guidance for completing the practice assessment documents … · 2018-06-22 · guidance for...

GUIDANCE FOR COMPLETING THE PRACTICE ASSESSMENT

DOCUMENTS

SECTION 3

This section this section includes information relating to the:

• Progress Review

• Action Planning, with sample action plan

• Final Interview pages.

The blue text boxes provide guidance related to the assessment

process.

Record of Ongoing Feedback Given to the Student

Date Review Comments Signature and Print

Name

-

This section should be used to record feedback given to the student by

the mentor/supervisor on a regular basis.

Feedback is important to ensure the student fully understands the

assessment requirements and how well they are progressing.

Progress Review (at least 6 weeks prior to the Final Assessment)

This review must be completed by the hub placement mentor at least six weeks

before the end of the practice learning period for the year. The student must

have a minimum of four weeks opportunity to address any weaknesses identified

at this point.

Where this is not achievable the Practice Team must be informed

Student to complete the self-assessment on the Progress Review sheet

in preparation for Progress Review interview.

1. I still need/would like to develop the following areas of my practice:

2. My current Practice Learning Plan (agreed at initial interview) will facilitate

the development needs specified above

Yes / No*

If “No” please indicate why below and update and amend your Practice

Learning Plan with your hub placement mentor.

Student Signature Print Name Date

* delete as appropriate

Progress Review

(at least 6 weeks prior to the Final Assessment)

Assess in relation to the Level of Performance Criteria detailed on page 59

Items to be achieved by this

point:

All shaded Essential Skills Clusters

with specified written evidence where

indicated below.

Domain of Nursing

The student is progressing appropriately

and is on target to achieve the

competence required by the progression

point (please √)

No Yes

Student

Self

assess

Mentor

Student

Self

assess

Mentor

1 Professional values

2 Communication and interpersonal

skills – written evidence complete?

3

Nursing practice and decision

making - written evidence complete? Authentic World Certificate seen by

mentor?

4 Leadership, management and

team working

Fewer than three occasions of

sickness/absence

Action

An Action Plan

must be

negotiated and

implemented.

Development planning may be undertaken to

further enhance practice

Action Plan commenced? YES/NO* Practice Team informed? YES/NO* If yes, name of person informed ………………………………………..Date informed ……………………….

Specific areas of good practice: Specific areas requiring further attention: Service user/carer feedback (the service user should not write directly in this document unless the feedback is anonymised):


If the student has not completed one

or more of the requirements indicated

and ‘No’ is recorded, an action plan

must be commenced so that the

student understands exactly what is

required by the end of the placement.

An action plan should be viewed as a

positive means of enabling the

student to meet the assessment

requirements

It is essential that the Practice Team is

informed if an action plan is

commenced so that additional support

can be offered to both the student and

the mentor

Sickness/absence to date: number of days _______ on number of occasions ______

Mentor Signature

Print Name Date

Student Signature

Print Name Date

If the Personal Tutor is unable to attend the Progress Review meeting with the

student and mentor, the student must arrange to meet with their Personal Tutor

within four weeks of the Progress Review.

Personal Tutor Comments

Has the student had more than three occasions of sickness/absence or more

than eight days of sickness/absence to date this year? YES/NO*

If yes, please consider referral to occupational health if appropriate and inform the Practice Team to consider action planning.

Date Practice Team informed __________ Person Informed _________________

Date of Meeting …………………………………………..

Personal Tutor Name: ………………………………………………………………

Personal Tutor Signature …………………………………………………


SAMPLE ACTION PLAN

Domain/s

Performance criteria/Key Skills

In order to make it clear to students which aspects of the assessment they are at risk of failing, the

concerns should be linked to the domains of nursing and the name of the Essential Skills Cluster the

concern/s relates to. Insert reference to PAD

E.g. Domain: Nursing Practice and Decision Making - ESC: Organisational Aspects of Care Domain: Leadership, management and Teamwork - ESC : Organisational aspects of care

Issues Identified/Concerns

Specify:

• What has the student done/not done in relation to the performance criteria?

• What knowledge deficit is there?

• What skill deficit is there

E.g. Samantha has made repeated mistakes recording observations and when questioned is unable to interpret and discuss findings and use the information obtained to inform care plans. For example Samantha was allocated a small caseload, and made errors completing fluid balance charts, and plotted blood pressures incorrectly. Samantha failed to report observations outside of normal parameters, Samantha does not appear to learn from experience and needs excessive prompts to perform tasks correctly, for example acting appropriately on findings, and charting observations. Actions Required

Set ‘SMART’ actions

Specific goals should be written clearly and concisely

Measurable success criteria should be identified

Achievable determine what is achievable

Realistic determine if the goal is realistic

Timely identify what has to be done by when and by whom

E.g. Accurately complete and record blood pressure

Access additional skills training to improve blood pressure taking skills Work under direct supervision of the mentor whilst taking and recording blood pressure and report findings Revise physiology of blood pressure control, normal values, and significance when blood pressure falls outside normal parameters and prepare to discuss learning with mentor

Complete fluid balance charts independently Fluid balance charts to be checked and countersigned by mentor over the next week.

Review date/s weekly

To be achieved 24.8.12 26.8.12

Notes of Review meetings

Record progress / review meetings

Record progress towards meeting actions.

State clearly if actions are achieved.

E.g. Samantha has accessed additional skills training in the university, and is confident in the technical aspects of taking blood pressure, and plotting the findings. Samantha’s knowledge has improved, in that she is able to recall factual information, but she has difficulty applying this to practice. Agreed that Samantha will carry out blood pressure assessments unsupervised, but must continue to discuss findings. Samantha is able to accurately chart fluid balance intake and output, but has difficulty totalling fluid balance. Discussed with the tutor, and Samantha has been referred to the

Date and sign 12.8.12 MH 15.8.12 MH

This sample action plan is included as a guide. The

Practice Team can provide additional help with the

action planning process

Special Needs Tutor for advice. Review next week. Samantha said she has been seen by the Student Enabling Centre and does not have any special needs in relation to numeracy skills. Advised to use calculator to check findings, and continue to report findings to the mentor. Samantha understands the basic principles of fluid balance, but has difficulty relating this to individual patient care. Application of theory to practice seems to be a recurring problem. Agreed that Samantha will take the lead for care planning under direct supervision to improve decision making skills and application of theory to practice. Samantha is able to accurately complete fluid balance and blood pressure, and can recognise deviations from normal. Application of knowledge to practice is improving, but is not yet at the expected standard, slow but continuing improvement is seen. Review in 4 weeks.

24.8.12 MH 28.8.12 30.8.12 MH

Action plan completed by …Mary Hatherington (Mentor) Signature … Mary Hatherington

Student signature ……Samantha Payne………………………… Date ………7 August 2012………

ACTION PLAN – TO BE COMPLETED

Domain/s



Specify

Expected Outcome/Actions Required

Review

date/s

To be

achieved by

Action plan completed by …………………………………………. Signature … ……………………..………

Student signature ………………………….. ………………………… Date ……………………………………………

ACTION PLAN – CONTINUED

Domain/s



Specify

Expected Outcome/Actions Required

Review

date/s

To be

achieved by

Action plan completed by …………………………………………. Signature … ……………………..………

Student signature ………………………….. ………………………… Date ……………………………………………

Copies of additional pages can be obtained from the WOLF topic Pre-Registration Nursing Placement Learning Support.

Number of Additional Pages used: _________

Action Plan Review Comments

Date Review Comments Signature and Print

Name



It is important that the action plan is

reviewed regularly, at least weekly, and

written feedback given to the student

regarding their progress. If the student

is still not working to the required level

this should be clearly discussed with

the student and documented here by

the mentor/supervisor

Record of Meetings in Practice and/or Placement Visits by Practice Team

Date Detail of meeting/visit Name/

Signature



Final Assessment and Timesheet

The level of competence at the final assessment point should be made in

relation to each domain overall in terms of achievement of the LEVELS

OF PERFORMANCE, SUPERVISION & PRACTICE, see page 61.

Assessment is based on:

� feedback from mentors/supervisors on pathway (spoke) placements

� feedback from other staff working in the hub placement area

� feedback from service users/carers

� evidence of achievement of ALL essential skill clusters

� completion of the specified written evidence for EACH domain

� other written evidence provided in support of achievement of the essential

skills clusters

� direct observation and question and answer sessions

Mentor Information: Retrieval of Practice Hours

If the student has not completed the required 667.5 hours of placement the hub

placement mentor is still required to complete an assessment at this point in

accordance with NMC requirements. If the mentor has had insufficient time to work with

the student due to sickness/absence this should be indicated in the reasons for non-

achievement on the Final Assessment page. The student is advised to submit extenuating

circumstances before the submission date if he/she wishes the sickness/absence to be

taken into account in relation to this practice assessment.

The student will return to the hub placement area (unless specific competencies need to

be completed in a different area) to retrieve any outstanding hours during the retrieval

placement weeks commencing 9th December 2013. The student is required to work full-

time until all hours have been retrieved unless advised differently by the placement area

or the Practice Team. If less than 37.5 hours need to be retrieved in one week the

student is only required to retrieve the actual number of hours outstanding. The student

will not appear on the allocation report for the placement area, as this is retrieval of

hours not planned hours.

Student Information: Submission of Practice Assessment Document (PAD)

You MUST submit this PAD to the relevant Student Office on the date given and attach

the relevant barcode sheet from evision. If the PAD has not been completed for a specific

reason, e.g. sickness/absence you may request a 1-week extension through E:vision but

you ill be required to provide evidence in support of the application. Contact the Practice

Team for further advice if required. This will allow you time to meet with your mentor

and complete the documentation. It does not allow an extra week on placement. If

having an extension will not resolve your difficulties or if you were off sick/absent for a

prolonged period of time at the end of the placement, you are advised to apply for

Extenuating Circumstances, as any incomplete or non-submitted documents will be

recorded as a refer (fail) in practice and you will only be allowed one further attempt.

Final Assessment

Student to complete

You must complete the self-assessment on the Final Assessment sheet

in preparation for the Final Assessment interview with your Hub

Placement mentor. You should also answer the following questions:

1. Have you achieved the objectives of the Placement Learning Plan?

YES/NO*

2. Comment on your key strengths and areas for improvement/priorities for your next placement

Student Signature Print Name Date


The student is required to complete this

section before the mentor completes the

final assessment

YEAR 1: LEVELS OF PERFORMANCE, SUPERVISION & PRACTICE To achieve the competency level required for each NMC domain and to progress to year 2 the student must be consistently achieving at the level indicated below: Level of Supervision: Close Level of Practice: Observes, participates, assists in practice

Competence Achieved Competence Not Achieved

Practice • Actively participates • Delivers care safely • Does not require prompting in routine

situations • Responds effectively to individual

situations in a timely manner • Performs with an awareness of legal

and professional limitations adhering to the NMC Guidance on professional conduct for nursing and midwifery students (2010)

Knowledge • Asks questions when unsure • Can offer explanations for the activities

undertaken demonstrating a grasp of underpinning theory

• Shows an awareness of how nursing knowledge and research influence the way care is planned and delivered

Attitude • Demonstrates a professional attitude

towards service users, staff and work • Recognises appropriateness of own

actions • Commitment to professional

development

Practice

• Does not routinely participate in care • Unsafe, uncoordinated care delivery

requires direct supervision • Requires repeated prompting in familiar

tasks • Evades new experiences • Slow to respond • Unaware of legal and professional

limitations, therefore not adhering to the NMC Guidance on professional conduct for nursing and midwifery students (2010)

Knowledge

• Accepts all practice without question • Does not ask questions • Has no awareness of the rationale for

care • Lacks essential knowledge

Attitude • Demonstrates an unprofessional

attitude towards service users, staff and/or work

• Does not consider the service user first • Unprofessional response to feedback

This table has been adapted from the taxonomy and criteria devised by Stuart (2007).

Reference:

Stuart, C. C. (2007) Assessment, supervision and support in clinical practice: a guide for nurses, midwives and other health professionals. 2nd ed. London, Churchill Livingstone

Final Assessment – Progression Point Mentor to complete (please print clearly in black pen)

Student Name: Cohort:

Student Number: Hub placement:

Hub Mentor(s) Name(s): ______________________________ ______________________________

Dates of practice in hub placement:

From: ____________ to: ____________ From: ____________ to: ____________ From: ____________ to: ____________

Was the student on an action plan? YES/NO*

If yes, have all areas of the action plan been achieved? YES/NO*

If no, the student should be recorded as not achieved for the domain that the concern relates to.

Written feedback should be given below in relation to any areas of concern raised on the action plan, indicating that these are now achieved or not achieved.

Please comment on the student’s performance (i.e. strengths and areas for

improvement). Please take into account the feedback from mentors/supervisors

during pathway experiences

Professional Values

Please comment on the following: professional behaviour, motivation, punctuality & time keeping, sickness/absence Service user/carer feedback (the service user should not write directly in this document unless the feedback is anonymised): Please comment on the following: maintenance of privacy and dignity, how respectful the student has been, treated the service user as an individual

* delete as appropriate Student insert copy in Ongoing Achievement Record at end of year profiling

BNURS(HONS) YEAR 1 PROGRESSION POINT

It is important that the mentor provides written

feedback on the achievement of each of the overall

domains.

Communication and Interpersonal Skills

Please comment on the following: interaction with others, ability to read and respond to social situations, recording and reporting skills

Service user/carer feedback about the students (the service user should not write directly in this document unless the feedback is anonymised): Please comment on the following: ability to provide explanations, ability to listen and be attentive, make the service user feel welcome

Nursing Practice and Decision Making

Please comment on the following: care delivery, empathy and compassion, application of theory to practice

Service user/carer feedback about (the service user should not write directly in this document unless the feedback is anonymised):Please comment on the following: the ability of the student to involve the service user in their care, treated the service user as an individual

Leadership, Management and Team Working

Please comment on the following: personal organisation, team working including sickness/absence, planning own learning needs

Service user/carer feedback about (the service user should not write directly in this document unless the feedback is anonymised): Please comment on the following: the student’s ability to organise the service users care.

Other comments:

Hub Mentor Signature Print Name Date

* delete as appropriate Student insert copy in Ongoing Achievement Record at end of year profiling


Final Assessment Sheet – Progression Point

Assess in relation to the Level of Performance Criteria detailed on page 59

Student Name:

Student Number:

Mentor Name (hub placement):

Placement:

Competency Domain:

All Essential Skills complete

All written evidence

complete

Overall performance in each

domain

Grade required (see page 59) Please √

Not achieved Achieved

required level

Working above

required level

Student self

assess Mentor

Student self

asses Mentor

Student self

assess Mentor

1 Professional values

2 Communication and interpersonal skills

3

Nursing practice and decision making – Authentic World Certificate

seen by mentor

4 Leadership, management and team working including sickness/absence

Comments to support the above decision:

Sickness/absence to date: number of days ________ on number of occasions ________ (Arrange for the student to return during the retrieval period to retrieve these hours)

Mentor Signature at

progression point

Print Name Date

Date of Mentor Update Professional qualification recorded on which part of

The NMC Register (e.g. RN Child)

In signing that the student has passed all four competence domains at the level required, the Mentor is indicating that the Student is currently displaying a satisfactory standard of professional behaviour and can progress to year 2. * delete as appropriate Student insert copy in Ongoing Achievement Record at end of year profiling with personal tutor


If the student is working above

the required level for the stage of

the course this should be

reflected within the assessment.

However, the student will pass

the placement if they have

achieved all of the outcomes at

the required level

The student must return to the Hub

placement to retrieve any practice

hours lost due to sickness/absence

It is essential that this date is within

the last 12 months otherwise the

assessment is invalid

In year one a student can be assessed by any professional who

has received relevant training. In year two a student can be

assessed by a Registered Nurse from any field. In year three a

student must be assessed by a Registered Nurse from the same

field of nursing that the student wishes to enter

A copy of this page is inserted into the student’s ongoing achievement record to be reviewed by

future mentors and to assist the sign-off mentor’s decision regarding the student’s suitability to go

onto the NMC register

guidance for completing the practice assessment documents … · 2018-06-22 · guidance for...

Documents