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Preceptorship CompetenciesFor Newly Registered Nurses,

Midwives & Operating Department Practitioner’s

Ward/Department: . . . . . . . . . . . . . . . . . . . Ward Manager: . . . . . . . . . . . . . . .

Name of Preceptee: . . . . . . . . . . . . . . . . . . .

Name of Preceptor:. . . . . . . . . . . . . . . . . . .

End date of Programme: . . . . . . . .

1Preceptor ship Competencies Complete Document v4 June 2016/Sharepoint


Contents

Introduction................................................................................................................................................................4

Transitional Learning Needs Analysis................................................................................................................7

Transitional Learning Needs Analysis (continued)........................................................................................8

Initial Interview with Preceptor............................................................................................................................9

Competency Assessments...................................................................................................................................10

3 Month Interview with Preceptor.....................................................................................................................15

Final Interview with Preceptor............................................................................................................................17

Supporting Evidence Record..............................................................................................................................18




Record of Job/Role Shadowing...........................................................................................................................27



Introduction


This document has been designed to guide and assist our newly appointed registered practitioners manage the transition from student to registered practitioner (Nurses/ Midwives and Operating Department Practitioners).

The document sets out a number of the essential competencies that are required in order to fulfil the role of a Band 5 working in The Queen Elizabeth Hospital NHS Foundation Trust. This document should be used line with the Trust Preceptorship Policy (2015), which outlines the aim of preceptorship and the support you will receive. You will be provided with a copy of this policy alongside this document.

Interviews

There is a requirement for interviews to be carried out and documented at predetermined stages throughout the preceptorship period. The aim is to ensure that the Preceptee is appropriately supported, has the opportunity to reflect, can receive feedback regarding their progress. The Preceptee and preceptor can then jointly identify any areas where either may have concerns in order for these to be addressed.

It is the responsibility of both the preceptor and Preceptee to ensure that during the interviews:

Confidentiality will be maintained unless the preceptor deems any information discussed needs to be disclosed.

Constructive feedback will be given and received.

The Preceptee must be proactive to seek support and learning opportunities to achieve these competencies.

Transitional Learning Needs Analysis

A transitional learning needs analysis (page 5) must be started when the registered practitioner commences employment. The transitional learning needs analysis is a framework to identify the specific development needs of the preceptee. The learning needs analysis will be used at the initial interview with the preceptor to discuss how the learning needs might be met.

Competency sections

The document is divided into sections to support you through your preceptorship period

Competency Objectives (Page ) Defined Preceptee/preceptor interview timelines (Page) Supporting evidence logs (Page) Reflective practice/discussion logs (Page) Edward Jenner element/module logs (minimum of 10 to be completed) Logs for documenting Shadowing experiences, including feedback (minimum of 2 to be

completed)

The domains and competencies are focused around the practitioner’s initial transition from student to registered practitioner and their ability to demonstrate these skills, initially with support and supervision to becoming a competent, safe and autonomous practitioner.


The criteria for being assessed as ‘achieved’ requires the Preceptor and Preceptee to be satisfied that the Preceptee is able to consistently demonstrate the knowledge and practice related to the competency.

If you are experiencing problems in achieving these competencies, then this must be discussed with your preceptor and ward manager as part of the Trust development support process.

The Supporting Evidence Record

Please use the supporting evidence pages to record how you have demonstrated learning and development for your learning needs as identified in the learning needs analysis linking these to the relevant domain and competency in this document.

The Reflective Accounts Form

Please use this form to assist you to complete your reflections. You can either use this form to complete your reflection or use to structure your reflection and then insert your reflection as a separate sheet into the document.



Transitional Learning Needs Analysis

What do I need to learn?(To be completed prior to initial interview by the

preceptee)

How might I achieve this?(To be completed at the initial interview by the preceptee

and preceptor)

Have I achieved this by the end of 6 months?

(To be completed by the end of preceptorship by the preceptee and

preceptor)


Transitional Learning Needs Analysis (continued)

What do I need to learn? How might I achieve this? Have I achieved this by the end of 6 months


Initial Interview with Preceptor

This initial interview should be completed by the Preceptor or Associate Preceptor within the first month of working in the clinical area.

Date of Initial Interview:1. Competencies reviewed and discussed

2. Preceptee’s specific learning needs and action reviewed

3. Preceptee’s general progress as Registered Practitioner discussed

4. Progress on Edward Jenner reviewed

Summary of key points and progress

Signature of Preceptee: Signature of Preceptor

Date set for 3 month interview :


Competency Assessments

Preceptor to sign and date once competency achieved

Domain CompetencyYou will demonstrate the ability to:

Achieved Preceptors signature &date

1. Accountability (*As applicable)

Act in accordance with your regulatory body’s Code of Conduct.Act in accordance with The Queen Elizabeth Hospital King’s Lynn, NHS Foundation Trust policies and procedures.Take ownership of decisions and actions and omissions in care, providing a rationale for these decisions within the patient records.Discuss how accountability ensures safe and effective practice relating to those in your care.Maintain clear and accurate records in line with professional standards.Act within the limits of your competence and decline to perform any duties you are not competent to perform, taking appropriate action to ensure all elements of patient care are still delivered.Outline the key issues regarding accountability when delegating care to unregistered staff.

Ensure delegated care is carried out and reported appropriately.Define your accountability relating to the management of resources within your area.Define and demonstrate your accountability and scope of practice in the course of your professional duties outside of your clinical area.


Domain CompetencyYou will demonstrate the ability to:-


2. Resilience Recognise own personal stressorsRecognise own coping strategies and use these effectively.Identify when own coping mechanisms are tested and identify the support needed.

3. Reflection Reflect in action through discussion and clinical practice.Reflect on action through discussion, written reflection and clinical practice using a reflection model.Use constructive feedback from others in developing self-awareness to build on strengths both professionally and personallyReflect upon your contribution as a member of the team in your area of practice

4. Communication Identify the different communication needs of patient’s within your care.Communicate in a clear and concise manner.Identify the members of the MDT relevant to your clinical area and communicate effectively with them.Use a wide range of communication skills appropriate to the patient and situation.Recognise the barriers to effective communication and take appropriate measures to overcome these.

5. Dealing with Conflict and Managing Difficult Situations

Recognise a difficult situation, respond appropriately and effectively.Communicate effectively with those involved and use a framework for structuring difficult conversation.Recognise the safety issues for self and others.Recognise the importance of supporting others during and after a difficult situation.


Domain CompetencyYou will demonstrate the ability to


Recognise the causes of conflict within the workplace.Recognise early warning signs of confrontational behaviour and escalate to bleep holder and security as appropriateReflect upon a ‘difficult situation’ in own area of practice i.e. Breaking bad news, dealing with a complaint.Define the boundaries of the ‘Therapeutic Relationship’Discuss how the ‘Therapeutic Relationship’ can create tensions and how this can be resolved

6. Emotional Intelligence

Recognise own emotions and how these impact on different situations.

Recognise others emotions and how these impact on different situationsRecognise the importance of supporting other team members e.g. Time out, breaks and reflection

Have insight and self-awareness into own behaviour and performanceReflect on an episode where you have used emotional intelligence.

7. Leadership Recognise personal leadership style within own roleRecognise how you influence others within your teamIdentify your responsibilities as a leaderAct as a credible role model to other staff and lead by exampleManage own time effectively with support.Communicate effectively with the clinical team and Team Leader in charge of the shift of the Ward/Unit/Department

8. Delivering Safe Care

Ensure the shift plan is communicated to the team.Ensure the plan is based upon clinical priority and reassess/


reprioritise as appropriate.Domain Competency

You will demonstrate the ability to


Provide an accurate patient handover for allocated patients.Ensure the team communicate that care has been delivered and any change in priority is acted upon.Respond appropriately to changes in ward/unit/department pressures and reprioritise care as appropriate.Take measures to minimise risk in patient care.Locate on the intranet 3 key Trust policies, procedures or guidelines and discuss relevance to your clinical area.Describe the principles of evidence based practice.Reflect on an example of evidence within your own clinical area and how this is used to deliver safe care.Recognise your role when safe care is compromised.Take the appropriate action to minimise risk to the patient when quality of care is compromised.

9. Quality Improvement

Identify the Quality Measures used within the Ward/Unit/Department.Discuss the purpose of the Quality Measures within the Ward/Unit/Department.Discuss how inter-professional working can improve the patient journey and experience.Discuss how individual Quality Measures have improved care in Ward/Unit/Department/Hospital.Define clinical governance and how it links to your role and patient care.

10. Raising Concerns

Demonstrate the correct escalation process when raising concerns.Seek support to raise concerns further when appropriate.

Outline the Trust Whistle blowing 13

Preceptor ship Competencies Complete Document v4 June 2016/Sharepoint

policy and how to seek support with this process.

Domain CompetencyYou will demonstrate the ability to


Demonstrate knowledge of potential Safeguarding issues and how to escalate concerns appropriately.

11. Medicines Management

Undertake supervised medication rounds for allocated patients.Discuss the plan to achieve competency in medication administration.


3 Month Interview with Preceptor

This interview should be completed by the Preceptor or Associate Preceptor by the end of month 3 of the preceptorship programme.

Date of 3 Month Interview:

1. Competencies reviewed and discussed






Date set for 6 month interview


6 Month Interview with Preceptor

This interview should be completed by the Preceptor or Associate Preceptor by the end of month 6 of the preceptorship programme.

Date of 6 Month Interview:

1. Competencies reviewed and discussed





Signature of Preceptee: Signature of preceptor

Date set for Final interview


Final Interview with Preceptor

This interview should be completed by the Preceptor or Associate Preceptor by the end of month 12 of the preceptorship programme

Date of Final Interview:

Identify/record further developmental needs:

Signature of Preceptee: Signature of Preceptor or Associate Preceptor:


Supporting Evidence Record

For the learning needs identified in the Learning needs analysis

Date :Domain

Objective





Date :Domain:

Objective





Date :

Signature of Preceptee: Signature of Preceptor:


Supporting Evidence RecordFor the learning needs identified in the Learning needs analysis

Date :


Edward Jenner Programme Record


Date :Name of ‘Element/Module’

Launch/Foundations* (delete as applicable)Learning Outcomes/Evaluation:
















You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.

Reflective account:

What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?

What did you learn from the CPD activity and/or feedback and/or event or experience in your practice?

How did you change or improve your practice as a result?

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust



You must use this form to record your reflective discussion with another NMC-registered nurse or midwife about your five written reflective accounts. During your discussion you should not discuss patients, service users or colleagues in a way that could identify them unless they expressly agree, and in the discussion summary section below make sure you do not include any information that might identify a specific patient or service user. Please refer to Guidance sheet 1 in How to revalidate with the NMC for further information.

To be completed by the nurse or midwife:

Name:

NMC Pin:

To be completed by the nurse or midwife with whom you had the discussion:

Name:

NMC Pin:

Email address:

Professional address including postcode:

Contact number:

Date of discussion:

Short summary of discussion:

I have discussed five written reflective accounts with the named nurse or midwife as part of a reflective discussion.I agree to be contacted by the NMC to provide further information if necessary for verification purposes.

Signature:

Date:


Record of Job/Role Shadowing

Date of Shadowing:Details of Job/Role

Purpose of Shadowing:

How will you apply your learning into your practice?

Signature of Preceptee: Name & Signature of person shadowed:




Purpose of shadowing:


:





Purpose of shadowing:



References


These competencies have been developed based upon standards outlined in these documents and policies.

Health & Care Professions Council (2016) Standards of Conduct, Performance & Ethics.London:HCPC

Health Education England (2015) HEE Preceptorship Outcomes & Standards. London:HEE

Nursing and Midwifery Council (2015) The Code, Professional Standards of Practice for Nurses and Midwives’.London: NMC

The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust (2016) Preceptorship policy. King’s Lynn:QEHKL


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