Clinical placement at
Sultan Qaboos University
Sultanate of Oman
Updated 16/12/2013
FIELD TRIP INFORMATION DOCUMENT
This document provides information about the elective placement at Sultan Qaboos
University Hospital, Facilitated by the College of Nursing, Sultan Qaboos University.
Further information is available at www.komion.co.uk/international
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CLINICAL PLACEMENT OMAN
Contents
For emergencies......................................................................................................................... 3
Criteria for eligibility and Application procedure ...................................................................... 4
The CAP document for international placements ..................................................................... 5
About Oman ........................................................................................................................... 6
Benefits of this placement ..................................................................................................... 7
Culture.................................................................................................................................... 7
The clinical placement ........................................................................................................... 9
Approximate costs ............................................................................................................... 10
What to take ........................................................................................................................ 10
Accommodation ................................................................................................................... 11
Travel.................................................................................................................................... 12
Risks ..................................................................................................................................... 12
Safety (general) .................................................................................................................... 12
Passport and Visa ................................................................................................................. 14
APPENDIX ONE – Universal Precautions .................................................................................. 19
APPENDIX THREE - Record of International Practice Experience (International CAP
document) ................................................................................................................................ 21
APPENDEX FOUR – UH Health and Safety Documents ............................................................ 32
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For emergencies
Local coordinator:
Dr Ayman Khalil Tailakh
Email atailakh@squ.edu.om
College of Nursing +968 54145400
Address
College of Nursing
Sultan Qaboos University
P.O. Box 50
Muscat 123
Sultanate of Oman
Travel Insurance (Chubb) – +44(0) 207895 3364
University Policy Number 64796726
HULL SECURITY +44 1482 465555
University of Hull Switchboard
Faculty of Health and Social Care Reception
FHSC Fax
+44 1482 346311
+44 1482 463342
+44 1482 464695
Dr Jeremy Jolley (international coordinator)
Mobile +44 7764 198490
Email Jeremy.jolley@hull.ac.uk
The University of Hull has implemented a 24-hour Security Assistance Programme to provide support to
University travellers. This information is available separately.
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Criteria for eligibility and Application procedure
Placements arranged through Sultan Qaboos University will normally be of two weeks
duration with normal practice hours (pre-registration students) counting for this period.
Students may wish to go at a time adjacent to a holiday period and make use of this
opportunity to pursue vacational activities. Both pre-registration and post-registration
students may apply for a placement. Students are required to be ‘up to date’ in relation to
their programme of study and clinical and theory hours (pre-registration). Students are
required to have the support of their programme leader before work can begin on securing
the placement.
This procedure will be followed:
1. The student will arrange to see the faculty international coordinator to discuss
matters relating to this placement;
2. If the student wishes to pursue the placement, he or she will be asked to see the
relevant Programme Leader. The Programme Leader will decide whether a
placement at MUST is compliant with the programme regulations and is compliant
with the academic and or practice demands of the programme in question. Should
the Programme Leader support the application, a suitable date for the placement
will be determined. For pre-registration nursing students, this will normally be in
semester one or two of year three.
3. The student will then arrange to see the International Coordinator who will check
that the candidate fully understands the implications of the placements. The
International Coordinator will place particular stress on:
a. The need for travel insurance (provided by the university);
b. The need for Professional Indemnity Insurance (normally, membership of the
Royal College of Nursing);
c. The use of the CAP document for international placements (pre-registration
nursing students);
d. Where the student wishes to pursue the application, the International
Coordinator will contact Sultan Qaboos University and attempt to agree a
mutually convenient time for the student to travel. Such a date must be
compliant with the date suggested by the Programme Leader, with what is
acceptable to the placement and with the wishes of the student;
e. Where a date for the placement can be agreed, the student is informed of
the arrangements and is informed that flights can be booked at a time
convenient to the student;
f. The student will arrange to see the International Coordinator approximately
one month prior to leaving the UK. At this meeting the International
Coordinator will make a final check to ensure that the requirements of all
relevant procedures have been met;
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g. Students who embark on a placement should arrange to see the International
Coordinator on their return to the UK in order to provide appropriate
feedback on the placement and to return the CAP document for international
placements.
Students are free to elect-out of an international placement at any time.
The CAP document for international placements1
The CAP document for international placements can be obtained from the International
Coordinator and is intended to replace the normal CAP document used by pre-registration
nursing students.
Pre-registration students may still have to complete their home CAP document during the
remaining period of the semester in question - which must amount to at least 4 weeks
(NMC).
The College of Nursing, Sultan Qaboos University
1
See appendix three
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About Oman
Oman is a country dominated by vast dessert plains. However, mountainous regions along
the Gulf of Oman (Persian Gulf) have given rise to a number of cities, including the capitol,
Muscat. Oman’s importance in world economy is due partly to the oil it produces but also to
its strategic position at the entrance to the Gulf of Oman, giving seaward access to ports in
Saudi Arabia, United Arab Emirates, Iran, Iraq and Kuwait.
Politically, the country is governed by the Sultan of Oman, supported by an elected
government. Oman has enjoyed very good relations with the United Kingdom for many
years. The dominant religion is Islam, with Islam determining both the laws and culture of
the country. However, Oman is tolerant of its many international visitors. Westerners
generally find Oman to be one of the ‘easiest’ of the middle-eastern countries to visit.
The weather is predominantly dry and hot with temperatures reaching 50° in the summer
months. The temperature in the winter months drops to a much more pleasant 30°.
Oman’s infrastructure is well-developed. There are good hospitals, roads and travel
facilities. Note, however, that motoring is cheap in Oman and perhaps as a consequence of
this, there is little in the way of public transport except for taxis, which can be found almost
everywhere.
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Maps showing the location of Oman
Benefits of this placement
A placement in Oman can benefit students in a number of ways. The world is becoming a
‘smaller’ place. It is now very much the case that the health care systems in the UK are being
compared with those established in other countries. Individual practices too, vary in the
manner in which they are carried out across the globe. We can learn from our observation
of the way in which health care in practiced in other countries. Furthermore, knowledge of
health care across the globe enables us to see what we do here in perspective, rather than
in isolation.
Travel to other countries and experience of different peoples and cultures serves to enrich
our learning and our whole outlook. Few people travel to different parts of the world and
remain unchanged by their experiences. A placement in Oman is likely to be something that
one never forgets. This is perhaps chiefly, an opportunity to see health care that is as
developed as the NHS in the UK but in an Islamic culture which is quite different from that in
the UK.
Culture
The staff at the university and at the University Hospital will expect you to behave
respectfully and professionally at all times, even when you are ‘off duty’. People are
respected because of their position in the hierarchy and you should give due deference to
senior staff. You may not be used to doing this in the UK but it is important that you respect
this aspect of Omani culture. Be wary about being too informal with people you meet for
the first time or with senior staff. You will find the staff to be friendly but it is still necessary
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for you to behave respectfully to them. Expect initial meetings to take some time, the
Omanis do not like to rush a meeting. Avoid being loud and ‘bouncy’.
Religion plays a central role in the life of all Omanis. You should be respectful to the Islamic
religion. However, it is also necessary that you be respectful to monotheism (the belief in
one God, a common factor in Judaism, Christianity and Islam). Being disrespectful to ‘God’ is
not acceptable in Omani culture. A number of ‘expletives’ in common use in the UK are
offensive to believers, including ‘Oh G*d’. Note, however that It is okay to be a Western
atheist, the Omanis will just feel sorry for you.
Western women in Oman are not expected to cover their hair, either at work or in public
areas. However, if you visit a Mosque, women should cover their hair and arms and men
also need to dress respectfully. Some Omanis do not wish to be touched by people of the
opposite sex (as in a hand-shake), while others are perfectly okay about this. Anything
‘closer’ than a handshake is best avoided.
Alcohol is available in some of the tourist hotels but is not available anywhere else. It is not
permitted to drink alcohol anywhere else and it is not permitted to be ‘drunk’ anywhere.
The Omani’s are a quiet and respectful people. They are proud of their culture and of their
historical roots.
Entrance to Sultan Qaboos University Hospital
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The clinical placement
The university hospital is relatively modern and was built to British standards, typical of the
NHS. The ward areas ‘feel’ very much like a UK NHS hospital. Perhaps the only difference
that a casual observer would notice is the fact that the bed-curtains are kept closed all the
time. Patients will often have their servant(s) with them and the servants will undertake a
lot of the patients’ basic care.
Standard (universal) precautions are practiced as in the NHS.
The hospital is located within walking distance (even in the summer) of the College of
Nursing and the university’s accommodation blocks. The hospital wards are labelled
according to their floor number and colour code. In this way, Three Blue would be the Blue
Ward on the third floor.
Students are not expected to give direct care when they are placed at the hospital. In
practice, however, it is not unusual for students to get involved in the delivery of care. We
insist that this only take place while the student is with their clinical supervisor and where
the supervisor is able to take full responsibility for the delivery of care. The student and the
supervisor must be both located with the patient when any care is undertaken by the
student. Students are free to decline an offer to be involved in the delivery of care and
should always decline to participate in care where they know that they have insufficient
skills to practice safely.
The waterfront, Muscat
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Approximate costs
Air Fare approximately
Visa
Immunisation
Malaria prophylaxis
Accommodation and food
Suggested living expenses
£700-800 (typical KLM)
5 Omani Rials
In most cases, immunisations should not be necessary.
Not necessary.
Food £15 per day approx..
£200
The airport at Muscat is relatively small and easily navigated. Like Muscat in general, it is a
relatively safe place. Your visa will have been arranged for you by the College of Nursing and
you will be emailed a document which you use to pick up your visa from the immigration
hall. It works like this:
1. Leave the plane and enter the immigration hall
2. Look to your left, in the corner of the hall (away from the immigration desks) you will
see a small office. Take your visa reservation document to the office and ask for your
visa;
3. Take the visa to the immigration staff at the other end of the hall. The immigration
staff will stamp your passport with the visa.
Note that if a driver has been arranged for you, he may have your visa document. In this
case, it is necessary to look around for someone who might be a driver (the public are not
allowed in the immigration hall). This can be awkward if the driver has decided to get a
coffee or whatever. It may be necessary to be patient. However, if necessary, you can
purchase a visitor’s visa for 5 Omani Rials. You may need to change some money to do this
and there is a convenient money changing office in the immigration hall.
If someone is there to meet you, they will take you outside the airport and to a car. This will
take you to the university. There is normally no charge for this. Otherwise, there are taxis at
the airport, the drive-time is around half an hour to the university. Negotiate the price first
and expect to pay around 10 Rials.
Note that most banks require that you inform them that you will be in Oman. If you do
not do this your bank cards are unlikely to work.
What to take
Oman is a developed country. However, the style of dress is different, so if you forget to
take your underpants, you will have a problem sourcing new ones.
You should take:
 Uniform or suitable clothing for clinical areas, needs to be light, easily washed and
dryable over-night;
 A small first-aid kit;
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



Travel, elastic washing line;
Travel guide;
Money, passport, visa, air ticket;
Your mobile phone.
Looking down on the Muscat area from the mountains
Accommodation
Accommodation and meals are available at the university. The accommodation is built to
western standards and costs in the region of 60 Omani Rials for two weeks.
The university campus
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A roundabout in central Muscat
Travel
Travelling to Muscat is usually quite simple. It is possible to fly direct from the UK’s larger
airports or via Schiphol (Netherlands) from Humberside airport.
Risks
It should be understood that there are risks with any international travel. Those who apply
for a placement in Oman should be ready to accept the risks associated with air travel and
those of travelling through and staying in an unfamiliar environment. Oman is a relatively
safe and stable country. If you have a problem, people will help, and the police, along with
other official staff, can be trusted. Arguably, the biggest dangers are:
1. Heatstroke, sunburn and dehydration (easily avoided);
2. The traffic in Muscat (cars will not slow down for you when you cross the road and
there is often no safe area for pedestrians).
Students are expected to seek an appointment with their general medical practitioner in
order to determine the vaccines and medications which may need to be prescribed.
Safety (general)
Safety - general
Look after each other, keep together.
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In relation to your accommodation, use common-sense precautions. Keep the door locked
at night, don’t open the door unless you are sure who it is who is on the other side.
Avoid public protests and demonstrations.
Always be respectful to Islam and to religion in general, and to Omani people and their
leaders.
Ensure that both the international coordinator (Hull) and your local coordinator (Oman)
know your mobile phone number. The university may need to contact you and will use this
number if other means of contact fail. Keep your phone switched on and charged up.
If you are in difficulties - people will help you - ask for help. The police are reliable and will
help.
Safety – health
Make sure that you see your GP to ensure you have the appropriate immunisations. Also
see the NaTHNac website for current information regarding infectious diseases in Oman,
see:
http://www.nathnac.org/ds/c_pages/country_page_OM.htm







Hepatitis A – there is a known risk of this in Oman.
Hepatitis B – health care workers should ensure that they are immunised against
Hep. B.
Rabies – Rabies should be presumed to be present in domestic and wild animals in
Oman. Your GP will probably recommend that you do NOT need to be immunised
against Rabies.
Tetanus – you should ensure that you are immune to tetanus.
Typhoid – your GP will probably recommend that you should be immune to Typhoid.
Schistosomiasis – this is known to be present in Oman and is acquired by wading,
swimming or bathing in fresh water. No immunisation or preventative treatment is
available.
Malaria – this is not a risk in the Muscat area of Oman
Be wary of what you eat. Drink only boiled water or bottled water and avoid ice in drinks.
Leave wild and domestic animals alone, they may be infected with Rabies. If you are bitten
(however minor the injuries) seek medical aid urgently. Note that bats also carry rabies.
In clinical areas - use universal (basic) precautions at all times.
Safety – human activity
Please see the Oman travel advice available at the Foreign and Commonwealth Office:
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http://www.fco.gov.uk/en/travel-and-living-abroad/travel-advice-by-country/middle-eastnorth-africa/oman
Check this site before you book your flight and before you leave for Oman.
Currently, the Foreign and Commonwealth Office suggest that most visitors to Oman have a
trouble-free stay. You can register your visit to Oman with the Foreign and Commonwealth
Office (see the above link) and we suggest that you do so.
Oman is a relatively safe and lawful country. However, recent events in the Arab world have
increased tensions in Oman and you should maintain an awareness of your safety at all
times.
Passport and Visa
You must hold a valid passport with at least two blank pages. Your passport must be valid
for at least 180 days from the date of your entry to Oman.
UK citizens do not require a visa before travelling to Oman. It is normal practice to obtain
the visa during immigration in Oman.
See the visa information above.
An Oasis, north of Muscat (ever heard of Schistosomiasis?)
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Sultan Qaboos University Hospital - GENERAL OVERSEAS FIELD COURSES RISK ASSESSMENT
Trip Date
Venue = Sultan Qaboos University Leader’s name and mobile number:
For outgoing students in 2012-13 Hospital (through the College of
Dr Ayman Khalil Tailakh
Nursing, Sultan Qaboos
Email atailakh@squ.edu.om
University.
College of Nursing +968 54145400
Staff names and mobile numbers (top right):
General description of trip:
This is a voluntary clinical placement at Sultan Qaboos University
Hospital which is facilitated by the adjacent College of Nursing, Sultan
Qaboos University. The placement is for two weeks.
First aid cover for trip:
The placement is in a hospital where first aid provision is available.
Pharmacists and doctors are available in the city of Muscat.
Transport Information
Flight Times and dates:
Notified separately.
Road Arrangements:
The university is 20-30 minutes from the airport at Muscat and
reliable taxis are readily available.
Number of students: 2 maximum
Overall staff / student ratio: 1:2
Location and Accommodation Address and Telephone:
The accommodation is purpose-built for students and is within the
university grounds. There are guards at the university main entrance.
Pre-requisites
Student Information Pack and briefing
Notify UK Foreign and Commonwealth Office 
Personal Details Forms
HOD Checklist Signed
Evacuation and Repatriation Procedures
Local Hospital
Where difficulties occur, students should contact the staff at the
College of Nursing (details, above- right).
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Hazard Identified
Transmissible
diseases:
Infection
secondary to
clinical incident
Rabies
How might
someone be
harmed?
Failure of universal
precautions due to
human error on
the part of the
student and or
others.
Bite from animal
(greatest risk is
with domestic
dogs)
Rating What has been done already
(HML)
M
L
Ratings (left) assume immunization and the
practice of universal precautions.
Students are advised always to use universal
precautions and to politely refuse to participate
in care situations where universal precautions
cannot be fully implemented. Students are
advised to inform their supervisor and the acting
head of nurse education if they believe
themselves to be at risk.
Are these measures adequate? Yes, some risk
remains.
Students are advised that domestic animals may
be carrying rabies and that any bite, even a very
minor one should be reported to a doctor
immediately.
What further action is
required? (Including
timescale and mechanism
for implementation)
Action by:
None
None
Are these measures adequate?
Yes – some risk remains.
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Hazard Identified
How might
someone be
harmed?
Rating What has been done already
(HML)
Infectious
diseases
including
Hepatitis A.
Close contact with
an infected person
or ingestion of
contaminated food
or water (Hepatitis
A).
L
Students are advised to contact their GP and to
ensure they are given the current range of
immunisations.
What further action is
required? (Including
timescale and mechanism
for implementation)
None
All pre-registration students have undergone
training in the use of universal precautions for
infection-control and personal safety in clinical
areas.
Students are advised to be drink only boiled or
commercially bottled water and to be wary about
food cooked out of sight.
Are these measures adequate?
Yes – some risk remains.
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Potential
violence due to
terrorism
Provision of
appropriate
insurance
Terrorism
associated with
political and
religious conflict
associated Arabian
regions of North
Africa, Iraq, Iran
and Yemen and
the wider MiddleEast.
Private insurance
may not cover risk
and students may
omit to take out
appropriate cover.
L
Students are informed of the risk and advised
to monitor the Foreign Office and Control Risk
websites.
None
Students are advised to stay away from public
protests and demonstrations and to refrain
from any behaviour which may be regarded as
disrespectful to Islam, Monotheism or the
Omani culture or people.
L
Are these measures adequate? Yes (some risk
remains form terrorist activity)
Students will be covered by the university’s
insurance scheme.
Students will still need to take out private
travel insurance for any holiday component of
their trip.
Are these measures adequate? Yes.
None
Risk assessment completed by Dr Jeremy Jolley
Signature
Title
Approved by Head of Department
Signature
Title
Dr
Date 13/11/2012
Date
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APPENDIX ONE – Universal Precautions
If you do participate in nursing care, make sure that you always use universal precautions.
Remember that body fluids are dangerous. If you think that you cannot use universal
precautions, you should politely decline to participate in that aspect of care.
Do consider the occupational health consequences of exposure to HIV and to other
communicable diseases. Infection with some communicable diseases may cause you to be a
risk to patients and this can impact on your career in health care.
Body fluids which may pose a risk of HIV (and other) infection2
Amniotic fluid
Blood
Cerebrospinal fluid
Exudative or other tissue fluid from burns or skin lesions
Human breast milk
Pericardial fluid
Peritoneal fluid
Pleural fluid
Saliva in association with dentistry (likely to be contaminated with blood, even when not
obviously so)
Semen
Synovial fluid
Unfixed human tissues and organs
Vaginal secretions
Any other body fluid if visibly blood-stained.
There are three types of exposure in health care settings associated with significant risk.
These are:



Percutaneous injury (from needles, instruments, bone fragments, significant bites
which break the skin etc);
Exposure of broken skin (abrasions, cuts, eczema etc);
Exposure of mucous membranes including the eye.
2
Department of Health (2008). HIV post-exposure prophylaxis: guidance from the UK Chief Medical Officer’s
Expert Advisory Group on AIDS. DoH. London.
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The above may indicate the need for immediate Post Exposure Prophylaxis.
Immediate action to take if exposure is suspected to have occurred
Immediately following any exposure – whether or not the source is known to pose a risk of
infection –





The site of exposure, e.g. wound or non-intact skin, should be washed liberally with
soap and water but without scrubbing.
Antiseptics and skin washes should not be used – there is no evidence of their
efficacy, and their effect on local defences is unknown.
Free bleeding of puncture wounds should be encouraged gently but wounds should
not be sucked.
Exposed mucous membranes, including conjunctivae, should be irrigated copiously
with water, before and after removing any contact lenses.
The need for Post Exposure Prophylaxis should be discussed with a registered
medical practitioner.
If you think you may have been exposed to possible infection from contact with body fluids
or from any other incident:



Immediately inform your supervising nurse and follow his/her instructions;
Inform your local coordinator at the university;
If you are concerned, call the FHSC international coordinator.
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APPENDIX THREE - Record of International Practice
Experience (International CAP document)
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Record of International Practical Experience
Name:
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Student’s Clinical Background
This student is currently undertaking a course of study at the end of which s/he will be
expected to register as a nurse in the United Kingdom (Nursing and Midwifery Council,
London).
In the UK, the nursing courses leading to registration are all 3 years in length and are
comprised of 50% theory (study) and 50% practice. In total, students have 2300 hours of
clinical practice, spread equally over the three years.
In the UK, individuals register in one of the following Fields of Practice (syn. Parts of the
Register):




Adult Nursing
Child Nursing
Mental Health Nursing
Learning Disability Nursing
University Contact
Dr Jeremy Jolley
International Coordinator
Faculty of Health and Social Care
University of Hull
Corttingham Road
Hull HU6 7RX
United Kingdom
Email Jeremy.jolley@hull.ac.uk
Tel. +44 1482 464636
Mobile +44 7764 198490
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International Practical Experience
Guidance for students
Prior to your practicum, you are expected to consider the learning objectives you would like
to achieve whilst in your practice placement, and document them in this Record of
International Practice Experience.
When you first meet your supervisor, they will orientate you to the practice environment and
also discuss and finalise your learning objectives. A record of this conversation will be made
in the ‘initial review’ section, along with an action plan to help you achieve your agreed
learning objectives.
At the end of your practicum, your supervisor will complete a professional behaviours
summary sheet, and also write a statement relating to the opportunities you have had whilst
in that practice placement and your skills and knowledge. In addition, they will comment on
whether you have achieved all of your agreed learning objectives.
It is expected that you will keep an accurate record of the hours worked on the appropriate
page in this booklet, signed by your supervisor following each completed shift.
Guidance for registered practitioners supervising students
The student has chosen this practicum to allow them to identify differences and similarities in
practice between the two different countries. During the practice placement, the role of the
supervisor is to ensure that the student obtains greatest possible benefit from working in
your speciality.
When the student arrives in the placement area, they should be orientated to the area.
Together with their supervisor, the student should identify and discuss the objectives they
wish to achieve during their placement. When planning and negotiating these objectives, it
should be remembered that the student is present in the work area in an observational
capacity only. A record should be made of this initial discussion, along with an action plan of
how the student intends to achieve their objectives.
During the placement, the supervisor should sign to confirm the practice hours worked by
the student on a daily basis. At the end of the placement, the supervisor should indicate
whether the professional behaviours demonstrated by the student have been satisfactory;
however, if there are concerns regarding the student’s behaviour during the placement, then
these should be discussed with the student and reported to the module leader without delay.
At the end of the placement, the supervisor should provide a statement relating to the
student’s achievements during their international practical experience. It is appreciated that
the time spent with the student may not allow in-depth comments to be made, however, the
supervisor should comment on the specific skills, knowledge and attitudes demonstrated by
the student. Reference should also be made as to whether the student was able to
complete their objectives as discussed at their initial review.
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University of Hull
Faculty of Health & Social Care
Record of International Practical Experience
Name:
Speciality placement area:
From (Date):
To (Date):
Hours worked:
(to be completed by the student and signed by a registered practitioner on a daily
basis)
Date
Time on
duty
Time off
duty
Hours
worked
Signature of registered
practitioner
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Orientation to international practical experience
It is essential that the following issues are addressed prior to the student’s international
practical experience. It is the student’s responsibility to actively seek this information before
the page is signed and dated.
I have:
1.
2.
3.
4.
5.
been allocated a supervisor.
discussed the learning opportunities available in this area.
discussed any specific support required.
been introduced to staff in the placement area.
been shown the location of fire fighting equipment emergency exits, and know my
responsibilities in the event of a fire.
6. been shown the location of emergency equipment and know my responsibilities in
the event of an emergency
7. been shown where to store clothing and valuables within the workplace.
8. agreed my duty times.
Signature of Student .........................................................................
Date...............
Signature of Supervisor......................................................................
Date...............
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Learning Objectives
The student should use this page to document the learning objectives they wish to achieve
during their practical experience prior to their first shift. These objectives should be taken to
the practice area and discussed with the supervisor during the initial review.







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Record of Initial Discussion
Expectations of student
The supervisor should state what they expect the student to do and to achieve whilst on
placement
Agreed plan of action for this placement
Together the student and supervisor should agree what it will be possible to achieve during
the allocated placement, based on the objectives on the previous page and the supervisor’s
knowledge of the practice area.
Signature of Student .......................................................................... Date..................
Signature of Supervisor...................................................................... Date..................
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Professional Behaviour in a Practice Setting
Student name ............................................... Practitioner name...............................
Satisfactory
Un-satisfactory
(signature)
(signature)
The student is respectful and
courteous to others
The student is sensitive to the needs
of others
The student is non-judgemental
The student is considerate of others
The student utilises effective listening
skills, i.e. with users and carers
The student communicates effectively
The student’s personal hygiene and
appearance (i.e. body piercing,
jewellery, dress, use of perfume) is
appropriate to the clinical area
The student maintains appropriate
levels of client/patient privacy and
dignity
The student’s timekeeping is
satisfactory
The student has demonstrated
honesty
The student maintains confidentiality
At the end of the placement, the supervisor should sign to confirm that the student has
behaved in a professional manner during the international practical experience.
If, at any point in the placement, the supervisor believes that a student’s professional
behaviour is unsatisfactory this should be discussed with the student, and reported to the
module leader, immediately. Unprofessional behaviour will be acted upon as appropriate.
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Statement from supervisor
It is appreciated that the time spent with the student may not be sufficient for you to offer indepth comments, however, please use the space below to comment on the specific skills,
knowledge and attitudes demonstrated by the student. Reference should also be made as
to whether the student was able to complete their objectives as discussed at their initial
review.
Student name:
Skills knowledge and attitudes demonstrated during the international practical experience:
Achievement in relation to agreed learning objectives:
Other comments:
Supervisor signature ................................................................
Date .....................
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Student’s personal and professional reflection on their
international practical experience
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APPENDEX FOUR – UH Health and Safety Documents
Appendix- 4-1 Code of Conduct
A copy of this form must be signed and presented to the Faculty International
Coordinator
Staff or students working offsite are considered to be representatives of the University for
the duration of the trip, including during leisure or 'off-duty' periods. Their action
throughout this time will represent not only their own personal values but also those of the
University of Hull. Any one that they meet or interact with will judge the organisation by
how they conduct themselves. Essentially they are ambassadors for the University of Hull.
This Code of Conduct defines the expected standards of behaviour that all staff and students
should conform to during any off-site trip. The Person in Charge of the offsite team and his /
her appointed deputies are responsible for discipline during the offsite work. They should
lead by example. While engaged on offsite work the decision of the group leader on matters
of conduct is final.
All staff and students should:
1.
2.
3.
4.
5.
Obey the reasonable instructions of their group leader.
If visiting another organisation, comply with the rules of that organisation.
If travelling abroad comply with all laws of the country visited.
Comply with health and safety arrangements for the work.
Not behave in a manner which could damage the reputation of the University of Hull
during work and leisure time.
6. Respect the social and cultural beliefs of your hosts. This includes modesty in your
dress if required by local customs or religious observance.
7. If drinking alcohol, do so responsibly and within the boundaries of local laws and
customs.
8. Keep the Person in Charge, or delegate, informed of whereabouts and intended time
of return, if going out independently, including during personal time.
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The Person in Charge of an offsite visit should ensure participants are aware of this code of
conduct and any specific standards of behaviour necessary in the course of the visit to
comply with the code, for example, the rules of the host organisation where relevant or
cultural expectations.
The telephone number of the mobile phone you will be taking to Oman.
______________________________
Name (block capitals)
Signed (student)
Dated
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Appendix-4-2 Personal Details Form
FHSC University of Hull
Personal Details (Confidential), for _________________________ UK Field Course
Student Number:
Name :
e-mail:
Date of birth:
Address:
Home address if different:
Telephone:
Mobile:
Telephone:
Address:
Next of Kin:
Relationship:
Do we have your permission to contact this person in an
emergency?
Telephone:
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Allergies (check with your GP if in doubt):
**Medical conditions (please provide any details of any
medication to be taken, including any incompatibility with
other medication):
Vaccinations:
Dietary restrictions or anything else we should be aware
of:
I . . . . . . . . . . . . . . . . . . . . . . . . . . certify that the above details are true. I agree to abide by the
rules and regulations of the University of Hull pertaining to field trips and that while participating
in this University of Hull field course I will act as an ambassador for the University I understand
that any breach of this contract will result in me being required to leave the field course
immediately and return to the University at my own expense.
Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . ./ . . . . / . . . .
The details you have supplied on this form will be held by the Course Leader and shared with
the Disability Tutor. For Emergency purposes on residential courses a copy will be held by the
University Safety Office for the duration of the course and destroyed thereafter. Whilst
disclosure of all medical conditions is not compulsory, you must include on the form any
condition or disability which might to affect your safety whilst away or which may need specific
treatment if you become ill. This information will not be disclosed to anyone else on the course
without your permission, unless an emergency makes it necessary to do so.
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Appendix- 4-3 EMERGENCY INCIDENT PROCEDURE – UK AND WORLD WIDE
GUIDANCE NOTES FOR THE VISIT LEADER AND SUPERVISING STAFF
NOTE: Department Base Emergency Contact details - before giving a copy of
this form to each member of supervision staff, the Visit Leader must insert the
names and contact telephone numbers as required below.
DEFINITION
An emergency incident is defined as, either

an accident leading to a fatality, serious or multiple fractures,
amputation or other serious injury, or

circumstances in which a party member might be at serious risk or
have a serious illness, or

any situation in which the press or media are or might be involved.
INTRODUCTION
The following procedure is intended as a guide to enable staff at times of
stress to follow a course of action covering the main priorities. Obviously no
such list will ever be finite and there will be other necessary actions
depending upon the situation. However, it is important that the relevant
information is quickly and easily available whenever groups are off -site and
whatever the time of day or night.
All staff supervising a group undertaking an educational visit, partic ularly an
overseas visit, need to be familiar with the emergency procedures to be
followed in the event of a serious accident/incident or fatality.
PLANNING AND PREPARATION
The Visit Leader and supervising staff must have the following emergency contact
information at hand:

Departmental and Security Emergency Contact telephone numbers (see below)

lists of all participants, with address and telephone number of next of kin.

copy of Risk Assessment together with complete details of the itinerary

copy of the Emergency Incident Response Form and the Narrative Log
DEPARTMENT BASE EMERGENCY CONTACT(S):
NAME:
HOME TEL. NO.:
MOBILE TEL. NO.:
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ACTION TO BE TAKEN BY THE VISIT LEADER OR SUPERVISING STAFF
1. Assess the situation.
2. Protect the group from further injury or danger.
3. Render first aid or other service as appropriate. Call Rescue Services and/or
police, as appropriate. State the nature of the emergency. Give your name
and address/location and telephone number followed by:
 the location of the incident
 the nature of the incident
 the names of the individuals involved
 the condition of those involved and where they are located.
4.
Phone your Department Base Emergency Contact or Security (44 1482
465555) (as soon as possible). Before making contact, it is advised that a copy
of the Emergency Incident Response Form is completed, to ensure all relevant
information is reported. It is likely that both leaders and students will be in a
state of shock, therefore:
 remove remainder of the group to some secure accommodation and place
under the care of a member of staff able to protect them from the attention
of the press/media
 if necessary request the police to assist
 calm and comfort the students and arrange for their evacuation
5.
Do not make any statements to press/media or allow anyone else to make
statements other than expressions of sympathy. Refer the press/media to
Marketing and Communication at the University.
6.
If possible, do not allow group members to contact home directly until you
have received authorisation. This measure is intended to ensure that
relatives are contacted either by the University or the appropriate authorities.
7.
Retain all equipment involved in an unaltered condition.
8.
Do not allow anyone to see any group member without an independent
witness being present.
9.
No one, unless they are in a relevant official capacity, has the right to see
anyone who does not wish to see them.
WORLD WIDE EMERGENCY MEDICAL ASSISTANCE
CHUBB Insurance has arranged for International SOS to provide world wide
emergency medical assistance for University of Hull groups. The more important
facilities that International SOS will provide under this arrangement are:
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 arrange for the payment of all medical fees
 consult with doctors and hospital authorities abroad regarding treatment
 where it is considered preferable, bring the patient back to the United
Kingdom
 in cases of medical repatriation from abroad where it is necessary for a
medical attendant to accompany the patient this will be arranged
 where it is necessary, will make the arrangements for a person to visit the
patient or to accompany him/her
PROCEDURE TO ACTIVATE EMERGENCY MEDICAL ASSISTANCE
When you contact the International SOS. Helpline; state that you are a
University of Hull group requiring medical assistance. The operator will
request the following information:
 name of patient
 location of patient
 name of the Department
 type of assistance required, e.g. payment of medical fees
 University Policy Number 64796726
 24 HOUR EMERGENCY HELPLINE NUMBERS
+44208 763 8545
HULL SECURITY+44 (0)1482 465555
Scarborough security +44 (0) 1723 357266
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EDUCATIONAL VISITS
EMERGENCY INCIDENT CHECKLIST
UNIVERSITY OF HULL EMERGENCY ASSISTANCE TELEPHONE NUMBER
+44 (0)1482 465555
SECTION 1 - to be completed when making telephone call
a)
Name of person reporting the incident:
b)
Contact Number:
c)
Name of person receiving telephone call:
d)
Date:
Fax Number:
Time:
SECTION 2 - to be completed before telephoning University of Hull Security Contact
a)
Visit Leader’s Name:
b)
Location:
c)
Representing Establishment:
d)
Name of Contact (if different from 1a above):
e)
Dedicated Telephone Number to Use (if different from 1b above):
SECTION 3
a)
Nature of incident:
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EDUCATIONAL VISITS
EMERGENCY INCIDENT CHECKLIST
b)
Location of incident:
c)
Date of Incident:
Time of Incident:
SECTION 4
a)
Number of people involved in incident:
Injured:
b)
Fatalities:
Names of Casualties and Witnesses:
Casualty or
Witness
Surname and First
Name or Initial
Adult
or
Child
Injuries
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Section 4 continued
Casualty or
Witness
Surname and First
Name or Initial
Adult
or
Child
Injuries
SECTION 5
a)
Are all party members accounted for?
If not what measures are being taken to locate missing party members?
b)
Who is co-ordinating this search?
SECTION 6
a)
Which services or advice have been called? (e.g. Police/Ambulance/Fire
Rescue/Mountain Rescue/Coastguard/Doctor/Health and Safety Team etc)
b)
Which services or help are at scene of incident?
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c)
What other action has been taken?
d)
What immediate assistance is required?
SECTION 7
a)
Location of Hospital where injured taken:
b)
Telephone Number:
c)
Name of member of staff accompanying injured to Hospital:
d)
Name of member of staff who is supervising the uninjured members of the party:
e)
Location of uninjured members of the party:
SECTION 8
Following the initial report of the incident, the Officer identified below is now nominated as
the Contact Officer in respect of this incident.
Name :________________________________
Tel No:_____________________________
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EDUCATIONAL VISITS
NARRATIVE LOG
DATE
TIME
The Narrative Log should include a record of:
This column can
be used to
 the event
highlight any
 action taken
outstanding
 duty times of staff
action to be
 visitors
taken, any
 instructions received
remarks made or
 instructions given
When recording conversations ensure that the names/titles cross- references
to another
of all parties are given. any queries
narrative entry.
NARRATIVE
REFERENCE
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NOTES
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