This can be completed with a practice supervisor or your practice assessor.
Student to identify learning and development needs (with guidance from the Practice Supervisor / Practice Assessor)
Learning and development needs
. How to advocate for patients with brain injury conditions who are not able to communicate and anticipate needs.
. Tracheostomy care, how to suction patients with a tracheostomy , how to perform routine stoma care, routine tracheostomy tube change.
. Percutaneous endoscopic gastrostomy (PEG ): Gastrostomy tubes, types, the reason for the patient having a peg, peg stoma care, rotation of the tube, enteral feeds , enteral medication administration and water flushes .
. Continence care: patients who are double incontinent , catheter care, indwelling catheters; and suprapubic catheters.
. Skin care: learn about tissue viability, types of dressings and how to perform wound care .
Medicine administration via different routes : Oral PO , via PEG , injections ( IM / SC), and IV administration
. Vital signs for patients with brain injuries and NEWS trigger action.
Taking available learning opportunities into consideration, the student and Practice Supervisor/Practice assessor negotiate and agree a learning plan.
Outline of learning plan
All the above learning points are achievable within placement in BIS ( Brain Injury Service ).
Objectives : f
For student to be able to learn about normal parameters for vital signs and NEWS score—triggers and actions , frequency of repeating observations, and escalation . To be able to recognise when a patient is in distress / pain and to advocate in patient`s best interest when they lack capacity .
To learn about medication administration : drug calculations , preparing medications , learning about commonly used drugs, and administering medications under supervision according to guidelines .
To be able to perform PEG stoma care , advance and rotation of bumper retained tube , types of PEG tubes , indications for gastrostomies , and associated risks.
To learn about continence care and methods to support patients that are doubly incontinent , to learn about UTI , constipation , fluid balance and catheter care .
To be able to perform tracheostomy care, such as changing stoma dressing or tape , recognising if a stoma is healthy or has any abnormalities , observing tracheostomy suction and care, as well as routine changes of the tubes,.
To learn about tissue viability and wound care .
How will this be achieved?
Will be achieved theoretically and also by practice .
Student Bertha will work alongside nursing staff to enable learning.
Date and time of next interview (optional)
If this interview is carried out with the Practice supervisor, please complete the following:
learning plan for placement agreed by the Practice Assessor (if applicable)
Practice Assessor’s name (if applicable)
Practice Assessor’s email (if applicable)