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Nursing and Midwifery Induction

Please click on each topic below and work through the learning resources provided. You should complete this within two weeks of starting in your new role as a HCSW. For NHSGGC Bank Staff this must be completed prior to your first orientation shift.

Essential Learning

A typical day in the life of a HCSW

HCSWs work in many different clinical areas delivering safe, effective, person-centred care. These areas include inpatient wards, outpatient areas, emergency departments, critical care and theatres.

The two resources below describe key aspects of your role and responsibilities. Ask your SCN or Team Lead if you will be completing the Care Rounding chart.

Although these resources refer to inpatient care, they have relevance to all HCSWs new to our organisation.

Essential Learning Resources 

A typical day and the duties of a ward based Health Care Support Worker (Read through 10 min presentation)

Care Rounding (15 min voice over presentation)

Person Centred Care

Person-centred care is about putting the person at the heart of their care. By asking and listening, we can understand more about the person and do the things that are most important to them. This helps us to provide care that is individualised, and improves their experience of care.  

Delivering high quality, person-centred care is everyone’s business in NHSGGC

Essential Learning

Delivering high quality person-centred care (PowerPoint Presentation)

When you open this PowerPoint Presentation, please click to enable external content to be able to view the short videos. These videos take approx 5 secs to load on the page. Press the > key to move through the presentation.

 Other Useful Resources

Communicating with and supporting people : information for support workers in health and care settings | Turas | Learn (nhs.scot)

Food, Fluid and Nutrition

Food and fluid gives our body energy to allow us to carry out our everyday tasks. Delivering the right amount of food and fluid to our patients is an important role of the HCSW. In your first few shifts on the ward, work with the mealtime coordinator at meal service and find out what’s available for patients, and how to help them with their meals. By supporting people to eat and drink ‘what’s normal for them’ we can help them recover from their illness or surgery and get out of hospital sooner.

Essential Learning Resource

Food Fluid and Nutrition Presentation 

Other Useful Resources

Food, Fluid and Nutrition Manual (Staffnet- Access from GGC Computer)

Pressure Ulcer Prevention

A pressure ulcer is an area of skin damaged by pressure. It can be caused by sitting or lying in one position for too long or by rubbing or dragging skin across a surface.  The risk of developing a pressure ulcer increases when a person has problems with walking, using the bathroom or they don’t eat and drink enough. It is important that the skin is kept clean and dry and if there are any devices (such as a splint or catheter) the skin under and around these are checked regularly to make sure no damage is developing.

Pressure ulcers can develop very quickly. There are simple measures that you can do to help reduce the risk of your patients developing a pressure ulcer including regular observation of their skin and making sure that they are not sitting or lying in the one position for too long and writing this on the Care Rounding Chart. 

To learn more about your role in pressure ulcer prevention work through the resources below. Your colleagues may refer to pressure ulcer prevention as ‘Tissue Viability’.

Essential Learning Resources

under development

Other Useful Resources

Tissue Viability Resource Folder (Acute) Staffnet- Accessed on GGC Computer only

Infection Prevention and Control

Infection control is everyone’s business and we all have a part to play in keeping both ourselves and the people we look after safe. People with infection are more likely to come to harm, stay in hospital longer and may even die as a result.  Keeping your hands clean, washing them regularly and using personal protective equipment (known as PPE) are important in stopping the spread of infection. In healthcare, Hand Hygiene and PPE are two of the 10 Standard Infection Control Precautions (known as SICPs), which are described in more detail in the GGC:007 Statutory Mandatory Modules (below).

Essential Learning Resources 

GGC:007 Standard Infection Control Precautions 

LearnPro – NES: Prevention & Control Infection: C.Difficile (30 minute module)

Put on (‘donning’) and take off (‘doffing’) PPE (6 minute video presented by Dr Jennifer Armstrong). Please be aware that when working with patients in red (high risk) pathways, there will also be a requirement to wear eye/face protection. More detail is available in Table 4 within PPE determined by COVID-19 care pathway.

Speak to your line manager about understanding the pathways and PPE requirements in your clinical area.

Other Useful Resources

Infection Prevention and Control – NHSGGC Homepage

COVID-19 – NHSGGC

It’s Kind to Remind

National Infection Prevention and Control Manual

NES: Scottish IPC Education Pathway – Foundation (log in to learnPro and select the Infection Prevention & Control tab)

Palliative and End of Life Care

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred palliative care within NHSGGC. Each of the resources will support your knowledge and confidence in providing palliative and end of life care.  The Paediatric Supportive and Palliative Care team at Royal Hospital for Children (RHC) provide tertiary specialist paediatric palliative care across the paediatric spectrum, from the antenatal period, through infancy and childhood and also for young people until they reach their 16th birthday (and those who are 17-18 years but still accessing services at RHC). The service provides an individual patient-centred pathway from diagnosis or recognition that a condition is life-threatening or life-limiting.

The team will accept referrals from any healthcare professional. If a patient requires to be assessed by a member of the team the named consultant on the child or young person’s care must give approval. Get is touch with the team with an electronic referral via TrakCare – Paediatric Supportive and Palliative Care consult.

Essential Learning Resources 

Babies,Children and Young People’s Palliative Care (a 40 minute presentation)

Other Useful Resources

Palliative Care Resource Folder (Neonatal and Children’s services)(Access from a GGC computer)

or click on this pink leaf tile on the right hand side of Staffnet homepage https://www.nhsggc.org.uk/media/267574/palliative-care-staffnet_tile2020.jpg?width=57&height=54

Moving and Handling

Moving and handling activities will be a key part of your duties. This will include assisting patients and other tasks such as moving equipment, laundry and stores. To keep yourself and your patients safe it is essential you have the correct level of training.

If you have a Scottish Manual Handling Passport then no foundation practical training course is required. Please bring the passport document in to show your SCN, SCM or Team Lead. For HCSWs on the NHSGGC Staff Bank, please send a copy by email to adminstaffbank@ggc.scot.nhs.uk   The dates of Moving and Handling training documented in the passport will go into the ward/ department training records. Ensure you have completed the mandatory LearnPro module NHSGGC 005 Manual Handling Theory together with practical competency assessment within your clinical area carried out by one of the local assessors.

If you do not have a Scottish Manual Handling Passport ensure you have completed NHSGGC 005 Manual Handling Theory and your SCN, SCM Or Team Lead will nominate you for the foundation practical training course (1.5 days). For HCSWs on the NHSGGC Staff Bank, please send a copy by email to adminstaffbank@ggc.scot.nhs.uk. Whilst waiting for your training course please watch the following short videos Moving and Handling Videos (scroll down a little to section entitled ‘Manual handling practical induction training’). All patients should be verbally encouraged to move and position themselves independently. When a patient is needing to be moved , handled or requiring a mechanical aid then this should be carried out with a member of the ward / department team and not on your own. 

Basic Life Support

You may come across emergency situations when you are at work. Patients can have problems with their airway, breathing or circulation and become suddenly unwell. Your SCN will nominate you for a short course called Basic Life Support which will help you to respond correctly in an emergency situation.

As part of your orientation to your ward / clinical area take some time to  

  • locate the emergency / resuscitation trolley 

If you find yourself in an emergency situation you may be asked to phone for the resuscitation team

  • Dial 2222- ask for the Paediatric Resuscitation Team and tell them your clinical area and the hospital you are in. 
Sharps Safety

To prevent needlestick injuries, NHSGGC provides sharp safe devices across the organisation within all areas of clinical practice, for the protection of staff.

Essential Learning 

LearnPro modules GGC: 061 Management of Needlestick and Similar Injuries

If you use sharps as part of your role you must also complete the LearnPro module: Prevention and Management of Occupational Exposure (this can be found in the Scottish IPC  Education Pathway in the Infection Prevention and Control tab) and watch the relevant video on the How to use sharps safety devices webpage. 

Other Useful Resources

A Safer Place to Work – Sharps

Checklist

Print off and sign the completion checklist. If you are not able to print then ask a colleague to help. If your post is solely with the NHSGGC Staff Bank you are required to send a signed copy of the completion checklist to adminstaffbank@ggc.scot.nhs.uk   

NHS Scotland HCSW Mandatory Induction Standards and HCSW Code of Conduct 

Each HCSW is expected to meet the NHS Scotland HCSW Mandatory Induction Standards and HCSW Code of Conduct after 3 months in post. If your post is solely with the NHSGGC Staff Bank you are required to sign your Code of Conduct before you start and you have 6 months to complete the NHS Scotland HCSW Mandatory Induction Standards. 

Work through this Workbook, which offers you guidance and suggests examples of evidence that will show how you have met the required standards. It provides a great place to store all your learning from induction and the activities you have undertaken in your first weeks in NHSGGC. 

Essential Learning (Adult)

Please click on each topic below and work through the learning resources provided. You should complete this within two weeks of starting in your new role as a HCSW. For NHSGGC Bank Staff this must be completed prior to your first orientation shift.

A typical day in the life of a HCSW

HCSWs work in many different clinical areas delivering safe, effective, person-centred care. These areas include inpatient wards, outpatient areas, emergency departments, critical care and theatres.

The two resources below describe key aspects of your role and responsibilities.

Although these resources refer to inpatient care, they have relevance to all HCSWs new to our organisation.

Essential Learning Resources 

A typical day and the duties of a ward based Health Care Support Worker (Read through 10 min presentation)

Care Rounding (15 min voice over presentation)

Person Centred Care

Person-centred care is about putting the person at the heart of their care. By asking and listening, we can understand more about the person and do the things that are most important to them. This helps us to provide care that is individualised, and improves their experience of care. Delivering high quality, person-centred care is everyone’s business in NHSGGC

Essential Learning

Delivering high quality person-centred care (PowerPoint Presentation)

When you open this PowerPoint Presentation, please click to enable external content to be able to view the short videos. These videos take approx 5 secs to load on the page. Press the > key to move through the presentation.

Further Information Communicating with and supporting people : information for support workers in health and care settings | Turas | Learn (nhs.scot)

Food, Fluid and Nutrition

Food and fluid gives our body energy to allow us to carry out our everyday tasks. Delivering the right amount of food and fluid to our patients is an important role of the HCSW. In your first few shifts on the ward, work with the mealtime coordinator at meal service and find out what’s available for patients, and how to help them with their meals. By supporting people to eat and drink ‘what’s normal for them’ we can help them recover from their illness or surgery and get out of hospital sooner.

Essential Learning Resources

learnPro module GGC: 270 An overview of Malnutrition

learnPro module GGC: 274 When Eating and Drinking Becomes Difficult

Other Useful Resources

Food, Fluid and Nutrition Manual (Staffnet- Access from GGC Computer)

Pressure Ulcer Prevention

A pressure ulcer is an area of skin damaged by pressure. It can be caused by sitting or lying in one position for too long or by rubbing or dragging skin across a surface.  The risk of developing a pressure ulcer increases when a person has problems with walking, using the bathroom or they don’t eat and drink enough. It is important that the skin is kept clean and dry and if there are any devices (such as a splint or catheter) the skin under and around these are checked regularly to make sure no damage is developing.

Pressure ulcers can develop very quickly. There are simple measures that you can do to help reduce the risk of your patients developing a pressure ulcer including regular observation of their skin and making sure that they are not sitting or lying in the one position for too long and writing this on the Care Rounding Chart. 

To learn more about your role in pressure ulcer prevention work through the resources below. Your colleagues may refer to pressure ulcer prevention as ‘Tissue Viability’.

Essential Learning Resources

NHSGGC Prevention of Pressure Ulcers (7 minute video)

learnPro module GGC: 080 Prevention of Pressure Ulcers

Other Useful Resources

Tissue Viability Resource Folder (Acute) (access from an NHSGGC Computer)

Falls Prevention

Anyone can have a fall, but older people are more likely to fall, especially if they have a long term health condition. People can fall many times and each fall might result in a serious injury such as a head injury or a fractured hip. A fall can happen due to many different risk factors e.g. poor balance, muscle weakness, poor eyesight, or the person is on multiple medications. 

The following modules will explain more about falls and your important role in preventing falls and keeping our patient’s safe 

Essential Learning Resources 

learnPro modules (Falls Prevention Training):

 GGC: 215 An Introduction to Falls

 GGC: 216 The Falls Bundle of Care

 GGC: 217 Risk Factors for Falls (Part 1)

 GGC: 218 Risk Factors For Falls (Part 2)

 GGC: 219 What to do when your patient falls

 GGC: 221 Bedrails

https://learn.nes.nhs.scot/23390/falls-prevention video

Other Useful Resources

The Falls Homepage (Staffnet- accessed from a GGC Computer) has extensive resources including guidance on inpatient documentation, patient information leaflets and the Hoverjack ©

Dementia Care

These resources aim to develop your confidence and skills to implement person-centred care for the person living with dementia who is admitted to the acute hospital. 

Essential Learning Resources 

‘Dementia – Promoting Excellence – Informed’ (located within Specialist Subjects tab on LearnPro and will take approx 1 hour to complete)

Don’t Assume Do Ask campaign (5 minute video)

Getting to know me form (a website for your information)  

Other Useful Resources

Adults with Incapacity (Staffnet- Access from GGC Computer)

Delirium Care

Delirium describes a mental confusion that can happen when patients are unwell. Causes of delirium include illness, surgery and some medicines. Delirium can start suddenly, but usually improves when the cause is found and treated. It can be very frightening for the patient and for their family and carers. The resources below describe the experience of Delirium for patients and your role in prevention.

Essential Learning Resource

Introduction to Delirium Care (10 minute presentation)

When you open this PowerPoint Presentation you have to click to enable external content to be able to view the short video. The video takes approx 5 secs to load on the page. 

Healthcare Improvement Scotland Think Delirium Information Leaflet  

Other Useful Resources

NHSGGC Acute Sector Guidelines on the risk reduction and management of Delirium

Infection Prevention and Control

Infection control is everyone’s business and we all have a part to play in keeping both ourselves and the people we look after safe. People with infection are more likely to come to harm, stay in hospital longer and may even die as a result.  Keeping your hands clean, washing them regularly and using personal protective equipment (known as PPE) are important in stopping the spread of infection. In healthcare, Hand Hygiene and PPE are two of the 10 Standard Infection Control Precautions (known as SICPs), which are described in more detail in the GGC:007 Statutory Mandatory Modules (below).

Essential Learning Resources 

GGC:007 Standard Infection Control Precautions 

learnPro – NES: Prevention & Control Infection: C.Difficile (30 minute module)

Put on (‘donning’) and take off (‘doffing’) PPE (6 minute video presented by Dr Jennifer Armstrong). Please be aware that when working with patients in red (high risk) pathways, there will also be a requirement to wear eye/face protection. More detail is available in Table 4 within PPE determined by COVID-19 care pathway.

Speak to your line manager about understanding the pathways and PPE requirements in your clinical area.

Other Useful Resources

Infection Prevention and Control – NHSGGC Homepage

COVID-19 – NHSGGC

It’s Kind to Remind

National Infection Prevention and Control Manual

NES: Scottish IPC Education Pathway – Foundation (log in to learnPro and select the Infection Prevention & Control tab)

Basic Life Support

You may come across emergency situations when you are at work. Patients can have problems with their airway, breathing or circulation and become suddenly unwell. During your first few months in your new job, your SCN, SCM OR Team Lead may nominate you for a short course called Basic Life Support which will help you to respond correctly in an emergency situation.

As part of your orientation to your ward / clinical area take some time to locate the emergency / resuscitation trolley

  • If you find yourself in an emergency situation you may be asked to phone for the resuscitation team Dial 2222- ask for the resuscitation team and tell them your clinical area and the hospital you are in
Palliative and End of Life Care

Palliative care is the care given to people with a life limiting illness. The term ‘life-limiting’ refers to an illness that can’t be cured and that patients are likely to die from. You may hear the term ‘progressive’ (gets worse over time) or ‘advanced’ (a serious stage) to describe these illnesses. Examples include advanced cancer, end stage cardiac, respiratory, renal failure and motor neurone disease.

Essential Learning Resources

Palliative and End of Life Care

Coping with Death and Bereavement

What Can Happen When Someone is Dying

Moving and Handling

Moving and handling activities will be a key part of your duties. This will include assisting patients and other tasks such as moving equipment, laundry and stores. To keep yourself and your patients safe it is essential you have the correct level of training.

If you have a Scottish Manual Handling Passport then no foundation practical training course is required. Please bring the passport document in to show your SCN, SCM or Team Lead. For HCSWs on the NHSGGC Staff Bank, please send a copy by email to adminstaffbank@ggc.scot.nhs.uk   The dates of Moving and Handling training documented in the passport will go into the ward/ department training records. Ensure you have completed the mandatory LearnPro module NHSGGC 005 Manual Handling Theory together with practical competency assessment within your clinical area carried out by one of the local assessors.

If you do not have a Scottish Manual Handling Passport ensure you have completed NHSGGC 005 Manual Handling Theory and your SCN, SCM Or Team Lead will nominate you for the foundation practical training course (1.5 days). For HCSWs on the NHSGGC Staff Bank, please send a copy by email to adminstaffbank@ggc.scot.nhs.uk. Whilst waiting for your training course please watch the following short videos Moving and Handling Videos (scroll down a little to section entitled ‘Manual handling practical induction training’). All patients should be verbally encouraged to move and position themselves independently. When a patient is needing to be moved , handled or requiring a mechanical aid then this should be carried out with a member of the ward / department team and not on your own. 

Sharps Safety

To prevent needlestick injuries, NHSGGC provides sharp safe devices across the organisation within all areas of clinical practice, for the protection of staff.

Essential Learning 

LearnPro GGC: 061 Management of Needlestick and Similar Injuries

If you use sharps as part of your role you must also complete the LearnPro module: Prevention and Management of Occupational Exposure (this can be found in the Scottish IPC  Education Pathway in the Infection Prevention and Control tab) and watch the relevant video on the How to use sharps safety devices webpage. 

Other Useful Resources

A Safer Place to Work – Sharps

Blood Transfusion

Ask your SCN, SCM or Team Lead if you will be involved in any part of the Blood Transfusion process, if yes please read on and complete the essential learning. If not, then tick N/A on the completion checklist.  

It is essential to discuss with your SCN, SCM or Team Lead to find out if you are likely to be involved in:-

  • Taking pre transfusion blood samples
  • Collecting and storing blood components

HCSWs involved in any stage of the transfusion process are required to undertake the appropriate learning required for their role. Appropriate training and learning must be undertaken before participation in taking pre transfusion blood samples or the collection and delivery of blood or blood products.

Essential Learning 

Safe and local transfusion practice – presentation

 If undertaking phelebotomy (Learnpro modules)

  • Learn Blood Transfusion – Phlebotomy pathway
  • Blood sampling for transfusion video

 If collecting / delivering blood/ blood products (Learnpro modules)

  • Learn Blood Transfusion – Blood Collection Pathway
  • BCCAP Assessment, delivered at ward level

Other Useful Resources

NHSGGC Clinical Transfusion Policy (Staffnet- Access from GGC Computer only)

NHSGGC Blood Transfusion pages  (Staffnet- Access from GGC Computer only) 

Checklist

Print off and sign the completion checklist in the link below. If you are not able to print then ask a colleague to help. If your post is solely with the NHSGGC Staff Bank you are required to send a signed copy of the completion checklist to adminstaffbank@ggc.scot.nhs.uk   

NHS Scotland HCSW Mandatory Induction Standards and HCSW Code of Conduct 

Each HCSW is expected to meet the NHS Scotland HCSW Mandatory Induction Standards and HCSW Code of Conduct after 3 months in post. If your post is solely with the NHSGGC Staff Bank you are required to sign your Code of Conduct before you start and you have 6 months to complete the NHS Scotland HCSW Mandatory Induction Standards. 

Work through this Workbook, which offers you guidance and suggests examples of evidence that will show how you have met the required standards. It provides a great place to store all your learning from induction and the activities you have undertaken in your first weeks in NHSGGC. 

Whether you are new to the role of a Clinical Healthcare Support Worker (HCSW) or an experienced HCSW joining a new post, thank you for choosing to come and work with us. 

Before you start your online induction, please watch this short video from Jen Rodgers, one of our Deputy Nurse Director’s as she welcomes you to your new role in NHSGGC.  

Essential Learning

Person Centred Care

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to have on person centred care within NHSGGC. Each of the resources will support your knowledge and confidence in a person centred care approach. Person centred care and support is everyone’s business in NHSGGC from the people who use services to the highest levels of our corporate team; from reception staff to porters; from kitchen staff to doctors; from personal care staff to social workers to chief executives; from volunteers to managers.

Essential Learning Resources

Delivering High Quality Person-Centred Health and Care

Other Useful Resources

What Matters to You in NHSScotland

Healthcare Quality Strategy (2019) Pursuing Excellence

Patient Rights Act

Care Opinion

Pressure Ulcer Prevention

This element of the induction process outlines the minimum requirements of a Registered Paediatric Nurse support safe, effective, person centred pressure area care within NHSGGC. Each of the resources will support your knowledge and confidence in pressure ulcer prevention.

Essential Learning Resources

learnPro module: GGC: 080 Prevention of Pressure Ulcers

Other Useful Resources

Pressure Ulcer Prevention and Management Policy (Staffnet)

Tissue Viability Service – Acute Division (Staffnet)

The Deteriorating Patient

Most children will have a secondary cardiac arrest following an episode of an acute illness and is usually caused by hypoxia. This is rarely a sudden even but follows a progressive deterioration. By recognising early that a patient is sick and/or deteriorating we can intervene, seek expert help and hopefully stop the patient deteriorating further to cardiac arrest. The prognosis following a secondary cardiorespiratory arrest is poor, therefore emphasis should be placed upon early recognition and prevention.

Within NHS GGC a Paediatric Early Warning Score tool (PEWS) is used to help recognise sick and/or deteriorating patients. The patient’s PEWS score, along with the staff member’s assessment of the patient, can help identify patients at risk of clinical deterioration. PEWS charts have been shown to reduce the amount of “crash calls” and PICU admission with staff escalating their concerns early to the appropriate teams.

Essential Learning

Paediatric Early Warning Score: PEWS 

Other Useful Resources

During induction, all staff new to paediatrics will be allocated a specific date/time for appropriate resuscitation training, provided by the resuscitation training department. It is essential you attend the time given to you.Staff should ensure these skills are maintained and can book onto future update courses via the eESS system or their line manager:

All resuscitation training dates can be found via the Royal Hospital for Children – resuscitation training dates (scot.nhs.uk)

Resuscitation training department: 0141 451 5606 (85606)

Medicines Administration

This element of the induction process outlines the minimum requirements required of a Registered Nurse or Midwife for safe medicines administration in NHSGGC. Each of the resources will help you to develop your knowledge and confidence in medicines administration, and heighten understanding of your contribution towards patient safety

Essential Learning Resources

Medicines Administration presentation A 30 minute presentation with voiceover describing the principles of medicines administration

Other Useful Resources

Medicines Administration video A brief 6 minute video underpinning the key messages to learn from the non intravenous medicines proficiency

NMC The Code

NHSGGC Policy: Safe and Secure Handling of Medicines in Hospital Wards, Theatres and Departments

RPS: Professional Guidance on the Administration of Medicines in Healthcare Settings

Food, Fluid and Nutrition

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred nutritional care within NHSGGC.

Essential Learning Resources

Food, Fluid and Nutrition 

Other Useful Resources

learnPro module: GGC:146 Food Hygiene

Food, Fluid and Nutritional Care Home Page (Staffnet – access from GGC computer)

Blood Glucose Monitoring

NHSGGC uses the FreeStyle Precision Pro ® Blood Glucose Meter for blood glucose monitoring. 

All staff must be trained prior to using the meters for the first time.

Essential Learning Resources

learnPro module GGC210 FS Precision Pro – Glucose

  • What next ? – practical training within your clinical area by your Cascade trainer which includes a quality control test and a patient test.
  • A Meter Compliance Form will then be sent to Clinical Biochemistry.
  • You will then receive a unique barcode which you will use to analyse any patient samples. Your barcode should never be shared with anyone else.
Infection Prevention and Control

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred infection prevention and control within NHSGGC. Each of the resources will support your knowledge and confidence in Infection Prevention and Control (IPC). The IPC provide an Infection Control service to all health care workers (both clinical & non-clinical disciplines), patients and visitors within NHSGGC. Each Sector and Directorate has an IPC team who can be contacted Monday to Friday 8:30am to 4:30pm and out with these times an on-call Microbiologist is available via switchboard.

Essential Learning Resources

learnPro module – GGC 007 Standard Infection Control Precautions

learnPro module – NES: Prevention & Control Infection: C.Difficile

Other Useful Resources

Scottish Infection Prevention and Control Education Pathway

Infection Prevention and Control homepage

National Infection Prevention and Control Manual

Sharps Safety

To prevent needlestick injuries, NHSGGC provides sharp safe devices across the organisation within all areas of clinical practice, for the protection of staff. Please watch the video below to learn more:

Essential Learning Resources

learnPro modules GGC: 061 Management of Needlestick and Similar Injuries Prevention and Management of Occupational Exposure (this can be found in the Scottish IPC Education Pathway in the Infection Prevention and Control tab

Professional and Organisational Policy and Guidance

A Safer Place to Work – Sharps

Blood Transfusion

Any registered paediatric nurse involved in any stage of the transfusion process is required to undertake the appropriate learning required for their role. The transfusion process includes:

  • making the decision to transfuse and associated communication with patient
  • requesting blood components
  • taking pre-transfusion blood samples
  • collecting and storing blood components
  • administration of a transfusion
  • patient monitoring during and following transfusion

Please read the following guidance:

Rapid induction guide for Registered Nurses/Midwives and ODPs involved in the transfusion process

Essential Learning Resources

Safe and Local Transfusion Practice (presentation)

learnPro Blood Transfusion Modules (go to Blood Transfusion tab and complete the modules called ‘Blood components and indications for use’ ‘Safe sampling for transfusion’ video  ‘Safe Transfusion Practice for Paediatrics’      

Other Useful Resources

NHSGGC Clinical Transfusion Policy (access from a NHSGGC computer)

NHSGGC Blood Transfusion pages (access from a NHSGGC computer)

Palliative Care

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred palliative care within NHSGGC. Each of the resources will support your knowledge and confidence in providing palliative and end of life care.  The Paediatric Supportive and Palliative Care team at Royal Hospital for Children (RHC) provide tertiary specialist paediatric palliative care across the paediatric spectrum, from the antenatal period, through infancy and childhood and also for young people until they reach their 16th birthday (and those who are 17-18 years but still accessing services at RHC). The service provides an individual patient-centred pathway from diagnosis or recognition that a condition is life-threatening or life-limiting.

The team will accept referrals from any healthcare professional. If a patient requires to be assessed by a member of the team the named consultant on the child or young person’s care must give approval. Get is touch with the team with an electronic referral via TrakCare – Paediatric Supportive and Palliative Care consult.

Essential Learning Resources

Babies.Children and Young Peoples Palliative Care (40 minute presentation by Caroline Porter, Diana Children’s Nurse)

Other Useful Resources

Paediatric Supportive and Palliative Care

Trakcare

TrakCare® is the Patient Management System for NHSGGC. All patient episodes (Outpatient, Inpatient and Emergency) are recorded and managed on TrakCare. TrakCare incorporates electronic requesting (Order Comms) for Labs, Radiology and Cardiology and electronic results.

Essential Learning Resources

learnPro module GGC: 009 Safe Information Handling

 TrakCare training for new Registrants (video can only be accessed from a GGC computer) As of 2nd October Trak Care electronic requesting (order comms) will be updated. Please watch the video here to view the new process.

Other Useful Resources

If after watching the video you feel further training on TrakCare is required, please book your online face to face session via the learnPro home page (Go to the bottom of the page and click on Training events/course booking and apply).

IT systems and New Applications: a Guide for Acute Services NMAHPs (GGC computer only)

Record Keeping and Documentation

This element of the induction process outlines the minimum requirements of a Registered Nurse to support safe, effective, person centred record keeping and documentation within NHSGGC. In your clinical environment with many demands on your time, keeping documentation records is a challenging but essential part of your role. All documentation records are part of the nursing process; assessment, planning, implementation and evaluation of care.

Essential Learning

Record Keeping and Documentation- Good Practice Points (a quick guide)

Other Useful Resources

NMC Code

NHSGGC Professional Standards for Record Keeping Policy

Checklist

Sign this checklist and print or share an electronic copy with your Senior Charge Nurse or Midwife. Following completion of this Corporate Nursing Induction, your Senior Charge Nurse or local educator, will direct you to specialty specific induction materials.

When you open each topic, the Essential Learning Resources should be completed within two weeks of starting in your new post as Registered Nurse within NHSGGC.

Essential Learning

Person Centred Care

Person Centred Care

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to have on person centred care within NHSGGC. Each of the resources will support your knowledge and confidence in a person centred care approach. Person centred care and support is everyone’s business in NHSGGC from the people who use services to the highest levels of our corporate team; from reception staff to porters; from kitchen staff to doctors; from personal care staff to social workers to chief executives; from volunteers to managers.

Essential Learning Resources

Delivering High Quality Person-Centred Health and Care

Other Useful Resources

What Matters to You in NHSScotland

Healthcare Quality Strategy (2019) Pursuing Excellence

Patient Rights Act

Care Opinion

Pressure Ulcer Prevention

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred pressure area care within NHSGGC. Each of the resources will support your knowledge and confidence in pressure ulcer prevention.

Essential Learning

learnPro module: GGC: 080 Prevention of Pressure Ulcers

Other Useful Resources

Footsafe Boots Video

Podiatry pages (Staffnet)

Pressure Ulcer Prevention and Management Policy (Staffnet)

Tissue Viability Service – Acute Division (Staffnet)

Falls Prevention

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred Falls prevention care within NHSGGC. Each of the resources will support your knowledge and confidence in Falls prevention. A fall with harm in hospital can have a detrimental impact on the outcome for a patient, with increased length of stay and after-effects of injury resulting in distress for both patient and family and an increased risk of requiring ongoing care and support on discharge.  Effective risk assessment and intervention can help prevent patients from falling thus ensuring they are safely cared for during their time as an inpatient.

Essential Learning Resources

learnPro modules (Falls Prevention Training):

 GGC: 215 An Introduction to Falls

 GGC: 216 The Falls Bundle of Care

 GGC: 217 Risk Factors for Falls (Part 1)

 GGC: 218 Risk Factors For Falls (Part 2)

 GGC: 219 What to do when your patient falls

 GGC: 221 Bedrails

Other Useful Resources

The Falls Homepage has extensive resources including guidance on inpatient documentation, patient information leaflets and the Hoverjack

Guidelines for the Prevention and Management of falls in adults aged 16 and over (access from an NHSGGC computer)

Policy for the Prevention and Management of falls in adults aged 16 and over (access from an NHSGGC computer)

The Deteriorating Patient

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred care of the deteriorating patient within NHSGGC. Each of the resources will support your knowledge and confidence in care of the deteriorating patient. There is evidence to support that a failure to respond to adverse events results in increased length of hospital stay, decreased quality of life and increasing morbidity and mortality.  This has led to increased emphasis on strategies and processes focusing on recognising and responding to the multifaceted deteriorating patient. 

Clinical deterioration can occur at any point in a patient’s journey.  Early recognition of the deteriorating patient, with a structured response and appropriate escalation can reduce patient harm and mortality.  In NHSGGC, the National Early Warning Scoring (NEWS) tool is used to identify patients who are at risk of clinical deterioration.  This is a track and trigger tool that is used to improve the assessment of acute illness, detection of clinical deterioration and the initiation of a timely and competent clinical response. The use of NEWS, coupled with effective communication and teamwork are fundamental to patient safety.

Essential Learning Resources

learnPro module GGC: 242 NEWS2

How to record the Glasgow Coma Scale

Pre-use check and setting up wall mounted suction

Pre-use check and setting up oxygen flowmeter

Other Useful Resources

National early warning score (NEWS) in NHS Scotland (TURAS)

SEPSIS

NEWS2 Standardising Assessment Guideline 2020

Royal College of Physicians (2019) National Early Warning Score (NEWS) 2

Medicines Administration

This element of the induction process outlines the minimum requirements required of a Registered Nurse or Midwife for safe medicines administration in NHSGGC. Each of the resources will help you to develop your knowledge and confidence in medicines administration, and heighten understanding of your contribution towards patient safety.

Essential Learning Resource

Medicines Administration presentation A 30 minute presentation with voiceover describing the principles of medicines administration

learnPro module GGC eHealth: HEPMA: Nursing Training

Non Intravenous Medicines Proficiency Download this resource and ensure you follow the clearly defined process before independently administering medicines

Other Useful Resources

Medicines Administration video A brief 6 minute video underpinning the key messages to learn from the non intravenous medicines proficiency

HEPMAHospital Electronic Prescribing and Medicines Administration (access from an NHSGGC computer)

Fresenius Kabi – NHSGGC is in the process of implementing Fresenius Kabi volumetric and syringe devices. If your ward or department has already implemented you should receive cascade training from a member of your ward team. The video may also be useful

NMC The Code

NHSGGC Policy: Safe and Secure Handling of Medicines in Hospital Wards, Theatres and Departments

RPS: Professional Guidance on the Administration of Medicines in Healthcare Settings

Food, Fluid and Nutrition

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred nutritional care within NHSGGC.

Essential Learning Resources

learnPro module GGC: 270 An overview of Malnutrition

learnPro module GGC: 271 Assessing Risk of Malnutrition

learnPro module GGC: 272 Food First in Hospitals

learnPro module GGC: 274 When Eating and Drinking Becomes Difficult

Other Useful Resources

learnPro module: GGC:146 Food Hygiene

The Role of Speech and Language Therapy

Food, Fluid and Nutritional Care Home Page (Staffnet – access from GGC computer)

If you have any further enquiries, please contact: ffnpracticedev@ggc.scot.nhs.uk

Blood Glucose Monitoring

NHSGGC uses the FreeStyle Precision Pro ® Blood Glucose Meter for blood glucose monitoring. 

All staff must be trained prior to using the meters for the first time.

  • Essential Learning Resources

GGC210 FS Precision Pro – Glucose

  • What next ?Practical training within your clinical area by your Cascade trainer which includes a quality control test and a patient test.
  • A Meter Compliance Form will then be sent to Clinical Biochemistry.
  • You will then receive a unique barcode which you will use to analyse any patient samples. Your barcode should strictly never be shared with anyone else. This will be audited
Discharge Planning

The aim of discharge planning is to ensure that patients are discharged from hospital safely and efficiently. Effective discharge planning will ensure patients are discharged from hospital safely and in a timely way, reduce length of stay, reduce pressure on bed availability and improve patient satisfaction.You have a key  role within the MDT for effective discharge planning which should start on admission with the Estimated Date of Discharge. With the patients permission we should engage early with family, carers, and MDT to plan discharge.

Essential Learning Resources

learnPro module – GGC 214: Discharge (15 minutes to complete)

Other Useful Resources

The Discharge Information Folder (accessed from a NHSGGC computer) contains key information to assist you including documentation, homecare, social work, Scottish Ambulance Service and Carers Information.

A Discharge Information Folder  (access from a NHSGGC computer)

NHSGGC Discharge Policy and Procedure (access from a NHSGGC computer)

Infection Prevention and Control

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred infection prevention and control within NHSGGC. Each of the resources will support your knowledge and confidence in Infection Prevention and Control (IPC). The IPC provide an Infection Control service to all health care workers (both clinical & non-clinical disciplines), patients and visitors within NHSGGC. Each Sector and Directorate has an IPC team who can be contacted Monday to Friday 8:30am to 4:30pm and out with these times an on-call Microbiologist is available via switchboard.

Essential Learning Resources

learnPro module – GGC 007 Standard Infection Control Precautions

learnPro module – NES: Prevention & Control Infection: C.Difficile

Other Useful Resources

Scottish Infection Prevention and Control Education Pathway

Infection Prevention and Control homepage

National Infection Prevention and Control Manual

Sharps Safety

To prevent needlestick injuries, NHSGGC provides sharp safe devices across the organisation within all areas of clinical practice, for the protection of staff.

Essential Learning Resources

Sharps Safety Video

learnPro modules GGC: 061 Management of Needlestick and Similar Injuries Prevention and Management of Occupational Exposure (this can be found in the Scottish IPC Education Pathway in the Infection Prevention and Control tab)

Other Useful Resources

A Safer Place to Work – Sharps

Blood Transfusion

Any registered nurse involved in any stage of the transfusion process is required to undertake the appropriate learning required for their role. The transfusion process includes:

  • making the decision to transfuse and associated communication with patient
  • requesting blood components
  • taking pre-transfusion blood samples
  • collecting and storing blood components
  • administration of a transfusion
  • patient monitoring during and following transfusion

Please read the following guidance:

Rapid induction guide for Registered Nurses/Midwives and ODPs involved in the transfusion process

Essential Learning Resources

Safe and Local Transfusion Practice (presentation)

learnPro Blood Transfusion Modules (go to Blood Transfusion tab and complete the modules called

‘Safe sampling for transfusion video’ and ‘Safe transfusion practice’)

Other Useful Resources

‘Blood components and indications for use’ found in learnPro Blood Transfusion Modules

NHSGGC Clinical Transfusion Policy (access from a NHSGGC computer)

NHSGGC Blood Transfusion pages (access from a NHSGGC computer)

Dementia and Delirium

This element of the induction process outlines the minimum requirements of a Registered Nurse to support safe, effective, person centred care of the patient with Dementia or Delirium within NHSGGC. The resources aim to develop your confidence and skills to implement care for the person living with dementia who is admitted to the acute hospital. NHSGGC  supports the use of the national ‘Getting to Know Me’ document which links with the “what matters to me” ward boards, Single Question in Delirium (SQiD) within the Care Rounding chart.

The Think Delirium presentation aims to raise awareness and provide an opportunity to improve delirium identification, management and risk reduction within your ward or department. Be an agent of change and “Call TIME” on Delirium, especially in Dementia.

Essential Learning Resources

NHSGGC Think Delirium presentation

Other Useful Resources

How to complete the ‘Getting to Know Me’ form

What is Stress and Distress in Dementia (TURAS)

NHSGGC Delirium Guidelines
Palliative and End of Life Care

This element of the induction process outlines the minimum requirements of a Registered Nurse or Midwife to support safe, effective, person centred palliative care within NHSGGC. Each of the resources will support your knowledge and confidence in providing palliative and end of life care. Everyone can provide palliative care and there are resources available to support you. For complex situations Specialist Palliative Care Teams are available for patients and families. They are also there as a support and educational resource for you. Each hospital has a Specialist Palliative Care team and Referrals can be made via Trakcare®. For urgent review please page the team via switchboard.

 All Palliative Care resources can be accessed through the Palliative Care Resource Folder (accessible from an NHSGGC computer).

Essential Learning Resources

Introduction to Palliative Care  (30 min presentation)

 Guidance at the End of Life (15 min presentation)

Other Useful Resources

www.palliativecareggc.org.uk

learnPro module GGC:053 Palliative End of Life care

learnPro module GGC:099 CME T34 Syringe Pump

Guidance at the End of Life (GAEL) for Health Care Professionals

Scottish Palliative Care Guidelines

Positive Approaches to Working with Challenging Behaviour

NHSGGC recognises that Violence & Aggression (V&A) is a risk that all of its employees & patients can be exposed to. Those who are experience it can be at risk of physical and emotional harm as a result. NHSGGC has lawful responsibility to reduce this risk & act to keep our staff as safe as is practicable.

Our aim is that the V&A risk will be reduced to its lowest practicable level and that relationships between ourselves, our patients and others that use the service are positive & respectful. To help achieve this, a Public Health, Human Rights Based, Risk Reduction model is used. Part of that model includes provision of training that is relevant and sufficient for your role within GGC.

Essential Learning Resources

learnPro module GGC: 003 Reducing Risks of Violence and  Aggression

learnPro module GGC: 129 Conflict & Challenging Behaviour

Other Useful Resources

Some RN/RMs may need to also attend additional, classroom based courses, if you work in higher risk areas. This will be determined by your area’s manager who will have completed the V&A risk assessment and training needs analysis.

Further information and resources (eg. V&A Reduction Policy & Risk Assessments) can be found on Health and Safety, Violence Reduction page on HR Connect.

Trakcare

TrakCare

TrakCare® is the Patient Management System for NHSGGC. All patient episodes (Outpatient, Inpatient and Emergency) are recorded and managed on TrakCare. TrakCare incorporates electronic requesting (Order Comms) for Labs, Radiology and Cardiology and electronic results.

Essential Learning Resources

learnPro module GGC: 009 Safe Information Handling

TrakCare training for new Registrants (video can only be accessed from a GGC computer) Please watch the video here to view the new process for Trak Care electronic requesting (order comms).

Other Useful Resources

If after watching the video you feel further training on TrakCare is required, please book your online face to face session via the learnPro home page (Go to the bottom of the page and click on Training events/course booking and apply).

IT systems and New Applications: a Guide for Acute Services NMAHPs (access from a NHSGGC computer only)

Record Keeping and Documentation

This element of the induction process outlines the minimum requirements of a Registered Nurse to support safe, effective, person centred record keeping and documentation within NHSGGC.

In your clinical environment with many demands on your time, keeping documentation records is a challenging but essential part of your role. All documentation records are part of the nursing process; assessment, planning, implementation and evaluation of care.

Essential Learning

Record Keeping and Documentation- Good Practice Points (a quick guide)

Other Useful Resources

NMC Code

NHSGGC Professional Standards for Record Keeping Policy

Checklist

Sign this checklist and print or share an electronic copy with your Senior Charge Nurse or Midwife. Following completion of this Corporate Nursing Induction, your Senior Charge Nurse or local educator, will direct you to specialty specific induction materials.

Whether you are a newly qualified or experienced registrant we welcome you to NHSGGC. We hope you feel welcome and valued as you join us. If you are a newly qualified registrant we wish you a smooth transition from student nurse or midwife to qualified practitioner.

Before you start your online induction, please watch this short video from Angela O’Neill, Deputy Nurse Director, Acute Services, as she welcomes you to your new role in NHSGGC.

Induction Welcome Message for Registered Nurses and Midwives