THERAPY SERVICES INDUCTION FOLDER STUDENTS NB: The Clinical educator Must keep a signed copy of this document and forward to the placement coordinator for retention September 2005 Review Date: Reviewed: Agreed By CMT: Reviewed: Reviewed: Agreed by Therapy Services Governance September 2006 December 2008 July 2007 October 2009 January 2013 February 2013 Page 1 of 14 The Rotherham NHS Foundation Trust The Rotherham NHS Foundation Trust is a modern, progressive Trust, with a reputation for clinical excellence and efficiency. The Rotherham Hospital site is situated just two miles south of Rotherham town centre in pleasant suburban surroundings, within close proximity to the M1 and M18 motorways, six miles from Sheffield and close to Doncaster. We also operate a large number of community services out of other sites across Rotherham including Rotherham Community Health Centre, close to the town centre. Awarded Foundation Trust status in 2005, we provide a wide range of health services to the people of Rotherham (population approximately 252,000) and to an increasing number of patients from further afield. The Rotherham NHS Foundation Trust was developed from the Rotherham General Hospitals NHS Trust. One of the first 35 Trusts in England and Wales to achieve NHS Foundation Trust status, it has developed a reputation as a thriving and successful organisation achieving recognition at local, regional and national levels. The Rotherham NHS Foundation Trust is an innovative, high performing organisation which continues to develop and grow at pace. One of the most forward-thinking trusts in the UK, we are at the leading edge of health service reform and achieving outstanding results. This is a very exciting time for the Trust. On 1 April 2011, we integrated with primary care services in Rotherham and with a number of Dental Services in Doncaster. The Accident and Emergency (A&E) Department deals with around 75,000 patients per year and there are approximately 55,000 inpatients and 250,000 outpatient attendances each year. Rotherham Hospital Rotherham Hospital is our main site. The modern site provides a range of hospital based Medical, Surgical, Paediatric and Obstetric & Gynaecological services. The excellent and modern facilities include: 500 inpatient beds Intensive Therapy and Coronary Care Units Cardiac Catheterisation Suite Breast Screening Suite Endoscopy Unit Day Surgery Unit Theatre Assessment Unit Stroke Unit The clinical services are supported by comprehensive pathology, medical physics and imaging services, including state of the art MRI and CT facilities. Our Medical Education Centre has tutorial rooms and a lecture theatre. The Medical Library and information systems are widely acclaimed. The department: organises a vigorous medical postgraduate education programme has strong links with the University of Sheffield is renowned for its medical undergraduate training Page 2 of 14 Rotherham Community Health Centre and other sites The Trust now operates out of a large number of other sites including Rotherham Community Health Centre, close to Rotherham Town Centre. The majority of community services transferred to The Rotherham NHS Foundation Trust on 1st April 2011 including: Adult Services including District Nursing Therapy Services Intermediate Care and GP with Special Interest (GPwSI) Children’s Services including Health Visiting, School Nursing and Complex Care Health and Wellbeing Services including Smoking Cessation, Contraception and Sexual Health Additional rehabilitation services are also provided out of the nearby Park Rehabilitation Centre Page 3 of 14 Useful Contact numbers: Main Hospital Therapy Services Reception Park Rehabilitation Centre Reception Clinical educator Rotherham Community Health Centre Intermediate care Kimberworth Place Children’s Services Breathing space Who to contact: Clinical educator 01709820000 01709 424400 01709 302323 01709 422000 01709 423970 01709 428859 01709 421700 Name Number If unable to attend due to sickness If going to be late The Rotherham Hospital Site Useful information Locker arrangements Emergency Resus or Fire Please bring a padlock 2222- stating location and nature of emergency Emergency Telephone The Therapy Services fall back phone is situated in the Medical, Surgical and Orthopaedic office Ext 7461. If there is failure of the telephone system in the event of a cardiac arrest in department a member of staff will be required to run to B1 to get the Resus team. Meals/ Breaks Lunch is normally between 12:00 and 13:00 with 45 minutes being the usual time for full time staff. This can vary depending on service needs and contracted hours of work for part-time staff. The wards operate protected meal times, during these times Clinical staff must not undertake non urgent clinical work or interrupt nursing staff who are feeding patients Drinks breaks can only be taken if workload permits. It should not exceed 15 minutes maximum Page 4 of 14 ROTHERHAM GENERAL HOSPITAL – SITE PLAN The main building is on four floors, each having access to ground level due to the sloping site. GENERAL HOSPITAL ‘A’ LEVEL ‘B’ LEVEL ‘C’ LEVEL ‘D’ LEVEL ‘E’ LEVEL Wards A1, A2, A3 (planned investigation unit), A4, A5, A6, A7 CCU Children’s Wards 1 & 2 Renal Dialysis Unit Sterile Services Pathology Medical Physics Staff Dining Room and Kitchens Boiler House Linen Services Portering and Transport Phlebotomy Wards: B1 – B6, B10, B11, Sitwell, Darshane Unit ( Urology Outpatients) Wharncliffe Labour Suite Fracture Clinic Operating Theatres X-Ray Accident & Emergency ITU/HDU Wards: Stroke Unit, Fitzwilliam Out Patients Audiology Physiotherapy Occupational Therapy Genitor-Urinary medicine Endoscopy Pharmacy Switchboard Chaplaincy Dermatology Unit Ophthalmology Variety of shops Medical Records Wards: Keppel Secretaries Seminar Room Medical Secretaries Consultants Offices Library School of Nursing Postgraduate Medical Centre Domestic Services Unit Administration Social Workers Gait Analysis Lab. Therapy Services’ Store Equipment Store Page 5 of 14 Rotherham Community Health Centre Site Plan MSK clinics on ground floor Domiciliary Physiotherapy Office base 2nd floor Page 6 of 14 INDUCTION CHECKLIST 1. Trust Documents ARRIVAL Introduction to Clinical educator Introduction to team 2. THERAPY SERVICES Therapy Services comprises of Physiotherapy, Occupational Therapy and Chaplaincy. Services offered include outpatient musculoskeletal, neurology, Hydrotherapy, and Inpatient Rehabilitation. Domiciliary Physiotherapy, Intermediate care, Breathing space , Paediatric child development physiotherapy, long-term conditions Therapy Services also have a contract to provide a Musculoskeletal Physiotherapy Service to Sheffield (Careplus Physiotherapy) and Community Occupational Therapy Service with RMBC 3. TOURS Departments Location of staff room Location of Resus equipment Location of First aid kit Location of Locker Room Combination lock numbers given as appropriate Electronic access to RCHC Induction tour at RCHC Hospital Staff Restaurant/snack bar Shops are on Level ‘C’ at the main entrance of the hospital. Post Graduate education Centre/ Library RCHC Resource library 1st floor Fire How to raise the alarm. Location of exits. Location of assembly points. Fire alarms are routinely tested on………... Fire Appliances Location and how to use. RCHC Fire covered by Induction tour with Europa Page 7 of 14 Student Initial Clinical educator Initial Relevant Trust Document Telephone facilities Students are not as a rule, allowed to make or receive personal telephone calls, but if a special need arises, permission must be sought. Students can use their mobile phones in “mobile friendly” areas. Bleep familiarisation Show use of the bleep system if applicable. 4. THE PLACEMENT Car Parking All visitors to the hospital are required to pay to park their car within hospital grounds; students can purchase a pass which will allow them to use the car parks on a daily basis Parking charges are not applicable at the Park Rehabilitation centre. RCHC car parking permit required Intermediate care, Kimberworth Place and Breathing Space car parking is free Standards Required All Student Physiotherapists are expected to work to the CSP Standards of Physiotherapy Practice and the HPC standards of conduct, performance and ethics. All Student Occupational Therapists are expected to work to the College of Occupational Therapists’ (COT) Standards of Practice and the HPC standards of conduct, performance and ethics. Attendance - in accordance with hours agreed by the clinical educator Students must not be absent without prior permission, exceptional circumstances may apply please notify the clinical educator as soon as possible. Smoke Free Policy The smoke free policy applies to staff, patients, residents, visitors and contractors. It is the responsibility of all staff members to monitor and comply with the policy. Failure to comply with the policy will result in disciplinary procedures. Page 8 of 14 Student Initial Clinical educator Initial Trust Documents Chaperoning The Trust guidelines are intended to safeguard both patients and staff of all ages, both genders and race, from any misinterpretation of actions taken as a part of consultation, examination, treatment and care. Information Governance / Confidentiality All students must complete Information governance training prior to commencing their placement a workbook will be issued prior to commencement of the placement. Information of a confidential nature must only be divulged when a patient has given consent or where legislation allows for disclosure without consent. All staff must be aware of and adhere to the Policy on Use and Protection of Patient Information (All staff must be aware of (and adhere to) the Freedom of Information (FOI) Policy and follow the Code of Practice. The importance of data quality must be emphasised as it plays a key role in the performance and income of the Trust, as well as direct patient care. Student Initial Clinical educator Initial CHAPERONING GUIDELINES 3.pdf Information Governance Policy v4c 2012 05 14.pdf UseAndProtectionOf PtInformationPolicyV4i.pdf IG Training Workbook 2012.pdf Answer sheet 2012[.pdf Physiotherapy/Occupational Therapy Treatment Notes These are legal documents and may at a later date be required in Court. They should be attributable to an individual, legible, professional and relevant. The department keeps records in line with the HCPC, CSP/COT standards for record keeping and local Therapy Services Clinical Records SOP Information Systems (IT) Security Student’s staff must read and comply with the Trust e-mail and internet policies. Your clinical educator will identify whether you will need access to other IT systems e.g. SystmOne, Meditech, PACS, AIS Systm One access is organised on day I where appropriate. All relevant paperwork needs to be completed prior to this and relevant documentation provided. Health Records Policy.doc Acceptable_User_Pol icy_v2 0.doc Process for acquiring Temporary SMART Card for Students Hospital site.doc Page 9 of 14 Trust Student Documents Initial 5. HOURS OF WORK Clinical educator Initial Start and Finish Times Therapy services provide cover outside of normal core hours, please consult with your clinical educator to determine whether weekend or later shifts will be a requirement of the placement. Lateness Procedure If due to exceptional circumstances, a student experiences problems in attending at the normal starting time, it is the responsibility of the student to notify the appropriate clinician as soon as is practicable of the possibility of non-attendance or late arrival. Time Off Arrangements All personal appointments to visit Doctor / Dentist should be made in the students own time. If this is not possible, authorisation must be sought from the clinical educator. Trust Documents 6. SICKNESS/ABSENCE What to do if sick Students have a duty to inform their clinical educator as soon as they know that illness will prevent them from getting to their placement. They need to inform the clinical educator before 8.30 a.m. on the day they are expected to work. If your absence is due to diarrhoea with or without vomiting you cannot return to work until 48 hours after the last episode without the use of medication e.g. Imodium etc. Please try to give an indication as to how long you expect to be absent. If you are unsure we ask that students phone again before the end of the working day if they are not going to be in the next working day. Notification of Infection Control Team The Infection Control team will be notified by Therapy Services’ Managers of staff with a communicable disease. This includes diarrhoea, vomiting. Staff must not enter the infected ward through the inter connecting doors with another ward as this will increase the risk of infection spreading Page 10 of 14 Student Initial Clinical educator Initial 7. Uniform and dress code Trust Employee Documents Initial Please refer to the uniform and dress code policy for further information How students present themselves at work should inspire public confidence i.e. appropriate, fit for purpose, clean and tidy attire. It is essential that students read this policy and adhere to all elements of it Manager Initial Uniform Dress Code Policy 2012.pdf Care of Personal Property The Trust does not accept any responsibility for personal property brought in to the hospital. Similarly while providing a lockable locker where possible it is the staff members’ responsibility not to leave bags, purse and other valuables lying around; thieves operate in all large organisations 8. SPECIAL RESPONSIBILITIES Trust Employee Documents Initial Gifts Gifts from commercial sources other than inexpensive non-clinical items such as calendars, stationery or diaries should not be accepted. Any donations to the hospital must be taken directly to the Manager. Compliments and Complaints It is important that all complaints are dealt with properly and effectively, whether from patients, relatives, staff or other therefore any complaint should be referred immediately to the clinical educator/ Team Leader/ Manager as appropriate. Patients’ Property Property of patients must be treated with care and must not be damaged. Therapy patients should be advised not to leave their personal property unattended. Lost Property Any property not belonging to an identified person present should be: (i) Handed to Reception if found in the Department. (ii) Handed to the Ward Manager if found on a Ward. (iii) Handed in to main reception desk if found elsewhere in the hospital. (iv) Handed in to RCHC main reception (v) Handed in to locality receptions in other services in community (vi) Page 11 of 14 Manager Initial Trust Employee Documents Initial 9. Health And Safety Key Responsibilities Do not block Fire Exits Keep all corridors and doorways clear. Do not let rubbish accumulate. Mop up any spills immediately. Wear protective clothing where necessary. Avoid long trailing leads. Be aware of the danger of every day electrical appliances such as kettles, the boiler, hairdryer, etc. Report any damage to the fabric of the building i.e. floors, doors, ceiling panels, windows, etc. Any faulty equipment must be clearly labelled, withdrawn from use and reported to the Clinical educator Manager Initial FINAL 2011Policy for the Prevention Control and Managment of Infection version 4 2011 ratified d Hand Hygiene Policy October 2011[1].pdf Moving & Handling Students are expected to have completed moving and handling training through their university, however any student who has concerns regarding their level of understanding of moving and handling should raise their concerns with their clinical educator for further training to be arranged. Safe Use of All Equipment Please see specific department induction Each area has a Medical Devices folder detailing the training that is required for each piece of equipment. The clinical educator will ensure that students have appropriate induction for equipment Reporting of Incidents Incidents are reported using DATIX if you are involved in an incident please discuss with your clinical educator in order for this to be recorded Risk Assessments Risk assessments have been completed in each clinical area. The clinical educator will highlight any specific risk assessments that are applicable to the area working Bomb Alert Procedure In the event of having a suspect letter/package immediate contact should be made with the Manager. Any person receiving a telephone call referring to a bomb must refer to the flow chart. Page 12 of 14 THERAPY SERVICES’ POLICIES, GUIDELINES, PEPS ETC. Clinical Records BiPAP Policy CPAP & High Flow Policy Protocol for the Transfer of Patients on BiPAP & & High Flow Oxygen Guidelines for Occupational Therapy Functional Assessments of Patients within the Therapy Services’ Department Occupational Therapy Home Visit Protocol Leg length PEP Driving Assessment Policy THERAPY SERVICES’ PRACTICES Procedure for making Out-Patient Appointments Page 13 of 14 Induction Confirmation Checklist to be completed 1 week after start date Students name… … … … … … … … … … … … … … … … … … … … … Students signature … … … … … … … … … … … … … … … … Date … … … … …… Department name … … … … … … … … … … … … … … … … … … … … … … Job title … … … … … … … … … … … … … … … … … … … … … … … … … … Start date … … … … … … … … … … … … … … … … … … … … … … … … … Date Local Induction completed … … … … … … … … … … … … … … … … … Clinical educators name … … … … … … … … … … … … … … … … … … … … ……… Signature … … … … … … … … … … … … … … … … … … Date … … … … … Page 14 of 14