practice assessment documentation - dmu

Practice Assessment Documentation

Evidence of Achievement for the NMC Criteria required for Progression Point One Year One.

BSc (Hons) Nursing

Name: Field of Practice:

Leicester, Leicestershire and Rutland NHS and Independent Placement Providers In Partnership with De Montfort University Leicester School of Nursing and Midwifery Faculty of Health and Life Sciences The Gateway Leicester LE1 9BH DMU V4 September 2019

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Table of Contents Page 3 Welcome to the Practice Assessment Document Pages 57 -75 Practice Outcomes

Page 76 Assessment of Professional Conduct in Practice (Information)

Page 3 Student Responsibilities Page 77 Your personal life counts too

Page 4 Practice Supervisor Responsibilities Page 79 Professional Conduct Assessment : Experience One

Experience Two

Experience Three

Page 4 Practice Assessor Responsibilities Page 80 Assessment of Proficiency to Compete Progression Point One

and Progress to Year Two of the Programme

Page 5 Academic Assessor Responsibilities Page 81 Signature page – Practice Supervisors

Page 6 Respecting patient’s consent to treatment and care Page 82 Signature page –Practice Assessor and Academic Assessors

Page 7 Assessment Framework Page 83 References

Page 8 Practice Experience One Page 84 Example of how to complete a time sheet

Page 24 Practice Experience Two

Page 40 Practice Experience Three

Acknowledgments: This document has been written by Annabel Coulson, Practice Learning Lead University Hospitals of Leicester NHS Trust, in collaboration with the Practice Learning Subgroup of the Curriculum Development Group

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Welcome to the Practice Assessment Document (PAD)

Student responsibilities

This Practice Assessment Document is designed to support and guide you towards successfully achieving the criteria set out in the Nursing and Midwifery

Council (2010) Standards for pre-registration nursing education.

The PAD makes up a significant part of your overall programme assessment. It will need to be processed through formal University systems. Continuous

assessment is an integral aspect of assessment in practice and you are expected to show evidence of consistent achievement. You should engage positively

in all learning opportunities, take responsibility for your own learning and know how to access support. You will work with and receive written feedback from

a range of staff including Practice Supervisors and Practice Assessors and you are required to reflect on your learning.

You are responsible for raising concerns with a nominated person in the practice setting in a timely manner. You should also alert staff to any reasonable

adjustments that may be required to support your learning.

You should ensure you are familiar with your University assessment and submission processes for this document and contact the academic representative

from your University, or refer to your University’s intranet if you require support or advice on specific University procedures.

The Ongoing Achievement Record (OAR) is a separate document that summarises your achievements in each placement and with the main document provides

a comprehensive record of your professional development and performance in practice.

You are responsible for the safekeeping and maintenance of the PAD. It should be available to your Practice Supervisor, Practice Assessor and Academic

Assessor at all times when you are in placement together with the OAR. Alterations should be made in this document by crossing through with one line, with

a signature and date.

You will have access to confidential information when in practice placements. The PAD should not contain any patient/service user/carer identifiable

information. Contents must not be disclosed to any unauthorised person or removed, photocopied or used outside the placement or University.

People must be offered the opportunity to give and if required withdraw their informed consent to student participation in their care and staff in practice will

provide guidance as required. Before approaching any patient/service user/carer for feedback you must discuss with your Practice Supervisor/Practice

Assessor who will facilitate consent.

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Practice Supervisor responsibilities (Registered nurse/midwife or other registered health/social care professional)

In many practice areas the student will be supported by a number of Practice Supervisors. Some areas may adopt a team based approach due to the nature

of the experience.

As a Practice Supervisor you have an important role in supporting and guiding the student through their learning experience to ensure safe and effective

learning. This includes facilitating learning opportunities including any reasonable adjustments the student may need to get maximum benefit from the

placement. It is your responsibility to contribute to the student’s assessment through the recording of regular feedback on their progress towards, and

achievement of their proficiencies. Specific feedback must be provided to the Practice Assessor on the student’s progress.

Supervision in other placement areas (i.e. those areas where there are no health/social care registrants)

A range of staff can support student learning and have a vital role in student learning and development though may not be contributing formally to assessment

of proficiencies.

However, these staff members are encouraged to support learning and can provide valuable student feedback within the PAD on the Record of

communication/additional feedback pages.

Practice Assessor responsibilities

As a Practice Assessor you have a key role in assessing and confirming the student’s proficiency providing assurance of student achievements and competence.

This includes facilitating learning opportunities including any reasonable adjustments the student may need to get maximum benefit from the placement.

You will observe the student, conduct and record student assessments informed by student reflections, feedback from Practice Supervisors and other relevant

people to confirm achievement. You will liaise with the Academic Assessor scheduling communication at relevant points.

There are numerous elements requiring assessment in practice. One or more Practice Supervisors can contribute to the assessment of some of the

proficiencies in discussion with you, but they must be working in their scope of practice.

When assessing the student, you should take into account sources of evidence that encompass knowledge, skills, attitudes and the views of those receiving

care. Comments should acknowledge those exceptional students who are exceeding expectations for their stage in practice or who have particularly

commendable attitudes, behaviours, knowledge or skills.

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If the student is not meeting the required standards this should be highlighted as a development need. If there is a cause for concern or a fitness for practice

issue that requires prompt action, an Action Plan should be instigated to address specific needs or concerns within a specified timeframe. In the event of this,

seek guidance from the Academic Assessor and/or senior practice representative.

Practice assessors cannot, at the same time, act as the practice supervisor or academic assessor for a specific student

Academic Assessor responsibilities

Academic Assessors are Registered Nurses and are nominated for each part of the educational programme. The same Academic Assessor cannot contribute

to the student assessment in consecutive parts. The Academic Assessor will work in partnership with the Practice Assessor to evaluate and recommend the

student for progression for each part of the educational programme.

The student must make contact with the Academic Assessor early in the placement to enable a scheduled communication and collaboration to take place.

All communications/ additional feedback (not already recorded in the scheduled interviews) from the Practice Supervisors, Practice Assessor and Academic

Assessor and other staff members needs to be recorded on the relevant pages in the PAD.

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Respecting patient’s consent to treatment and care As a student you have a responsibility to ensure that the principles of informed consent are upheld when you are in practice areas and involved in patient care. You should always introduce yourself to patients as a student nurse/midwife. You must ensure that your involvement in any treatment and care (including observing treatment and care) is with the patient’s informed consent and that you have the patient’s permission to observe or be involved in their care. Patients have the right to refuse to give such consent and may withdraw their consent for you to be involved with their care at any time and this should always be respected. For any patients who are regarded as ‘lacking capacity’ and unable to independently make a decision about their care, you must seek advice from a Registered Health Care professional. You should also ensure that when working with children and young people you understand the laws around capacity, and child and parental consent, including giving and refusing consent for the implementation of any treatment or intervention. Consent is defined as ‘permission for something to happen or agreement to do something’ (Oxford English Dictionary 2018). In relation to health care, it is a general legal and ethical principle that valid Consent must be obtained before commencing an examination, starting treatment, undertaking a physical investigation, or providing care. This principle reflects the rights of a person to determine what happens to their own bodies, what shapes their care, who delivers their care and what support they receive. It is fundamental to good practice. As a student on a programme preparing you for entry to the register with the Nursing and Midwifery Council (NMC), you are expected to abide by The Code (NMC, 2018) which states that “…you must: (4.1) balance the need to act in the best interests of all people at all times with the requirement to respect a person’s right to accept or refuse treatment (4.2) make sure that you get properly informed consent and document it before carrying out any Action’’

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Assessment Framework

A

ssessm

en

t of P

ractice

Stud

ents can

travel in b

oth

directio

ns

Underpinning Knowledge Level of Support Required Quality of Practice Indicators Expectations for Student Achievement

Demonstrates a broad knowledge

base and critical understanding is

evident to support practice

Requires little or no prompting

is able to use own initiative

with minimal supervision

- Demonstrates consistency in

practice

- Consistently proficient

- Consistently confident

- Consistently uses own

initiative

End

of Year 1

End

of Year 2

Pro

fession

al Registratio

n

Transfers acquired knowledge and

demonstrates application of

knowledge and skills to practice

Requires occasional

prompting and

frequent indirect

supervision

- Proficient

- Confident

- Uses own initiative at times

- Requires only indirect

supervision

Has some ability to identify

essential knowledge base, is safe,

but needs to develop further

understanding

Requires frequent prompting

and direct supervision

- Proficient throughout most of

performance when assisted or

directly supervised

Has limited ability to identify

essential knowledge base, is safe,

but needs to develop further

understanding

Requires constant supervision

and high level of prompting

- Limited or marginal ability to

demonstrate own initiative -

Limited ability to apply

problem solving skills

Not Competent in

Assessment of

Practice

Minimal knowledge without

connecting it to practice and is not

able to demonstrate an adequate

knowledge base of care.

Requires continuous

supervision and prompting

- Unsafe level of practice – very

poor performance

- Not able to follow directions

- Unable to demonstrate safe

practice

Based on Bondy (1983) and applied knowledge from Benner (1984)

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Pre Registration Nursing Education


Practice Experience One

Location of Practice Based Experience,

including Date:

Contact Number

Details of Academic Assessor:

Details of Practice Supervisor:

Details of Practice Assessor:

I can confirm that I am a recognised Practice Assessor within the Trust / organisation I work for and that I have attended relevant training / updates to

ensure currency of my knowledge and skills

Signature and Date:

A contact number has been left with the practice area in accordance with data protection policy. Practice Supervisor / Practice

Assessor Signature:

Students are responsible for ensuring that this page is completed during the first working shift. In case of emergency students are advised to leave

a contact number with the practice supervisor / practice assessor.

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Student Orientation to the Practice Area

The practice supervisor / practice assessor and student must discuss the following points as part of the induction into the practice area

ISSUES

Practice Experience Contact details: Students Action in the Event of:

• Fire

• Emergency

• Sickness/absence procedure

The geographical area:

• Layout

• Storage of equipment

• Location of emergency equipment

• Storage of personal belongings

• Personal safety

Duty Rotas:

• Shift patterns

• Working hours

Specific needs due to a Learning Difference: Have any reasonable adjustments been made in relation to learning difficulties identified?

Practice Experience Specific Points (please identify):

Expectations of Professional Behaviours in Practice Area, for example; time keeping, dress code, sickness reporting

Please refer to local policies and guidelines in relation to student nurse roles, responsibilities and limitations in relation to clinical practice.

Practice Supervisor/Practice Assessor Signature.......................................................... Date.............................

Student Signature.......................................................................................................... Date............................

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Initial meeting of student and practice supervisor / practice assessor

In order to meet the requirements for Progression Point One, all students must be able to demonstrate criteria in relation to; Professional Values, expected

attitudes and behaviours which must be shown towards people, their carers, their families and others, Safety, Safeguarding and Protection of people of all

ages. These will contribute to the achievement of competencies for entry onto the register; these competencies have been grouped under the following

domains;

• Professional Values

• Communication and Interpersonal Skills

• Nursing Practice and Decision Making

• Leadership, Management and Team Work

The criteria for Progression Point One have been mapped against the NMC Domains and the Essential Skills Clusters (2010) have been used to develop

practice outcomes, where appropriate, these will contribute to the achievement of competencies for entry onto the register, the full competencies for

entry to the NMC register can be found in the Practice Assessment Document for Year 3.

The initial meeting between the student and a practice supervisor and/or practice assessor must take place during the first week.

Actions identified in the OAR, please make note if the OAR is not presented; (Not applicable in practice experience one.)

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Students personal objectives for placement learning;

Action Plan for Addressing Objectives;




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•

Leadership, Management and Team Work

Identification of Learning Opportunities Available in Practice Area

Practice Supervisor/Practice Assessor signature……………………………………. Date …………………………………………………

Student’s signature ……………………………………………………………………………… Date ………………………………………………….

*Where there are any concerns relating to the achievement of the criteria for progression point one, the practice supervisor must inform the practice

assessor and alert the Academic Assessor and or/ Practice Learning Lead (if a UHL /LPT placement) for support and guidance.

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Mid Placement Review

The mid placement review must take place during the middle two weeks of a student’s placement. This allows the practice supervisors, practice assessors

and students the opportunity to review progress and initiate any actions which need to be taken to allow the opportunity for achievement of all NMC

criteria for Progression Point One. Feedback must include discussion against the Assessment Framework and agreed actions to support the achievement

of the NMC criteria

Students’ reflection on progress towards initial objectives;

Practice supervisor / practice assessor comments, against initial objectives;

Practice supervisor / practice assessor comments, against skill development (please refer to the Skills Log)

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Summary from Service User questionnaire and action plan for future development

Mid placement Assessment Framework and action plan for future development (See Page 7, 15 &16)

Practice Assessor Signature……………………………………………….. Date ………………………………………………………

Student’s Signature ……………………………………………………………. Date ………………………………………………………

Practice Supervisor Signature………………………………………………. Date……………………………………………………….



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Action Plan:

DATE:………………………………………….

This action plan is an important document in assisting and evidencing your progress towards areas of development. It is your responsibility as a student to make people involved in your training, aware of its existence and that it is reviewed regularly

Area needing development (Specific)

How will this be achieved? (Measurable, Achievable)

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Why has this area been identified (Relevant) When will it be achieved (Timed) Review Date ……………………… Practice Assessor Signature:…………………………………. Practice Supervisor signature…………………………………………. Student Signature:………………………………………………… Academic Assessor Signature:…………………………………………

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Review of Action Plan Date:

Action plan achieved Yes / No (please delete)

If Yes, comments should be provided below as to how this was achieved. If No, comments should be provided as to progress towards, and any further actions required.

Next review date ……………………..

Practice Assessor Signature:…………………………………. Practice Supervisor signature………………………………………………..

Student Signature:………………………………………………… Academic Assessor Signature:…………………………………………………

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Further review of Action Plan (if applicable) Date:


If Yes, comments should be provided below as to how this was achieved. If No, comments should be provided clearly identifying why achievement has not been made. This will need to be recommended as an area for development within the OAR for future practice supervisors and practice assessors.

Practice Assessor Signature:…………………………………. Practice Supervisor signature………………………………………….


*Please ensure there is reference to this action plan recorded in the students OAR

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Final Meeting between Student and Practice Assessor

The final placement review must take place during final week of a student’s placement. It must evidence achievement against the NMC criteria and

demonstrate the students’ development throughout the placement.

Developmental comments should also be added to the OAR for future practice supervisors / practice assessors to formulate initial action plan

Students’ reflection on objectives

Practice Assessor comments against agreed objectives

Practice Assessor comments, against skill development (please refer to the Skills Log)

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Practice Assessor’s comments, against the four domains





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Final Assessment Framework and action plan for future development (See page 7,15 &16)

Practice Assessors signature……………………………………. Date ………………………………………………………

Student’s signature …………………………………………………. Date……………………………………………………….

Practice Supervisor signature…………………………………… Date………………………………………………………

*Academic Assessor Signature:………………………………… Date……………………………………………………….

(*Academic Assessor is signing to confirm that a discussion of achievement has taken place between the Academic Assessor the Practice Assessor and the

student).

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Record of communication between Practice supervisor/assessor, Academic assessor and Student

Type of contact: Face to face Telephone Skype Other (please specify

Details of discussion: Practice supervisor/Practice assessor signature…………………………………………………….. Date…………………….. Student signature …………………………………………………….. Date…………………….. Academic assessor signature ……………………………………………………… Date……………………..

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End of Placement Checklist for Practice Assessor (ONE)

Activity Practice Assessor Signature Student Signature

All evidence has been provided and reviewed to demonstrate

achievement of practice learning outcomes

Confirmation that evidence provided has been supported through

application to practice

Service User Feedback Questionnaire has been completed twice

during placement and is reflected in the practice learning outcomes.

(Once for experiences of 3 weeks or less)

The Interprofessional Working Student Diary has been completed and

reflects practice experience, including future development plans

Relevant Skills have been practiced and achievement confirmed in the

Skills Log

The Ongoing Achievement Record has been completed with relevant

action plans for future development.

An evaluation of Professional Conduct has taken place, if

unsatisfactory this has been reported to the Practice Learning Lead

and the Academic Assessor at the University.

The signature page is complete and reflects all healthcare

professionals who have contributed to the overall assessment

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Practice Experience Two


including Date:

Contact Number




I can confirm that I am a recognised Practice Assessor within the Trust / organisation I work for and that I have attended relevant training / updates

to ensure currency is of my knowledge and skills

Signature and Date:

A contact number has been left with the practice area in accordance with

data protection policy.

Practice Supervisor / Practice Assessor

Signature:

• Students are responsible for ensuring that this page is completed during the first working shift. In case of emergency students are advised to leave a

contact number with the practice supervisor / practice assessor.

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ISSUES


• Fire

• Emergency



• Layout




• Personal safety

Duty Rotas:

• Shift patterns

• Working hours





Practice Supervisor/Practice Assessor Signature............................................. Date.............................

Student Signature............................................................................................ Date............................

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Initial meeting of student and practice supervisor and practice assessor




domains;










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•



Practice Assessor signature………………………………………………….. Date ………………………………………………..

Student’s signature ……………………………………………………………… Date ………………………………………………..

Practice Supervisor signature………………………………………………. Date………………………………………………….



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The mid placement review must take place during the middle two weeks of a student’s placement. This allows practice supervisors, practice assessors and

students the opportunity to review progress and initiate any actions which need to be taken to allow the opportunity for achievement of all NMC criteria

for Progression Point One. Feedback must include discussion against the Assessment Framework and agreed actions to support the achievement of the

NMC criteria. The Academic Assessor must be informed and included in discussion where there are any concerns about the student’s performance.




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Mid placement Assessment Framework and action plan for future development (See Page 7,31 &32)

Practice Assessor Signature……………………………………………….. Date ……………………………………………………………

Student’s Signature ……………………………………………………………. Date …………………………………………………………..

Practice Supervisor Signature………………………………………………. Date…………………………………………………………….



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Action Plan:

DATE:………………………………………….




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Why has this area been identified (Relevant)

When will it be achieved (Timed)

Review Date ………………………

Practice Assessor Signature:………………………………… Practice Supervisor signature………………………………………….

Student Signature:………………………………………………… Academic Assessor Signature:………………………………………..

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Review of Action Plan

Date:




Practice Assessor Signature:…………………………………… Practice Supervisor signature………………………………………….


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If Yes, comments should be provided below as to how this was achieved. If No, comments should be provided clearly identifying why achievement has not been made. This will need to be recommended as an area for development within the OAR for future practice supervisors and practice assessors

Practice Assessor Signature:………………………………… Practice Supervisor signature………………………………………….



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Developmental comments should also be added to the OAR for future practice supervisors and practice assessors to formulate initial action plan




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Practice Assessors comments, against the four domains





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Final Assessment Framework and action plan for future development (See page 7,31 &32)

Practice Assessors signature……………………………………. Date ……………………………………………….

Student’s signature …………………………………………………. Date ………………………………………………..

Practice Supervisor signature…………………………………… Date……………………………………………………

*Academic Assessor Signature:………………………………… Date……………………………………………………

(*Academic Assessor is signing to confirm that a discussion of achievement has taken place between the Academic Assessor, the Practice Assessor and the

student)

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End of Placement Checklist for Practice Assessor (Two)












Skills Log








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Practice Experience Three


including Date:

Contact Number




I can confirm that I am a recognised Practice Assessor within the Trust / organisation I work for and that I have attended relevant training / updates to

ensure currency is of my knowledge and skills

Signature and Date:

A contact number has been left with the practice area in accordance with

data protection policy.

Practice Supervisor / Practice Assessor Signature:

• Students are responsible for ensuring that this page is completed during the first working shift. In case of emergency students are advised to leave a

contact number with the practice supervisor / practice assessor.

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ISSUES


• Fire

• Emergency



• Layout




• Personal safety

Duty Rotas:

• Shift patterns

• Working hours





Practice Supervisor/Practice Assessor Signature........................................... Date.............................

Student Signature.......................................................................................... Date............................

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Initial meeting of student and practice supervisor / practice assessor




domains;










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•



Practice Supervisor/Practice Assessor signature……………………………………. Date …………………………………………………..

Student’s signature ……………………………………………………………………………… Date …………………………………………………..



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The mid placement review must take place during the middle two weeks of a students placement. This allows the practice supervisors, practice assessors

and students the opportunity to review progress and initiate any actions which need to be taken to allow the opportunity for achievement of all NMC

criteria for Progression Point One. Feedback must include discussion against the Assessment Framework and agreed actions to support the achievement

of the NMC criteria.




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Mid placement Assessment Framework and action plan for future development (See Page 7,47 & 48)

Practice Assessor Signature……………………………………………….. Date ………………………………………………

Student’s Signature ……………………………………………………………. Date ……………………………………………….

Practice Supervisor Signature………………………………………………. Date………………………………………………



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Action Plan:

DATE:………………………………………….




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Why has this area been identified (Relevant)

When will it be achieved (Timed)

Review Date ………………………


Student Signature:………………………………………………… Academic Assessor Signature:…………………………………………

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Practice Assessor Signature:…………………………………………………….. Practice Supervisor signature………………………………………….



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Review of Action Plan Date:


If Yes, comments should be provided below as to how this was achieved. If No, comments should be provided clearly identifying why achievement has not been made. This will need to be recommended as an area for development within the OAR for future practice supervisors and practice assessors.


Student Signature:………………………………………………… Academic Assessor Signature:…………………………………………


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Developmental comments should also be added to the OAR for future practice supervisors / practice assessors to formulate initial action plan




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Practice Assessor’s comments, against the four domains



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Final Assessment Framework and action plan for future development (See page 7,47 & 48)

Practice Assessors signature……………………………………. Date …………………………………………………….

Student’s signature …………………………………………………. Date …………………………………………………….

Practice Supervisor signature………………………………….. Date………………………………………………………

*Academic Assessor Signature:………………………………… Date……………………………………………………

(*Academic Assessor is signing to confirm that a discussion of achievement has taken place between the Academic Assessor the Practice Assessor and the student).

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End of Placement Checklist for Practice Assessor (Three)












Skills Log








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Practice Learning Outcome

1. Displays a professional image in their behaviour and appearance, showing respect for diversity and individual preferences.

Objectives to be achieved;

1.1 Articulates the underpinning values of The Code:

Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC 2018)

1.2 Promotes a professional image.

1.3 Shows respect for others.

1.4 Is able to engage with people and build caring professional relationships. 1.5 Works within the code (NMC 2018) and adheres to the

Guidance on professional conduct for nursing and midwifery students. (NMC 2010)

ESC:

1.1

1.3

1.4

1.5

4.1

Location of Evidence To be assessed in each practice experience.

Service User Questionnaire

Assessed Domain: Professional Values, Communication and Interpersonal Skills, Nursing Practice and Decision Making.

Experience One Experience Two Experience Three

Progress has been made towards outcome Practice Assessor Signature……………………..

Progress has not been made towards outcome, Practice Assessor Signature……………………..

Date:

Progress has been made towards outcome Practice Assessor Signature……………………….

Progress has not been made towards outcome, Practice Assessor Signature……………………….

Date:

I have seen and reviewed the evidence provided and how this has been related to practice; Achieved…………………………………

Practice Assessor Signature

Not Achieved…………………………..

Practice Assessor Signature Date:

Assessment Framework Descriptor

Placement 1 Placement 2 Placement 3

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2. Demonstrates respect for people’s rights and choices.


2.1 Demonstrates respect for diversity and individual preference, valuing differences, regardless of personal view. 2.2 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.

ESC:

3.1

3.2

Location of Evidence


Assessed Domain: Personal Values, Communication and Interpersonal Skills, Nursing Practice and Decision Making.




Date:



Date:







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3. Acts in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory, that values diversity and acts within professional

boundaries


3.1 Demonstrates and understanding of how culture, religion, spiritual beliefs, gender and sexuality can impact on illness and disability.

3.2 Respects people’s rights.

3.3 Adopts a principled approach to care underpinned by the code (NMC 2018). 3.4 Is attentive and acts with kindness and sensitivity.

3.5 Takes into account people’s physical and emotional responses when engaging with them.

3.6 Interacts with the person in a manner that is interpreted as warm, sensitive, kind and compassionate, making appropriate use of touch.

3.7 Provides person centred care that addresses both physical and emotional needs and preferences.

3.8 Evaluates ways in which own interactions affect relationships to ensure that they do not impact inappropriately on others.

ESC:

4.1

4.2

4.3

5.1

5.2

5.3

5.4

5.5







Date:



Date:







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4. Understands the principles of confidentiality and data protection. Treats information as confidential, except where sharing is required to

safeguard and protect people.


4.1 Applies the principles of confidentiality.

4.2 Protects and treats information as confidential expect where sharing information is required for the purposes of safeguarding and public protection. 4.3 Applies the principles of data protection.

4.4 Seeks consent prior to sharing confidential information outside of the professional care team, subject to agreed safeguarding and protection procedures.

ESC:

7.1

7.2

7.3

8.1






Date:



Date:







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5. Practices honestly and with integrity, applying the principles of The Code: Standards of conduct, performance and ethics for nurses and

midwives (2008) and the Guidance on professional conduct for nursing and midwifery students (2009)


5.1 Actively engages with the NMC Code throughout their care delivery.

5.2 Demonstrates successful achievement of the assessment of Professional Conduct

within all placement areas and is able to discuss the importance of this.

5.3 Responds appropriately to compliments and comments.

ESC:

12.1






Date:



Date:







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6. Acts in a way that values the roles and responsibilities of others within the team and interacts appropriately.


6.1 Demonstrates an ability to communicate and work effectively with a range of healthcare professionals. 6.2 Demonstrates a holistic approach to care delivery through working in partnership with members of the multi-disciplinary team


IPW Student Diary

Assessed Domain: Professional Values, Communication and Interpersonal Skills, Nursing Practice and Decision Making, Leadership,

Management and Team working.




Date:



Date:







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Practice Learning Outcome

7. Demonstrates safe, basic, person-centred care, under supervision, for people who are unable to meet their own physical and emotional

needs.


7.1 Takes a person-centred, personalised approach to care

7.2 Recognises when situations are becoming unsafe and reports appropriately. 7.3 Understands and applies the importance of rest for effective practice.

ESC:

2.1

17.1

17.2






Date:



Date:







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8. Meets people’s essential needs in relation to safety and security, well being, comfort, bowel and bladder care, nutrition and fluid

maintenance and personal hygiene, maintaining their dignity at all times.


8.1 Through the achievement of key skills, demonstrate an ability to meet individual care

needs.

8.2 Demonstrate, through care delivery, the importance of the role of the nurse in meeting the healthcare needs of individuals who come into their care.


Skills Log





Date:



Date:







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9. Seeks helps where people’s needs are not being met, or they are at risk.


9.1 Demonstrates an awareness of their own scope of practice, making referral to qualified personnel where appropriate. 9.1 Demonstrates an awareness of individuals that might be at risk and the role of the nurse in meeting these needs. 9.3 Reports to an appropriate person where there is a risk of meals being missed. 9.4 Follows food hygiene procedures in accordance with policy.

ESC:

30.1

30.2


Assessed Domain: Communication and Interpersonal Skills, Nursing Practice and Decision Making, Leadership, Management and Team

working.




Date:



Date:







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10. Is able to recognise when a person’s physical or psychological condition is deteriorating, demonstrating how to act in an emergency and

administer essential first aid.


10.1 Demonstrate an awareness of a range of tools to predict changes to an individual’s condition e.g. EWS, Glasgow Coma Scale, with support act accordingly.

10.2 Demonstrate an awareness of the use of a range of diagnostic tools e.g. urinalysis,

BM Stix and visual cues to determine an individual’s condition, with support act accordingly.


Skills Log

Assessed Domain: Nursing Practice and Decision Making and Leadership, Management and Team Working




Date:



Date:







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11. Demonstrates an understanding of how to work within legal and professional frameworks and local policies to safeguard and protect

people, particularly children, young people and vulnerable adults


11.1 Demonstrate an awareness of local policy in relation to individuals who come into their care and an understanding of how this applies to their role. 11.2 Discuss the role of the nurse in relation to safe guarding individual who come into their care and who supports this function. 11.3 Acts within legal frameworks and local policies in relation to safeguarding adults and children’s who are in vulnerable situations. 11.4 Shares information with colleagues and seeks advice from appropriate sources where there is a concerns or uncertainty. 11.5 Under supervision, works within clinical governance frameworks. 11.6 Uses support systems to recognise, manage and deal with own emotions.

ESC:

11.1

11.2

18.1

11.3


Assessed Domain: Professional Values.




Date:



Date:







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12. Is able to recognise, and work within, the limitations of their own knowledge and skills and professional boundaries, understanding that

they are responsible for their own actions.


12.1 Demonstrates, through practice, an ability to refer to more experienced personnel when care delivery falls outside of their own scope of practice.

12.2 Demonstrates an awareness of their accountability to recognise when care delivery outside of their scope of practice.

12.3 Accepts delegated activities within limitations of own role, knowledge and skill. 12.4 Works within limitations of the role and recognise own level of competence.

ESC:

15.1

15.2


Assessed Domain: Professional Values, Nursing Practice and Decision Making.




Date:



Date:







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13. Demonstrates the ability to listen, seek clarity and carry out instructions safely


13.1 Demonstrates a questioning attitude to care delivery, ensuring understanding to maintain safe practice. 13.2 Demonstrates effective listening skills when working with all members of the team.


IPW Student Diary

Assessed Domain: Professional Values, Communication and Interpersonal Skills, Nursing Practice and Decision Making, Leadership,

Management and Team working.




Date:



Date:







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14. Uses and disposes of medical devices safely, under supervision according to local and national policy, reporting any incidences or near

misses.


14.1 Demonstrates an understanding of the role of the nurse in the safe use of medical equipment, referring to local policies. 14.2 Through practice demonstrates an ability to use and dispose of equipment safely.






Date:



Date:







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15. Understands and works within the laws governing health and safety at work. Demonstrates safe manual handing techniques and

understands how nurses can help reduce the risk of infection, including effective hand washing.


15.1 Through the achievement of key skills, demonstrate an ability to work within the parameters of health and safety. 15.2 Under supervision assesses risk within current sphere of knowledge and competence. 15.3 Follows instruction and takes appropriate action, sharing information to minimise risk. 15.4 Under supervision works within legal frameworks to protect self and others. 15.5 Knows and accepts own responsibilities and takes appropriate action. 15.6 Reports safety incidents regarding service users to Senior colleagues.

ESC:

18.3

18.4

18.5

18.6

18.2


Skills Log





Date:



Date:







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16. Recognises signs of aggression and takes appropriate action to keep themselves and others safe


16.1 Through working with a range of individuals, demonstrate an awareness of why individuals may become aggressive. 16.2 Recognises signs of aggression and responds appropriately to keep self and others safe 16.3 Assists others or obtains assistance when help is required.

ESC:

19.1

19.2


Assessed Domain: Communication and Interpersonal Skills, Nursing Practice and Decision Making.




Date:



Date:







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17. Safely and accurately carries out basic medicines calculations


17.1 Through the achievement of key skills demonstrate an ability to safely calculate a range of medicines appropriate to the environment in which they are working. 17.2 Demonstrates an ability to use a variety of methods to calculate medicines accurately.


Skills Log

Assessed Domain: Personal Values, Nursing Practices and Decision Making.




Date:



Date:







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18. Demonstrates safe and effective communication skills, both orally and in writing


18.1 Communicates effectively both orally and in writing, so that the meaning is always clear. 18.2 Records information accurately and clearly on the basis of observation and communication. 18.3 Always seeks to confirm understanding.

18.4 Responds in a way that confirms what a person is communicating.

18.5 Effectively communicates people’s stated needs and wishes to other professionals. 18.6 Uses ways to maximise communication where hearing, visions or speech is compromised.

ESC:

6.1

6.2

6.3

6.4

6.5

3.3


Service User

Questionnaire

Assessed Domain: Communication and Interpersonal Skills, Nursing Practice and Decision Making.




Date:



Date:







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Practice Outcome

19. Demonstrates achievement of all key skills for progression point one.

To be assessed within the Skills Log.

I have seen and reviewed the evidence provided and how this has been related to practice;

Achieved……………………………………….Practice Assessor Signature

Not Achieved………………………………….Practice Assessor Signature

Practice Supervisor / Practice Assessor Comments please sign and date all entries

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Assessment of Professional Conduct in Practice

During each practice experience, irrespective of length, an assessment must be made of the students

Professional Conduct, against the Essential Skills Criteria;

1.1 Articulates the underpinning values of The Code: Professional standards of practice and behaviour for nurses, midwives and nursing

associates (NMC 2018).

14.1 Works within the code (NMC 2018) and adheres to the

Guidance on professional conduct for nursing and midwifery students. (NMC 2010)

Two consecutive unsatisfactory assessments or two unsatisfactory assessments within a year will result in discontinuation from the programme. This

assessment has been written in accordance with the NMC Guidance on Professional Conduct for nursing and midwifery students (2010).

Should there be an instance where professional conduct cannot be assessed the circumstances will be reviewed by the NURS 1000 : Professional

Responsibility ( 1 ) module leaders. Two instances within the programme will result in a student concerns form being instigated.

As a student, you have a responsibility to ensure that you act in a way that is expected by the Nursing and Midwifery Council at all times.

Professional Conduct not only refers to the way you conduct yourself but also to the way you develop both in your manner and your knowledge and skills.

Through assessment it is expected that you utilize your set objectives, your own personal objectives and those identified by your practice supervisor and

practice assessor in order to increase your competence to deliver safe and effective care. When addressing Professional Conduct your practice supervisor

/ practice assessor will make a judgment as to whether you have developed to the level required for your stage of training, both in your overall attitude

and your application of theory to your practice delivery.

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Your Personal Life Counts Too

It’s important that you’re aware that your behaviour and conduct, both during your programme and in your personal life, may have an impact on your

fitness to practise, your ability to complete your programme and the willingness of your university to sign the declaration of good health and character in

order for you to register with the NMC. Ensure that you familiarize yourself with the NMC Guidance for student nurses and midwives (2010).

Inappropriate use of Social Networking sites will also be considered against Professional Conduct the NMC State;

“Nurses and midwives could be putting their registration at risk if posting inappropriate comments about colleagues or patients or posting any material

that could be considered explicit”

Guidance for Practice Assessors:

It is important that students are supported to understand what is expected of them when developing a professional attitude towards their practice.

Discuss your expectations during the initial interview and allow the student the opportunity to ask any questions in relation to professional practice. The

following guidance should be used to ascertain whether the student has been able to achieve a satisfactory outcome in relation to Professional Conduct.

Whilst it is the practice assessor responsibility to make the assessment of professional conduct, it is important that students behave in the same manner

with all members of the team, including practice supervisors, non-qualified personnel, service users and colleagues. Anyone who raises concerns relating

to conduct should document this in the box below, ensuring they complete the signatory page.

If problems arise during the experience it is important that you discuss these concerns with your student and advise them on what changes need to be

made in order for them to successfully complete this part of the overall assessment, use the box below to document any conversations you have regarding

your students conduct.

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Meeting record

Additional sheets Y/N

Professional Conduct will be assessed against four key principles; (NMC 2010)

• Make the care of people your first concern, treating them as individuals and respect their dignity.

• Work with others to protect and promote the health and wellbeing of those in your care, their families and carers and the wider community.

• Provide a high standard of practice and care at all times.

• Be open and honest, act with integrity and uphold the reputation of your profession

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Professional Conduct Assessment;

Experience One Date Practice Assessor Signature

Satisfactory

Unsatisfactory

Referred to the Academic Assessor

Referred to Practice Learning Lead

Experience Two Date Practice Assessor Signature

Satisfactory

Unsatisfactory



Experience Three Date Practice Assessor Signature

Satisfactory

Unsatisfactory



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Assessment of Proficiency to Complete Progression Point One and Progress to Year Two of the Programme

This assessment must be completed by both a practice assessor and academic assessor who are a registered nurse with appropriate equivalent experience

for the student’s field of practice (NMC 2018).

Declaration of Proficiency/Competence for Progression to Year Two of the Programme

I confirm that all year one skills and professional behaviours by ….……………….... (Students name) have been achieved and assessed to the required standard

by appropriate practitioners in practice and is safe, and adequately prepared to take part in the full range of practice learning opportunities without risk to

the public.

I am satisfied that the student can proceed to year two from a practice perspective

Practice Assessor Signature……………………………………………. Designation……………………………

Date……………………………………….

Academic Assessor Signature....................................

Date..................................

All unachieved outcomes must be met within 12 calendar weeks of entering the next Progression Point, date to be inserted by the NURS1000 :

Professional Responsibility (1) module leaders at De Montfort University…………………………………… No extensions to the 12 week rule are permitted and the

rule applies equally to full and part time programmes (NMC Circular 16/2006)

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List of Practice Supervisors - A sample signature must be obtained for all entries within this document

Name: (Please print)

Job Title: Signature: Initials: Placement:

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List of Practice Assessors - A sample signature must be obtained for all entries within this document



List of Academic Assessors - A sample signature must be obtained for all entries within this document



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References Benner P. (1984) From Novice to Expert : Excellence and Power in Clinical Nursing Practice. California : Addison-Wesley Publishing Bondy NK (1983) Criterion-Referenced definitions for rating scales in Clinical Education. Journal of Nursing Education, 22(9) pp376-382 European Parliament and of the Council of 7 (2005) Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications Gibbs G (1988) Learning by Doing: A guide to teaching and learning methods. Further Education Unit. Oxford Polytechnic, Oxford Nursing and Midwifery Council (2010) Standards for pre-registration nursing education. NMC, London Nursing and Midwifery Council (2010) Guidance on professional conduct : For nursing and midwifery students. London : NMC Nursing and Midwifery Council (2018) The Code: Professional standards of practice and behaviour for nurses and midwives and nursing associates. London: NMC. Oxford English Dictionary (2018) Oxford University Press: Oxford.

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EXAMPLE OF HOW TO COMPLETE A TIME SHEET

DE MONTFORT UNIVERSITY – FACULTY OF HEALTH AND LIFE SCIENCES

The Leicester School of Nursing and Midwifery – BSc Nursing (Hons)

DAILY RECORD OF PLACEMENT ATTENDANCE/NON-ATTENDANCE

STUDENT’S NAME: Penelope Ward

...................................................................................................................................................

COURSE:

AD / MH / LD / CH

COHORT:

...................19/09..........

YEAR OF STUDY:

1st year

This record must be completed at the end of every shift and signed by your practice supervisor/assessor for that day. It is an expectation that you will maintain your professional

behaviour at all times when working with a wide variety of individuals, both registered and non-registered. Failure to maintain this will be reflected in the assessment of professional

conduct, any unsatisfactory behaviour must be commented on by the practice assessor and action planned if necessary.

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Please certify this record as accurate information prior to submission. Submission of false or misleading information may result in disciplinary action. Return the top copy of this sheet at the end of your placement, to the Placement Team, Edith Murphy House, HLS Faculty, DMU.

PLEASE RETAIN THE BOTTOM COPY. THE FULL ATTENDANCE RECORD IS HELD WITHIN THE PRACTICE PORTFOLIO.

SIGNATURE OF STUDENT: DATE:

DATE

PLACEMENT NAME

SHIFT

Total hours not including

reflective practice

Sick or Absent

S / A

Total Hours Missed

Unauthorised Lateness in Excess of 15 Minutes

Reflective Practice Hours Taken (Students must have the equivalent of

2.5 hrs per week for reflection)

PRACTICE SUPERVISOR/ ASSESSOR’S

SIGNATURE FOR DATES ATTENDED

PRACTICE SUPERVISOR/

ASSESSOR PLEASE PRINT YOUR NAME

10/09/2019 Outpatients, A HOSPITAL 9am-5pm

7.5hrs N/A N/A 30min

B.Tinnion

12/09/2019 Ward2G, A HOSPITAL EARLY 7.5hrs N/A N/A N/A

S.Murray

13/09/2019 Ward 2G, A HOSPITAL LATE 7.5hrs N/A N/A N/A

A.Adomah

14/09/2019 Ward 2G,A HOSPITAL LD 11.5hrs N/A N/A N/A 2.5hrs

B.Tinnion

17/09/2019 Ward 2G, A HOSPITAL N S 11hrs N/A

B.Tinnion

END OF PAGE TOTALS

34hrs 11hrs 30mins 2.5hrs

practice assessment documentation - dmu

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