ENT Outpatients

Ward/Unit Philosophy of Care

 

We aim to provide an efficient, relaxed and friendly outpatient service, ensuring a high level of professionalism in an environment where individuals are supported at every stage of their patient journey.

 

We aim to ensure patients are fully informed and have a clear understanding of their condition and treatment.

 

We aim to ensure that staff maintain and develop their knowledge and skills, and that research based practice and trust and hospital standards are implemented at all times.

 

Who Are We?

 

We are a small but busy outpatient department.

The team includes:

 

4 Consultants, 2 Specialist Registrars, 1 SHO.

A Sister, 3 RGNs and 3 HCAs. No receptionist.

 

Working Hours: 8:30 - 17:00 Monday to Friday

 

Learning Environment Manager: Lynn Dewhurst

Contact: 01246 512098 or lynndewhurst@nhs.net

 

ONCOLOGY (Ear related problems)

 

•Reduced Hearing (acute or chronic onset)

•Tinnitus

•Glue Ear

•Perforated Ear Drum

•Recurrent Ear Infections

•Balance Related Issues.. 

•Vertigo

•Meniere's Disease

•Labarynthitis

Audiologists are present during most clinics to undertake hearing tests.

 

Weekly Oncology Clinic

 

Patients are given diagnoses and are supported by the Specialist head and neck Cancer Nurse. 

They have consultations with Oncologists, Dieticians, Speech and Language Therapists and Radiologists

Neck Lump Clinic

Weekly Urgent Fast Track Clinic taking referrals from GP for anyone who is found to have a palpable lump within the neck

•A One Stop clinic:Consultation, Ultrasound Scan and if necessary a Biopsy.

Rhinology (all nose related problems)

 

•Blocked or running

•Sinus problems

•Allergies  (nurses undertake skin prick testing in clinic)

•Nasal Polyps  (overgrowth of nasal lining)

•Perforated Septum / Deviated Septum

•Snoring Issues

•Nosebleeds / Nasal Cautery

•Facial Neuralgia  (presents as painful sinus)

Throat Related Problems

 

•Difficulty swallowing

•Globus Hystericus:

•feeling of something stuck in the throat

•Changes in the voice

•Pre and Post Op vocal cord checks

•Acid reflux associated problems

•Changes of tracheostomy tubes for patients    living at home

We make referrals to and have close links with Speech and Language Therapists within the hospital.

 

Nurse Led Treatment Clinic

 

•Perform Aural Toilet with the use of head torch and suction.

•Daily AM and PM clinics

•Patients referred by GP or practice nurse when ear syringing with water is contraindicated, has proved ineffective or the patient has narrow ear canals.

 

Emergency Clinic

 

Daily Emergency Clinic

Referrals from GPs, A&E, Wards

Nasal fractures (manipulated in clinic or theatre)

Foreign Body

Epistaxis

Acute Ear Infections

Theatre List

 

All patients requiring surgery are consented, given a date and any relevant information whilst in clinic.

 

Waiting lists are around 2 months or less

Learning Opputunities

 

Observe: ENT consultation Clinics, Nurse Led treatment clinics, Fibre Optic laryngoscopy, Emergency ENT clinic, Skin Prick Allergy testing, Epley Manoeuvre

 

Attend: Maxillo-Facial Department, Neck Lump clinic, Multidisciplinary team meetings, Speech and language clinic

 

Additional Areas: ENT, Theatres, Ultrasound Department, Vestibular Rehabilitation, Audiology

 

Multi-disiplinary team/Specialist linked to area: Audiologist, Specialist head and neck Nurse, Speech and language Therapist,

Dietician, Oncology Services

The following graphic represents the nursing procedures that will be encountered in this placement area, according to the Annexe B section of the Future Nurse: Standards of proficiency for registered nurses (2018).

 

Green: Encountered frequently/daily

Amber: Encountered occasionally/rarely

Red: Never encountered

Subscribe to our YouTube Channel: The CHESTERFIELD ROYAL

Chesterfield Royal Hospital

Calow

Chesterfield

S44 5BL

Copyright © 2019 CPL, Chesterfield Royal NHS Foundation Trust