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National Early Warning System (NEWS) and Sepsis

The national early warning scoring system (NEWS2) was updated by the Royal college of Physicians in December 2017. It is the track and trigger system used in acute hospitals and ambulance trusts to identify acutely deteriorating patients.

Patients with sepsis, or a suspicion of sepsis, can be identified by using the NEWS scoring system plus clinical judgement aided by the use of the sepsis screening tool.

The objectives that are required of you are:

  • To be competent in the use of NEWS2
  • To be competent in escalating a NEWS score of 5 or more(or any patient you are concerned about) to an appropriate staff member.
  • To be competent in completing the sepsis screening tool
  • Knowledge of the sepsis 6 bundle

 Please complete the two steps below:

  1. Complete the on line NEWS2 training through the RCP website. Please print off the certificate available once the e-learning is completed, as evidence. This will take you up to an hour to complete. Click on this link to access the NEWS e-learning tool.

https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2

  1. Watch the SASH Recognising sepsis video (6 minutes long), by clicking below:

All new staff will be expected to show their NEWS2 e-learning certificate to their preceptor, and to provide evidence of their sepsis recognition and treatment knowledge.

Nursing Mentorship

The lead for mentoring at SaSH is Alyson Stobbs and she can be contacted via [email protected] or on extension 6592

Useful information and documents can be found relating to how to access mentorship courses, maintaining your ‘live’ mentor status, becoming a sign off mentor and supporting students.

Types of Mentors:

Different terms are used to describe the varying mentorship roles that exist. In terms of qualified mentors (recognised by the NMC), the two mentoring roles are ‘qualified mentor’ and ‘sign-off mentor’. These mentors will have undertaken the ENB 997/998 or Mentorship Course.

Some mentors are described as ‘associate’ or co-mentors’. These are terms used to describe individuals who make a valuable contribution within a mentoring team to the support of students but have not qualified as a mentor (not undertaken an Nursing and Midwifery Council or Health Professional Council recognised course) or have not maintained a ‘live mentor status’.

If any further information is required, please contact Alyson Stobbs, Placement Learning Manager on Ext 6592 or email [email protected]

For information about the mentorship course, please contact the Post Registration Administration Team,  University of Surrey 01483 686776 or email [email protected]

We also have four Practice Liaison Teachers (PLT’s) who work at the University of Surrey and provide support and advice to mentors in practice.

The PLT’s for SaSH are Jane Leng, David Brighton and Annette Davies. The PLT’s can be contacted via email on: [email protected]

Clinical Grading

The Clinical Grading Tool (CGT) is carried out towards the end of each placement and must be based upon continuous assessment of the student during that placement.

Download Mentors guide to clinical grading 2017

Student Support

Practice Liaison Teachers (PLT) from the University

  • We link with the Trust to support student learning in the practice environment
  • They are all teachers based within the University for the rest of the week
  • They will be able to support mentors / supervisors / practice placement educators in practice
  • They will be able to advise on continuing professional development opportunities

Contact Details:
[email protected]

Learning & Education Team from the Trust
Alyson Stobbs – Placement Learning Manager
Contact Details:
[email protected]

Reporting Student Sickness:

  • For pre-registration students, sickness needs to be recorded locally and in the student portfolio
  • Students must contact the placement area (as per Trust policy)
  • Students need to inform the University of any absence: [email protected] or 01483 684505

Raising concerns about practice

  • Follow trust / organisation policy/procedure
  • If a student raises a concern please inform Alison Rhodes (Lead for Practice Education) immediately – 01483 682934 or [email protected]

 


 

Standard Operating Procedure

Protecting adults at risk who access health and social care services is the responsibility of everyone; those who teach and support students from the School of Health Sciences as well as those who work within these services.

Download SOP Raising and Escalation of Students Practice Concerns

Podcasts


 This is the Infection Prevention and Control Podcast – ICPOD.

 A podcast for all healthcare professionals working with patients at Surrey & Sussex Healthcare NHS Trust, to help prevent and look after patients with infections.

Episode 1: Clinical assessment of diarrhoea and stool sampling

Presented by: Ashley Flores (Nurse Consultant and Deputy DIPC) and Ruth Bradburn (Senior Nurse Infection Prevention & Control), both at Surrey & Sussex Healthcare NHS Trust. This podcast was recorded and edited by the Simulation Suite at SASH.

 This episode explains the clinical assessment of diarrhoea and stool sampling, from the point of view of infection prevention & control. We talk about some of the things to consider if a patient develops diarrhoea.

Learning Outcomes

Knowledge:

  • To understand the clinical assessment of diarrhoea, as regards a potential infectious aetiology.
  • To understand when to send a stool sample
  • To understand which microbiology tests will be carried out.
  • The importance of documentation.

Skills:

  • Assessment of patients with diarrhoea, for likely infectious cause.
  • Factors to consider when collecting a stool sample.
  • Which microbiology tests to request.
  • Initial infection control management of patients with diarrhoea.

Attitudes:

  • To understand that diarrhoea is an important clinical symptom.
  • To understand that not all diarrhoea has an infectious aetiology
  • To recognize the benefits of the clinical assessment of diarrhoea

Show notes

Gastrointestinal infections are viral, bacterial or parasitic infections that cause gastroenteritis, an inflammation of the gastrointestinal tract involving both the stomach and the small intestine. Symptoms include diarrhoea, vomiting, and abdominal pain.

  1. difficile infection (CDI) causes serious illness and outbreaks among hospital in-patients. Normally it affects the elderly, the debilitated and patients who have had antibiotic treatment. It is important that when a patient presents with diarrhoea, the possibility that it may have an infectious cause is considered. Patients with suspected potentially infectious diarrhoea should be isolated.

 Definition of diarrhoea:

Public Health England (2008) defines diarrhoea as:

‘One episode of diarrhoea, defined either as stool loose enough to take the shape of a container used to sample it or as Bristol Stool Chart types 5–7, that is not attributable to any other cause, including medicines’.

Clinicians (doctors and nurses) should apply the following mnemonic protocol (SIGHT) when managing suspected potentially infectious diarrhoea:

 

S

Suspect that a case may be infective where there is no clear alternative

cause for diarrhoea

I Isolate the patient and consult with the Infection Prevention & Control team while determining the cause of the diarrhoea
G

Gloves and aprons must be used for all contacts with the patient and

their environment

H

Hand washing with soap and water should be carried out before and

after each contact with the patient and the patient’s environment

T

Test the stool for toxin, by sending a specimen immediately

 

 

Reference

Public Health England (2008) Clostridium difficile: How to deal with the problem

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/340851/Clostridium_difficile_infection_how_to_deal_with_the_problem.pdf

 

Nursing & Midwifery Revalidation

You can download the NMC template for reflective accounts here:

http://revalidation.nmc.org.uk/download-resources/forms-and-templates

Curriculum mapping

This episode covers the following areas (n.b not all areas are covered in detail in this single episode):

 

Curriculum Area
Infection Prevention Society Competencies for Infection Prevention & Control Practitioners

Domain: Quality Improvement

Competency: Demonstrate the use of risk assessment in Infection Prevention & Control practice

 

Domain: Education

Competency: Develop own knowledge, skills and practice

 

 

NHS Knowledge Skills Framework

Core Dimensions:

 

Health, Safety and Security: levels 1-3

 

Quality: levels 1-3

01737 768511

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SASH Education Campus
Surrey and Sussex Healthcare NHS Trust Trust Headquarters
East Surrey Hospital
Redhill
Surrey
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