Year 3 (Adult) 0915 – 2017/2018 Student Nurse: …………….…………………………………………… Cohort: ……..………….....…. 147 YEAR 3 (ADULT) BSC (HONS) NURSING ONGOING ACHIEVEMENT RECORD REQUIRED TO ACHIEVE: BONDY LEVEL 4 BY THE END OF YEAR 3 EVIDENCE OF: READINESS FOR PRACTICE NMC COMPETENCIES ESSENTIAL SKILLS CLUSTERS (ESC) INTERVIEW RECORDS AND ACTIONS PLANS
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ONGOING ACHIEVEMENT RECORD€¦ · assessor that contributes to this Ongoing Achievement Record. 149 Year 3 Student Placement Profile To be completed by the student. 150 Readiness
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Mentor Signature Verification Sheet All mentors must complete this sheet to ensure a verified signature has been recorded for every assessor that contributes to this Ongoing Achievement Record.
149
Year 3 Student Placement Profile To be completed by the student.
150
Readiness for Practice Assessment To be completed by the academic tutor during a pre-practice meeting with the student.
151
Strengths Weaknesses Opportunities and Threats (SWOT) Analysis To be completed by the student prior to the commencement of a placement.
152
Year 3 Placement Six Orientation Checklist
Must be completed within the first day of starting the placement. 153
Year 3 Placement Six Preliminary Interview Record To be completed by a mentor during a meeting with the student in the first week of placement.
154
Year 3 Placement Six Mid-Placement Interview Record To be completed by a mentor during a meeting with the student at the mid-point of the placement.
156
Year 3 Placement Six Final Interview Record To be completed by a mentor during a meeting with the student at the end of the placement.
158
Year 3 Final Management Placement Orientation Checklist Must be completed within the first week of starting the placement.
159
Year 3 Final Management Placement Preliminary Interview Record To be completed by a mentor during a meeting with the student in the first week of placement.
160
Year 3 Final Management Placement Mid-Placement Interview Record
To be completed by a mentor during a meeting with the student at the mid-point of the placement. 162
Year 3 Final Management Placement Final Interview Record To be completed by a mentor during a meeting with the student at the end of the placement.
164
Year 3 Competency Domains and assessment sheets for pre-registration Adult Field Nursing Education in Practice
165
Sign Off Mentor Information for the Final Management Placement 187
Record of Feedback Sessions for use throughout the Final Management Placement 188
Sign Off Mentor Final assessment and Statement of Achievement 193
Progression Point Number Three Checklist and Final Sign Off for Year 3 End of Programme
MENTOR SIGNATURE VERIFICATION SHEET All mentors must complete this sheet to ensure a verified signature has been recorded for every assessor that contributes to this OAR.
Name of Mentor (Print)
Signature Date Date of last Mentor Update
Designation Placement Workplace address and e-mail address
READINESS FOR PRACTICE ASSESSMENT TUTORIAL RECORD: Student Nurse: Academic Tutor: Date of Assessment: Assessment Questions:
Are there any changes to the student’s personal circumstances that may affect the course of the planned placement allocation?
Yes / NO Notes:
Is the student aware of the University of Lincoln Wellbeing Service ([email protected]) and that they are encouraged to divulge their disability to their primary mentor at the commencement of each placement if they think they may need extra support from the practice learning team?
Yes / NO Notes:
Has the student signed the University of Lincoln Code of Conduct form? (Now on PEMS)
Yes / NO Notes:
Does the student understand the dress code for placement and the importance of knowing how to access policies and procedures in each placement to be able to practise safely and effectively?
Yes / NO Notes:
Does the student understand the importance of time keeping and communication about absence or lateness for placement with both the placement and the University of Lincoln?
Yes / NO Notes:
Does the student know the location and contact details of their placement?
Yes / NO Notes:
Has the student made contact with their placement and is there a plan for a pre-placement visit / meeting?
Yes / NO Notes:
Has the student received/accessed a placement welcome pack?
Yes / NO Notes:
Has the student considered their learning needs for the forthcoming placement and their priority (competencies and ESC’s)?
STRENGTHS, WEAKNESS, OPPORTUNITIES AND THREATS (SWOT) ANALYSIS Please consider your personal strengths and weaknesses in relation to your forthcoming placement. Then, try to gauge the possible opportunities and threats that may exist in your forthcoming placement. Write a statement about how you would like to use your placement experience to improve your skills and knowledge as a student nurse. As part of the preliminary interview with your mentor, show them your SWOT analysis to use as an object for discussion and placement planning.
My Strengths are:
My Weaknesses are:
I think the placement Opportunities will be:
I think the Threat to a successful placement will be:
YEAR 3 PLACEMENT SIX PRELIMINARY INTERVIEW To be completed by the end of week one. Placement set up: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. The student and mentor are familiar with the learning needs for the student in this placement using the SWOT analysis on page 166 of this OAR. This must include a discussion about the requirement for ESC assessment and exposure to the other fields of nursing (child, mental health and learning disability); please refer to the handbook for practice for further details.
Mentor Initial __________ Student Initial ________ Date __________
2. Off duty has been arranged and both mentor and student know the requirement for
100% attendance at 37.5 hours per week (pro rata) unless otherwise informed by letter from the University or through sickness. The mentor & student are aware of the sickness reporting system. Mentor Initial __________ Student Initial ________ Date __________
3. The mentor and student agree each shift will be completed fully in accordance with the
requirements of the NMC and this will be indicated by the completion of the student’s green attendance record
Mentor Initial __________ Student Initial ________ Date __________
4. The mentor and student are aware of the action that should be taken in the event of a
problem that cannot be resolved in practice. A problem resolution chart is available in the practice handbook.
Mentor Initial __________ Student Initial ________ Date __________
For Placement preliminary interview recording please turn over.
Preliminary Interview (cont.) To be completed by the end of the introductory week.
Student aims and expectations of placement: Student – identify your learning needs for this placement, writing them in the space below. Please consult your academic tutor for assistance if required. It may be useful to use your SWOT analysis to help you with this piece of work?
Mentor's comments: (Mentor – discuss the needs of the student and the resources and opportunities you and your placement can offer). Initial Plan for Learning: Date _____ Mentor Name ___________________ Signature _________________
YEAR 3 PLACEMENT SIX MID - PLACEMENT (INTERMEDIATE) INTERVIEW: This is a very important interview as it gives the student an indication of their progress and highlights the areas in practice that they should work on to improve their performance. Mid - Placement: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. We agree the needs of the student and an action plan has been devised to reflect those needs for the remainder of the placement. Mentor Initial __________ Student Initial ________ Date __________
2. The mentor has provided a Bondy grade for the mid-placement stage on the competency pages.
Mentor Initial __________ Student Initial ________ Date __________
3. The mentor and student have discussed whether any major problems exist and have discussed whether they need to inform the University of Lincoln nursing team to help resolve the issues.
Both mentor and student are aware of the action that should be taken in the event of a problem that cannot be resolved in practice. A problem resolution chart is available in the practice handbook, and the team can be contacted on [email protected].
Mentor Initial __________ Student Initial ________ Date __________
For Placement intermediate interview recording please turn over.
YEAR 3 PLACEMENT SIX Mid Placement (Intermediate) Interview: This is the most important interview as it gives the student an indicator of their progress and areas they should work on to improve their performance. Student self assessment of progress at mid placement: - consider the learning you have enjoyed during the first half of the placement and write how you would like to develop further in the second half of the placement. Mentor's comments: Mentor, discuss the progress of the student and comment upon their needs for the remainder of the placement including a revised action plan. Revised Action Plan: Date _________ Mentor Name ___________________ Signature _________________
YEAR 3 PLACEMENT SIX FINAL INTERVIEW (END OF PLACEMENT): To be completed at the end of the placement Student self-assessment of learning - evaluate your performance during your placement and describe in brief the learning outcomes you have achieved and the objectives you intend to set for your next placement
Mentor's comments: (Evaluate and assess the progress of the student during the placement and write an action plan for the student’s learning in preparation for next placement) Placement completion: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. The mentor has made an assessment of the student in this placement based upon the evidence presented by the student and a grade using the Bondy rating scale has been given for each competency and all available Essential Skills Assessments have been completed.
Date _________ Mentor Name ___________________ Signature __________________
YEAR 3 FINAL MANAGEMENT PLACEMENT PRELIMINARY INTERVIEW To be completed by the end of week one. Placement set up: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. A registered and active Sign Off Mentor has been allocated to the student for the duration of the placement and their name and designation are:
Name of Sign – Off Mentor _______________________________________ Designation ___________________________________________________ Student, if a sign off mentor has not been allocated to you or you have not met your sign off mentor by the end of week 1 you are required to immediately inform the most senior manager in your immediate placement and the University of Lincoln Placements Administrator on 01522 886322.
2. The student and mentor are familiar with the learning needs for the student in this placement including action plans and mentor comments from the previous placement. This should also include discussion about ESC assessment and exposure to the other fields of nursing (child, mental health and learning disability); please refer to the handbook for practice for further details.
Mentor Initial __________ Student Initial ________ Date __________
3. Off duty has been arranged and both mentor and student know the requirement for
100% attendance at 37.5 hours per week (pro rata) unless otherwise informed by letter from the University or through sickness. The mentor and student are aware of the sickness reporting system. Mentor Initial __________ Student Initial ________ Date __________
4. The mentor and student agree each shift will be completed fully (7.5 hours or 12 hours)
in accordance with the requirements of the NMC and this will be indicated by the completion of the student’s green attendance record.
Mentor Initial __________ Student Initial ________ Date __________
4. The mentor and student are aware of the action that should be taken in the event of a
problem that cannot be resolved in practice. A problem resolution chart is available in the practice handbook.
Mentor Initial __________ Student Initial ________ Date __________
For Final Management Placement preliminary interview recording please turn over.
Preliminary Interview (cont.) To be completed by the end of the introductory week.
Student aims and expectations of placement: – identify your learning needs for this placement writing them in the space below. Please consult your academic tutor for assistance if required. It may be useful to use your SWOT analysis and the mentor comments from your previous placement to help you with this piece of work?
Mentor's comments: (Mentor – discuss the needs of the student and the resources and opportunities you and your placement can offer). Initial Plan for Learning: Date ________ Mentor Name __________________ Signature __________________
YEAR 3 FINAL MANAGEMENT PLACEMENT MID - PLACEMENT (INTERMEDIATE) INTERVIEW: This is a very important interview as it gives the student an indication of their progress and highlights the areas in practice that they should work on to improve their performance. Mid - Placement: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. We agree the needs of the student and an action plan has been revised to reflect those needs for the remainder of the placement. Mentor Initial __________ Student Initial ________ Date __________
2. The mentor has provided a Bondy grade for the mid-placement stage.
Mentor Initial __________ Student Initial ________ Date __________
3. The mentor and student have discussed whether any major problems exist and have discussed whether they need to inform the University of Lincoln nursing team to help resolve the issues.
Both mentor and student are aware of the action that should be taken in the event of a problem that cannot be resolved in practice. A problem resolution chart is available in the practice handbook.
Mentor Initial __________ Student Initial ________ Date __________
For Final Management Placement intermediate interview recording please turn over.
YEAR 3 FINAL MANAGEMENT PLACEMENT Mid - Placement (Intermediate) Interview: This is the most important interview as it gives the student an indicator of their progress and areas they should work on to improve their performance. Student self assessment of progress at mid placement: - consider the learning you have enjoyed during the first half of the placement and write how you would like to develop further in the second half of the placement. Mentor's comments: Mentor, discuss the progress of the student and comment upon their needs for the remainder of the placement including a revised action plan. Revised Action Plan: Date _____ Mentor Name ___________________ Signature _________________
YEAR 3 FINAL MANAGEMENT PLACEMENT FINAL INTERVIEW (END OF PLACEMENT): To be completed at the end of the placement. Student self-assessment of learning – evaluate your performance during your placement and describe in brief the learning outcomes you have achieved. Use this interview to demonstrate your competence and professionalism for sign off to registered practitioner.
Mentor's comments: Evaluate and assess the progress of the student during the placement and determine the outcome for progression as fit to practise and sign off for professional registration. Use previous documentation and assessment to support your decision making. Placement completion: (Mentor & Student please initial to confirm the below has been addressed successfully – If more space is required please use an additional carbon sheet found at the back of the OAR)
1. The mentor has made an assessment of the student in this placement based upon the evidence presented by the student and a grade using the Bondy rating scale has been given for each competency and all available Essential Skills Assessments have been completed.
Date _________ Mentor Name ___________________ Signature ___________________
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 also 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 ageing population. They must be able to work in partnership to address people’s needs in all healthcare settings.
NMC Domain 1: Professional Values
Competencies
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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. They must be able to recognise and address ethical challenges relating to people’s choices and decision-making about their care, and act within the law to help them and their families and carers find acceptable solutions.
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1.1
Adult nurses must
understand and apply current legislation to all service users, paying special attention to the protection of vulnerable people, including those with complex needs arising from ageing, cognitive impairment, long-term conditions and those approaching the end of life.
2
All nurses must practise in a holistic, non-judgmental, caring and
sensitive manner that avoids assumptions, supports social inclusion; recognises and respects individual choice; and acknowledges diversity. Where necessary, they must challenge inequality, discrimination and exclusion from access to care.
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3
All nurses must support and promote the health, wellbeing, rights and dignity of people, groups, communities and populations. These include people whose lives are affected by ill health, disability, ageing, death and dying. Nurses must understand how these activities influence public health.
4
All nurses must work in partnership with service users, carers, families, groups, communities and organisations. They must manage risk, and promote health and wellbeing while aiming to empower choices that promote self-care and safety.
5
All nurses must fully understand the nurse’s various roles, responsibilities and functions, and adapt their practice to meet the changing needs of people, groups, communities and populations.
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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6
All nurses must understand the roles and responsibilities of other health and social care professionals, and seek to work with them collaboratively for the benefit of all who need care.
7
All nurses must be responsible and accountable for keeping their knowledge and skills up to date through continuing professional development. They must aim to improve their performance and enhance the safety and quality of care through evaluation, supervision and appraisal.
8
All nurses must practise independently, recognising the limits of their competence and knowledge. They must reflect on these limits and seek advice from, or refer to, other professionals where necessary.
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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9
All nurses must appreciate the value of evidence in practice, be able to understand and appraise research, apply relevant theory and research findings to their work, and identify areas for further investigation.
NMC Domain 2: Communication and interpersonal skills
Outcomes
Generic Standard for Competence: 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.
Field Standard for Competence: Adult nurses must demonstrate the 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 wellbeing.
NMC Domain 2: Communication and interpersonal skills
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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1
All nurses must build
partnerships and therapeutic relationships through safe, effective and non-discriminatory communication. They must take account of individual differences, capabilities and needs.
NMC Domain 2: Communication and interpersonal skills
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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2
All nurses must use a
range of communication skills and technologies to support person-centred care and enhance quality and safety. They must ensure people receive all the information they need in a language and manner that allows them to make informed choices and share decision making. They must recognise when language interpretation or other communication support is needed and know how to obtain it.
NMC Domain 2: Communication and interpersonal skills
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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3
All nurses must use the
full range of communication methods, including verbal, non-verbal and written, to acquire, interpret and 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. They must take account of the many different ways in which people communicate and how these may be influenced by ill health, disability and other factors, and be able to recognise and respond effectively when a person finds it hard to communicate.
3.1
Adult nurses must promote the concept, knowledge and practice of self-care with people with acute and long-term conditions, using a range of communication skills and strategies.
NMC Domain 2: Communication and interpersonal skills
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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4
All nurses must
recognise when people are anxious or in distress and respond effectively, using therapeutic principles, to promote their wellbeing, manage personal safety and resolve conflict. They must use effective communication strategies and negotiation techniques to achieve best outcomes, respecting the dignity and human rights of all concerned. They must know when to consult a third party and how to make referrals for advocacy, mediation or arbitration.
5
All nurses must use therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and must always respect professional boundaries.
NMC Domain 2: Communication and interpersonal skills
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
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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. They must also actively share personal information with others when the interests of safety and protection override the need for confidentiality.
NMC Domain 3: Nursing Practice and decision-making
Outcomes
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
Field Standard for Competence: 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 of 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.
NMC Domain 3: Nursing practice and decision-making
Competencies
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1
All nurses must use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care, communicate findings, influence change and promote health and best practice. They must make person-centred, evidence-based judgments and decisions, in partnership with others involved in the care process, to ensure high quality care. They must be able to recognise when the complexity of clinical decisions requires specialist knowledge and expertise, and consult or refer accordingly.
NMC Domain 3: Nursing practice and decision-making
Competencies
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1.1
Adult nurses must be
able to recognise and respond to the needs of all people who come into their care including babies, children and young people, pregnant and postnatal women, people with mental health problems, people with physical disabilities, people with learning disabilities, older people, and people with long term problems such as cognitive impairment.
2
All nurses must possess a broad knowledge of the structure and functions of the human body, and other relevant knowledge from the life, behavioural and social sciences as applied to health, ill health, disability, ageing and death. They must have an in-depth knowledge of common physical and mental health problems and treatments in their own field of practice, including co-morbidity and physiological and psychological vulnerability.
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3
All nurses must carry
out comprehensive, 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 diagnostic skills, employing appropriate 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. They must then plan, deliver and evaluate safe, competent, person-centred care in partnership with them,
paying special attention to changing health needs during different life stages, including progressive illness and death, loss and bereavement.
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4.1
Adult nurses must
safely use invasive and non-invasive procedures, medical devices, and current technological and pharmacological interventions, where relevant, in medical and surgical nursing practice, providing information and taking account of individual needs and preferences.
4.2
Adult nurses must recognise and respond to the changing needs of adults, families and carers during terminal illness. They must be aware of how treatment goals and service users’ choices may change at different stages of progressive illness, loss and bereavement.
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5
All nurses must
understand public health principles, priorities and practice in order to recognise and respond to the major causes and social determinants of health, illness and health inequalities. They must use a range of information and data to assess the needs of people, groups, communities and populations, and work to improve health, wellbeing and experiences of healthcare; secure equal access to health screening, health promotion and healthcare; and promote social inclusion.
Year 3 Placement Six Year 3 Final Management Placement
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6
All nurses must practise
safely by being aware of the correct use, limitations and hazards of common interventions, including nursing activities, treatments, and the use of medical devices and equipment. The nurse must be able to evaluate their use, report any concerns promptly through appropriate channels and modify care where necessary to maintain safety. They must contribute to the collection of local and national data and formulation of policy on risks, hazards and adverse outcomes.
7
All nurses must be able to recognise and interpret signs of normal and deteriorating mental and physical health and respond promptly to maintain or improve the health and comfort of the service user, acting to keep them and others safe.
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7.1
Adult nurses must
recognise the early signs of illness in people of all ages. They must make accurate assessments and start appropriate and timely management of those who are acutely ill, at risk of clinical deterioration, or require emergency care.
7.2
Adult nurses must understand the normal physiological and psychological processes of pregnancy and childbirth. They must work with the midwife and other professionals and agencies to provide basic nursing care to pregnant women and families during pregnancy and after childbirth. They must be able to respond safely and effectively in an emergency to safeguard the health of mother and baby.
This competency is only required to be completed once during the programme and at Bondy level 2 or above i.e. through the completion of the maternity and new born workbook in year 1. The academic tutor will review the evidence for this competency. If you have not successfully achieved this competency please inform to your Academic
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
Intermediate interview
Final interview Intermediate interview
Final interview
Mid Placement
Bondy Level
Signature &
Date
End of Placement
Bondy Level
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Date
Mid Placement
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8
All nurses must provide
educational support, facilitation skills and therapeutic nursing interventions to optimise health and wellbeing. They 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.
8.1
Adult nurses must work in partnership with people who have long-term conditions that require medical or surgical nursing, and their families and carers, to provide therapeutic nursing interventions, optimise health and wellbeing, facilitate choice and maximise self-care and self-management.
9
All nurses must be able to recognise when a person is at risk and in need of extra support and protection and take reasonable steps to protect them from abuse.
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
Intermediate interview
Final interview Intermediate interview
Final interview
Mid Placement
Bondy Level
Signature &
Date
End of Placement
Bondy Level
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Date
Mid Placement
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10
All nurses must
evaluate their care to improve clinical decision-making, quality and outcomes, using a range of methods, amending the plan of care, where necessary, and communicating changes to others.
NMC Domain 4: Leadership, management and team working
Outcomes
Generic Standard for Competence: 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.
Field Standard for Competence: Adult nurses must be able to provide leadership in managing adult nursing care, understand and coordinate inter-professional care when needed, and liaise with specialist teams. They must be adaptable and flexible, and 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.
NMC Domain 4: Leadership, management and team
working
Competencies
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and
Portfolio Page No
Intermediate interview
Final interview Intermediate interview
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Mid Placement
Bondy Level
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Date
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Bondy Level
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1
All nurses must act as change agents and provide leadership through quality
improvement and service development to enhance people’s wellbeing and experiences of healthcare.
2
All nurses must systematically evaluate care and ensure that they and others use the findings to help improve people’s experience and care outcomes and to shape future services.
3
All nurses must be able to identify priorities and manage time and resources effectively to ensure the quality of care is maintained or enhanced.
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
Intermediate interview
Final interview Intermediate interview
Final interview
Mid Placement
Bondy Level
Signature &
Date
End of Placement
Bondy Level
Signature &
Date
Mid Placement
Bondy Level
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Date
End of Placement
Bondy Level
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4
All nurses must be self-
aware and recognise how their own values, principles and assumptions may affect their practice. They must maintain their own personal and professional development, learning from experience, through supervision, feedback, reflection and evaluation.
5
All nurses must facilitate nursing students and others to develop their competence, using a range of professional and personal development skills.
6
All nurses must work independently as well as in teams. They must be able to take the lead in coordinating, delegating and supervising care safely, managing risk and remaining accountable
Year 3 Placement Six Year 3 Final Management Placement
Evidence Code and Portfolio Page No
Intermediate interview
Final interview Intermediate interview
Final interview
Mid Placement
Bondy Level
Signature &
Date
End of Placement
Bondy Level
Signature &
Date
Mid Placement
Bondy Level
Signature &
Date
End of Placement
Bondy Level
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Date
7
All nurses must work
effectively across professional and agency boundaries, actively involving and respecting others’ contributions to integrated person-centred care. They must know when and how to communicate with and refer to other professionals and agencies in order to respect the choices of service users and others, promoting shared decision making, to deliver positive outcomes and to coordinate smooth, effective transition within and between services and agencies.
SIGN OFF MENTOR INFORMATION FOR THE FINAL MANAGEMENT PLACEMENT
Final Management Placement Only (Sign-off mentors only) The sign off mentor is required to spend the equivalent of one hour per week over the period of the placement in protected non clinical time, considering the progress of their management student. This could be in conjunction with the student or as independent assessment time for the sign off mentor. An area for recording this activity and the resultant action plan has been made available on the following pages. All of the boxes don’t need to be completed because you may wish to accumulate this protected time for example once per month for 4 hours rather than once per week for 1 hour. Once you are satisfied with your overall assessment of the NMC competencies you are required by the NMC (2008) Standards to support learning and assessment in practice to make the final sign off in practice – stating that your student has been successful or unsuccessful with regard to all practice requirements set by the NMC. This confirmation will then be utilised by the Examination Board for the University of Lincoln BSc (Hons) Nursing Programme to determine whether, in conjunction with academic assignment and attendance, good character and health, the NMC should receive the recommendation that the student be accepted onto the live register for Adult Nursing (Part 1). To confirm your assessment of the student and sign off you are required to complete the appropriate page (successful or not successful) in this document on page 225 (successful) or 226 (unsuccessful).
Post Code: ____________ Telephone Number: _______________________
Statement I hereby confirm that a comprehensive evaluation of the evidence of prior achievement by the student has been undertaken using the information contained within this Ongoing Achievement Record and the student’s portfolio of evidence. I confirm the above named student nurse has worked with a mentor for at least 40% of the time during their final placement and I have facilitated a feedback session equivalent to at least 1 hour per week throughout the placement. I declare that I have assessed the student as capable of safe and effective practice at the end of their programme as required by paragraph 3.2.6 of the NMC (2008) Standards to support learning and assessment in practice. Signature: _____________________________ Date: _____________ Name (Please Print): _________________________________________ Designation: ________________________________________________
Sign Off Mentor - Please detach the Blue copy of this page and keep for your records.
All other copies should be retained in this document and returned to the University of Lincoln by the Student Nurse
Post Code: ____________ Telephone Number: _______________________
Statement I hereby confirm that a comprehensive evaluation of the evidence of prior achievement by the student has been undertaken using the information contained within this Ongoing Achievement Record and the student’s portfolio of evidence. I confirm the above named student nurse has worked with a mentor for at least 40% of the time during their final placement and I have facilitated a feedback session equivalent to at least 1 hour per week throughout this placement. I declare that I have assessed the student as not capable of safe and effective practice at the end of their programme as required by paragraph 3.2.6 of the NMC (2008) Standards to support learning and assessment in practice. Signature: _____________________________ Date: _____________ Name (Please Print): _________________________________________ Designation: ________________________________________________
Sign Off Mentor - Please detach the Blue copy of this page and keep for your records.
All other copies should be retained in this document and returned to the University of Lincoln by the Student Nurse
PROGRESSION POINT NUMBER THREE CHECKLIST AND FINAL SIGN OFF Progression Point 3 is the last of three stages that the progress of the student in education is appraised by their academic tutor. The academic tutor should review all of the assessments made by all of the mentors and supervisors in year 3, plus the comments recorded during the interviews for each placement and make a judgement as to whether the student is able to apply to register as a level 1 nurse with the Nursing and Midwifery Council (NMC).
PRACTICE PLACEMENT STATEMENT OF ACHIEVEMENT AND ACADEMIC TUTOR SIGN OFF FOR PROGRESSION POINT NO. 3 (End of Programme and eligibility to register as a 1st level adult nurse with the NMC) The purpose of this statement is to confirm that the student has achieved the below NMC requirements to be able to register as a 1st level nurse with the NMC.
1. Conduct in Practice Successful Not Successful Signature and Date
i. All NMC Competencies have been assessed at Bondy Level 4.
ii. All ESC criteria has been achieved.
iii. Exposure to the other fields of nursing have been evidenced to the required standard.
iv. EU requirement evidence has been gathered to the required standard.
2. Final Sign Off Statement
Successful Not Successful Signature and Date
i. The student has met the practical requirements throughout the programme and is assessed as fit to practise as a 1st level registered adult nurse.