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Nurse Practice Development Unit 2013

Welcome toNaas General Hospital

Orientation Book for Nursing Staff

1


CONTENTS PAGE

Nursing Management Structure 3

Introduction to Hospital 4

Hospital Profile 6

Nursing Support Services 9

Medical/Surgical team structure 10

General Administration 11 Nursing Policies & Documents available on ward 12

Index of Policies & Guidelines 13

Bleep System

Staff Uniforms 17

Nurse Call System & Cardiac Arrest Alert 18

General Information 19

ICT Information 20

Human Resource Issues 21

Occupational Health 22 Critical Incident Debriefing 23

Pastoral Care 23

Needle Stick Management Instructions 24

Access to blood fridge 25 ADDITIONAL REQUIREMENTS:

Nursing Database Form

Staff ID & Swipecard Application Form

ICT Declaration Form

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Catherine HughesActing Director of Nursing

Trish Whittle

Assistant Director of Nursing

Gloria Jameson, Angela Hooton- Byrne

Assistant Directors of Nursing (Night Time)

Bridget Lane

Acting Assistant Director of Nursing

Nora O’Mahony ADONNursing Practice Development

Co-ordinator

↓ ↓ ↓ ↓ Areas of Responsibility

Moat, ICU, CCU, ED, Imaal, Slaney Catherine Conway Lynn Farrell,

Noreen Hynes, Mags Walsh, A/CNM3 Site Managers

Areas of ResponsibilityAllen, Curragh, Theatre, Day Hosp, Day Ward, Haematology/Oncology Day Ward

Breda Dreelan, CPCClinical Nurse Specialists

↓CNM2 Clinical Area

↓

CNM1 Clinical Area↓

Staff Nurse↓

Care Assistant

3


INTRODUCTION TO THE HOSPITAL

Naas General Hospital (NGH) is the acute hospital facility serving the catchment area of Kildare and West Wicklow (population 185,000). It is located within walking distance of the centre of Naas Town.

Phase II of a major multi-million euro development of the hospital has been completed. This is the largest phase of the three-phase development and includes Inpatient Ward Accommodation, Radiology Department, Operating Department, (3 Theatres), Accident & Emergency Department, Out-Patients Department, Day Services Department, Department of Medicine for Older Persons, Coronary Care, Intensive Care Unit, Pharmacy, Pathology, Administration and a Supplies Department. This has provided the hospital with state of the art facilities to meet the highest modern day standards.

Phase III development of the hospital which includes new facilities for Mortuary/Post mortem, Maintenance, Catering, Physiotherapy and Day Services is on hold due to financial constraints.

Hospital activity for 2010 is as follows Inpatient total was 8172 Day Cases 3,817 procedures Over 62,556 bed days utilised Day Hospital for elderly had 2,329 patients who attended. Pathology laboratory tested approximately 400,000 specimens OPD appointments numbered 44,672

THE MISSION STATEMENT OF THE HOSPITAL:

Together we will provide equitable and quality patient care,delivered safely by skilled and valued staff,through the best use of available resources

Services provided by the Hospital:

General Medical General Surgical Acute Psychiatry Care of the Elderly including Day Hospital Accident & Emergency Day Procedures Radiology Pathology Pharmacy Speech & Language Therapy Physiotherapy & Occupational Therapy Dietetic Services Cardiology Oncology & Haematology Day Services Stroke Service

As well as the above, there is a Department of Nursing, which provides specialist-nursing services in the areas of Diabetes, Respiratory, Oncology/Haematology, Cardiac Rehabilitation, Wound care, Palliative care, Chest Pain Assessment, Stroke Care, Anticoagulation & Substance Misuse and Health promotion.

General Support Services include:

Management/Administration Phlebotomy Catering Department Library facilities Medical Records

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Nurse Practice Development Unit 2013 Information Technology Materials Management Technical Services Health Promotion Chaplaincy Occupational Physiotherapy

Naas General Hospital operates a smoke-free Policy and is a member of the Health Promoting Hospitals Network. Complementary Therapy service is also available – see last page for details.

HOSPITAL PROFILEDELIVERY OF PATIENT CARE

Patient care is informed by the Roper, Logan and Tierney Model of Nursing Care. Within each department the nurse assumes responsibility for a given number of patients and for planning, directing and evaluating the patient’s care from admission to discharge on a 24 hour basis moderating the care plan as required.Nursing staff within the departments have a holistic approach to patient care, and work with a multi-disciplinary team in care delivery. Each ward has its own philosophy. MEDICAL DEPARTMENT

The Medical Department Naas General Hospital comprises of:

Imaal Ward (Level 2) (31 beds) – Age Related & Acute Stroke Service Nursing services lead by – Emmet Kelly CNM 2 & Theresa Kelly A/CNM1

Curragh Ward (Level 3) (31 beds) - General Medicine Nursing services lead by - Deirdre Cashman CNM2 & Valerie Hennessy CNM1

Moat Ward (Level 4) (31 beds) – General Medicine & 6 High Dependency beds Nursing services lead by Christine Hogan A/CNM2 and Sinead Noone CNM1

CCU (Level 4) (6 Beds) Nursing services lead by Margaret Tuohy CNM 2

Day Hospital (Level 2)-Nursing services lead by Breda Goode CNM 2 & Margaret Armstrong CNM1

Slaney Ward is on Level 3. Nursing services lead by Kitty Ryan CNM2 & Claire Thornton CNM1

EMERGENCY DEPARTMENT (ED)Nursing services are led in the ED by:CNM 3: Fiona McDaid (Bleep 340) CNM 2s: Sile O’Sullivan, Ann Bugler, Claire Naughton, Cathy Greene, Louise Fitzsimons, A/ CNM2s: Brid Crennan, Paul O’Doherty, Aisling Hanahoe

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Medical Assessment Unit (MAU) Lorna Keating CNM2 SURGICAL DEPARTMENTThe surgical department is situated on level three with the exception of Day Ward, Scope Room which are located on the ground floor in the old side of the hospital. CSSD is located on Level 1 Allen Ward – (Level 3: 31 beds) Nursing services lead by Fiona Grogan A/CNM2 & Deirdre Meagher CNM1 Intensive Care Unit: (Level 3: 4 beds)Nursing services lead by Theresa Dixon CNM2 Day Ward:Nursing services lead by Noelle McCormack CNM2 Theatre & Scope RoomNursing services lead by CNM 3: Liz Waters Theatre: Yvonne McDonnell CNM 2 Endoscopy: Marina Byrne Corbett A/CNM2CSSD Department is located on Level One Oncology/Haematology Day wardCaroline Kennedy CNM2, Geraldine Molloy CNS, Christine Tobin CNS and Helena GibsonOUT PATIENTS DEPARTMENTThe out patients department is located on Level 2 & Level 3 to the right of the main reception. The department is led by Mary Connolly CNM2 & Phil Hughes Roche CNM1 and is supported by a group of secretaries, and receptionists. The department provides a wide variety of services as outlined below: OPD Clinics

Morning Sessions 09.30- 12.30Monday Tuesday Wednesday Thursday Friday

Dr O’ConnorMedical

Dr HeffernanPain Clinic

Alternate weeksRespiratory Warfarin

Education Clinic9.30-11.00

Mr ButtSurgical

Dr TobinDermatology

Mr O’RiordanSurgical

Mr EguareSurgical

Ms RothwellSurgical

Warfarin Clinic Mr MorrisOrthopaedic

Dr Moore Diabetes

Mr McElwaine Orthopaedic

Mr Vedova Orthopaedic

Dr WalshOncology Dr David Moore

Cardiology(Alternate Fridays)Dr O’Driscoll Medical

Afternoon Sessions 14.00-17.00Medical Dr O’Brien

Medical MedicalDr O’Gorman

Cardiology & General Med

Dr MooreEndo/Medical Dr Colleran

Palliative Care

Mr KhanFracture

Orthopaedic

Dr AzamMedical

Mr NicholsonFracture

Dr Moore’s Diabetic Clinic 2nd Monday of every month

Catering Department is located on ground floor of the older side of the hospital. Service led by Theresa Fitzsimons. Household Services Department: The department is located on Level 2 behind reception desk. The Household Services Manager is Wendy Judge.Laboratory: The laboratory department is located on Level 3. Manager Mary Duggan

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Lake View, Acute Psychiatric Unit: Located on Level 2. Service led by Mary McMahon, Director of Nursing Maintenance Department is located in the Gate Lodge. Mick Scully Medical Physicist Department is located on level 1. Service led by Peter Grainger & Barbara Dillon.Nutrition & Dietetic Department: The Dietetic department is located on Level three behind the OPD desk. Services led by Maeve JordanOccupational Department is located over physiotherapy department Service run by Joan ElliottPharmacy Department: The pharmacy department is located on the Level 1 of the new hospital Service led by Marie Clare Jago- Byrne.Physiotherapy: The Physio department is located on the ground floor in the old side of the hospital. Services led by Emma McGrane.Security Department is located on level 2 to the left of the main entrance. Services led by Kieran McDonald Social Worker Department: The Social Worker Department is located in the OPD on Level 3 Speech and Language Department: Service led by Ciara McWeeney Stores Department: The Stores Department is located on Level 1. The service is led by Bernard McKeonX-Ray: X-ray is located on Level 2, go past the reception and take a right. Services led by Lisa Hanrahan

***********************************************************

NURSING SUPPORT SERVICES

Name Area ContactMaura Cully Bed Management 332

Ger Hogan

Cardiac Rehab Co-ordinator 210

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Lis Cotter

Cardiac Rehab Nurse 218

Jackie O’Toole Chest Pain Clinical Nurse Specialist ( CNS)

209

Breda Dreelan

Clinical Placement Co-ordinator 140

Jackie McGrath

Diabetes CNS 208

Joanne Begley Diabetes Staff Nurse

Bernie McMahon

GP Liaison Nurse 211

Maura Hennessy Haemovigilance Officer 217Mary Connolly

Health Promotion Nurse 213

Maureen Maguire/ Lisa Sex Infection Control CNM2 225Chris Tobin Oncology CNS 342

Peggy O’ Dwyer Oncology Nurse Co-ordinator 207

Linda Rogers /Helena Gibson

Palliative Care CNS 220

Fiona Kavanagh /Catherine Callan

Respiratory CNS/ Staff Nurse 206

Angie Reilly Resuscitation Training Officer 215

Fiona Davidson Stoma care CNS for the HSE community region.

01 6608904

Marie Hoban

Substance Misuse CNS 214

Gillian O’Brien Tissue Viability 390Patricia Daly Stroke Nurse 301Sr Mary Lalor Pastoral Care 307 Ext 9637Imelda Whelan Anticoagulant Nurse Specialist Out Patients

Consultants

Name Role

Mr Butt Consultant Surgeon

Ms Jane Rothwell Consultant SurgeonMr Diarmuid O’Riordan Consultant SurgeonMr McElwaine Consultant Orthopaedic SurgeonMr Paul Nicholson Consultant Orthopaedic SurgeonMr Morris Consultant Orthopaedic Surgeon

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Mr M Nelligan Consultant Orthopaedic SurgeonMr J. Sparkes Consultant Orthopaedic SurgeonMr Sean Tierney Consultant Vascular SurgeonName AreaDr Quadri Consultant PhysicianDr Paul O’Brien Consultant GeriatricianDr Tara Coughlan Consultant Physician in Geriatric medicineDr Anne O’Driscoll Consultant PhysicianDr Humphrey O’Connor Consultant PhysicianDr Dan O’Gorman Consultant CardiologistDr David Moore Consultant CardiologistDr Kevin Moore Consultant Endocrinologist Dr David Kane/Ronan Mullen Consultant Rheumatologist Name AreaDr Sinead Kelly MicrobiologyMr John Mc Hugh HaematologistName AreaDr George Little Emergency Department

Name AreaDr Brian Kennedy Consultant Anaesthetist Dr Joe Mc Donnell Consultant Anaesthetist Dr Heffernan Consultant Anaesthetist Dr Kieran Foley Consultant AnaesthetistDr Fergal Day Consultant Anaesthetist Name AreaDr C Collum Consultant RadiologistDr B Hogan Consultant RadiologistDr C Shanahan Consultant RadiologistDr G Elagha Consultant RadiologistDr Sean McKenna Consultant RadiologistName AreaDr Ray Mc Dermott Consultant OncologistDr Miriam Colleran Consultant Palliative Care

General Administration

General Administrator Acute Services - Michael Knowles

Clinical Services Manager: Alice Kinsella. Office is located on Level 2, over the Day Ward. Access is through the Physio Department. Areas of responsibility Radiology Laboratory Physiotherapy Dietetics Social Work Occupational Therapy

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Nurse Practice Development Unit 2013 Senior Respiratory Technician Clerical Administrative Support Recruitment and Personnel

The General Services Manager is Ann O’Shea. Office is located on Level 2, over the Day Ward. Access is through the Physio Department. Areas of responsibility Household Services Catering Materials Management Information Technology Risk Management/Complaint Resolution/Freedom of Information Health & Safety Health Promotion Security and Car Parking Maintenance Medical Physics

Administration Departments

Personnel Department led by Patricia O’ Brien. Located on Level 2 behind the main reception

Payroll & Accounts Department located on level 2 behind main reception. Service led by Aisling Shannon

Accountant – Kieran McDonald

Finance Manager Margaret Scott

Patient Services Manager – Elaine Smith Ext 9513

Discharge Co-ordinator: Pamela Dempsey

Discharge Co-ordinator: Monica O’Brien Clerical Support- Service led by Margaret Burke Ext 9665

Communications Officer - John Troy Ext 9514

Medical Manpower Manager- Margaret McQuillan

Nursing Policies, Procedure protocols & Guidelines

NAAS GENERAL HOSPITAL POLICIES, PROCEDURES PROTOCOLS & GUIDELINES ARE ACCESSED VIA Q PULSE ON WARD COMPUTERS

:

Click on the Q-Pulse icon on the desktop

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The following are also available at Nurses Station 1. Intravenous Drug Monographs (White Folder)2. Wound Care Guidelines (Green Folder)3. Infection Control Policy (Yellow Folder)4. Blood Transfusion Manual (Red Ring Binder Folder)5. Royal Marsden; Manual of Clinical Practice 20116. Safe Work Practice & Standards (Red Folder)7. Emergency Plan (Orange Folder)8. Safety Statement (White Folder Red Writing)

Number Title AuthorPPPG-13 Absent Patient from Ward Without Leave O'Mahony, NoraPPPG-078 ALBUMIN PRESCRIPTION AND ADMINISTRATION OF Peelo, GeraldinePPPG-88 Anaesthetic Equipment Supplies & Medication Guidance McDonnell,

YvonnePPPG- 89 Anticoagulation Therapy Medication Management Whelan ImeldaPPPG-73 Arterial Catheter Care and Maintenance Dixon, Theresa

Scroll down to Naas General Hospital

User name -naas Password - naas

Click on Documents

Enter one word of title or number of PPPG you require e.g. nasogastric or PPPG-45

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PPPG-66 Basic Life Support – Adult Victim Reilly, AngelaPPPG-157 BLOOD AND BLOOD PRESCRIBING PRODUCTS

PROCEDURE FOR Peelo, Geraldine

PPPG-81 BLOOD AND BLOOD PRODUCTS EMERGENCY USE OF Peelo, GeraldinePPPG-161 BLOOD ORDERING SCHEDULE MAXIMUM SURGICAL Peelo, GeraldinePPPG-163 Blood Transfusion and Pre Transfusion Sampling ...

Procedure for Requesting Blood Peelo, Geraldine

PPPG-26 Bone Marrow Aspirate & Biopsy O'Mahony, NoraPPPG- 79 Borrowing & Supply of Medication from/to other

Organisation O' Mahony Nora

PPPG-12 Breastfeeding Workplace Support Connolly, MaryPPPG-68 Cannulation Guidelines O'Mahony, NoraPPPG-137 Capillary Blood Glucose Monitoring McGrath, JackiePPPG-135 Capillary Blood Ketone Monitoring Guidelines McGrath, JackiePPPG-4 Cardiac Telemetry Guidelines Tuohy, MargaretPPPG-189 Chaplaincy on-Call Service Guidelines Kinsella, AlicePPPG-174 Clostridium difficile Infection Control Guidelines Maguire,

MaureenPPPG-221 COAGULATION FACTOR CONCENTRATE -.PRESCRIPTION

AND ADMINISTRATION OF SPECIFIC .. Hennessy, Maura

PPPG-23 Competency Assessment for Nursing Guidelines Dreelan, BredaPPPG-22 Complementary Therapies for Member of Staff... Connolly, MaryPPPG-019 Complementary Touch Therapies Walsh,

Margaret-AnnePPPG-190 Confidentiality of Patient Information Policy O'Shea, AnnPPPG-185 Consent to Clinical Examination & Treatment Guidelines Jenkins, LorettaPPPG-30 Continuous Ambulatory Peritoneal Dialysis (CAPD) Walsh,

Margaret-AnnePPPG-25 Cremation Protocol McMahon,

BerniePPPG-31 Deaths Which Must be Reported to the Coroner Protocol McMahon,

BerniePPPG-62 Defibrillation using an Automated External De... Reilly, AngelaPPPG-140 Diabetes Nursing Assessment For Patients McGrath, JackiePPPG-141 Diabetic Patient Foot .Nursing Assessment . McGrath, JackiePPPG-33 Different Religious Faiths Requirement Guidelines McMahon,

BerniePPPG-47 Enteral Feeding Guidelines Fitzpatrick,

SineadPPPG-154 FATING OF BLOOD/BLOOD PRODUCTS ISSUED FROM ...

PROCEDURE FOR THE Laboratory of NGH Peelo, Geraldine

PPPG-152 FIBRINOGEN CONCENTRATE... PRESCRIPTION AND ADMINISTRATION

Peelo, Geraldine

PPPG-151 FROZEN PLASMA PRESCRIPTION AND ADMINISTRATION OF

Peelo, Geraldine

PPPG-83 Gomco Suction Guidelines O'Mahony, NoraPPPG-175 Hand Hygiene Infection Control Guidelines Maguire,

MaureenPPPG-015 Health Promotion Policy Connolly, MaryPPPG-143 Heparin Sodium Flushing Solution Protocol Kennedy,

CarolinePPPG-144 Hickman line: Management Protocol Kennedy,

CarolinePPPG-139 Hypoglycaemia Nursing Assessment And Treatment Of

In Patient... McGrath, Jackie

PPPG-136 Hypoglycaemic Medication Adjustment by CNS.. McGrath, JackiePPPG-145 Implantable Ports: Management Protocol Kennedy,

Caroline

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PPPG-230 Incident/Near Miss Reporting Guidelines Jenkins, LorettaPPPG-176 Infection Control Guidelines for Decontamination –

Cleaning,... Maguire, Maureen

PPPG-177 Infection Control Guidelines for Reusable Invasive Medical D...

Maguire, Maureen

PPPG-178 Infection Control Guidelines for the Decontamination of Equi...

Maguire, Maureen

PPPG-184 Infection Control Guidelines for the Decontamination of the ...

Maguire, Maureen

PPPG-182 Infection Control Guidelines for the Management of Blood and...

Maguire, Maureen

PPPG-180 Infection Control Guidelines for the Use of the Single Use S...

Maguire, Maureen

PPPG-237 Infection Control Guidelines on Hospital Linen MaguirePPPG-179 Infection Control Guidelines on the Control of Methicillin

R... Maguire

PPPG-240 Infection Control Guidelines on the Management of Healthcare...

Connolly, Mary

PPPG-238 Infection Prevention and Control Guidelines for the Care of ...

Maguire, Maureen

PPPG-239 Infection Prevention and Control Guidelines for the Management of an Outbreak...

Maguire, Maureen

PPPG-142 Insulin Pens Use McGrath, JackiePPPG-138 Insulin Storage Guidelines McGrath, JackiePPPG-249 Integrated Discharge Planning Guidelines O'Mahony, NoraPPPG-204 Interpretive Services Day Hospital,

for Older PeoplePPPG-37 Intramuscular Injection Guidelines O'Mahony, NoraPPPG-98 Intra-operative Handling of Sharps Guidelines MCDonnell,

YvonnePPPG-35 Last Rites Protocol McMahon,

BerniePPPG-214 Leg Ulcers Treatment & Referral Criteria to a Vascular

Co... O'Brien, Gillian

PPPG-69 Manual Defibrillation - Adult Victim Reilly, AngelaPPPG-82 Medication Management Policy O'Mahony, NoraPPPG-181 Meningococcal Disease Infection Control Guidelines Maguire,

MaureenPPPG-43 Midline Catheter .. O'Mahony, NoraPPPG-80 Monographs Guidelines Masmollinedo,

KarenPPPG-45 Nasogastric Tube Insertion & Checking of Position

Guideline O'Mahony, Nora

PPPG-158 NON CONFORMANCE HAEMOVIGILANCE PROCEDURE Peelo, GeraldinePPPG-84 Non Invasive Ventilation ( NIV) Guidelines O'Mahony, NoraPPPG-7 Nurse Medicinal Product Prescribing O'Mahony, NoraPPPG-75 Oncology/Haematology Day Ward.Operational policy Kennedy, CarolinePPPG-38 Organ Retention During Coroners Post Mortem and Non

Coroners... McMahon, Bernie

PPPG-74 Parenteral Nutrition Guidelines Fitzpatrick, SineadPPPG-46 Patient Controlled Analgesia (PCA) O'Mahony, NoraPPPG-153 Patient Identification and Application of the Identity Band Hennessy, MauraPPPG-186 PATIENT IDENTITY BAND & POSITIVE PATIENT IDENTIFICATION

POLI... O'Shea, Ann

PPPG-191 Patient’s Property Safe Keeping Scott, Margaret MPPPG-148 Peripherally Inserted Central Catheters (PICCs): Management . Kennedy, CarolinePPPG-147 Permcath: Management Protocol Kennedy, CarolinePPPG-71 PLATELET CONCENTRATE ADMINISTRATION OF Peelo, GeraldinePPPG-14 Pre-Assessment Anaesthetic & Surgical McCormack,

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Nurse Practice Development Unit 2013Noelle

FRM-13 Pressure Sore Prevention and Treatment Nursing Care Plan : O'Brien, GillianPPPG-215 Pressure Ulcers Prevention and Treatment of Guidelines O'Brien, GillianPPPG-156 PROTHROMBIN COMPLEX CONCENTRATE... PRESCRIPTION AND

ADMINISTRATIONPeelo, Geraldine

PPPG-159 RED CELL CONCENTRATE- GUIDELINES ON THE ADMINISTRATION OF

Peelo, Geraldine

PPPG- 48 Reusable Invasive Medical Devices ( RMID) from Wards to CSSD Fennell KayPPPG-93 Rosters & Annual Leave Catherine HughesPPPG-162 SAFE TRACK PROCEDURE Peelo, GeraldinePPPG-95 Secure Care System O'Mahony, NoraPPPG-164 Sharps Safe Use and Disposal Ryan, BridPPPG-97 Sick Leave Reporting & Management O'Mahony, NoraPPPG-2 Study Leave O'Mahony, NoraPPPG-50 Subcutaneous Infusion of Fluid O'Mahony, NoraPPPG-87 Syringe Driver O'Mahony, NoraPPPG-86 Syringe Driver Setting up O'Mahony, NoraPPPG-255 Tests and investigationProcedure to following for . Dreelan, BredaPPPPG- 53 Thrombolysis ( Acteplase) Adminsitration in the treatment of

acute ischaemic stroke Daly Patricia

PPPG-165 TRACEABILITY AND MANDATORY REPORTING OF Peelo, GeraldinePPPG-57 TRACHEOSTOMY Care of the Patient with a Dixon, TheresaPPPG-155 TRANSFUSION REACTIONS AND ADVERSE EVENT

MANAGEMENT... Peelo, Geraldine

PPPG-85 Under Water Seal Chest Drains For Pneumothorax Guidelines O'Mahony, NoraPPPG-61 Venepuncture Guidelines O'Mahony, NoraPPPG-65 Venesection Guidelines McCormack,

NoellePPPG-76 Ventilated Patient Admissiion to recovery area... Dixon, TheresaPPPG-168 Violence and Aggression Management of Jenkins, LorettaPPPG-195 Visiting Guidance O'Mahony, NoraPPPG-193 Visual and Audio Recordings of Patients Guidelines Fitzgerald,

BarbaraPPPG-167 Witness in Legal Proceedings involving the HSE Jenkins, LorettaPPPG-229 Wound Care Guidelines O'Brien, Gillian

New PPPG which have been developed or PPPG which have become obsolete after this was printed will not be reflected on this list, but will be available on the Q- pulse

system.

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Nurse Practice Development Unit 2013BLEEP SYSTEM

Bleep system – Dial 81 enter the Bleep Number and then your Extension Number. Wait for Normal Bleeps to appear on the phone. Then ensure you replace the receiver on the phone to leave it free for incoming calls. Talk Back Bleep – Doctors/Attendants/ Night sister- Dial 82 enter bleep number and your extensionNurse Call System & Cardiac Arrest Activation information see page 18

Early Warning Score (EWS)

Contact doctors for EWS of 3 or more:

EWS bleep system: 83 +Bleep Number + Ward Extension can be used to alert a doctor to the need for a EWS review. The doctor will see EWS and Ward Extension on his/her bleep and know that a EWS review is required

NURSE CALL SYSTEM

CALL BELLS

GREEN – establish nurse presence and activate other call bells. PRESS EVERY TIME ENTERING AND LEAVING ROOMSRED – call nurse assist.BLUE Buttons x 2 MUST be pressed simultaneously – arrest call, alerts cardiac arrest team.

Every patient has a call bell, which sounds alarm and activates visual display.Visual displays at:

nurses’ station, inside door of every patient room Ward manager’s office Procedure room

Call bell at all beds, at door of all patients rooms, in bathrooms Procedure room, nurse call at door and BLUE arrest buttons on bed

trunking, i.e. must also activate nurse assist Cardiac Arrest number by dialling 2222 and state your location.

HOW IT WORKSPatient presses call bell – RED light shows over door, slow alarm sounds.Patient presses call bell in bathroom – WHITE light shows over door, slow alarm sounds. NB never tie up pull cords.Nurse enters room, presses GREEN call bell = answers call, establishes nurse presence, alarm silenced.If nurse needs assistance she now presses RED call bell – on handset - on headboard - at doormore urgent alarm sounds and RED light flashes over door.2nd nurse enters presses GREEN call bell, silences alarm.

CARDIAC ARREST1st nurse enters room presses GREEN call bell – to establish presence.

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Nurse Practice Development Unit 2013Patient collapse – unresponsiveNurse presses Two BLUE Call buttons simultaneously to signal cardiac arrest,

very urgent alarm sounds, alternating lights over door, (traffic lights) Instantaneous alerting of cardiac arrest team. GREEN call bell silences

alarm.CCU and ICUIn these areas staff leave the GREEN light activated at the nurses station

CARDIAC ARREST SYSTEM IN THE OLD HOSPITAL AREADialling 2222 is the only way of activating the cardiac arrest team in the old hospital building and this can also be used as a back up system in the new hospital.Dial 2222 and give your location when switch answer the phone, they will then activate the system. GENERAL INFORMATION

Payroll: Contact Number 9522/9523Opening Hours: Mon-Fri

10.00-13.00 and 14.00-16.00Salaries: Paid Thursday

Temporary staff –Weekly cheque Permanent staff: Fortnightly payslip available from 14.00. One

ward member collects all payslips.

Online Payslips are available: Need User ID and PIN number which are on paper payslip Log on to www.hse.ie/onlinepayslips to register You will receive an email confirmation of your registration and

later a second email containing your password Log on again to www.hse.ie/onlinepayslips to view your payslip.

You will need your User ID and password. *****************************************************************Smoking Policy: Naas is a non-smoking hospital. Smoking gazebos are located to the left of the hospital entrance and near the entrance to staff changing areas at the rear of the hospital ******************************************************************** Duty Rota: 150 hours are worked over 4-week period which equals 37.5 hours per week as follows

Day Duty: 3 Long Days 7.45 -20.15 x 3 weeks4 Long Days 7.45-20.15 x 1 week

Night Duty: in rotation 19.45- 08.15 ******************************************************************** Breaks: Morning. 20 minutes

Lunch 30 minutesEvening Meal 28 minutes

******************************************************************** Lockers: Once you have a pad-lock; Bleep Number 308********************************************************************Agency Nurses Agency Nurses holding a valid IV drug administration/ Venepuncture/ cannulation certificate from another hospital should bring a copy of it to the Nursing Administration Office. With proof of competency and adhering to the Naas Hospital policy, nurses may carry out these activities. Agency nurse who do not have a relevant certification or are not competent in IV drug administration must contact Nurse Practice Development Unit to attend an IV course or undergo competency assessment.**********************************************************************Uniform: Please refer and adhere to the Naas Hospital Uniform Policy.

********************************************************************Security: All staff, including regular agency, require security swipe cards. Security forms available from nursing management office. Security swipes available from security office located to the left inside main entrance. Access to Blood Fridge: Each swipe should have a barcode for access to blood fridge. Contact Maura Hennessy 3013, Transfusion Lab 3040, or Clinical Placement Co-ordinator Bleep 140 to activate your swipe card (See page 26)

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http://www.hse.ie/onlinepayslips

http://www.hse.ie/onlinepayslips

Nurse Practice Development Unit 2013Swipe cards must be returned when you resign or no longer work as agency here.

Parking: Staff parking is available in the underground car park at the rear of the hospital and the main car park is on your left as you drive through the main entrance with the hospital on your right. Parking at the front of the hospital is ‘pay & display’ Staff are asked not to park at the front of the hospital Stickers, available from security, must be displayed on car ********************************************************************Ward Attendants: Console - 8 am – 5 pm - 9565

After 5 p.m. - Bleep No - 801/ 802/ 803

ICT Information Intranet You can access The HSE Intranet site at http://hsenet.hse.ie

All of the icons for the systems below are located on the desktop of PCs in a folder marked

PAS (Patient Administration System) You will be set up with access to PAS once you begin employment. Each nurse is issued with his/her own password & username. Information on your responsibility around using PAS & the management of your password will be explained during orientation. Laboratory & NIMIS (National Integrated Medical Imaging System) Laboratory results may be checked on the Lab System and you can view X-rays & read reports using NIMIS. Both of these will be explained during orientation.

Symphony If you’re working in the Emergency Department your manager will set you up on Symphony system following Triage Training.

Other Resources All of NGH’s Policies, Protocols, Procedures and Guidelines (PPGs) are available on Q Pulse which can be accessed at the Nurses Station. Other useful resources are the ‘UpToDate’ (Clinical and research-based database) and ‘Irish Medicines Guide’ links. BNF online The ‘Drug Search’ icon allows you check what medications are routinely stocked on other wards in the event of you needing to borrow them outside pharmacy hours

Internet & email access Computer & Internet access are set up once employment commences

Your Username & Password will be issued when you have: Read the Electronic Communications Policy (http://ssernet/PoliciesProcedures/) and

signed the declaration form 030 with your Line Manager. A copy of the form is then sent to Michelle Atkinson, ICT Co-ordinator, The Lodge Ext

9527

NB Your email account can only be accessed from the computer on which it was originally set up. Instructions on setting up an email will be given at this time

Your account must be deactivated upon resignation and the policy on this is on Q-Pulse

HUMAN RESOURCES ISSUES

To find all you need to know regarding increments, annual leave, privilege days, parental leave and other leave entitlements refer to Employee Handbook included in your Employee Resource Pack.

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http://ssernet/PoliciesProcedures/

http://hsenet.hse.ie/

Nurse Practice Development Unit 2013Mandatory Training & EducationEach nurse should have a current

Manual Handling certificate (valid for 3 years) Basic Life Support certificate (valid for 2 years) Intravenous Drug administration certificate* ( valid unless competence lapses) Cannulation or Venepuncture certificate **(if undertaking these expanded roles) Attend Infection Control session (every two years) Hand Hygiene Annually Competency and Preceptorship Workshop (Nursing Students)(valid unless competency

lapses) Attend Haemovigilance & Blood fridge education session (once unless competence

lapses). Be familiar with the policies & procedure on each ward. Nurses competent in intravenous drug administration, venepuncture or cannulation but

unable to produce a valid certificate should complete a supervised practice certificate. This can be obtained from a member of the Practice Development Unit: Nora O’ Mahony Ext 9962 or Breda Dreelan Ext 9737 Bleep 140

On completion of a study day each nurse is responsible for ensuring he/she gets the relevant competence assessment completed in the clinical area. An individual competence assessment should be completed on CVC & all central access devices, NG Insertion and Care, NIV, Tracheostomy, CAPD, PCAs, Infusion Pumps, Oral drug Administration, IV Drug Administration, Venepuncture and Cannulation within 3 months of completing the study day.

Agency nurses who identify a lack of competence in any area of nursing practice should discuss the issue with the Assistant Directors of Nursing who will refer to Practice Development Unit if appropriate

OCCUPATIONAL HEALTH

Occupational Health Clinic

Thursday at Naas General Hospital

Time: 09.00-13.00

Location: Room A, Bridget’s Corridor, Old Hospital, Naas General Hospital of 23


Clinical Nurse Manager: Brid Ryan O’Malley, Occupational Health Nurse

Contact number at NGH 045 843114

Appointments:

Occupational Health can be contacted at:Dr. Steevens’ Hospital 01 6352789, Monday to Friday 09.30-12.30 & 14.15 – 16.00 (voice mail outside hours) Naas Hospital: Thursday 09.00-13.00, (045) 843114. For appointments outside Mon & Thursday NGH staff may have to attend Dr. Steevens’ Hospital if required.

Appointments to attend NGH can also be arranged at Dr. Steevens’ Occupational Health

CRITICAL INCIDENT SUPPORT

(SERVICE FOR STAFF)

DUBLIN MID-LEINSTER……………. 01 635 23 93 (PRIVATE & DIRECT)

SUPPORT AFTER CRISIS INCIDENTS

Critical Incident Stress Debriefing (CISD) is widely used as a matter of course after serious incidents such as violence (verbal or physical), serious accident, suicide of patient or colleague or anything that could be traumatic.

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OCCUPATIONAL HEALTH DEPARTMENT HSE Dublin Mid Leinster School of Nursing, Dr. Steevens’ Hospital, Dublin 8. Tel. 01 6352789 Fax. 01 6712107

Nurse Practice Development Unit 2013 Anybody may have after-effects from such an exceptional incident, and debriefing offers

support in dealing with it, rather than therapy.

SIMPLE – PRACTICAL – CONFIDENTIAL

A “debriefing” is a once-off session with a trained facilitator, to talk through what happened, look at its impact, and discuss the normal reactions you might expect, as well as how you can take care of yourself (and get further support if you need to).

It is intended as a group session for all those directly involved in an incident, and can also be done on a one-to-one basis.

The session is confidential.

HOW TO CONTACT THE SERVICE – SEE PHONE NUMBER ABOVE

After a serious incident, contact should be initiated by the manager after consultation with those involved in the incident, but any individual can do so.

It is important that managers suggest a debriefing as a matter of course and allow staff to decline the offer if they wish.

Staff need to be facilitated in taking adequate time to attend the debriefing.

This is a service available to all staff.Take care of yourself, and colleagues

In any incident, support by colleagues and managers is vital to those affected

PASTORAL CARE

Sr Mary Lalor was appointed as Pastoral Care November 2007. She is based in The Oratory and be contacted via bleep 307 & Ext 9637. She is on site for twenty hours per week Mon –Thurs from 11.00-16.00. Her service is for all patients & their families. Her primary focus is on terminally-ill patients but this can be extended to all patients following referral. Currently referrals are made by phone or verbally. Mary will meet with the CNMs each morning & they will discuss & decide which patients need pastoral -care support. A service is also available to staff members.

Hospital Chaplain: Contact Reception 9502 to contact the on-call priest

The Immediate Management of a Needlestick/Sharps Injury1. You, the Recipient (i.e. healthcare worker involved in injury/exposure) should bleed, clean

and cover injury site with waterproof dressing2. You must inform Manager/Supervisor of incident immediately 3. Colour coded Needlestick management packs, BLUE (recipient) pack and RED (source

patient) pack to be collected from the Emergency Department, Office of CNM3

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Nurse Practice Development Unit 20134. Your Manager/Supervisor must arrange IMMEDIATE medical assessment for you in the

Emergency Department-contact ext 99095. Manager/Supervisor and Recipient must together complete the Percutaneous Incident report

form 1 as per Guidelines and hospital incident report form must also be completed.6. You must be assessed in the Emergency Department and/or Occupational Health

Department.7. The Triage nurse in the Emergency Department will contact the Occupational Health

Department, Dr. Steevens’ Hospital with your name and contact details so that you can be followed up by occupational health

8. The assessment of your occupational blood exposure is based on the patient/client from whom you have had the exposure (i.e. the source), but also includes assessing the injury, source item, and you the recipient of the injury. Every effort will be made to get a blood test from the source patient to establish their status for Hepatitis B, Hepatitis C and HIV

9. Clinical management for you will then be planned based on these results and assessment. If this is done we will be able to tell you the risk for you contracting a blood borne virus from that patient

10. There may be certain circumstances where we will be unable to get a blood sample from a patient e.g. cases where the source patient is unknown

11. The guideline suggests you have a blood test at the time of the injury for: Hepatitis B Hepatitis C HIV

12. Clinical management/follow-up for you is planned as you may need vaccine/ medication and other blood tests.

13. You may need to have bloods repeated six weeks and six months after your exposure and will be managed by the Occupational Health Department. You may need an extra blood test at three months if deemed necessary. It is important you have your follow up bloods done so we can prove you have not contracted a blood borne virus.

14. A staff counsellor at Dr. Steevens’ Hospital is available for staff who feel they need the service by contacting 01 6352393 or 01 6352789.

15. If you have any further queries please contact the Occupational Health Department, Dr. Steevens’ Hospital on 6352789 or Occupational Health, Room A, St. Bridget’s, Naas General Hospital Thursdays -Ext 3114.

Info Leaflet No .43 Q Pulse. Staff Information Leaflet- Following an Occupational Blood Exposure in the Workplace

T R A N S F U S I O N S U R V E I L L A N C E O F F I C E R

Access to Blood Fridge

TO: All nurses & agency nurses,

As you are aware there are bar codes on the swipe cards. This bar code can be use to access the blood fridge. Do not use other nurses’ cards. To activate the card for this purpose contact 3013 and leave your name and bar code number. I will enter you on the system as soon as possible. However before using the system for the first time you must be trained on its use. This can be

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Nurse Practice Development Unit 2013done with either a member of the transfusion laboratory ext (3040), Maura Hennessy (3013) a clinical placement co-ordinate (Bleep 140) or another nurse proficient in its use.

When collecting blood you must bring the following with you

1. Patient identification; preferably the prescription form.

2. The White Transport box.

If you have any difficulties do not hesitate in contacting us.

Yours sincerely,

Maura Hennessy 3013

PHONE EXT 3013 D IRECT L INE 045 -843013 BLEEP 217

Hospital Staff Uniforms

CNM 2 Navy Tunic & Navy TrousersCNM 1 Dark Blue Tunic & Navy TrousersStaff Nurse Light Blue Tunic & Navy TrousersAgency Staff White Tunic & Navy TrousersCare Assistants Grey Tunic & Navy TrousersNursing Students Tallaght: White tunic with polka dots on pockets & sleeves

St Patrick’s: While Tunic with St Patrick’s Crest on pocketMoore Abbey: White Tunic with navy pipingStewarts Hospital: White tunic with Stewarts Crest HSE Mental Health: White tunic

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Nurse Practice Development Unit 2013Midwifery Students: White tunic with logo of hospital i.e. Coombe or Rotunda

Ward Attendant White Tunic & Navy TrousersCatering Staff White Tunic Maroon Piping & Maroon TrousersHousehold Staff Green Tunic with Navy Piping & Navy TrousersContract Cleaners Orange Polo Shirt & Navy TrousersPharmacy Technicians Peacock blue & Navy TrousersX-ray Staff White Tunic with Navy Piping & Navy TrousersPhysiotherapy Staff White Tunic with Navy Piping & Navy TrousersClinical Placement Co-ordinator Navy Tunic Green Piping & Navy TrousersResuscitation Officer Red Tunic & Navy TrousersOncology CNS Navy Tunic Pink Piping & Navy TrousersClinical Nurse Specialists Red Tunic & Navy TrousersLaboratory Staff Black tunic with red piping Clerical staff (Optional) Purple tunic and black trousers

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