Higher Surgical Nursing Training: Part B

Hong Kong

College of Surgical Nursing

Higher Surgical Nursing Training: Part B

Specialty – Surgical Nursing

Trainee Log Book

Name of Trainee : ______

TABLE OF CONTENTS

1. PARTICULARS OF MENTOR AND TRAINEE TRAINING PERIOD

Name of Trainee:

Rank: ______HKCSN Associate Membership No.:

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2. SELECTION OF ELECTIVE SPECIALTY

Trainees are required to attain the Advanced Surgical Practice in the Generic Core. Trainees should also select FOUR specialties from the Elective Specialty Core as stated below.

* Generic Core is mandatory to be signed by Mentor.

Please select FOUR Specialties from the following Elective Specialty for your Log by indicating with a tick (ü) in the boxes provided

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3. INTRODUCTION

This is a Higher Surgical Nursing Training: Part B Trainee Log Book providing opportunities for the Surgical Nurse. Nurses at the advanced practice level qualified as an Ordinary Member of the Hong Kong College of Surgical Nursing (HKCSN), he / she should be able to demonstrate clinical expertise, to equip and benchmark the clinical updated knowledge, analytical skills and critical thinking in providing holistic quality client care. He / she should adopt in-depth knowledge and build on research evidence to make clinical judgment and autonomous decision making. The practice development is mainly through observation and guided practice in caring patient with surgical problems which enhance the competency of nurses working in Surgical Units and maintain a high standard of care in surgical nursing.

4. AIMS

To fulfill the requirement of College in attaining the qualification of Ordinary Membership in HKCSN

5. LEARNING OBJECTIVES

After completion of the Higher Training, the surgical nurse should be able to:

5.1 demonstrate the roles and responsibilities of a surgical nurse

5.2 integrate knowledge on pathophysiology and management of common adult health condition in the planning of care for adult clients in surgical settings

5.3 perform comprehensive physical assessment and health history-taking, incorporate advanced knowledge in the planning of nursing intervention

5.4 understand the rationale and able to interpret radiological finding and laboratory data

5.5 implement individualized care, perform pre-operative, peri-operative and post-operative care to patient and evaluate the therapeutic nursing intervention

5.6 apply skills on wound management and pain management

5.7 identify post-operative complication and apply immediate care accordingly

5.8 implement post-operative nursing management with holistic care, to maintain physical and psychosocial wellness

5.9 provide client-centered care and family-health education

5.10 demonstrate accountability and flexibility when working in partnership with members of Multi-disciplinary team

5.11 plan and implement quality improvement strategies and measures, research and evidence-based practice in the surgical care setting

5.12 participate in the clinical teaching of nurse learners, serves as a preceptor / mentor to junior colleagues

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6.  ADVANCED PRACTICE LEVEL IN SURGICAL NURSING

Surgical nurse at the advanced practice level is qualified as a Member of HKCSN who has achieved education of master level and he/she should be able to demonstrate clinical expertise in relation to assessment, diagnosis, management and evaluation in the care of surgical patients and their families. Surgical nurse should possess the competencies reflecting his/her ability to adopt comprehensive, specialized, factual and theoretical in-depth knowledge build on research evidence to make clinical judgment with autonomous decision making. He/she should attain high level of analytical skills and critical thinking in providing holistic care to the surgical patients and their families and involve in decision making process with multidisciplinary health care teams.

7. PRACTICE ENVIRONMENT (TRAINING SITE) – GENERAL SURGICAL WARD AND CLINIC

The Advanced Practice Nurse in Surgical Nursing works with the families and carers to care the patient in accordance with their individual health care needs. For the purpose of Higher Training, acute and sub-acute care setting in the hospital should be accredited by the HKCSN and being recognized as training sites for Surgical Nursing care. Mentor(s) in such setting should also be verified by the HKCSN.

8. ELIGIBILITY OF CANDIDATE TO ENTER HIGHER TRAINING IN SURGICAL NURSING AS TRAINEE

The nurse should have completed the Basic Surgical Nursing Training. Before enrolment to be the trainee, he/she needs to obtain approval for the entry to the Higher Training from the HKCSN.

9. GUIDELINE FOR CLINICAL ASSESSMENT

Trainees should have a minimum of 500 hours of direct bedside care of surgical nursing in accredited training site(s) within a 4 years’ time span. The clinical experience can be 100% under supervision or with some (at most 50%) in work placement. i.e. 50-100% supervised practice, 0%-50% work placement.

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The theory component of Higher Surgical Nursing Training: Part B – There are Generic Core and 13 Elective Specialties. Trainees are required to attain the Generic Core and FOUR Elective Specialties.

* Generic Core is mandatory to be signed by Mentor.

9.1 Domain and Skill Based Competence

Trainee should demonstrate competencies at Advanced Practice Level in Surgical nursing according to the 7 Domains. Scenario reflecting the corresponding competencies of the domains should be well documented. Ongoing assessment and feedback from mentor(s) to trainee are expected to help the trainee identifying his/her strengths and weaknesses, and achieve the expected professional competencies throughout the period of supervised practice. As summative assessment, the assessment will serve as documented evidence certifying that the trainee has achieved the required competence levels.

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9.2  Key Domains of Competency Framework for Advanced Practice Nurse

Domain 1 Managing clients with complex health conditions

Domain 2 Enhancing therapeutic nurse-client relationship

Domain 3 Demonstrating effective leadership and team work

Domain 4 Enhancing quality assurance and improvement

Domain 5 Managing and negotiating innovative and effective approaches to care delivery

Domain 6 Enhancing professional attributes of general and advanced practice

Domain 7 Enhancing personal attribute

9.3 Clinical Logbook

Logbook is a record to facilitate the mentor to assess the competence of the trainee and to provide support and guidance to accomplish the training at the advanced practice level as required. Such practice must be supervised by designated on-site mentor(s). There should be an on-going assessment during the training period. The mentor should provide trainee with feedback of his / her performance, record his / her training, experience and achievements in details, and provide extra training in areas of deficiency. It is recommended that mentor and/or trainee should discuss with clinical supervisor to allow rotation within the department and cluster hospitals to meet the mandatory learning items in the logbook. Entries into the logbook should be made from the beginning of the trainee’s supervised practice in a recognized training site. There are mandatory items “*” which indicate the “must know” knowledge in the specialty. 100% mandatory items are expected to complete. While at least 50% of the non-mandatory items are expected to complete.

9.4 Mentor(s)

Mentor(s) must be Fellow(s) of the HKCSN and is/are in current practice in Surgical Nursing. Trainee must be assigned to a designated mentor at the training site. One mentor should supervise no more than 2 trainees at one time.

Responsibilities of Mentor:

l  Provide learning opportunities to the trainee in practicing advanced surgical care;

l  Facilitate the trainee to integrate and apply the knowledge and skills in providing care to patients and families with acute or chronic surgical conditions;

l  Facilitate and guide the trainee to reflect the advanced practice skills in patient care;

l  Provide on-going feedback on the trainee’s clinical performance and advice on areas for improvement.

l  Facilitate the trainee to exercise professional autonomy during clinical case management.

l  Facilitate and guide the trainee to prepare for Ordinary Membership Exit Assessment.

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10. LEVEL OF COMPETENCE ASSESSMENT

To guide the trainees in achieving their competencies, a FOUR-level Model of Competence is adopted. The level of competence ranges from Excellent (Level 4) to Deficient (Level 1). The Mandatory items (*) should be achieved 100% and the achievable items should be reached at Level of Competence (2) Satisfactory or above. Non-mandatory items should be achieved 50% and the achievable items should be reached at Level of Competency (2) Satisfactory or above. Trainees are required to log 3 Practice Records and the last practice should achieve the rating at least 2 Satisfactory or above.

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11. GENERIC CORE LOG

Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.