Anyone think its a good idea to produce a wiki for healthcare students about placements- ie tips on how to survive etc?
Im happy adding some tips to nursing, but any physio, ot, S&L..midwives et fancy helping out? Plus nurses from mental health, child etc?
Or we can just do a stickied thread!
Edit: Ok I've added my tips for adult nursing, PM me those who have spoken up to do tips for their area, and i'll add it to this thread, and do a wiki on it aswell! If anyone wants to add tips aswell, post on here!
Surviving a placement on Adult Nursing
1. Be prepared, one week before you're due to start come and introduce yourself- find out shift times of atleast 2 weeks, and make sure you know what to do when you arrive for your first shift. Also, for brownie points if its a specialist ward, ask if there is any reading you can do to prepare?
2. Always ask questions- even if you think they're stupid
3. Don't always rely on your mentor- other members of staff enjoy teaching too, use the team on the ward, doctors, OT's, physio's if you're stuck!
4. Never undermine HCA's- always be friendly with them! Same goes for the cleaners!
5. Its ok to make mistakes- don't beat yourself up, learn from them instead. Its very hard getting put on a ward, and if you mess up its easy to feel you've let people down, but you're there to learn!
6. Get your basic care sorted- your first year is all about refining basic nursing care, so definately spend a lot of time with HCA's, remember your limitations- don't do things you've not been taught at university, ie if you've not been taught injections etc yet- definately use your first placements to understand the workings of a ward, and delivering care such as personal hygiene, bed changing, observations- they're vital and make sure they don't get missed out. Many students came back from placement bragging about things they'd got to do like catheters, injections, etc- but if you ask them to change a patients bed, and give them a wash, whilst asessing a pressure sore they won't know how too!
7. If a procedure is being done- ask to observe! Things such as operations, angiograms, lumbar punctures- ask to observe, you wouldn't get the opportunity as a registered nurse, and it can help you understand the MDT more as well as what the procedure actually entails when explaining it to patients!
8. Keep a reflective journal- soo very important, a small notebook is very useful, seperate your pages into 3, what happened, how i felt, and what I am going to do in the future, this will help you a lot with portfolio evidence and writing reflections
9. Non branch placements are common in your first year, many people find them tedious and don't want to do them- but try and get the most out of them! Ask questions, and reflect back as to what you've learnt and how you can take this into your own branch!
10. "Am I dying" or "Am I going to be ok?" are very hard questions to answer, I always use 'what makes you think that" it steers the conversation away to how they're feeling, and instead of giving a direct answer it can help them breakdown their emotions aswell, also 'Would you like a staff nurse come to speak to you about this instead?' is a good one if all else fails!
11. Make sure you know EXACTLY what you're doing, if you're being asked to carry out a procedure for the first time- even if you've done it in uni make SURE you are supervised, and know how to carry it out, don't ever second guess
12. Tea- I spent one shift on placement making the HO (house officer) about 10 cups of tea during the night, and topping up- he ended up explaining hypoglycaemia to me, and letting me observe ward rounds the next shift AND taught me about blood transfusions- I got a great learning experience from him just through cups of tea! Plus its good for the nursing staff too, its a good way to bond with a mentor aswell
13. Be professional- but don't forget you're human. Crying, showing emotions, discussing personal issues and making unprofessional comments are not meant for a ward, but its ok to feel things, if a pateint has frustrated you- go in the staff room and growl a bit, or go home and scream! Its ok to get worked up and upset, just remember you have a duty aswell.
14. Don't forget your friends and fellow students when on placement- they're a good source to vent and cry too if you need it
15. Other students on a ward, can be a valuable learning tool. Third year students are expected to be able to teach things, one such 3rd year once taught me how to do a bladder scan. Its good for you, and them! Plus if you're stuck on portfolio work they're a great tool to help you along
16. Confidence is a good thing to have, but remember there is a fine line between confidence and arrogance
17. Accept feedback and criticism- its not personal, but professional and needs to be producted by you the student
18. If you have nothing to do and feel a bit lost, nothing wrong in skimming through the ward and doing fluid balance charts, they're often forgotten!
19. ALWAYS speak up about bad pratice you witness, even if you're unsure over what constitutes over bad pratice- ask, whether this be your mentor, sister or ward manager. Its nice to get on with staff, but even better to put patients safety first.
20. Make sure you have a decent fob watch, scissors, black pens and a notebook in your pockets always!
21. Many students worry about their first crash or arrest, important thing to remember is to stay calm and in control. If that means all you do is pull the buzzer, than that's fine. Be aware of your limitations, what you can and can't do, observe if you can- and if you get the opportunity to get involbves take that chance as it is a way to learn. Reflect afterwards!
22. Following on from crashes the issue over death is also a tough one with new students, only volunteer or agree to conduct last offices or even see a dead body when you feel ready- however be aware you will have to deal with death as a student, and the earlier your exposed to it, and understand it the better
23. Get an early night!
24. Don't let anyone ever make you feel bad, ever- its easy to feel like the worst nurse ever, and many people will show you lack of respect. Just on tsr people have told me i'd make a bad nurse, and lack nursing skills- but the only thing i need to know, which they don't is that I try my best for each of my patients
25. Remember you're human- a lot of the general public expect nurses to be perfect robots, you're not- I get told because im a nurse i'm meant to be caring all the time, truth is i'm not, If anything out of the ward I can be selfish, but just remember you're human and not perfect, you will make mistakes!
Surviving a Placement on Mental Health Branch
1. Be prepared. Do a teeny bit of research into your current placement. There are so many bits and bobs you can start to grasp even before you start placement.
2. Enter the ward with a sense of humour. This will help, you with the staff and the patients. Some staff are very sarcastic so be aware, they don’t mean to insult you.
3. Don’t take anything negative to heart. Over the rest of you career you are likely to come across patients who will swear, punch, kick, insult you. It’s them or their diagnosis. Just take it with a pinch of salt and report it.
4. Following on...REPORT IT. If it’s not reported, it didn’t happen, and everything needs to be documented.
5. Be prepared to meet some characters. You will not like every patient you ever meet. You may have major problems with their character but remember you are a nurse; you cannot treat them any differently.
6. Physical health is you know is very important as you know. Carry a fob watch for the all important respiration rates and a note book so you can jot things down.
7. The HCAs are your friends. They are often more helpful than the actual nurses who are swum of their feet, who despite their best intentions cannot always supervise you. The HCAs are also very friendly and will watch out for you.
8. Ask questions, you are there to learn and do not feel ashamed pronouncing some of the drug names wrong. Believe me, the staff will help you through it and my current ward manager cannot say Haloperidol to save her life. To her it’s “Halodelalol”.
9. Go observe and sit in groups. Even if it isn’t branch specific, you may never get another chance. Also it uses up time if you are THAT bored.
10. You will learn about so different drugs. Keep your eye on the BNF, after all the medic may miss something and if that’s not important, you may save a patient.
11. Doctors can be your friend, make yourself available and ask questions. Some may ignore you; some may want you there and will teach you about any topic you ask.
12. Feel free to question diagnoses and other parts of a patient’s treatment if you feel like it is ignored or may be wrong. As long as you can back up your questions there is no harm done.
13. Smile. Patients respond well to a smile on your face and a cheesy Grin.
14. If there is no work in the office that needs doing, go into the day room. You learn so much from talking to patients, or even observing them watching the TV.
15. Enjoy it. You are only a student for three years; enjoy learning and the supernumerary status. You won’t ever get it back.
Surviving a Radiotherapy Placement
* On the first placements the staff will just be looking for you to get used to what happens in the department, what equipment is used and chat to patients, do any ID procedure and bring them through into the room, communicate well with other members of staff etc
* They will probabaly start you off participating in treatment set ups by moving the gantry, learning the controls for the bed without a patient in the room, getting the room ready for the next patient by getting the correct equipment ready and so on. They will go through the local rules on radiation protection and you may also have an induction package to complete from your uni, this will help you settle into the department.
* If you dont understand anything-ask a member of staff! You will have a mentor for your placement so ask them if you are unsure. They will be supervising you all the time when you begin to set patients up and they wont let you do anything wrong so dont panic about that! Towards the end of the placement staff will probably let you get involved more in the treatment set up by moving the patient etc, dont panic about this you will be fine
* You will be on your feet for most of the day going in and out of the treatment room - wear comfy shoes!
* Make sure you have a pen and a notebook to go in your tunic pocket - i feel lost without my notebook now! Also try to get hold of some skin marker pens, we have them provided in department but i also have a collection of ohp pens too. Bring a small ruler as these are often needed.
* Remember some terms that will be used in department - these will help you become familiar with treatment set ups:
Patient supine - the patient lies on their back
Patient prone - the patient lies on their front
Look up meanings for anterior, posterior, inferior, superior, sagittal etc as you will need these terms daily!