ࡱ> svnopqrg nbjbjXX A2\2\e& & 8$| I!!!!!"""ȯʯʯʯʯʯʯ$"""""!!4---"j!!ȯ-"ȯ--4! r>#Rl0Itw#w44wHl""-"""""("""I""""w"""""""""& > d: Appendix 3 Extended Local Induction Form All staff will be inducted to ensure they receive relevant information, instruction and support to enable them to fulfil their role, safely and effectively. All staff will receive an induction as outlined in Trust Policy: CNTW(HR)01 All newly appointed Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (The Trust/CNTW) employees will attend the corporate induction and will also complete a local induction CNTW(HR)01: Appendix 2  The following will be inducted as per Trust Policy: Nurse Bank Staff: Induction process is co-ordinated by Nurse Bank Manager, as per Practice Guidance Note (PGN): I-PGN-01: Induction Process and Arrangements for Bank Nurses *Nurse Bank staff will receive a local induction prior to working with patients each time they cover a bank shift (Unless they are working on their designated ward) Newly Qualified Staff: I-PGN-02: Temporarily withdrawn Student Nurses: Refer to PGN: I-PGN-03: Induction Arrangements for Student Nurses being placed within the Trust Temporary Staff Transfer: staff will receive a local induction prior to working with patients each time they cover a shift on a daily basis or upon secondment or temporary placement on another ward Permanent Staff transfer: All staff transferred to another ward will receive a local induction prior to working with patients. Return to work: Staff returning from long term absence (6 months or more) or maternity leave, will receive a local induction prior to working with patients Local Induction Ward / DepartmentManager:Employee:Inductor: TopicDate CompletedStaff SignatureInductor SignatureWelcome and Orientation to the Ward Complete Appendix 2 : Local Induction ChecklistSubmit copy of Appendix 2 to HRFire Evacuation Process Explain Fire Evacuation Procedure and their role and how to report a fire.Read and Sign ProcedureDiscuss role and responsibility for compliance to Trust Policy CNTW(O)41 Fire PolicyRead and Sign PolicyDuring tour of the building point out the following: Fire Exits Fire Extinguishers Fire Blankets Fire Break Glass PointsPersonal Property Inform staff that the Trust does not accept responsibility for loss or damage to any personal property. Personal property should be stored in a locker Explain location and use / allocation of keyParking A parking permit is required when staff use CNTW Trust Hospital site car parks or staff will have to ensure they have paid the appropriate parking charge.Parking Permit must be clearly displayed on the car windscreen when using CNTW Trust Hospital Site car parks. Vehicles must be parked in a recognised parking bay - not a disabled bay unless registered disabled.  TopicDate CompletedStaff SignatureInductor SignatureStaff must pay appropriate parking fee when visiting non CNTW hospital site as requiredDiscuss completion of travel claim formsMobile Phones Not to be used in the presence of patients or in ward patient areas Can be used whilst on official allocated breaks only. Trust ward mobile should be used when on escort duty with patientsPersonal Phone Calls These should be kept to a minimum, unless exceptional circumstances occur I.T , RIO, Email and Internet Usage IT User request will be submitted to ensure staff can access: RIO, E-mails, Dash board and Elearning as required.Staff are not allowed to access social networking, gambling, pornography sitesStaff with RIO access will not access any patient data that is not relevant to their place of workInform staff that the Trust IT system is monitored by IT department Staff may face Disciplinary action if they access inappropriate sites whilst at workDiscuss role and responsibility for compliance to Trust Policy CNTW(O)09 Records ManagementRead and Sign PolicyDiscuss role and responsibility for compliance to Trust Policy CNTW(HR)24 Social Networking and Media PolicyRead and Sign Policy Discuss role and responsibility for compliance to Trust Policy CNTW(O)28 Information GovernanceRead and Sign PolicyArrange completion of Information Governance trainingDiscuss role and responsibility for compliance to Trust Policy CNTW(O)29 Confidentiality TopicDate CompletedStaff SignatureInductor SignatureRead and Sign PolicyDiscuss role and responsibility for compliance to Trust Policy CNTW(O)35 Information SecurityRead and Sign PolicyDiscuss role and responsibility for compliance to Trust Policy CNTW(O)36 Data ProtectionRead and Sign PolicyTrust Values and Attitudes Staff will be informed of the Trusts expectations for staff performance, values, attitudes and expectations re professional attitude, kind and caring approach.Staff will be informed of what will not be tolerated re performance and staff actions.Discuss Trust Policy CNTW(HR)08 Dignity and Respect at WorkRead and Sign PolicyPlan attendance at Trust Values and Attitudes TrainingDiscuss Trust Policy CNTW(C)40 Dignity in CareRead and Sign PolicyDiscuss the 6 Cs and expectationsProfessional Standards Confidentiality Appropriate Access to Patient records, RIO and personal data Compliance to Trust Policy Act professionally at all times acting as a representative of the Trust and Nursing ProfessionCompliance to The Nursing and Midwifery Council (NMC) GuidanceDiscuss Trust policy CNTW(HR)03 Professional Registration with Regulatory BodyRead and Sign PolicyStaff will not use or attend work under the influence of drugs or alcohol: staff who do may face disciplinary action.Discuss Trust Policy CNTW(HR)21 Managing Alcohol and Other Substance Misuse TopicDate CompletedStaff SignatureInductor SignatureRead and Sign PolicyNo Smoking Policy Staff will be made aware of the No Smoking Policy and designated patient smoking areas.Staff smoking in non designated areas or at times out with official breaks may be subject to disciplinary actionDiscuss CNTW(O)13 Smoke Free PolicyRead and Sign PolicyDuty Allocation, Requesting days off and holidays Discuss the main shift patterns that are worked on the ward.Discuss Trust Policy CNTW(HR)11 Flexible Working if requiredDiscuss the procedure for requesting days off in advance.Discuss the 24 hour system of care, unsocial hours, Bank Holiday, day and night shift workingDiscuss the need to change allocated shifts to meet the needs of the ward.Discuss: Holiday entitlement, how to make requests and allocation system used on the ward.Discuss completion of time sheetsDress Code Discuss the need to maintain a smart and professional appearance at all times.IPC guidance re Bare below the elbows is adhered to as required.Discuss Policy CNTW(O)48-Uniform and Dress Code Read and Sign PolicyCommunication Systems DiaryCommunication BookHandoverWard MeetingsPatients MeetingsCommunication Cascade FileSBARDRIODaily, Weekly and Monthly Patient ContactsChief Executives Bulletin TopicDate CompletedStaff SignatureInductor SignatureEmails and AlertsCAS Alert SystemDaily De-briefTrust Intranet siteClinical SupervisionUrgent Care Learning Disability In-Patient Assessment and Treatment Wards Overview of Urgent Care StructureOutline Role and Function of the wardDiscuss Ward SpecificationDiscuss Ward Management StructureDiscuss role of the teamQuality Discuss the Role of the Care Quality Commission (CQC)Discuss Trust Performance Targets (Dashboard)Outline Key priorities and objectives for Learning Disabilities(LD)-Urgent CareOutline Quality and Performance StructurePatient Specific Discuss reasons for admissionDiscuss Admission Criteria CNTW(C)20 Care Coordination/Care Programme Approach(CPA) Policy PGN, CC-CPA-PGN-06 Learning Disability Admissions Read and Sign Policy PGNOutline Patient Needs LD/MHDiscuss Assessment ProcessDiscuss Physical Health Needs and Assessment: CNTW(C)29 Trust Standard for the Assessment and Management of Physical Health Read and Sign PolicyDiscuss Treatment StrategiesDiscuss Care Planning ProcessDiscuss Care Coordination ProcessDiscuss Carer engagement, Carers Charter and CQUIN indicator Getting to know youDiscuss Activities and Therapeutic engagementDiscuss Mental Health Act: refer to Trust Policy CNTW(C)55 Mental Health Act Policy Read and Sign Policy PGNDiscuss Patient RightsOutline Deprivation Of Liberty Safeguards TopicDate CompletedStaff SignatureInductor SignatureDiscuss Capacity and Consent Guidance: Trust Policy CNTW(C)05 Consent to Treatment and Examination Read and Sign PolicyDiscuss Mental Capacity Act Policy CNTW(C)34 Read and Sign Policy Discuss Leave of Absence CNTW(C)03 Leave, Absence and Missing Patient Policy Read and Sign Policy Outline Advocacy ServiceOverview of PALS servicePatient Specific Nursing, Management and Multi-Disciplinary Team (MDT) Roles Discuss the role of the Named Nurse. Discuss the role of the Key Worker. Discuss the role of the Ward Manager and Clinical Coordinator Discuss the role of the Clinical Nurse Manager (CNM) Discuss the role of the Associate DirectorClinical Supervision Explain process and policy Allocate supervisor Plan supervision dates Discuss Supervision proforma and guidance Discuss monitoring via Quality and Performance structure Importance for staff support guidance and development Arrange to attend supervision training as per dashboard/requiredDiscuss Trust Policy CNTW(C)31 Clinical SupervisionRead and Sign Policy TopicDate CompletedStaff SignatureInductor SignatureJob Description Ensure the individual has a copy of their job description and understands their main duties and responsibilitiesAppraisal Process and Personal Development Plan (PDP) Discuss Appraisal and PDP process Discuss staff roles and responsibilities in line with Job Ensure date is planned to undertake initial objective setting Discuss training and development needs Review dashboard re training requirements Explain Monitoring process/dashboard Plan attendance at training as required8. Discuss Policy CNTW(HR)09 Staff Appraisal Policy9. Read and Sign PolicyObjectives Discuss objectives for LD Urgent care in line with Trust performance and quality priorities Discuss individuals role and responsibilities and set objectives for development in line with Appraisal and PDPSickness/Absence Staff reporting absence must request to speak to the Ward Manager or in their absence, the Nurse in Charge of the ward (NIC)Staff should personally contact the NIC of the ward to report any absence; only in exceptional circumstances should this be done by someone elseStaff should endeavour to give as much notice as possible to allow the ward to arrange coverIt is the responsibility of the employee to maintain contact and inform NIC of continued absence and expected return to work date TopicDate CompletedStaff SignatureInductor SignatureIt is the responsibility of the employee to provide medical certificates if required (4 days absence or more)Failure to maintain contact or submit medical certificates may result in unauthorised absence and in some cases disciplinary action or non payment for period of unauthorised absenceOccupational Health Services are available to all Trust Employees, they can self refer if required, however all staff who are absent for 2 weeks or more will be referred by their Line Manager as per Trust Policy; employees are contractually required to attendCounselling Services are available to all staff. This is a 24hr confidential service provided by Care First Tel number: 0800174319Sickness/absence will be managed and reviewed in line with Trust Policy CNTW(HR)10; all staff must comply with the guidance as outlined in the Policy Read and Sign PolicySecurity Keys Discuss allocation of keys Make staff aware of the need to ensure all keys to remain on person How to report immediately if keys go missingSecurity Alarms Demonstration of how alarms/pagers work Discuss allocation of alarms/pagers Discuss the procedure when alarm activatedSecurity Walkie-Talkies Discuss role of walkie talkie as a communication aid Discuss the importance of maintaining a professional attitude in their useDiscuss Trust Policy CNTW(O)21 Security Management Read and Sign Policy TopicDate CompletedStaff SignatureInductor SignatureHealth and Safety Discuss the Health and Safety Policy Discuss Moving and Handling Policy Moving and Handling Practical Training to be arranged Discuss Food handling Policy Arrange Training as required Discuss Local Risk Register and Risk Management/Assessment process Discuss Control of Substances Hazardous to Health (COSHH) Discuss Trust Policy and PGNs: CNTW(O)20 Health and Safety Discuss Policy CNTW(O)40 Falls Prevention Read and Sign Policy Discuss Trust Policy CNTW(O)08 Emergency Preparedness, Resilience and Response Discuss local business continuity plans/ action cards setting out what to do if a particular emergency occurs Infection Prevention and Control Discuss IPC issues in relation to Trust Policy and Guidance CNTW(C)23 IPC Policy and PGNs Read and Sign Policy and PGNsObservation Policy Discuss the role and responsibility of staff in line with the Trust Policy CNTW(C)19 Engagement and Observation Read and Sign PolicyStaff to view power point presentationCompetency assessment in relation to Observation Policy will be completed before staff will observe patients unsupervised. As per Trust Policy CNTW(C)19 Engagement and ObservationStaff will be made aware of the patients observation care plans and recording forms and their role in ensuring they are aware of their role and responsibility in maintaining patients safety TopicDate CompletedStaff SignatureInductor SignatureFACE Risk Management Plans Discuss the importance of FACE risk profiles and maintaining safety and wellbeing of patients and othersDiscuss Trust Policy CNTW(C)20 Care Coordination/CPARead and Sign PolicyFACE Risk Training Power point presentation to be used to ensure staff is aware of their role and responsibility in relation to FACE and Risk managementPrevention and Management of Violence and Aggression Discuss patients who may display challenging behaviour, aggression, distress or agitation Discuss the possible reasons for challenging behaviour Discuss coping strategies and care plans and management strategies for patients who display challenging behaviour Discuss the importance of observation, triggers / antecedents of challenging behaviour Discuss the importance of using de-escalation techniques Discuss what to do in the event of a psychiatric emergencyDiscuss Trust Policy CNTW(C)16 Positive and Safe Management of Violence and AggressionRead and Sign Policy TopicDate CompletedStaff SignatureInductor SignatureDiscuss the basic principles of effective prevention and management of challenging behaviour, distress, agitation or aggression. Avoid dealing with incidents alone summon assistance by using alarm Positive communication: Calmness/assertiveness as opposed to confrontational Maintain the safety of self, individual and other patients by encouraging individual or others to move to another area Take direction from the Nurse in charge and discuss strategy to diffuse and effectively manage the situation Work as a team and maintain positive communication at all times Awareness of care plans and interventions: e.g: Talking, PBS strategies, relaxation, medication or seclusion dependent upon patient preference. Effective recording and reporting of all web based electronic incident reports Debrief for staff and patient after incidentsMVA Training Arrange training as requiredEnsure staff that have not attended training are made aware of the need to maintain their own safety until training is undertakenRecording and Reporting Clinical Interventions, Accidents and Incidents All nursing interventions will be recorded using the Trusts electronic RIO system: Daily entries will be completed for all patients covering a 24 hr period in line with Trust and NMC guidanceAll staff have a responsibility to report all accidents/incidents/near misses/potential hazards via the Trusts electronic web-based reporting system All incidents will be reported immediately to the NIC for guidance and decision makingDiscuss Policy CNTW(O)09 Records Management TopicDate CompletedStaff SignatureInductor SignatureRead and Sign PolicyDiscuss Policy CNTW(O)05 Incident ReportingRead and Sign PolicyHandover of Clinical Data A resume of clinical data will be cascaded to the team utilising the Handover process Discuss process and individuals responsibilitiesEscalation Process Clinical Nurse Manager (CNM) and Associate Director will be informed of any significant clinical incidents or events Guidance and advice can also be gained as required from CNM and Associate DirectorPoint of Contact System (POC) All clinical incidents will be reported to the POC utilising the Trusts POC guidanceExplain POC reporting system POC can be contacted by checking ROTA Watch or via Trust switch BoardMedical Emergency and FIRE Discuss role and responsibilities: explain alert system and how to gain help for example telephone: Dial 9-999Show staff location of Immediate Life Support (ILS) equipment and how to use and gain access in a medical emergencyExplain the checking and monitoring system for ILS equipmentExplain how to report a fault with ILS equipmentDiscuss Trust Policy CNTW(C)01 ResuscitationRead and Sign PolicyExplain location of ILS equipment across hospital site and how to gain access (Northgate Hospital only)Discuss role and responsibility in relation to Resuscitation Policy CNTW(C)01Read and Sign Policy TopicDate CompletedStaff SignatureInductor SignatureSerious Untoward Incidents (SUI) All incidents of a serious nature will be reported immediately as per Trust policy CNTW(O)05 Incident PolicyRead and Sign PolicySeclusion Use Seclusion power point Explain Policy and documentation Explain role and responsibility Discuss reporting and review of seclusion Discuss care plans and engagement with patient during and after seclusion Discuss Safety and Wellbeing of patient and staff during and after seclusion Discuss De-brief system Discuss therapeutic need for seclusion Discuss Trust Policy CNTW(C)10 SeclusionRead and Sign PolicyRapid Tranquillisation Discuss policy and use of Rapid Tranquillisation Discuss reporting , monitoring and review of rapid tranquillisation Discuss patient engagement in the use of rapid tranquillisation Discuss patient health and well being5. Discuss Trust Policy CNTW(C)02 Rapid Tranquillisation6. Read and Sign PolicyDaily De-Brief System Inform staff of de-brief system Discuss process, their role, importance of cascading information and Staff support Discuss how to alert ward manger of actions that are unable to be resolved Monitoring via Quality and Performance structureSafeguarding and Electronic Web-Based Reporting Process Complete Safeguarding training as required refer to dashboardStaff will be able to give an account of safeguarding and their roleExplain the importance of safeguarding Vulnerable Adults;  TopicDate CompletedStaff SignatureInductor SignatureEnsure staff are aware that it is against the Law to abuse patients. This will not be tolerated by the Trust and action will be taken against staff who abuse patients. Forms of abuse: physical, verbal, emotional, financial and sexual abuse.Staff will take all remedial actions to safeguard patientsAll safeguarding incidents will be reported to the Trusts Safeguarding Team who will offer guidance and adviceLocal Authority Documentation will be completed and submitted as requiredA web-based electronic reporting form will be submitted as directed by the Trusts safeguarding team: discuss how to access and completeSafeguarding Strategy meetings will take place as per local authority guidanceSafeguarding Incidents will be cascaded to CNM and Associate Director (should be copied into electronic web-based incident reporting email alerts)Discuss Trust Policy CNTW(C)04 Safeguarding Children Read and Sign PolicyDiscuss Trust Policy CNTW(C)24 Safeguarding Vulnerable Adults at RiskRead and Sign PolicyWhistleblowing Policy Staff will be made aware of the Trust Policy CNTW(HR)06-Raising Concerns (formerly Whistleblowing) Discuss their role and responsibility to report any forms of abuse. Discuss NMC guidance re AlertingRead and Sign PolicySee It Say It Campaign Discuss the principles of campaign and give staff a copy of the document Discuss staff role and responsibilities in relation to see it say it, 10 Golden Rules etcRead and sign See It Say It Guidance TopicDate CompletedStaff SignatureInductor SignatureDignity in Care Discuss the following: Trust Policy CNTW(C)40 Dignity in Care Essence of Care Dignity Campaign Inclusion and Involvement Equality and Diversity Capacity Mental Capacity Act Consent Human Rights Deprivation of Liberty Safeguards (DOLS) Rights of patients detained under the Mental Health Act Rights of Informal patients Protected Mealtimes Locked Door Policy Health Action Plans (HAP) Person Centred Plans (PCP)Read and Sign PolicyMedication Competencies Band 3 Discuss role and responsibility Discuss competency framework Discuss and supply copy of Policy Medication Competency process completed as required for Band 3 staffMedication Competencies Band 5 Discuss role and responsibility Discuss competency framework Discuss and supply copy of Policy Discuss NMC Guidance Medication Competency process completed as required for Band 5 staff Discuss local Pharmacy cover and support arrangements Discuss supply and ordering system Discuss Audit and monitoring process Discuss errors and electronic web based reporting Discuss controlled Medications Discuss Key allocation and safety Discuss Leave medicationDiscuss Trust Policy CNTW(C)17 Medicines ManagementRead and Sign Policy TopicDate CompletedStaff SignatureInductor SignaturePatients Food and Nutrition Discuss menu and order process Discuss Protected Meal Times Discuss role and responsibility re safety and observation of patients re risk of choking Discuss special diets and Dysphagia Discuss health Promotion/healthy eating Discuss access to water and beverages Discuss Nutritional Assessment and Care planning Referral process: Speech and Language Therapist (SALT), Dietician , Physio and Occupation Therapy Discuss access to food 24hr system Discuss reporting system if problem occurs with order Food Hygiene: arrange training as required Staff reminded not to consume patients food supplied by CNTW Trust catering serviceDiscuss CNTW(O)27 Nutritional PolicyRead and Sign PolicyBudget/Stock Control Staff who have responsibility for ordering stock should be aware that they need to work to an agreed budget and all ordering is authorised by the Ward Manage Discuss financial monitoring and performance reviews Discuss finance dash boardFinancial Management Staff must ensure that they are aware of the Trusts finance policy and work within the policy guidelines. Discuss expenditure and petty cash system Discuss the need for obtaining receipts Discuss counter fraud department and financial audits TopicDate CompletedStaff SignatureInductor SignaturePatients Finances Explain Trust Policy for management of patients finances Discuss local management of patients monies Discuss role and responsibility for supporting patients with expenditure Discuss need for obtaining receipts Discuss financial checks and audits Discuss relevant Financial Policies CNTW(O)51 - Standing Financial Instruction Policy and SFI Practice Guidance NotesRead and Sign PolicyPatient Engagement Discuss Daily, Weekly and Monthly patient contact meetings and give copy of guidance Discuss Weekly Patients Meetings Process Discuss Hows It Going Process Discuss Working Lunch Process Discuss Involvement Link role Discuss Getting to Know You process Discuss Carers Charter , Carer Meetings and Carers Pack Discuss Welcome Pack Discuss 24 and 72 Hour resolution summary process Discuss complaints policy Discuss Easy read Leaflets to support care planning Discuss Advocacy Service including referral process; IMHA and IMCA Person Centred Plans Referral process Health Action Plans Referral Process Discuss Patient Advice and Liaison Service (PALS) support and referral Discuss Interpreting Service TopicDate CompletedStaff SignatureInductor SignatureCare Programme Approach Discuss process and ensure power point training delivered Discuss RIO documentation Discuss Admission Documentation Discuss Local CPA and MDT meeting process and RIO documents Discuss patient involvement in meeting process Discuss patient involvement in developing reports Discuss patient and Carer feedback process Discuss care planning process Discuss Formulation process Discuss Clustering process Discuss Discharge Planning Discuss 7 Day Follow-up planning process Discuss Trust Policy CNTW(C)20 Care Coordination/CPA Read and Sign Policy Probationary Period Process Discuss Probationary Period process and complete appropriate documentation, setting objectives and review dates.        PAGE \* MERGEFORMAT 2 Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust Appendix 3 Extended Local Induction Form V07.3-Feb 20 Part of CNTW(HR)01 Induction Policy   ()    * A q u v    . 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