Your orthopaedic placement will provide you with the opportunity to work with a wide range of orthopaedic patients, both elective and trauma. The orthopaedic team covers 55 trauma beds and a further 16 bed for elective surgery. The team also covers Holywell which is a day case surgery and Nightingale which is paediatric orthopaedics.
A substantial part of your placement will be spent on Robinson Ward which is primarily for all Neck of Femur fracture (NOF#) patients. Robinson ward provides MDT assessment and treatment for all patients who have suffered a NOF # including complex discharge planning.
Throughout the placement you may also gain experience in the assessment and treatment of both upper and lower limb trauma patients providing them with acute rehab exercises.
You will also get daily opportunities to work within part of the wider MDT completing joint assessment and treatments with OT to facilitate discharge and completing onward referrals to both OP and community therapy to ensure continued rehab is achieved.
Proximal humerus fractures
Total Hip Replacement
Total Knee Replacement
Reverse total shoulder replacement
Photos:Chesterfield Royal Hospital
Knowledge and Skills required
Students will be expected to:
Have knowledge of anatomy and physiology to be able to identify and understand patient diagnosis
Demonstrate effective communication to wide range of patients and the MDT, showing adaptability with such individuals with cognitive impairments
Be able to consider the biopsychosocial approach to therapy
Demonstrate appropriate clinical reasoning behind exercise prescription and progression in therapy
Demonstrate safe and effective application of appropriate treatments under the guidance of qualified staff members
Demonstrate the ability to plan discharges and identify where appropriate onward referrals in line with NICE guidelines
Demonstrate appropriate manual handling skills
On completing this module you should be able to:
Write concise and accurate notes using the correct SOAP format
Manage your time and caseload effectively, showing appropriate prioritisation skills
Show effective and appropriate verbal communication with patients, carers and other professionals
Show clinical reasoning throughout assessment and treatments showing knowledge of evidence based practice where able
Complete a thorough objective assessment for a day 1 NOF patient
Gather appropriate subjective information from the medical notes to form the foundation of your objective assessment
Identify a problem list for each patient and from this formulate an appropriate treatment plan
Have knowledge of different discharge pathways and select appropriate pathways for multiple patients
Gain confidence and competence in the correct use of medical equipment following manual handling protocols (e.g. Use of hospital bed, rotunda, hoist)
Please contact your clinical educator by email at least two weeks prior to commencement of the placement in order to discuss specific details.
Full uniform is worn and university ID Badge required to be displayed at all times.
You will attend a trust induction but following this come through to suite 5 and alert admin of arrival.
You will be greeted by a member of orthopaedics to complete a department induction and then be inducted into the clinical ward areas.
Directions: Click here for directions and a map of the hospital. The site is accessible via public transport (see Induction Handbook for more information).
Parking: Parking is available on site, a fee is charged for all patients, visitors and members of staff using these facilities. On your first day please use the car parks indicated for patients/visitors and pay accordingly. A parking pass is available to be purchased for future uses. Click here for more information.
Hips don't lie: Hip anatomy and hip fractures - YouTube
Bone Fracture - Types, Fracture Repair and
Hemiarthroplasty of the Right Hip - YouTube
Student working hours are 8:30 - 4:30 Monday-Friday
Suggested pre placement reading
NICE - Hip fracture: Management
SIGN Guidelines: Management of hip fractures
National Hip Fracture Database
Throughout your time on placement you will have several learning opportunities including:
Band 5 in service training
Spending time with NOF nurse
Time with OT