This element of the induction process outlines the minimum essential learning requirements of a Registered Nurse (RN). Please work through the essential learning resources within two weeks of starting in your new role For NHSGGC Bank Staff this must be completed prior to your first orientation shift. If you require support seek this from your Preceptor, Flying Start NHS® facilitator and or line manager.
You can also contact us at: ggc.practicedevelopmentinduction@ggc.scot.nhs.uk
Person Centred Care
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; and 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
Children and Young People (Scotland) Act 2014
Person Centred Care Made Simple – The Health Foundation
Supporting you to deliver person-centred care – The Nursing and Midwifery Council
Pressure Ulcer Prevention
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
Podiatry pages (access from GGC computer)
Pressure Ulcer Prevention and Management Policy (access from GGC computer)
Tissue Viability Service – Acute Division (access from GGC computer)
Falls Prevention
Each of the resources will support your knowledge and confidence in how you can reduce risk and manage falls and contribute to promoting the Active Wards Principles. A fall with harm in the 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, as well as encouraging activity promotion and risk enablement can help reduce the risk of patients falling, thus ensuring they are safely cared for during their time as an inpatient.
Essential Learning Resources
learnPro modules:
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
GGC: 260 Active Wards
Other Useful Resources
The Falls Homepage (access from GGC computer)
Guidelines for the Prevention and Management of falls in adults aged 16 and over (access from GGC computer)
Policy for the Prevention and Management of falls in adults aged 16 and over (access from GGC computer)
Moving and Handling
Moving and handling activities is a key part of your duties. This includes assisting patients and tasks such as moving equipment, laundry and stores. To keep yourself and patients safe it is essential you have the correct level of training.
If you have a Scottish Manual Handling Passport no foundation practical training course is required. Bring the passport document in to show your SCN or Team Lead. For Registered Nurses on the NHSGGC Staff Bank, 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. Complete the mandatory learnPro module: 005 Manual Handling Theory together with the 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 complete learnPro module: 005 Manual Handling Theory and your SCN or Team Lead will nominate you for the foundation practical training course (1day). Whilst waiting for your training course please review the NHSGGC Moving and Handling information page.
All patients should be verbally encouraged to move and position themselves independently. When a patient needs to be moved, handled or requiring a mechanical aid this should be carried out with a member of the ward / department team and not on your own. Please, do not to use hoisting equipment until training completed.
The Deteriorating Patient
Each of the resources will support your knowledge and confidence in care of the 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.
Patients with a tracheostomy or laryngectomy are at increased risk of deterioration and complications, and should be placed at a bed space with working oxygen and suction. A completed tracheostomy or laryngectomy (containing associated emergency algorithm) bed head sign should be on display. These patients should have a ‘tracheostomy and laryngectomy emergency box’ with them throughout their hospital stay (including transfers) containing airway equipment in the event of clinical deterioration. Ask your SCN or Team Lead for further guidance in how to care for these patients.
Essential Learning Resources
learnPro module GGC: 242 NEWS2
Assessment of the Glasgow Coma Scale
Pre-use check and setting up wall mounted suction
Pre-use check and setting up oxygen flowmeter
Other Useful Resources
TURAS National early warning score (NEWS) in NHS Scotland
National Early Warning Score (NEWS) 2 Standardising Assessment Guideline (874)
Royal College of Physicians (2019) National Early Warning Score (NEWS) 2
Medicines Administration
The resources will help to develop your knowledge and confidence in medicines administration and heighten your understanding of your contribution towards patient safety.
Essential Learning Resources
learnPro GGC: 315 Medicines Administration Fundamentals
learnPro module GGC eHealth: HEPMA: Nursing Training
Medicines Administration Competency Assurance Record complete this before independently administering medicines
Other Useful Resources
NHSGGC Policy: Safe and Secure Handling of Medicines
NHSGGC Clinical Guideline: Medicines Administration
Hospital Electronic Prescribing and Medicines Administration (access from GGC computer)
NHSGGC is implementing Fresenius Kabi volumetric and syringe devices. If your clinical area has implemented it you should receive cascade training from a member of the clinical area team.
Food, Fluid and Nutrition
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
learnPro module GGC:146 Food Hygiene
Other Useful Resources
The Role of Speech and Language Therapy
Acute FFN SharePoint (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
learnPro module GGC: 210 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 Planned 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
Other Useful Resources
The Discharge Information Folder contains key information to assist you including documentation, homecare, social work, Scottish Ambulance Service and Carers Information (access from GGC computer).
The Discharge page (access from GGC computer)
NHSGGC Discharge Policy and Procedure (access from GGC computer)
Infection Prevention and Control
Each of the resources will support your knowledge and confidence in Infection Prevention and Control (IPC). The IPC team 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
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
learnPro module Prevention and Management of Occupational Exposure
Other Useful Resources
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
Essential Learning Resources
Rapid induction guide for Registered Nurses/Midwives and ODPs involved in the transfusion process
Safe and Local Transfusion Practice – Registered Nurse
learnPro Blood Transfusion Modules (Blood Transfusion tab):
- Safe sampling for transfusion video
- Safe transfusion practice
Other Useful Resources
The learnPro Blood Transfusion Modules (Blood Transfusion tab) below are mandatory if appropriate to role / clinical area:
- Blood components and indications for use
- Acute Transfusion Reactions
- Phlebotomy Pathway
The learnPro Blood Transfusion Module (Blood Transfusion tab) is recommended:
- Consent for Transfusion
Confirmatory Sample Flow chart v4
NHSGGC Clinical Transfusion Policy (access from GGC computer)
Dementia and Delirium
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 and 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
Turas Learn Dementia Informed level
NHSGGC Think Delirium presentation
‘Don’t assume, Do ask’ campaign
Other Useful Resources
Turas Learn Dementia Skilled level – Complete within 6 months of starting.
How to complete the ‘Getting to Know Me’ form
Turas Learn® : What is Stress and Distress in Dementia
Palliative and End of Life Care
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.
Essential Learning Resources
Introduction to Palliative Care
Other Useful Resources
Palliative Care Resource Folder (access from GGC computer)
learnPro module GGC: 053 Palliative End of Life care
learnPro module GGC: 099 CME T34 Syringe Pump
Guidance At End Of Life (GAEL) for Health Care Professionals
Health and Safety Violence Reduction
NHSGGC recognises that employees and patients may be exposed to violence, aggression, and distress. Those who experience it can be at risk of physical and emotional harm. NHSGGC has a lawful responsibility to reduce this risk and act to keep staff and patients as safe as is practicable.
Our aim is that the risk of harm posed by violence, aggression, and distress will be reduced to its lowest practicable level and that relationships between ourselves, patients, and others who use the service are positive and respectful. To help achieve this, a Public Health, Human Rights Based, Risk Reduction model is used which includes the provision of training that is relevant and sufficient for your role within NHSGGC.
Essential Learning Resources
LearnPro module GGC: 003 – Reducing Risks of Violence and Aggression
Other Useful Resources
Your line manager will complete a Training Needs Analysis to identify if you work in an area/service exposed to a higher risk of violence, aggression, and distress. This will require some staff to attend in-person Health and Safety Violence Reduction training which is booked through eESS.
Prior to attending this training complete LearnPro module GGC: 312 – Violence Reduction – Physical Skills Knowledge – Adults.
Violence Reduction Service (Health & Safety) (sharepoint.com
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 video (access from GGC computer)
TrakCare user guides and videos (access from GGC computer)
Other Useful Resources
TrakCare user guides and videos (access from GGC computer)
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).
Record Keeping and Documentation
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
NHSGGC Professional Standards for Record Keeping Policy (access from GGC computer)
Checklist
Sign this Checklist and print or share an electronic copy with your Senior Charge Nurse. Following completion, your Senior Charge Nurse or local educator, will direct you to specialty specific induction materials. 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
Please complete: Registered Nurse and Midwife Step 6 induction evaluation
Further Information
Wellbeing
Throughout your career, as a healthcare professional, you may experience a range of emotions, which could affect your mental health and wellbeing. The NHSGGC: Mental Health and Wellbeing for NHSGGC staff link provides a range of support to prevent and assist with mental health issues in the workplace.
NHSGGC has also produced a booklet with a range of resources and links to support you to take care of your own mental health.
The National Wellbeing Hub contains information, resources and supports which you may find helpful at work and at home.
Newly Qualified Practitioners can also access Newly Qualified Staff – Looking after your wellbeing for guidance and support.
The Induction team also offer peer support, please contact us at ggc.practicedevelopmentinduction@ggc.scot.nhs.uk
Clinical Practice
NHSGGC Guidelines & Policies
NHSGGC Clinical Guideline Platform
The NHSGGC clinical guideline platform has been developed to provide a central repository to access all NHSGGC clinical guidelines and incorporates both medicine and non-medicine related clinical guidelines.
Human Resource policies can be found here: NHSGGC – HR Connect
Other policies can be found here:
GGC-Staffnet Hub – Home (sharepoint.com)
Staffnet Home (scot.nhs.uk) (Legacy)
Clinical Skills
Practice Development offer a variety of clinical skills education and training. Details of these can be viewed and bookings made via eESS: Learner Self Service → Learning →Learner Home → Browse Catalogue → NHS Greater Glasgow and Clyde → Clinical Improvement → Clinical Skills.
If venepuncture and/or cannulation training is required, this should be discussed with your line manager as bookings for this training are based upon clinical service need. Please request your line manager to contact practicedevelopmentnominations@ggc.scot.nhs.uk if they require further information regarding booking process.
Please direct all general enquiries regarding clinical skills education and training to practicedevelopment.enquiries@ggc.scot.nhs.uk
Preceptorship
National Preceptorship Resource
The NHS Education Scotland’s (NES) national Preceptorship resource builds on the Nursing and Midwifery Councils Principles for Preceptorship. It has been developed to offer a consistent approach to support registered nurses and midwives to transition to new roles and practice settings from the point of registration and as they progress through their career.
Flying Start NHS® (NQP only)
Flying Start Resources – NHSGGC
NHS Flying Start® is a national development programme designed to support newly qualified practitioners (NQPs) to develop into confident and capable, registered health care professionals.
NHSGGC requires all registered nurses and midwives to complete NHS Flying Start® in the first 12 months of practice. This is a learner-directed, work-based programme, supported by a Flying Start Facilitator and line manager.
Clinical Supervision
Restorative Clinical Supervision supports you to reflect, and develop your clinical practice, whilst embedding staff wellbeing and wellness into the working environment, promoting and establishing positive working cultures, leading to improved patient outcomes.
Facilitating Learning
TURAS®
TURAS® is the NES single, unified platform and includes:
•Turas | My Turas | Home (nhs.scot)
•Home | Turas | Learn (nhs.scot)
•Turas | Portfolio | Log in (nhs.scot)
You can use the Professional Portfolio for your NMC Revalidation evidence and will find all the templates within the ‘NMC Revalidation section’.
Revalidation – The Nursing and Midwifery Council (nmc.org.uk)
NHS Education for Scotland (NES)
NES Nursing and Midwifery Practice Educators.
The practice educator national network, in collaboration with host boards, develop and deliver learning materials and contribute towards the delivery of local board and NES objectives
Effective Practitioner (scot.nhs.uk)
Effective Practitioner can help you to identify gaps in knowledge and direct you to resources that can help meet your learning needs. The learning activities have been created specifically for NMAHPs (Nursing, Midwifery and Health Professionals) and will help with performance / KSF development reviews, personal development plans and maintaining your professional registration.
Career Framework (scot.nhs.uk)
The NES NMAHP development framework is an overarching resource comprising of two linked components.
Healthcare Support Workers Development and Education Framework and The NMAHP Post-registration Development Framework.
The National Psychological Trauma Training Framework
The importance of support and supervision is emphasised throughout all four levels of this evidenced-based framework. The need for the whole workforce to have knowledge and skills related to psychological trauma relative to individual roles and remits is acknowledged.
Leadership
Leadership and Management Zone | Turas | Learn (nhs.scot)
The purpose of the leadership and management zone learning site is to provide all health and social care staff across Scotland with an easy point of access to a range of development resources about leadership and management. You might currently be in a leadership role wanting to develop your capabilities, or you might be aspiring to develop as a leader, or you might wish to support others’ learning. In this site you will find toolkits, events, topics, programmes and links.
The King’s Fund – Compassionate and Inclusive Leadership Resource.
This site is a repository of a series of blogs, reports and learning opportunities around leadership and supporting staff effectively.
Evidence Research and Development
NHS Education for Scotland (NES)
NES Nursing and Midwifery Practice Educators.
The practice educator national network, in collaboration with host boards, develop and deliver learning materials and contribute towards the delivery of local board and NES objectives
Effective Practitioner (scot.nhs.uk)
Effective Practitioner can help you to identify gaps in knowledge and direct you to resources that can help meet your learning needs. The learning activities have been created specifically for NMAHPs (Nursing, Midwifery and Health Professionals) and will help with performance / KSF development reviews, personal development plans and maintaining your professional registration.
Career Framework (scot.nhs.uk)
The NES NMAHP development framework is an overarching resource comprising of two linked components.
Healthcare Support Workers Development and Education Framework and The NMAHP Post-registration Development Framework.
The National Psychological Trauma Training Framework
The importance of support and supervision is emphasised throughout all four levels of this evidenced-based framework. The need for the whole workforce to have knowledge and skills related to psychological trauma relative to individual roles and remits is acknowledged.
Evidence, Research and Development
The NHS Greater Glasgow and Clyde Library Network provides library and information services to all staff working within NHSGGC and its partner organisations.
Includes an electronic library for all health and social care staff in Scotland.
Research and Innovation – NHSGGC
The Research and Innovation Service in NHSGGC operates to support researchers in the NHS and academia.
NHSGGC Care Assurance
NHSGGC Care Assurance – Home (sharepoint.com)
NHS Greater Glasgow & Clyde recognises the multi-professional workforce is integral to the success of CAS (Care Assurance Standards) and is committed to supporting its staff to deliver safe and effective person centred care. CAS provides a framework for the quality of care experienced by patients, relatives, carers and staff to be consistently communicated and demonstrated across all clinical areas.
The Senior Charge Nurse/Midwife has overall responsibility and accountability for achieving and maintaining the standards. However, the wider organisation’s role is to ensure there is a support structure to ensure the clinical leaders and their teams can embed a culture of continuous improvement within the clinical areas.