Burton Hospitals NHS Foundation Trust. On: 30 January Review Date: January Corporate / Directorate. Department Responsible for Review:

Transcription

1 POLICY DOCUMENT Burton Hospitals NHS Foundation Trust UNIFORM and DRESS POLICY FOR ALL CLINICAL STAFF Approved by: Trust Executive Committee On: 30 January 2018 Review Date: January 2021 Corporate / Directorate Clinical / Non Clinical Corporate Non Clinical Department Responsible for Review: Distribution: Essential Reading for: Chief Nurse Nursing and Medical Staff Department Managers and Executive Directors with a clinical remit Information for: All Clinical Staff Policy Number: Version Number: 55 6 Signature: Date: Chief Executive 30 January 2018 Uniform & Dress Policy for All Clinical Staff / Version 6 / Jan 2018

2 BURTON HOSPITALS NHS FOUNDATION TRUST POLICY INDEX Title: Uniform and Dress Policy for All Clinical Staff Original Issue Date: September 2006 Date of Last Review: January 2018 Reason for amendment: Policy Review Responsibility: Chief Nurse Stored: Linked Trust Policies: Intranet Control of Substances Hazardous to Health Policy Health & Safety Policy Infection Control Policies Manual Handling Policy Maternity Policy Smoking Policy Disciplinary policy E & D Impact assessed EIA 055 Responsible Committee / Group Quality Review Group Consulted Chief Nurse Deputy Chief Nurse Divisional Nurse Directors Professional Heads of Service Staff Side Infection Control Head of Health & Safety Moving & Handling Co-ordinator Human Resources

3 REVIEW AND AMENDMENT LOG Version Type of change Date Description of Change 5 Review May 2015 Updating 6 Review January 2018 Updating

4 UNIFORM AND DRESS POLICY FOR ALL CLINICAL STAFF CONTENTS Paragraph Number Subject Page Number 1 Background 1 2 Aim of the Policy 1 3 Scope of the Policy 1 4 Roles and Responsibilities Training 3 6 Uniform Standards for Clinical Staff who are required to wear Clinical Uniforms Ordering Uniforms 6 8 Dress Standards for Clinical Staff who are not required to wear a uniform 9 Failure to Comply with the Policy 7 10 New Roles 8 11 Policy Compliance 8 12 References Appendix 1 Guidelines for the Care and Home Laundering of Clinical Uniforms 9 Appendix 2 Specific Clinical Uniforms Uniform & Dress Policy for All Clinical Staff / Version 6 / January 2018

5 Burton Hospitals NHS Foundation Trust UNIFORM AND DRESS POLICY FOR ALL CLINICAL STAFF 1. BACKGROUND 1.1 The appearance of all Burton Hospitals NHS Foundation Trust staff is very important. Our staff represent a professional image for the Trust, supports the confidence of the users of our service and contributes to the way in which other professions are regarded by colleagues, patients and the public. 1.2 Clinical uniforms are used to protect and identify staff, as well as protecting patients. 1.3 The Policy describes the requirements of the Trust. 2. AIM OF THE POLICY 2.1 The purpose of this Policy is to direct all Trust clinical staff on the Uniform and Dress policy and the responsibilities entrusted to individual members of staff. 2.2 Staff are clear about the professional standard expected by the Trust when wearing a uniform. 2.3 Clinical staff who are not required to wear a clinical uniform, are clear about what professional standards are expected by the Trust, whilst wearing their own clothes. 2.4 Staff will be expected to follow the requirements of this Policy without exception. Where an employee is found to be in breach of this Policy it is expected that they will receive support and advice to ensure it does not happen again. Where an employee is found to persistently breach this Policy they may be liable for disciplinary action. 3. SCOPE OF THE POLICY 3.1 The Policy applies to all clinical staff and relevant non-clinical staff involved in caring for patients in the Trust. 3.2 All clinical staff employed within the Trust present a professional image at all times when carrying out their duties. 3.3 All staff engaged in direct patient care should maintain patient safety and their own safety at all times. 1

6 4. ROLES AND RESPONSIBILITIES 4.1 Individual Employees It is the responsibility of all staff to maintain professional standards in line with this Policy, and to present a professional, smart, clean image at all times when on duty Clinical staff who are required to wear clinical uniforms must adhere to this Policy. Clinical staff who are not required to wear a clinical uniform should adhere to this Policy Changing facilities are provided in the Trust, and should be utilized by staff. There is no evidence currently to show an increased infection risk from travelling to and from work in uniform; however in order to support a professional image, if staff do travel to and from work in their uniform, it should be completely covered at all times for example a full length coat Staff will not wear their uniform to go shopping, collect children from school or to undertake similar activities in public Staff are allowed to wear uniforms for attendance at on site official meetings e.g. Staff Side work, Trust and directorate meetings and some training When staff attend Trust training they should wear clothing appropriate for the training being delivered Staff who attend external meetings should not wear clinical uniforms while off site The Trust is a no smoking zone with the exception of formally agreed smoking shelters for the public and patients. The Smoking Policy aims to ensure that members of staff do not smoke when they are identifiable as Trust staff, whether on Trust premises or adjacent to Trust premises. Therefore if staff do smoke during their breaks, they should cover their uniform with a full length coat Staff who are required to wear theatre scrubs must change out of the theatre scrub suits when they choose to sit in the Trust Restaurant during their breaks. Masks and head wear should not be worn outside the theatre/ department The Trust provides a laundry service for provision of clean uniforms but where staff prefer to wash their own uniforms, they have a responsibility to comply with the guidelines for laundering uniforms (Appendix 1) Only authorized items of uniform should be worn whilst on duty and nonissue items worn should not be visible. 2

7 Members of staff should inform their Line Manager if they are pregnant so that maternity wear can be ordered early in the pregnancy. 4.2 Line Manager s Responsibilities To ensure this Policy is brought to the attention of every new and existing clinical employee of the Trust Line Managers will negotiate any individual requirements with members of staff who have specific medical, religious or cultural needs that relate to their appearance and record this in their personal file and review on a regular basis All Line Managers are responsible for monitoring and maintaining uniform and dress policy standards. Where an individual repeatedly fails to adhere to the Uniform and Dress Policy it is the Line Manager s responsibility to enforce the disciplinary process It is the Line Manager s responsibility to ensure that each member of staff have sufficient numbers of uniforms to perform their role, x 1 per day they work, plus one It is the Line Manager s responsibility to purchase/order uniforms and to provide maternity uniforms for staff that are pregnant. The Manager should order maternity wear early in the pregnancy Uniforms will be provided for each discipline as specified in the document and can be laundered free of charge by the Trust. 4.3 Employee s / Manager s Responsibility It is the responsibility of both employee and Line Manager to ensure that, prior to termination of employment and receipt of final salary, all uniforms provided by the Trust are returned to the Trust by sending to the laundry room, based near the Porters Lodge. 5. TRAINING 5.1 Awareness of the Uniform and Dress Policy will be raised during the Corporate Induction and will be included within the yearly mandatory infection control updates. 5.2 The Line Manager will provide specific information on the Uniform and Dress Policy during local induction. 3

8 6. UNIFORM STANDARDS FOR CLINICAL STAFF WHO ARE REQUIRED TO WEAR CLINICAL UNIFORMS 6.1 In order to support safe moving and handling, dresses should have a hem length of just below knee level and no more than 10 cm below the knee and should be sufficiently loose to allow free movement. Trousers should be full length. 6.2 Protective clothing should be worn in line with the Infection Prevention and Control Policy and Health and Safety Policy. 6.3 To comply with Health and Safety requirements and good practice, shoes should be worn as they provide protection for the foot. The shoes should be fully enclosed, black, and have non-slip, soft soles and low heels, no higher than 2-3 cms. Backless, clog-type shoes and sandals are not permissible (for exceptions, see Appendix 2, Clinical Uniforms). Anti-static footwear is required to be worn in specific areas and is provided by the Trust for staff protection. 6.4 Tights/socks should be plain, natural or black. During warm weather it is permissible for staff not to wear tights, as long as a professional image is maintained. 6.5 Cardigans may be worn while travelling between Wards/Departments. They should not be worn for the delivery of clinical care, as the minimum standard required is bare below the elbow. If, for religious reasons, a member of staff is required to cover their arms, they may wear three quarter length sleeves but must roll them up to the elbow whilst delivering clinical care. The agreement with the Line Manager should be recorded in the personal file. Cardigans should be plain black/navy, unless specifically indicated in Appendix 2. A departmental logo may be added to staff s own fleeces if agreed by the department manager. 6.6 Mobile phones should not be carried in the clinical uniform pocket (exception community midwives) and must not be used for private calls/texting while on duty. 6.7 To support staff safety jewellery must be discreet at all times: Rings plain metal wedding band only. Wedding bands with stones should be kept covered due to infection control risk. Earrings 1 pair - small metal stud type no stretch devices to be worn. Other visible body piercing should be removed, including tongue piercings. Wrist watches should not be worn. A fob watch may be worn on the uniform. Neck chains should not be worn. Paediatrics no jewellery except for wedding ring. 4

9 6.8 Hair must be tidied back, so that hair is always clear of the face and is not unsecured. Hair must be arranged so that it is always clear of the face and does not hang below the collar line of the dress or jacket. Hair colour and devices to secure/tie the hair discrete. 6.9 Whilst the Trust is aware that hair style fashions change, members of staff should remember that their overall presentation while at work should be professional Fingernails must be kept short, unvarnished, with no false extensions Make up should be worn discreetly. No false eyelashes Perfumes and after shaves should be used minimally Beards should short and be well groomed Visible tattoo s which may be considered of an offensive nature should be covered All staff must wear a name badge stating their full name and title. One other professional badge may be worn Trust security badges must be displayed with a visible photograph. In order to support patient and staff safety the security badge should be worn on a pocket/waistband whilst delivering clinical care as lanyards should not be worn in clinical areas. Some staff groups who wear lone worker devices may be required to wear it round their neck if required Uniforms and belts which are worn for the delivery of direct care will be worn only once before washing at the recommended material temperature. Buckles can be worn with belts by registered nurses and should be cleaned regularly Headwear/hats should not be worn except for cultural reasons which are documented in the personal file. Cultural headwear must be completely covered when in the operating theatre room. Protective headwear is provided in designated areas Clinical maternity wear will be provided by the Trust for pregnant staff There are occasions when clinical staff are required to work non clinically for example management day, training etc. If the work is based in a clinical area the member of staff should have a clinical uniform available to wear if required to meet members of the public or work clinically. When clinical work is based in an office for a shift, and a clinical uniform is not indicated, staff should comply with the dress standards requirements. 5

10 7. ORDERING UNIFORMS 7.1 Uniforms are provided by the Trust and are free of charge. 7.2 The process of ordering of uniforms is available via the Trust intranet pages directorates > estates and facilities linen services > guidance notes and ordering codes. 7.3 If there is a delay in receiving an ordered uniform within the lead time after placing the order (please see the lead times in the uniform ordering codes document), the Line Manager should inform the procurement office (Helpdesk number 391) to deal with the company. 8. DRESS STANDARDS FOR CLINICAL STAFF WHO ARE NOT REQUIRED TO WEAR CLINICAL UNIFORMS 8.1 Clinical staff who are not required to wear a clinical uniform e.g. Doctors, should ensure that they are neat and presentable at all times and that their dress does not restrict their movements or pose any Health and Safety risk. 8.2 It is important that the dress standards are followed to support a professional image. 8.3 In order to facilitate good hand and wrist washing when carrying out clinical activity, all staff should: Be bare below the elbow Not wear ties unless they are tucked into the shirt when hand washing or undertaking clinical activities. 8.4 In order to support safe moving and handling dresses and skirts should have a hem length of just below the knee level and no more than 10cm below the knee and be sufficiently loose to allow free movement. Trousers should be full length. Jeans, leggings and cargo trousers should not be worn. 8.5 Protective clothing should be worn in line with the Infection Control Policy and Health and Safety Policy. 8.6 To comply with Health and Safety requirements and good practice, shoes should be worn as they provide protection for the foot. The shoes should be fully enclosed, non-slip, soft soles and low heels, no higher than 2-3 cms. Backless, clog-type shoes and sandals are not permissible (for exemptions see appendix 2). Anti-static footwear is required to be worn in specific areas and is provided by the Trust for staff protection. 6

11 8.7 Cardigans/jumpers/jackets with long sleeves may not be worn in clinical areas. 8.8 To support staff safety jewelry must be discreet at all times: Rings plain metal wedding band only. Wedding bands with stones should be kept covered due to infection control risk. Earrings 1 pair - small metal stud type. No stretch devices to be worn. Other visible body piercing should be removed. Wrist watches should not be worn. Neck chains should not be worn. Paediatrics no jewellery except for wedding ring. 8.9 Hair must be arranged so that it is always clear of the face and does not hang below the collar line of the dress or jacket, a ponytail is acceptable. Hair colour and devices to secure/tie the hair discrete Fingernails must be kept short, unvarnished, with no nail extensions Make up should be worn discreetly. No false eyelashes Perfumes and after shaves should be used minimally Beards should be well groomed and short All staff must wear a name badge stating their full name and title. Trust security badges must be displayed with a visible photograph. In order to support patient and staff safety the security badge should be worn on a pocket/ waistband whilst delivering clinical care Headwear/hats should not be worn except for cultural reasons which are documented in the personal file. Cultural headwear must be completely covered when in the operating theatre room. Protective headwear is provided in designated areas. 9. FAILURE TO COMPLY WITH THE POLICY 9.1 If a member of staff fails to follow the Policy, they will be counselled by their manager/deputy (after seeking advice from the HR department) when a breach occurs and asked initially to adjust their uniform/dress/ appearance. A note will be placed in their personal file. 9.2 If a member of staff repeatedly fails to follow the Policy, the Disciplinary Policy may be commenced. 7

12 10. NEW ROLES / REQUIREMENTS FOR NEW UNIFORM 10.1 In the event of a new clinical role being introduced into the Trust which requires a clinical uniform, the Line Manager should discuss the uniform requirements in the first instance with the Divisional Nurse Director / Clinical Director, who will seek the appropriate agreement from the Chief Nurse or Medical Director. 11. POLICY COMPLIANCE The effectiveness of the Policy will be monitored by Senior Sisters, Matrons, Divisional Nurse Directors, Department Managers, Director of Midwifery and Women & Children s Services, Assistant Clinical Directors and Clinical Directors Complaints Incident reports Reports from the monthly quality metric 12. REFERENCES National Health Service Executive (1995) Hospital laundry arrangements for used and infected linen: HSG (95)18. Royal College of Nursing (2009) Guidance on uniforms and clothing worn in the delivery of patient care: RCN, London. Department of Health (2007). Uniforms and Workwear an evidence base for developing local policy; DH, London. Health and Safety at Work Act 1974 and the Management of Health and Safety at Work Regulations

13 Appendix 1 Guidelines for the care and home laundering of Clinical Uniforms 1. Sufficient uniforms must be provided in order that freshly laundered clothing can be worn for each shift or work session. Uniforms should be washed at the highest temperature that the fabric is designed to tolerate. Staff must wear a clean uniform for each shift or work session. If belts are worn, they should be laundered with the uniform. 2. When home laundering, uniforms should be washed at the highest temperature that the fabric will tolerate. The type of washing powder used e.g. biological or non-biological is not important. 3. Uniforms should be dried quickly / washing line dried or tumble dried and ironed. Attention should be paid to the seams of the garment when ironing as this is where bacteria may be harbored. 4. Once uniforms are laundered and ironed, they should be stored flat in a clean plastic bag to minimise the risks of contamination with dust, other contaminants, or by household pets. 5. When laundering uniforms at home they should be transported in a plastic bag and ideally be washed separately from other items. Clean and dirty uniforms should not be transported together. 6. During intimate clinical care, or when carrying out tasks which will contaminate the uniform, e.g. bed making and toileting patients, staff must wear a plastic apron in order to reduce contamination of the uniform. 7. Access to spare clothing must be provided for instances where uniforms become excessively contaminated with blood or other body fluids. Uniforms affected in this way must be sent to the laundry for appropriate washing and disinfection. 8. Staff working in patients homes must carry out a risk assessment regarding the likelihood of their uniform becoming contaminated with bodily fluids and should wear a plastic apron where appropriate. Staff should ensure that their uniform is covered when travelling. 9

14 BURTON HOSPITALS NHS FOUNDATION TRUST Appendix 2 SPECIFIC UNIFORMS Clinical and related dress standards Discipline Body/ Uniform Feet Appliance Officer Lilac tunic with white trim. Navy trousers. Audiology Technicians Black skirt or trousers. Black tunics with Audiology Services logo. Black gilet/black fleece with Audiology Services logo Neonatal Hearing Screeners Black trousers. Teal tunic with white trim. Bed Co-ordinators Royal Blue short-sleeved blouse/shirt. Black trousers/skirt. Burton Clinic: Billing Clerk Navy or black skirt/trousers. Patterned blouse, black cardigan. Cardio-respiratory staff White dresses with red and blue trim or white jacket with red and blue trim. Medium blue trousers. Cardiac Rehabilitation Clinical Photographers Dental Nurses (Female) Blade blue polo shirts with white trim Grey and white striped tunic with black and grey trim. Black cardigan (optional). Black trousers or skirt. Hospital blue dress/tunic with white trim and blue trousers. Uniform & Dress Policy for Clinical Staff V6 January 2015 Update 10

15 Dental Nurses (Male) Hospital blue tunic with white trim and blue trousers. Senior Dental Nurse (Male & Female) Emergency Department: Matron Hospital blue dress tunic with navy trim and blue trousers Navy blue, red trim tunic/dress. Navy trousers. Black Footwear Senior Sister Sister/Charge Nurse Navy blue, red and white trim tunic/dress. Navy trousers. Navy Blue, white trim tunic/dress. Navy trousers. Staff Nurse (Female) Purple tunic or dress, white trim. Navy blue trousers. Staff Nurse (Male) White tunic, purple epilates. Navy blue trousers. Nursing Assistants Emergency Nurse Practitioner Grey tunic or dress. Navy blue trousers Light blue and white stripes tunic. Navy blue trousers Midwifery: Director of Midwifery and Women & Children s Services Black dress/tunic with purple/white piping, black trousers. Black cardigan Maternity Matron/ Community midwifery manager Midwife/Sister Day Assessment Midwife Navy with red trim dress or tunic. Navy trousers Navy dress/tunic trimmed with white, with navy belt (optional). Navy trousers 11

16 Midwifery Practitioner Community Midwife Bereavement Support Midwife/Clinical Governance Midwife Royal blue dress/tunic, trimmed with white. Navy trousers Royal blue dress/tunic, trimmed with white. Navy trousers. Outdoor waterproof jacket By local arrangement and in accordance with the dress policy Student Midwives University uniform Nursing Uniform: Chief Nurse Black dress/tunic with purple/white piping. Purple belt optional. Black trousers. Black cardigan Deputy Chief Nurse Black dress / tunic with red trim Senior Nurse for Older People Black dress / tunic with purple/white piping Black belt optional Black trousers - Black cardigan Other Senior Nurses: Nursing, Quality & Safety Lead Theatre Manager Head of Cancer Services Head of Capacity Black dress/tunic with white piping Black cardigan Black trousers Safeguarding Lead Nurse/ Matron Safeguarding Children Navy with red trim dress or tunic. Navy belt optional. Navy trousers Capacity Bed Managers need to check Blue blouse / shirt with black trousers 12

17 Matrons Clinical Nurse Specialist / Advanced Nurse Practitioners/ Paediatric CNS/ Stroke services Co ordinator / Dementia Lead Nurse ANP Senior Sister Sisters and Charge Nurses Staff Nurse/Enrolled Nurse (Female) Staff Nurse/Enrolled Nurse (Male) Assistant Practitioners Health Care Assistants (Female) Navy with red trim dress or tunic. Navy belt (optional), navy trousers Blade dress / tunic with white piping. Navy belt (optional) Navy trousers Blade dress / tunic with red trim Navy dress/tunic trimmed with red with navy belt (optional). Navy trousers Navy dress/tunic, trimmed with white, with navy belt (optional). Navy trousers Purple dress, trimmed with white, with purple belt (optional), or purple tunic trimmed with white. Navy trousers White tunic top. Purple epaulettes. Navy trousers Bottle green dress/tunic. Grey trousers Grey dress/grey tunic, with grey epaulettes with red writing (HCA 2). Red epaulettes with red writing (HCA 3) Red belt (optional). Navy trousers Health Care Assistants (Male) Health Care Assistants/ Trainees (Male/Female) White tunic top with grey epaulettes with Red writing (HCA 2). Red epaulettes with red writing (HCA 3) Navy trousers Grey dress/grey tunic, with white epaulettes and white belt (optional) Navy trousers. 13

18 Bank Nurses Uniform per grade with yellow epaulettes Agency Nurses To be confirmed. Student Nurses Non ward based nursing staff Practice Development Learning and Development Acutely Ill Lead EPR team Organ donation nurse Discharge Nurses Project Nurses eg Sepsis Nurse, Quality Support Nurse. University uniforms. Navy cardigan (optional) Navy blue and white striped dress/tunic with navy trim. Navy belt (optional). Navy trousers Research and Development Team Research and Development Nurses Clinical Research Assistant Research and Development Administrative staff Navy dress/tunic with white trim and white spots. White embroidery Research Team on left front. Navy trousers. Navy fleece. White embroidery Research Team on left front. Grey dress/grey tunic, with grey epaulettes White embroidery Research Team on left front. Navy trousers. Navy fleece. White embroidery Research Team on left front. Navy blouse with white spots. White embroidery Research Team on left front. Navy skirt/trousers. Navy fleece. White embroidery Research Team on left front. 14

19 Ward Clerks Housekeepers Therapies: Head of Therapies Orthoptists Ophthalmic Science Practitioners and Assistants Trust ward clerk Navy patterned blouse or white shirt/navy tie and navy skirt or trousers. Black trousers/skirts, ruby blouses/shirt (worn tucked in) black waistcoat Black dress/tunic with purple/white piping. Purple belt optional. Black trousers. Black cardigan. White dress/tunic with pale blue trim. Black skirt/trousers. Black cardigan (optional). Pale blue tunic with white trim. Black skirt/trousers. Black cardigan (optional). Outreach Service Burgundy scrub suits. Orthopaedic Clinic: Plaster Staff Paediatrics: Specific not included in nursing uniforms. Children s Clinic Staff Lilac scrub suits. Coloured plain polo shirt Navy trousers. Multi coloured tabbard Nursery Nurses Pathology Reception Pharmacy (Female) White dress/ tunic with navy belt (optional). Navy trousers. Multi coloured tabard. Pink or white shirt. Navy skirt. White tabard. Navy cardigan (optional) Pharmacy striped/patterned dress/tunic. Navy/green or black skirt. Pharmacy patterned blouse or appropriate green top. Navy/green or black trousers. 15

20 Pharmacy (Male) Phlebotomist Physiotherapists Physiotherapy Assistant/ Assistant Practitioner Green shirt and tie. Plain navy/green or black trousers. Smart attire under a white coat. Cream, white, navy, green or black t-shirts or polo necks may be worn under the above. White coats can be worn in the Dispensary. White dress/tunic with lavender trim. Navy cardigan (optional). Black trousers. White tunic/dress with navy trim on collar. White airtex polo shirt with blue collar. Navy trousers. Pale blue tunic/dress with navy trim on collar. Pale blue airtex polo shirt with blue collar. Navy trousers. /Local agreement for gym work /Local agreement for gym work Occupational Therapists Occupational Therapy Assistants White tunic/dress with dark green trim on collar. White airtex polo shirt with dark green collar. Dark green trousers. Aqua tunic/dress with dark green trim on collar. Dark green trousers. Radiographers Female Blue/white fine stripe dress/tunic with white trim, with black trousers. Radiographers (Male) White tunic with blue fine striped epaulettes with black trousers. 16

21 Radiographic Aides (Male and Female) Turquoise tunic/dress with blue/white fine stripe trim. Black trousers. Imaging Department Assistant (Male and Female) White tunic/dress with blue/white fine stripe trim, with black or navy trousers. Reception Clerks Females - Multi-print blouse, navy or black skirt/trousers. Males Pale blue shirt with tie (to match female blouse) navy or black trousers. Reproductive Medicine Nursing Speech & Language Therapists and Assistants Theatres Volunteers Button blue dress/tunic. Navy Trousers White dress/tunic with maroon trim and black trousers. Blue scrub suit. Colour-coded hats (hair must be covered when in the operating theatre room). Own clothes with Volunteer and Trust badge. Washable closed toe clogs to be worn in theatres 17