Keswick Ward

What is organised for students on commencement of placement?

What shift patterns are students allocated for learning?

Contracted to work 37.5 hours per week in practice which consists of 2 x shorts shifts and 2 x long shifts per week;

• Short shifts are 7am- 3pm or 1pm- 9pm with a 30 min break during the shift as per Trust policy
• Long days are 7am- 7.15pm with a 60 min break during the shift as per Trust policy
• Night shift are 7pm- 7.15am with a 60 min break during the shift as per Trust policy

You are not permitted to take your break at the start or end of the shift.

You are expected to utilise the full 24/7 shift pattern. Shifts can be negotiated if needed

Shifts should be planned in advance. Any changes need to be agreed with the Manager or PEL

If you plan on using your 1 week annual leave during placement, you need to discuss this in advance and with your HEI in agreement

You are not permitted to work in excess of 48 hours per week in total which includes placement, bank work, study days, any other type of work.

What patient care situations are available in this placement?

Keswick Ward delivers 13 beds for a similar recovery focused pre-discharge pathway.

Service users residing on Keswick may be entitled to leave and are actively working towards their discharge to a community placement/destination.

Our service users are In-patients with enduring mental health problems who are now moving back into their community and thus have extended leave arrangements and a level of independence. Some community work also, as appropriate/needed.

The model of care is based on the principles of recovery, a feeling of hope and optimism is essential for our service users’ recovery.  We believe that service users should be empowered to regain and maintain control over their lives and to develop a sense of meaning and purpose.

We provide both 1-1 and group-based interventions dependent upon need.

Health improvement activities such as screening, Podiatry, Chaplaincy, Physiotherapy, Dentist, Opticians, vaccination and lifestyle improvement support are also included.

You may also be involved in:

*Dispensing of medication

*Care planning collaboratively

*Monthly reviews and CPA reviews – provide report, attend and present info

*Escorting patients (under supervision)

*Management of ward and staff (under supervision)

*Involvement in Care Delivery (under supervision)

*Admissions

*Transfers

*Discharges

*Primary nursing

*Assessment

*Planning

*Implementation of care plans and interventions

*Reviews

*Care Programmed Approach

*Applying the Mental Health Act framework

* Managing Complex and Challenging needs

*Managing Personality Disorder

*Therapeutic relationships

*Maintaining NMC standards

*Maintaining Confidentiality

*Holistic [bio – psycho – social] Care

What nursing model is used for planning care?

Recovery Model. Care Programme Approach (CPA)

What core clinical skills can be learnt?

• Mental state assessments
• Care Planning
• Risk Assessing
• Risk formulation and management
• Psychiatric/ MDT reviews
• Physical health interventions
• 1-1 sessions
• Diverse/Complex mental health issues
• Dual Diagnosis
• IT/ care documentation
• Therapeutic Risk Taking
• Building therapeutic Relationships
• Evaluating Care
• Boundary setting
• De-escalation techniques
• Developing Communication Skills
• Medication Knowledge and Administration
• Delegation Skills
• Team Working
• Management Skills

What additional clinical skills can be learnt?

• Management of self harm
• Medication Management
• Attending CTM’s (ward rounds) and CPA reviews
• Physical observations
• Taking and presenting handovers
• Shift Coordination
• Depot Injections
• 1:1 sessions

What resources are available to help students learning?

What research and practice development activities are being undertaken?

• Riverside research department
• Psychosocial Interventions
• Structured Day
• Student Development Topics
• Reflection Models
• CQUIN
• Least Restrictive Practice
• My Shared Pathway

Spoke Placements

• Other wards in Riverside
• Women’s Service
• Low Secure Service
• Clozaril Clinic
• Occupational Therapist
• Duty Manager
• Pharmacy
• Community Team
• Psychology
• Hospital at Night

Learners are expected to complete a spoke placement feedback sheet on PARE to identify what learning outcomes they want to achieve, what they learnt from the spoke experience and a discussion with their assessor of their experience and what further development opportunities would support their learning.

Additional Information

Keswick Ward is a Male ward

Our staff are on hand to offer service users and their family members and carers information about mental health, recovery and the choices and resources available to them. Carers information packs are available and carers events take place throughout the year.

All learners will be booked onto Service Induction and Key Induction and will need to make every effort to be on duty on these dates therefore you need to contact your placement beforehand so that your shifts can be planned around the dates.

Sickness: Learners are expected to contact the ward and University absence email if they are not going to be attending placement due to sickness.

Dress Code: Learners are required to wear uniform and appropriate footwear as well as their student GMMH ID badge at all times. Learners are expected to maintain a professional image service at all times in and outside clinical areas.

Practice education Facilitator: Lindsey Hodges

Contact details: lindsey.hodges@gmmh.nhs.uk