Faculty of Health and Human Sciences SCHOOL of NURSING … · Faculty of Health and Human Sciences...

BSc (Hons) Nursing - Ongoing Achievement Record (OAR) 2017 Feb Adult Nursing 1

Faculty of Health and Human Sciences SCHOOL of NURSING and MIDWIFERY

Ongoing Achievement Record (OAR) BSc (Hons) Nursing programme:

ADULT NURSING Year 1 Student name:…………………………..…………….. Personal Tutor:…………………………………………………. Student Registration No:……………………………… Tutor Contact Telephone No:………………………………… Tutor Contact e-mail Address:……….……………….……… I consent to the sharing of information within this OAR and the e-portfolio with academic and clinical staff. Signed: …………………………………….. Date: ………………………

THIS DOCUMENT MUST BE AVAILABLE FOR ALL PLACEMENTS THROUGHOUT THE DURATION OF THE PROGRAMME. THIS OAR MUST BE KEPT INTACT AND NOT DISMANTLED.


Students undertaking programmes delivered by the Faculty of Health and Human Sciences are reminded that any alteration to University documentation, including practice portfolios, involving forgery/falsification of a mentor’s comments or signature/initialling or use of typing correction fluid will be investigated. This investigation could lead to disciplinary action, which may lead to you being unable to achieve professional

registration.

If you require any part of this publication in larger print, or an alternative format, please contact Programme Administration at the campus where you enrolled on the programme: Plymouth: 01752 586954 or 01752 586959 Truro: 01872 256450

If this document is found, please return to: Programme Administration Plymouth University Faculty of Health and Human Sciences Level 4 Rolle Building Drake Circus Plymouth PL6 8AA

If you are experiencing any problems in placement please contact your PDT Lead in the first instance http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf

If you have a disability Please speak to your tutor and contact Disability Assist Services http://www.plymouth.ac.uk/disability

The University is very supportive of students with disabilities, and year on year we are making adjustments to assist students with special needs. It may be of value to put in support to assist you – but unless we know what your needs are, we cannot guarantee that that will be the case.

http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf

http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf


CONTENTS

Section 1: Introduction to the Ongoing Achievement Record........................................................................ Error! Bookmark not defined.

Nursing and Midwifery Council (NMC) Requirements .................................................................................................................................. 4

Practice Assessment ...................................................................................................................................................................................................... 5

Guidelines for Practice Assessment ............................................................................................................................................................. 7

Expectations of Students in Placement ........................................................................................................................................................ 9

Expectations of Mentors in Placement ........................................................................................................................................................ 10

Assessment of practice ………………………………………………………………………………………………..……………………………… 11


Section 1: Introduction to the Ongoing Achievement Record

BSc (Hons) Nursing Programme: Adult Nursing The Ongoing Achievement Record (OAR) is a record of your achievement in practice assessment throughout your pre-registration nursing education and is part of your Skills and Practice modules. This record enables you to demonstrate that you have met the Nursing and Midwifery Council (NMC) progression points and Standards of Competence for Pre-Registration Nursing Education (NMC 2010). It is a mandatory requirement for you and your mentors to complete the OAR, the grade contributes to your overall degree. Mandatory Training The Programme requires all students to undertake mandatory training in a number of areas each year. This will usually be provided by Plymouth University at the start of each academic year. Your attendance will be recorded on your POW record. Failure to undertake mandatory training will prevent you commencing placement Mandatory Requirements Fire Safety and Prevention Introduction year 3

Mental Capacity Act 2005 HDS weeks Online activity

Safeguarding Children Introduction year 3

Safeguarding Vulnerable Adults ADN302 MHN301 Online activity

Placement Induction When commencing placement it is a requirement that you complete the appropriate Placement Provider induction within the stipulated timeframe. This is arranged by you placement host. Preparation for Placement Before commencement of each placement you are required to undertake preparatory work and explore the following:

Common patient conditions seen in the placement

Pathophysiology related to these conditions

Key elements of nursing care related to the care of patients in the placement

Assessment tools commonly used in the placement

Common medications and treatments used in the placement (refer to BNF online)

Nursing and Midwifery Council (NMC) Requirements


During your placement you will be supported and assessed by mentors. Who you will work under direct or indirect supervision for a minimum of 40% of your placement In your final year 3 placement you will be allocated to sign-off mentor and receive an additional protected hour a week to review your progress.

A mentor is a nurse who has completed specific preparation in assessing students and is responsible for ongoing supervision and assessment in practice settings. Other registered professionals who have been suitably prepared can supervise and contribute to the assessment of nursing students. A sign-off mentor is a mentor who has met additional criteria, is registered in the field of practice that the student intends to enter and makes a final judgement of competence and proficiency during the final placement of Year 3.

Practice Assessment

Assessment of practice is through continuous monitoring of progress. You should gradually move towards a point of practising at a level of proficiency, competence and accuracy under supervision. Formative and summative assessment by your mentor must be documented at set points in the programme. You will be assessed on the following NMC Domains in all placements:

Professional values

Communication and interpersonal skills

Nursing practice and decision-making

Leadership, management and team working

Achieving all domains each year will enable to you to meet the following progression point’s to move forward in the programme:


Progression Point 1 (end of Year 1)

Progression Point 2 (end of Year 2)

Point of Registration

Safety and safeguarding people of

all ages, their carers and their

families

Professional values and expected attitudes and

behaviours towards people, their carers and their

families

Works more independently,

with less direct supervision, in

a safe and increasingly

confident manner.

Demonstrates potential to work

autonomously, making the

most of opportunities to extend

knowledge, skills and practice.

Meets all standards of

competence for entry to the

NMC Register

The OAR must be submitted on the stated hand-in date; therefore you should ensure that all documentation is complete. All practice assessments must be signed by your mentor at the end of each practice placement. If this is not possible for any reason then they must be signed within 3 weeks following completion of the placement.

E-Portfolio Your e-portfolio will be assessed by your mentor therefore, you will be expected to share relevant evidence identified in the e-portfolio with them. You will be required to demonstrate that you are developing your skills and knowledge in relation to the assessed domain.

1. You are required to demonstrate observed competency Direct Observation (DO)

2 You are required to produce one reflection for each domain Reflection (R)

Your reflection should be referenced be no more than 750 words and should relate to a further form of evidence

3rd form of evidence - examples

Questioning, oral or written (Q)

Reports/Statements from Others (RO/SO)

Simulation (S)

Evidence of Products of your Work (EW)

Service User Report (SU)

Wider Patient Engagement Activity (WP)


Guidelines for Practice Assessment

Formative assessment of practice - is an essential part of the assessment process that supports your development. The formative

assessment is an opportunity for you and your mentor to review progress, strengths and weaknesses, and to plan how to maintain

your strengths and improve your weaknesses. The formative assessment enables you to undertake a self-assessment and to review

the evidence gathered to support your achievements to date.

Action plan – if there are concerns raised during the formative assessment, the action plan should be completed to help you focus

on improving key elements of your practice.

Summative assessment timing – your summative assessment cannot be undertaken until you have gained at least 20 days or 150

hours experience on your placement. It is recommended that you should be summatively assessed towards the end of your

placement. Any concerns identified after summative assessment should be raised immediately with your personal tutor.

Evidence – to demonstrate achievement of a domain you must provide evidence to your mentor.

In total you are required to provide 3 pieces of evidence:


Non achievement - if you do not provide sufficient appropriate evidence or you have been assessed as not competent you will not pass the

module.

BSc(Hons) Nursing Programme - Assessment in Practice - Placement Referral

Normally students have 2 attempts at practice assessment

If a student has completed 150 hours they are eligible for assessment

All student are normally required to have the following:

Year 1 - Two summative assessments, Year 2 -Three summative assessments, Year 3- Two summative assessments

Any referred domains Re-assessment of all domains can be undertaken in the next placement*

(unless final placement of the year)

End of year

placement referral

Final placement referral will be subject to a decision at the end of year Assessment Award Board (AAB) and may be subject to 150 hours

additional placement time to enable reassessment.

*Re-assessment will be classed as a second and final attempt unless supported with valid extenuating circumstances. Mentors will decide the grade however the

grade will be capped at 40%in line with university regulations

Non completion of

assessment supported

by extenuating

circumstances (sickss

etc.)

Students who submit extenuating circumstances for non-submission of assessment will be required to:

Receive a formative evaluation/ guidance for next placement from the mentor in the ‘non assessed’ placement

Undertake a placement at the end of the year (following AAB decision) for a period of 150 hours practice to be assessed in

all domains, documented in the reassessment section of OAR


Expectations of Students in Placement

While you are in placement you are expected to;

Have undertaken the preparatory work before you start the placement

Work 40% of your time under direct or indirect supervision by a mentor

Work the shifts that the rest of the nursing team work i.e. 24 hour, 7 day if appropriate

Not normally work any more than 75 hours per fortnight (i.e. the equivalent of 37.5 hours per week).

Attend the hand over meetings at the beginning and end of the shifts

Not normally work more than two weekends in any four week period or more than 14 night shifts during the programme.

Where this is difficult, an alternative may be negotiated between student and mentor and personal tutor

Agree a development plan with your mentor within the first week of your placement

Agree the type of evidence that you intend to present to your mentor for each Domain

Identify and complete wider patient activity

Obtain completed written reports from a service user/patient /carer during each year of your nursing programme within some

clinical placements

Year One – at least one report

Year Two – at least two reports Year Three – at least two reports, one of which is undertaken in the final sign-off placement.

Agree a date for your formative assessment with your mentor

Following your formative assessment agree a date for your summative assessment with your mentor


Show your mentor your OAR and any evidence that they request to see

Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible

Expectations of Mentors in Placement

Be aware of the Expectations of Students in Placement (see previous page)

Ensure student are directly or indirectly supervised by a mentor for at least 40% of their time in placement

Ensure that the student is rostered to work the same shifts as the rest of the nursing team

Agree a development plan with your student within the first week of their placement

Agree the type of evidence that you expect the student to present for each Domain

Support the student in undertaking wider patient activity and if your student requires it, recommend an appropriate patient/service

user/carer who would be willing and able to provide your student with constructive written feedback related to;

appropriate communication skills

provision of caring and compassionate nursing care

demonstration of dignity and respect at all times

involvement of patient / service user / carer / advocate in decisions of care

provision of information about care

Agree a date for your student’s formative assessment with you

Following their formative assessment agree a date for their summative assessment with you

Review your student’s OAR and any evidence that they present to you

Ensure that you have recorded the type of evidence seen and the mark you wish to award in the relevant section

Ensure that you sign the student’s OAR in the relevant places

Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible


SIGNATURE RECORD

For all whose signatures appear elsewhere in the portfolio I consent to share my Ongoing Achievement Record and electronic portfolio with my mentors, sign-off mentors, other supervising practice staff and academic staff at their request, to enable my fitness for practice to be assessed.

(NMC 2007d) Name of student ………………………………………………… Signature ………………………………………… Date ………………………….

Date/s Placement Name of signatory

Role (i.e.: mentor/sign-off mentor/ service-

user)

Signature Signature Initials


SIGNATURE RECORD (cont)

For all whose signatures appear elsewhere in the portfolio

Date/s Placement Name of signatory

Role (i.e.: mentor/sign-off mentor/ service-

user)

Signature Signature Initials


Grading of Practice The practice assessments within this programme are a component of the Skills and Practice modules for each year; therefore contributing to the overall grade.

To effectively achieve equal weighting of marks between theory and practice, practice will be graded and contribute to the overall degree classification for the student at the end of the programme.

Students are assessed in the all 4 domains in each placement area. The mentor will indicate the level of achievement the student

has met for each domain. The level of achievement awarded, from 0 to 100%, should reflect the skills, knowledge and values

pertinent to the stage of the student’s programme and the student should demonstrate these both in the practice area and with

the evidence collated in their e-portfolio. Only grades identified in the banding should be used.

A minimum grade of 40% must be gained for each domain for a pass to be achieved. The OAR contributes to the overall grade for the Skills and Practice modules in each year of the programme assessed by OSCE/written paper;. Referral in either element will result in an overall referral for the module, but the student will only be required to re-take the element on which they have been referred.

If the student is given a score of less than 40% (referral grade) for any domain then an Action Plan will be negotiated between the

student, mentor with the personal tutor/Placement Lead support and guidance on how to develop this domain further for resubmission. The student may work on any referred domains during their next practice placement any resubmitted domains will be capped at a grade of 40% for BSc (Hons) level. Under University Regulations the student is only allowed two summative attempts at practice.


Section 2 Year 1 NRS 406

Grading of Practice Guidance Please remember to apply to the descriptors pertinent to the stage/year of student

Frequently fails to

meet expectations in

performance

Sometimes meets

expectations in

performance.

Meets expectations

in performance

Sometimes exceeds

expectations in

performance

Frequently exceeds

expectations in

performance

Sometimes excellent/

outstanding

performance

Consistently

outstanding

performance

Clear failure to

achieve a pass

0 – 29%

Failure to achieve a pass

32/35/38%

Satisfactory pass

42/45/48%

Good

pass

52/55/58%

Very good

pass

62/65/68%

Excellent

pass

72/78/84%

Outstanding Pass

86//94/100%

Insufficient

attendance

Unprofessional

behaviour/appear

ance/attitudes

Practice has

potential to cause

harm

Consistently

inadequate

communication

skills

Dismisses

learning

opportunities

Very poor ability

to demonstrate

underpinning

knowledge and/or

skills

Poor attendance

Potential unsafe

practice

Unprofessional

Behaviour

Inadequate

communication skills

Lack of

insight/awareness of

own limitations and

boundaries

neglects learning

opportunities

lack of ability to

demonstrate

underpinning

knowledge and/or

skills

Punctual

Professional

behaviour/

appearance/

attitudes

Practices safely

Demonstrates

evidence of learning

through reflection

Can demonstrate

care management

for a group of

patients (under

supervision)

Insight into own

limitations and

boundaries and

receptive to

recommendations

See previous +

Enthusiastic

Uses initiative

Evidence of sound

clinical decision

making

Able to complete a

holistic assessment

Demonstrates good

understanding of the

application of

knowledge and

evidence

See previous +

Able to articulate

good decision

making skills

without prompting

Demonstrate

underpinning

knowledge for

actions and

decisions

Utilises and

shares research

Evidence of peer

coaching in

practice

See previous +

Demonstrates good

leadership skills

Demonstrates

clinical reasoning

and confidently

make clinical

decisions

Consistently

demonstrates the

application

underpinning

knowledge for

actions and clinical

decisions

Can influence

change in practice

CONSISTENTLY

Excels in all of

the previous

criteria

Has made an

evidence based

change to

practice


Domain 1: Professional Values

Indicative Guidance

Practice honestly and with integrity, applying the principles of The Code Professional Standards of Practice and behaviour for nurses and midwives (2015)

Demonstrate an understanding of how to work within legal and professional frameworks and local policies to Safeguard and protect people, particularly children, young people, and vulnerable adults.

Work within the laws governing health and safety at work.

Demonstrates safe manual handling techniques

Display a professional image in their behaviour and appearance, showing respect for diversity and individual preferences. This includes compliance with uniform policy.

Act in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory, that values diversity and acts within professional boundaries and demonstrates respect for people’s rights and choices.

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

Identify and complete wider patient activity and patient report evidence

Maintain a portfolio demonstrating personal and professional development

Please complete the relevant sections of the mandatory development plan on the following page


Domain 1 Mandatory Development Plan Placement 1

Confirmed by Mentor: Placement: Dates from: to:

How I will achieve the Domain

Additional Placement Objectives

How I will achieve them



Mentor: Placement: Dates from: to:

How I will achieve Domain




Domain 2 : Communication and Interpersonal Skills

Indicative Guidance

Demonstrate an understanding of how culture, religion, spiritual, gender and sexuality can impact of illness and disability

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

Act in a way that values the roles and responsibilities of others in the team and interacts appropriately

Demonstrate safe and effective communication skills both orally and in writing.

When relevant to the placement the student must also:

Identify and complete wider patient activity and patient report evidence



Domain 3: Nursing Practice and Decision Making

Indicative Guidance

Demonstrate safe, basic, person-centred care, under supervision, for people who are unable to meet their own physical and emotional needs.

Meet people’s essential needs in relation to safety and security, wellbeing, comfort, bowel and bladder care, nutrition and fluid maintenance and personal hygiene, maintaining their dignity at all times.

Accurately undertake and record an assessment of weight, height, temperature, pulse, respiration and blood pressure using manual and electronic devices.

Recognise when a person’s psychological condition is changing and take appropriate action.

Recognise when a person’s physical condition is changing and take appropriate action

Use and dispose of medical devices safely under supervision according to local and national policy

Understand the importance of reporting any incidents or near misses.

Understand how nurses can help reduce the risk of infection; including effective hand decontamination, correct use of personal protective equipment (PPE), and standard precautions.

Recognise signs of aggression and take appropriate action to keep themselves and others safe.

Accurately carry out basic medicines calculations relating to: (not administration) tablets and capsules, liquid medicines and / or injections



Domain 4: Leadership, Management and Team Working

Indicative Guidance

Seek help if people’s needs are not being met, or they are at risk.

Be 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.

Use support systems to recognise, manage and deal with their own emotions

Understand systems of risk management, incident reporting and escalation of concerns

When relevant the student must also: Identify and complete wider patient activity and patient report evidence Please complete the relevant sections of the mandatory development plan on the following page


Formative Assessment Placement One

Agreed Date for Formative assessment:

Student’s Self-assessment Score

0 – 100% Student Comments

Professional Values

Communication and Interpersonal Skills

Nursing Practice and Decision Making

Leadership, Management and Team Working

Student signature; ............................................................. Date: .............................

Mentor’s Assessment Score

0 – 100% Mentor Comments

Professional Values




Agreed date for summative assessment Mentor signature: ……………………........................ Date: ...........................


Action Plan Please set objectives for improvement following the formative assessment

Date

Issue/Concern Action Required Re-evaluation Date


Formative Assessment Placement Two

Agreed Date for Formative assessment:

Student’s Self-assessment Score

0 – 100% Student Comments

Professional Values




Student signature; ............................................................. Date: .............................

Mentor’s Assessment Score

0 – 100% Mentor Comments

Professional Values




Agreed date for summative assessment Mentor signature: ……………………........................ Date: ...........................


Action Plan

Please set objectives for improvement following the formative assessment

Date



Summative Assessment Placement One

Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see guidance)

Assessment Forms of Evidence Grade


Evidence Evidence Evidence



Domain 3: Communication and Interpersonal Skills


Domain 4: Leadership, Management and Team Working


Student Declaration: I (name) hereby confirm that I have uploaded to my e-portfolio the relevant evidence that has been presented to my mentor for each domain. I confirm that I have uploaded _____ Service User reports to my e-portfolio and they have been presented to my mentor Student signature: Date

PASS / REFER (Please circle, if refer state which domain)

Total percentage for Placement (Add scores and divide by 4)

Mentor Name: Mentor Signature: Mentor Qualification:

Night Duty/Twilight shifts worked:

Personal Tutor signature: Date:

Notification to programme administration


Placement One

Student Comments Signature: Date:

Mentor Comments Including areas for development in subsequent placement Signature: Date:

Personal Tutor Comments (including record of Wider Patient Engagement (WPE) activity) Signature: Date:


Summative Assessment Placement Two

Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see guidance)

Assessment Forms of Evidence Grade





Domain 3: Communication and Interpersonal Skills


Domain 4: Leadership, Management and Team

Working


Student Declaration: I (name) hereby confirm that I have uploaded to my e-portfolio the relevant evidence that has been presented to my mentor for each domain. I confirm that I have uploaded _____ Service User reports to my e-portfolio and they have been presented to my mentor Student signature: Date

PASS / REFER (Please circle, if refer state which domain)

Total percentage for Placement (Add scores and divide by 4)

Mentor Name: Mentor Signature: Mentor Qualification:

Night Duty/Twilight shifts worked:

Personal Tutor signature: Date:

Notification to programme administration


Placement Two

Student Comments

Signature: Date:

Mentor Comments Including areas for development in subsequent placement Signature: Date:

Personal Tutor Comments (including record of Wider Patient Engagement (WPE) activity) Signature: Date:


Year 1 Personal Tutor Summary First Attempt

All Domains Achieved At least 1 patient report completed

Yes/No If no, state Domains to be reassessed Yes /No Overall Grade (aggregate of placement 1 and 2)

Student Progression Point 1

Student can progress/cannot progress (delete as appropriate) If cannot, state reasons Personal Tutor signature Date


Action Plan Please set objectives for improvement following the formative assessment

Date



Year 1 Second Attempt

Domain/s reassessed

Grade for each

Mentor Comments Including areas for development in subsequent placement Mentor Signature Date: Student ’s signature Date:

Student can progress/cannot progress (delete as appropriate)

Overall Grade

Personal Tutor Signature: Date:

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