TENNYSON

CENTRE
DAY
HOSPITAL
STAFF
ORIENTATION
PACKAGE

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

INDEX OF ORIENTATION PACKAGE

WELCOME pg 2
ORGANISATIONAL CHART pg 3
OUR VALUES pg 4
TCDH OBJECTIVES pg 4
FACILITY BACKGROUND & INFORMATION pg 5
GOVERNANCE pg 5
CONDITIONS OF EMPLOYMENT pg 5
PROBATIONARY PERIOD pg 5
CLINICAL STAFF REGISTRATION pg 5
STAFF APPRAISAL pg 5
ANNUAL LEAVE pg 6
SICK LEAVE pg 6
CHANGE OF ADDRESS pg 6
RESIGNATION pg 6
SALARY pg 6
PAY SLIPS pg 6
SUPERANNUATION pg 6
PAY QUERIES pg 6
TAX DECLARATION FORMS pg 7
CLOCK ON pg 7
ROSTERS pg 7
REQUEST FOR CHANGE OF SHIFT pg 7
HOURS OF DUTY pg 7
PUNCTUALITY pg 7
INABILITY TO COMPLETE A SHIFT pg 7
ILLNESS OR INJURY ON DUTY pg 7
UNIFORMS pg 7
NAME BADGE pg 8
STAFF COMMUNICATION pg 8
MESSAGE MEDIA APP pg 8
MEALS pg 8
SMOKING pg 8
ALCOHOL AND ILLICIT DURG USE pg 8
PARKING pg 8
SECURITY pg 8
TELEPHONE SYSTEM pg 8/9
PERSONAL MOBILE PHONES pg 9
COMPUTER SYSTEMS pg 9
COMMS ROOM pg 9
STAFF TRAINING pg 9
MANDATORY TRAINING pg 9/10
CONTINUING EDUCATION pg 10
POLICY & PROCEDURE MANUALS pg 10
MEETING STRUCTURE pg 10
ACCREDITATION pg 10
NATIONAL STANDARDS pg 11
CONFIDENTIAL INFORMATION pg 11
MEDICAL RECORDS pg 11
PRESS RELEASES pg 11
RISK MANAGEMENT / INCIDENT REPORTS pg 11
EMERGENCY EQUIPMENT pg 12
EMERGENCY PROCEDURES pg 12/13
FIRE pg 13
ELECTRICAL SAFETY pg 13
FINAL WORD pg 13/14

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

WELCOME TO THE TENNYSON CENTRE DAY HOSPITAL

This Staff Handbook is part of our orientation package. It has been created to assist new staff members
in understanding and finding your way around during your first few weeks in the facility. You will be
shown around the unit on your first day, with a major focus on the area you will be working in. It will be
useful for you to mark each item as it is covered in this guide. It is recommended that you use a
notebook to record information and any questions that you may have.

The Tennyson Centre Day Hospital (TCDH) opened in June 2009 and is a purpose-built day surgery
facility, committed to the promotion of safe, cost effective, same day surgery and treatments. Our aim is
to provide an excellent standard of patient care that is clinically competent, up to date, safe, considerate,
efficient and effective. The TCDH forms part of the Nexus Hospital group, referred to as Nexus.

In keeping with provision of optimal patient outcomes, TCDH staff are experienced professionals who
are committed to providing the very best nursing care in a friendly, relaxed atmosphere. A culture of
support, enthusiasm and commitment is of high importance, while job satisfaction, high morale and
motivation are seen as major employee considerations. The leadership team of TCDH believe in making
the environment conducive to the development of staff to their full potential.

Leadership Team

General Manager/Director of Nursing Lee-Anne Crew

Quality Manager Ann Phillips

Clinical Manager Olivia Schipper

Administration Manager

Clinical Nurse - Endoscopy/Urology Proc Room

Clinical Nurse – Theatre

Floor Co-Ordinator

Contact Numbers for the Centre are:

Work Mobile Phone: 0411 867 344

Phone: 8292 2331

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

TCDH ORGANISATIONAL STRUCTURE

TCDH Local TCDH Local General

Medical Advisory Board Manager/Director
Committee of Nursing

Quality Manager
Administration
Manager

Clinical Managers
Administration
Staff

Clinical Nurses

CSSD/PSA Stores Person Nursing Staff

O
OUR VALUES

Nexus and Tennyson Centre Day Hospital Values are:

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

TCDH OBJECTIVES
In order to achieve our values, Tennyson Centre Day Hospital strives to:
 Provide a safe environment for patients, staff and public in accordance with Australian Standards.
 Deliver care without prejudice and with respect for patients’ privacy, dignity, rights and beliefs.
 Participate in maintaining a Quality Improvement Program and to meet requirements of ISO 9001
Accreditation.
 Ensure services meet all relevant professional and legislative standards and requirements.
 Provide an effective corporate vehicle for medical and nursing staff to optimise patient outcomes.
 Be truly responsive to medical staff’s needs and concerns.
 Foster peer group interaction in a warm, caring and professional environment.
 Support the development of new techniques.
 Provide state of the art theatre and medical equipment.
 Encourage research projects within the facility.
 Continue to grow and develop as an ethical corporate citizen within the health industry.
 Operate a commercially responsible and sound business.

FACILTY BACKGROUND & INFORMATION

1. Tennyson Centre Day Hospital is part of the Nexus Hospital Group, which has 16 hospitals
nationally. The Support Office is based in Sydney and provided many Clinical Governance and
cooperate functions
2. The TCDH is a licensed Day Procedure Centre. The license is for 11 recovery beds and 11
recliner chairs.

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

3. The major areas of surgery we perform in our theatres are Ophthalmology, Oral surgery, Pain
Management, Plastic Surgery, Medical Oncology and Urology. Two Endoscopy Procedure
Rooms provide a comprehensive Gastroenterology service and a Urology Procedure Room
provides minor unsedated procedures to Urological patients. We also perform Infusional
treatments for GI diseases in Stage 2 recliners.
4. TCDH provides services to patients in the wider community with private health insurance, the
ability to pay for their treatment or those who are covered by Third Party, Work cover or the
Department of Veteran Affairs.
5. Should any patient become acutely ill or deteriorate whilst at TCDH they will be transferred to an
external overnight facility via ambulance. If the Medical Officer has admitting rights to an external
hospital, and request the patient transfer there, it is the Medical Officers responsibility to arrange
handover – communication of the patients care to that hospital and notify nursing staff to facilitate
the transfer.

GOVERNANCE
TCDH’s highest level of governance is the TCDH Board. Board meetings are held twice a year and as
required. Attendees are Nexus Executive Directors, Nexus CFO, Nexus COO, Regional General
Manager, Chief Medical Officer, TCDH GM/DON & TCDH Administration Manager. This is guided by
Bylaws. The TCDH Medical Advisory Committee works very closely with the Board and at an operational
level, the Management Review Committee is comprised of all members of the management team
highlighted on page 2 of this document.

CONDITIONS OF EMPLOYMENT
Nursing staff are employed under the Nurses Award 2010 (Commonwealth).
Administration staff and Sterilisation Technicians are employed under the Health Professional and
Support Services Award 2010 (Commonwealth)

PROBATION PERIOD
All staff permanently employed by TCDH are employed with the condition of a 6-month probationary
period. At the completion of the probationary period, you will be asked to complete an appraisal. A
probationary period does not apply to casual staff members.

CLINICAL STAFF REGISTRATION

All Registered and Enrolled Nurses are required to provide to the GM/DON, their current registration for
sighting and a photocopying on commencement of employment, along with this, each yearly renewal
certificates must be produced for photocopying when due. This is a legal requirement.

STAFF APPRAISALS
Staff Appraisals are carried out following the completion of the probationary period and there after
annually. The Staff Appraisal is an invaluable tool to regularly review an employee’s performance. It is
an important part of the establishment’s responsibility to their staff and should be seen as a continuous,
routine process. Staff members will be advised as to which member of the Leadership team will be
conducting their appraisal at the beginning of each year. This is determined by the skills the staff
member has, where they have been employed to work and the Manager or Clinical Nurse with the
corresponding responsibility for that area. The allocation of the Manager or Clinical Nurse and month the
appraisal is due will be available in the tea room. Staff are asked to take responsibility for approaching
their allocated Manager or Clinical Nurse for the appraisal document, leading up to the due month for the
appraisal. There will also be a reminder email sent to staff via email from the riskclear platform.

ANNUAL LEAVE
Annual leave necessitates planning and approval in advance. Permanent staff are eligible for five (5)
weeks leave with salary which is accrued in one (1) year for full time staff. Two weeks may be taken after
completion of six month’s employment. A minimum of one months’ notice is required for annual leave
approval. Annual leave will be approved based on facility activity and the number of staff requesting
leave at the time. Casual staff do not qualify for Annual leave. If casual staff are unavailable to work as

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

they are planning a holiday, we request as much notice as is practical so planning with rosters can
occur.

If you are a permanent employee, please do not make/finalise travel arrangements until your
leave has been confirmed with the GM/DON or Clinical Manager.

The Tennyson centre Day Hospital shuts for a nominated time during the Christmas period annually.
Employees are asked to take annual leave during this time – exemptions are allowed for in the case of
no annual leave hours available.

SICK LEAVE
Permanent, full-time staff are eligible for 12 days sick leave per year. If absent from work, on account of
illness, the Clinical Manager or Administration Manager (depending on reporting lines) must be informed
via a phone call on the TCDH work mobile (do not text) as soon as possible, so relief can be arranged
prior to the commencement of your shift. If absent for more than two (2) consecutive days, a Medical
Certificate is always required. If sick leave taken on a Monday or Friday, prior or post leave or a long
weekend staff are encouraged to obtain a medical certificate whenever the opportunity arises and may
be asked for one at the discretion of the GM/DON. Casual staff do not qualify for sick leave.

CHANGE OF ADDRESS
If you change your name, address and/or contact telephone numbers, you will need to advise us by
documenting these changes on an “Employee Details Form” and giving it to the GM/DON, ADON or a
Clinical Manager.

RESIGNATION
Written notice as stated in your contract, must be given by means of a formal letter to the GM/DON. If
possible, a longer period of notice is desirable than the minimum, to plan for a replacement. At the
employees request a “Statement of Service” can be provided, setting out the period of employment and
the capacity in which the employee was engaged.

SALARY
Wages are paid fortnightly on Thursdays into a nominated bank account. The pay office is situated at
Nexus Hospital Adelaide Head Office. All wages are paid in accordance with the relevant awards.

PAY SLIPS
Pay slips are issued fortnightly and only available via email. It is a requirement that employees nominate
an email address when commencing employment in order to receive a payslip. Your payslip will be
password protected. Please see your Clinical Manager for further detail.

SUPERANNUATION
The superannuation increment is paid for all employees as per Government requirements. Additional
contributions may be made after completion of the appropriate forms and given to the GM/DON or
Clinical Manager, who will forward to pay roll staff. All superannuation is paid into HESTA superfund
unless a recognised and accessible alternative Super fund has been organised via the pay office. Please
note that Super funds available to public sector employees (Super SA) are not accessible in any private
sector facility.

PAY QUERIES
Any queries concerning salary are to be discussed with the Clinical Manager in the first instance. Pay
Office will be contacted if queries cannot be resolved or a wages payment adjustment is required.
6
TAX DECLARATION FORM
As required by law, tax is deducted from all taxable wages. An Income Tax Instalment Declaration Form
is required so that the employee can take advantage of the dependant rebate and the general
exemption. These forms are available from the GM/DON, ADON or Clinical Manager and are in the
Employment Pack. Change in Tax details forms are available – please see Clinical Manager.

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

CLOCK-ON
Clock on is an electronic rostering and timesheet platform which calculates your wages. At the
commencement of your employment the Clinical Manager will invite you via an email to set up the clock
on go app and will also register your fingerprint to access the Clock on scanner. It is the staff member’s
responsibility to scan their fingerprint at the beginning and end of each shift. Please complete the
variation sheet if your actual shift is different to what is rostered.

ROSTERS
Rosters are completed two to four weeks in advance. Requests for certain days off can be lodged via the
app. A message will be sent from the clock on app notifying staff when requested are due by and when
the roster has been completed and published. Once the roster has been published any variation or
change in shifts must be submitted for approval via the change of shift form available in the roster folder.

REQUEST FOR CHANGE OF SHIFT

A change of shift form is available and is required to be completed and submitted for approval by
GM/DON, ADON, Clinical Manager or Administration Manager. Staff may swap shifts with other staff but
these changes must be made with others of the same skill set or qualification level. Swapping shifts must
be done in mutual agreement between the 2 individuals and be in the same roster time period.
Do not assume the change of shift has been approved, until it has been signed, copied and returned to
you by the GM/DON, ADON, Clinical Manager or Administration Manager.

Casual staff - please ensure your manager is aware of your availability as it is known so preparation of a
roster can be attended to. If you are going to be unavailable for a period of time, please ensure a
member of the management team is aware of this timeframe.

HOURS OF DUTY
As designated by the GM/DON, ADON, Clinical Manager or Administration Manager, depending on who
you report to.

PUNCTUALITY
It is essential that all staff are punctual in commencing work due to patient care requirements and in
respect for your colleagues. Shift start times are indicated on the roster/clock on app. Please contact the
Clinical Manager / Administration Manager if you are going to be late via a telephone call on the TCDH
work mobile. Do not text.

INABILITY TO COMPLETE A SHIFT DUE TO ILLNESS OR INJURY

If unwell when at work, please report to the GM/DON, ADON, Clinical Manager or Administration
Manager.
If you sustain an injury on duty please get help immediately & report to a member of the management
team.
The GM/DON will be notified and will determine what action, should be taken, which could include
first aid &/or review by a doctor. An Incident/Accident Form or Riskclear/IIIR must be completed, before
going off duty wherever possible. Management after the event will depend on the injury and associated
recommended treatment if any and the GM/DON will assist in facilitating treatment whenever required.

UNIFORMS
Clinical staff are required to wear theatre attire. This is provided and available in staff change rooms.
Staff must wear appropriate footwear relating to their area of work. Appropriate enclosed theatre shoes
and shoe covers must be worn in theatres. Jewellery is to be removed and false fingernails and nail
polish is not allowed as per Hand Hygiene standards, when working in the clinical area.
Administration staff are to adhere to a dress code that provides a corporate/office image.

7
NAME BADGES
Name badges – including photo ID will be organised on induction and must be worn at all times or have
available on them to produce if asked.

STAFF COMMUNICATION

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Staff meetings are routinely held monthly depending on activity. At time these may be done on an ad hoc
basis. The main method of communication is a read and sign of the minutes available in the tea room,
they are kept on the computer shared drive for staff to access and a message will also be sent via the
message media app to alert staff that they are available. Other ways of communicating are via memo’s,
flyers, posters, communication books, text messages, messages via message media app and notices.

MESSAGE MEDIA APP

On commencement of Employment staff are enrolled onto the Message media platform. This enables
group communication o be sent out to staff – inclusive or requirements to fill shifts.

MEALS
Staff room facilities are available, and must be kept clean. Tea, coffee and biscuits are provided for staff.
It is staff’s responsibility to provide their own meals. The onsite café is available to staff. If you feel you
are unable to take a break due to clinical activity, you must contact the Team Leader, Clinical Manager
or Clinical Nurse as soon as possible. They will assess and adjust the staffing plan in an attempt to
ensure a break can be taken. You must never work through your break without prior discussion with a
manager as it can be dangerous for you and has potential to impact on the overall staffing plan for the
day.

SMOKING
This Centre is a non-smoking zone. Patients, Visitors and Staff are not permitted to smoke in the Centre.
Staff wishing to leave the building during their break time must change out of scrubs prior to doing so.

ALCOHOL and ILLICIT DRUG USE

The consumption of alcohol or illicit drugs, while on duty, or reporting for duty under the influence, will
result in instant dismissal.

PARKING
Car Parking for the complex is available to all visitors, tenants and staff free of charge. Staff parking is
restricted to the rear car park. Do not park in spaces reserved for patients, visitors, couriers or in the
disabled car parks.

SECURITY
The facility is locked outside of operating hours by computer access control. The doors to the overall
complex are released at a pre specified time. Authorised staff can gain access via security cards but you
will find that the Day Surgery is always open by the time nursing staff are due to arrive as the clerical
staff arrive early to admit patients.

Staff members are responsible for their personal property. Consequently, TCDH accepts no
responsibility for the loss or damage to property or valuables of any member of staff. Lockers with keys
have been provided in the change rooms for staff, at times these may need to be shared. Personal items
are to be left in lockers and not bought into the working area.

TELEPHONE SYSTEM
The digital phone system has various phones situated throughout the facility. All staff must be aware of
how to use the phone system and how to transfer calls. An internal phone directory is located in
recovery.
In answering the telephone, kindly announce “Tennyson Centre Day Hospital” and identify yourself, eg.,
“Anne Smith speaking”. Please try to answer all calls promptly. To make an outside call – press 0 and
then the required number.

8
The clerical staff “night switch” the phone system when they leave, which defaults to the Nurse Station
phone. Once the facility closes, callers hear the after hours recording and have the ability to leave a
message for the morning. The clerical staff will switch the phone over on their arrival the next day.

PERSONAL MOBILE PHONES & OTHER IT DEVICES (smart watches)

Mobile phones are not permitted to be on staff members when they are working with the exception
of the management team.

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Mobile phones are regarded as a distraction in the work environment and not necessary for staff to
perform their employment functions.
Family members may contact staff in appropriate circumstances via the front reception and staff may
make calls to family members in appropriate circumstances via a land line. We rely on staff to use their
common sense in relation to advising significant others as to what constitutes the need to be contacted
whilst working.
If this is unclear or becomes inappropriate, the GM/DON, ADON, Clinical Manager or Admin Manager
will speak to the staff member concerned.
You may use your mobile/smart watch on your break if you wish. You will be asked to sign a policy
relating to matters concerning Information Technology when you start and by signing, this indicates that
you agree to be compliant with this instruction on all occasions.

COMPUTER SYSTEMS
Information stored on computers is personally and commercially confidential and is not for general use or
access.
Computer access requires a security password which are allocated to authorised personnel only and
must be protected to ensure unauthorised access does not occur.
All programs and systems are the intellectual property of TCDH and are not transferable without
permission. Staff may use the internet to search for work related information.
The use of Facebook or any other social media platforms are not permitted during clinical hours. As per
the Information Technology Policy, staff are asked not to refer to the facility or “work” on Facebook or
any other social media platform, given that friends are aware of where they work.

COMMS ROOM
The communications room is located in reception. This room contains the computer server, the nurse
call bell system, the air conditioning control. Only authorised personnel are allowed access to this room.

STAFF TRAINING
You will be required to attended scheduled training and in-services. This may be in the form a
presentation, readings, worksheet, quiz or on-line training via education platforms. This is your own
professional responsibility and a requirement under your terms of employment.
An education calendar will be available in the staff team room at the beginning of each year with a focus
month.

MANDATORY TRAINING
The facility uses the Riskclear Risk Management Program to keep track of Mandatory training
requirements for each staff member. You will receive an email message when your training is due. It is a
legal requirement that all nursing staff must complete the following annual mandatory training –
Emergency Procedures, Basic Life Support, Manual Handling, Medication Management, ANTT, National
Standards, Hand Hygiene, various other Infection Control training or any other training as advised by the
GM/DON, ADON or Clinical Manager. Those nursing staff who perform Endoscopy must complete the
GENCA on line Endoscopy training annually. Open Disclosure and Blood Safe are also required to be
completed on orientation.

All CSSD staff must complete the following annual mandatory training – Emergency Procedures, Manual
Handling, National Standards, Hand Hygiene, various Infection Control training including Halyard
Modules and the QLD Health on line Endoscopy training. The GM/DON will advise of any ad hoc or
additional training as it arises.

All clerical or other non-clerical staff must complete annual mandatory training of Emergency Procedures
and Manual Handling.
9
Staff will be made aware of when sessions will be held and on line or self-directed learning requirements
need to be completed promptly. As per the Staff Appraisal section, all staff will complete and have an
annual performance appraisal with a manager. You will be advised of when this process is due.

If you have completed any of these updates at another place of employment you may show evidence
and provide a copy of the training certificate.

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

CONTINUING EDUCATION
Inservice education is scheduled as required with external providers for example, medical
representatives. In line with the principles of adult learning, staff are responsible for their own education
and CPD points. Staff are encouraged to attend external seminars/conferences for personal professional
development.
Please refer to the Staff Development policy in the HR Manual for instructions on how to request
assistance. Requests will be considered relating to the relevance to the work area, previous support
given to individuals and the number of staff wishing to attend.

Input to the planning of the facilities in-house education program is invited from all staff. You are
responsible to maintain competency in your field of expertise through self development endeavours and
on-going education activities to update both your knowledge and skills.

POLICY AND PROCEDURE MANUALS

Tennyson Centre Day Hospital has a set of policy and procedure manuals and it is expected that staff
abide by them. Hard copies can be found in the Clinical Managers office. Electronic copies can be found
on the Share drive on each computer.
The GM/DON/ADON/Clinical Manager is responsible for the document control process surrounding
manuals and work instructions. Staff may not insert documents into the manuals or bring
instructions/guidelines/manuals etc into the workplace as it breaches the document control policy. If you
feel you have information that could be helpful in the workplace, then please see the GM/DON, ADON,
Clinical Manager or Admin manager to discuss in the first instance, so if used, it can be document
controlled.
Policies and procedures are seen as a work in progress and staff are encouraged or may be asked to
comment or review them, in relation to their particular area of expertise. Again, updates are made via the
GM/DON in order to maintain a master, controlled set of documents.

It is each staff member’s responsibility to familiarise themselves with the contents of these
manuals. Failure to follow these guidelines can impact on patient and staff safety.

MEETING STRUCTURE
The following meetings are held on a regular basis: -
 Board meetings
 Medical Advisory Committee meetings
 Management Review Meetings
 Staff meetings
 Administration meetings
There are department representatives on all of these Committees and all staff are encouraged to have
input into them via those representatives. This creates the opportunity for staff to provide constructive
input into the management of the facility.

ACCREDITATION
Accreditation is a voluntary program that showcases the facility, its achievements and activities at
incremental periods. It signifies a Standard of Excellence. Tennyson is enrolled in the ISO 9001
Accreditation Program and the NSQHSS Assessment which reviews all services of our facility.
Processes and systems are examined as part of the accreditation process and provided the facility
complies with the Standards, accreditation is gained and maintained.

The overall accreditation results, to a large extent, depends on the activities of all staff and their
complete involvement in the quality of the services provided.
10

NATIONAL STANDARDS ON QUALITY & SAFTEY

The Australian Commission on Quality & Safety in Healthcare has developed 8 National Standards that
all hospitals in Australia must be compliant against. The 8 standards are as follows:
 Clinical Governance Standard
 Partnering with Consumers Standard
 Preventing & Controlling Healthcare-Associated Infection Standard
 Medication Safety Standard

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

 Comprehensive Care Standard

 Communicating for Safety Standard
 Blood Management Standard
 Recognising and Responding to Acute Deterioration Standard
All staff will be educated and advised of their obligations regarding the 8 standards by the Leadership
team. We ask that you are committed and focused on your responsibilities in an order that the TCDH
complies with all standards.

CONFIDENTIAL INFORMATION
All patients admitted to the facility are treated confidentially and information in a patient’s record
is also confidential. You will be asked to sign a policy relating to confidentiality when you start and by
signing, this indicates that you agree to be compliant with this instruction on all occasions.
Any discussion in relation to a patient, should only take place between the nursing, medical and
paramedical personnel actually involved in caring for that patient. No information, regarding that patient
should be available to any other person without that patient’s consent. Talking of one patient in front of
another patient, is a breach of the Privacy Act and will not be tolerated.
Staff confidentiality is also to be maintained at all times, staff phone numbers are not to be given out to
anyone without their consent, rosters are not to be copied or shared. No information relating to staff
roster or shifts is to be shared with any external parties.
The business systems and process of the facility are deemed as commercial in confidence and are not
to be discussed externally to the organisation.

MEDICAL RECORDS
All Medical records are stored in accordance with the privacy act in the medical records room located in
reception. Medical records are legal documents containing confidential information that must be stored
and protected from unauthorised access.
Requests by any persons to gain access to records must be reviewed and approved by the GM/DON or
the Administration Manager. No staff member has the authority or right to disclose confidential
information regarding patients.

PRESS RELEASES
No one on any occasion may release information about TCDH or a patient via the press/news/social
media platforms. Any requests for information must be directed to the GM/DON who will discuss with
Nexus Executives.

RISK MANAGEMENT / INCIDENT REPORTS

TCDH has a risk management electronic program called Riskclear which ensures risk assessments are
undertaken to minimise risks, incidents and accidents from occurring. Staff are required to report any
risks/incident/near misses to identify and assist in the prevention of clinical and operational incidents.

Reporting is an essential part of the risk management program and staff are required to report all
incidents as soon as possible regardless of how insignificant the incident or identified risk may appear.
All near misses and incidents should be reported and an Incident, Issue and Improvement Request (IIIR)
must be completed and the GM/DON, ADON, Clinical Manager or Admin Manager must be notified. The
incident reporting policy is located in the OH & S manual.

All complaints relating to the facility are also to be bought to the attention of the GM/DON, ADON,
Clinical Manager or the Administration manager
11
When entering an incident into riskclear can you please make sure there is enough
details as per below for example. If at the time it cannot all be entered please let a
manager know and complete at a later stage.
If you require assistance with risckclear please speak with a manager who will be happy
to sit down and go through it with you.
Description, following incident
/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Patients Procedure
Patients PMHx,
Observations on admission
What the incidents was and what actually occurred
Observations during event and observations on discharge (including pain score, tolerated food/fluids,
any follow up required)
If patient had been reviewed by Dr or Anaes and any order that were to be followed. (Eg: ECG
medication orders, IV fluids)

Outcome: Examples
Patient transferred
Patient discharged and with who
Patient discharged following review by Dr/Anaes
Appointments/referrals/ Follow up made

Prevention: Examples
Following procedure/policy
Unforeseen
Communication
Documentation

12

EMERGENCY EQUIPMENT
 An emergency trolley is located in Recovery (stage 1) inclusive of an Automatic External
Defibrillator. Please acquaint yourself with its contents
 Emergency airway equipment can be found in each Procedure Room and Theatre
 A Malignant Hyperthermia box is located in theatre 1

EMERGENCY PROCEDURES – Emergency Telephone Number 000

Emergency procedure flip charts are available by each phone within the facility. Please familiarise
yourself with these.

 Evacuation

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

 Fire
 Internal Emergency
 Bomb Threat
 Medical Emergency
 Personal Threat

FIRE
Floor plans showing all exits, fire hoses and extinguishers, fire doors, etc., are located throughout the
work area. You have a responsibility to ascertain the location of fire-fighting equipment in the area in
which you work. An awareness of the equipment and its location could greatly reduce the chance of
injury, in the event of a fire. Members of the Management team have been trained as fire wardens and
they will orientate new staff in this regard. An Emergency Procedure Manual can be located in Recovery.
Please review the Manual. You will be asked to complete “on-line” Emergency Procedures Training”
inclusive of Fire Training annually via Metro Fire Link. Managers and staff will assist you in this process.

On Detection of a Fire.
In Summary: -
 Your actions, within the first four (4) minutes, are vital.
 Do not panic or shout.
 Remove patients from immediate danger.
 Alert nearby staff, call the Fire Brigade and
 Confine fire and smoke.
 Extinguish or control fire, but DO NOT TAKE UNNECESSARY RISKS.

If Fire is Suspected.
Investigate any smell of burning or suspicious odour. Alert others in the immediate vicinity and report to
the GM/DON, ADON, Clinical Manager or Administration Manager immediately.

ELECTRICAL SAFETY
The complex has a backup generator. All essential equipment must be plugged into a red power point to
ensure ongoing electrical supply in the event of a power failure. Electrical equipment is tagged and
tested annually by a biomedical contractor.
Any electrical equipment that is faulty, damaged or suspected dangerous must immediately be removed
from the work area and reported to the GM/DON, ADON or Clinical Manager.

13

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Thank you for taking the time to read this orientation package to become familiar with
us.
We hope it will not be long before you are at ease and feel part of the wonderful team
here at Tennyson Centre Day Hospital.
Remember that all staff are available to assist you to settling in and to answer any
questions you may have.
Please keep this orientation package in a safe place for future reference.

Please feel free to talk to the management team about any queries or ideas you have
which may improve the environment here at TCDH. We continue to striving and build a
place where Staff, Doctors and Patients feel safe and welcome.

We hope you enjoy being here and we look forward to working with you .

14

Name: Position:

New Employee Checklist Date Sign on completion

Employment Contract X2
Job Description X2
Tax Declaration
HESTA Superannuation Booklet (non-members)

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Employee Contact & Bank Details

FWA–National Employment Standards Flyer X2
Casuals x 3
Copy of Practicing Certificate (if applicable)
Orientation Package/Facility Information
Orientation Checklist (to be completed &
returned)
Signed Policies HR 18 & 20
Staff Immunisation records – including COVID
vaccination – workforce immunisation sheet
Information sheet on Infection Control Work
Health
Employee hand book acknowledgement
Nexus IT security
Pre-Health Assement

General Checklist Date Sign on completion

Reminder of “The Tennyson Way” & Above and
Below the line concept
Tour of Tenancy
Introduction of other staff
Location of Policy & Procedures and Manuals,
(Quality Systems Manual, Infection Control Manual,
WHS Manual, HR Manual, Clinical Manuals,
Corporate Manual & Nexus Group Policies)
Shared drive / Hard copy
Roster Folder, Request & Clock On App
Stores person introduction & role
Incident / Hazard Reporting / Riskclear (IIIR)
Please refer to training guide
Emergency Transfers /Policy TCDH – CM-
R17v8

Security Checklist Date Sign on completion

Master Keys & Alarm System
After hours intercom
Opening & Closing Routine
Staff Lockers & management (keys etc)
Care of own belongings

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Access after hours

Swipe card & remote control for carpark gate

Communications & Records Checklist Date Sign on completion

Telephone System / SIMDAY / Dox
After hours/Mobile phone number
Nurse Call System
Cardiac Arrest / Emergency Assistance Buttons
Computers
Patient Registers in work areas
Medical Records & Forms
Photocopier, Fax & Printer
Access to front reception (non clerical staff)

Fire Safety & Emergency Checklist Date Sign on completion

Fire Safety Equipment – extinguishers, break
glass alarm, hose reels
Location of smoke detectors & Emergency lights
Emergency Procedures Flip Charts & Locations
Emergency Plan location
Emergency Wall plan & WIP Phone locations
Identify fire doors & Emergency exits
Current Fire Wardens
Metro Fire Link on line training

Medical Gasses & Generator Date Sign on completion

Medical Gasses Alarm System Panel
Discuss action required when gas alarm sounds
Tour of gas store room /USB education Core Gas
Advise - Backup Generator
Identify & discuss UPS power points
Reset Power Switches & Body Protected Areas

Clerical Checklist Date Sign on completion

Telephone System

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Admin Manual (Shared drive/hard copy)

SIMDAY Patient Management System
DOX system
Admitting & Discharging a Patient
Mail Box location
Responsibilities to Self-insured patients
Billing & Coding
Banking
Health Fund Checks
Informed Financial Consent & SMS advice
Medical Records & Forms
Photocopier, Fax & Printer
Roles/duties of shift start times

CSSD Checklist NA Date Sign on completion

Getinge Steriliser
Getinge Washer/Disinfector
Getinge Drying cabinet
Ultrasonics
Steris Machines
Bench top Steriliser
Meditrax Tracking System
Sterile Stock Control System
Reliance Machine
Scope Buddy
Material Safety Data Sheets (MSDS)
Chemical Spill Kit
Personal Protective Equipment
Location of Stores/Consumables
Halyard modules

Operating Theatre Checklist NA Date Sign on completion

Anaesthetic Machine & Monitoring
Theatre Lights, Pendants & Booms
Diathermy Machines
Theatre Table & Accessories

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Olympus Camera System

Meditrax Tracking System
Material Safety Data Sheets (MSDS)
Handling of Specimens
Chemical Spill Kit
Documentation & Forms
Phaco Machine & LenSx
Microscope
Personal Protective Equipment
Location of Stores/Consumables
Patient Register & rebatable claim forms
Prosthetics Location, Management &
Register
Malignant Hyperthermia Box
Spare monitoring & equipment
Restocking / Set ups for next day
OT education packages/competencies

Endoscopy Checklist NA Date Sign on completion

Olympus Light Source and Processor
Provation SIMDAY Dox Computer System
Diathermy and Argon ERBE
Scope Drying cabinet
Meditrax Tracking System
Steris Machines & Reliance Machine
Personal Protective Equipment
Location of Stores/Consumables
Material Safety Data Sheets (MSDS)
Chemical Spill Kit
Register of Patients, Forms &
Documentation
Olympus scope series – 190, EZI
Rebatable items and forms
Scope Buddy
Restocking/set up for next day
Pathology items

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Recovery Checklist NA Date Sign on completion

Emergency Trolley & security tags
IV Trolley
CPR Procedures
Document / Observation requirements
Transfer from stage 1 to 2 criteria
Emergency Transfers /Policy TCDH – CM-
R17v8
Portable Oxygen
Pat Slide location
Material Safety Data Sheets (MSDS)
Monitors / IV pumps
Coagucheck
Glucometer
Medication Management
Administering IV Medications/Pain protocol
TCDH CM-R9v7
Blanket Warmer & Linen location
Linen ordering
Personal Protective Equipment
Location of Stores/Consumables
SIMDAY
Filing forms – order & example file
Discharge home criteria & checklist
Follow Up Phone calls
Daily Checks
Falls management – assistance getting changed
on bed and positioning on bed with cot side up

Post operative Bleed – emergency box (Dental)

Infection Control Checklist Date Sign on completion

Infection Control Manual location
MRSA/VRE trolley
Hand Hygiene Training
Personal Protective Equipment
Blood and body fluid spill kit

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Needle Stick Injury packs

Waste management processes

Nursing Staff specific tasks Date Sign on completion

Admission of a Patient
Discharge of a Patient
Pre-Admissions (please see separate orientation
package)
Documentation / Observation requirements
Prioritisation of tasks to get list/day underway eg
set ups
Movement between areas when lists finish &
workload slows down
Breaks
Surgical Checklist review
Patient ID & Clinical Handover requirements
Management of Medications and imprest system
Management of Clinical Deterioration
Administering eye drops
Completing an ECG
Giving an enema
Pt transfer to overnight facility
IV Pumps

Self-Directed Training in “down time” Date Sign on completion

Infection Control Orientation worksheet
Fire & Emergency online training
Hand Hygiene online training
National Standards 1 – 8 – online learning
GENCA Endoscopy package (Endo staff only)
Manual Handling
Basic Life Support
Medication Management (drug calcs)
ANTT
Open Disclosure
Blood Safe
ATSI

/conversion/tmp/activity_task_scratch/897105629.doc
 TENNYSON CENTRE DAY HOSPITAL
STAFF ORIENTATION PACK

Pain protocol
Team Leader check list
Diabetes education

/conversion/tmp/activity_task_scratch/897105629.doc