Domestic Assistants/Housekeepers A Workbook to record your training and personal development

Transcription

1 / A Workbook to record your training and personal development

2 Healthcare Associated Infection HAI is defined as an infection originating in a healthcare facility, which was not present or incubating at the time of admission to the facility. HAI includes infections acquired in hospital but not apparent until after discharge, those contracted in healthcare facilities by staff and those picked up while receiving care outside of hospitals. Patients are at greater risk of encountering infections resistant to antibiotics and are increasingly vulnerable to HAI because they are, on average, older and their treatments often leave them more susceptible to contracting infections. HAI also creates a financial and professional burden on NHSScotland. The cleanliness of healthcare environments such as hospitals, clinics, GP surgeries, care homes and dental practices, is critically important if the spread of infection is to be minimised. Good cleaning and hygiene practices make a significant contribution to the prevention and control of HAI. NHS Education for Scotland consents to the photocopying, electronic reproduction by uploading or downloading from websites, or other copying of this document for the purpose of implementation within NHSScotland. Permission for use of photography should be sought from NHS Education for Scotland. First published March 2007 NHS Education for Scotland 22 Queen Street, Edinburgh EH2 1JX Health Facilities Scotland 4th Floor, Empire House, 131 West Nile Street, Glasgow G1 2RX Written and facilitated by Andy Hyde Designed and produced by Greg Mitchell

3 / A Workbook to record your training and personal development About this Workbook This Workbook is not a training course but it does provide you and your Line Manager with a structured approach to assessing, developing and demonstrating your capabilities and can form part of your Personal Development Plan (PDP). This is your Workbook for you to record and demonstrate your capability to carry out the role of Domestic Assistant and/or Housekeeper. There are spaces in which you or your Line Manager can write down notes and answers to questions. These are the areas like the ones below. You can begin by filling in your details and describing your role. You and your role Name... Organisation... Department... Date Workbook commenced... Date Workbook completed... Your role (You can use the space below to describe the main duties of your job. It might also be useful to make some notes about aspects of your role that you enjoy, those that you don t enjoy and those that you find difficult)

4 Introduction The duties that you carry out as a Domestic Assistant/Housekeeper or in other, similar roles can help patients and others to feel confident that they are being cared for in a clean and safe environment. This is particularly important in the fight against Healthcare Associated Infections. Your knowledge of cleaning techniques is central to this, but Health and Safety and customer service capabilities are important too. Cleaning correctly and working effectively as a member of the Domestic Services team requires training and regular updates about new methods and equipment. If all Domestic Services staff are taught the same skills, to the same minimum standard, then staff and patients can feel confident in the quality of the service that you provide. Equally, you should have an opportunity to demonstrate the quality of your contribution to that service. The National Education and Training Framework for Domestic Services has been established to ensure that good cleaning practice is carried out across NHSScotland. It provides a set of guidelines for all, and similar roles and aims to provide a consistent quality and standard of service as well as a unified approach to the prevention and control of infection. The NHSScotland Code of Practice for the Local Management of Hygiene and Healthcare Associated Infection and the NHSScotland National Cleaning Services Specification describe the importance of training for Domestic Services staff. The capabilities described in this Workbook reflect the principles of good cleaning practice that these important documents set out. They describe, in detail, the standards outlined in The National Education and Training Framework for Domestic Services and relate to current SVQ requirements and the National Occupational Standards. This Workbook has been developed in consultation with Domestic Services staff and partners in Further Education. It is the result of a revision of the first Domestic Assistant s Workbook: A record of training and personal development (Version 1).

5 Why a Workbook for /? Healthcare Associated Infections (HAIs) are infections that are caught by patients and staff while receiving or providing healthcare. Reducing HAIs is a priority for all NHS staff. By avoiding the spread of infection, NHSScotland can provide safer healthcare, use its resources more effectively, and help to improve public confidence in the service. / play an important role in keeping NHSScotland facilities clean and patients safe. This can and does make a real difference to the protection of patients and staff from infection. Domestic Managers and representatives from Further Education in Scotland have identified the core capabilities which / should have; these skills are described in this Workbook. If you are a Domestic Assistant or a Housekeeper you can use this Workbook to show which capabilities you already have and which ones you need to learn, according to your role. Your training and experience so far can count towards your skills even from other jobs. Your Line Manager will help you to complete this Workbook. You can use it as part of your Personal Development Plan to demonstrate your role in the fight against HAI.

6 The role of Domestic Services in infection control An important reason for completing this Workbook is to make sure that you understand and can demonstrate the link between cleaning and the control and prevention of infections. Two important principles which you need to know about are the Standard Infection Control Precautions and the Chain of Infection. The Chain of Infection The Chain of Infection is one way of picturing the steps that occur when an infection is spread. Germs have to take a number of steps along the Chain for an infection to be passed on. There are many ways which you can break the Chain or stop the infection. As you complete the sections of this Workbook, and associated training programmes, you will see how your role gives you the necessary capabilities to break this Chain. The Standard Infection Control Precautions (SICPs) The Standard Infection Control Precautions are actions which everyone working in healthcare should take in their day-to-day work to reduce the spread of infections. They protect patients and their visitors from infections as well as you and your colleagues. As you complete the sections of this Workbook, and associated training programmes, you will see how your role includes many, if not all, of the SICPs. How to use this Workbook Your Line Manager will help you to work through this book and identify areas in which you require further training. Before you start: 1. Look through the capabilities and find out what you have been asked to do. Discuss with your Line Manager how you will use this Workbook. 2. Consider the training you have received already. This could include induction training when joining an organisation, any courses you have attended, learning manufacturer s instructions for using machinery. Perhaps you have received other types of training. Use the following questions to make some notes about what you know already. Your Line Manager will help you to decide how this applies to the capabilities required in this Workbook for your current role. There may be some boxes that you can tick already.

7 What training courses have you attended? In the past year? In the past 5 years? In the past 10 years? What qualifications do you have that relate to your role e.g. SVQ level 1 or 2?

8 Once you have worked out which capabilities you still need to demonstrate, your Line Manager will observe you as you go about your normal work. Capabilities can be assessed in any order. When your Line Manager is happy that you have shown the required level of skill, they will record this by signing their initials against the task. In cases where you may need further support to develop a skill before it can be signed off, your Line Manager can record that you are progressing towards reaching the required skill level As you work through these capabilities or at the end of each section, consider which of these capabilities is an example of a Standard Infection Control Precaution and how they might break the Chain of Infection. You can record these examples on page 24 and 25 as you work through the Workbook and review the completed section when you finish. Some tasks may not always be appropriate within your role and your Line Manager can write not applicable if that is the case. Some tasks may not be relevant, depending upon your role. Your Line Manager will initial the box relevant to you (either Domestic Assistant or Housekeeper) If you do not feel confident in a particular area, you should seek advice from your Line Manager. It may be that you have not had access to sufficient training or that your working environment doesn t allow you to demonstrate your capabilities for other reasons. It is important that you achieve the capabilities relevant to your role and therefore important to identify any difficulties you may be having. If you have never worked as part of the Domestic Services team before, don t worry, you will be shown how you can perform the required tasks correctly. Completing the Workbook It is expected that you will be able to complete the Workbook within 3 to 6 months. When all of the relevant sections have been signed you will have completed the Workbook and your Line Manager will sign the Statement of Completion to record your achievement. Use this in your Personal Development Plan (PDP) to demonstrate that you have achieved the recognised standards of a Domestic Assistant, Housekeeper or similar role.

9 Recording your capabilities

10 Section 1. Cleaning Techniques / play an important role in keeping NHSScotland facilities clean and patients safe. This can and does make a real difference to the protection of patients and staff from infection. But cleaning only works if it s done properly, with the right equipment and materials. 1.1 Personal hygiene and dress code Successful infection control and prevention starts with your own knowledge of, and attitudes towards, personal hygiene. You are able to: Achieved (Line Manager to initial) Demonstrate a high standard of personal hygiene and dress code in the prevention and control of infection Demonstrate effective hand washing technique Demonstrate an awareness of the importance of reporting relevant personal illness (e.g. vomiting, diarrhoea, other infections) to assist in the prevention and control of infection Outline the procedures for reporting personal illnesses likely to be infectious Describe the procedure to be adopted when laundering professional/work clothes Act as a role model in the wearing of professional/work clothes within the dress code policy. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 1.1 completed (Line Manager to sign below) Print name:... Signed:... Date:...

11 1.2 The role of cleaning in the infection control effort Your role is to provide consistent and good quality cleaning services. This is an important part of infection control and prevention and it is important that you are able to demonstrate your understanding of the contribution of basic cleaning skills. You are able to: Achieved (Line Manager to initial) Select appropriate cleaning agents and describe their use in the prevention and control of infection Correctly clean patient care equipment such as drip stands, commodes and hoists (where applicable) Identify situations in which specific infection control advice should be sought Correctly replenish supplies (e.g. hand towels, toilet tissue, liquid soap etc) Give examples of policies that are relevant to the role of the Domestic Assistant in infection prevention and control Describe your role in cleaning service monitoring Act as a role model in promoting best practice in cleaning techniques. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 1.2 completed (Line Manager to sign below) Print name:... Signed:... Date:...

12 1.3 Dealing with spillages Spillages pose environmental and infection control hazards. You should be aware of the risks associated with spillages and, where applicable to you in your role, be able to prevent or remove them. You are able to: Achieved (Line Manager to initial) Take immediate and appropriate action in the event of personal contamination with blood/body fluids Describe different types of spillage you may have to deal with Explain the actions you would take to deal with hazardous and non-hazardous spillages Take immediate and appropriate action in the event of a spillage (for example, blood/body fluids, chemicals) Take action in the event of a spillage to prevent a stain occurring and report any that you are unable to remove to your Line Manager Act as a role model in promoting awareness of the policy for dealing with spillages of blood/ body fluids. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 1.3 completed (Line Manager to sign below) 10 Print name:... Signed:... Date:...

13 1.4 Cleaning and storage of equipment Your role will include the use of specialised equipment for cleaning. This equipment needs to be cleaned after use and stored correctly if it is to continue to be effective. These capabilities relate to the care of equipment used specifically for cleaning. You are able to: Achieved (Line Manager to initial) Explain the importance of maintaining a clean storage environment in the prevention and control of infection Demonstrate methods of cleaning equipment after use Demonstrate methods of storing equipment after use Act as a role model in encouraging compliance with best practice in the maintenance of a clean storage environment. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 1.4 completed (Line Manager to sign below) Print name:... Signed:... Date:... 11

14 1.5 Cleaning an isolation room Patients are sometimes required to be cared for away from others in isolation perhaps in a single room. Isolation facilities are used in the control and prevention of infection and it is important to be aware of the different skills, knowledge and procedures that cleaning an isolation room requires. You are able to: Achieved (Line Manager to initial) Explain why it is important to check with clinical staff in charge before entering an isolation room Identify and prepare the disposable equipment required for cleaning an isolation room Comply with specific hand hygiene procedures throughout this task Use the correct Personal Protective Equipment Explain the correct use of colour-coded equipment and materials Describe the correct sequence of cleaning tasks Select the correct cleaning solutions required. 12

15 1.5.8 Clean an isolation room following the above sequence and procedures Undertake the correct procedure for the cleaning of equipment according to departmental policy Describe procedures for cleaning mops following the cleaning of an isolation room Effectively clean a mop following the cleaning of an isolation room Describe the additional steps to be taken when undertaking a terminal clean of an isolation room (when a patient is discharged or moved from the room) Act as a role model in encouraging compliance with best practice in the cleaning of isolation rooms. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 1.5 completed (Line Manager to sign below) Print name:... Signed:... Date:... 13

16 Section 2. Health & Safety and maintaining the environment There are risks involved with working in all types of working environment, including healthcare facilities. Situations that endanger you, your colleagues and patients are sometimes called accidents, incidents, adverse events or near misses. There are procedures that minimise the risk of them occurring, or help to deal with them if they do occur. Part of your role is to ensure the safety of patients and colleagues by doing what you can to reduce the risk of incidents occurring - or dealing with them correctly if they do. Health and Safety capabilities will be covered by a number of departments in your organisation. Those responsible for fire safety and accidents at work, for example, will provide you with information and training as required. Some of these capabilities are required by law. The section on page 28 allows you to record that you have done this training or have the information and capabilities you need. The following pages set out some capabilities for you to demonstrate that are particularly relevant to you as a Domestic Assistant/Housekeeper. 2.1 Waste disposal Waste is generated in many forms and many of them have the potential to harm staff and patients unless dealt with correctly. The spread of infection through contamination and injury caused by sharp equipment (such as needles, disposable scissors or broken glass) are just a few examples of hazards that you should be aware of. You are able to: Achieved (Line Manager to initial) Explain the importance of complying with waste policies and procedures Demonstrate recognition, safe handling, segregation and storage of different types of waste Demonstrate recognition, safe handling, segregation and disposal of sharp objects Describe the procedure to be adopted in the event of a spillage of waste Act as a role model in promoting best practice in the safe segregation and handling of waste. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.1 completed (Line Manager to sign below) 14 Print name:... Signed:... Date:...

17 2.2 Food hygiene Although your role may not demand a high level of food handling, it is important for you to be aware of the role that food safety can play in patient care. Your Line Manager will determine the level to which you need to apply these capabilities and assess you accordingly. You are able to: Achieved (Line Manager to initial) Describe the key measures to be taken to prevent food contamination Describe situations in which staff illness might compromise or be a threat to food hygiene standards Store, handle and serve food and beverages safely Act as a role model in promoting best practice in the safe handling of food. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.2 completed (Line Manager to sign below) Print name:... Signed:... Date:... 15

18 2.3 Linen and laundry There are a number of categories of linen items that you handle. When they require laundering you will need to know how to deal with them, although clinical staff are normally responsible for categorising them. You are able to: Achieved (Line Manager to initial) Explain the importance of following your organisation s laundry policies and procedures Demonstrate safe handling, segregation and storage of laundry Describe the procedure to be adopted in the event of incorrect handling, segregation or storage of laundry Ensure adequate supplies of linen Assist with bed-making and cleaning on request Correctly change curtains and screens at pre-determined intervals or in the event of contamination Act as a role model in promoting best practice in the safe segregation and handling of laundry. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.3 completed (Line Manager to sign below) 16 Print name:... Signed:... Date:...

19 2.4 Slips, trips and falls Slips, trips and falls account for the majority of major injuries in the workplace. Your role is to minimise the risks of these incidents happening to yourself and others. You are able to: Achieved (Line Manager to initial) Demonstrate safe working practices within an area being cleaned (including the use of caution cones, cables etc) Describe and identify situations which might present a hazard to yourself or others Describe the procedures to be followed in the event of an incident Act as a role model in promoting safe working practices. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.4 completed (Line Manager to sign below) Print name:... Signed:... Date:... 17

20 2.5 Dealing with incidents Although there are procedures that minimise the risk of them occurring, incidents or near misses can occur in the workplace. Part of your role is to be able to recognise an incident, or something that might cause one, and to know how to deal with it correctly. You are able to: Achieved (Line Manager to initial) Give examples of situations that might pose a risk to yourself or others and how you would deal with them Outline local procedures for reporting incidents Identify those responsible for Health and Safety in your organisation Support efforts to minimise the risks of incidents Act as a role model in promoting best practice in dealing with incidents. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.5 completed (Line Manager to sign below) 18 Print name:... Signed:... Date:...

21 2.6 Dealing with solutions and equipment You will come into contact with substances during the course of your work that can be damaging to your health. Cleaning solutions can be harmful to you and those around you if they are not prepared, used and disposed of correctly. You will also use equipment which, if damaged, may pose a risk to you, your colleagues or to patients. In either case, manufacturers instructions and/or workplace policies should be followed in order to ensure workplace safety. You are able to: Select and prepare appropriate cleaning solutions for individual tasks. Achieved (Line Manager to initial) Use cleaning solutions correctly, according to manufacturers instructions and/or workplace policies Dispose of cleaning solutions correctly according to manufacturers instructions and/or workplace policies Arrange for the removal of damaged or surplus equipment, ensuring that cleaning/decontamination procedures are followed Identify the person to whom you should report any broken/damaged equipment Identify the person to whom you should report any differences between manufacturers instructions and workplace policies. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.6 completed (Line Manager to sign below) Print name:... Signed:... Date:... 19

22 2.7 Personal security You may sometimes work alone, for example in the late evening or during night shifts. Your work may take you to remote locations. You should be aware of procedures that are in place to protect you and your colleagues and also your own role in ensuring your personal safety when at work. You are able to: Achieved (Line Manager to initial) Demonstrate an awareness of your responsibilities (and those of your Line Manager) to ensure your security at work Demonstrate an awareness of your responsibilities regarding the security of your work environment (for example, locking doors) Outline reporting procedures relating to concerns you may have about your personal security or the security of your work environment Recognise suspicious behaviour or packages and identify an appropriate person you should report them to Act as a role model in observing good practice in maintaining a secure environment. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 2.7 completed (Line Manager to sign below) 20 Print name:... Signed:... Date:...

23 Section 3. Customer Service Your work will bring you into regular contact with a range of NHSScotland staff, patients and their visitors. In addition to good practice in cleaning and health and safety, the way in which you deal with people around you can make a big difference to the service you provide. Remember that when you wear your uniform, patients and colleagues will recognise you as a member of the Domestic Services team. Acting in a professional and responsible manner will help to instil confidence into those around you. Presenting a good image of yourself, the Domestic Services team and your organisation, knowing how to communicate with different people and understanding when you should seek help are important aspects of your role. 3.1 Working with patients You will work around patients much of the time. They may ask you for help, alert you to problems, turn to you for conversation. It is important to be aware of their rights to confidentiality, privacy, religious and cultural beliefs and how these might affect the way in which you help to care for them and their environment. Here are some important capabilities that you should be able to demonstrate. You are able to: Achieved (Line Manager to initial) Present a positive image of yourself and the service Show consideration for the needs of patients when carrying out domestic services tasks Explain the importance of following NHSScotland and local policy relating to confidentiality within and outside the workplace Explain the need for sensitivity to patients who demonstrate behavior that may be caused by their illness or medicines/treatment Explain why it is important to communicate information only to those people who have the right and need to know it (consistent with legislation, policies and procedures) Explain the importance of complying with NHSScotland and local policy relating to Equality and Diversity and to the Disability Discrimination Act Demonstrate an awareness of the impact of the behavior of the Domestic Assistant/Housekeeper upon others. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 3.1 completed (Line Manager to sign below) Print name:... Signed:... Date:... 21

24 3.2 Working with colleagues NHSScotland relies upon everyone in the Domestic Services team to work together in a professional and productive manner. It is important to know what is expected of you as a Domestic Assistant and/or Housekeeper, when to seek help from your colleagues and what type of information should be passed on to those that need to know. You are able to: Achieved (Line Manager to initial) Communicate with a range of people on day-to-day matters in a form that is appropriate to them and the situation Identify and reduce barriers to effective communication Demonstrate your understanding (by providing an example) of the type of information that should be passed on to your Line Manager Accurately report and/or record work activities according to organisational procedures Show consideration for the needs of colleagues when carrying out domestic services tasks Describe the limits of the role of the Domestic Assistant/ Housekeeper by providing examples of situations for which advice or permission of Line Managers or colleagues should be sought. Do any of the above provide examples of how you can break a link in the Chain of Infection? Do any of them describe a Standard Infection Control Precaution? If so, turn to pages 24 and 25 and write them down. Section 3.2 completed (Line Manager to sign below) 22 Print name:... Signed:... Date:...

25 Chain of Infection and Standard Infection Control Precautions (SICPs) 23

26 Chain of Infection Knowledge of the Chain of Infection is central to understanding the link between cleaning and the prevention and control of infection. The Chain of Infection describes the movement of an infection from one person to another. The first link in the Chain is the germ, or the Infectious Agent. This is what causes the infection and it lives in or on the infected person. The final link in the Chain is the germ infecting another person sometimes called the Susceptible Host. This is most likely to be a patient, visitor or colleague. Whilst carrying out your duties, you will have opportunities to stop germs from moving to the next part of the Chain and stop further infection. Those steps are listed below. As you work through the core capabilities, note down below examples of how you can break the Chain of infection. If you need to, ask your Line Manager for further information about the steps in the Chain, before you assess your knowledge of them. The link in the Chain Write an example of this part of the Chain which you might come across in your work Write an example of how you can break this link in course the of your work Reservoir This is where the germs live and grow. Portal of exit This is the point at which the germs escape and become dangerous to others. Mode of transmission This is how the germs are spread to the next person. Portal of entry This is where the germs get in to infect the next person. When you have written something in all the boxes that apply to you, read through them and use the examples to describe below how you, as a member of the Domestic Services Team, can stop infections from spreading. Chain of Infection section completed (Line Manager to sign below) 24 Print name:... Signed:... Date:...

27 Standard Infection Control Precautions (SICPs) By using the range of precautions set out in the SICPs, you will be able to reduce the spread of infection. Health Protection Scotland defines the SICPs as: Use personal protective equipment; Perform hand hygiene; Prevent occupational exposure to infection; Manage blood and body fluid spillages; Manage care equipment; Control of the environment; Safely dispose of waste, including sharps; Safely manage linen; Provide care in the most appropriate place; Which of the capabilities that you have demonstrated are examples of a Standard Infection Control Precaution? Standard Infection Control Precautions Example from your own practice Perform hand hygiene Use personal protective equipment Prevent occupational exposure to infection Manage blood and body fluid spillages Manage care equipment Control of the environment Safely dispose of waste, including sharps Safely manage linen Provide care in the most appropriate place SICPs section completed (Line Manager to sign below) Print name:... Signed:... Date:... 25

28 Completion When you have completed this section your Line Manager will sign below. Print name:... Signed:... Date:... 26

29 Additional Education and Training 27

30 Other areas of Education and Training There are a number of additional capabilities you may already have or will be able to develop these are covered in training provided by your organisation (ask your Line Manager for more information). The individual capabilities are not listed here but you can demonstrate your completion of this training below. Completion of Mandatory Induction Training in Healthcare Associated Infections Description of education/training:... Education/training delivered by:... Date completed:... Completion of Fire training Description of education/training:... Education/training delivered by:... Date completed:... Completion of COSSH training Description of education/training:... Education/training delivered by:... Date completed:... Completion of training to deal with Violence and Aggression Description of education/training:... Education/training delivered by:... Date completed:... Completion of training in Manual Handling Description of education/training:... Education/training delivered by:... Date completed:... Completion of training in Elementary Food Hygiene Description of education/training:... Education/training delivered by:... Date completed:... Completion of training in other relevant areas Description of education/training:... Education/training delivered by:... Date completed:... Completion of training in other relevant areas Description of education/training:... Education/training delivered by:... Date completed:... 28

31 Additional support As you have worked through this Workbook, you may have identified areas where you feel you would benefit from additional support. These may be areas where your Line Manager has not yet assessed you as ready to be signed off as capable. Use the following table to plan and monitor this with your Line Manager. Description of capabilities to be developed further Practical steps to be taken Target date for completion Date completed Description of capabilities to be developed further Practical steps to be taken Target date for completion Date completed Description of capabilities to be developed further Practical steps to be taken Target date for completion Date completed 29

32 Continuing your development Completion of this Workbook is a demonstration of the capabilities that you currently possess. However, it is important that you continue to develop these capabilities and maintain your awareness of good cleaning practice. There are a number of ways to do this. For instance, you can: Observe the practice of an experienced colleague; Study local policies on cleaning standards; Familiarise yourself with national guidelines; Explore printed or online sources of information; Undertake courses such as the Hand Hygiene Programme, which is free to all healthcare workers in NHSScotland: The Cleanliness Champions programme is, for example, available to all NHS staff who wish to undertake specific training in healthcare-related hygiene. Your Line Manager will have more information about this. Use this space to plan and monitor further training with your Line Manager and to demonstrate your commitment to ongoing learning. Further training Practical steps to be taken Target date for completion Date completed Practical steps to be taken Target date for completion Date completed Practical steps to be taken Target date for completion Date completed 30

33 Key supporting documents The National Education and Training Framework for Domestic Services NHS Education for Scotland (2007) available online at NHSScotland Code of Practice for the Local Management of Hygiene and HAI: Scottish Executive Health Department (2004) available online at NHSScotland National Cleaning Services Specification Scottish Executive Health Department (2004) available online at A Quality Assurance Framework for the delivery of Healthcare Associated Infection Education for NHSScotland: NHS Education for Scotland in partnership with NHS Quality Improvement Scotland (2005) available online at 31

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36 NHS Education for Scotland 22 Queen Street, Edinburgh EH2 1JX 34