BSc (Hons) Adult Nursingextranet.lsbu.ac.uk/practicelearning/Adult Nursing... · First Year...

1

BSc (Hons) Adult Nursing

Practice Learning & Assessment Portfolio

Year 1

3

Practice Learning Opportunity 1

Practice Skills for Nursing

HAP-4-002

12 Weeks

4

ESSENTIAL INFORMATION Student Name

Student Number

Course

Cohort

Practice Area

Organisation

Start Date in Practice

End Date in Practice

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Link Lecturer

Cohort Leader

Personal Tutor

Submission Date

5

INDUCTION TO THE PRACTICE LEARNING OPPORTUNITY

Date: …………………………………………………………………………………………………..

The following issues must be discussed with the student on the first day Tick when

undertaken Fire policy & procedure, including exits & equipment

Resuscitation procedures

Cardiac arrest telephone number

Security telephone number

Organisation policies

Local area policies, e.g. handling messages and enquiries, incident procedure, health and safety, lone working

Practice hours

Mentor(s)

Moving and handling of individuals and equipment

General information, e.g. shift times, meal times, procedures for reporting sickness, communicating information

Link Lecturer(s)

Mentor/Supervisor Signature: Date: Print Name:

Student Signature: Date:

6

NMC Competencies/Core Values carried forward from the previous placement

These boxes are to be completed by the personal tutor and identify any outstanding Competencies/Core values from the previous placement, which MUST be achieved by the end of this placement. Competencies/Core values Score to be

achieved Score achieved

NUMERACY ASSESSMENT

To be completed by the Personal Tutor The pass mark for the Numeracy Assessment in this Module is 16/20. The student has scored …………………. Please will the mentor/s provide extra support for the student to enable them to achieve Domain 3, Competency 6 Mentor/Supervisor Signature: Date: Print Name:


7

INITIAL INTERVIEW

The initial interview should take place between the student and the mentor during the first week of the practice learning opportunity. Please review together:

The student’s previous experience

The experiences available in this practice setting that will enable the student to achieve their competencies

The student’s personal learning outcomes Any outstanding competencies to be achieved.

SPECIFIC LEARNING OPPORTUNITIES

Type of practice experience available: Specific learning opportunities identified: Mentor Signature: Student Signature: Date:

8

FEEDBACK – PROGRESS SHEET

It is important that the student receives feedback on their general progress which constructively highlights their strengths and weaknesses. This needs to be sufficiently frequent to provide a clear framework for future development. N.B. Please ensure that each entry is signed and dated by the qualified nurse and the student.

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PROGRESS SHEET Continued

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This must be completed prior to meeting with your mentor for the mid-point interview. Please consider all your competencies, including the core values and your personal learning outcomes when assessing your progress so far, identifying areas of strength and specific areas for development.

STUDENT REFLECTION ON PROGRESS PRIOR TO MID-POINT INTERVIEW


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At the mid-point an interview MUST take place between the student and their mentor. Before the interview, the student should have completed their mid-point reflection. Please score each competency and core value and use these scores as a basis for the interview. This should provide sufficient feedback for the student to develop all aspects of their nursing practice.

MID- POINT INTERVIEW - MENTOR COMMENTS

Achievement of competencies: Development as a professional: Other supportive comments: Mentor Signature: Date: Print Name: Student Signature: Date:

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SCORING

Mentors are required to assess students at the level they are expected to achieve for the year of the programme. First Year Students: The minimum score to pass each competency/core value in the 1st year is 2. A score of 1 will constitute a referral for the specific competency/ core value. Achievement of Competence You must pass each Competency/Core Value by the end of the practice learning opportunity to achieve an overall pass. Below is the scoring grid which will allow the mentor to make a fair and objective assessment of your performance based on their professional judgement. Only one score is given per competency, either 1 or 2.

Scoring Grid

Outcome

Level of Performance

Score

The student has performed (or verbalised an understanding of) the NMC Competency/Core Value at a basic level in routine situations.

The student can perform the NMC Competency/Core Value with direct supervision, in a safe manner, with moderate verbal guidance

2

The student has failed to perform (or verbalise an understanding of) the NMC Competency/Core Value.

Despite direct supervision and repeated guidance, the student demonstrates unsafe practice through the inability to perform (or verbalise their understanding of) the NMC Competency/Core Value

1

The student has not attended the Practice Learning Opportunity for the minimum period specified within the progression criteria and Practice Learning Opportunities Guidelines

N

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Core Nursing Values Based on the NMC Standards for pre-registration education (2010), The Code: Standards of conduct, performance and ethics for nurses and midwives (2008) and the Guidance on professional conduct for nursing and midwifery students (2009).

Value Midpoint score

Final Score

1. Understands the principles of confidentiality and data protection. Treats information as confidential, except where sharing is required to safeguard and protect people.

2. Maintains appropriate professional attitude regarding punctuality, attendance and personal presentation/uniform code at all times

3. Maintains consistent and safe practice

4. Acts in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory, that values diversity and acts within professional boundaries.

5. Promotes and maintains adult/child privacy and dignity.

6. Is able to recognise, and work within, the limitations of their own knowledge and skills and professional boundaries, understanding that they are responsible for their own actions.

7. Demonstrates the ability to listen, seek clarity, and carry out instructions safely.

Midpoint Interview: Mentor Signature: Date: Print Name: Student Signature: Date: Final Interview: Mentor Signature: Date: Print Name: Student Signature: Date:

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COMPETENCIES FOR ENTRY TO THE REGISTER: ADULT NURSING

Domain 1: Professional Values

All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing that respects and maintains dignity and human rights. They must show professionalism and integrity and work within recognised professional, ethical and legal frameworks. They must work in partnership with other health and social care professionals and agencies, service users, their carers and families in all settings, including the community, ensuring that decisions about care are shared.

Adult nurses must be able at all times to promote the rights ,choices and wishes of all adults and where appropriate, children and young people, paying particular attention to equality, diversity and the needs of an aging population. They must be able to work in partnership to address people’s needs in all health care settings.

Domain 1: Professional Values Mid-point score

Final Score

1. All nurses must practise with confidence according to The code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2008), and within other recognised ethical and legal frameworks.

2. All nurses must practise in a holistic, non-judgmental, caring and sensitive manner that recognises and respects individual choice; and acknowledges diversity.

4. All nurses must work in partnership with service users, carers, families, groups, communities and organisations.

5. All nurses must understand the nurse’s various roles, responsibilities and functions in this area of practice.

6. All nurses must understand the roles and responsibilities of other health and social care professionals.

8. All nurses must recognise the limits of their competence and knowledge. They must seek advice from, or refer to, other professionals where necessary.

Generic standard for competence

Field standard for competence

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Domain 2: Communication and Interpersonal Skills

All nurses must use excellent communication and interpersonal skills. Their communications must always be safe, effective, compassionate and respectful. They must communicate effectively using a wide range of strategies and interventions including the effective use of communication technologies. Where people have a disability, nurses must be able to work with service users and others to obtain the information needed to make reasonable adjustments that promote optimum health and enable equal access to services.

Adult nurses must demonstrate ability to listen with empathy. They must be able to respond warmly and positively to people of all ages who may be anxious distressed or facing problems with their health and well being

Domain 2: Communication and Interpersonal Skills Mid-point score

Final Score

1. All nurses must take into account individual differences, capabilities and needs.

2. All nurses must use a range of communication skills and technologies to support person-centred care and enhance quality and safety. They must recognise when language interpretation or other communication support is needed and know how to obtain it.

3. All nurses must use the full range of communication methods, including verbal, non-verbal and written to record their knowledge and understanding of people’s needs. They must be aware of their own values and beliefs and the impact this may have on their communication with others.

4. All nurses must recognise when people are anxious or in distress and respond appropriately. They must know when to consult a third party and how to make referrals

5. All nurses must use therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and must always respect professional boundaries.

6. All nurses must take every opportunity to encourage health-promoting behaviour through education, role modelling and effective communication.

7. All nurses must maintain accurate, clear and complete records, including the use of electronic formats, using appropriate and plain language.

8. All nurses must respect individual rights to confidentiality and keep information secure and confidential in accordance with the law and relevant ethical and regulatory frameworks, taking account of local protocols.



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Domain 3: Nursing Practice and Decision-Making Generic standard for competence All nurses must practise autonomously, compassionately, skilfully and safely, and must maintain dignity and promote health and wellbeing. They must assess and meet the full range of essential physical and mental health needs of people of all ages who come into their care. Where necessary they must be able to provide safe and effective immediate care to all people prior to accessing or referring to specialist services irrespective of their field of practice. All nurses must also meet more complex and coexisting needs for people in their own nursing field of practice, in any setting including hospital, community and at home. All practice should be informed by the best available evidence and comply with local and national guidelines. Decision-making must be shared with service users, carers and families and informed by critical analysis of a full range of possible interventions, including the use of up-to-date technology. All nurses must also understand how behaviour, culture, socioeconomic and other factors, in the care environment and its location, can affect health, illness, health outcomes and public health priorities and take this into account in planning and delivering care.

Adult nurses must be able to carry out accurate assessment of people of all ages using appropriate diagnostic and decision making skills. They must be able to provide effective care for service users and others in all settings. They must have in-depth understanding and competence in medical and surgical nursing to respond to adults’ full range of health and dependency needs. They must be able to deliver care to meet essential and complex physical and mental health needs.

Domain 3: Nursing Practice and Decision-Making Mid-point score

Final Score

1. All nurses must use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care and communicate findings.

1.1 Adult nurses must be able to recognise and respond to the needs of all people who come into their care including people with mental health problems, cognitive impairment or and physical disabilities where applicable

3. All nurses must carry out systematic nursing assessments that take account of relevant physical, social, cultural, psychological, spiritual, genetic and environmental factors, in partnership with service users and others through interaction, observation and measurement.

3.1 Adult nurses must safely use a range of skills and technology to assess the needs of service users

4. All nurses must ascertain and respond to the physical, social and psychological needs of people, groups and communities.

6. All nurses must practise safely by being aware of the correct use of common interventions, including nursing


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activities and the use of medical devices and equipment. 7. All nurses must be able to recognise and interpret signs of normal and deteriorating mental and physical health and respond promptly.

7.1 Adult Nurses must recognise the early signs of illness in people of all ages, they must make accurate assessments

8. All nurses must promote self-care and management whenever possible, helping people to make choices about their healthcare needs, involving families and carers where appropriate, to maximise their ability to care for themselves.


21

Domain 4: Leadership, Management and Team Working

All nurses must be professionally accountable and use clinical governance processes to maintain and improve nursing practice and standards of healthcare. They must be able to respond autonomously and confidently to planned and uncertain situations, managing themselves and others effectively. They must create and maximise opportunities to improve services. They must also demonstrate the potential to develop further management and leadership skills during their period of preceptorship and beyond.

Adult nurses must be able to provide leadership in managing adult nursing care, understand and coordinate inter professional care when needed, liaise with specialist teams. They must be adaptable and flexible and be able to take the lead in responding to the needs of people of all ages in a variety of circumstances, including situations where immediate or urgent care is needed. They must recognise their leadership role in disaster management, major incidents and public health emergencies, and respond appropriately according to their levels of competence.

Domain 4: Leadership, Management and Team Working Mid-point score

Final Score

3. All nurses must be able to identify priorities and manage time effectively to ensure the quality of care is maintained.

4. All nurses must be self-aware and recognise how their own values, principles and assumptions may affect their practice.

6. All nurses must work in teams, managing risk and remaining accountable for the care given.

7. All nurses must work effectively across professional and agency boundaries. They must know when and how to communicate with and refer to other professionals and agencies.




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ACTION PLAN This plan should be developed by the Mentor and the student together following the mid-point interview and should reflect areas where progress must be consolidated and areas where improvement must be achieved by the end of the practice learning opportunity. The midway scores for the Competencies and Core Values will act as clear indicators where improvements must be made.

Following a meeting between Mentor _______________________ and Student ________________, the following action plan has been agreed: Area for further development What needs to be demonstrated How can this be demonstrated When this will be reviewed

Mentor Signature: Date: Student Signature: Date:

SAMPLE

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Record of Meetings/ Link Lecturer Discussion

Please record any meetings/Link Lecturer visits attended. Summary Date:

Summary Date: Summary Date: Summary Date: Summary Date:

SAMPLE

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Record of additional activities/visits contributing to Practice Learning Please record any teaching or visits attended. Summary Date:


SAMPLE

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Record of service user and carer feedback on practice

Service users and carers should have the opportunity to contribute to the feedback a student receives in practice. Students must discuss with their mentor the most relevant way of receiving this feedback, before obtaining this. This may vary from practice to practice. Service users and carers should be able to feel comfortable to decline to participate. Please provide feedback for the student on the care you have received. Thank you. Date: Mentor signature:

Date: Mentor signature: Date: Mentor signature: Date: Mentor signature:

SAMPLE

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STUDENT REFLECTION ON PROGRESS PRIOR TO FINAL INTERVIEW

This must be completed prior to meeting with your mentor for the final interview. Reflect upon your experience during this Practice Learning Opportunity, considering all your competencies and core values.


SAMPLE

27

Before the interview, the student should have completed their final reflection. Please give a summary of the student’s performance in the practice learning opportunity. Score each competency and core value and use these scores as a basis for the interview.

FINAL INTERVIEW - MENTOR COMMENTS

All outstanding competencies/core values from the previous practice have been achieved. N/A / Yes / No All competencies/core values from this practice learning opportunity have been achieved. Yes / No If no, please number the competencies/core values to be achieved at the next practice learning opportunity. Pass/Fail Mentor Signature: Date: Print Name: Student Signature: Date:

SAMPLE

28

FINAL INTERVIEW - PERSONAL TUTORS COMMENTS

Please give a summary of progress and significant events which have occurred during this practice learning opportunity.

All outstanding competencies/core values from the previous practice have been achieved. Yes / No All competencies/core values from this practice learning opportunity have been achieved. Yes / No Pass/Fail Outstanding learning outcomes to be achieved on the next practice learning opportunity will be: Dates of any sickness: Dates sickness made up (if relevant): Personal Tutor Signature: Date: Student Signature: Date:

SAMPLE

29

PRACTICE HOURS RECORD

Students must complete all required practice hours i.e. 225 hours for a 6 week placement and 450 hours for a 12 week placement regardless of whether Bank Holidays fall within that period. It is your responsibility to maintain a record of your practice experience hours in each placement. Ensure that your practice mentor/manager signs this record on a daily and weekly basis. Keep this record safe. You must be able to provide evidence of your practice hours in each placement. All absence time must be paid back and documented on the Pay Back form which is signed by your practice mentor/manager. Placement experience will usually be 5 days of 7.5 hours i.e. 37.5 hours per week or 150 hours per 4 week period, unless otherwise stated from the placement office. Students are expected to work am/pm/twilight and 9 to 5 shifts which reflect the work pattern of the placement area. A meal break of ½ hour per 7.5 hour shift is not included the practice hours. Therefore students are required to be on duty for a total of 8 hours per shift. Short tea/coffee breaks are included in the practice hours. Students opting to work long days in areas where the pattern of work is long days, are entitled to a 1 hour meal break per 11 ½ hour shift, this may be taken as two ½ hour breaks or a 1 hour break at the discretion of the placement area. Meal breaks are not included in the practice hours. Therefore, students working long days will be required on duty for a total of 12 ½ hours per shift. Short tea/coffee breaks are included in the practice hours. Hours recorded on the student’s Practice Record must not exceed 11 ½ hours for a long day or 7 ½ for a regular shift. Excess hours will not be accepted. It is a European Working Time Directive that students should not work more than 48 hours in any week. Students may need to negotiate to work additional weekends and/or Bank Holidays when making up practice time. In such cases no time in lieu will be given. In order that students experience the full 24/hour cycle of care 7 day week nature of nursing care, students (in areas where 24 hour, 7 day a week care is provided) should work a minimum of 1 weekend in every 4 where possible or, a maximum of 2 weekends out of every 4.

On practice areas that have been deemed suitable for night duty, students will usually be expected to work one or two weeks of nights per 8 week practice learning opportunity i.e. 3-4 nights per week. A minimum of 3 weeks night duty must have been worked by the end of the programme i.e. 9–12 nights and a maximum of 9 weeks i.e. 27 – 36 nights. It is the students’ responsibility to ensure that night duty is evenly spread throughout the programme.

Practice Area Name Number of weeks Hours completed Hours Absent Cohort Leader signature Date

SAMPLE

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Practice Area(s) Week 1


Date Planned Duties

Hrs worked

Sickness/ Absence Day(s) Made Up

Supervisor’s Signature

Date Planned Duties

Hrs worked

Sickness/ Absence Days Made Up


M M T T W W Th Th F F Sa Sa Su Su Total Practice Hrs/Days for Week

Total Practice Hrs/Days for Week

Manager’s Signature/Date:

Manager’s Signature

Name of Manager/Designation




Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









SAMPLE

31



Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked











Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









SAMPLE

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Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked











Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









SAMPLE

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Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









SAMPLE

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SAMPLE

35

Practice Learning Opportunity 2

Communication in Health Care

NAD-4-002

6 Weeks

SAMPLE

36

ESSENTIAL INFORMATION Student Name

Student Number

Course

Cohort

Practice Area

Organisation

Start Date in Practice

End Date in Practice

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Link Lecturer

Cohort Leader

Personal Tutor

Submission Date

SAMPLE

37

INDUCTION TO THE PRACTICE LEARNING OPPORTUNITY

Date: …………………………………………………………………………………………………..

The following issues must be discussed with the student on the first day Tick when

undertaken Fire policy & procedure, including exits & equipment

Resuscitation procedures

Cardiac arrest telephone number

Security telephone number

Organisation policies

Local area policies, e.g. handling messages and enquiries, incident procedure, health and safety, lone working

Practice hours

Mentor(s)

Moving and handling of individuals and equipment

General information, e.g. shift times, meal times, procedures for reporting sickness, communicating information

Link Lecturer(s)

Mentor/Supervisor Signature: Date: Print Name:


SAMPLE

38

NMC Competencies/Core Values carried forward from the

previous placement

These boxes are to be completed by the personal tutor and identify any outstanding Competencies/Core values from the previous placement, which MUST be achieved by the end of this placement. Competencies/Core values Score to be

achieved Score achieved

NUMERACY ASSESSMENT

To be completed by the Personal Tutor The pass mark for the Numeracy Assessment in this Module is 16/20. The student has scored …………………. Please will the mentor/s provide extra support for the student to enable them to achieve Domain 3, Generic Competency 6. Mentor/Supervisor Signature: Date: Print Name: Student Signature: Date:

SAMPLE

39

INITIAL INTERVIEW

The initial interview should take place between the student and the mentor during the first week of the practice learning opportunity. Please review together:

The student’s previous experience

The experiences available in this practice setting that will enable the student to achieve their competencies

The student’s personal learning outcomes Any outstanding competencies to be achieved.

SPECIFIC LEARNING OPPORTUNITIES Type of practice experience available: Specific learning opportunities identified: Mentor Signature: Student Signature: Date:

SAMPLE

40

FEEDBACK – PROGRESS SHEET

It is important that the student receives feedback on their general progress which constructively highlights their strengths and weaknesses. This needs to be sufficiently frequent to provide a clear framework for future development. N.B. Please ensure that each entry is signed and dated by the qualified nurse and the student.

SAMPLE

41


SAMPLE

42

This must be completed prior to meeting with your mentor for the mid-point interview. Please consider all your competencies, including the core values and your personal learning outcomes when assessing your progress so far, identifying areas of strength and specific areas for development.

STUDENT REFLECTION ON PROGRESS PRIOR TO MID-POINT INTERVIEW


SAMPLE

43

At the mid-point an interview MUST take place between the student and their mentor. Before the interview, the student should have completed their mid-point reflection. Please score each competency and core value and use these scores as a basis for the interview. This should provide sufficient feedback for the student to develop all aspects of their nursing practice.

MID- POINT INTERVIEW - MENTOR COMMENTS

Achievement of competencies: Development as a professional: Other supportive comments: Mentor Signature: Date: Print Name: Student Signature: Date:

SAMPLE

44

SCORING Mentors are required to assess students at the level they are expected to achieve for the year of the programme. First Year Students: The minimum score to pass each competency/core value in the 1st year is 2. A score of 1 will constitute a referral for the specific competency/ core value. Achievement of Competence You must pass each Competency/Core Value by the end of the practice learning opportunity to achieve an overall pass. Below is the scoring grid which will allow the mentor to make a fair and objective assessment of your performance based on their professional judgement. Only one score is given per competency, either 1 or 2.

Scoring Grid

Outcome

Level of Performance

Score

The student has performed (or verbalised an understanding of) the NMC Competency/Core Value at a basic level in routine situations.

The student can perform the NMC Competency/Core Value with direct supervision, in a safe manner, with moderate verbal guidance

2

The student has failed to perform (or verbalise an understanding of) the NMC Competency/Core Value.

Despite direct supervision and repeated guidance, the student demonstrates unsafe practice through the inability to perform (or verbalise their understanding of) the NMC Competency/Core Value

1

The student has not attended the Practice Learning Opportunity for the minimum period specified within the progression criteria and Practice Learning Opportunities Guidelines

N

SAMPLE

45

Core Nursing Values

Based on the NMC Standards for pre-registration education (2010), The Code: Standards of conduct, performance and ethics for nurses and midwives (2008) and the Guidance on professional conduct for nursing and midwifery students (2009).

Value Midpoint score

Final Score

1. Understands the principles of confidentiality and data protection. Treats information as confidential, except where sharing is required to safeguard and protect people.

2. Maintains appropriate professional attitude regarding punctuality, attendance and personal presentation/uniform code at all times

3. Maintains consistent and safe practice

4. Acts in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory, that values diversity and acts within professional boundaries.

5. Promotes and maintains adult/child privacy and dignity.

6. Is able to recognise, and work within, the limitations of their own knowledge and skills and professional boundaries, understanding that they are responsible for their own actions.

7. Demonstrates the ability to listen, seek clarity, and carry out instructions safely.


SAMPLE

46

COMPETENCIES FOR ENTRY TO THE REGISTER: ADULT NURSING

Domain 1: Professional Values

Generic standard for competence All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing that respects and maintains dignity and human rights. They must show professionalism and integrity and work within recognised professional, ethical and legal frameworks. They must work in partnership with other health and social care professionals and agencies, service users, their carers and families in all settings, including the community, ensuring that decisions about care are shared.

Field standard for competence Adult nurses must be able at all times to promote the rights ,choices and wishes of all adults and where appropriate, children and young people, paying particular attention to equality, diversity and the needs of an aging population. They must be able to work in partnership to address people’s needs in all health care settings. Domain 1: Professional Values Mid-point

score

Final Score

1. All nurses must practise with confidence according to The code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2008), and within other recognised ethical and legal frameworks.

2. All nurses must practise in a holistic, non-judgmental, caring and sensitive manner that recognises and respects individual choice; and acknowledges diversity.

4. All nurses must work in partnership with service users, carers, families, groups, communities and organisations.

5. All nurses must understand the nurse’s various roles, responsibilities and functions in this area of practice.

6. All nurses must understand the roles and responsibilities of other health and social care professionals.

8. All nurses must recognise the limits of their competence and knowledge. They must seek advice from, or refer to, other professionals where necessary.

SAMPLE

47

Mid-point Interview: Mentor Signature: Date: Print Name: Student Signature: Date: Final Interview: Mentor Signature: Date: Print Name:


SAMPLE

48

Domain 2: Communication and Interpersonal Skills

All nurses must use excellent communication and interpersonal skills. Their communications must always be safe, effective, compassionate and respectful. They must communicate effectively using a wide range of strategies and interventions including the effective use of communication technologies. Where people have a disability, nurses must be able to work with service users and others to obtain the information needed to make reasonable adjustments that promote optimum health and enable equal access to services.

Adult nurses must demonstrate ability to listen with empathy. They must be able to respond warmly and positively to people of all ages who may be anxious distressed or facing problems with their health and well being

Domain 2: Communication and Interpersonal Skills Mid-point

score

Final Score

1. All nurses must take into account individual differences, capabilities and needs.

2. All nurses must use a range of communication skills and technologies to support person-centred care and enhance quality and safety. They must recognise when language interpretation or other communication support is needed and know how to obtain it.

3. All nurses must use the full range of communication methods, including verbal, non-verbal and written to record their knowledge and understanding of people’s needs. They must be aware of their own values and beliefs and the impact this may have on their communication with others.

4. All nurses must recognise when people are anxious or in distress and respond appropriately. They must know when to consult a third party and how to make referrals

5. All nurses must use therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and must always respect professional boundaries.



SAMPLE

49

Mid-point Interview: Mentor Signature: Date: Print Name: Student Signature: Date: Final Interview: Mentor Signature: Date: Print Name: Student Signature: Date:

SAMPLE

50

Domain 3: Nursing Practice and Decision-Making Generic standard for competence All nurses must practise autonomously, compassionately, skilfully and safely, and must maintain dignity and promote health and wellbeing. They must assess and meet the full range of essential physical and mental health needs of people of all ages who come into their care. Where necessary they must be able to provide safe and effective immediate care to all people prior to accessing or referring to specialist services irrespective of their field of practice. All nurses must also meet more complex and coexisting needs for people in their own nursing field of practice, in any setting including hospital, community and at home. All practice should be informed by the best available evidence and comply with local and national guidelines. Decision-making must be shared with service users, carers and families and informed by critical analysis of a full range of possible interventions, including the use of up-to-date technology. All nurses must also understand how behaviour, culture, socioeconomic and other factors, in the care environment and its location, can affect health, illness, health outcomes and public health priorities and take this into account in planning and delivering care.

Adult nurses must be able to carry out accurate assessment of people of all ages using appropriate diagnostic and decision making skills. They must be able to provide effective care for service users and others in all settings. They must have in-depth understanding and competence in medical and surgical nursing to respond to adults’ full range of health and dependency needs. They must be able to deliver care to meet essential and complex physical and mental health needs. Domain 3: Nursing Practice and Decision-Making Mid-point

score Final Score

1. All nurses must use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care and communicate findings.

1.1Adult nurses must be able to recognise and respond to the needs of all people who come into their care including people with mental health problems, cognitive impairment or and physical disabilities where applicable

3.1 Adult nurses must safely use a range of skills and technology to assess the needs of service users

4. All nurses must ascertain and respond to the physical, social and psychological needs of people, groups and communities.

6. All nurses must practise safely by being aware of the correct use of common interventions, including nursing activities and the use of medical devices and equipment.

7. All nurses must be able to recognise and interpret signs of normal and deteriorating mental and physical health and respond promptly.

7.1 Adult Nurses must recognise the early signs of illness in people of all ages, they must make accurate assessments


SAMPLE

51

8. All nurses must promote self-care and management whenever possible, helping people to make choices about their healthcare needs, involving families and carers where appropriate, to maximise their ability to care for themselves.


SAMPLE

52

Domain 4: Leadership, Management and Team Working

All nurses must be professionally accountable and use clinical governance processes to maintain and improve nursing practice and standards of healthcare. They must be able to respond autonomously and confidently to planned and uncertain situations, managing themselves and others effectively. They must create and maximise opportunities to improve services. They must also demonstrate the potential to develop further management and leadership skills during their period of preceptorship and beyond.

Adult nurses must be able to provide leadership in managing adult nursing care, understand and coordinate inter professional care when needed, liaise with specialist teams. They must be adaptable and flexible and be able to take the lead in responding to the needs of people of all ages in a variety of circumstances, including situations where immediate or urgent care is needed. They must recognise their leadership role in disaster management, major incidents and public health emergencies, and respond appropriately according to their levels of competence.

Domain 4: Leadership, Management and Team Working Mid-point score

Final Score

3. All nurses must be able to identify priorities and manage time effectively to ensure the quality of care is maintained.

4. All nurses must be self-aware and recognise how their own values, principles and assumptions may affect their practice.

6. All nurses must work in teams, managing risk and remaining accountable for the care given.

7. All nurses must work effectively across professional and agency boundaries. They must know when and how to communicate with and refer to other professionals and agencies.




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ACTION PLAN This plan should be developed by the Mentor and the student together following the mid-point interview and should reflect areas where progress must be consolidated and areas where improvement must be achieved by the end of the practice learning opportunity. The midway scores for the Competencies and Professional Values will act as clear indicators where improvements must be made.

Following a meeting between Mentor _______________________ and Student ________________, the following action plan has been agreed: Area for further development What needs to be demonstrated How can this be demonstrated When this will be reviewed

Mentor Signature: Date: Student Signature: Date:

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Record of Meetings/Link Lecturer Discussion

Please record any meetings/Link Lecturer discussion. Summary Date:


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Record of additional activities/visits contributing to Practice Learning Please record any teaching or visits attended. Summary Date:


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Record of service user and carer feedback on practice

Service users and carers should have the opportunity to contribute to the feedback a student receives in practice. Students must discuss with their mentor the most relevant way of receiving this feedback, before obtaining this. This may vary from practice to practice. Service users and carers should be able to feel comfortable to decline to participate. Please provide feedback for the student on the care you have received. Thank you. Date: Mentor signature:

Date: Mentor signature: Date: Mentor signature: Date: Mentor signature:

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STUDENT REFLECTION ON PROGRESS PRIOR TO FINAL INTERVIEW

This must be completed prior to meeting with your mentor for the final interview. Reflect upon your experience during this Practice Learning Opportunity, considering all your competencies and core values.


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Before the interview, the student should have completed their final reflection. Please give a summary of the student’s performance in the practice learning opportunity. Score each competency and core value and use these scores as a basis for the interview.

FINAL INTERVIEW - MENTOR COMMENTS

All outstanding competencies/core values from the previous practice have been achieved. N/A / Yes / No All competencies/core values from this practice learning opportunity have been achieved. Yes / No If no, please number the competencies/core values to be achieved at the next practice learning opportunity. Pass/Fail Mentor Signature: Date: Print Name: Student Signature: Date:

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FINAL INTERVIEW - PERSONAL TUTORS COMMENTS

Please give a summary of progress and significant events which have occurred during this module.

All outstanding competencies/core values from the previous practice have been achieved. Yes / No All competencies/core values from this practice learning opportunity have been achieved. Yes / No Pass/Fail Outstanding learning outcomes to be achieved on the next practice learning opportunity will be: Dates of any sickness: Dates sickness made up (if relevant): Personal Tutor Signature: Date: Student Signature: Date:

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PRACTICE HOURS RECORD

Students must complete all required practice hours i.e. 225 hours for a 6 week placement and 450 hours for a 12 week placement regardless of whether Bank Holidays fall within that period. It is your responsibility to maintain a record of your practice experience hours in each placement. Ensure that your practice mentor/manager signs this record on a daily and weekly basis. Keep this record safe. You must be able to provide evidence of your practice hours in each placement. All absence time must be paid back and documented on the Pay Back form which is signed by your practice mentor/manager. Placement experience will usually be 5 days of 7.5 hours i.e. 37.5 hours per week or 150 hours per 4 week period, unless otherwise stated from the placement office. Students are expected to work am/pm/twilight and 9 to 5 shifts which reflect the work pattern of the placement area. A meal break of ½ hour per 7.5 shift is not included the practice hours. Therefore students are required to be on duty for a total of 8 hours per shift. Short tea/coffee breaks are included in the practice hours. Students opting to work long days in areas where the pattern of work is long days, are entitled to a 1 hour meal break per 11 ½ hour shift, this may be taken as two ½ hour breaks or a 1 hour break at the discretion of the placement area. Meal breaks are not included in the practice hours. Therefore, students working long days will be required on duty for a total of 12 ½ hours per shift. Short tea/coffee breaks are included in the practice hours. Hours recorded on the student’s Practice Record must not exceed 11 ½ hours for a long day or 7 ½ for a regular shift. Excess hours will not be accepted. It is a European Working Time Directive that students should not work more than 48 hours in any week. Students may need to negotiate to work additional weekends and/or Bank Holidays when making up practice time. In such cases no time in lieu will be given. In order that students experience the full 24/hour cycle of care 7 day week nature of nursing care, students (in areas where 24 hour, 7 day a week care is provided) should work a minimum of 1 weekend in every 4 where possible or, a maximum of 2 weekends out of every 4.

On practice areas that have been deemed suitable for night duty, students will usually be expected to work one or two weeks of nights per 8 week practice learning opportunity i.e. 3-4 nights per week. A minimum of 3 weeks night duty must have been worked by the end of the programme i.e. 9–12 nights and a maximum of 9 weeks i.e. 27 – 36 nights. It is the students’ responsibility to ensure that night duty is evenly spread throughout the programme.

Practice Area Name Number of weeks Hours completed Hours Absent Cohort Leader signature Date

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Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked











Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









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Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked











Date Planned Duties

Hrs worked



Date Planned Duties

Hrs worked









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Year 1 - Essential Skills

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ESSENTIAL SKILLS

This section identifies the range of skills that the student must practice and demonstrate over Year One of the Programme. The document allows the Mentor or equivalent other to record your skills development. NB. You must complete all the skills in the Year One Portfolio to achieve a Pass at the end of each year of the Programme. You must ensure that all the signatories in the book sign the record of Authorised Signatories below otherwise your book will not be valid. Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

Mentor Name

Mentor Signature

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ESSENTIAL SKILLS: CARE, COMPASSION AND COMMUNICATION 1. As partners in the care process, people can trust a newly registered graduate nurse to provide collaborative care based on the highest standards, knowledge and competence. SKILL PRACTISED BY STUDENT SKILL DEMONSTRATED

COMPETENTLY BY STUDENT ASSESSOR

SIGNATURE DATE ASSESSOR

SIGNATURE DATE

1.1 Articulates the underpinning values of The code: Standards of conduct, performance and ethics for nurses and midwives (the code) (NMC 2008).

1.2 Works within limitations of the role and recognises own level of competence.

1.3 Promotes a professional image.

1.4 Shows respect for others.

1.5 Is able to engage with people and build caring professional relationships.

2. People can trust the newly registered graduate nurse to engage in person centred care empowering people to make choices about how their needs are met when they are unable to meet them for themselves. 1. Takes a person-centred, personalised approach to care.

3. People can trust the newly registered graduate nurse to respect them as individuals and strive to help them the preserve their dignity at all times.

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SKILL PRACTISED BY STUDENT SKILL DEMONSTRATED COMPETENTLY BY STUDENT

ASSESSOR SIGNATURE

DATE ASSESSOR SIGNATURE

DATE

3.1 Demonstrates respect for diversity and individual preference, valuing differences, regardless of personal view.

3.2 Engages with people in a way that ensures dignity is maintained through making appropriate use of the environment, self and skills and adopting an appropriate attitude.

3.3 Uses ways to maximise communication where hearing, vision or speech is compromised.

4. People can trust a newly qualified graduate nurse to engage with them and their family or carers within their cultural environments in an acceptant and anti-discriminatory manner free from harassment and exploitation. 4.1 Demonstrates an understanding of how culture, religion, spiritual beliefs, gender and sexuality can impact on illness and disability.

4.2 Respects people’s rights.

4.3 Adopts a principled approach to care underpinned by the code (NMC 2008).

5. People can trust the newly registered graduate nurse to engage with them in a warm, sensitive and compassionate way. 5.1 Is attentive and acts with kindness and sensitivity.

5.2 Takes into account people’s physical and emotional responses when engaging with them.

5.3 Interacts with the person in a manner that is interpreted as warm, sensitive, kind and compassionate, making appropriate use of touch.

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ASSESSOR SIGNATURE


DATE

5.4 Provides person centred care that addresses both physical and emotional needs and preferences.

5.5 Evaluates ways in which own interactions affect relationships to ensure that they do not impact inappropriately on others.

6. People can trust the newly registered graduate nurse to engage therapeutically and actively listen to their needs and concerns, responding using skills that are helpful, providing information that is clear, accurate, meaningful and free from jargon. 6.1 Communicates effectively both orally and in writing, so that the meaning is always clear.

6.2 Records information accurately and clearly on the basis of observation and communication.

6.3 Always seeks to confirm understanding.

6.4 Responds in a way that confirms what a person is communicating.

6.5 Effectively communicates people’s stated needs and wishes to other professionals.

8. People can trust the newly registered graduate nurse to protect and keep as confidential all information relating to them.

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ASSESSOR SIGNATURE


DATE

7.1 Applies the principles of confidentiality.

7.2 Protects and treats information as confidential except where sharing information is required for the purposes of safeguarding and public protection.

7.3 Applies the principles of data protection.

9. People can trust the newly registered graduate nurse to gain their consent based on sound understanding and informed choice prior to any intervention and that their rights in decision making and consent will be respected and upheld.

8.1 Seeks consent prior to sharing confidential information outside of the professional care team, subject to agreed safeguarding and protection procedures.

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ESSENTIAL SKILLS: ORGANISATIONAL ASPECTS OF CARE 10. People can trust the newly registered graduate nurse to treat them as partners and work with them to make a holistic and

systematic assessment of their needs; to develop a personalised plan that is based on mutual understanding and respect for their individual situation promoting health and well-being, minimising risk of harm and promoting their safety at all times.


ASSESSOR SIGNATURE


DATE

9.1 Responds appropriately when faced with an emergency or a sudden deterioration in a person’s physical or psychological condition (for example, abnormal vital signs, collapse, cardiac arrest, self harm, extremely challenging behaviour, attempted suicide) including seeking help from an appropriate person.

11. People can trust the newly registered graduate nurse to safeguard children and adults from vulnerable situations and support and protect them from harm. 11.1 Acts within legal frameworks and local policies in relation to safeguarding adults and children who are in vulnerable situations.

11.2 Shares information with colleagues and seeks advice from appropriate sources where there is a concern or uncertainty.

11.3 Uses support systems to recognise, manage and deal with own emotions.

12. People can trust the newly registered graduate nurse to respond to their feedback and a wide range of other sources to learn, develop and improve services.

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ASSESSOR SIGNATURE


DATE

12.1 Responds appropriately to compliments and comments.

14. People can trust the newly registered graduate nurse to be an autonomous and confident member of the multi-disciplinary or multi agency team and to inspire confidence in others. 14.1 Works within the code (NMC 2008) and adheres to the Guidance on professional conduct for nursing and midwifery students. (NMC 2010)

15. People can trust the newly registered graduate nurse to safely delegate to others and to respond appropriately when a task is delegated to them. 15.1 Accepts delegated activities within limitations of own role, knowledge and skill.

17. People can trust the newly registered graduate nurse to work safely under pressure and maintain the safety of service users at all times. 17.1 Recognises when situations are becoming unsafe and reports appropriately.

17.2 Understands and applies the importance of rest for effective practice.

18. People can trust a newly registered graduate nurse to enhance the safety of service users and identify and actively manage risk and uncertainty in relation to people, the environment, self and others. 18.1 Under supervision, works within clinical governance frameworks.

18.2 Reports safety incidents regarding service users to senior colleagues.

18.3 Under supervision assesses risk within current sphere of knowledge and competence.

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ASSESSOR SIGNATURE


DATE

18.4 Follows instructions and takes appropriate action, sharing information to minimise risk.

18.5 Under supervision works within legal frameworks to protect self and others.

18.6 Knows and accepts own responsibilities and takes appropriate action.

ESSENTIAL SKILLS: INFECTION PREVENTION AND CONTROL 19. People can trust the newly registered graduate nurse to work to prevent and resolve conflict and maintain a safe environment. 19.1 Recognises signs of aggression and responds appropriately to keep self and others safe.

19.2 Assists others or obtains assistance when help is required.

20. People can trust the newly registered graduate nurse to select and manage medical devices safely. 20.1 Safely uses and disposes of medical devices under supervision and in keeping with local and national policy and understands reporting mechanism relating to adverse incidents.

21. People can trust the newly registered graduate nurse to identify and take effective measures to prevent and control infection in accordance with local and national policy. 21.1 Follows local and national guidelines and adheres to standard infection control precautions.

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22. People can trust the newly registered graduate nurse to maintain effective standard infection control precautions and apply and adapt these to needs and limitations in all environments. SKILL PRACTISED BY STUDENT SKILL DEMONSTRATED

COMPETENTLY BY STUDENT

ASSESSOR SIGNATURE


DATE

22.1 Demonstrates effective hand hygiene and the appropriate use of standard infection control precautions when caring for all people.

24. People can trust a newly registered graduate nurse to fully comply with hygiene, uniform and dress codes in order to limit, prevent and control infection. 24.1 Adheres to local policy and national guidelines on dress code for prevention and control of infection, including: footwear, hair, piercing and nails.

24.2 Maintains a high standard of personal hygiene

24.3 Wears appropriate clothing for the care delivered in all environments.

ESSENTIAL SKILLS: NUTRITION AND FLUID INFORMATION 30. People can trust the newly qualified graduate nurse to assist them in creating an environment that is conducive to eating and drinking. 30.1 Reports to an appropriate person where there is a risk of meals being missed.

30.2 Follows food hygiene procedures in accordance with policy.

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ESSENTIAL SKILLS: MEDICINES MANAGEMENT 33. People can trust the newly registered graduate nurse to correctly and safely undertake medicines calculations. SKILL PRACTISED BY STUDENT SKILL DEMONSTRATED

COMPETENTLY BY STUDENT

ASSESSOR SIGNATURE


DATE

33.1 Is competent in basic medicines calculations (*) relating to:

tablets and capsules liquid medicines injections including:

o unit dose o sub and multiple unit dose o SI unit conversion.

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