Information pack for Non-Medical Healthcare Students. Welcome to Hampshire Hospital Foundation Trust

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1 Information pack for Non-Medical Healthcare Students Welcome to Hampshire Hospital Foundation Trust

2 Our Trust Values Compassion we care about our patients Accountable and responsible, always improving Respect for all; colleagues, patients and their families Encouraging and challenging each other to always do our best

3 Contents About the trust Critical Treatment Hospital Locations and contact information Basingstoke & North Hants Hospital Site Royal Hampshire County Hospital Site Andover War Memorial Hospital Site Facilities, learning and IT Accommodation The Trust Workforce Development Facilitators The Nursing and Midwifery Code & HCPC Parking at HHFT and the Park and Ride Scheme What to do if you aren t well Placement concerns Responsibilities of Students and Mentor Some Rules...

4 Welcome to Hampshire Hospitals NHS Foundation Trust At Hampshire Hospitals NHS Foundation Trust we are committed to developing and improving practice placements ensuring that the quality of the experience contributes significantly to your future aspirations. It is widely acknowledged that essential learning takes place during practice placements. We hope that this Student Information Pack provides you with the essential information to support you during your placement here with us. We hope that you enjoy your time here and that you benefit from the many opportunities and resources we offer.

5 Welcome to Hampshire Hospitals NHS Foundation Trust. I hope you find your placements at Hampshire Hospitals Foundation Trust both rewarding and enjoyable. We employ 5,000 amazing people who every day work together to provide the best possible healthcare to our patients, those that are vulnerable and in need of our help. Hampshire Hospitals NHS Foundation Trust was created in January 2012 from two smaller trusts. This is a time of new and interesting developments and challenges. Our Foundation Trust is a busy and successful one, creating an organisation focused on delivering high quality patient centred care. I would like to emphasise that everyone counts in our future, even if they are here for a very short period of time. I would encourage everyone to feel able to make suggestions for improvement. That is how we will ensure we are always getting better. The Trust is committed to investing in student education & development, as any student is a potential future employee of the Foundation Trust. We hope that during your time here, you will gain knowledge and experience in your chosen field, whilst contributing to the continuing success of this Trust. I hope that this induction pack will provide you with the background Information to assist you as you settle in to your placement here at HHFT. Mary Edward Chief Executive Hampshire Hospitals NHS Foundation Trust.

6 About The Trust Hampshire Hospitals NHS Foundation Trust serves a population of approximately 600,000 people across Hampshire and parts of west Berkshire. This includes people living in Andover, Basingstoke, and Winchester as well as the surrounding towns and villages across Hampshire and parts of West Berkshire including Tadley to the north; Alton and Bordon to the east; Romsey and Chandlers Ford to the south, Stockbridge, Bishops Waltham and Alresford.

7 Hampshire Hospital NHS Foundation Trust came into being in January 2012 as a result of the integration of Basingstoke & North Hampshire NHS Foundation Trust, which achieved Foundation Trust status in 2006, and Winchester and Eastleigh Healthcare Trust. It is an NHS provider and care is free at the point of delivery. HHFT employs around 5,000 staff and has a turnover of over 300 million a year. There are over 18,500 public and staff members. As a Foundation Trust it as directly accountable to its members through the governors. A new Council of Governors was elected in January 2012 to represent the interests of their constituencies and to Influence the future plans of the Foundation Trust. Clinical services are organised into three divisions. Each division has a medical director who is supported by an operations director. These are: Surgical Services Medical Services Family and Clinical Support Services Locations HHFT provides one service from multiple locations including our own hospitals. Basingstoke & North Hampshire Hospital (BNHH) and the Royal Hampshire County Hospital (RHCH) both provide a full range of planned and emergency services including accident and emergency, general and specialist surgery, general medicine, intensive care, rehabilitation, chemotherapy, diagnostic services, maternity, neonatal, gynaecology, paediatric care and out-patient clinics. In addition, the Royal Hampshire County Hospital is pioneering the use of intraoperative radiotherapy for breast cancer treatment. Basingstoke & North Hampshire Hospital also provides some specialist services for rare or complex illnesses including liver cancer, colorectal cancer and a national surgical service for a rare cancer called Pseudomyxoma Peritionei. The regional hemophilia service is based at BNHH. Andover War Memorial Hospital (AWMH) provides community and hospital services including a minor injuries unit, outpatient clinics, diagnostic imaging, day surgery, rehabilitation and maternity services. It is also home to the Countess of Brecknock Hospice. Hampshire Hospitals NHS Foundation Trust also provides outpatient and assessment services from Bordon and Alton community hospitals.

8 Critical Treatment Hospital Plans have been submitted to Basingstoke & Deane Borough Council for a fourth site in the Trust which will be a critical treatment hospital (CTH) for the sickest patients. For example those with heart attacks, strokes and major trauma. This will be close to motorway and have a helicopter landing pad. Key achievements The following data relates to the latest available information for Hampshire Hospitals NHS Foundation Trust: Quality of care Some of the lowest infection rates in England. Praised for cleanliness of hospital Inpatients Survey. Modern exemplar cardiac service with 24 hour primary angioplasty offered. Modern exemplar stroke service offering emergency thrombolysis (clot busting drug). Leading-edge treatments for urology patients including bluelight laser for bladder cancer. Pioneering intraoperative radiotherapy treatment for breast can cer. Speedy treatment More than 90% of patients seen and treated within 18 weeks of referral from their GP. Suspected cancer patients seen within two weeks of referral by their GP. If needed, treatment commenced within 31 days of the decision to treat and within 62 days from the urgent referral date. 97.1% of emergency department patients treated and discharged or admitted within four hours.

9 How to find & contact us: Website: Basingstoke & North Hampshire Hospital Aldermaston Road Basingstoke Hampshire RG24 9NA Royal Hampshire County Hospital Romsey Road Winchester Hampshire SO22 5DG Andover War Memorial Hospital Charlton Road Andover Hampshire SP10 3LB

10 Basingstoke & North Hampshire Hospital

11 BNHH: Wards & Departments Medical Division Wards and Departments Acute Assessment Unit (AAU) Coronary Care Unit (CCU) and Rotherwick Foundation Cardiac Unit (RFCU) Cardiac Catheter Lab (Angiography) 1 st floor Sherbourne Building Critical Care (ITU and HDU) C Floor E1, E2, E3 E Floor Emergency Department (ED)- B Floor Long Term conditions/ Elderly Care F Floor F1,F2 F3, E4, The Firs Isolation Ward E Floor Physiotherapy, Occupational Therapy Pharmacy, Cardiology, Audiology, Radiology Surgical Division wards and Departments C2, C3 C4 C FloorD1 (Elective Orthopaedics) D Floor D3 & D4 (Trauma Orthopaedics) D Floor Diagnostic Treatment Centre- Day surgery and Endoscopy Main Theatres- C Floor Elisabeth Hall Basing Unit and Wessex Ward (Haematology and Oncology Unit) F Floor Family Services Division wards and departments Women s Health Unit Sherbourne Building G2 and Charlie s Day Unit Child and Young Persons G Floor Maternity Services - Delivery Suite /Ante Natal Ward Sherbourne Building Neonatal unit (NNU) Ground Floor, Sherbourne Building Outpatients Department

12 Royal Hampshire County Hospital

13 RHCH Wards & Departments Medical Division Wards and Departments Emergency Department Emergency Assessment Unit- McGill) EMAU) Clarke Ward Cardiology/General medicine Clifton Ward - Long Term Conditions Elderly care Freshfield Ward Long Term Conditions/ Acute Elderly Care Shawford Ward - Respiratory/General Medicine Twyford Ward Acute Stroke Unit Victoria Ward - Gastro / General Medicine Wykeham Ward General Medicine Admissions and Discharge unit Reablement unit Physiotherapy, Occupational Therapy Pharmacy, Cardiology, Audiology, Radiology Surgical Division wards and Departments Main Theatres Treatment Centre & Short Stay Surgical Unit (SSSU) Kemp Welch Ward- Colorectal/Upper GI Surgical Wainwright Ward Bartlett Ward orthopaedic trauma St Cross orthopaedic elective Pre-Assessment Unit Intensive Care Unit Nick Jonas Ward - Chemotherapy Endoscopy unit Family Services Division wards and departments Anthony Letchworth ward - Gynaecology and breast Northbrook and Sophie s Place - Children and Young People's Unit Geoffrey Hammond ward - Maternity Neonatal Unit Labour Ward Out Patients Department

14 Andover War Memorial Hospital

15 AWMH Wards and Departments Minor Injuries Unit Countess of Brecknock Palliative Care Day surgery Unit Kingfisher Ward long term conditions / elderly care Minor Injuries Unit Outpatients Department

16 Facilities and Shops in HHFT Basingstoke & North Hampshire Hospital Rendezvous Restaurant- situated on B Floor W. H. Smith Newsagents - in the Main Entrance Lobby Costa Coffee - in the Main Entrance Lobby Blue Café in the Ark Conference Centre Royal Hampshire County Hospital St Catherine's View Restaurant Costa Coffee Education Centre - A café-style service is available Monday Thursday Andover War Memorial Hospital Peaches Restaurant WRVS tea bar in the Out patients dept

17 Learning Opportunities Information about your placements can be found in the Placement Profiles. These can be accessed on our Trust Intranet site. All students are invited to attend the following: Friday afternoon teaching sessions- facilitated by Clinical Nurse Specialists Schwartz rounds In touch Sessions Hampshire Healthcare Library Service Library membership is available to students on placements within the trust. On registering at your nearest NHS library, you will be given a SWIMS membership card. To find out which books, journals we have in stock, please go to: the SWIMS catalogue on For further information on all the services available go to: IT Training for students Royal Hampshire County Hospital Winchester, Andover War Memorial Hospital Andover and Basingstoke & North Hampshire Hospital all have a fully integrated computerised patient records system. IT training is required in order to gain access to the IT systems at both sites. Approximately 2 weeks before the start of your placement you will receive an giving instructions on how and where to access your IT training.

18 Accommodation Please provide as much notice as possible as accommodation is limited. If you require Accommodation in the Trust whilst you are on practice placement please contact: Gill Casey - SSC Customer Services Advisor Student Services University of Southampton Room 2113, George Thomas Building 37 Highfield Southampton SO17 1BJ Telephone: +44 (0) Fax: +44 (0) ssc@soton.ac.uk<mailto:ssc@soton.ac.uk Web: For accommodation in Basingstoke please contact: Paul Hamilton (Viridian Housing Manager)- mobile Valerie Poole Simon Starbuck Basingstoke.bookings@viridian.org.uk For accommodation in Winchester please contact: accommodation@hhft.nhs.uk

19 Key People you may meet Mary Edwards Chief Executive Donna Green Chief Nurse The Trust Workforce Development Facilitators Sharon Goodchild Gabrielle Clarke

20 The Following is an excerpt from the NMC document Guidance on professional conduct for nursing and midwifery students. It is important that you read the full document before you start your placements with us. You re enrolled on an education and training programme that s preparing you to enter a profession which carries with it great privilege and responsibility. As a nursing or midwifery student, you should be proud of the profession you re preparing to enter into, and look forward to upholding the values and standards that have made the UK s nurses and midwives so well regarded across the world. The NMC is here to safeguard the health and wellbeing of the public we do this by helping nurses and midwives be the best they can be, providing rules, standards, guidance and advice. It s important that, even as a student, you conduct yourself professionally at all times in order to justify the trust the public places in our professions. This can take some getting used to at first, but your tutors, mentors and the NMC are here to help you.

21 Throughout your course you ll learn about the behaviour and conduct that the public expects from nurses and midwives. You ll develop and be assessed on the knowledge, skills and attitude you need to become a registered nurse or midwife. This Guidance on professional conduct for nursing and midwifery students (the guidance) sets out the personal and professional conduct expected of you as a nursing or midwifery student in order for you to be fit to practise. It s based on the strict standards set out in the professional code of conduct for qualified nurses and midwives, The code: Standards of conduct, performance and ethics for nurses and midwives (the code), which you ll be required to follow when you register with the NMC following your graduation. You ll be working towards these standards during your pre-registration programme, so we recommend that you get hold of and read a copy of the code. The most recent edition was produced in March 2015, this Code reflects the world in which we live and work today, and changing roles and expectations of nurses and midwives. It is structured around four themes prioritise people, practise effectively, preserve safety and promote professionalism and trust. Developed in collaboration with many who care about good nursing and midwifery, the Code can be used by nurses and midwives as a way of reinforcing their professionalism. To access the Code please visit the following website:

22 HCPC have produced a document entitled Guidance on Conduct and Ethics for Students this is relevant to a student who is studying to be a member of a profession the HCPC regulates. At HHFT we support the following student groups: Physiotherapists Occupational Therapists Operating Department Practitioners Biomedical Scientists Dieticians Paramedics Radiographers Speech and Language Therapists Clinical Scientists Audiologists Cardiologists Practitioner Psychologists. Guidance on Conduct and Ethics includes: 1. You should always act in the best interests of your service users 2. You should respect the confidentiality of your service users 3. You should keep high standards of personal conduct 4. You should provide any important information about your conduct, competence or health to your education provider 5. You should limit your study or stop studying if your performance or judgement is affected by your health 6. You should keep your professional knowledge and skills up to date 7. You should act within the limits of your knowledge and skills

23 Guidance on Conduct and Ethics continued: 8. You should communicate effectively with service users and your education provider and placement providers 9. You should get consent to provide care or services ( so far as possible) 10. You should keep accurate records on service users 11. You should deal fairly and safely with the risks of infection 12. You should behave honestly 13. You should make sure that your behaviour does not damage public confidence in your profession. For full details please refer to HCP student guidance website.

24 Parking at HHFT In order to park at Hampshire Hospitals Foundation Trust, you will need to have a valid parking permit. Winchester For Nursing and AHP students If your placement is longer than 9 days and you are working shifts which start before 07:30 or finish after 20:00, parking is available in designated staff areas on site and you will need to apply for a Trust Parking permit (see below). If however, you are working in Winchester and your shift starts after this time e.g. if your placement is in the Out-patients dept., or Physiotherapy dept. you will not be able to park on site, and will need to use the Park and Ride facility. Please click on the link below for more information. Parking at the Park and ride is free for Trust staff and students on placement with a Park and Ride smart card. To obtain one of these cards, please print off an application form and ask your manager to sign on your first day of placement. Please return the completed form to Gabrielle or Sharon - they will then forward this to EFM dept. who will issue you with your Park and Ride pass.

25 For Health care students on placement shorter than 9 days ( e.g. Paramedic Science students), and who need to park on site (i.e. working shifts which start before 07:30 and finish after 20:00) Please ask your university administration officer to send your registration details to Jayde Cook jayde.cook@hhft.nhs.uk one week before your placement starts. If your shifts start after 07:30 and finish before 20:00 you need to use the Park and Ride facility. Basingstoke If your placement is in Basingstoke, you can park in the designated staff parking areas on site, as long as you have a parking permit For ALL placements (Winchester, Andover and Basingstoke) please complete an application form (open link below) and return to Gabrielle Clarke or Sharon Goodchild Permits two weeks before your placement starts. Parking permits are found by accessing the HHFT student page: education-and-training/information-for-students.aspx And then refer to: Further Information box on right hand side of page: and then either Parking Permit Application or Park and Ride.

26 WHAT TO DO IF YOU ARE UNWELL We all become unwell sometimes and need to take time away from work in order to recover. We are aware that as students you are required to make up any sick time and therefore it could be tempting to come back before you are fully recovered. Please be mindful that a patient s immune system is often compromised and they therefore find it harder to fight off common infections. Please note that if you have diarrhoea and/or vomiting (sometimes referred to as the winter vomiting bug) you must not return to work until you are 48 hours clear of the last symptoms. Returning to work too early slows your own recovery and may infect patients and colleagues. Reporting sickness Please telephone your placement as soon as you feel that you are too unwell to work. This should be before your shift commences.

27 Please ask to speak to the nurse in charge so that the information reaches the appropriate person In addition you must telephone your University inform them of the situation and do so again after returning to work. Returning to work When you feel well enough to return to work, please telephone your placement giving your name and anticipated return to work with the date and time.

28 PLACEMENT CONCERNS Students have an important role to play in safeguarding vulnerable people and are exposed first hand to health and social care within their workplace or during their practice experiences/ placements, working alongside health and social care professionals, such as mentors, practice teachers, work based supervisors, professional tutors, or clinical case management supervisors. Students are expected to develop the knowledge and skills to provide compassionate care, to recognise practice concerns, and act to raise or escalate concerns through appropriate channels. However, it is acknowledged that students can find this daunting and feel vulnerable when exposed to dissonance between professional expectations and the practice reality (Curtis et al., 2012a). Students can feel unsure what to do if they witness unsafe care, unethical practice, or are worried about the general quality of care; and they need support and guidance to challenge poor practice (Curtis, 2012b; Curtis, 2013). Within placements, students can feel vulnerable to personal consequences if they raise a concern, particularly as they rely upon practice staff to complete their assessments and occasionally those staff may be implicated within the concern.

29 One of the Francis Enquiry (2013) recommendations to Universities is that when students raise concerns they need to be followed up and investigated, and the student should not be exposed to inappropriate pressure or bullying by staff (Francis, 2013: 59). The Francis Report also recommends that healthcare workers need encouragement to report concerns (Francis, 2013: 105). Raising and escalating practice concerns by health and social care students is therefore an essential activity that can protect the public, staff and other students, and the SOP has been developed to encourage and support students in this important aspect of their development.. References: Francis, R. (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Enquiry. London: The Stationary Office. Curtis, K., Horton, K. and Smith, P. (2012a) Student Nurse Socialisation in Compassionate Practice: a Grounded Theory Study. Nurse Education Today, 32 (7), pp Curtis, K. (2012b) Keep Compassion Alive. Nursing Standard, 26(44), pp.64. I have a concern what should I do? In the First Instance a student should discuss their concerns IMMEDIATELY with their mentor or supervisor. If a student feels unable to do so they should instead speak to another trusted senior nurse or alternatively contact the safeguarding lead for the trust. All concerns will be investigated and action taken (if appropriate) to ensure the safety of all involved.

30 Responsibilities of Student and Mentor Role of student Practice with honesty and integrity applying principles of the Nursing and Midwifery Council (NMC) Code (2015). Display a professional image and behaviour, for example adhere to uniform policy, excellent time keeping, respect for diversity and individual preferences. Act in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory to patients, relatives and friends and staff. Work within limitations of your knowledge and skills you are responsible for your own actions. Keen to learn. Listen, seek clarity and carry out instructions safely. Act in a way that values the roles and responsibilities of all team members. Identify how your role is important in relation to safeguarding vulnerable adults and children. Develop good verbal and written communication skills. Source: Pre registration adult nursing programme (FHMS, University of Surrey 2012) Role of mentor Practice with honesty and integrity applying principles of the Nursing and Midwifery Council Code (2015) Mentors who assess student progress must have completed an NMC approved mentor preparation course. Students may also be allocated a co mentor who will also support learning but will not formally assess progress. Organise and coordinate student learning activities in practice. These may be with other professions.

31 Supervise students in learning situations and provide constructive feedback on their achievements. Setting and monitoring achievement of realistic learning objectives Assess total performance including skills, attitudes and behaviours. The mentor may involve the whole team in this process. Link with Learning Environment Lead and Practice Liaison Teachers to provide evidence of student achievement or lack of achievement. Access Learning Environment Lead and /or Practice Liaison Teachers for support and advice. Work directly or indirectly with the student for 40% of the placement. Source: Standards to support Learning and Assessment in Practice (NMC 2015) Sign off mentor The sign off mentor confirms that students have met the relevant standards of proficiency for the particular programme leading registration of a qualification that is recordable on the NMC register. The sign off mentor must be on the same part of the register and in the same field of practice that the student intends to enter. Identified on the mentor database as a sign off mentor. Have an in depth understanding of their accountability to the NMC for the decision they make to pass or fail a student. Has a working knowledge of the current programme requirements, practice assessment strategies and relevant changes in education and practice for the student they are assessing. Source: Standards to support Learning and Assessment in Practice (NMC 2015)

32 Some RULES Correct uniform must be worn at all times. Students must wear their University identification badge. All wards have a photograph board identifying the ward team. You can also identify them from their uniforms. Hair - in the interest of hygiene, hair should be neat, tidy and tied back off the collar if long. When working in a clinical environment and providing direct clinical care you must follow standard infection control policy and bare below elbows principles.

33 Jewellery - no visible jewellery (except a plain wedding ring or plain stud earrings) to be worn. No facial piercings. No nail varnish can be worn. Shoes - must be black and have low heels and soft non-slip soles (no trainers, crocs or ballet pumps). If unsure ask other members of staff for help and guidance.

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