dip (he) operating department practicepracticeassessor.bournemouth.ac.uk/assets/1291722132124_level...

School of Health and Social Care

Dip (HE) Operating Department Practice

Practice Profile

for

Foundation Knowledge and Practice: Portfolio 1

Student Name:...........................................................................

2010

2 JDT 2010

2010 Bournemouth University

Document Distribution Date September 2010

Circulation: General

Bournemouth University undertakes to encourage the recognition, protection and exploitation of intellectual property rights generated by participants in this programme, to the benefit, as

appropriate, of students, staff, industrial/other third parties/partners and the University

This Practice Profile is based on existing Assessment in Practice tools used within the Midwifery, Rehabilitation and Health Sciences. It has been adapted by the Perioperative Academic Team

John Tarrant, Jo Taylor and Lesley Elcock

with the support of:

Bournemouth Nuffield Hospital Mark Barnes Dorchester County Hospital Jan Wells Poole Hospital Lesley Reid & Neil McLaughlin Royal Bournemouth Hospital Ruth Radford-Powell Salisbury District Hospital Jenny Evans Yeovil District Hospital Lyndsay Wasiewicz

School of Health & Social Care Bournemouth University

Christchurch Road Bournemouth

BH1 3LG

3 JDT 2010

1. Check list for students prior to submission of practice profile

Aspect of Practice Profile

Completed (please tick)

Consent to the sharing of confidential information

Professional development planning. (6.1-6.15) Autumn Spring Summer

Student:

Professional development plans

Practice Assessor:

Review and feedback sheets

Personal tutor:

Feedback and review sheets

Clinical Experience Log (8)

Summary of Clinical Experience – case numbers

Perioperative Skills (10-12) and Proficiencies (14)

Perioperative Skills and Proficiencies

Action plan (if applicable)

Clinical Hours (16)

Placement Summary of Hours

Clinical Hours Records

Details of named Practice Assessors (19)

Complete list of all Practice Assessors and Associate Practice Assessors

who have signed practice profile

In submitting this Practice Profile I acknowledge it is my own work and all experiential entries are a truthful representation.

Name ________________________________________ Date ___________________

4 JDT 2010

CONTENTS Student Name:........................................................................... ...................................................................................... 1

1. Check list for students prior to submission of practice profile ...................................................................... 3 2. Contact Details.............................................................................................................................................. 5

2.1. Associate Dean of Midwifery, Rehabilitation and Health Sciences ....................................................... 5 2.2. MRHS Sub-Framework Leader ............................................................................................................. 5 2.3. Perioperative Academic Team ............................................................................................................... 5 2.4. Administrative Staff ................................................................................................................................ 5 2.5. Useful Contacts ...................................................................................................................................... 5

3. Introduction ................................................................................................................................................... 8 3.1. Completion of records ............................................................................................................................ 8

4. Your Roles and Responsibilities as a Student .............................................................................................. 9 4.1. GENERAL RESPONSIBILITIES ............................................................................................................ 9 4.2. RESPONSIBILITIES IN PLACEMENT .................................................................................................. 9 4.3. Nursing and Midwifery students ........................................................................................................... 10 4.4. Operating Department Practice students ............................................................................................ 10 4.5. Occupational Therapy students ........................................................................................................... 10 4.6. Physiotherapy students ....................................................................................................................... 10

5. Professional Development Planning (PDP) and Review Term by Term ....................................................11 6. Student Professional Development Plans and Review ..............................................................................12

6.1. AUTUMN TERM: BEGINNING OF PLACEMENT ............................................................................... 12 6.2. AUTUMN TERM: MID PLACEMENT ................................................................................................... 13 6.3. AUTUMN TERM: END OF PLACEMENT............................................................................................ 14 6.4. AUTUMN TERM: MID AND END OF TERM (PRACTICE ASSESSOR REVIEW) ............................. 15 6.5. AUTUMN TERM (PERSONAL TUTOR FEEDBACK AND REVIEW ) ................................................ 16 6.6. SPRING TERM: BEGINNING OF PLACEMENT ................................................................................ 17 6.7. SPRING TERM: MID PLACEMENT .................................................................................................... 18 6.8. SPRING TERM: END OF PLACEMENT ............................................................................................. 19 6.9. SPRING TERM: MID AND END OF TERM (PRACTICE ASSESSOR REVIEW) ............................... 20 6.10. SPRING TERM (PERSONAL TUTOR FEEDBACK AND REVIEW) ............................................... 21 6.11. SUMMER TERM: BEGINNING OF PLACEMENT .......................................................................... 22 6.12. SUMMER TERM: MID PLACEMENT .............................................................................................. 23 6.13. SUMMER TERM: END OF PLACEMENT ....................................................................................... 24 6.14. SUMMER TERM: MID AND END OF TERM (PRACTICE ASSESSOR) ........................................ 25 6.15. SUMMER TERM (PERSONAL TUTOR FEEDBACK AND REVIEW) ............................................. 26

7. Summer Flexible Period: Beginning of Placement .........................................................................................27 7.1. SUMMER FLEXIBLE PERIOD: MID PLACEMENT ............................................................................ 28 7.2. SUMMER FLEXIBLE PERIOD: END OF PLACEMENT ..................................................................... 29 7.3. PRACTICE ASSESSOR REVIEW ....................................................................................................... 30

8. Clinical Experience Log...................................................................................................................................31 9. Skills and Proficiencies ...................................................................................................................................33

9.1. Students ............................................................................................................................................... 33 9.2. Practice Assessors .............................................................................................................................. 33

10. Foundation Surgical Skills ..........................................................................................................................34 11. Foundations Anaesthetic Skills ...................................................................................................................38 12. Foundation Postanaesthetic Skills ..............................................................................................................41 13. Guide to Grading Practice ..........................................................................................................................43 14. HPC Standards of Proficiency .....................................................................................................................44 15. Skills and Proficiencies: Action Plan ............................................................................................................50 16. Clinical Hours ...............................................................................................................................................52 17. Dates attended in clinical practice ................................................................................................................53 18. Sickness / Absence Policy ............................................................................................................................54 19. Details and signatures of Practice Assessors and Associate Practice Assessors .......................................55

5 JDT 2010

2. Contact Details

2.1. Associate Dean of Midwifery, Rehabilitation and Health Sciences Professor Paul Lewis t: 01202 9 62185 e: [email protected]

2.2. MRHS Sub-Framework Leader Dr Sue Way t: 01202 9 61821 e: [email protected]

2.3. Perioperative Academic Team

Name Tel. Email

John Tarrant

Senior Lecturer & Programme Coordinator

School of Health & Social Care Bournemouth University R604, Royal London House Christchurch Road, Bournemouth, BH1 3LT

t: 01202 962121 m: 07734 962126

[email protected]

Jo Taylor

Lecturer - Perioperative Care


t: 01202 9 61587

[email protected]

Lesley Elcock

Lecturer Practitioner


t: 01202 9 61558

[email protected]

2.4. Administrative Staff

Laura Green Programme Administrator T: 01202 967433 e: [email protected] Jeanette Hancock Programmes & Placements Administrator T: 01202 967254 e: [email protected]

2.5. Useful Contacts askBU t: 01202 969696 e: [email protected] Library t: 01202 965567 Sickness & Absence Line t: 01202 965000 PIN 60200 James Palfreman-Kay (ALN) t: 01202 965327 e:[email protected] Michael Knight (Student Support tutor) t: 01202 967421 e: [email protected] Andy Philpott (Head of Practice Education) t: 01202 967259 e: [email protected] Barbara Dyer (Associate Dean for t: 01202 961494 e: [email protected] Undergraduate Student Experience)

mailto:[email protected]












6 JDT 2010

Consent to the sharing of confidential information in the Practice Profile

I consent to the data within this Practice Profile being shared between successive Practice Assessors and with the Perioperative Academic Team at Bournemouth University in the process of assessing my fitness for practice. Signed ………………………………………………… Date ………………… Printed name …………………………………………………

7 JDT 2010

Ongoing Record of Achievement Summary of student’s clinical achievement in year 1

Area of achievement

Personal Tutor’s summary of student’s progress in year 1

Attendance in clinical practice

Professional conduct and appearance

Areas of proficiency in which student developed well during year 1

Areas of proficiency in which the student needs to develop further

Are there outstanding clinical hours ?

Personal Tutor’s signature…………………………………….. Date………………………

8 JDT 2010

3. Introduction This Practice Profile is fundamental to the first year of your progression towards becoming eligible to register as an Operating Department Practitioner (ODP). Completion will be challenging and you need to become familiar with all the sections in order to ensure that this is done correctly. You will be provided with a new Practice Profile document at the beginning of each new academic year of your programme. All sections of the Practice Profile must be completed, either by you, your practice assessor or your personal tutor as indicated. Some areas of work are formatively assessed. Your summative assessment for Portfolio 1 is based on the marks awarded for your Proficiencies. You are required to complete a range of skills and proficiencies which must be signed off by a qualified Practice Assessor that has statutory registration with a Professional Council regulated by the Council for Healthcare Regulatory Excellence (CHRE); that includes the General Medical Council, Health Professions Council and the Nursing & Midwifery Council. The skills and proficiencies have been mapped against the Health Professions Council (HPC) Standards of Proficiency for Operating Department Practitioners F

1F. The HPC, as the statutory regulator for Operating

Department Practitioners have the legal responsibility to ensure that their standards are met for you to make application for registration. Successful completion of this programme will give you that eligibility. Skill: a skill is the ability to perform a task or function which has usually been learnt or acquired through practice. Proficiency: Proficiency is the global application of that skill. Proficiency in a skill or range of skills is attained through repeated practice and by applying underpinning knowledge and evidence in order to improve and develop those skills further. Signatures on the skills pages involve a sign off mentor*, who has completed an appropriate course, confirming your own self-assessment of your ability to carry out that skill. Any sign off mentor who is supervising you in practice and feels that you have achieved the ability to competently perform a skill may sign these pages. Signatures on the proficiencies pages involve the Practice Assessor making a judgment about how well (proficiently) you carry out and manage a range of skills and grading that practice according to the grid. Alongside this Practice Profile you are also required to complete the Clinical Experience Log

3.1. Completion of records Accurate record keeping in this document is vital in order that you provide an audit trail which can be followed if required. Anyone found to be committing fraud in relation to completing these records will be investigated via the University disciplinary process. Fraudulent activity will impact on the University’s ongoing monitoring process of your good health and good character, a favourable outcome of which is an HPC requirement for successful registration. If you are found guilty of fraud you may also be removed from the programme. Moreover, the ensuing NHS investigation may result in criminal prosecution, conviction and a jail sentence. Falsification of records identified after you have completed your programme may lead to removal of your name from the HPC register. Fraud is a serious crime for which the NHS has zero tolerance. As professionals you must counter fraud in order to protect and enhance the reputation of Professional Practice.

1 Health Professions Council (2008) Standards of Proficiency – Operating Department Practitioners. HPC, London.

9 JDT 2010

4. Your Roles and Responsibilities as a Student As a student on a programme leading to professional registration, both you and the University have particular responsibilities relating to your academic and clinical / professional studies. These are laid out in this agreement.

4.1. GENERAL RESPONSIBILITIES As a student you should at all times:

act in accordance with the University Rules, Regulations and Procedures. You have the right to be treated in accordance with these.

attend for the duration of all lectures, seminars, tutorials, reflective days and planned placement experience and to inform your personal tutor of the reasons for any absences.

read the emails in your University email account on a weekly basis and refer to myBU to access important information related to your programme, which may not be given to you in hard copy format or in person.

inform the University immediately and in writing of:

o any change of personal details, such as name or address.

o any changes in your personal circumstances which could impact upon your performance. This will include informing the University if you are pregnant, immediately that you are aware, in order that steps may be taken to minimise any risks to you and your pregnancy.

o any allegations of, or investigations into, offences of a criminal nature relating to you, including

anything arising out of any employment that you may have whilst you are enrolled as a student.

o any changes to your health which may impact upon you being occupationally fit for practice.

o The University in turn will maintain complete and accurate records of this information in accordance with the Data Protection Act (1998).

maintain conduct appropriate for professional practice, whether or not you are in placement at the time.

act in such a way that accidents are avoided, both within the University and whilst on placement. You also have a responsibility to familiarise yourself with the various Guidelines and Statements of Policy and Protocol which are available at Bournemouth University, NHS Trusts and other placement providers.

As an Institute we seek to provide:

a stimulating and appropriate learning environment to enable you to achieve your potential.

a network of student support services.

the involvement of students in our deliberative processes at corporate and programme level, via the student representative system.

access to full and accurate information about our procedures and regulations including complaints and appeals procedures.

4.2. RESPONSIBILITIES IN PLACEMENT

As a student you should at all times:

follow the identified placement pattern within the Locality accepted as a condition of commencing the programme.

accept that placements may involve travel which can be up to 40 miles.

10 JDT 2010

inform both the placement area and the sickness/absence reporting voicemail (01202 965000 and dial 60200 on answer), of all sickness and absence during placement, on the day of sickness and when you return from sickness.

ensure you complete the required numbers of clinical hours for qualification. Time lost due to sickness and absence should be made up in accordance with programme guidelines.

meet the expectations of the placement provider, as stated in the placement contract, this includes arriving on time to placement, following the appropriate dress code and completing the required number of hours and shifts, including nights and weekends. In return, you can expect mentorship and clinical placement support.

travel to placements, using a means of public or personal transport as reasonably appropriate. Students on NHS Bursaries may be able to reclaim all or part of their travel costs between the locality base and placement, in line with NHS Student Grants Unit Guidelines. If you use a personal motor vehicle for the purposes of reaching clinical placements, you have a responsibility to ensure that your motor policy covers all relevant claims and costs and that no liability is placed on Bournemouth University or any NHS body.

maintain patient/client confidentiality at all times. Patients have the right to know that any private and personal information that is given in confidence will be used only for the purposes for which it was originally provided, and that it will not be used for any other reason. You must guard against breaches of confidentiality by protecting information from improper disclosure at all times. Please see the NMC 'Guide for Students of Nursing and Midwifery' (2008) or the HPC Standards of Conduct, Performance and Ethics 2008 for Operating Department Practice, Occupational Therapy and Physiotherapy students for further details.

4.3. Nursing and Midwifery students Comply with the principles established in the Nursing & Midwifery Council (NMC) The Code: Standards of Conduct, Performance and Ethics (2008) which can be found at Hhttp://www.nmc-uk.org/aDisplayDocument.aspx?documentID=3954H

4.4. Operating Department Practice students Comply with the principles established in the Health Professions Council Standards of Conduct, Performance and Ethics 2008 which can be found at Hhttp://www.hpc-uk.org/publications/standards/index.asp?id=38

4.5. Occupational Therapy students Comply with the principles established in the Health Professions Council Standards of Conduct, Performance and Ethics 2008 which can be found at Hhttp://www.hpc-uk.org/publications/standards/index.asp?id=38 H and The Professional Code of Ethics and Professional Conduct for Occupational Therapy (2000) available at Hhttp://www.cot.org.uk/

4.6. Physiotherapy students Comply with the principles established in the Health Professions Council Standards of Conduct, Performance and Ethics 2008 which can be found at Hhttp://www.hpc-uk.org/publications/standards/index.asp?id=38H and Core Standards of Physiotherapy Practice (2005) available at Hwww.csp.org.uk In addition: The Health Professions Council is currently consulting on Guidance for conduct and ethics for students. When this document is published you will be expected to comply with that Guidance. I accept the terms and conditions outlined in this agreement Signed…………………………….…….. Name (please print) ……………………………………………………. Date……………………………………………………………………………………………………………………. Programme ……………………………………………………………………………………………………………

http://www.nmc-uk.org/aDisplayDocument.aspx?documentID=3954

http://www.nmc-uk.org/aDisplayDocument.aspx?documentID=3954

http://www.hpc-uk.org/publications/standards/index.asp?id=38


http://www.cot.org.uk/


http://www.csp.org.uk/

11 JDT 2010

5. Professional Development Planning (PDP) and Review Term by Term In this section you are expected to ensure the following sections are completed: Professional Development Plans and review. – these are to be completed by you at the beginning, mid way and end of each term. You are expected to consult with your Practice Assessor in completing the initial plan for your placement. Your midway review will be used to inform your Practice Reflective Diary. Practice Assessor Review – these are to be completed by your Practice Assessor at the end of your placement, and mid way through if they have any concerns. Personal Tutorial and review – these are to be completed by your personal tutor at your end of term tutorial.

12 JDT 2010

6. Student Professional Development Plans and Review 6.1. AUTUMN TERM: BEGINNING OF PLACEMENT

Surgical Placement area(s) ……………………………………………………………………………………

STUDENT: Please complete with reference to your placement area/s in the term

Date

Health and Safety: relevant to your placement

Personal safety in the community / hospital

Call bell / Alarm systems

Communication with Placement area: Ensure you know how to:

Negotiate off duty

Report on / off duty

Report sickness / absence

Skills to be targeted with reference to your placement area/s this term

Proficiencies to be targeted with reference to your placement area/s this term

Action plan:

(To be completed with Practice Assessor at beginning of placement to ensure that skills and proficiencies are appropriately targeted)

Targets agreed: Practice Assessor’s signature ……………………………… Date ………………….

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

Su

rgery

13 JDT 2010

6.2. AUTUMN TERM: MID PLACEMENT

STUDENT: Please complete mid way through the Autumn term: 1 To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.

Areas you feel you are developing well in are:

Please develop an action plan to identify areas you feel you need to develop further :

Date

Su

rgery

14 JDT 2010

6.3. AUTUMN TERM: END OF PLACEMENT

STUDENT: Please complete at the end of Autumn term To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.

What are your key learning achievements this term

Action plan and priority for next term: This can be completed after your meeting with your personal tutor.

Date Signature

S

urg

ery

15 JDT 2010

6.4. AUTUMN TERM: MID AND END OF TERM (PRACTICE ASSESSOR REVIEW)

Mid term review (please complete this if you feel the student needs further clarification of objectives)

Aspect Please comment

Attendance

Records off duty on Trust documentation

Punctuality

Professional appearance

Areas the student is developing well in are:

Areas the student needs to develop further in and action plan:

Date Signature

End of Term review.


Attendance


Punctuality



Areas the student needs to develop further in are:

Date Signature

Su

rgery

16 JDT 2010

6.5. AUTUMN TERM (PERSONAL TUTOR FEEDBACK AND REVIEW )

Student’s progress in achieving skills and proficiencies: (Please complete Action Plan IF there are any concerns)

Completion of clinical hours form. Please indicate the following information below:

Required hours worked: Yes No No. of hours owing: Additional hours worked: Action plan if owing hours:

Arrangements for practice assessment discussed

Practice evaluation form

Submitted: Yes No

Further issues raised:

Tutor signature Date

Su

rgery

17 JDT 2010

6.6. SPRING TERM: BEGINNING OF PLACEMENT Anaesthetic Placement area (s) ………………………………………………………………………………..


Date





Negotiate off duty





Action plan: (To be completed with Practice Assessor at beginning of placement to ensure that skills and proficiencies are appropriately targeted) Targets agreed. Practice Assessor’s signature ……………………… Date …………………. Student’s signature …………………………………… Date………………….

An

aes

thesia

18 JDT 2010

6.7. SPRING TERM: MID PLACEMENT

STUDENT: Please complete mid way through the spring term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.

Areas you think and feel you are developing well in are:


Date

An

aes

thesia

19 JDT 2010

6.8. SPRING TERM: END OF PLACEMENT

STUDENT: Please complete at the end of spring term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.



Date

Signature

An

aes

thesia

20 JDT 2010

6.9. SPRING TERM: MID AND END OF TERM (PRACTICE ASSESSOR REVIEW)

Mid Placement review (please complete this if you feel the student needs further clarification of objectives)


Attendance


Punctuality




Date Signature

End of Term review.


Attendance


Punctuality




Date Signature

An

aes

thesia

21 JDT 2010

6.10. SPRING TERM (PERSONAL TUTOR FEEDBACK AND REVIEW)






Submitted: Yes No



An

aes

thesia

22 JDT 2010

6.11. SUMMER TERM: BEGINNING OF PLACEMENT Postanaesthetic Placement area (s): ………………………………………………………………………


Date





Negotiate off duty





Action plan: (To be completed with Practice Assessor at beginning of placement to ensure that skills and proficiencies are appropriately targeted) Targets agreed. Practice Assessor’s signature …………………………. Date …………………. Student’s signature ……………………………….......... Date ………………….

Po

sta

na

esth

esia

23 JDT 2010

6.12. SUMMER TERM: MID PLACEMENT

STUDENT: Please complete mid way through the summer term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.



Date

Po

sta

na

esth

esia

24 JDT 2010

6.13. SUMMER TERM: END OF PLACEMENT

STUDENT: Please complete at the end of summer term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.



Date

Signature

Po

sta

na

esth

esia

25 JDT 2010

6.14. SUMMER TERM: MID AND END OF TERM (PRACTICE ASSESSOR)



Attendance


Punctuality




Date Signature

End of Term review.


Attendance


Punctuality




Date Signature

Po

sta

naesth

esia

26 JDT 2010

6.15. SUMMER TERM (PERSONAL TUTOR FEEDBACK AND REVIEW)






Submitted: Yes No



Po

sta

naesth

esia

27 JDT 2010

7. Summer Flexible Period: Beginning of Placement Placement area (s): …………………………………………………………………………………………


Date





Negotiate off duty





Action plan: (To be completed with Practice Assessor at beginning of placement to ensure that skills and proficiencies are appropriately targeted) Targets agreed. Practice Assessor’s signature …………………………………… Date …………………. Student’s signature ………………………………………………… Date………………….

28 JDT 2010

7.1. SUMMER FLEXIBLE PERIOD: MID PLACEMENT

STUDENT: Please complete mid way through the summer term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.



Date

29 JDT 2010

7.2. SUMMER FLEXIBLE PERIOD: END OF PLACEMENT

STUDENT: Please complete at the end of summer term: To complete this please refer to your Practice Assessors’ feedback in order to acknowledge developments and plan and prioritise future learning.


Action plan and priority for your future Professional Development: This can be completed after your meeting with your personal tutor.

Date

Signature

30 JDT 2010

7.3. PRACTICE ASSESSOR REVIEW



Attendance


Punctuality




Date Signature

End of Term review.


Attendance


Punctuality


Areas the student has developed well in are:

Areas the student would benefit from further development are:

Date Signature

31 JDT 2010

8. Clinical Experience Log In order to demonstrate your breadth of perioperative practice in the phases of anaesthesia, surgery and postanaesthesia you should also record the quantity of experiences. These should demonstrate that you have cared for:

Older adults

Adults

Adolescents

Children

Rapid Sequence

Major surgery

Emergency, unplanned or non-elective surgical care

Emergency, unplanned or non-elective anaesthetic care

Emergency, unplanned or non-elective postanaesthetic care

Observation of out of hours

Care of patients with Learning Disabilities

Anaesthetic Care during shared airway procedures

Undertaken the scrub role during Intra-abdominal surgery The table on the following page records these experiences. You are required to maintain this summary sheet throughout the programme.

32 JDT 2010

Surgical Cases (circulating)

Surgical Cases (scrubbing)

Anaesthetic Cases

Postanaesthetic Cases

Rapid Sequence Procedure

Adolescents

Children

Emergency, unplanned or non-elective

Surgical Care

Anaesthetic Care

Postanaesthetic Care

Involvement in:

Out of hours

Care of Learning Disabilities patients

Scrubbed for intra-abdominal surgery

Scrubbed for major surgery

Postanaesthetic Care of the ventilated patient

Anaesthetic Care of patients transferred from Intensive Care

33 JDT 2010

9. Skills and Proficiencies The skills and proficiencies identified here must be completed successfully in order to complete your practice requirements for the programme. These skills and proficiencies have been drawn up with reference to: HPC (2008) Standards of Proficiency for Operating Department Practitioners

9.1. Students You will need to be proactive in completing this assessment. Our expectation is that progression will occur throughout the year in association with your clinical placement activity. Please date each skill and proficiency as you move through the three stages.

9.2. Practice Assessors Please print and sign your name on the Trust Contact Details as this provides an audit trail. When you are reviewing the student’s progress and you feel that the student has achieved ability in a skill please initial and date the appropriate boxes. When you feel that they have achieved proficiency in that skill please sign and date the box you feel indicates the student’s current level of practice. Please note that the skills and proficiencies have been developed for the student’s expected standard at their academic level and therefore it is possible for a student to achieve an outstanding level of practice. Please contact the student’s personal tutor (contact numbers at the beginning of this book) if you wish to discuss the student’s clinical progress. This is essential if you think the student’s practice is of poor standard. Alternatively if you feel that a student is not currently achieving the level of proficiency for which they have already been signed off you must contact the personal tutor urgently to discuss this. Please do not wait until the student is ending the placement before making contact – it is essential that a plan is put in place early to address any difficulties.

CLINICAL SKILLS STUDENTS ARE EXPECTED TO GAIN COMPETENCY IN ALL CLINICAL SKILLS BY THE END OF YEAR 1

PROFICIENCIES DO NOT GIVE INDIVIDUAL GRADES BUT TICK OR INITIAL THE ALLOCATED GRADE GIVEN TO THE

STUDENT, E.G. TICK THE 60-69% BOX

34 JDT 2010

10. Foundation Surgical Skills

Foundation Surgical Skills Observe in practice

Undertake with direct supervision

Undertake with indirect supervision

Date of competency Signature

Comments by Assessor or student (if and where appropriate)

Check and prepare equipment

a) Operating table and attachments

b) Electro-surgery equipment

c) Suction apparatus

d) Warming devices

e) Operating lights

f) Anti-embolus devices

g) Environmental parameters

h) Endoscopic / laparoscopic systems and equipment

i) Correct clothing and protective equipment

Scrubbing up a) Select correct clothing/equipment and wear

b) Disinfect hands/arms

c) Use gown and gloves

d) Is efficient in use of time

Prepare an instrument trolley when circulating

a) Open packaging

b) Pass items

c) Instrument, swabs, sharps and items count

Prepare an instrument trolley when scrubbed

a) Open packaging

35 JDT 2010






b) Check contents

c) Receive items

d) Undertake instrument, swabs, sharps and items count

e) Prepare instruments

f) Layout trolley ready for procedure

Identifies and uses in circulating role

a) Surgical instruments

b) Peel packs;

c) Tape sealed packs;

d) Fluids;

e) Sharps

f) Patient implants/grafts;

g) Swabs;

h) Surgical drapes

Identifies and uses in scrub role

a) Surgical instruments

b) Peel packs;

c) Tape sealed packs;

d) Fluids;

36 JDT 2010






e) Sharps

f) Patient implants/grafts;

g) Swabs;

h) Surgical drapes

Positions Patients a) Supine

b) Lateral

Collect and Manage Specimens in circulating role

a) Histology

b) Cytology

c) Microbiology

Collect and Manage Specimens in scrub role

a) Histology

b) Cytology

c) Microbiology

Checks patient identification

a) As circulator

b) As scrub practitioner

Checks consent form a) As circulator


Checks Correct Operative Site

a) As circulator


37 JDT 2010






Maintains sterile field a) As circulator


Accounts for instruments, swabs, sharps and items

a) As circulator


Used instruments are sent for decontamination

Waste is disposed correctly

Care is recorded electronically/written

Care is handed over

Work area is cleaned

Circulates for Minor surgical cases

Major surgical cases

Scrubs for Minor surgical cases

38 JDT 2010

11. Foundations Anaesthetic Skills

Observe in practice





Anaesthetic Machine check

Including suction

Prepares monitoring equipment

Oxygen analyser

Electrocardiograph

Pulse oximeter

Capnograph

Gas analyser

Airway Manometer

Ensures correct Patient identity

Consent

Surgical Site marking

Patient suitable for anaesthesia

Attaches physiology monitoring and interprets readings

ECG

Blood Pressure

Heart Rate

Pulse oximetry

Uses medical gases (pipeline and cylinder)

Storage

Checking

Disconnect and Connect

39 JDT 2010

Observe in practice





Back up

Establishes venous access

Prepares equipment

Gains consent

Facilitates cannulation

Secures cannula

Disposes of waste/ensures cleanliness

Infusion equipment Verifies infusion

prepares intravenous giving set

Attaches extensions/multiway taps

Labels infusion equipment/bag

Airway management Prepares intubation trolley

Facilitates laryngeal mask insertion

Facilitates endotracheal tube insertion

Facilitates face mask and manual ventilation

Facilitates nasopharyngeal airway insertion

Facilitates oropharyngeal airway insertion

Secures established artificial airways

Transfer of patient from anaesthetic room to operating room

Disconnects applicable equipment

Protects attached equipment

40 JDT 2010

Observe in practice





Ensures suitable oxygenation

Ensures suitable monitoring

Ensures patient is safe prior to leaving

Transfer of patient from operating room to recovery

Disconnects applicable equipment

Protects attached equipment

Ensures suitable oxygenation

Ensures suitable monitoring

Ensures patient is safe prior to leaving


Care is handed over

41 JDT 2010

12. Foundation Postanaesthetic Skills

Observe in practice





Anaesthetic Machine check

Including suction

Manages airway and establishes normal patient breathing without adjuncts

a) Oropharyngeal airway

b) Face mask

c) Laryngeal mask airway

Monitor and interprets physiology parameters

a) Heart rate

b) Blood pressure

c) Temperature

d) Respiratory rate

e) Levels of consciousness

f) Pain

g) Nausea & vomiting

h) Neurovascular function distal to wound

i) Glucose levels

Manages dressings, drains and casts

a) Adhesive dressing

b) Pressure dressing

c) Plaster of Paris cast

d) Active drains

e) Passive drains

f) Urinary catheters

42 JDT 2010

Observe in practice





Monitors & records fluid balance

Pain Management a) Establishes pain assessment

b) Indicates management of pain

Patient comfort (including oral, positioning/sitting/ warmth)


Care is handed over

43 JDT 2010

13. Guide to Grading Practice The assessment of the Standards of Proficiency in the next section will be made by the Practice Assessor ‘grading’ the student. A framework below can be used to help the Practice Assessor determine what grade the student is able to perform the standard of proficiency to. When grading a student the Practice Assessor should tick or initial the box that indicates what range of grade the student has achieved, e.g. 50-59%. The overall grade at the final submission is then calculated on the basis of the average (mean) grade awarded. At submission, if there are any Standards of Proficiency that have not been graded or are scored below 40% then the submission will be considered as an automatic fail as no single component or element of clinical practice can be failed as achieving satisfactory standard.

SCORE

Level

C

Below 39%

Unacceptable/Fail

40-49%

Acceptable/Pass

50-59%

Good/Pass

60-69%

Very Good/Pass

70-79%

Excellent/Pass

80%+

Excellent/Pass

Practice is

unacceptable and/or

unsafe, inconsistent

and lacks focus

Practice is safe and

student performs

within broad

general guidelines

Practice is good

and student

performs within a

range of varied

and specific

contexts

Understands and

delivers good

quality care

Works with

insight,

understands and

delivers good

quality care

Works with

exceptional

insight,

understands and

delivers good

quality care

Demonstrates poor

rationale for practice

Demonstrates an

acceptable rationale

for practice

Demonstrates

good rationale for

practice

Demonstrates

very good

rationale for

practice

Is consistently

able to rationalise

and demonstrate

best practice

Shows exceptional

ability to

rationalise best

practice

44 JDT 2010

14. HPC Standards of Proficiency

Term 1 Term 2 Term 3

Fail Below 39

Pass 40-49

Good Pass

50-59 60-69

Excellent 70-79 > 80

Date & Signature

1a1 understand the need to act in the best interests of service users at all times *

understand what is required of them by the HPC *

understand the need to respect, and so far as possible uphold, the rights, dignity, values and autonomy of every service user including their role in the diagnostic and therapeutic process and in maintaining health and wellbeing *

be aware of current UK legislation applicable to the work of their profession *

be able to practise in accordance with relevant medicines legislation

1a2 be able to practice in a non-discriminatory manner *

1a3 understand the importance of and be able to maintain confidentiality *

1a4 understand the importance of and be able to obtain informed consent *

1a5 be able to exercise a professional duty of care *

1a6 be able to assess a situation, determine the nature and severity of the problem and call upon the required knowledge and experience to deal with the problem

be able to initiate resolution of problems and be able to exercise personal initiative

know the limits of their practice and when to seek advice or refer to another professional

1a7 recognise that they are personally responsible for and must be able to justify their decisions *

1a8 recognise the need for effective self-management of workload and resources & be able to practise accordingly

understand the need to practise safely and effectively within their scope of practice *

understand the need to maintain high standards of personal conduct *

understand the importance of maintaining their own health *

45 JDT 2010

HPC Standards of Proficiency

Term 1 Term 2 Term 3

Fail Below 39

Pass 40-49

Good Pass

50-59 60-69


Date & Signature

understand both the need to keep skills and knowledge up to date and the importance of career-long learning

1b1 understand the need to build and sustain professional relationships as both an independent practitioner and collaboratively as a member of a team *

understand the need to engage service users and carers in planning and evaluating diagnostics, treatments and interventions to meet their needs and goals

be able to make appropriate referrals

1b2 be able to use effective communication skills when sharing information about patients with other members of the multi-disciplinary team *

1b3 be able to communicate in English to the standard equivalent to level 7.0 of the International English Language Testing System, with no element below 6.5 *

understand how communication skills affect the assessment of service users and how the means of communication should be modified to address and take account of factors such as age, physical ability and learning ability *

be able to select, move between and use appropriate forms of verbal and non-verbal communication with service users and others *

be aware of the characteristics and consequences of non-verbal communication and how this can be affected by culture, age, ethnicity, gender, religious beliefs and socio-economic status *

understand the need to provide service users (or people acting on their behalf) with the information necessary to enable them to make informed decisions

understand the need to use an appropriate interpreter to assist service users whose first language is not English, wherever possible *

recognise that relationships with service users should be based on mutual respect and trust, and be able to maintain high standards of care even in situations of personal incompatibility *

46 JDT 2010

HPC Standards of Proficiency Term 1 Term 2 Term 3

Fail Below 39

Pass 40-49

Good Pass

50-59 60-69


Date & Signature

be able to identify anxiety and stress in patients, carers and others, and recognise the potential impact upon communication *

1b4 recognise the need to use interpersonal skills to encourage the active participation of service users *

be able to use effective communication skills in the reception and identification of patients, and in the transfer of patients to the care of others *

2a1 be able to effectively gather information relevant to the care of patients in a range of emotional states

2a2 be able to undertake and record a thorough, sensitive and detailed assessment, using appropriate techniques and equipment

2a3 be able to undertake or arrange investigations as appropriate

2a4 be able to analyse and critically evaluate the information collected

2b1 Recognise the value of research to the critical evaluation of practice

Be able to engage in evidence-based practice, evaluate practice systematically and participate in audit procedures

Be aware of a range of research methodologies

Be able to demonstrate a logical and systematic approach to problem solving

Be able to evaluate research and other evidence to inform their own practice

be able to adapt and apply problem-solving skills to clinical emergencies

2b2 be able to change their practice as needed to take account of new developments

be able to demonstrate a level of skill in the use of information technology appropriate to their practice *

2b3 understand the requirement to adapt practice to meet the needs of different groups distinguished by, for example, physical, psychological, environmental, cultural or socio-economic factors *

47 JDT 2010


Fail Below 39

Pass 40-49

Good Pass

50-59 60-69


Date & Signature

2b4 understand the need to maintain the safety of both service users and those involved in their care *

be able to undertake appropriate anaesthetic, surgical and post-anaesthesia care interventions *

be able to modify and adapt practice to emergency situations

be able to promote and comply with measures designed to control infection *

be able to position patients for safe and effective interventions

be able to receive and identify patients and their care needs *

2b5 be able to keep accurate, legible records and recognise the need to handle these records and all other information in accordance with applicable legislation, protocols and guidelines

understand the need to use only accepted terminology in making records

2c1 be able to gather information, including qualitative and quantitative data, that helps to evaluate the responses of service users to their care

be able to evaluate intervention plans using recognised outcome measures and revise the plans as necessary in conjunction with the service user

recognise the need to monitor and evaluate the quality of practice and the value of contributing to the generation of data for quality assurance and improvement programmes

be able to make reasoned decisions to initiate, continue, modify or cease treatment or the use of techniques or procedures, and record the decisions and reasoning appropriately

2c2 understand the principles of quality control and quality assurance

be aware of the role of audit and review in quality management, including quality control, quality assurance and the use of appropriate outcome measures

be able to maintain an effective audit trail and work towards continual improvement

48 JDT 2010


Fail Below 39

Pass 40-49

Good Pass

50-59 60-69


Date & Signature

participate in quality assurance programmes, where appropriate

understand the value of reflection on practice and the need to record the outcome of such reflection *

Recognise the value of case conferences and other methods of review *

3a1 understand the structure and function of the human body, relevant to their practice, together with knowledge of health, disease, disorder and dysfunction

be aware of the principles and applications of scientific enquiry, including the evaluation of treatment efficacy and the research process

Recognise the role of other professions in health and social care *

Understand the theoretical basis of, and the variety of approaches to, assessment and intervention

be aware of the main sequential stages of normal development, including cognitive, emotional and social measures of maturation through the human life-span *

understand that aspects of psychology and sociology are fundamental to the practitioner’s role in developing and maintaining effective working relationships *

understand normal and altered anatomy and physiology throughout the human life-span

understand relevant physiological parameters and how to interpret changes from the norm *

recognise disease and trauma processes, and how to apply this knowledge to the patient’s peri-operative care

understand how to store, issue, prepare and administer prescribed drugs to patients, and monitor the effects of drugs on patients

understand the principles of operating department practice and their application to peri-operative patient care in the anaesthetic, surgical and post-anaesthesia phases *

know the types, properties, function, effect and contra-indications of the drugs, gases, liquids and solutions commonly used within operating department practice

49 JDT 2010


Fail Below 39

Pass 40-49

Good Pass

50-59 60-69


Date & Signature

understand the principles underpinning the safe and effective utilisation of equipment that is used for diagnostic, monitoring or therapeutic purposes in anaesthesia, surgery, post-anaesthesia care and resuscitation *

understand the principles and practices of the management of clinical emergencies

3a2 know how professional principles are expressed and translated into action through a number of different approaches to practice, and how to select or modify approaches to meet the needs of an individual, groups or communities *

3a3 be aware of applicable health and safety legislation, and any relevant safety policies and procedures in force at the workplace, such as incident reporting, and be able to act in accordance with these *

be able to work safely, including being able to select appropriate hazard control and risk management, reduction or elimination techniques in a safe manner in accordance with health and safety legislation *

be able to select appropriate protective equipment and use it correctly *

be able to establish safe environments for practice, which minimise risks to service users, those treating them, and others, including the use of hazard control and particularly infection control *

understand the nature and purpose of sterile fields, and the practitioner’s individual role and responsibility for maintaining them *

understand and be able to apply appropriate moving and handling techniques *

* indicates possible terms for assessment of proficiency to be undertaken. Whilst it is a flexible process, proficiency assessment should not be left to the last term in practice. Students are encouraged to liaise with their assessor prior to requesting proficiency assessment. All proficiencies are graded in relation to the level of study / year of training being undertaken by the student.

50 JDT 2010

15. Skills and Proficiencies: Action Plan This action plan is to be used if a student is falling behind in achieving their skills and proficiencies. Please identify the reason for this action plan: Sickness ________________________________________________________________ Lack of appropriate clinical experience _________________________________________________________________ Lack of student forward planning __________________________________________________________________ Other __________________________________________________________________ Within your action plan please address the following as applicable:

the specific areas of learning need to be achieved

the required dates of assessment

areas/issues to be targeted,

who is agreeing to what action

new review dates and implications of not achieving them

the possible need to change placement

the need and rationale for extension Date of action plan _________ Date of planned review_____________ Signature of Student __________________________________ Signature of Tutor ___________________________________ Action Plan / Review of action plan

51 JDT 2010

52 JDT 2010

16. Clinical Hours Introduction Your Pre-registration Professional programme consists of assessment that is based 50% on theory and 50% in practice. You will be provided with information of how this is structured and balanced throughout the academic year. It is a requirement of the CODP that you demonstrate a minimum of 1800 hours of practice and a requirement of the HPC that you demonstrate Proficiency in their Standards. Your programme operates on the principle of a 37 hour week. This necessitates your commitment in order to balance your work, life responsibilities and interests alongside the full time programme requirements. Information about your placement allocation is provided for the year. Your personal tutor and the administration/placements team will also be available to discuss issues. You are required to follow the clinical allocation that you are provided with by the allocations office. All allocation is created with reference to all year 1 and year 2 students requirements. In addition to this all clinical areas are reviewed periodically to establish the quality of student experience and the maximum numbers of student to available mentoring support and supervision at one time. Process relating to completion and submission of ‘Time in Practice Hours’ This flow chart identifies how you are required to complete and generate evidence of the clinical hours achieved. Placement Summary Hours You are required to complete this form each term prior to your tutorial with your personal tutor. Clinical Hours Record i. It is imperative that you keep an accurate and honest record of your weekly activity including:

The clinical hours you have completed

Your university study day or allocated self managed study day when on clinical placement

Your days off

Any days absent or sick ii. You are required to ensure that you obtain the signature of the person supervising your practice for each shift. iii. You are required to negotiate your shifts in advance in accordance with local Trust policy iv. For reasons of Health and Safety you are required to comply with local placement standards for recording your proposed shifts in advance of them occurring.

17. Dates attended in clinical practice Placement Week Date Sunday Monday Tuesday Wednesday Thursday Friday Saturday Total Hours Team Leader Signature

1 2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

(Please report all absence, sickness or leave – see Absence Policy) TOTAL

54 JDT 2010

18. Sickness / Absence Policy Students must attend all elements of the course except in circumstances normally regarded by the Programme Leader as reasonable grounds for absence. Reporting as sick from practice when not sick may be considered as fraud and proceedings subsequently initiated. 1. Notification of absence due to sickness must be made promptly to the Placements Administrator at HSC, Bournemouth House, Tel. No. (01202) 965000 or by email

[email protected] H

2. Notification of absence due to sickness during clinical experience must be made promptly to a senior member of staff at the placement in which you are working. You are advised to record the name of the person, to whom you speak.

3. You must also inform your placement of your absence due to sickness, if it is a continuous period of ill-health following after theory days.

4. Notification of absence due to sickness on Bio-Lab days at the University must be made promptly to the Allocations team, Tel. No. (01202) 965000 or by email [email protected] H

5. If a sickness absence of more than 3 consecutive days (4 – 7 days) occurs, you must complete a Self-Certificate Form and send or bring it on your return to the Student Office. Self-Certificate Forms can be obtained from askBU or from their web-site.

6. If sickness is 8 days or more, a doctor’s certificate is required and must be sent to the Placement Administrator in B420, Bournemouth House.

7. In certain circumstances you may be required to submit a certificate on your first day of absence e.g. on the day of an assessment or examination.

8. Students who have reported absence within the previous month will receive a copy of the Completion of Clinical Hours form by email to complete and return to the Allocations team. Further copies of the form are available on the website or from the Student Office.

These regulations must be strictly observed. Failure to submit certificates on time may result in you being recorded as absent.

Returning from sickness 1. You must inform your clinical placement when you are fit to resume duty. This must be done even if you have days off otherwise the period of recorded sickness will

include your day off.

2. On some occasions you may be requested to attend the Occupational Health Department to ensure fitness to return to work or in the light of emerging patterns of ill-health.

Attendance 1. At the conclusion of the programme you may be required to make good missed hours due to sickness absence in order to ensure you meet the minimum number of hours

of your validated programme.

2. Student’s attendance record will be monitored on a regular basis at interviews when progress in training is discussed. The record will have a cumulative figure for absence and, where necessary, the pattern of absence may be seen on a computer printout or attendance record card.

3. Where standards of professional conduct regarding absence from the course have not been maintained the University’s Professional Supplementary Student Disciplinary Code may be invoked. This would apply in particular to:

Absence without permission

Failure to adhere to the set procedure for the notification and certification of sickness

Excessive absence



55 JDT 2010

19. Details and signatures of Practice Assessors and Associate Practice Assessors Contact details for Trust staff who co-ordinate mentorship allocation and named Practice Assessor / mentor list

Name of Coordinating Staff Clinical area e-mail

Practice Assessor Printed name

Practice Assessor Signature

Clinical Area

dip (he) operating department practicepracticeassessor.bournemouth.ac.uk/assets/1291722132124_level...

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