresses they may be assessed to use elbow crutches. They would be taught to:

1. Keep your elbows into your sides 2. Place crutches forwards shoulder width apart 3. Lean on the crutches so they are used to take the weight off the injured leg 4. Step through with the good leg (or NWB depending on Protocol) 5. When you have your balance, repeat stages 1- 4

Patients must never leave the crutches on their arms to either stand or sit and they would be

show how to complete this safely.

Also patients would be assessed using the crutches to ascend and descend stairs if this appropriate

for them at home. You should always have two members of staff present when assessing a patient

on the stairs to ensure safety.


Below is a picture representation of stair practice using a) two elbow crutches and alternatively b)

using one banister and one elbow crutch

a) Ascending the Stairs: Descending the Stairs:

b) Using a Banister

Examples of types of crutches and walking sticks:

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