Category Archives: Uncategorized

Nurses have no confidence in Andrew Lansley

After the damming vote of no confidence in Andrew Lansley by Nurses at the RCN Congress, he later apologised that his plans had not been communicated as well as they might have been.

A staggering 96% of 497 delegates at the RCN Congress event voted for a no confidence stance in the Health Secretary and his NHS reform plans.  Later that day he addressed an audience of 65 nurses where he said he was “sorry” for failing to communicate his healthcare reform plans.

Some nurses were angry that he did not address the whole conference, and instead chose to address a smaller group. The vote of no confidence comes on the same day that Labour called for the total scrapping of all NHS reform plans. It’s not clear yet whether either Andrew Lansley himself or plans will be allowed to go on for much longer. There have been calls for his resignation, and both the BMA and RCN want significant changes to the “dangerous” reform plans.

Video Link between hospitals for kidney patients in North Scotland

A video conferencing system has been installed between Raigmore Hospital in Inverness and Caithness General Hospital in Wick to allow kidney patients the cut down the huge number of miles travelled for each appointment.

Dialysis patients will still have to travel to Inverness every other month for a check up, but their appointments in between can be carried out via video link. According to Dr Peel, a renal consultant at NHS Highland, more patients can been seen in the monthly clinic with reduced waiting times and obviously a greatly reduced journey to a hospital.

Staff will also be able to use the system to join in training sessions and to discuss patients’ notes face to face with the main renal unit without travelling 200 miles to Inverness. Similar projects already run successfully in the very North of Norway connecting three satellite renal clinics with the main unit.

Taking a break for Christmas

I didn’t want to leave without saying anything, so I just wanted to let you know that I’m taking a well earned break from everything over Christmas and I’ll be back with you in the new year.

Happy Christmas everyone, I hope you get some time off somewhere to enjoy it!

Is the NHS falling behind in the technology race?

According to a recent report, the NHS is falling behind Europe to implement new technologies that would benefit patients’ recovery time or quality of life. Barbara Harpham, Chairman of the Medical Technology Group and Chairman of Heart Research UK said

Slashing budgets is counterproductive as modern technologies help thousands of people stay in work and out of hospital. We already lag behind much of Europe, with problems like hospitals denying patients NICE-approved technologies because they lack the facilities or staff to support their use.

Conversley, NICE has recently refused to approve two more cancer drugs claiming that they would be too expensive to provide under NHS funding. Ssorafenib (Nexavar) for liver cancer and (so far)  bevacizumab (Avastin) for metastatic colorectal cancer have both been refused.

It’s seems to me that whether NICE refuses to approve a drug or whether the NHS won’t pay out for it, patients in this country will continue to be denied life-prolonging or life-improving treatments.

The Report “Medical Technology – Can We Afford To Miss Out?” indicates that three times more cardioverter-defibrillator (ICDs) were installed in Germany last year compared with the UK, despite the device being approved by NICE.

Interview with newly qualified Nurse about her new nursing job

1.       What is the job title of the position you were interviewed for?
Band 5 Nurse – Care of the Elderly
2.       Where is the position based?
Derriford Hospital, Plymouth, Devon
3.       Will this be your first staff nurse job after qualifying?
Yes
4.       Where did you train and what qualification have you got?
I have studied for the entire DipHE Nursing (Adult) course at the University of Plymouth
5.       Are you automatically registered with the NMC when you qualify?
As far as I am aware it is the responsibility of the University to send a “Letter of Good Character” to the NMC for consideration prior to registration and issue of a PIN number.  Have been told this takes upwards of 6 weeks.
6.       What preparation did you do for the interview?
Was advised by current Mentor (who happens to undertake interviews as part of another job she holds) that it would be a good idea to arrange to meet with the Ward Manager and spend some time on the ward, ask questions about what they do, become familiar with the Ward Philosophy and generally give them a good, lasting first impression prior to meeting you in an interview setting.
I made a point of researching all current strategies with regards Care of the Elderly as well as more general revision on policies for the hospital and Clinical Governance (came in very handy as this was one of the questions !)  For added bonus points I looked into some national and local statistics based on care of the elderly, life expectancy etc.
I even went so far as to ask my friend who works on the ward to put a good word in for me!
7.       What questions did you get asked?
There were seven questions in total and unfortunately I cannot remember the exact wording but it was along the lines of:
1. Why was I drawn to working on a care of the elderly ward?
2. What would I consider to by my strengths and weaknesses?
3. How would I respond if asked by a senior member of staff to carry out a duty I was not qualified/competent to do?
4. In my own words, briefly explain my understanding of the “Governance Strategy”
5. How would I ensure the best interests of my patients?
6. How did I personally prepare for the interview?
8.       What did you wear?
Black linen trousers, plain white blouse, black boots and a hot pink raincoat style jacket!
9.       Did you feel you got the chance to expand on areas that you were confident in?
I think I was lucky as I was given the chance to expand and when I apologised for “waffling” I was told not to worry as they liked waffle, “it gives more away about a person”.
10.   Do you feel like you answered their questions fully?
See above re: waffle!! I think I gave quite comprehensive answers to their questions and surprised them by throwing in a few statistics.  I made reference to relevant parts of past placements e.g. community nursing of elderly people in their own homes/care homes, orthopaedic trauma (elderly people at risk of falls and fractured hips), Oncology ward (end of life care) community and neurological rehabilitation units (multidisciplinary working).  Also my current placement within skin and woundcare with a secondment to the Infection Control team would prove useful to their team.
11.   What will the position entail if you get it?
Initially, until PIN number comes through, I will work as a Band 4 Nurse which, as I understand will entail all duties expected of a Registered Nurse but medications will need to be supervised (pretty much as it is as a student).  Once I recieve my PIN number I will be made up to a Band 5 Registered Nurse.
Care of the Elderly involves as much social care as it does health care and I will be expected to work closely with the Discharge Co-Ordinator in this respect to ensure that when a patient leaves hospital they are going to an appropriate environment to deal with their needs.
As the post offers a Preceptership (?spelling) I will be sent on various courses such as IV drugs, male catheterisation, venopuncture etc.
12.   What attracted you to the job you were interviewed for?
I have had a great deal of contact with elderly patients throughout my training so felt natural to follow this through.  Initially (honestly) the fact a friend I had met through training who qualified the year prior to me worked on the ward I was applying for was a big initiative as the thought of a familiar face made the prospect of going into my first qualified post less daunting.
The fact the position comes with a Preceptorship also attracted me as this will give me a much needed transitional period rather than going straight into a registered position without additional support.
13.   Did you always want to be a nurse?
No.  Again honestly it came about when my husband and I were looking to move to Plymouth and I became restless for a change from secretarial work.  At the time (2004) the NHS were promoting a huge recruitment drive and after hearing an advert on a local radio station I decided “I can do that”.
14.   Have you enjoying studying to be a nurse?
The course has been fraught with difficulties as a lot of the modules I have undertaken have been new, never before run modules which the University have been “trying out” on my cohort.  Whilst away from the University environment and in clinical placement I have loved my training.  It has had ups and downs as expected but ultimately I still, even after 3 years training, want to be a Nurse and do the best I can for the vulnerable people I will be responsible for.
Joanne Whittaker
DipHE Nursing (Adult)
University of Plymouth ‘09

1.       What is the job title of the position you were interviewed for?

Band 5 Nurse – Care of the Elderly

2.       Where is the position based?

Derriford Hospital, Plymouth, Devon

3.       Will this be your first staff nurse job after qualifying?

Yes

4.       Where did you train and what qualification have you got?

I have studied for the entire DipHE Nursing (Adult) course at the University of Plymouth

5.       Are you automatically registered with the NMC when you qualify?

As far as I am aware it is the responsibility of the University to send a “Letter of Good Character” to the NMC for consideration prior to registration and issue of a PIN number.  Have been told this takes upwards of 6 weeks.

6.       What preparation did you do for the interview?

Was advised by current mentor (who happens to undertake interviews as part of another job she holds) that it would be a good idea to arrange to meet with the Ward Manager and spend some time on the ward, ask questions about what they do, become familiar with the ward philosophy and generally give them a good, lasting first impression prior to meeting you in an interview setting.

I made a point of researching all current strategies with regards care of the elderly as well as more general revision on policies for the hospital and Clinical Governance (came in very handy as this was one of the questions !)  For added bonus points I looked into some national and local statistics based on care of the elderly, life expectancy etc.

I even went so far as to ask my friend who works on the ward to put a good word in for me!

7.       What questions did you get asked?

There were seven questions in total and unfortunately I cannot remember the exact wording but it was along the lines of:

1. Why was I drawn to working on a care of the elderly ward?

2. What would I consider to by my strengths and weaknesses?

3. How would I respond if asked by a senior member of staff to carry out a duty I was not qualified/competent to do?

4. In my own words, briefly explain my understanding of the “Governance Strategy”

5. How would I ensure the best interests of my patients?

6. How did I personally prepare for the interview?

8.       What did you wear?

Black linen trousers, plain white blouse, black boots and a hot pink raincoat style jacket!

9.       Did you feel you got the chance to expand on areas that you were confident in?

I think I was lucky as I was given the chance to expand and when I apologised for “waffling” I was told not to worry as they liked waffle, “it gives more away about a person”.

10.   Do you feel like you answered their questions fully?

See above re: waffle!! I think I gave quite comprehensive answers to their questions and surprised them by throwing in a few statistics.  I made reference to relevant parts of past placements e.g. community nursing of elderly people in their own homes/care homes, orthopaedic trauma (elderly people at risk of falls and fractured hips), Oncology ward (end of life care) community and neurological rehabilitation units (multidisciplinary working).  Also my current placement within skin and woundcare with a secondment to the Infection Control team would prove useful to their team.

11.   What will the position entail if you get it?

Initially, until PIN number comes through, I will work as a Band 4 Nurse which, as I understand will entail all duties expected of a Registered Nurse but medications will need to be supervised (pretty much as it is as a student).  Once I recieve my PIN number I will be made up to a Band 5 Registered Nurse.

Care of the Elderly involves as much social care as it does health care and I will be expected to work closely with the Discharge Co-Ordinator in this respect to ensure that when a patient leaves hospital they are going to an appropriate environment to deal with their needs.

As the post offers a preceptorship I will be sent on various courses such as IV drugs, male catheterisation, venopuncture etc.

12.   What attracted you to the job you were interviewed for?

I have had a great deal of contact with elderly patients throughout my training so felt natural to follow this through.  Initially (honestly) the fact a friend I had met through training who qualified the year prior to me worked on the ward I was applying for was a big initiative as the thought of a familiar face made the prospect of going into my first qualified post less daunting.

The fact the position comes with a preceptorship also attracted me as this will give me a much needed transitional period rather than going straight into a registered position without additional support.

13.   Did you always want to be a nurse?

No.  Again honestly it came about when my husband and I were looking to move to Plymouth and I became restless for a change from secretarial work.  At the time (2004) the NHS were promoting a huge recruitment drive and after hearing an advert on a local radio station I decided “I can do that”.

14.   Have you enjoying studying to be a nurse?

The course has been fraught with difficulties as a lot of the modules I have undertaken have been new, never before run modules which the University have been “trying out” on my cohort.  Whilst away from the University environment and in clinical placement I have loved my training.  It has had ups and downs as expected but ultimately I still, even after 3 years training, want to be a Nurse and do the best I can for the vulnerable people I will be responsible for.

JW

DipHE Nursing (Adult)

University of Plymouth ‘09

New funding options for student nurses to be considered in September

It was announced some time ago that the funding arrangements for student nurses were under review, but the Nursing Times has just revealed that the consultation period will begin in September.

The RCN has been pushing for a £12,000 non means tested bursary for all student nurses to ensure a reduction in the current drop out rate from nursing courses. Financial troubles have been cited as a major factor in the high drop-out rate seen recently. The current system of finance for student nurses is a non means tested bursary for all nursing diploma students and a means tested bursary for all degree nursing studens. This can leave a large defecit in the finances of individual students, who frequently rely in part time income from work or the income of a partner.

If the industry is to be truly opened up to everyone, a non means tested bursary accross the board has to be introduced. Ann Keen has been appointed to head the Prime Minster’s Commission on the future of Nursing and Midwifery in England with the task of devloping existing and emergent policies and to examine the barriers in the profession with a view to removing them.

The final recommendations are expected in March 2o10, but the first phase of opinion gathering has only just begun and ends on August 10th. To make your voice heard, submit a comment on the Commission’s website.