Radiology Induction Pack

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Radiology Induction Pack

  1. 1. GATESHEAD HEALTH NHS FOUNDATION TRUST RADIOLOGY DEPARTMENT INDUCTION PACK /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 1 of 44 Review Due February 2008
  2. 2. CONTENTS Sections highlighted in red require completion and returning within the two-week induction period. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 2 of 44 Review Due February 2008 PAGE Mission Statement 3 Introduction 4 Confirmation of Local Induction Form 5 New Starter Information Form 6 Welcome 7 Staff Charter 8 Terms and Conditions 9-12 Professionalism 13-14 Health & Safety and Security 15-19 Email Code of Connection Form 20-21 Rad Centre Code of Connection Form 22 Radiation Protection Issues 23-24 Statement on Radiation Protection 25 Reporting Procedures 26-27 Appraisal, Personal and Professional Development 28-29 Miscellaneous 30-31 Training Checklists 32-36 Induction Checklist 37-43 Appendix 1 - Departmental Structure 44
  3. 3. MISSION STATEMENT The Trust’s Mission Statement is - "Working together to provide the best health services and care for local people" We in Radiology support this mission statement and aim to provide the best possible quality of service and care, a rapid, responsive and accessible diagnostic imaging service and improved working lives. We hope that by facilitating an effective induction, you will be encouraged to be active in helping us to uphold this philosophy. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 3 of 44 Review Due February 2008
  4. 4. INTRODUCTION We would like to welcome you to Gateshead Health NHS Foundation Trust, which comprises the Queen Elizabeth, Bensham and Dunston Hill Hospitals. This booklet is designed to help new staff understand working policies and procedures within the Trust and those relating specifically to Radiology. It will not answer every query you may have, it is simply an introduction to the department. Please ask your Preceptor/Buddy, Line Manager or other colleagues to clarify any additional queries you have. Appendix 1 is a complete ‘who’s who’ of Radiology In your normal working day, most queries should be addressed to colleagues or Line Manager, however your Service Manager, Phil Robinson, invites staff to discuss by prior arrangement, any issues or concerns which you have at any time during your employment. Below you will find the names of the key personnel that will support you throughout your induction period. There is also space for you to record the dates of some very important training. This induction book should be retained at work for future reference. Confirmation of Local Induction form (overleaf) must be returned to OD & Training within 2 weeks of your start date. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 4 of 44 Review Due February 2008 Line Manager Preceptor Buddy CONTACT Appraiser Corporate Induction Mandatory Training Introduction to Manual Handling Violence and Aggression (Levels I & II) First CONTACT Appraisal
  5. 5. Confirmation of Local Induction This form should be signed off by the new employee’s Line Manager within two weeks of the start of employment and a copy returned to OD and Training for recording purposes. Name: Job Title: Department/Location: Payroll Number: I am satisfied that for CNST purposes, the above named member of staff has received specific induction appropriate to the specialty in which they are working. A full record of their local induction is available for audit purposes in their *personal file/within the department (*delete as appropriate) Line Manager Signature: Line Manager Print Name: Employee Signature: Sponsor/Buddy Signature: Sponsor/Buddy Print Name: /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 5 of 44 Review Due February 2008
  6. 6. Starting Details (Please complete and return to Helen Abbott to be kept on your personal file) Name: Address: Telephone No.: E-mail: DOB: Starting Date: Job Title: Annual Leave (currently booked): Next of Kin : (contact details) Comments: /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 6 of 44 Review Due February 2008
  7. 7. RADIOLOGY DEPARTMENT Welcome to the Diagnostic Imaging Department! It is hoped that you will become a valuable member of this team, achieving the best for your patients, colleagues and yourself and helping to provide the highest possible quality of imaging service and patient care. This pack contains essential information with which you must familiarise yourself. Please read it carefully and complete the enclosed forms and competency frameworks. A copy of all forms should be returned to your line manager and will be kept on your personal file. You should retain a copy for your professional portfolio. • On your first day in the department you will have a safety tour. Please remember the location of the following:- Fire extinguishers, hoses and alarms, fire exits, resuscitation equipment and O2 supplies. • You will be advised of security combinations to unlock doors. • Please familiarise yourself with the MAJAX (major accident) procedure and retain the list of staff telephone numbers. • You must read the Department Local Rules. Retain the booklet for your reference but sign the form enclosed in this booklet and return one copy to the Radiation Protection Supervisor; Karen Green. • Your job description outlines your duties and the standards expected of you as a professional. Your KSF Post Profile/Outline details the dimensions of your role and provides a framework to support your development and progression through the band. • You are expected to maintain a record of your continuing professional development in the form of a professional portfolio. You will be provided with the Trust Record of Education, Learning and Development (RED) File to help you. • Your progress will be monitored using the CONTACT appraisal process so that you achieve the best for yourself and the department. Your Personal Development Plan (PDP) will identify areas for future personal and professional development /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 7 of 44 Review Due February 2008
  8. 8. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 8 of 44 Review Due February 2008
  9. 9. TERMS AND CONDITIONS 1. Hours of Work 2. Shift System 3. Time Sheets 4. Understanding Your Payslip 5. Annual Leave 6. Overtime and Time Owing /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 9 of 44 Review Due February 2008
  10. 10. HOURS OF WORK/ROTA These vary between posts, but full time contracted hours are 37.5 per week. Please ask your Line Manager for further details. SHIFT SYSTEM The Radiology Department provides the trust with 24-hour cover for general radiology and CT services 7 days a week. This is provided by means of a shift system comprising 14 radiographers working an average of 37.5 hours a week. This works out roughly as three 12 hour shifts per week. Not all staff participate in the shift system Between 5 – 9pm there are three radiographers and a radiography department assistant (RDA) on duty. Overnight there are two radiographers. Below is a checklist of things you may need to know ‘out of hours’. Your Buddy should help you complete this checklist. Telephone and bleep system On Call Keys Security Codes Access to ultrasound Access to CT CT power failure procedure Access to MRI MRI out of hours emergency procedure Majax Radiologist on-call rota IVU protocol TIME SHEETS /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 10 of 44 Review Due February 2008
  11. 11. In order for your salary to be calculated you must complete a time sheet every month with all your details i.e. name, department, personal pay number etc. Details regarding correct completion can be found on the form. Blank time sheets are kept in a folder in the main x-ray department and must be completed and given to your Manager on the last day of the month. You may not receive your salary if this is not completed and submitted to your Manager by the specified date. UNDERSTANDING YOUR PAYSLIP The following gives some information on certain elements of your payslip. 1. Hours worked For monthly paid staff, apart from over-time or extra hours, the total hours for the year are divided into 12 equal shares. For a 37.5 hour full-time week, this equals 162.5 hours per month 2. This Employment Cumulatives Pension ees = the pension paid by you the employee Pension ers = the pension paid by the Trust i.e. employer The amount of pension paid by you is based on your salary plus allowances. Manual workers pay 5%, non-manual workers pay 6%. 3. Period This refers to the tax period in the year starting April. E.g. 0002 in the tax year is May. 4. Salary Scale This code identifies your computer salary scale. The last two digits identify the point on the scale you are being paid on. 5. Method of Payment - BACS This refers to the “Bankers Automated Clearing System” i.e. we are paying your money straight into your bank account. 6. Monthly Salary Pay Date The official pay date is the 24th of each calendar month. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 11 of 44 Review Due February 2008
  12. 12. ANNUAL LEAVE Under Agenda for Change (AfC) Terms and Conditions (T&C), all full time staff are entitled to 27 days paid holiday each year in addition to 8 statutory days (bank holidays). The entitlement increases to 29 days after 5 years NHS service and 33 days for 10 years service. The entitlement for part time staff is calculated pro-rata. All leave must be authorised by your Line Manager who is responsible for ensuring workload cover. A limited number of staff may be absent together. DO NOT book holidays before receiving authorisation from your Line Manager; the holiday may be refused. OVERTIME & TIME OWING Under AfC T&C overtime is paid at time and a half but is strictly only following authorisation from your line manager. Time owing is generally generated when you miss part of a lunch break or due to the over running of lists. This is returned on a time for time basis. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 12 of 44 Review Due February 2008
  13. 13. PROFESSIONALISM 1. Good Practice 2. Uniform/Appearance 3. Identity Badge 4. Time Keeping 5. Tidiness 6. Telephone Calls /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 13 of 44 Review Due February 2008
  14. 14. GOOD PRACTICE In the Statements for Professional Conduct issued by the Society of Radiographers (SOR) and The College of Radiographers (COR) (March 2002), it is advocated that “the adoption of best practice [is necessary] to assure public confidence in the services provided by … all levels of Practitioners working within their defined scope of radiographic practice". It is a requirement that you adhere to this Code of Professional Conduct at all times. The following documents contain relevant local information relating to good practice. Please ensure that you are aware of these documents and how they affect your daily work. • Diagnostic Imaging Department Procedures & Technique Guides • The Information and Security Policies • Personnel Policies and Procedures • IR(ME)R Policies/ Local Rules This is not an exhaustive list. UNIFORM/APPEARANCE You will be allocated a uniform that must be worn at all times. Footwear should be appropriate to your work duties, paying due consideration to the regulations of the “Health & Safety at Work Act” and the Trusts Uniform Policy. IDENTITY BADGE You need to obtain an ID badge which must be worn at all times. Your line manager will give you a letter and the badge is issued at the Operational Services department. The department is available for ID badges between 9.00-13.00 Mon/Wed and 13.00- 16.00 Tues/Thurs. TIME KEEPING Once starting/break times have been agreed with your Line Manager, we expect strict adherence to these. TIDINESS You are expected to keep your own working area tidy and comply with fire regulations. TELEPHONE CALLS Using Trust telephone lines to make private calls is not permitted. Any requests to make a personal call should be made via your Line Manager. Alternatively a Telephone Account Code can be obtained from the Telecoms Manager/Assistant. Ring 6069/2081 to obtain an application form HEALTH & SAFETY AND SECURITY /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 14 of 44 Review Due February 2008
  15. 15. 1. Emergency Procedures a. MAJAX b. Fire c. Crash 2. Induction & Mandatory Training 3. Health & Safety at Work 4. Confidentiality/Code of Connection 5. Department Security 6. Personal Possessions 7. No Smoking Policy 8. RadCentre Code of Connection EMERGENCY PROCEDURES /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 15 of 44 Review Due February 2008
  16. 16. EMERGENCY PROCEDURES A. MAJOR ACCIDENT PROCEDURE (MAJAX) The Radiographer will be notified by an 8888 call on the A/E x-ray bleep that there has been a major incident with multiple casualties. He/she will contact: 1 The on-call Radiologist/Clinical Director 2 The Service Manager/Deputy or next Senior Radiographer The senior member of staff who has been contacted will then call in enough members of staff from home to support the situation. Hospital phone lines must not be blocked so keep calls from QEH to a minimum. All members of staff should have an up to date list of everyone’s telephone numbers. MAJAX ALERT DUTY RADIOGRAPHER SERVICE MANAGER, DEPUTY SERVICE MGR SUPT/SENIOR RADIOGRAPHER RADIOLOGIST ON-CALL CLINICAL DIRECTOR RADIOGRAPHERS (AS MANY AS POSSIBLE) RDA SISTER/SENIOR NURSE OFFICE STAFF CONTACT OTHER RDA'S CONTACT NURSING STAFF CONTACT OTHER OFFICE STAFF In the event of a single critically injured patient in A&E the consultant on duty may call a Trauma Team alert. The Radiographer will be notified by a 5555 on the A/E x-ray bleep. He/she will contact A & E to establish how many people are injured and contact other members of staff required to cope with the situation /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 16 of 44 Review Due February 2008
  17. 17. B. FIRE Please make yourself familiar with the Department’s Fire Policy. Prior to fire training, make yourself aware of the whereabouts of fire exits and fire extinguishers within your working area. Intermittent alarms indicate the fire is somewhere in the Hospital. Continuous alarms indicate the fire is in your area. The emergency number is 3333. C. CRASH Please make yourself aware of the Trust’s resuscitation policy, the location of resuscitation equipment and emergency alarms. The emergency number is 2222. INDUCTION AND MANDATORY TRAINING All new staff must attend the Trust Corporate Induction. This gives information on hospital wide issues and offers an opportunity to meet other members of staff. Mandatory Training will be organised to follow and includes further training on fire, infection control, resuscitation and a small amount of manual handling. Mandatory Training is part of a rolling programme that ensures you get refresher training annually. A separate full day Introduction to Manual Handling is required as soon as possible after appointment. Violence and Aggression (V&A) Awareness Training is considered by this directorate to be mandatory for all front line staff. You will therefore undergo V&A levels I and II training where applicable to your post. The dates for all of this training should be recorded in the front of this booklet for reference. HEALTH AND SAFETY AT WORK All staff have a responsibility for the health and safety of themselves and colleagues who may be affected by their actions. Care should be taken not to leave safety hazards, such as open drawers, handbags on the floor, kick stools etc. Further guidance regarding health and safety will be provided by our Occupational Health Department at the Hospital Induction Course. Meanwhile speak with your Line Manager regarding any queries or concerns and refer to the Trust & local Health & Safety Policies. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 17 of 44 Review Due February 2008
  18. 18. CONFIDENTIALITY/DATA PROTECTION The nature of your work will bring you into contact with information concerning patients. Occasionally these patients are relatives, friends or neighbours. Any information you obtain during the normal course of your duties must be treated as strictly confidential; even the fact that they have attended the hospital as a patient. You must not under any circumstances disclose or discuss such information either outside the hospital, or with another member of staff not authorised or directly concerned with the matter. Any doubts whatsoever about the release of information must be referred to your Line Manager or Service Manager. The greatest care must be taken prior to giving information over the telephone, firstly establish the identity of the receiver, secondly that they are authorised to receive the information which you are imparting (perhaps by ringing them back). The policy of the Radiology Department is NOT to issue reports on radiological examinations over the telephone. It is inappropriate for clerical and radiographic staff to do this, and only in exceptional circumstances can this be done and then only by a Consultant Radiologist. A report can be printed and may either be collected from the main x-ray office, or can be posted via the internal mail. Staff details must NOT be given over the telephone. Please take the caller’s name and telephone number and try to contact the staff member for them. All press enquiries are dealt with by the Head of Corporate Affairs at Trust Headquarters. In signing your Contract you agree that you fully understand the Data Protection implications of your post and the consequences of failing to comply. CODE OF CONNECTION It is important to remember that legislation such as the Data Protection Act and Sex Discrimination Act apply to email as well as paper documentation. The Code of Connection document (enclosed) outlines your responsibilities relating to email and IT security. Signing the document and returning it to IT will also activate your personal ‘Roaming Profile’ login. DEPARTMENT SECURITY The Diagnostic Imaging Department is a highly sensitive area containing confidential information as well as valuable equipment. Security is therefore of paramount importance. Ultrasound & gamma are locked at 5.00pm The main department and CT are locked at the end of evening clinics (7.30pm approx). The MRI department is locked at 6.00pm. There are combination locks at each entrance. The A & E x-ray /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 18 of 44 Review Due February 2008
  19. 19. department is locked whenever the department in unattended and the key is kept on the on-call key ring. This key ring also holds a master key to gain access to the Superintendents office and the Radiologists offices. Any unrecognised persons wishing to have access to the x-ray department must be politely asked to offer their ID badge for inspection and asked to give a reason for access. PERSONAL POSSESSIONS You are advised not to bring valuables to work. Handbags should be stored in personal lockers wherever possible. The Trust accepts no responsibility for articles of personal property lost or damaged on its premises. NO SMOKING POLICY Smoking is prohibited in the Queen Elizabeth Hospital and its grounds for ALL personnel; staff and visitors. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 19 of 44 Review Due February 2008
  20. 20. Email & Internet Services - User Code of Connection (To be signed by all users of Gateshead Health NHS Trust Internet and email services) 1 Introduction With the expansion of Internet and email services to cover all staff working for Gateshead Health NHS Trust and the informal culture of email it is important to remember security applying to the systems and that legislation applying to paper documents also applies to email. This legislation includes the Data Protection Act, the Sex Discrimination Act, and the Race Relations Act as well as the laws of libel. 2 Code of Connection As more attached documents are carried with email the potential for spreading of computer viruses is greatly increased. It is important to realise that viruses can be carried by documents and as soon as you open the infected attached document the virus will infect your system. A potentially greater risk is sending viruses out of the organisation and infecting other organisations, as such occurrences could result in legal action against the Trust. All members of staff using email must have an up to date antivirus scanner capable of scanning email attachments. As with all communication systems there is a potential security risk as to who has access to the information, as it is possible that people working for the Trust will know individuals to whom the email messages refer and you should not allow others to read your email unless you intentionally forward it to them. There is also the danger that received email messages may be forwarded to other people not authorised to handle sensitive material. Highly sensitive messages should not be sent by email. For sensitive messages the sender should check with the intended recipient that the information will go directly to him/her and will not be passed on to anyone else. All emails should contain a confidentiality notice asking to be informed if the incorrect person receives the e-mail. This may be set up as an AutoSignature. Such as: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please destroy it and notify the sender. Email is often perceived as an informal medium. However emails occupy the same place legally as letters - it is just like writing on company headed notepaper - therefore care must be taken to prevent: • inadvertently entering into contracts through email • committing libel • using language or graphics, which may be construed as sexual harassment or an offence under the Race Relations Act. • breach of copyright by “publication” of original material even by forwarding to another individual. Where storage space on email servers is restricted the IT department may delete emails over 2 months old. Therefore important emails should be printed or stored on a local hard disk or other magnetic media. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 20 of 44 Review Due February 2008
  21. 21. User Code of Connection – Email and Internet Services It is important that users of these services are aware of certain security considerations, understand the implications of non-compliance and agree to abide by the terms of this Code of Connection. • Internet and email services are provided for those purposes directly related to a user’s work or areas of legitimate research and operational services. • Limited personal use of the services is permitted. Always obtain management consent for such usage, and do not abuse the privilege. • No illicit material will be sent/viewed/downloaded or obtained via the Internet or email. Advice should be taken from the IT Security Officer where there is any doubt. • An up to date anti virus scanner must be installed on the PC used for email and any material downloaded must be virus checked immediately. • Forwarded material may be subject to copyright and all copyright restrictions must be adhered to. • Unlicensed or unauthorised software must not be installed on any PC. • Care must be taken to ensure only the intended recipient has access to the message. You must not divulge your access password to anyone. • Modems must not be connected to PCs on the Trust network. • Important emails will be regularly saved to a local storage medium to prevent loss. • Breaches of security, abuse of services or non-compliance with the Trust’s IT Security Policy or the Code of Connection, may result in the withdrawal of all email services from the Trust. • The Trust’s disciplinary procedure will be invoked should abuse of email services or non- compliance with the Code of Connection occur. The Trust reserves the right to monitor Internet access and emails sent or received by staff on Trust PCs, in order to ensure that the Code of Connection is not breached. % USER ACCEPTANCE I have read and understand the Email and Internet Services Code of Connection and agree to abide by it. User Signature: ………………………………………………………………….. Name (please print): …………………………………………………………… Telephone/Bleep No: …………………… Date:……………………….. Department/Directorate: …………………………………………………….. Original to be sent to: IT Security Officer IT Department Queen Elizabeth Hospital Gateshead NE9 6SX Copy to be retained by user /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 21 of 44 Review Due February 2008
  22. 22. Request for Access to RMS System Version 6.1 Please complete the following details and return to Tess Malley, Systems Team, Information Dept, QEH. The password must be 6 characters/digits long ending in a number. Your password MUST NOT be used by anyone other than yourself. All personal data to which you have access including patient data is covered by a duty of confidentiality and the Data Protection Act 1988. Any disclosure of this data to unauthorised individuals will result in a disciplinary hearing and may result in legal proceedings against you as an individual. Access to the system should be restricted to the areas on which you have been trained and need for your work, to access beyond this may commit an offence under the above Act or Computer Misuse Act 1990. These issues are covered in detail in the Trust IM&T Security Policy, copies of which are held in the IM&T Department. Further details are available from the Trust’s IM&T Security Manager. Please sign below to confirm that you accept responsibility for the password that is being issued to you, and any transactions carried out under this password will be your sole responsibility. Users Signature ___________________________________ Date _____________ Authorising/Managers Signature______________________ Date _____________ For Office Use Only User ID Staff No. User Category Date & Initials of Issuer Date Removed from System /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 22 of 44 Review Due February 2008 Surname Forename Title (Mr, Mrs, Dr, etc) Job Title Telephone Ext. E-Mail Address Start Date on RMS Hospital Queen Elizabeth Hospital Ward Dept Radiology Building Office PC Location All PC’s in Radiology PC Name All PC’s in Radiology
  23. 23. RADIATION PROTECTION ISSUES 1. Local Rules 2. 10/28 Day Rule 3. Statement on Radiation Protection /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 23 of 44 Review Due February 2008
  24. 24. LOCAL RULES You MUST read the Department’s Local Rules pertaining to Ionising Radiation and apply them at all times. A copy can be found in every clinical room in the department. Once read, please sign the Statement on Radiation Protection form (overleaf). Keep one copy for yourself and return a copy to your line manager to be kept on your personal file. 10 / 28 DAY RULE The following examinations are likely to result in high radiation dose (more than 5mSv) to the uterus in women of childbearing age. These examinations should therefore be booked applying the 10 day rule; • All Barium Examinations • IVU’s • Abdominal & Pelvic CT • Hysterosapingograms All other examinations including lumbar spine & abdominal plain radiographs can be performed applying the 28 day rule. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 24 of 44 Review Due February 2008
  25. 25. Statement on Radiation Protection Every individual working with radiation sources has a duty to protect themselves and others from any hazard arising from his work. It is therefore essential (and a requirement of the Ionising Radiation Regulations, 1999) that the individual is familiar with the responsibilities and precautions imposed by the Regulations through Local Rules. Your Radiation Protection Supervisor is responsible for ensuring that protection measures required by the Regulations are fully observed. If you have any queries about radiation protection you should contact him/her or your Head of Department. When you understand your responsibilities you should sign the Declaration below in duplicate and return one copy to your Radiation Protection Supervisor. ____________________________________________ Declaration on Radiation Protection I have read and undertake to act in accordance with the Local Rules for Diagnostic Use of X-rays in Gateshead Health NHS Foundation Trust. Name (Block Capitals) ___________________________________________ Department ___________________________________________________ Signed ___________________________ Date _______________________ ----------------------------------------------------------------------------------------------------- Declaration on Radiation Protection I have read and undertake to act in accordance with the Local Rules for Diagnostic Use of X-rays in Gateshead Health NHS Foundation Trust. Name (Block Capitals) ___________________________________________ Department ___________________________________________________ Signed ___________________________ Date _______________________ When signed, one copy of the Declaration should be returned to your Radiation Protection Supervisor. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 25 of 44 Review Due February 2008
  26. 26. REPORTING PROCEDURES 1. Sickness 2. Accidents/Incidents 3. Grievances 4. Complaints /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 26 of 44 Review Due February 2008
  27. 27. SICKNESS PROCEDURE If you are unable to work due to illness, you must ring your Line Manager before your start time on the first morning of sickness indicating the nature of the illness and expected date of return. Shift Radiographers must provide as much notice as possible in advance of their shift starting. If sickness continues, make contact with your Line Manager daily unless otherwise arranged to enable workload cover to be planned. If no line manager is available a message can be left with another staff member but please note that it is expected that your line manager will contact you to obtain the relevant details. Absence of more than six days (including Saturday and Sunday) must be certified by a G.P. or hospital sick note. Your sick note must be given to your Line Manager on return to work or posted to the Department during long periods of absence. The department maintains individual sickness records for each member of staff. The Trust has a sickness absence policy and in line with this, all staff who have been absent through ill health have a return to work interview. Prolonged/recurrent sickness absence will be monitored in conjunction with the Occupational Health Department to facilitate a supportive return to work. REPORTING OF ACCIDENTS/INCIDENTS All accidents and incidents, no matter how minor or seemingly insignificant, must be reported promptly using the DATIX online IR1 Reporting System located on the Info Services page of the Trust Intranet. Please be advised that it is the individual’s personal responsibility to complete these forms. GRIEVANCES Any grievances must first be addressed to your Line Manager. If unresolved, request time to discuss with your Service Manager or Head of Department. Please refer to Grievance Policy document for further information. COMPLAINTS The Trust has a formal Complaints procedure as outlined in the Complaints Policy document. This states that all complaints should be attempted to be resolved locally in the first instance. As such, all complaints should be forwarded to your Line Manager to be dealt with appropriately. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 27 of 44 Review Due February 2008
  28. 28. APPRAISAL, PERSONAL AND PROFESSIONAL DEVELOPMENT 1. CONTACT Appraisal/PDP 2. KSF 3. CPD /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 28 of 44 Review Due February 2008
  29. 29. CONTACT APPRAISAL/PDP It is the Trust’s policy to undertake appraisal for all staff using the CONTACT system. The purpose of appraisals is to provide feedback upon performance and encourage personal and professional development in line with your KSF post outline (see below). The system also generates a personal development plan (PDP) that outlines your personal and professional training and learning requirements for the forthcoming year. The first appraisal will take place after one month, and 6-month and annually thereafter. Your CONTACT appraiser and the date of your first appraisal are identified in the front of this document. KNOWLEDGE AND SKILLS FRAMEWORK (KSF) Each post has a detailed profile that outlines the key knowledge and skills requirements for that post and clearly identifies a progression for the post holder. All profiles are held locally. Contact your line manager for further information. CONTINUAL PROFESSIONAL DEVELOPMENT (CPD) CPD has always been good practice and is now mandatory in order to maintain HPC registration. The Radiology Directorate has a commitment to support every individual in fulfilling the requirements of their PDP. Your CPD should be current, relevant and appropriately evaluated. You will be provided with a Record of Education, Learning and Development (RED file) to help you begin your portfolio but this is just a suggested format. You can use any format you wish so long as you can provide evidence to fulfil both your KSF post outline and HPC requirements. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 29 of 44 Review Due February 2008
  30. 30. MISCELLANEOUS /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 30 of 44 Review Due February 2008
  31. 31. STAFF RESTAURANT Quenellies Coffee Bar is open 24 hours a day offering speciality coffees, tea, soft drinks and a range of sandwiches and snacks. The main restaurant is available 8- 10.30am for breakfast, 12-2pm for lunch, high teas are served between 4-8pm and the night service runs 8pm-8am. The staff dining room is open to all staff and visitors. CAR PARKING You are asked not to park on the main road outside the Hospital grounds but instead use the hospital pay and display car parks. You may apply to the Operational Services Department when you attend for your ID badge for a staff parking permit, which will reduce the cost of parking and allow you to park in any of the yellow non-barrier car parks. Charges are deducted from your pay on a pro rata basis (Approx £10.00 per month for full time staff) and are levied in order to provide staff security such as CCTV and the Security Personnel who patrol the grounds. RED DOT SYSTEM We have developed the widely used Red Dot system for trauma radiographs into Radiographer Comments. If you think a patient has a fracture/pathology, place a red dot on the film as near to the fracture site as possible without obscuring any soft tissue and write a brief description of your findings on the A&E slip that is placed in the film packet along with the radiographs. If the patient has several views taken to demonstrate the fracture it is only necessary to place a red dot on one of the views. If the patient has multiple injuries a red dot must be used for each injury e.g. fractures of the skull, pelvis and femur would require three red dots Accident and Emergency staff are aware that radiographers are expressing a personal opinion when they place a red dot on a film. The ultimate responsibility for making the correct diagnosis lies with the casualty officer. The red dot system is only to be used for trauma. If however something potentially life threatening is noticed on a chest x-ray please inform the casualty staff. It would not be the first time that a patient with a pneumothorax has been sent home! STAFF MEETINGS Staff meetings take place bi-monthly between 8.50-9.30am in the staff room. A timetable is located in the staff room. Team briefs for specialist areas (CT, MRI, nursing etc) take place regularly so speak to the Lead Radiographer in that area for details. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 31 of 44 Review Due February 2008
  32. 32. TRAINING CHECKLISTS ONCE COMPLETE PLEASE FORWARD A COPY OF THIS WHOLE SECTION TO YOUR PRECEPTOR SO THEY CAN ENSURE IT IS HELD ON YOUR PERSONAL FILE 1. Room Training 2. Induction checklist /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 32 of 44 Review Due February 2008
  33. 33. CR Basic User Training The Inductee has completed Basic CR user training. A record is held locally. Inductee Signature:_______________________________ Preceptor/Buddy Signature:________________________ Date:___________________________________________ PACS Radiology End User Training The Inductee has completed PACS Radiology end user training. A record is held locally. Inductee Signature:_______________________________ Preceptor/Buddy Signature:________________________ Date:___________________________________________ /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 33 of 44 Review Due February 2008
  34. 34. ROOM 1 (DR Room) The Inductee has completed Room 1 training. A record is held locally. Inductee Signature:_______________________________ Preceptor/Buddy Signature:________________________ Date:___________________________________________ ROOMS 2/3 & 4 Switching equipment on/off Control panel General room use/workflow Sending patients/results Reject Analysis Erect Bucky/chest stand A&C duties/patient registration Portering system/bleeps In Patients Emergency button Fault reporting Protocols/techniques Communication Book Inductees Signature: Preceptor/Buddy Signature: Date: /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 34 of 44 Review Due February 2008
  35. 35. PORTABLE X-RAY MACHINES AND IMAGE INTENSIFIERS Portable Machines Location of all machines Location of all wards Location of keys Location of OT/portable notice board Use of AMX 4 Use of AMX 4 plus Use of Polymobil Use of Practix A&C duties/patient registration Operating Theatres (OT) Location of main theatres Location of Treatment Centre (TC) theatres Location of OT shoes/scrubs Location of Image Intensifiers (II) Location of II keys Location of TC swipe card Location of OT access codes Use of Philips BV Pulsera Use of GE OEC 9800 Use of Ionising Radiation warning sign Inductees Signature: Preceptor/Buddy Signature: Date: /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 35 of 44 Review Due February 2008
  36. 36. A& E ROOM 11 Switching equipment on/off Control panel General room use/workflow Sending patients/results Red Dot Comments Resus room OPG A&C duties/patient registration Portering system/bleeps Resus trolley Emergency button Majax/Trauma alert Fault reporting Protocols/techniques Inductees Signature: Preceptor/Buddy Signature: Date: A&E ROOM 12 (DR Room) The Inductee has completed Room 12 training. A record is held locally. Inductee Signature:_______________________________ Preceptor/Buddy Signature:________________________ Date:___________________________________________ /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 36 of 44 Review Due February 2008
  37. 37. Employee Induction Checklist Name: Ward/Department: Job Title: Base: The new employee and line manager/supervisor should discuss the following topics during the first 2 weeks of employment. It is hoped that this checklist will help the new employee settle in more quickly and enable them to do their job effectively. (Please write N/A where not applicable). Personnel/Pay Arrangements Date Completed Line Manager/ Buddy Signature Employee Signature Payslips Hours of work/Flexible working arrangements Annual Leave Arrangements Completion of Time Sheets Expenses Claims/Lease car arrangements Notifying sickness/certification procedures Trade Union Representatives – who they are and how to contact Domestic Arrangements Date Completed Line Manager/ Buddy Signature Employee Signature Location of toilets Location of local rest areas Location of staff restaurant/cafes Arrangements for coffee breaks Location of staff changing facilities No smoking policy Location of shop Car parking arrangements Car parking permits /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 37 of 44 Review Due February 2008
  38. 38. Department Date Completed Line Manager/ Buddy Signature Employee Signature Department structure and philosophy Telephone bleep system Emergency telephone numbers Tour of department/base Location of key link departments Location of department notice boards Introduction to key members of staff Main job responsibilities (including expectations of the role and its parameters) Sources of help and advice Medication in common use within the department Accountability Staff Charter – Rights and Responsibilities Communications/team brief Answering telephone enquiries Internal post Code of Connection – how to apply for an e-mail account Computer system, how to access email, Intranet and Internet Requests for stationery/supplies Dates of departmental meetings Meeting Rooms and how to book them Dress code Personal Development Date Completed Line Manager/ Buddy Signature Employee Signature Explanation of Investor in People and culture of learning Initial CONTACT meeting arranged for ………………. and explanation of what CONTACT involves (including KSF outline) Clinical supervisor/supervision arrangements Buddy/preceptorship arrangements Mentor including arrangements Minimum period of supervised practice Portfolio building Study Leave arrangements Staff Development Prospectus /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 38 of 44 Review Due February 2008
  39. 39. Arrangements for Continuing Professional Development Information Governance Date Completed Line Manager/ Buddy Signature Employee Signature Handling information: − confidentiality − integrity − availability Confidential Waste Records Management – Trust/Departmental policies Use of passwords for accessing information – how to set up Health & Safety Arrangements/Security Date Completed Line Manager/ Buddy Signature Employee Signature Health & Safety responsible persons Manual handling as per risk calculation tool in Staff Development Prospectus Personal copy of fire policy Fire Policy Local fire drills Location of fire exits/extinguishers Staff Safety Policy Incident/accident reporting procedure Department security Role of security staff/on site policeman Department keys/combination locks Provision of uniforms/protective clothing Laundry arrangements for uniform/ protective clothing Patient property – documentation/ disclaimer/property lists Personal property Obtain ID badges Explanation of Mandatory Training Corporate and Local H&S Training applicable to the risks of the job /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 39 of 44 Review Due February 2008
  40. 40. Please confirm that new staff have been instructed in the safe use of equipment associated with their role Instruction Given for the Following Equipment (please list) Date Line Manager/ Buddy Signature Employee Signature Room 1 (General DR) Rooms 2/3 (General x-ray) Room 11 (General A&E) Room 12 (DR A&E) OT/Portable CR Basic User PACS Radiology User Accessory equipment Medical devices checklist Please inform all new staff of their responsibility to attend the following training as part of their induction and book their place as soon as possible Mandatory Training Date Booked Line Manager/ Buddy Signature Employee Signature Corporate Induction (inc. Fire) Manual Handling Violence and Aggression levels 1&2 Mandatory Training The following policies are available within Radiology. Please sign and date that you have read and understood them. The responsibility for reading and seeking clarification of the relevant procedures lies with the individual. Policies and procedures are constantly being added to, revised and updated, therefore cross reference should be made with the intranet site, which lists the most current and up to date information. /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 40 of 44 Review Due February 2008
  41. 41. PERSONNEL POLICIES AND PROCEDURES Signature Date Disciplinary Procedure Grievance Procedure Protection of Pay and Conditions of Service Redundancy and Redeployment Policy Authorisation of Leave Policy Recruitment and Selection policy Policy on Managing Sickness Absence Relocation Expenses Policy Disputes Procedure Equal Opportunities Policy Career Break Scheme Job Share Policy Policy of the Prevention of Harassment in the Workplace Policy for Dealing With Harassment in the Workplace Flexible Working Policy Protection of Children Policy Standards of Business Conduct for Staff Employment Policy on Protection Against Infection with Blood-borne Viruses Retirement Policy Maternity Leave Policy Consultants Clinical Excellence Awards Scheme Education Training and Development Policy Induction Policy Re-grading Policy Working Time Regulations Policy Raising Concerns at Work Fraud Policy CONTACT Appraisal Policy Well-being at Work Policy Professional Registration Policy Equality & Diversity Policy RISK MANAGEMENT POLICIES Signature Date Management of Risk Policy /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 41 of 44 Review Due February 2008
  42. 42. Health and Safety Policy Incident Reporting Policy and Procedures Reporting of Defects Policy Manual Handling Policy Display Screen Equipment Policy Control of Substances Hazardous to Health Violence at Work Policy Security Policy Provision and Use of Work Equipment Policy Latex Policy and Procedure Workplace (Health, Safety and Welfare) Personal Protective Equipment at Work Policy Electrical Equipment Protocol Lifting Equipment Protocol Toy Safety Protocol Complaints Policy Consent to Treatment Policy Claims Management Policy and Procedure Inter and Multi Agency Information Exchange Policy Resuscitation Policy Do Not Resuscitate Policy Policy for the Procurement, Management and Use of Medical Devices Policy for Withholding Treatment from Violent and Abusive Patients/Visitors Policy for Clinical Staff Undertaking Surgical/Medical Techniques or Procedures for the First Time Investigation Policy Smoke Free Hospital Policy Intellectual Property Policy Covert Surveillance Policy Patient Identification Policy SPECIALISED RISK MANAGEMENT POLICIES Signature Date Lifting Appliances Policy /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 42 of 44 Review Due February 2008
  43. 43. Ionising Radiation/Radiation Protection Policy CONTROL OF INFECTION MANUAL Signature Date Control of Infection Manual DRUGS POLICIES Signature Date DP01 Ordering, Storage, Prescribing and Administration of Medicines DP04 Storage of Medicines DP11 Procedure for Medicines Brought into Hospital by Patients DP12 Procedure for Self- Medication by Patients DP13 Disposal of Medicines DP14 Controlled Drugs DP20 Patient Group Directions OPERATIONAL POLICIES Signature Date Hospitality, Gifts and Inducement Policy Recognition of Long Service Policy Car Park Management Charitable Funds Policy /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 43 of 44 Review Due February 2008
  44. 44. Clinical Lead Mike Newby ADM Radiology Services Manager Phil Robinson Consultant Radiologists Dr M Newby Dr A Crisp Dr P Lord Dr R D'Souza Dr DJ Peakman Dr C Nice Dr G Timmons Dr A Redman Medical Physics Peter Bartholomew Lawrence Scott Arlo Lapworth Pat Harrison Superintendent II Radiographer Karen Green Superintendent III Radiographers Barbara Wright - Ultrasound Borsha Sarker - Ultrasound Diane Bewick - Nuclear Medicine Robert Dash - Reporting Radiographer/Generals Lorna Oliver - Vascular & Cardiac Imaging Jo Johnson - MRI Dave Winthrop - CT Emma Nattress - Professional Development Facilitator Senior Sister Maggie Williams Senior II/Link Radiographers Lilian Cocker Angela Taggart Mabel Mwedzi Sophie Straw Lynne Marley Craig Williams Helen Smith Eunice Eldridge Jan Saxby Senior I Radiographers CT - Gillian Cawthray Cilla Grey Julie College Lorraine Burton Audit - Martin Bell & enemas MRI - Alison Roney Gillian Hughes Elizabeth Baker Helen Tait Barium - Chris Fearon Julie Parnaby QA - Karen Davison U/S - Ian Pearson Sikha Mbuyazwe Plain film reporting - Jimmy McNally Nursing Staff Miriam Stephenson Annette Bagwell Karen Baker Sonia Bruce Radiographers Mpumellelo Sibanda Judith Henderson Deanne Wadrop Mark Widdowfield Peter Walker-Birch Sally Raisbeck Nichola Harrison Caleb Chibwe Sharon Rosen Will Phillips Office Manager Caroline Fenton Deputy Office Mgr Michelle Wardle Secretaries Helen Abbott - Lead Diane Blackwood Eileen Burrell Margaret Sparkes Betty Veitch A & C Staff Julie Nelson - Lead Archie Anderson Liz Cyprinski Linda Felgate Pryia Grieves Ange Simm Diane Murray Nicola Simpson Susan Pringle Joanne O'Neill Susan Southern Julia Boad Vicky Thompson Alison Robertson Susan Walker Dian Tucker Christine Nichols Ian Tovell Lena Liu Gillian Lindopp Ellie Humphrey Debbie Henderson Joyce Atkinson Nicola Smith RDA's Andrew Hughes Eileen Vinton Sam Dae Pat Studholme Jane Curson Alison Wade Carol Randall Karen Dodds Drew Bartley Margaret Henderson Assistant Practitioners Joane Heslop Nicola Glover Helen Skea David Hall (trainee) Junior Sister Judith Ormonde /mnt/temp/unoconv/20150130130108/radiology-induction-pack2727.doc Page 44 of 44 Review Due February 2008 Appendix 1 – Departmental Structure

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