If they want high quality, professioanl nurses they have yo positively invest time and effort in supporting students. Have you submitted a placement evaluation and shared your concerns with your Personal Tutor? I can be fairly sure that Senior Nurse Managers will also have concerns about this ward and will suuport you. The CQC is very interested in student evaluations and their concerns about care standards.
Negative student evaluations should be taken seriously and investigated. All Local Education and Training Boards are concerned about negative student experiences and with the introduction of student tariffs money can be withheld from Trusts or placements that fail to support students. Victoria makes a very valid point about patient care, if students are not welcome other problems are likely to be prsent as well, such as high infection rates and high staff sickness and abscence rates. Do not be passive Victoria take your concerns to the highest level of both your HEI and the Trust. The CQC takes student concerns very serriously.
Safety standards are laid down for paediatric surgery by the Royal College of Surgeons.
Parents must have been misinformed about the experience of the surgeon and staff. All DGHs have been told in the past to suspend paediatric surgery and refer all children to specialist centres. In comparison to the concerns about risk and heart surgery in Leeds how did this private hospital get away with this. Children deserve the highest standards of surgical safety and should not be operated on or looked after by amateurs. Safety standards must be applied to both NHS and private providers.
Putting the time line together reveals warning signs to prospective employers. Denice Stewart moved jobs on a yearly basis, she kept moving. It would be interesting to find out how she managed to gain the posts but then did not stay long. Practice Nursing is highly skilled, was she found out because she did not have the expected skill level and then left. If so why was she not reported sooner to prevent other employers taking her on. Was being conned embarrising for the Practice Managers and GPs so they just let her go to avoid local press interest. More questions than answers.
Our HCA/CSA colleques are not unqualified.
They have qualifictions such as NVQ Levels 1, 2 or 3 or they may have Open University Qualifications such as the Certificate in Health and Social Care. In the modern age they may hold a higher level of academic qualifiction than qualified nurses who are SRN or RGN level 1. We are going through the profesionalisation of the non-registered health care workforce and we should be justly proud of these fundermental changes.
We need to all stand together and fight for the highest standards of care and professionalism.
There are several unawered questions here, how are Trusts finding themselves in debt to the tune of £50 billion and why?
Is it due to PFI contacts in the same way as FE colleges and schools, if it is the Trusts are remaining silent on this issue.
And is debt being used to undermine the NHS and force NHS hospitals into private hands.
The realy odd thing is that the New Labour intiatives such as the 4 hour A/E standard, 18 week wait for surgery and cancer referals are still in place. As staff and other assets are reduced admissions carry on rising and the public are not being informed that less means less and not more.
The recent publication of the 30 year papers reveal Margaret Thatcher was prapared to dismantel the NHS. Is this still the Conservative game plan only this time using debt and press attacks on standards to weaken the NHS and the public image of Nursing.
How many redundecies does it take to make a hospital non-funcional.
It is far easier to destroy than create and there is a very real danger that the NHS may become a distant menory.
This is an interesting problem, has pH paper contributed to patient safety? personaly I find it very difficult to interptret the results as a definate acid reaction is rare. Many drugs reduce the acidity of the gastric aspirate includding Omeprazole. An acid reaction is possible if the pt has GORD and gastic acid is present in the Oesophagus, espeicaily if the pt has Barret's Oesophagus. What I am arguaing for is it is a false belief that pH testing is infalable. The best method is to use a low risk test such as first using water rather than feed, this prevents chemical pnuemanitis if feed gets into the lungs.
No single method is 100% safe particualy if the pt is unconcious or has no gag reflex.
Do not forget to ask your mentor if they have a recognised mentor qualification and they have completed their annual mentor update. Your future registration could be at risk if out of date or unqualified mentors sign your practice assessment docuaments. If you find this question difficult to ask check your mentors status with your practice placamant unit or Practice Placement Faclitator.
Jerry Masterson, Practice Placement Facilitator.
Well done Adam, a very well argued piece. Students also need to ask their mentor if they are up to date and for the date of their last mentor update. In an ideal world this question should not be awkward or threatening. If the mentor is out of date your practice assessment document may be returned to you and it is possible that the NMC may decline your registration if your sign of mentor is out of date.
Make a sure you have a date set with your mentor for your primary, intermediate and final interview.
Both mentor and student can recieve support from the Link Lecturer, Practice Learning Facilitator and Ward Manager. Do not suffer in silence, get help fast.
Jerry Masterson, Practice Learning Facilitator.
I wonder if it is something as simple as the geographical isolation of Boston or is somethong more serious.
The ban will have a severe effect on the Trusts ability to recruit and retain high quality staff which in turn will impact on patient care and safety.
The Trust may be forced to spent precious resources on overseas recruiting to fill the vacancy gap.
Let us hope the true reason is revealed soon.