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SCHOOL OF HEALTH AND SCIENCE
DEPARTMENT OF NURSING, MIDWIFERY AND HEALTH STUDIES
Guidelines for Professional Behaviour in the Clinical Skills
Laboratory
Version 2:
June 2016
2
CONTENTS
1. Clinical Skills Laboratory (CSL) 3
2. Purpose of Guidelines 3
3. CSL Staff 3
4. Opening Hours 4
5. Access to CSL 4
6. Layout of the CSL 4
6.1 Wards 5
6.2. SimMan 5
6.3. Community Apartment 6
7. Skills Training 6
7.1 Compulsory Skills Sessions 6
7.2 Other Skills Sessions 6
8. Laboratory Access for Self-Directed Learning (SDL) 7
9. Dress Code 7
9.1 Dress for OSCE’s 8
10. General Behaviour 8
11. Health and Safety 10
11.1 Moving and Handling 10
11.2 Waste Disposal 10
11.2.1 Handling Sharps 11
11.3 Latex gloves and latex allergy 11
11.4 Fire Safety 12
11.5 Incidents / Accidents 12
11. Policies / Procedures / Guidelines 12
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1. Clinical Skills Laboratory (CSL)
The Clinical Skills Laboratory (CSL) makes available/ provides the opportunity for
the student to learn and safely practice clinical skills in a controlled environment,
in preparation for the administration/provision of quality care to the client. The
area is purposely designed to replicate healthcare settings or living environments
and facilitates undergraduate and postgraduate students to develop their clinical
skills.
The CSL simulates a hospital unit, equipped with 18 hospital beds, wash hand
basins, variety of life size mannequins to simulate client care situations
/scenarios (Wilford and Doyle, 2006; Mcbeth-Snyder and Welsh, 2009; Sinclair
and Ferguson, 2009; Cant & Cooper, 2010; Mariani, et al., 2015). It contains up
to date teaching and learning resources such as audiovisual equipment, scientific
charts and anatomical models, disposable and non-disposable supplies utilised
in client care.
2. Purpose of these Guidelines The guidelines contained in this document outline acceptable standards of
behaviour expected from those using facilities in the CSL. This document must
be read in conjunction with the DkIT Code of Conduct Policy document which
can be located in the DkIT Student Handbook or on https://www.dkit.ie/dundalk-
institute-technology/documents-forms/code-conduct
These guidelines have been compiled to ensure that the CSL is maintained as a
professional clinical area for your learning. Scheduling, maintenance, etiquette
and security must be adhered to by all users. This guideline is designed to act as
a guide, which provides information essential to ensuring the smooth, effective
running of the CSL whilst providing the best possible learning environment.
3. Clinical Skills Laboratory Staff Sharon Tuohy – Technical Officer 042-9370268
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4. Opening Hours The CSL is open from 9:00 am to 5:00 pm, Monday to Friday. Arranging to use
the CSL requires advance notice and is at the discretion of the Clinical Technical
Officer. Please email Sharon ([email protected]) to book the CSL.
5. Access to CSL You will gain access to the CSL via a member of the lecturing staff or the Clinical
Technical Officer.
For security/safety purposes it is imperative that under no circumstances
should you:
Enter the CSL without permission
Facilitate access of anyone not personally known to you
Leave either of the main entrance doors to the CSL propped open.
6. Layout of the CSL The CSL is situated on the first floor of the Muirhevna Building. It offers facilities
to practice and learn a wide range of nursing/midwifery skills in an environment
that is safe and conducive to learning.
The CSL consists of a number of different areas:
Six Bedded Wards (M231, M234 and M241)
Intensive Care Unit (M232)
Birthing Suite (M233)
Community Flat (M219)
Simulated Bathroom (M236)
Preparation Room (M239)
Multi-sensory room (M217)
Nurses Station / Reception Area
Some of these areas are described in more detail below
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6.1 Wards The ward areas have a total of 18 bed spaces. Each bed space is fitted with
medical air, suction control units, patient call bell and emergency call bell system.
There are also:
Mannequins on which most nursing/midwifery skills/interventions can be
practiced. They are used to demonstrate a variety of clinical skills, such as
client hygiene, measuring vital signs, injection technique, wound management
and basic life support.
A variety of equipment that can be found in the hospital setting including a
drug trolley, drug cabinet, emergency trolley, manual handling devices,
infusion pumps and client monitors e.g. ECG monitor, CPAP.
A large range of disposable equipment for demonstrating and practicing
nursing/midwifery skills.
Resuscitation equipment (used for demonstrations only) can be located in the
corridor of the CSL.
A birthing suite, fully equipped to facilitate care of the woman and/or her baby
during pregnancy, labour, birth and the puerperium.
6.2 SimMan
The CSL has one SimMan, which is located in Ward M241. SimMan is used in
the Complex Healthcare Needs module and the Emergency Care module
extensively. This mannequin is very expensive, technically complex and has
sensitive equipment attached therefore training is necessary to use him
effectively and safely. This piece of equipment should only be used by students
under the supervision of a member of the lecturing staff.
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6.3 Community Apartment (M219)
The community apartment consists of a furnished kitchen, bathroom and
living/bedroom area. It is fully equipped with cooker, washing machine, fridge,
kettle, iron and kitchen utensils. It is a multi purpose educational facility widely
used by all students in the Department of Nursing, Midwifery and Health Studies.
It can simulate the residences of clients living in the community setting. This is a
safe, non - threatening and friendly environment. One of the best ways to learn is
by discussion and debate. The apartment provides a comfortable atmosphere for
students to talk with peers and teaching staff about issues and dilemmas in client
care.
7. Skills Training Skills sessions will form part of your semester timetable and it is the responsibility
of students to ensure that they check their individual timetable and attend for the
sessions at the designated time. Students should not swap their assigned skills
session without first notifying the relevant lecturer. Students who do not attend on
the designated date and time for skills training may not be facilitated at a
subsequent session; this decision is at the lecturer’s discretion. Further
information as appropriate will be provided by your module co-ordinator.
7.1. Compulsory Skills Sessions
Some modules have a compulsory clinical skills training component and
attendance at these skill sessions is mandatory.
7.2 Other Skills Sessions In addition to the compulsory clinical skills training sessions, other modules may
contain a clinical skills component. Furthermore, these skills may also form part
of the overall module assessment e.g. an OSCE.
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8. Laboratory Access for Self-Directed Learning (SDL)
The weekly lab schedule is busy with formal teaching sessions but there are
various times during the week when the labs are available for Self-Directed
Learning.
Students who wish to use the CSL to practice their clinical skills will be
accommodated to do so by emailing the Technical Officer
([email protected]). It is the student’s responsibility to ensure that he/she
reads and adheres to the guidelines contained within this document when using
the CSL.
9. Dress Code Clinical skills sessions include activities such as Manual Handling, CPR,
Bedmaking, Bed Bathing etc. and involves working in close proximity to other
students. Therefore the recommended dress in the CSL is as follows:
Clothing: should be non-restrictive, which allows for comfort during skill
activity and consideration of modesty in respect for all participants. Hence, it
is recommended that tracksuit bottoms and a navy, crested polo T-shirt is
recommended to be worn. Crested T-shirts can be purchased at the
beginning of Semester 1 (please see [email protected] for further
details). Students in some programmes e.g. B.Sc. in General Nursing may be
required to wear their professional uniform when in the CSL.
Footwear: flat shoes must be worn at all times for clinical skills
training/demonstrations but are compulsory for manual handling, breakaway
training and CPR. Sandals, heels or open shoes must not be worn in the
CSL.
Hair: should be neatly groomed. Hair that is shoulder length or longer should
be drawn back and secured.
Fingernails: should be clean and short and the use of nail polish is
discouraged. False nails should not be worn.
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Jewellery: to mirror the accepted standard in practice the clinical skills
laboratory has adopted a bare below the elbow policy, however wedding
bands are allowed as per the clinical policy.
9.1 Dress Code for OSCE’s.
Unless otherwise instructed by your lecturer your full clinical uniform must be
worn for OSCE’s. In addition you should ensure that you have any additional
equipment that you may need to perform the required OSCE (e.g. watch with
second hand, sphygmomanometer). Students are advised to seek further
advice/guidance on OSCE’s from their lecturing staff.
10. General Behaviour 10.1 You must follow the instructions of your lecturer/demonstrator during
laboratory periods. Your lecturer/demonstrator will ask you to leave the
laboratory if you are behaving in a manner that compromises the safety or
learning of yourself or others.
10.2 You must arrive on time for laboratory classes. These classes may begin
with an explanatory lecture and practical demonstration or skills training. If you
are late for mandatory sessions were a certificate of attendance is issued, your
lecturer will not allow you to join the class. if there are safety implications.
Where you are allowed to join the class late this will be documented in your
attendance records.
10.3 Please keep noise to a minimum during SDL sessions so as not to disturb
other teaching /SDL sessions that may also be occurring at the same time.
Failure to do this may result in expulsion from the lab.
10.4 Students who are suspected to be under the influence of alcohol or drugs
will be asked to leave the Clinical Skills Laboratory.
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10.5 All mobile phones must be turned off on entering the CSL to prevent
interruption /distraction during classes.
10.6 Students must familiarise themselves with fire exits and ensure that all exits
remain free of clutter at all times.
10.7 No bags are allowed in the CSL area - prior to commencing class all bags
should be stored in the appropriate changing room. M225 is the female changing
room and M202 is the male changing room. For your own security valuables
should not be left in these changing areas.
10.8 Eating, drinking and chewing gum are prohibited in any area of the CSL.
10.9 To avoid slips, trips and falls please ensure that all spillages are cleaned
up immediately and the area dried or marked with a safety cone.
10.10 Please dispose of litter or waste in the appropriate white bins provided.
10.11 Do not experiment with equipment or resources without the approval or
supervision of a lecturer or Technical Officer.
10.12 Learning nursing/midwifery skills incorporates effective planning and
preparation of the area therefore all equipment should be returned to its exact
place. Please treat the furniture and equipment with care.
10.13 Please inform a member of staff or the Technical Officer about any
breakages or damage to equipment.
10.14 Always wash your hands before entering and when leaving the CSL.
10.15 Please leave all areas tidy after use, including returning all chairs
/equipment to their original location.
You are required to behave professionally at all times in the CSL.
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11. Health and Safety
The Safety, Health and Welfare at Work Act 2005 states that persons within an
institution (such as DkiT) should not be exposed to any potential risks to their
safety and health. This health and safety legislation will be adhered to during the
teaching of all nursing skills. Please refer to the School of Health and Science
Safety Statement and Safe Work Practice Procedures for detailed information on
safety and health issues located at the nurses’ station / reception area.
11.1 Moving and Handling
Please mind your back at all times and remember to use the moving and
handling skills taught during your training. Where possible incorporate a no lifting
approach to all your activities and use trolleys to move equipment rather than
carrying it. Do not move or handle equipment if you have not completed the
moving and handling study day. For further information about moving and
handling in the CSL and the School of Health and Science please refer to the
manual handling safe work practice procedures located at the nurses station /
reception area.
11.2 Waste Disposal Correct waste disposal is of vital importance in the Clinical Skills labs. The types
of waste that are generated in the labs include sharps waste, other clinical waste
and general waste, each of which must be disposed of correctly at source. The
white bins should be used for all household and general waste (non-risk waste).
There are yellow bins in the clinical skills laboratory for clinical waste (risk waste)
only. Therefore, only clinical waste should go into the yellow bins.
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11.2.1 Handling Sharps
Please adhere to standard precautions when handling needles, syringes, lancets,
scalpels, stitch cutters or anything else that may break the skin. Use the
universal sharps disposal container provided to dispose of these items
immediately after use and ensure these containers are closed after use.
Sharps must not be carried or handled unnecessarily. For further information
about sharps injury in the CSL please refer to the ‘Needle Stick Injury’ safe
work practice procedures located at the nurse’s station / reception area.
11.3 Latex Gloves and Latex Allergy
For some skills it will be necessary to wear protective gloves. If you are aware
that you have an allergy to latex, powder free gloves are available in the CSL.
Student must report any pre-existing allergy to the relevant member of the
lecturing staff or the Technical Officer.
Do not under any circumstances put on latex gloves if you have had any
reaction to the wearing of latex gloves or a latex reaction previously.
Should a student have a reaction to latex while in the lab this must be reported to
both the Technical Officer & the Head of Department as a referral to
Occupational Health Department, Kells Road, Ardee no: 041 6857811 is
required.
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11.4 Fire Safety
On discovering a fire or smell of smoke raise the alarm by activating the nearest
fire alarm and notifying a staff member – never attempt to put out the fire
yourself. On hearing the fire alarm, immediately evacuate the building by the
nearest exit and make your way to the nearby assembly point F. Do not use the
lift or stop to collect bags and coats. Co-operate with fire wardens and do not re-
enter the building until told it is safe to do so. In line with current legislation,
smoking is not permitted anywhere in the clinical skills laboratory.
11.5 Incidents / Accidents
All incidents, accidents or near misses in the CSL must be reported to the
Technical Officer. A list of First Aid personnel and the location of the nearest first
aid box are available on each floor. Also the relevant member of staff must
complete an incident/accident form at time of the incident / accident. Please see
attached for the new Incident/Accident report form
https://www.dkit.ie/system/files/ACCIDENT%20INCIDENT%20REPORT%20FORM_0.pdf
12. Policies / procedures / guidelines
Copies of all of the policies, procedures and guidelines mentioned in this
document are located by the nurses’ station / reception area in the CSL. They
are for reference only and should not be removed from the CSL.
Local clinical policies, procedures and guidelines are also available for
reference purpose; these are also located beside the nurses’ station / reception
area in the CSL.
Thanking you for your co-operation.
April 2016
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References
Cant, R. P. and Cooper, S. J. (2010), Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, 66 (1), pp. 3–15. doi: 10.1111/j.1365-2648.2009.05240.x
Ireland, The Safety Health and Welfare at Work Act 2005. Dublin
Mariani, B., Cantrell, M. A., Meakim, C., & Jenkinson, A. (2015). Improving Students' Safety Practice Behaviors Through a Simulation-Based Learning Experience. Journal of Nursing Education, 54(3, Suppl), S35.
Mcbeth-Snyder, L. and Welsh, M. (2009) Using Simulation to Increase Patient safety a model for Midwifery Education and Practice. presented at the 10th annual interdisciplinary research conference 5th November 2009.Trinity College Dublin.
Sinclair, B. and Ferguson, K. (2009) Integrating simulated teaching/learning strategies in undergraduate nursing education. International Journal of Nursing Education Scholarship. 6 (1), (online) pp. 1548-923X, DOI: 10.2202/1548-923X.1676
Wilford, A. and Doyle, T.J. (2006) Integrating simulation training into the nursing curriculum. British Journal of Nursing. 11;15 (17), pp. 926-30.
Compiled by: Sharon Tuohy and Ann Everitt - Reynolds
Review date: June 2018.