Generic Nursing Competency Assessment Forms

RCH, Peri-op, Nursing Orientation Manual, Jan 2012 1 The Royal Children's Hospital (RCH) Nursing Competency Workbook is a dynamic document that will provide you with direction and assist you in your professional development as a nurse working at the RCH. The workbook also provides a record of your orientation and competency obtainment. Chapter 1

 Includes resources for nurses and is complemented by the Royal Children’s Hospital (RCH) New Starter Pack, Hospital Orientation and Nursing Orientation day, to provide an introduction to nursing at the RCH. Chapter 2

 Generic Nursing Competency Assessment Forms Chapter 3

 Specialty Nursing Competency Assessment Forms Appendix 1

 Unit / Department Nursing Orientation

All chapters and appendices are downloadable as pdfs from the Nursing Education Website.

The RCH Nursing Competency Workbook developed by Nursing Education with input from specialist nurses at the RCH.

For further information contact: Melody Trueman Director, Nursing Education Email [email protected]

Workbook 3rd edition February 2012

2 Updated October 2012Introduction

The Royal Children’s Hospital is a specialist paediatric hospital providing a full range of clinical services to the community. It has 250 beds and treats approximately 32,000 inpatients each year. A total of 280,000 children are treated by the hospital annually.

Peri Operative Suite Profile

The Peri Operative Suite is located on level 3, East building. Access points:  The day of surgery patient reception is positioned opposite the yellow lifts , over the bridge and signed posted ‘Surgery Reception J”  The floor can also be easily accessed from the green lifts ( entrance sign posted “Recovery”) This is also the afterhours entrance for recovery.  The clinical transport lifts are close to the entrance signposted “Theatres and MRI” – this pathway is used for transporting patients to and from the wards, as well as for staff visiting the in charge office

The Peri Operative Suite is made up of 14 Theatres, a CSSD department, Stage 1 Recovery, Stage 2 Recovery and a 14 bed Surgical Short Stay unit named “Possum.

Theatres are nominated to specialities, however any procedure can be done in any theatre with exception of theatre one which is limited to endoscopy, thoracic and haematology. Theatres have been organised in three clusters:  High turnover – theatre 1-3 which includes the endoscopy theatre  General theatres – theatres 4-9  Specialist theatres 10 – 14 which includes the emergency theatre, cardiac and an intra- operative MRI facility which incorporates the Cardiac Catheter Lab and Neurosurgical theatre. Each theatre is fully integrated and has a number of features including pendants, AV system, work stations, intercom and lights.

In excess of 16, 000 procedures are performed yearly with a month average of 1300 procedures. Patients range from newborn premature babies to adolescents. Operating Theatre staff combines care of the child and family unit with the demands of complex technological procedures.

The Operating Suite

Welcome to the Operating Suite. The experience you gain here will give you a greater understanding of caring for the paediatric patient and their family during the perioperative phase of their care.

The RCH Philosophy

1. Our purpose is to provide quality care for all children undergoing surgery 2. The staff of the Operating Suite believe that each patient is an individual with unique physical, emotional, social, cultural and spiritual needs 3. The staff of the Operating Suite are committed to continuous improvement of care through teaching, research and the provision of opportunities for continuing education for all staff

Unit Objectives The staff of the Operating Suite will endeavour at all times to:

RCH, Peri-op, Nursing Orientation Manual, Jan 2012 3 1. Promote cooperative planning and coordination of activities of all staff in the Operating Room in order to achieve total care of the patient and their family 2. Promote and support all policies of the Hospital and Operating Suite, including fire, safety and disaster procedures 3. Maintain a safe environment for patients and staff by recognition of hazards and awareness of safety and evacuation procedures 4. Maintain standards at an optimal level by participation in the Hospital Continuous Quality Improvement Program 5. Cooperate in medical and nursing research programs 6. Maintain an ongoing education program for staff

Operating Times

Each Operating Theatre has a maximum of two elective operating sessions per day. Some lists run all day with the same surgeon.

Each session is allocated 4 hours:

The Morning session is: 08:30 – 12:30 The Afternoon session is: 13:30 – 17:30

Theatre 10, the emergency theatre operates 24 hours a day, 7 days a week.

Theatre Reception

Contact Numbers Ext: 55244 / 55240

Theatre fax number 9345 5278

Reception staff: Gina Sant Ringa Iraia Vivien Miles

Fire, Evacuation & Medical Emergencies

Tour the unit. Locate exit signs, fire extinguishers, the break glass, fire hose reels, fire escapes and WIP phone. In an emergency when a Code Red is called if you are not in your allocated theatre please return to it and follow instructions from the nurse in charge. Read the “Emergency Procedures” on the HR website and complete the online Emergency Procedures Test.

Medical emergencies in the Operating Suite are managed primarily by anaesthetists and anaesthetic technologists; however, as a registered nurse you must be able to offer assistance and support. To call a code, ring 777 and state the code being called, i.e. Type of emergency, your name, and exact location

4 Nursing Personnel

Nursing personnel within the Operating Suite are comprised of Registered and Enrolled Nurses

TITLE NAME EXT PAGER Director of Clinical Operations Rosemary Aisbett 55057 5057 Nurse Unit Manager Theatre Jeramie Carson 56188 6188 Nurse Unit Manager Stage 1 Simone Kelly Recovery (Acting) 55523 5523 Nurse Unit Manager Possum Paul Griffth 55305 Nurse Unit Manager Medical Nikki Craze Imaging 56992 5681 Nurse Unit Manager Day of Elise Brown Surgery Centre 55386 5386

Clinical Nurse Educator Carolyn Sahhar 55340 5340 Karen Sullivan Clinical Nurse Facilitator Theatres 55340 Vocera Clinical Nurse Facilitator Recovery (Acting) Tania Ramos 55340 Vocera Clinical Nurse Facilitator Patricia Josipovic MI, DOSC & CSSD 55340 Vocera Anaesthetic Technologist Facilitator Andy Schermuly 55340 Vocera Anaesthetic Technologist Manager Barbara Feltham 55251 4130 Robyn Morgan AUM: Floor Coordinators Dave Curtin 52001

AUM: Plastic Th 5 &6 (Acting) Jen Mackinnon 51171

AUM: ENT Th 2 &3 Pam Crouch 51164

AUM: Theatre 10 Annelise Larrson 54624

AUM: Neuro Th 14 Marie Devlin 51133

AUM: Ortho Th 7 & 8 Sonia Mouat 51165

AUM: Urology Th 9 Trish Baxter 51161

AUM: General Surg Th 4 Nimmi Dadlani 51163

AUM: Cardiac Th 11 & 12 Bambang Kurnia 51173

AUM: Medical Imaging Dianne Clarence

AUM: Recovery Lai Cheng Yee 55253 / 4

RCH, Peri-op, Nursing Orientation Manual, Jan 2012 5 Occupational Health & Safety

The Occupational Health and Safety board is situated in the main passage way outside theatre 3. Here you will find information about OH&S and photos of the committee members here in theatre. The OH&S information folder is found in the roster room.

Royal Children’s Hospital Operating Suite OH&S Committee Members:

Rosemary Aisbett Chairperson Martin Bennett Cardiac Perfusionist Eddie Cousinery Anaesthetic Technician Suan Ooi RN Recovery + Smartlift Elizabeth Pietrzak/Anton RN Theatre VanderValk Job Verzosa Theatre Assistant

Theatre Policy & Procedure Manuals The Operating Suite Policy and Procedure Manual is on the intranet, under Division of Surgery. All staff members should be familiar with these policies and procedures and refer to them in their daily activities.

Communication

1. Telephone Internal hospital phone number, the hospital prefix is - 9345, with the last five numbers being the extension number, i.e. theatre extension is – 5244 To make an internal call the extension number is all that is required. To make an external call from within the hospital you need to dial - 0 first then the number you require. To ring the switchboard dial – 91

2. Paging There are two ways to page personnel  Lan Paging system on the computer - which will be shown to you  Page via switch asking them to page the person for you  Ascom Phones are allocated daily to all In Charge personnel and PSA/Theatre Technician  Vocera are allocated to some clinical staff

6 Employee Information

Time Sheets A hospital generated time sheet with your name and employee number will be issued to you. These sheets come from pay office and are placed in your filing slot in the roster room. Time sheets must be completed by the Friday prior to pay day for the Unit Manager to authorize. All staff are paid on a fortnightly bases. If working the weekend before pay week, time sheets are to be completed first thing Monday morning for the manager to sign.

Rosters & Shifts At present the Operating Suite has staff self rostering. Changes to shifts can be made by swapping with a staff member of equal grade. A change of shift form is to be completed and sent to the: ROS Office – we anticipate this changing to an online form at some stage.

Day shift: Mon-Fri: 0715-1645, 0815–1800 or 0930-1915. This is a 9 hour day with 45 min for lunch. This rostering equals 9 shifts on and 5 days off a fortnight, with an allocated ADO each month.

PM shift: Mon-Fri: 1200 – 2130, 30 minute meal break.

Weekend shifts: 0730-1700 & 1200-2130, with 30 min breaks

Night Duty: 2100 – 0730

4 th on Call: 1800 - 0800

Calling in Sick When calling in sick for your shift please ring the operating suite reception on 93455244

Staff Car Park If you require car parking, please see the Unit Manager to arrange something for you.

Education Sessions Staff education sessions occur once a week on a rotating morning through the year. These sessions start at 0800 and finish at 0830. On these mornings you are required to be at work 15 minutes earlier than normal and you will finish 15 minutes earlier. What’s on at these sessions are emailed to you and posted on the allocation board.

Staff Lockers All staff are allocated a locker. This maybe a quarter or half locker or you may have to share a locker with another employee. All lockers have a Digi 4 lock coding. The lock is activated once a 4 digit code is entered.

RCH, Peri-op, Nursing Orientation Manual, Jan 2012 7 New Nursing Staff Checklist On completion of your orientation the following areas should have been covered:

 Operating Suites 1 – 14  Pre Op Hold  Stage 1 and Stage 2 Recovery  In Charge Office  Tearoom  Set Up Areas  Utility room  Equipment Bays  Computer room / Roster  Description of Roles in the Operating Suite  Description of Shift Duties  Parent’s Waiting Room  Education / NUM office  Meeting Rooms  Reception J  Possum Ward  Rosella Ward (ICU)  Butterfly Ward (Neonates)  CSSD

Communication  Telephone / Paging  Count Sheet  Instrument Tracking/TDOC  ORMIS – Computer Training  RISKMAN  Intranet Services  Vocera  Ascom

Occupational Health & Safety  Manual Handling  Smart Lift  Latex Allergy Pack  Personal Protective Equipment  Specimen Handling  Steris Training  Cytotoxic Waste Handling / Spill Kit

Policy & Procedures  Response Codes  Fire Exits / Extinguishers / Alarms  Fire Assembly Areas  Medical Emergency Alarms  ACORN Manual  Theatre Policy & Procedure Manual  After Hours / On Call Guidelines

8 Orientation Checklist 2

TOPIC REFERENCE PERSON DATE ASSESOR Name & Signature

Occupation Anton VanderValk Health & Safety Suan Ooi Elizabeth Pietrzak

PBLS information Carolyn Sahhar / assessors Karen Sullivan Tania Ramos Patricia Josipovic

Infection Control Dave Curtin and Hand Hygiene Birgit Engert-Hagen Katie Mackay Jilli Zhou

Laser Education Pam Crouch

ORMIS training Marg Costa

Emergency Robyn Morgan Procedures

Smart Lift Carolyn Sahhar Amanda Crooks Shelly Hollingsworth Suan Ooi

NAME: ______

SIGNATURE: ______

DATE: ______