Handbook for Nurses & Midwives
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Serving the people of north east Essex HANDBOOK FOR NURSES & MIDWIVES Colchester Hospital University NHS Foundation Trust Page 1 of 15 Nursing & Quality Revised July 2010 V9 CONTENTS Page No. Subject 3 Introduction 3 Nursing & Patient Experience Department 4 NHS Healthcare Provision in North East Essex Bed Management / Policies & Procedures/ Clinical Nurse 6 Specialists/ Hospital Specialist Palliative Care Team/ Outreach Team Pharmaceutical Services. 8 Position Statement on Clinical Supervision 9 Data Protection Act 1984 10 General Information 11 Health & Safety at Work Health and Wellbeing Service 12 North Essex Library & Information Services 15 Request form for Clinical Supervision Colchester Hospital University NHS Foundation Trust Page 2 of 15 Nursing & Quality Revised July 2010 V9 Introduction Welcome to the Trust, which serves the population of North East Essex. In partnership with the local Primary Care Trust (PCT) called NHS North East Essex The Trust is committed to on-going professional development of all staff using in-house training facilities and our local education providers (Anglia Ruskin University, Essex University and Colchester Institute). Colchester is a rapidly expanding regional centre of commerce and technology, with a population, which will grow at twice the national average over the next 10 years. It is 12 miles from the Essex coast and close to ‘Constable Country’. It is easily accessible from London by road or rail (55 minutes from Liverpool Street) and is close to Stansted Airport and the port of Harwich. Nurses and midwives have an important role to play in ensuring the Trust achieves its aims and objectives. Its vision is to become the recognised leading provider of health services in Essex and Suffolk by demonstrating excellence in five key domains: • excellent patient satisfaction • excellent financial performance • excellent employee satisfaction • excellent clinical performance • excellent health partners' satisfaction Nursing & Patient Experience Department A Practice Development Nurse works within each division to support individuals, department/ward sisters/charge nurses and matrons to improve the quality of the patient experience in reaction to clinical incidents and proactively in improving nursing standards. This work may be undertaken in teams or on an individual basis and helps embed the values of all statutory healthcare bodies. Clinical Skills Nurses have the prime responsibility for developing the clinical skills of nurses using the competency framework devised by the department. These nurses are based in clinical divisions and work under the professional guidance of the department. Methods of Support Induction All new starters undertake a nursing induction programme, which ensures that requisite mandatory training takes place and that additional key information is provided. Local induction also takes place. Key aspects of the registered nurse induction include drug calculation and intravenous therapy, blood transfusion, venepuncture, cannulation, and recognition of the critically ill patient competences. Similarly, for new healthcare assistants, there is an induction programme and competences that are underpinned by the National Vocational Qualification in Care. An NVQ coordinator leads this work and a peripatetic assessor supports both assessors and candidates in NVQ training. Both programmes aim to provide the best possible preparation for new staff to undertake their professional role on the wards and set a professional standard. Further preparation occurs at the ward and department level that includes an introduction to key personnel, specialist equipment and orientation to the local environment. Colchester Hospital University NHS Foundation Trust Page 3 of 15 Nursing & Quality Revised July 2010 V9 Competency and Development Programmes Health care assistants are able to access National Vocational Qualifications in Care and the aim is to have a standard whereby all new healthcare assistants will have an NVQ qualification in Care Level 2. Healthcare assistants are also supported to attain Level 3, which potentially allows access to other training such as a foundation degree in a health related pathway. A competency based development programme for staff nurses ensures the development of the appropriate skills. Similar development programmes exist for team leaders and ward managers to ensure that they have the necessary skills/knowledge to perform their roles. There is a Trust education database accessible by each ward manager. It is used to record training and competencies, allowing the retrieval of data to aid analysis of both individual training needs and of departmental needs. Mentorship and Supervision All new starters will have an identified mentor to guide clinical practice. The Department facilitates access to clinical supervision for all healthcare professionals. On induction new staff are informed how to access clinical supervision and provided with an application form for a clinical supervisor. All staff receive managerial supervision, which underpins performance review/appraisal, and the development of personal development plans. These in turn inform the education contracting process so that staff are able to access education/training and other opportunities which will help them achieve their potential and ensure that service objectives are met. Development review also provides an opportunity to encourage staff to access clinical supervision. This process is supported by the knowledge and skills framework (KSF), Personnel Policies The Trust commitment to the provision of a supportive environment is underpinned by the protective framework of personnel polices such as the Bullying and Harassment Policy, Equal Opportunities Policy and a commitment to the Improving Working Lives Agenda. The Health and Wellbeing Department and the services provided also support this framework. All the above strands come together into a supportive framework that helps staff to recognise that the Trust is a good place to start and a good place to stay. More importantly it supports the delivery of evidenced based care – our patients deserve no less. NHS HEALTHCARE PROVISION in NORTH EAST ESSEX Colchester General Hospital Turner Road Colchester Chest Medicine & Infectious Diseases E.N.T. Surgical Plastic Surgery Trauma / Orthopaedics Critical Care Unit. Urology Outpatients Department Paediatrics Emergency Department Maternity Unit (Ante / Post-Natal, GP Mat.) Medical Special Care Baby Unit Care of the Elderly Well Babies Gynaecology Day Care (Endoscopy, General Surgery, Postgraduate Medical Centre – Haematology, Gastroenterology) Main Library Colchester Hospital University NHS Foundation Trust Page 4 of 15 Nursing & Quality Revised July 2010 V9 ESSEX COUNTY HOSPITAL Lexden Road, Colchester, Essex Radiotherapy Dental (Outpatients) Dermatology G.U. Medicine E.N.T. (Outpatients) Care of the Elderly Audiology (Outpatients) Oncology Ophthalmology (In / Outpatients) Rehabilitation SEVERALLS HOSPITAL SITE Boxted Road, Colchester, Essex Chestnut Villa Biochemistry / Histopathology Departments NORTH ESSEX PARTNERSHIP NHS FOUNDATION TRUST (Mental health services ) Birchwood Villa - Trust Headquarters Rehabilitation (18 – 65 age group) THE KINGSWOOD CENTRE Psychiatry of Old Age – over 70 THE LAKES Acute Psychiatry LONGVIEW ADOLESCENT CENTRE NHS North Essex Various Residential/Group Homes plus treatment and assessment centre for people with learning disabilities CLACTON & DISTRICT HOSPITAL - HARWICH HOSPITAL – HALSTEAD NHS HOSPITAL – Organisational structure A copy of the senior management and executive structure is available through the Trust Internet at http://www.colchesterhospital.nhs.uk/organisational_structure/CHUFTExecDirsstructurefinalMa y2010.pdf Colchester Hospital University NHS Foundation Trust Page 5 of 15 Nursing & Quality Revised July 2010 V9 BED MANAGEMENT The Bed Information Bureau is based in the Medical Secretaries office at the Colchester General Hospital and is staffed from 8.30 a.m. to 4.30 p.m. Monday to Friday. The present function of the bureau is to provide information regarding the whereabouts of patients within the Trust. Information regarding the availability of acute beds is collated and published by the Site Matron who can be contacted on Bleep 333 and/or Ext 2672. This service is available continuously. POLICIES & PROCEDURES Please note that the policies are available on the intranet. You need to ensure that you are familiar with these. In particular you should read the following policies, which can be accessed via the Intranet or via the policy manual in your ward/department. • Bleeping Junior Doctors Policy (code no. 013) • Protocol for Verification of Expected Death by Nursing Staff (code no. 025) • A Multi-Disciplinary Policy on Staff Uniforms (code no. 007) • Nursing Policy: The Scope of Professional Practice and the Enhancement of the Nursing/Midwifery Role (code no. 003) • Policy Statement for the Escorting and Transfer of Patients (code no. 098) • Guidelines for Clinical Record Keeping (code no. 002) • Telephone Policy (code no. 133) • Mobile Phone Policy (code no. 134) • Discharge Policy (code No. 119) • Incident Reporting (code No.063) CLINICAL NURSE SPECIALISTS The Trust has a variety of Clinical Nurse Specialists who provide specialist advice to other nurses and services to patients. Please check Trust telephone directory for details. As part of your local induction find out the names and contact details for the specialists who provide a service to patients