Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 1 of 40
Training matrix checklist Part 1 - Core training for ACRC|CCRC NURSING & ASSISTANT PRACTITIONER staff Part 2 - ACRC/CCRC unit specific training
Name of staff: …………………………………… Job Title: …………………………………………….
Start date on ACRC|CCRC: ………………….. Name of unit: ………………………………………
ACRC|CCRC Registered Nurses and Assistant Practitioners (AP) are granted four working weeks supernumerary time when they start in post.
This is to allow not only for orientation and introduction to staff roles and core working processes, but also to provide time for mandatory
training that needs to be achieved within the first month.
Instructions
This training matrix should be personalised for each individual according to their job role and in which unit they are working.
In addition to the core training section please use appropriate ward specific appendix.
The direct line manager (or if not available, the Education & Training Manager) will use the Matrix to carry out a training gap analysis for a
new starter and to set up an action plan for the individual to achieve their required training. The Training matrix checklist is also designed to
give staff the necessary information for them to arrange their ongoing mandatory training.
It is the responsibility of each individual staff that the relevant training (listed below) is carried out.
This matrix is to be used in conjunction with:
1. ACRC|CCRC/SOP078 Recording of ACRC Staff Training Records 2. ACRC|CCRC/SOP099 Training for ACRC staff (incorporating study specific training)
Please ensure that training/competencies achieved have been added onto your training record in Q-Pulse (place a in the QP box
when done).
Your line manager will make sure that relevant items of your training are entered on the CUH MAPS database.
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 2 of 40
Symbols and abbreviations used:
╫ = one off GCP = ICH Good Clinical Practice
AP = Assistant Practitioner MAR = Mandatory Annual Refresher programme for Clinical Staff
CIWP = Corporate Induction Welcome Programme QP = Q-Pulse
CSSIP = Clinical Support Staff Induction Programme QPO = Qualified Practitioner Orientation
CUH = Cambridge University Hospitals POC = Point of Care
DOT = Direct Online Training RN = Registered Nurse
Induction programs for staff new to the Trust only
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Corporate Induction
Welcome Programme
(CIWP)
Y Y Within 2 months* ╫
See Connect2 pages
*book before new staff start to avoid delay
Qualified Practitioners
Orientation (QPO) Y N Within 2 months* ╫
See Connect2 pages
*book before new staff start to avoid delay
Clinical Support Staff
Induction Programme
(CSSIP)
N Y Within 2 months* ╫ See Connect2 pages
*book before new staff start to avoid delay
General Core Mandatory Training (audited by Trust)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Local Induction Checklist
(CUH ‘New to Trust’ or
‘Transfer within Trust’
form)
Y Y Within first 2 weeks ╫ See Connect2 pages
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 3 of 40
General Core Mandatory Training (audited by Trust) continued
Blood Awareness Y N Within 1 month Annual QPO then annually via DOT
Conflict Resolution* Y Y Within 1 month Biennial
Initially at CIWP thereafter via
DOT *formerly part of Corporate Refresher Update via OLM
Equality, Diversity and
Inclusion* Y Y Within 1 month Biennial
Initially at CIWP then via DOT *formerly part of Corporate Refresher Update via OLM
Fire Safety Awareness*
- e-learning Y Y Within 1 month Biennial
Initially at CIWP then via DOT *formerly part of Corporate Refresher Update via OLM
Fire Evacuation - practical Y Y Within 1 month Annual
Initially at QPO or CSSIP;
thereafter it is part of MAR.
Book via HR Learning Central For more information on what MAR programme see “Further Guidance” on page 35
Health and Safety* Y Y Within 1 month Triennial
Initially at CIWP thereafter via
DOT
*formerly part of Corporate Refresher Update via OLM
Health and Safety
Awareness for Managers Y* N Within 1 month Triennial
DOT
*Line managers only
Infection Prevention and
Control* Y Y Within 1 month Biennial
QPO and CSSIP thereafter via
DOT *formerly part of Corporate Refresher Update via OLM)
Information Governance* Y Y Within 1 month Biennial
Initially at CIWP thereafter via
DOT
*formerly part of Corporate Refresher
Update via OLM
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 4 of 40
General Core Mandatory Training (audited by Trust) continued
Looking after you* Y Y Within 1 month Biennial
Initially at CIWP thereafter via
DOT *formerly part of Corporate Refresher Update via OLM
Managers Good Practice
Guide to Appraisals Y* N Within 1 month Annual
DOT
*Line managers only
Moving and Handling –
Inanimate Loads* Y Y Within 1 month Biennial
QPO and CSSIP then annually
via DOT *formerly part of Corporate Refresher Update via OLM)
(Patient) Moving and
Handling – e-learning Y Y Within 1 month Annual DOT
(Patient) Moving and
Handling – practical Y Y Within 1 month Annual
Initially at QPO or CSSIP;
thereafter it is part of MAR.
Book via HR Learning Central For more information on what MAR programme see “Further Guidance” on page 35
NEWS (National Early
Warning Scoring System) Y Y Within 1 month Annual DOT
Safeguarding Children
Level 1 Y Y Within 1 month ╫ *
CIWP - please note:
*if Safeguarding Children level
2 should have lapsed, then level 1 needs to be completed again in addition to level 2
Safeguarding Children
Level 2 Y Y Within 1 month Triennial
Initially at QPO (or CSSIP) then
triennially via DOT
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 5 of 40
General Core Mandatory Training (audited by Trust) continued
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Safeguarding Vulnerable
Adults Level 1 Y Y Within 1 month Triennial
Initially at CIWP then
triennially via DOT
Safeguarding Vulnerable
Adults Level 2 (incl. Prevent,
MCA & DoLS)
Y Y Within 1 month Triennial Initially at CIWP then via DOT
Security (and Fraud)
Awareness* Y Y Within 1 month Biennial
Initially at CIWP thereafter via
DOT
*formerly part of Corporate Refresher
Update via OLM
Tissue Viability Y Y Within 1 month Annual DOT
Unconscious Bias Y* N Within 1 month ╫ DOT *Line managers only
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 6 of 40
Life Support (audited by Trust)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments
QP
Resuscitation – e-learning Y Y within 1 month Annual DOT (part of MAR for clinical
staff)
Resuscitation - practical
(Adult Basic Life Support)
(BLS)
Y Y Within 1 month Annual
Initially at QPO or CSSIP;
thereafter it is part of MAR.
Book via HR Learning Central For more information on what MAR programme see “Further Guidance” on page 35
Immediate Life Support
(ILS) includes Adult Basic Life
Support Y* N Within 4 months Annual
Application to the CUH
Resuscitation Office
*Depending on role
Trust competencies
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments
QP
Blood Administration
competency Y N Within 3 months ╫
Contact
.uk to book face-to-face
training session
Infection Control No.1 PPE/Barrier Nursing No.3 Management of a PVC
No.4 Management of CVC/PICC No.6 Management of Urinary Catheters No.7 Aseptic Wound dressing
Y
Y*
Within 1 month ╫
QPO and CSSIP if new to the
Trust otherwise with an
infection control trainer
* Competency number 1, 6 and 7 only
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 7 of 40
Medical Devices (audited by Trust)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments
QP
Medical Devices Stop and
Think Y N Within 1 month Triennial DOT
Training Needs Analysis
for Medical Devices
(ward specific)
Y N Within 1 month ╫*
Find latest version on Connect2
or Education and Training
Team. Relevant equipment
only applies. Training for the high risk devices must be individually recorded in Q-Pulse by team leader and on MAPS by device trainer. Medium and Low Risk devices are entered as one skills cluster on MAPS by team leader when completed. Medium and low risk devices are entered on Q-Pulse individually by team leader.
*needs to be re-completed if new version is issued
Non-device training provided by Point of Care Team (audited by Trust)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments
QP
Urine Drug Testing Y Y Within 1 month ╫ Provided by POC team
Urine Pregnancy Testing Y Y Within 1 month ╫ Provided by POC team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 8 of 40
Venous Access Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Venepuncture incl.
competency declaration Y Y Within 3 months ╫
Nominated ACRC|CCRC staff
using CUH Competency
Package
http://connect/index.cfm?articl
eid=27347
Cannulation incl.
competency declaration
Y Y Within 5 months ╫
Nominated ACRC|CCRC staff
using
CUH Competency Package
http://connect/index.cfm?articl
eid=27347
Drug Administration
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Drug Administration –
Oral, incl. Competency
Declaration
Y N
Should be completed
during preceptorship
in prior CUH post. If
new to the Trust
please consult
Education & Training
Manager
╫ CUH Competency Package
http://connect/index.cfm?articl
eid=27347
Drug Administration – IV
incl. Competency
Declaration
Y N As above ╫ CUH Competency Package
http://connect/index.cfm?articl
eid=27347
Medical Gas Awareness Y N Within 1 month Annual DOT
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 9 of 40
Drug Administration (continued)
Medicines Management –
Nurses and ODPs
Y N Within 1 month Annual QPO then annually via DOT
Trust IT Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
e-Hospital Y Y Within 6 weeks ╫
Course dependent on role.
For new starters course during
QPO and CSSIP,
for others via e-Hospital
training team
MUSE training Y* N Within 2 months ╫
By nominated ACRC|CCRC staff
or GE Healthcare trainer
*Team leaders and ECG trainers only
Rover training Y Y Within 6 weeks ╫ e-Hospital training team
Trust Based Appraisal Training (not mandatory by Trust, but stipulated by ACRC)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Appraisee Awareness (for
staff being appraised) Y Y
Before first appraisal is
due ╫ Via CUH HR Learning Central
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 10 of 40
Appraisal Training (for
appraisers) Y* Y*
Before appraising staff
for the first time ╫
Via CUH HR Learning Central
*Depending on role if formally appraising staff
Only mandatory for staff if they are on the “CUH live mentorship register” (audited by the Trust)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Mentorship Update Y N Annual
CUH e-learning / 1 hour face-
to-face session provided by
ARU
Mentorship Triennial
Review Y N Triennial
CUH mentorship triennial
review package
Specific to working in clinical research: GCP & Consent Training etc.
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
GCP Training (Provided
by NIHR)
Y Y Within 4 week
supernumerary period Biennial
See ACRC|CCRC/SOP096 GCP
training for ACRC/CCRC staff
Consenting in clinical
research – NIHR training
day or in-house provider
Will be locally decided by nurse manager in conjunction with education manager depending
on requirements by the respective study protocol/team
╫ NIHR online consent training or
in-house provider
CV
(using HRA CV template)
Y Y Within 1 week of GCP
training Biennial
Print out form via Q-Pulse
(ACRC|CCRC/SOP078
Recording of ACRC|CCRC Staff
Training Records)
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 11 of 40
ACRC|CCRC In-House Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Q-Pulse Training –
documents and own
training records
Y Y Within 1 month ╫ ACRC|CCRC QA Manager
ACRC|CCRC new staff
Formal Induction
Programme
Y Y Within 6 weeks ╫ Education & Training Team
Introduction to Using
Flowsheets Y Y Within 1 month ╫ Education & Training Team
Introduction to Writing
Flowsheets incl.
Competency
Y N Within 4 months ╫ Education & Training Team
Introduction to Flowsheet
Peer Reviewing incl.
Competency
Y* N Within 6 months ╫ Education & Training Team
*Depending on role
Study Set-Up Training –
attending presentation
session
Y Y Within 1 month ╫ Education & Training Team
Study Set-up Training –
hands-on Y N Within 3 months ╫ Education & Training Team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 12 of 40
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Competency Framework
for Clinical Research
Nurses
Y N Within 9 months ╫ Education & Training Team
Emergency Simulation
Training Y Y within 12 months Annual Education & Training Team
ACRC|CCRC Sample Handling Training / Laboratory Competencies
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Introduction to Health &
Safety in the ACRC|CCRC
sample handling rooms
Y Y Within 1 month ╫ Nominated ACRC|CCRC staff
Centrifuge Competency Y Y Within 6 weeks ╫ Nominated ACRC|CCRC staff
Dry Ice Training Y
Y Within 6 weeks ╫ Nominated ACRC|CCRC staff
Pipette Competency Y Y Within 6 weeks ╫ Nominated ACRC|CCRC staff
Tutella Y Y Within 3 months ╫ Nominated ACRC|CCRC staff
Blood slide training* Y Y
*provided there are
studies which require
this skill
within 8 weeks
╫ Sample handling coordinator or
Nominated ACRC|CCRC staff
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 13 of 40
Unit specific appendix - CCRC Level 2
Medical Devices as stipulated by CUH
Name of Training RN AP RA Completion
Period
Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical devices training as specified on Training Needs Analysis for Medical Devices on CCRC L2
Y Y N within 1 month ╫
Find latest version on Connect2 or via Education & Training Team. Relevant equipment only applies. Training for the high risk devices must be individually recorded in Q-Pulse by team leader and on MAPS by
device trainer. Medium and Low Risk devices are entered as one skills cluster on MAPS by team leader when completed. Medium and low risk devices are entered on Q-Pulse individually by team leader.
*needs to be re-completed if
new version is issued
Food / Kitchen Training
Reheating food safety awareness
Y Y Y within 2 months ╫
Nominated ACRC|CCRC person during induction programme
Additional Skill required for Sample Handling Room on CCRC level 2
Biomat® 2, Class II
Microbiological Safety
Cabinet
Y Y Y
to have completed before study starts that requires use of this equipment
╫
In–house by nominated person.
Training is linked to ACRC|CCRC/SOP079 ‘Use of Class 2 safety cabinet’ and ‘ACRC/CCRC Form121’
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 14 of 40
Endoscopy Training
Name of
Training Description RN AP RA
Completion
Period
Renew
Period Provider
Date /
Comments QP
Part 1: General
Introduction
1. Introduction to the endoscopy rooms
2. the generic pathway of an endoscopy patient
Y Y Y within 1 month ╫ in house by
nominated staff
Part 2: Safety in the endoscopy room – not
involving equipment
1. Completing CUH endoscopy pre assessment form Y Y N
within 1 month
╫ in house by nominated staff
2. Checking written consent for procedure and for research
Y Y N ╫ in house by nominated staff
3. WHO patient safety check
Y Y N ╫ in house by nominated staff
4. Airway management, e.g. head holding, suctioning
Y Y N ╫ in house by nominated staff
5. Endoscopy emergency algorithm Y N N ╫
in house by nominated staff
and at EST/ESD
6. Safe use of pericitic acid (e.g. spillage) Y Y Y ╫
in house by nominated staff and at EST/ESD
Part 3: Safe use of equipment used for
endoscopic
procedures on CCRC Level
1. Olympus Endoscopes training
includes: scope construction, function, reprocessing, cleaning, manual washing, tractability, handling
Y Y Y within 2 months ╫
company rep and reinforced by in-house named staff
2. Olympus Endoscopes setting-up for study
Y Y Y within 2 months ╫ in house
3. Endoscope Preprocessor ("washer")
Y Y Y within 2 months ╫ company rep
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 15 of 40
Part 3 continued: Safe use of equipment used
for endoscopic procedures on CCRC Level 2
4. Endoscope Dryer ("endoscopy storage cabinet"):
- Safety and layout
- Use of tags
- Booking in/out - Loading/unloading of scopes
- Importance of traceability paper
- Maintenance
Y
Y
Y within 2 months ╫ in house by nominated staff
5. Endoscope stack for gastroscopy/colonoscopy: - Setting up - Calibration of scopes
a. white balancing b. trimodal calibration
Y Y N within 2 months ╫ company rep
6. Endoscope stack for Endoscopic Ultrasound (EUS) - by Pentax
- setting up and white balancing
Y Y N within 2 months ╫ company rep
7. ERBE Argon Plasma Coagulation (APC):
- setting up
- application of pads - changing programmes
- maintenance
- use of APC when assisting (CUH procedure number…)
Y N N within 2 months ╫ in house by
nominated staff
8. Reverse Osmosis System (ROS): - main panel function - on screen information - water spill (ACRC/SOP….) - weakly checks - servicing - changing internal filter
Y Y Y within 2 months ╫ company rep
9. Olympus Flushing Pump 2: - turning on - connecting tubing and water bottles - adjusting water flow
Y Y N within 2 months ╫ in house by nominated staff
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 16 of 40
Name of
Training
Description RN AP RA
Completion
Period
Renew
Period Provider
Date /
Comments QP
Part 3 continued: Safe use of equipment used
for endoscopic procedures on CCRC Level 2
10. EndoFaster by NisoBiomed: - turning on and off - calibration of probes - changing solutions - maintenance
Y Y N within 2 months
╫ company rep
11. Radio Frequency Ablation (RFA) machine:
- safety - setting up - familiarization to probes numbers 360,
90, 60, Express, TTS, Ultra provided by CUH main endoscopy - additional accessories
Y N N within 2 months
╫ company rep
12. Endoscope Guide machine: - safety
- setting up Y Y N
within 2 months
╫ in house by nominated staff
13. Gases used in Endoscopy -
ENTONOX and OXYGEN and CO2 - safety
- setting up
- usage
Y
partly N
within 2 months
╫ in house by nominated staff
14. INR machine - CoagChek XS Plus
Y Y N within 2 months
╫ by Point of Care
15. Study specific Laptop: - storage of data in this device
- safety Y Y N
within 2 months
╫ by research study team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 17 of 40
Name of
Training
Description RN AP RA
Completion
Period
Renew
Period Provider
Date /
Comments QP
Part 4:
Assisting with endoscopic procedures/
interventions on CCRC L2
Taking biopsy samples Y N N
within 2 months
╫ by research study team
Assist with Fine Needle Aspiration in EUS
Y N N tbc ╫ by research study team
Assisting with dilatation
Y N N tbc ╫ by research study team
Assisting with Endoscopic Mucosal Resection (EMR) Y* N N
*depends on
availability of training
╫
*requires
complex and lengthy training
Emergency haemostasis Y* N N
*depends on availability of training
╫
*requires complex and lengthy training
Part 5:
Recovery knowledge and skills
In accordance with CUH procedures:
Post sedation recovery Post EMR recovery
Post RFA recovery
Y
Y N within 2 months
╫ in-house by nominated staff
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 18 of 40
Study Specific Training
Name of Training RN AP RA Completion
Period
Renew
Period
Provider (and
clarification)
Date /
Comments QP
EMR Captivator study specific (disposable):
- safety
- setting up
Y Y N within 2 months ╫ by research study team
Confocal Stack and probes by Cellvizio:
- safety (e.g. laser)
- types of probes
- limitation of uses
- handling of probes - (re)processing of probes
- setting up
- maintenance
Y N N within 2 months ╫ in-house by nominated staff
Assist with Confocal probe imaging - oesophageal imaging
- pancreatic imaging
Y N N within 3 months ╫ by research study team of the relevant study/company
rep of probe used
Consent BioResource – adults Y* Y* N Not before third month, but within 5 months
╫
BioResource team and ACRC|CCRC education team combined
*Only staff on delegation log
for relevant study
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 19 of 40
Endoscopy Annual Refresher Training
Name of Training Description RN AP RA Completion Period
Renew Period
Provider Date /
Comments QP
Endoscopy Annual Refresher covering safe use of the following equipment
Part 1 - all members of the team
1.Endoscope Preprocessor ("washer")
2.Safe use and maintenance of Reverse Osmosis System (ROS)
Y Y Y at annual endoscopy team
update training
annually or when there is
an upgrade
to equipme
nt
in-house by team leader
Part 2 – RNs and AP only
3.Endoscope stack
4.Endoscopes (all types)
5.EUS machine
6.ERBE machine
7.RFA machine
8.ENDOFaster machine
9.INR machine
Y Y N at annual endoscopy team update training
annually or when there is
an upgrade
to equipme
nt
in-house by team leader
Endoscopy Annual Refresher
Safe use of pericitic acid (e.g.
spillage)
included in Emergency Skills Drill
(ESD) training
Y Y Y at ESD training
on CCRC level 2 annually
ACRC/CCRC education team and team leader
does not require separate recording on Q-Pulse
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 20 of 40
Unit specific appendix - CCRC L3 IT training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
e-Hospital Beacon training Y N Within 2 months ╫ Nominated ACRC|CCRC person
Systemic Cancer Therapies
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Chemotherapy Collector
competency
Y Y Within 3 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Chemotherapy Checker
competency
Y N Within 6 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Chemotherapy Giver
competency
Y N Within 14 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Monoclonal Antibody
session Y N Within 3 months ╫
Part of Formal Induction
Program facilitated by the
Education Team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 21 of 40
Venous Access Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Portacath
access/maintenance Y N Within 14 months ╫ CUH venous access trainer
PICC line care Y N Within 14 months ╫ CUH vascular access team and
DOT training package
Medical Devices as stipulated by CUH
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical
devices training as
specified on
Training Needs Analysis
for Medical Devices on
CCRC L3
Y N Within 1 month ╫*
Find latest version on Connect
or Education and Training
Team. Relevant equipment
only applies. Training for the
high risk devices must be
individually recorded in Q-Pulse
by team leader and on MAPS
by device trainer. Medium and
Low Risk devices are entered
as one skills cluster on MAPS
by team leader when
completed. Medium and low
risk devices are entered on Q-
Pulse individually by team
leader.
*needs to be re-completed if
new version is issued
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 22 of 40
Additional Skill required for Sample Handling Room on CCRC level 3
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Biomat® 2, Class II
Microbiological Safety
Cabinet
Y Y
to have completed before study starts that
requires use of this equipment
╫
In–house by nominated person.
Training is linked to
ACRC|CCRC/SOP079 ‘Use of Class 2 safety cabinet’ and ‘ACRC/CCRC Form121’
Food / Kitchen Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Reheating food safety
awareness
Y Y within 2 months ╫ Nominated ACRC|CCRC person
during induction programme
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 23 of 40
Study Specific Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
ECG ELI 150 Rx Mortara
(CIW294)
Y Y Before study starts ╫
Member of study team or
Sponsor (e-learning with
certificate)
http://ehealthheducation.ert.co
m/knav/nav. Curriculum ID
Hm7745656
Mortara 24 Hour Holter
Monitor
(CIW294)
Y N Before study starts ╫ Member of study team and
DVD
Consent BioResource –
adults Y* Y*
Not before third month, but within 5 months
╫
BioResource team and
ACRC|CCRC education team
combined
*Only staff on delegation log
for relevant study
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 24 of 40
Unit specific appendix - CCRC L4 Medical Devices as stipulated by CUH
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical
devices training as
specified on
Training Needs Analysis
for Medical Devices on
CCRC L4
Y N Within 1 month ╫*
Find latest version on Connect
or Education and Training
Team. Relevant equipment
only applies. Training for the
high risk devices must be
individually recorded in Q-Pulse
by team leader and on MAPS
by device trainer. Medium and
Low Risk devices are entered
as one skills cluster on MAPS
by team leader when
completed. Medium and low
risk devices are entered on Q-
Pulse individually by team
leader.
*needs to be re-completed if
new version is issued
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 25 of 40
Food / Kitchen Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Food Safety Certificate –
(level 1 equivalent) Y Y Within 2 months Triennial
Arranged via the ACRC|CCRC
research technician (dietetics)
or online course
Kitchen Competency -
Diet Kitchen Y Y Within 2 months ╫
ACRC|CCRC dietetic research
technician
Study Specific Training
Name of Training CRN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
MRI Safety Certificate
(CRFS002, CRF179,
CRF187, CRF319,
CRF374)
Y N Before study starts ╫ Book with WBIC staff
GastroCH4ECK portable
Gastrolyzer
(CRF387)
Y N Before study starts ╫ Member of study team and
user manual
Skin Biopsy Training incl.
Competency
(CRF001)
Y N Before study starts ╫ Nominated ACRC|CCRC staff or
study team of the relevant
study
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 26 of 40
Study Specific Training continued
Name of Training CRN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Actiheart Y N Before study starts ╫ Study team
Motionwatch Y N Before study starts ╫ Study team
SomnoScreen plus PSG Y N Before study starts ╫ Study team
Use of Class 2 Safety
Cabinet incl. Competency
(CRF267)
Y N Before study starts ╫ Nominated ACRC|CCRC staff
Linked to ACRC|CCRC/SOP079
Use of Class 2 safety cabinet
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 27 of 40
Unit specific appendix - CCRC L5 Trust IT training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
e-Hospital Beacon training Y N Within 2 months ╫ Nominated ACRC|CCRC person
Systemic Cancer Therapies
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Complete part 1 and 2 of
the chemotherapy
workbook
Y N Within 3 months ╫ Guidance provided by
ACRC|CCRC chemotherapy
assessors
CUH Chemotherapy
Workshop Y N Within 12 months ╫
Guidance provided by
ACRC|CCRC chemotherapy
assessors.
Monoclonal Antibody
session Y N Within 3 months ╫
Part of Formal Induction
Program facilitated by the
Education Team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 28 of 40
Venous Access Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Portacath
access/maintenance Y N Within 14 months ╫ CUH venous access trainer
PICC line care Y N Within 14 months ╫ CUH vascular access team and
DOT training package
Medical Devices as stipulated by CUH
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical
devices training as
specified on
Training Needs Analysis
for Medical Devices on
CCRC L5
Y N Within 1 month ╫*
Find latest version on Connect
or Education and Training
Team. Relevant equipment
only applies. Training for the
high risk devices must be
individually recorded in Q-Pulse
by team leader and on MAPS
by device trainer. Medium and
Low Risk devices are entered
as one skills cluster on MAPS
by team leader when
completed. Medium and low
risk devices are entered on Q-
Pulse individually by team
leader.
*needs to be re-completed if
new version is issued
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 29 of 40
Study Specific Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
ECG ELI 150 Rx Mortara
(CRF402, CRF453 and
CRF448)
Y* Y* Before study starts ╫
Member of study team or study
link coordinator (e-learning
with certificate)
http://ehealthheducation.ert.co
m/knav/nav. Curriculum ID
Hm7745656
*Depending on study allocation
Mortara 24 Hour Holter
Monitor
(CRF402)
Y* N Before study starts ╫
Member of study team or study
link coordinator and DVD
*Depending on study allocation
Lifecard Holter Monitor
(CRF441)
Y* N Before study starts ╫ Member of study team
*Depending on study allocation
Telemetry Phillips
(CRF441)
Y* N Before study starts ╫
Member of study team or
Philips trainer and DVD. Linked
to ACRC|CCRC SOP077 Use of
telemetry equipment
*Depending on study allocation
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 30 of 40
Study Specific Training (continued)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
CareFusion Micro 1
Spirometer incl.
competency
(CRF471)
Y* N N Before study starts ╫
Practical session in Pulmonary
Lung Function Clinic and
competency assessment by
local trainer. Linked to
ACRC|CCRC/SOP115
CareFusion Micro I Spirometer
*Depending on study allocation
Nasogastric Tube incl.
Competency
(CRF025)
Y* N Before study starts ╫
Trust trainer or nominated
ACRC|CCRC staff
* Only required by staff who
work on wards that care for
patients with NG tubes.
Clarified in PDN meeting on
20 Jan 2016
Care of Tracheostomy
Patient incl. Competency
(CRF025)
Y* N Before study starts ╫
CUH Tracheostomy Nurse or
nominated ACRC|CCRC in-
house trainer
*Depending on study allocation
Flowcare Pump training
(CRF025) Y* N Before study starts ╫
Face to face training with link
trainer or Nutricia rep incl DVD
*Depending on study allocation
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 31 of 40
Study Specific Training (continued)
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Glasgow Coma Scale
(CRF025) Y* N Before study starts Biannual
Nominated ACRC|CCRC staff
*Depending on study allocation
Volumetric IV pump -
Baxter Folly Fuser
(CRF441)
Y* N
Post completion of IV
Pack and before study
starts
╫ Nominated ACRC|CCRC staff
*Depending on study allocation
Skin Biopsy Training incl.
Competency
(CRF311)
Y* N Before study starts ╫
Nominated ACRC|CCRC staff or
study team of the relevant
study
*Depending on study allocation
MRI Safety Certificate
(CRF025 and CRF209) Y * N Before study starts ╫
Book with WBIC staff
*Depending on study allocation
Consent BioResource –
adults Y* Y*
Not before third month,
but within 5 months ╫
BioResource team and
ACRC|CCRC education team
combined
*Only staff on delegation log
for relevant study
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 32 of 40
Food / Kitchen Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Reheating food safety
awareness Y Y within 2 months ╫
Nominated ACRC|CCRC person
during induction programme
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 33 of 40
Unit specific appendix ACRC L3 (CIW) Trust IT training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
e-Hospital Beacon training Y N Within 2 months ╫ Nominated ACRC|CCRC person
Systemic Cancer Therapies
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Chemotherapy Collector
competency
Y Y Within 3 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Chemotherapy Checker
competency
Y N Within 6 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Chemotherapy Giver
competency
Y N Within 14 months Annual
Guidance on completion and
competency assessment
provided by ACRC|CCRC
Chemo assessors
Monoclonal Antibody
session Y N Within 3 months ╫
Part of Formal Induction
Program facilitated by the
Education Team
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 34 of 40
Venous Access Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Portacath
access/maintenance
Y N Within 14 months ╫ CUH venous access trainer
PICC line care Y N Within 14 months ╫
CUH vascular access team and
DOT training package
Medical Devices as stipulated by CUH
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical
devices training as
specified on
Training Needs Analysis
for Medical Devices on
ACRC level 3 - CIW
Training Needs
Y N Within 1 month ╫*
Find latest version on Connect
or Education and Training
Team. Relevant equipment
only applies. Training for the high risk devices must be individually recorded in Q-Pulse by team leader and on MAPS by device trainer. Medium and Low Risk devices are entered as one skills cluster on MAPS by team leader when completed. Medium and low risk devices are entered on Q-Pulse individually by team leader. *needs to be re-completed if new version is issued
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 35 of 40
Study specific training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Laptop Aliquot Scanner
incl e-document
(CRF313)
Y Y Before study start ╫ Nominated ACRC|CCRC person
or study team
Skinfold measurement
(CRF313) Y Y Before study starts ╫
Member of study team
Use of Class 2 Safety
Cabinet incl. Competency
(CRF267)
Y N Before study starts ╫ Nominated ACRC|CCRC staff
Linked to ACRC|CCRC/SOP079
Use of Class 2 safety cabinet
Consent BioResource –
adults Y* Y*
Not before third month, but within 5 months
╫
BioResource team and
ACRC|CCRC education team
combined
*Only staff on delegation log
for relevant study
Food / Kitchen Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Reheating food safety
awareness Y Y within 2 months ╫
Nominated ACRC|CCRC person
during induction programme
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 36 of 40
Unit specific appendix - ACRC L5 (CRF)
Paediatric skills
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Paediatric Competency Y Y Within 1 month ╫ Nominated ACRC|CCRC
paediatric nurse. Refreshers at
annual team day.
Paediatric Immediate Life
support
(PILS)
Y* N Within 4 months Annual CUH Resuscitation Team
*Paediatric nurses only
Paediatric Life support
(PBLS) Y Y Within 3 months Annual
Part of MAR
Tutor led learning via HR
Learning central combined with
online learning via DOT
For more information on what
MAR programme see “Further
Guidance” on page 35
Consenting issues in
paediatric research -
NIHR online course
Y Y Within 10 weeks ╫ NIHR CRN Learn – online
Specific to ACRC level 5
Freezerworks Training Y* Y* Within 10 weeks ╫ Nominated ACRC|CCRC staff
*Depending on role
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 37 of 40
Medical devices as stipulated by CUH
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Completion of medical
devices training as
specified on
Training Needs Analysis
for Medical Devices on
ACRC L5 (CRF)
Y N Within 1 month ╫*
Find latest version on Connect
or Education and Training
Team. Relevant equipment
only applies. Training for the
high risk devices must be
individually recorded in Q-Pulse
by team leader and on MAPS
by device trainer. Medium and
Low Risk devices are entered
as one skills cluster on MAPS
by team leader when
completed. Medium and low
risk devices are entered on Q-
Pulse individually by team
leader.
*needs to be re-completed if
new version is issued
Study specific training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
MRI Safety Certificate
(CRF149, CRF308,
CRF356, CRF400,
CRF412, CRF462,
CRF472)
Y N Before study starts ╫ Book with WBIC staff
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 38 of 40
Study specific training continued…
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
DexCom G4 Continuous
Blood Glucose Monitor
(CRF473)
Y N Before study starts ╫ Member of study team and
user manual thereafter study
link coordinator
Use of Class 2 Safety
Cabinet incl. Competency
(CRF473)
Y Y Before study starts ╫ Nominated ACRC|CCRC staff
Linked to ACRC|CCRC/SOP079
Use of Class 2 safety cabinet
Skin Biopsy Training incl.
Competency
(CRF447) Y N Before study starts ╫
Nominated ACRC|CCRC staff or
study team of the relevant
study
Consent BioResource –
adults Y* Y*
Not before third month,
but within 5 months ╫
BioResource team and
ACRC|CCRC education team
combined
*Only staff on delegation log
for relevant study
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 39 of 40
Food / Kitchen Training
Name of Training RN AP Completion Period Renew
Period Provider (and clarification)
Date /
Comments QP
Food Safety Certificate –
(level 1 equivalent) Y Y Within 2 months Triennial
Arranged via the ACRC|CCRC
research technician (dietetics)
or online course
Kitchen Competency -
Diet Kitchen
Y Y Within 2 months ╫ ACRC|CCRC dietetic research
technician
Addenbrooke’s Clinical Research Centre (ACRC) Box 127 ACRC|CCRC/FRM085 Cambridge Clinical Research Centre (CCRC) Box 411
Ensure you are using the current version of this document. Notify any changes required to the relevant QA Manager
This document is reviewed and updated in line with emerging evidence or local requirements at least every three years
ACRC|CCRC/FRM085 version 4 Approved: 21/04/2017 Page 40 of 40
Further Guidance
Name of training Who? How often? Provider?
Mandatory Annual Refresher (MAR) for clinical staff - Option A
Part 1 - Clinical e-learning (Nurse) Fire Safety Awareness Resus (adult) Moving & Handling of patients
Nurses who only require basic life support training and who work with adult participants only
Annual - The e-leaning and tutor-led hands-on training should be done within 7 days of each other
Trust e-learning package via DOT
Part 2 - Tutor led training MAR Program A comprising: - Adult Basic Life Support - practical - Safe patient handling – practical - Fire training and evacuation – practical
Tutor-led hands on session to be booked well in advance with HR Learning Central Ask for: MAR Programme A
Mandatory Annual Refresher (MAR) for clinical staff - Option D
Part 1 - Clinical e-learning (Nurse) Fire Safety Awareness Resus (paeds and adult) Moving & Handling of patients
Nurses working with adults and children
Annual – The e-leaning and tutor-led hands-on training should be done within 7 days of
each other
Trust e-learning package via DOT
Part 2 - Tutor led training MAR Program D comprising: Adult Basic Life combined with Paeds Basic Life Support - hands on
- Safe patient handling – hands on - Fire training and evacuation – hands on
Tutor-led hands on session to be booked well in advance with HR Learning Central Ask for: MAR Programme D
Mandatory Annual Refresher (MAR) for clinical staff - Option E
Part 1 - Clinical e-learning (Nurse) Fire safety Awareness Resus (adult) Moving & Handling of patients
Nurses who undertake ILS training and who work with adult participants only
Annual - The e-leaning and tutor-led hands-on training should be done within 7 days of each other
Trust e-learning package via DOT
Part 2 - Tutor led training MAR Program E comprising: - Safe patient handling – hands on - Fire training and evacuation – hands on - (note: this programme does not contain resus)
Tutor-led hands on session to be booked well in advance with HR Learning Central Ask for: MAR Programme E