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Staff Resources & Support

“Clinical Supervision provides nurses with space to reflect on and discuss aspects of their role that are motivating and inspiring them, and also those elements that are frustrating or concerning them. Nurses and their supervisors can then jointly work through how the former can be promoted and the latter addressed” (Scottish Government, 2017).

NHS Education for Scotland short animation giving an overview of clinical supervision
What is restorative clinical supervision?

The restorative model of clinical supervision is recognised as an approach to support reflective practice that can help build practitioners’ resilience by focusing on the individual’s (supervisee’s) experience, aiming to sustain their wellbeing and their motivation at work.

This is achieved through guided reflection, exploratory questioning and supportive challenge, enabling a focus on action planning and goal setting. Restorative clinical supervision offers practitioners the opportunity to regularly discuss the positive aspects of their work which is as important as exploring those issues they find more challenging (NHS Education for Scotland, 2021). 

Why is restorative clinical supervision important?

Restorative clinical supervision is considered essential to support the nursing and midwifery workforce with the emotional challenges of their role, develop their reflective capabilities, and enable them to address professional challenges in new and innovative ways, thus contributing towards a healthy workplace culture (NHS Education for Scotland, 2022). 

Why is clinical supervision important?

NHS Scotland is committed to enabling the nursing and midwifery workforce access to regular clinical supervision and support. This includes non-registered staff such as health and care support workers.

This commitment is required to ensure that safe, effective and high-quality person-centred care is provided to patients and support families and carers. In line with the Chief Nursing Officer for Scotland’s vision (Scottish Government, 2017), the aspiration is for all nurses and midwives to participate in clinical supervision appropriate to their role by 2030. 

How do I access clinical supervision?

If there is no established restorative clinical supervision within your clinical area, please contact your Practice Education Facilitator (PEF) or Care Home Education Facilitator (CHEF) for further information. If you do not have an allocated PEF or CHEF you can contact the team using the generic email address practiceeducation@ggc.scot.nhs.uk

Where do I find out more information?

We recommend that all practitioners preparing to participate in restorative clinical supervision as supervisees, undertake Clinical supervision unit 1: fundamentals of supervision. Unit 1 is designed to provide you with an introduction to clinical supervision; what it is, the purpose, processes and potential benefits.  

How do I become a clinical supervisor?

One of the ways in which to develop the skills to become a clinical supervisor is to participate in the Clinical Supervisor Preparation Programme. This programme is managed and facilitated by the practice education team in collaboration with the NHS Education for Scotland (NES) Nursing and Midwifery Practice Educators.

The programme will offer you an opportunity to participate in a programme using a blended learning approach which builds on the theoretical foundation provided by the self-directed online learning units. Completion of the units is undertaken in conjunction with the online skills development workshops. The programme will also provide you with an opportunity to practice and develop the knowledge and skills for the role of clinical supervisor. 

What is the programme structure?

Participants are asked to engage with and complete the four self-directed online learning units (approx. 6hrs). They can be accessed on TURAS Learn and are part of the NES Clinical supervision resource. You will then be offered five facilitated skills development workshops accessed using MS Teams (approx.11hrs) or two in person study days held centrally within the board area. 

How do I apply for the clinical supervisor preparation programme?

The enrolment process is managed and facilitated by the PE team. There is a current timetable for this year and the programme runs on Tuesdays and Wednesdays. Participants are requested to choose a cohort when booking for example, all Tuesdays or all Wednesdays. The enrolment form has a list of all the cohort dates and times you should complete this with your preferred dates.

References

COVID-19 Instructions and Risk Assessments

All instructions and risk assessments for testing in patients with suspected or positive COVID-19 are listed below. This page will hold the most up to date version.

Abbott Freestyle Precision Pro glucose meters

Abbott i-STAT analyser

Roche influenza point of care unit

  • POC influenza risk assessment
  • POC influenza instruction

Hemocue Hb and WBC

  • Hemocue risk assessment

Haematology QEUH

  • Haemochrom risk assessment
  • Rotem risk assessment
  • Verify Now risk assessment

POCT Contact Information

  • Chairperson NHSGGC POCT Committee: Andrew Kerry, Consultant Clinical Scientist, Royal Alexandra Hospital

Biochemistry Contact Information

Haematology Contact Information

Virology Contact Information

POCT Support Information

Please contact the relevant laboratory discipline in your sector if you are considering introducing a new POCT service in your area. Staff will be happy to talk you through the process and direct you to the paperwork required prior to approval and introduction of any service. As a first step we would encourage you to read the POCT policy and POCT checklist.

No new POCT service will be introduced or supported by the committee unless the POCT checklist is completed and signed off.

POCT Useful Documentation

What is Internal Quality Control?

Internal quality control (IQC) involves analysis of control material of known concentration within predefined limits. This ensures the quality of the results produced prior to reporting any patient results from the POCT device

What is External Quality Assurance?

External Quality Assurance (EQA) involves analysis of a sample of unknown value from an external, independent source. The results are scrutinised by the EQA scheme provider and allow comparison of results across multiple sites. Participation in EQA allows monitoring of performance and possible early detection of a systematic problem with analysis of patient samples.

Any site wishing to introduce a new POCT service must enrol in a recognised EQA scheme.

Audit

The POCT team will perform audit of the service and provide feedback to the service lead. The audit outcomes and any corrective and preventative action are documented in the laboratory quality management system.

The NHSGGC Point of Care Testing (POCT) committee meets bi-annually with the aim of policy-making and review of sector POCT groups. The committee also includes Primary Care representation with the aim of guiding appropriate POCT governance in the community. The POCT Co-ordinators management group meets bi-monthly, with multidisciplinary representation and includes user representation where appropriate. The group focus on implementation and monitoring of POCT activity within each sector.

If you use POCT in your clinical area you must ensure your device is registered with the NHSGGC POCT committee.

What is Point of Care Testing (POCT) Testing?

Point of Care testing is defined as ‘Diagnostic testing that is performed near to or at the site of patient care with the result leading to a possible change in the care of the patient.*’ This normally takes place in a non-laboratory setting by appropriately trained non-laboratory staff.

  • ISO 227870: 2016 Point of Care Testing (POCT) – Requirements for Quality and Competence.
Potential Advantages of POCT

Rapid turnaround of results

  • Reduced patient waiting times
  • Earlier impact on clinical decision making
  • Financial efficiencies

Less invasive

  • Smaller sample volumes

Accessibility

  • Ability to reach remote places
  • Improved healthcare access
Potential Disadvantages of POCT

Expensive compared to conventional laboratory testing

  • Cost of consumables, IQC, EQA
  • Staff resource required at source of testing

Sample quality

  • Higher rate of pre-analytical errors are associated with POCT due to poor sample quality

Staff Training, competence and documentation

  • Appropriate training and continued competency checks required to ensure accurate results
  • POCT may need to be manually entered into patient record which is potentially problematic

Safety

  • Clear protocols required for infection control, storage and disposal of clinical waste etc.

Point of Care Testing (POCT) Services Offered in NHSGGC

Please note, not all services are available in all sectors.

Biochemistry
Haematology
  • Haemoglobin
  • INR
  • ROTEM analysis
  • Verify Now antiplatelet drug monitoring
  • White Cell Count
Microbiology/Virology
  • Flu/RSV (Paediatric RHC)

Further Information and Resources

Allied Health Professions are a crucial part of the NHS, making up one third of the clinical workforce.

  • Art Therapist
  • Diagnostic Radiographer
  • Dietitian
  • Dramatherapist
  • Music Therapist
  • Occupational Therapist
  • Orthoptist
  • Orthotist
  • Paramedic
  • Physiotherapist
  • Podiatrist
  • Prosthetists
  • Speech and Language Therapist
  • Therapeutic Radiographer

The Return to Practice process enables you to re-register with the HCPC after a period of time away from your profession. There are many reasons why you may not have practiced such as caring/parental responsibilities, illness, travel or other career routes.  We value the skills you have gained whilst you have been away and look forward to your return.

Different requirements apply depending on how long you have been out of professional practice. 

NHS Careers Scotland has all the information you need about the steps to re-registration including the links to the HCPC who manage the final step.

Now is the time to return and help to deliver safe and effective care for the people of Scotland.

IENs and staff who support them should utilise these resources in order to facilitate a learning environment which allows them to consolidate their clinical skills and OSCE preparation course.

Internationally Educated Nurses resources 

TURAS Unit for Learners

TURAS Unit for Educators

NHSGGC IEN recruitment programme handbook

International Recruitment Toolkit

Royal Marsden Manual of Clinical and Cancer Nursing Procedures

To support learning and preparation for OSCEs, all IENs shall receive a copy of the book. If IEN has commenced within your area and has not yet received this, then please contact the PEF or email: practiceeducation@ggc.scot.nhs.uk

NES Cultural Humility Learning Resource

The NES Equality, Diversity and Human Right Team developed this digital learning resource to consider how our backgrounds and the backgrounds of others can impact our relationships. Subsequently launched by @NHSScotAcademy, it provides leaners with tools to develop their cultural humility values, attitudes and behaviours. What’s more, learners will benefit from the range of videos, reflective activities, scenarios and a resource pack.

Specifically, the NES Cultural Humility Learning Resource will enable learners to:

  • Understand the concepts that underpin cultural humility
  • Identify the key behaviours for supporting an inclusive workplace
  • Apply a reflective approach aimed at transforming practice in health and social care

Both health and social care staff can easily access the NES Cultural Humility Learning Resource from any laptop, computer or smart device through their TURAS account.

NMC Resources and Welcome to the UK workshops
Other resources

RCN: Journey of an Internationally educated nurse short film series

The RCN launched a series of short films detailing first-hand accounts from IENs on their experience of moving to the UK.

NHSGGC BME Staff Network

The Black And Minority Ethnic (BME) Staff Network was established in 2018. This followed a consultation with key stakeholders about their lived experience. The Network is working closely with the Workforce Equality Group to continuously improve the workplace experience of BME staff. Please click above link for further information.

Presentation for staff supporting IENs.

LNs/SCNs/DCNs and staff who support IENs within the clinical area are invited to the next Internationally Educated Nurse information presentations.  Afterward, there will be time for Q & A’s. Both the presentation and Q & A’s will take approximately 1 hr.

Please click on link below to book onto session:

Next session date to be confirmed

Review presentation

Our team work plan priorities are identified using both national and local policies, guidelines, strategic priorities, alcohol and drug trends and related issues.

We use the findings and recommendations from national and local research to inform our priorities.

Initiatives included in the team work plan are formulated and monitored using the GGC Alcohol and Drug Prevention Framework and related documents.

Our team produces and circulates a monthly Alcohol and Drug Snapshot that provides a range of information including resources, research articles, reports, events, learning and funding opportunities.

If you would like to sign up to receive our Snapshot, please contact ggc.mhead@ggc.scot.nhs.uk*.

*Please note that this is a generic admin inbox and not monitored immediately. If you, or someone you know are in distress and need an immediate response call the emergency services on 999 or NHS24 on 111.

In addition to our core work plan, members of our team provide supplementary support functions including

  • representation on local and Board wide dedicated alcohol and drug structures and allied topic structures, funding and recruitment panels,
  • strategic policy development,
  • workforce development and networking opportunities,
  • resource development and training development, delivery and evaluation,
  • consultation, advice and report writing,
  • research, monitoring and evaluation,
  • commissioning and contract management,
  • budget and project management,
  • staff recruitment panels, staff induction and on going support