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Home > Staff and Recruitment > Staff Resources and Support > Nurses and Midwives > Registered Nursing and Midwifery Induction > Registered Nurse (Adult) Induction

Registered Nurse (Adult) Induction

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.

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/M for further guidance in how to care for these patients.

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

National Tracheostomy Safety Project (NTSP)

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.