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Children community nursing training request forms

Generic training request form (CCNS)

Organisation email(Required)

Service receiving request(Required)

Inclusion nursing service

Children's Community Nursing team

Hannah house

Continuing Care and Health Short Breaks team

Generic training requested(Required)

Staff requiring training(Required)

Click on the + icon to add more people

Name

Role

Requirements(Required)

Before training can be arranged, the requesting organisation must ensure the staff member:

Holds a current Enhanced DBS certificate

Has completed all relevant statutory and mandatory training

Requires the healthcare intervention as part of their role

Is covered by appropriate employer and professional indemnity arrangements

Has relevant risk assessments in place

Has access to suitable facilities for the safe storage and management of medications and feeds

Manager and organisation authorisation

Name(Required)

First

Last

Position(Required)

Manager's consent(Required)

I confirm that the staff listed require this training as part of their role and that all staff listed meet the requirements for attendance.

Date

MM slash DD slash YYYY

Child specific training request form (CCNS)

Organisation email(Required)

Child's name(Required)

First

Last

Child's date of birth(Required)

MM slash DD slash YYYY

Service receiving request(Required)

Inclusion nursing service

Children's Community Nursing team

Hannah house

Continuing Care and Health Short Breaks team

Child specific training requested(Required)

Gastronomy

Anaphylaxis

Epilepsy

Medication

Asthma

Buccal midazolam

Injection technique

Oxygen therapy

Suction

Nebuliser

Ventilation

Tracheostomy

Catheter care

Stoma care

Shunt care

Vagal nerve stimulation

NG feeding

Wound care

Diabetes theory

Adrenal insufficiency

Staff requiring training(Required)

Click on the + icon to add more people

Name

Role

Requirements(Required)

Before training can be arranged, the requesting organisation must ensure the staff member:

Holds a current Enhanced DBS certificate

Has completed all relevant statutory and mandatory training

Requires the healthcare intervention as part of their role

Is covered by appropriate employer and professional indemnity arrangements

Has relevant risk assessments in place

Has access to suitable facilities for the safe storage and management of medications and feeds

The manager must complete the Identification of Intervention and parental consent form with the child’s parents or person with parental responsibility. This is a separate form.

It includes obtaining the parents signature, giving permission for the nominated person(s) to carry out the procedure.

When giving consent, parents must be are aware that they are allowing the service to deliver whatever level of training is required. To ensure the staff member caring for their child has reached the required level of competence this may require more than one training session with their child. Most training is carried out with the child being present. Training cannot commence until consent is received.

The service will acknowledge by sending the terms and conditions and a letter confirming acceptance of the training request to the referrer. The member of staff to be trained will contact the service to arrange training. A log will be made of the request by the CCNS Administration team. We aim to start to deliver training within a maximum of 6 weeks of receiving the request. Training programmes length will be determined on an individual basis, with some staff requiring more support until they are deemed competent. Training requests made with less than 6 weeks’ notice will only be considered in exceptional circumstances.

Training will be delivered during the service’s core daytime working hours, Monday to Friday. Where possible the service will try and fulfil requests for training outside of these times, but this cannot be guaranteed.

On completion of training the final page of the Identification of Intervention and parental consent form will be completed by the trainer and member of staff undertaking the training. A copy will be retained by the trainer for the electronic patient record and copies will be sent to the parent and requester. Staff members will sign 2 competency certificates. A copy is retained for the electronic patient record and the other is given to the staff member. Staff are deemed competent on the day they are signed off by the trainer, and are responsible to request any further training required, for example, if there is a change in care or if they have not performed the care for a period and do not feel confident.

The staff member will receive an evaluation form.

Manager and organisation authorisation

Name(Required)

First

Last

Position(Required)

Manager's consent(Required)

I confirm that the staff listed require this training as part of their role and that all staff listed meet the requirements for attendance.

Date

MM slash DD slash YYYY

Identification of intervention and parental consent form

Name of person sending the letter(Required)

First

Last

Job title of person sending the letter(Required)

Email of person sending the letter(Required)

Child's name(Required)

First

Last

Child's date of birth(Required)

MM slash DD slash YYYY

Setting for the training to be delivered(Required)

This could be at home, school and so on.

Name of person or persons to be trained(Required)

We can only train a maximum of three persons in one session. A maximum of five persons can be trained at any one time for a child specific intervention.

Participants manager to ensure that all persons being trained have completed CPR and M&H training plus have DBS check in place.

First name

Last name

Name of child's GP(Required)

First

Last

Address of child's GP(Required)

Street Address

City

ZIP / Postal Code

Phone number of child's GP(Required)

Training required(Required)

Gastronomy

Anaphylaxis

Epilepsy

Medication

Asthma

Buccal midazolam

Injection technique

Oxygen therapy

Suction

Nebuliser

Ventilation

Tracheostomy

Catheter care

Stoma care

Shunt care

Vagal nerve stimulation

NG feeding

Wound care

Diabetes theory

Adrenal insufficiency

Parental consent

I/we give permission for the above-named person(s) to carry out the intervention(s) as agreed above for my child.

I/we agree that my child can participate in all training sessions with the identified carers.

I/we agree to training that will consist of generic theory and practical observed and supervised sessions.

I/we agree that training given by LCH staff follows trust guidelines, prescribed care and LCH Care plans. Care plans agreed with parents and PA will not be covered. Staff will be signed off following trust care plans only.

I/we agree that it is our responsibility to ensure that any changes in medical care or nursing interventions are immediately made known to the service.

Consent(Required)

I agree to this as the parent or carer of the child.

Parent or carer's email(Required)

Date of consent(Required)

MM slash DD slash YYYY

Children community nursing training request forms

Generic training request form

Child specific training request form

Identification of intervention and parental consent form

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