PRACTICE SUPERVISOR & PRACTICE ASSESSOR - TRANSITION FOR MENTORS

NMC (2018) Part 2: Standards for Student Supervision and Assessment

Adapted for use in Leeds Practice Placement circuit June 2020

Developed by PAN Midlands Yorkshire and East Practice Learning Group for use and amendments under the Creative Commons licence. Details at

https://creativecommons.org/licenses/by-nc-nd/3.0/

June 2020 the MYEPLG now included members for the north east and is called Midland, Yorkshire North East and East Practice Learning Group (MYNEEPLG)

1. Understanding of the Practice Assessor (PA), Practice Supervisor (PS) and Academic Assessor (AA) roles

2. How to support student in practice including considerations to equality and diversity and reasonable adjustments.

3. Demonstrate knowledge about the Practice Assessment Document to support objective student assessment and progression.

4. Illustrate ways in which the role can be used for your own CPD/revalidation.

In addition to the traditional 3 year University based student nurses

New learners:

Associate/ assistant practitioner roles - employer led; in- house

Nursing Associates – NMC regulated (education; practice standards; register; code) – employer “owned” – known as TNA (trainee nursing associate)

Apprentice Nurses - 4 years; same curriculum and NMC standards as traditional student nurses – employer “owned” – known as DNA (degree nurse apprentice)

Other health apprentices –non nursing

E – Pad Midland, Yorkshire and East – new PADs to reflect new standards on Pebblepad – for ALL nursing students

Practice

Supervisor

• Any registered healthcare professional after preparation • Continuity needed to measure student progress • Can assess some skills / outcomes and will feedback to Practice

Assessor on the student • Expectation that all RNs and MWs in Leeds will take on this role following

preceptorship

Academic Assessor

Practice Assessor

• NMC registered (not field specific): RN for nursing student, RM for midwifery student, can be RN or Reg NA for TNA

• Current, suitably prepared and supported • Must observe student in practice • Assess and confirm achievement • Do not supervise and assess the same student • Expectation that current up to date mentors in Leeds will take on this

role once prepared

• Academic staff, NMC Registered, not field specific • Current, suitably prepared, supported • Collate and confirm achievement in practice in

conjunction with PA to enable student to progress to next stage of the programme

• University lecturers in Leeds

Students may work with multiple Practice Supervisors.

Practice Supervisors will feedback to students Practice Assessor who will make assessment decision.

Practice Assessors will liaise with Academic Assessors to make decision on students progression to the next stage.

Example

Placement

Potential Benefits of New Roles

Improves interprofessional working

Supporting student learning becomes everyone's responsibility

Separates supervision and assessment roles

Everyone will have an input into assessment = increased consistency in judgements

You can be both a practice supervisor and a practice assessor, but not to the same student

Less prescriptive e.g. end of 40% mentor student working & Sign off mentor requirement

• Conduct assessments and ensure assessment decisions are

informed by feedback from practice supervisors Conduct

• Make and record objective, evidence based assessments on conduct, proficiency and achievement, drawing on records, observations, student reflection and other resources

Make and record

• Maintain current knowledge and expertise relevant for proficiencies and programme outcomes Maintain

• Work in partnership with academic assessors to evaluate and recommend progression Work in

• Have sufficient opportunities to periodically observe the student across environments Opportunities

• practice supervision ensures safe and effective learning experiences that uphold public protection and the safety of people

• all students on an NMC approved programme are supervised in practice by NMC registered nurses and midwives and other registered health and social care professionals

Safe and Effective

• there is sufficient coordination and continuity of support and supervision of students to ensure safe and effective learning experiences

• the level of supervision provided to students reflects their learning needs and stage of learning

Support and Supervise

• support and supervise students, providing feedback on their progress towards, and achievement of, proficiencies and skills

• Appropriately raise and respond to student conduct and competence concerns and are supported in doing so

Raise Concern

• Collate and confirm student achievement of proficiencies and programme

outcomes in the academic environment

• Has understanding of the student’s learning and achievement in practice

Collate and Confirm

• Make and record objective evidence based decisions on conduct, proficiency and achievements and makes recommendations for progression

Make and record

• Work in partnership with a practice assessor to evaluate and recommend the student for progression for each part of the programme

Work in

• Enables scheduled communication and collaboration between academic and practice assessors Communication

• Students must take a key role in their supervision and assessment in practice Engagement

• Prepared for and have a sound understanding of the proficiencies they need to achieve Prepared

• Actively encouraged to seek out practice supervisors to support their learning and encourage feedback to be recorded in their PADs

Feedback and Documentation

• Be aware of their nominated PA and AA from the beginning of the placement

Be Aware

• Know which person they should speak to in the practice area if they have concerns

Raise Concern

I am currently a Mentor on mentor register do I need to still update myself and continue with triennial review ?

Yes ! Because:

From September 2020 Year 1 and Year 2 nursing students and some Trainee Nursing Associates at both Leeds Uni (TBC) and Leeds Beckett will move onto the new standards for supervision & assessment in practice so will need PAs and PSs and As

Year 3 student nurses and some TNAs during September 2020 - 21 will run out on the old standards so will need Mentors and Sign off mentors

Current mentors who are up to date may become Practice Assessors once they have been prepared on the new standards. This will be recorded as a Practice Assessor on the Mentor register

My colleagues are currently on a SLIP programme (or applying for one) – are they wasting their time? No! Because:

Current SLIP programmes at Leeds Uni and Leeds Beckett have been mapped against new PA standards so will prepare mentors to be both mentors and PAs

Eventually SLIP will be replaced with a Practice Assessor programme

Guided participation

in care and

performing with

increasing confidence

Active participation in

care, minimal guidance,

performing with

increased confidence

and competence

Practising

independently with

minimal supervision,

leading and

coordinating care

with confidence

Knowledge Skills Attitude and values

Assessment of

each component of

MYE PAD

Yes or No End Part 1

End Part 2

Knowledge

Skills

Attitude

End Part 3

Equality Act 2010

Protected Characteristics

Reasonable adjustments to support learning and assessment in practice

Legal standards of competence (e.g. NMC specified hours in practice) cannot be adjusted

Standards of competence must be achieved to ensure patient safety

ONE PRACTICE ASSESSMENT DOCUMENT (GENERIC STANDARDS)

Adult

Children’s

Learning

disabilities Mental

Health

THE PAN PRACTICE ASSESSMENT DOCUMENT ( E - PAD)

Practice Assessment Document Part 1,2,3

Ongoing Achievement Record

Introduction/

Orientation

Interviews

Initial, midway, final

Professional Values

Episodes of Care - Reflections

Service User Carer Feedback

Skills

1 2

3

Assessment Framework

Guided Participation

Practising independently with minimal supervision

MYEPAD /OAR: documentation and assessment

Practice Supervisor

Completes:

• Can complete initial interview per placement

• Mid-point professional values

• Contributes to assessment of proficiencies based on scope of practice in liaison with the Practice Assessor

• Signs off Service User Feedback

• Provides feedback interprofessional working page

Practice Assessor

Completes:

• Can conduct/ confirm initial interview per placement

• Mid-point and final interview per placement

• Assessment and confirmation of proficiencies

• Final professional values per placement

• Episode (s) of care

• Medicines Management

• Completes OAR at end of each placement & progression point

Academic Assessor

Completes: Action Plan (if required and with Practice Assessor) Signs off Final Interview if required Signs off OAR at end of each placement and progression point

What should you do if you are concerned about:

• Performance

• Absence

• Conduct

• Potential fitness to practice

• Communication – student & link lecturer

• Documentation

• Adherence to timeframes ?

What should a student do if they are concerned about practice they have witnessed?

Speak to mentor or lead person for placement

If apprentice, raise with manager internally

Discuss with academic staff in University (personal / course tutor)

Follow Leeds “Managing Perceived Unsafe Practice or Risks to Student” flow chart

Managing perceived unsafe practice or risks to student

learning in practice Version 13: 26/01/20 for review 26/01/21Student witnesses unsafe/ concerning

practice either on placement, while working as an agency worker or

working as a nursing apprentice/

nursing associate apprentice

Reported to /

discussed with academic staff in

University

(Personal / Course tutors)

Obtain statement from student. Incident to be

investigated by University and /or Placement Providers as appropriate – involve both the

individual placement area concerned, and the

placement PLF or equivalent ***

No further action

Matter

resolved

YES

NO

Student speaks to Practice

Assessor, Practice Supervisor / Mentor or lead for placement.

If they are an employee they

raise with manager and resolve internally

University of Leeds – student

to inform Placement Unit or Programme Lead,

Leeds Beckett to inform the

Practice Support Tutor or

Academic Practice Lead for

Pre-Registration Nursing

EITHER

AND/

OR

Practice Assessor, Practice Supervisor / Mentor or placement

team have serious concerns about the practice or behaviour of a student – this may be linked to a specific incident. Expectation that

placement will risk assess and send student home/ alert police

and safeguarding as necessary, as they would a member of staff.

During office hours

Out of office hours

University of Leeds: Contact the 24

hours security 0113 343 5494/5 (non-emergencies) message to be given to

Director of Practice

Placement responds to any Security advice/

instructions. Director of Practice/ Programme/ Course leads to be notified during working

hours via normal emergency response

protocol and action to be determined with placement partners as above***

Inform Practice Placement Unit who will inform

Director of Practice/ Programme Lead/ Course Lead, liaise with placement to agree action ***

UNIVERSITY OF LEEDS

Leeds Beckett University: As part of

the Student Crisis Protocol – contact the 24

hour Security response line on 0113 812 6666

– Course Leader to be informed

Practice Placement Unit: office

hours Reception: 0113 3431375

If you have diff iculties contacting a specif ic

member of staff at any partner University or are

unsure w ho to contact please contact the PPU

(School of Healthcare, University of Leeds).

Contact details are also available on

w w.practiceplacements.leeds.ac.uk

Additionally – if this is a student on an agency

shift, follow agency reporting procedure.

***Determine if this is a Safeguarding

concern – report accordingly. Consider

severity, impact on Educational Environment, and

therefore NMC Exceptional Reporting. Also consider CQC reporting. HEI reporting to NMC must go via

the appointed official correspondent.

However – any individual member of the public can

also report concerns directly to the NMC and/or

CQC.

Partner Universities within shared placement circuit also to be informed

Take time to give feedback

Think about the structure first

Focus on the positive but also highlight what can be improved

Give specific examples to illustrate the feedback and make it objective

Be non judgemental

Give the learner time to respond

Link to assessment criteria / expected level of progress if possible

Are there any issues for you in giving feedback?

Student A is in the middle of her programme of study. She has been in the placement where you are the Practice Assessor for four weeks. Her Practice Supervisor has raised some concerns regarding her competence with some skills following several learning opportunities and she has failed these. As the PA you arrange to discuss this with her.

• What communication and interpersonal skills would you need to demonstrate?

• What do you need to address?

• What would you do after the discussion?

• What information do you need to share with or obtain from discuss with the Academic Assessor?

Student B is at the beginning of his programme of study. He has already undertaken a six week placement. He started in placement where you are the Practice Assessor two weeks ago. His Practice Supervisor reports to you that members of the team have seen him using his phone frequently and seems to have limited professional boundaries with patients/service users.

• What would you do as the Practice Assessor?

• Who would you liaise with?

• How would you monitor the student?

• What information do you need to discuss with the Academic Assessor?

After this session take some time to reflect on how this new role will impact on your current way of working

Add this reflection to your certificate of attendance from this session.

Ensure you evidence your work with learners within your revalidation documentation.

This workshop equates to two hours of participatory CPD

You are required to complete an update each year

Triennial Review documentation will now be part of the revalidation process

Pan Midlands Yorkshire and East Practice Learning group website www.myeplg.ac.uk

NMC SSSA Supporting Information on their website

www.nmc.org.uk/supporting-information-on-standards-for-student-supervision-and-assessment

University of Leeds and Leeds Beckett University placement website https://practiceplacements.leeds.ac.uk/ - click on Nursing and Midwifery

Your Link Lecturer

Your organisation’s Practice Learning Facilitator(s) or Practice Learning Team