Added to Practice Placements Website May 12 1
Portfolio of Learning
Opportunities
Orthopaedic Physiotherapy Placement
South Tyneside
District Hospital
Added to Practice Placements Website May 12 2
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.
Added to Practice Placements Website May 12 3
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.
Added to Practice Placements Website May 12 4
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
Added to Practice Placements Website May 12 5
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
Added to Practice Placements Website May 12 6
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
Added to Practice Placements Website May 12 7
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
Added to Practice Placements Website May 12 8
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
Added to Practice Placements Website May 12 9
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.
Added to Practice Placements Website May 12 10
Appendix 1
Student Diary
Week Beginning:
Monday Tuesday Wednesday Thursday Friday
Induction
Lunch Lunch Lunch Lunch Lunch
Added to Practice Placements Website May 12 11
Appendix 2
Learning Outcomes and Evidence Log
Learning Outcome How Will You Complete
This?
Evidence
Added to Practice Placements Website May 12 12
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.......
Added to Practice Placements Website May 12 13
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.
Added to Practice Placements Website May 12 14
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:
Added to Practice Placements Website May 12 15