 Felly, tbeth efallai, mae'm ymddirudd. Mae'n gyntafod ar ales y maen nhw sy'n ddim yn eu cyntaf. Felly efallai, dw i'n ffordd yn ddod yn y llwy Daer transpall. So mae'n gweithio, mae hynny efallai i wnaeth i ddim yn gwneud. Rhaid i'n ffordd. Felly, ar y peth gen i amdi, mae'n llwy beth yw'r llwy, dwi'n llwy ar y llyw. Ond eich bod ni wedi bod nhw sydd yn gwybod o'r llwy, a dyma os yw ddim yn llythgoi. Mae'n llwy, mae'n llyw... just working there every day just in the middle of a park, it's just really nice, such a lovely building. All the residents that came were absolutely lovely. Residents, actually what do you call clients, residents, they're not patients and I don't hate the word service users. I don't want to say residents either because they don't live there, they're just coming for activities, the people, let's just yn yng Nghymru Metaf, yn ymwneud hyn, hanom y bod i'r ambient ar y dweud hynny yn amlwg ac eich bod gwn ni'n yn cael ei ddod i'n newid i ymwneud am y cwest乙chol, ond mae'n diacelwyr ac yw gweithio gwylio'r pwy yn hyn yn ei dda. Ac mae'n gweithio i gyd, mae'n cael ei ddweud hynny, mae'n cael domyn yn gwaserio'novelli, mae'n gwaith ddiglir. Mae'na'r ysgolfydd ei wneud hynny i'n cael ei'r iPad, ac oedd o'n amlwg, ac mae hynny'n rhaid i'w ddysgu. Mae'n ddysgu fel aeth. A rydyn ni'n rhaid i'r modd, ac yn gweithio ar y cyfnodau, ac mae'r gweithio'r pini, mae'n ffabilius. Mae'r radiodau yn yn. A rydyn ni'n ddod i'n gweithio'n ddau, ac mae'n ddysgu'r rhan o'r rhan o'r cyfnoddau. I can't remember if I said this in my last vlog but at lunch time at 12 o'clock we all we dish out the meals and then we all sit down together and eat together so we get a meal as well while we're there and it was just so nice to just be able to sit and talk to people whilst you're eating and it's like a normal nice social environment it's just wonderful and I don't know why we don't do this across healthcare why don't we all just sit down and eat together with patients, residents, service users whatever you want to call them why why don't we do that because it's so nice and it's just a lovely social thing to do and you get the time to sit and talk properly to people I loved it it was just another fantastic day I love it there so that's it for this week for the bud scheme I haven't got any more days booked in because I've got a busy week so I've got on Wednesday I've got training at the university because I am going to be part of the buddy mentoring scheme for a new student coming into the university so I'm going to be part of that I haven't told you about that yet because I'm going to do a completely separate vlog on it so I'm waiting for that one but that is coming and then Thursday I'm going with the safeguarding team and that's I think it's nine till five on Thursday I'll double check the dates I'm sure it's nine till five but I'm going with the safeguarding team and finding out more about what they do how they help people and just learning the sort of things that I can be looking out for and who I would refer someone to just finding a bit more of knowledge from that I think but we'll see how that day goes I'm really excited for that because I love safeguarding and protecting people I love that side of healthcare and then that is it for this week so I've done the three shifts I've got tomorrow off but I've got Haas meeting that I have to go to and just sort out our society and things like that so even though I'm off I'm actually at uni and I'm doing things it's just don't think it's counted as part of the hours but I'm there I'm doing it and then I've got my bank shift on Sunday I will see you all I won't vlog tomorrow so I'll see you all on Wednesday update you about my training session that I had just a brief one because I am going to go more into detail and do a proper vlog on that one for the buddy mentoring scheme at university and then Thursday I'll vlog all about my safeguarding so I'll see you then so it is Wednesday the 5th of September I'm on my way to Birmingham City University for my first day of training for the buddy mentor scheme and I'm so excited I just I'm excited because it's going to be amazing I'm so excited to get a new student and show them the way of Birmingham another reason I love coming down this way because it's just a really nice university and I get really excited so yeah I shall see you later for the day what a day so I was there nine to five I got to meet all of the other buddies that's going to be a mentor as well you got just updates on what we were going to be doing and what's expected of us for the week what events and stuff we can get involved in so we're going to be attending all the events with students and then we're going to have the option to do all these different things we're going to have competitions between us all been split into two teams yellow and blue so it's a competition between the yellow and blue team I'm the yellow team and we're going to gain points like house points to win the house cup at the end of the week and if anyone knows me I'm really competitive so I'm going to be really rooting for our team and we're going to win because if we don't win I'm going to be not happy so yes I'm going to be motivating and cheering my team on to win that cup because I want that cup at the end of the week and I want it in my vlog by the end of the week but I'll update you on how it all goes and we'll see what happens and yeah so that's it from now from today and I shall see you next week I am enroute to my safeguarding day I'm not too sure what to expect because I haven't really worked with the safeguarding team before in where I work in sexual health we sometimes refer people on to safeguarding but to be honest I've got no idea what they do behind the scenes so it's going to be really really useful for me to see what they do behind the scenes and it's it's going to be really eye-opening I think but I'm really excited for it I'm really keen to learn everything they do and what I can do as a nurse and I'll let you all know as always later when I finish and I'm back I'm comfortable I've got my hoodie on I am ready to tell you all about my amazing day so firstly I want to say sorry because I thought I was with the safeguarding team and I wasn't I was with oh god it's so embarrassing I was with the Birmingham and Sully Hall CCG people who take charge of the continuing healthcare so I'm going to tell you exactly what they do now a short version of what they do is they decide yes or no whether a person gets funding for the care that they need basically so let's just say someone's in hospital they've been admitted before okay so before their life in hospital they were able bodied whether that's the right term or not I don't know but they're able bodied they can do things on the road they're not in any pain they haven't got any health conditions they've got nothing they're quite capable of doing everyday activities alone independently or they might just need small amounts of help maybe from the family members or anything like that so it comes to a point where someone has gone up a level so they need a lot more care than people can manage so let's just say for example you've got a patient on a ward that's come in been admitted with a stroke and it's completely affected their life and they can't use their leg maybe so they can't walk efficiently they're in a lot of pain maybe they have got a lot of nutrition problems they've got swallowing problems so they can't swallow properly which is causing a knock on effect to their nutrition it's causing a knock on effect to their skin because if you're not if you're not getting the right nutrition and diet intake your skin's going to break down your more risk of pressure areas like this whole vicious cycle so this person needs to be when they're discharged they need an extra level of care they need more one-to-one or they need someone to come in in the morning and evenings to check on them and turn them and give them pressure relief fluids medications all of these different things that's when the nurses before discharging them will say okay this person needs care before they go home because it's not safe for them to go home alone with nothing so then they'll do a assessment tool form that'll get sent off so then if they score quite high on that they then go on to do the proper screening tool which is really in depth about the health and well-being the continents basically and psychological communication needs their mobility their skin literally head to toe inside out every single detail has to be on this form and that will then get sent to these people that I went with today and they go through the form and they basically say okay either yes okay this person is desperate need of extra care we can approve that and get someone sorted for them there'll be another team in the building that does deal with care homes and placing the patient in a care home or giving them agency carers that visit the house and then they have to do all of the funding breakdowns or how much is that going to cost that patient what sort of funding do they need what's the cheapest as well because it's not an ever growing money tree so they have to be really strategic about it in a way so there's a lot of work that goes on in the background that you just don't think of it was really interesting to see that and once they decide okay this person needs care okay let's sort out the care so then they put the care in place and then that patient can be discharged and then there's another form there's another assessment form so if you've got a patient that is in a ward a nursing home wherever a hospice maybe a home even at home maybe they're being cared for at home but suddenly or even not even suddenly it may be even gradually but they're at the end of their life now so they need that immediate care they they can't wait for however many weeks or days that this takes this needs to be within the next 24 hours decision because they come into the end of the life care and they need that to make that person as comfortable as possible for the end of their days basically then they fill out a fast track screening tool this will be not as in-depth as the the other screening tool it will just be okay give us all the information make it really important make it say that it's end alive what you need what you want what the patient needs are what's wrong with the patient any concerns anything like that just this box basically just full of all of the information and they look at that and they approve it and yep okay this person definitely needs all of the extra care possible and that particular fast track screening tool has to be completed within 24 hours as a strict rule but they have a maximum of 48 hours so how do they use the screening tool to assess whether they give the fund into a patient or not that's a very good question that i'm going to answer basically they've got all of these different sections and they're graded so a low moderate high level someone will assess whether they're high or moderate low and then but they don't just go on symptoms so let's just say someone's in a lot of pain because oh there's a pain one on there as well someone's in a lot of pain that's not enough to warrant extra care so they could have a couple of symptoms but that doesn't necessarily mean they need the funding for that extra care so basically what they look at is not just the symptoms but they look at it as a whole picture so they have an mdt meeting with people like physiotherapists gps solicitors social care workers and occupational therapists the nurses the matrons the consultants the surgeons they anyone that's involved in that patient's care already so they take all of this into a consideration from different angles and different views how the patient is then they come to their conclusion after that so it's like this real big circle of holism at the end and it's how everything's interlinked with each other say someone's got had the stroke i'll use this stroke example as well so let's just say someone's had a stroke so then they've got dysphasia means they can't swallow properly which is then linked to nutrition because they're not getting enough nutrition if the nutrition's gone down they're going to get pressure source so then that's linked into the skin and then if they've got pressure source they might be in a lot of pain with it so then that's linked into the pain management and then if they're in a lot of pain with the pressure source and the nutrition it's then going to have a massive turnaround knock on effect on the psychological well-being because they're going to be anxious they're going to be distressed they're going to be emotionally worn out probably because you know if you haven't got the energy going into your body you're not going to have the energy to do things to be motivated so then it's going to have another knock on effect on the mobility do you get where i'm going with this so it's like this massive everything's chained and interlinked together and they have to show that on the assessment form to get the funding so then they look at it from that angle and they think do you know what this person needs something in place so i've taken a lot from today and i've learnt so much about what the team do and it's been an amazing experience and now i can put this into my own practice so from this i saw that actually it's really really important with documentation to make sure you be specific and put dates and times so if someone's had a fall okay what dates did they fall was it more than once when did they fall was it a night was it in the day why did they fall did they trip like really be proper specific on these forms because if there's not enough information or if it hasn't been signed if there's anything missing from it they will send it back to you and you will have to do that form again and it's going to be a massive delay for your patients if anyone's watching this that that does this and refers patients for this sort of thing just be really really mindful and just make sure that every single details on the don't let anything delay the patient's care and just for me so when i go out into placement or when i've qualified even and if i've got a referral to do i know that i know what they're looking for now so i know what sort of patients i will be referring on to receive this and it was just nice to see how documentation should look but then also see okay actually there's something missing on that like that doesn't give me a whole picture of this patient this could be added possibly anyway i could talk all day about what i've witnessed today and it's just been a really great day i really loved it really enjoyed myself really really learned a lot today i've took a lot away from this and that's it so that's it guys thank you so much for tuning in and watching if you haven't subscribed subscribe that'd be amazing thank you love you