ASSESSMENT OF PRACTICE RECORD – UNIT 1
University of Sheffield School of Nursing and Midwifery TNA
The School Of
Nursing
And
Midwifery.
Trainee Nurse Associate
NURU150
ASSESSMENT OF PRACTICE RECORD
PART 1
Unit 1: SNM146 Foundations in Health and Nursing
Trainee DetailsName
Registration Number
Cohort
Personal Tutor
UoS Link
Clinical Link
Placements and Supervision
During this unit the trainee nurse associate will have two placement experiences. They will have a primary base placement which will continue throughout the programme and a secondary alternative placement that will be different for each unit of learning. Over the duration of the programme they will have experience in the following contexts of care:
· At Home
· Close to Home
· Away from Home
Primary Supervisor
The allocated supervisor must be a first level registered nurse or someone who is considered occupationally competent. This supervisor is required to formulate a learning plan and, at the end of the unit, assess and sign the record of achievement for each element of competence and to indicate on the assessment form the result i.e. Progressing /Not Progressing, Pass/Fail for each competency statement.
Associate supervisor
An associate supervisor is an appropriately prepared practitioner who accepts delegated responsibility for the supervision and support of the trainee in the absence of the trainee’s primary supervisor.
Secondary Supervisor
Is the person allocate to provide support during the alternative practice placement days. They are not required to sign the record of achievement but, in relation to the learning plan, give a testimony for review by the primary supervisor at the intermediate and final stages of assessment.
Link Lecturer
The named university link who provides support to supervisors and trainees in the practice setting.
Clinical link
The named person from the partnership who provides support to supervisors and trainees in the practice setting.
Competence
Evidence of attainment of competence is required for or successful completion of the trainee nurse associate programme. Competence is regarded by the Nursing and Midwifery Council as a holistic concept that they define as “The combination of skills, knowledge and attitudes, values and technical abilities that underpin safe and effective nursing practice and interventions” (Adapted from Queensland Nursing Council 2009). This same principle will be applied in this programme
SIGNATURES AND ASSESSMENT OF PRACTICE BOOKLETS.
All trainees must be aware of the importance of accurate record-keeping and the need for ethical conduct in connection with signatures.
Please ensure that attendance and performance during a practice learning experience is confirmed in the Assessment of Practice Record by the signature of each of your supervisors and by submission of the Booklet, when required, for signature by your Personal Tutor.
Any difficulty in obtaining the signature of a supervisor must be discussed with your link lecturer or personal teacher prior to the submission date.
Please be aware that the forgery of a signature is a very serious disciplinary matter. It is likely to lead to you being charged under the Discipline Regulations of the University. The University Discipline Committee will take a serious view when deciding the penalty for such misconduct.
The School of Nursing and Midwifery may, in addition, be obliged to advise your employer if it is found that you have forged a signature. The act would be classed as not indicative of good character. You could then be refused registration when regulation of this role takes place.
Name / Signature / InitialsPrimary supervisor
Associate supervisor
Secondary supervisor
WANT TO KNOW MORE?
· The Code at https://www.nmc.org.uk/standards/code/
· Discipline at http://www.sheffield.ac.uk/polopoly_fs/1.422828!/file/XXII_regulations-as-to-the-discipline-of-trainees.pdf
SOCIAL MEDIA
All trainees are reminded of the need to use of social media and social networking sites responsibly. The NMC gives the following guidance at https://www.nmc.org.uk/standards/guidance/social-media-guidance/
PLEASE DO NOT USE CORRECTION FLUID ON THIS BOOKLET
Any errors should be crossed with a single line and signed by both the trainee and the supervisor.
INSTRUCTIONS FOR SUPERVISORS, TRAINEES AND LECTURERS
This Practice Assessment Record contains the specific competence-based outcomes by which the trainee’s practice is to be assessed.
· When the primary supervisor is satisfied that a trainee has achieved a specific competency statement safely, effectively and consistently to the required standard, that statement should be accredited with a “PASS”.
· If the trainee has not achieved the competence statement to the Supervisor’s satisfaction, the Supervisor should mark a “FAIL” grade against that competency statement.
· Assessment of the trainee’s level of achievement should draw on a variety of evidence :
1. Direct observation
2. Question and answer session to assess underpinning knowledge.
3. Reflective discussions between trainee and Supervisor regarding their progress.
4. Testimony from members of the multi disciplinary/ multi agency team.
5. Simulation.
6. Clinical Skills Passport
7. Portfolio
· A final report on the trainee’s conduct, attitude and motivation as a potential future nurse associate must also be completed.
The programme assessment strategy requires trainees to maintain an evidence-based portfolio during clinical practice and record practice experience relevant to achievement of competencies. This should be used to provide supplementary evidence substantiating the claim to proficiency along with the clinical skills passport and will be reviewed by Personal Teacher at the end of Units 1, 2, 3 & 4.
PRACTICE LEARNING EXPERIENCE SUPPORT PROCESS:
INITIAL INTERVIEW:
The supervisor and the trainee identify and discuss the trainee’s personal learning objectives and document action plans to enable the trainee to achieve the competencies, utilising any specific practice learning opportunities.
This interview should also consider what may be achieved on the alternative practice placement
SUBSEQUENT WEEKS:
The trainee works with the supervisor (and/or appropriate health care professionals) to develop the requisite knowledge, skills and attitudes necessary to demonstrate the achievement of the competencies. This will be in both primary and secondary placement areas
INTERMEDIATE FORMATIVE ASSESSMENT:
The trainee and primary supervisor should arrange an assessment interview at the mid-point of the practice learning experience. The trainee should then complete the self-assessment immediately preceding the interview. Following discussion, the results of the assessment must then be entered, ‘progressing/not progressing’ by initialling each competency, under the ‘intermediate’ column by the supervisor.
The secondary supervisor (if appropriate) may be called upon by the primary supervisor or vice versa to discuss any issues of concern.
Supplementary evidence should be reviewed at the intermediate formative assessment interview.
If the trainee is not considered to be progressing the Link Lecturer must be notified. Following discussion between the supervisor (s), the trainee and the Link Lecturer a joint plan of action must be identified offering specific guidance and support to the trainee whilst they attempt to meet the required competency based outcomes.
FINAL SUMMATIVE ASSESSMENT:
The trainee and supervisor should arrange an assessment interview in the final weeks of the practice learning experience. The results of the assessment must be entered, ‘Pass/Fail’ by initialling each competency statement, under the ‘Final’ column by the supervisor. All documentation must be completed before the trainee’s final working day on the placement.
Supplementary evidence:
· PORTFOLIO
· CLINICAL SKILLS PASSPORT
· REPORT FROM SECONDARY SUPERVISOR
Should be reviewed at the final summative assessment interview and verification of this should be recorded.
The Link lecturer should be informed of any trainee failing to achieve the required competencies.
REFLECTIVE PROGRESS REVIEWS:
Meetings should be arranged between the trainee and the supervisor(s) as appropriate, action plans developed and documented. Reflective progress reviews may also be undertaken in partnership with the Link Lecturer if deemed appropriate
ON COMPLETION OF THE PRACTICE LEARNING EXPERIENCE:
All trainees must submit their Assessment of Practice Record on the date identified on the assessment calendar. Failure to do so may constitute a FAIL.
All trainees must make arrangements to see their Personal Tutor to discuss the outcome of their clinical assessment as soon after their practice learning experience as is reasonably practicable.
INITIAL INTERVIEWPlease record the trainee’s personal learning objectives for this placement, the learning objectives expected/suggested by the supervisor, and action plans to achieve these personal objectives and the required outcomes/competencies.
Trainee’s personal learning objectives
Supervisors expectations/suggestions:
]
Joint action plan
Signature of Supervisor / Date
Signature of Trainee: / Date
INTERMEDIATE INTERVIEW
Please record your Intermediate meeting with the trainee, identifying the trainee’s strengths and limitations. The initial action plan should be carefully reviewed and a new action plan developed and demonstrated.
Trainee review of own progress and achievement of learning objectives
Primary Supervisor’s review of trainee’s progress and achievement of learning objectives
Learning objectives for trainee from this point forward
Trainee’s action plan
In the event that the trainee is assessed as not progressing an action plan must be written by the Supervisor/Link lecturer and documented in the reflective progress interviews noting :
Issues of concern
Action plan
Review date
Clinical Skills Passport reviewed / Supervisor’s Initials
Reflective Entries discussed / Supervisor’s Initials
Signature of Trainee / Date
Signature of Supervisor / Date
Professional Behaviours: Intermediate Interview
Excellent / Good / PoorSS / PS / SS / PS / SS / PS
1. Observation of punctuality/timekeeping
2. Reliability in carrying out care within expected capability
3. Reception of feedback
4. Respect for colleagues and their professional experience and opinions
5. Verbal and non-verbal inter-active skills within the context of care situations
6. Attending to client needs and requests within expected capability
7. Recognition of own limitations within expected capability
8. Observation of dress code
9. Consistency of efforts to achieve the requisite standards of care
10. Communication with clients and their significant others within expected capability
11. Ability in relating with colleagues and working as a member of the team
12. Observation of anti-discriminatory, anti-oppressive and ethical practices
SS = Secondary Supervisor – if appropriate
PS Primary Supervisor
There is an expectation that trainees demonstrate a high standard in professional behaviours throughout this programme. Any professional behaviours marked as poor should be related to relevant competencies which should be identified as not progressing and an action plan developed with the assistance of the University of Sheffield Link Lecturer.
Alternative placementPlease identify what the trainee wishes to achieve/has achieved during this experience including any transferable skills and/or knowledge and how this experience relates to the overall learning experience. Any particular strengths and limitations should be highlighted.
Trainee and primary supervisor learning objectives:
Trainee review of own progress and achievement of learning objectives:
Secondary supervisor’s intermediate review of trainee’s progress and achievement of learning objectives:
Secondary supervisor’s final review of trainee’s progress and achievement of learning objectives:
Clinical Skills Passport reviewed / secondary supervisor ’s Initials
Reflective Entries discussed / secondary supervisor’s Initials
Signature of secondary supervisor / Date
Signature of Trainee: / Date
Competencies / Results
Unit 1: SNM146 Foundations in Health and Nursing
PART1 Unit 1
Competencies are to be achieved within the context of the care delivery setting and under the direct supervision of their Supervisor / Initial these columns following direct observation, question and answer technique and review of evidence with the trainee.
1. PROFESSIONAL/ETHICAL PRACTICE / Intermediate
P – Progressing
NP – Not Progressing / Final
Self / Supervisor / Supervisor
P / NP / P / NP / PASS / FAIL
1.1 CARE COMPASSION AND COMMUNICATION
1.1.1. Articulates the underpinning values of the NHS and the profession of nursing
1.1.2. Works within boundaries of the role and recognises own level of competence.
1.1.3. Promotes a professional image.
1.1.4. Shows respect for others.
1.1.5. Demonstrates respect for diversity and individual preference, valuing differences, regardless of personal view.
1.1.6. Respects people’s rights.
1.1.7. Adopts and justifies a principled approach to care
1.1.8. Applies the principles of confidentiality.
1.1.9. Protects and treats information as confidential except where sharing information is required for the purposes of safeguarding and public protection.
1.1.10. Seeks consent prior to sharing confidential information outside of the professional care team, subject to agreed safeguarding and protection procedures.
1.1.11. Applies the principles of data protection.
1.2. ORGANISATIONAL ASPECTS OF CARE
1.2.1. Acts within legal frameworks and local policies in relation to safeguarding adults and children who are in vulnerable situations.
1.2.2 Understands the need to work within a professional framework and the fundamental principles of nursing practice.
1.2.3. Safeguards the safety of self and others, and adheres to lone working policies when working in the community setting and in people’s homes
1.3. INFECTION PREVENTION AND CONTROL
1.3.1. Adheres to local policy and national guidelines on dress code for prevention and control of infection, including: footwear, hair, piercing and nails.
1.3.2. Maintains a high standard of personal hygiene.
1.3.3. Wears appropriate clothing for the care delivered in all environments.
Comments:
Competencies / ResultsUnit 1: SNM146 Foundations in Health and Nursing 1
PART 1 Unit 1
Competencies are to be achieved within the context of the care delivery setting and under the direct supervision their supervisor. / Initial these columns following direct observation, question and answer technique and review of evidence with the trainee.
2: CARE DELIVERY / Intermediate
P – Progressing
NP – Not Progressing / Final
Self / Supervisor / Supervisor
P / NP / P / NP / PASS / FAIL
2.1. CARE COMPASSION AND COMMUNICATION
2.1.1. Is able to engage with people and build caring professional relationships.
2.1.2. Takes a person-centred, personalised approach to care.
2.1.3. Engages with people in a way that ensures dignity is maintained through making appropriate use of the environment, self and skills and adopting an appropriate attitude.
2.1.4. Uses ways to maximise communication where hearing, vision or speech is compromised.
2.1.5. Demonstrates an understanding of how culture, religion, spiritual beliefs, gender and sexuality can impact on illness and disability.
2.1.6. Is attentive and acts with kindness and sensitivity.
2.1.7. Interacts with the person in a manner that is interpreted as warm, sensitive, kind and compassionate, making appropriate use of touch.
2.1.8. Provides person centred care that addresses both physical and emotional needs and preferences.
2.1.9. Evaluates ways in which own interactions affect relationships to ensure that they do not impact inappropriately on others.
2.2. ORGANISATIONAL ASPECTS OF CARE
2.2.1. Responds appropriately when faced with an emergency or a sudden deterioration in a person’s physical or psychological condition (for example, abnormal vital signs, collapse, cardiac arrest, self harm, extremely challenging behaviour, attempted suicide) including seeking help from an appropriate person.
2.2.2. Safely uses and disposes of medical devices under supervision and in keeping with local and national policy and understands reporting mechanism relating to adverse incidents.
2.3. INFECTION PREVENTION AND CONTROL
2.3.1. Follows local and national guidelines and adheres to standard infection control precautions.
2.3.2. Demonstrates effective hand hygiene and the appropriate use of standard infection control precautions when caring for all people
2.4. NUTRITION AND FLUID MANAGEMENT
2.4.1. Reports to an appropriate person where there is a risk of meals being missed.
2.4.2. Follows food hygiene procedures in accordance with policy.
2.5.MEDICINES MANAGEMENT
2.5.1. Is competent in basic medicines calculations relating to:
• tablets and capsules
• liquid medicines
• injections including:
• unit dose
• sub and multiple unit dose
• SI unit conversion.
Comments: