There was evidence of good practices within orthopaedic and trauma settings such as the active involvement of family or a paid carer who is known to thepatient and the modification of care and interventions along with specialist advice and support from the Acute Liaison Learning Disability Nurse. There were areas of concern such as the lack of use of Hospital Passports and the inconsistent implementation of reasonable and achievable adjustments. It is unknown if the care for patients with a learning disability is adequate. However, the themes that have emerged accord with the key domains in 'A competency framework for orthopaedic and trauma practitioners' (Royal College of Nursing 2012a, 2012b) and therefore could be considered for inclusion in future orthopaedic and trauma competencies to enable sharing of best practices.
Nurses in a group of Wolverhampton Hospitals carried out a local research study to identify not only the level of patient satisfaction with pre-assessment clinics (PAC), but also what care nurses delivered in these clinics. Data were collected using both ethnographic and survey methods. Patients found the PAC visit valuable: it reduced stress and provided much needed information about the coming surgery. The skills nurses used and the tasks carried out were consistent throughout the Trust, and reflected the provision of a high standard of care.
Nurses in a group of Wolverhampton Hospitals carried out a local research study to identify not only the level of patient satisfaction with pre-assessment clinics (PAC), but also what care nurses delivered in these clinics. Data were collected using both ethnographic and survey methods. Patients found the PAC visit valuable: it reduced stress and provided much needed information about the coming surgery. The skills nurses used and the tasks carried out were consistent throughout the Trust, and reflected the provision of a high standard of care.
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