Download - BSc (Hons) Nursing (Adult)
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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BSc (Hons) Nursing
(Adult)
Ongoing Achievement Record
and Skills Log
STUDENT NAME:
UNIVERSITY LECTURER:
STUDENT ID NUMBER
UNIVERSITY EMAIL:
UNIVERSITY EMAIL:
TELEPHONE CONTACT:
TELEPHONE CONTACT:
COURSE START DATE:
EXPECTED COMPLETION DATE:
This document is ESSENTIAL for the Student Nurse to evidence learning & achievement
If found please return to: University of Leeds Leeds LS2 9JT
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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This Ongoing Achievement Record and Skills Log document has been developed to facilitate the requirements of the NMC from September 2007. These Standards have outcomes for mentors, practice teachers and teachers who are supporting you, with mandatory requirements for each part of the register: This record is a sister document to the Practice Assessment Document, where your practice learning experiences are jointly documented. Summary of main points of the Standards to support learning and assessment in practice (NMC 2008)
Students on NMC approved pre-registration nursing education programmes, leading to registration on the nurses’ part of the register, must be supported and assessed by and appropriately qualified professional. From September 2007 for the year 3 final placement a sign-off mentor, who has met additional criteria (paragraph 2.1.3), must make the final assessment of practice and confirm that the required proficiencies for entry to the register have been achieved (paragraph 3.2.6). From September 2007 students on NMC approved specialist practice programmes leading to a recordable qualification on the nurses’ part of the register must be supported and assessed by sign-off mentors who have met additional criteria (paragraph 2.1.3), or practice teachers where this is a requirement by commissioners. The sign-off mentor must make the final assessment of practice and confirm that the required proficiencies for recording a specialist practice qualification have been achieved (paragraph 3.2.6).
YOU MUST:
[1] Maintain and keep up to date the content of this ongoing ‘Ongoing achievement record and skills log’
[2] Share this document with your mentor at all your initial interviews.
[3] Use this document to record each final interview with your mentor and record achievement of skills within the skills log section
[4] Meet with your personal lecturer after each placement to discuss your progress (practice and theory). Personal Lecturers must participate and sign this document to say that they have met with you.
[5] Present this completed document to your final placement mentor (the ‘Sign off’ mentor) at the beginning of the placement so that an informed decision can be made as to whether they will ‘Sign off’ or not ‘Sign off’ your practice
[6] Submit this document along with the Assessment in Practice Document.
[7] REMEMBER: it is your responsibility to keep this document safe. Your sign off mentor will need it to enable them to be satisfied that you are competent to practice. If it is lost, your registration may be delayed
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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PLACEMENT 1 STAGE 1
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 1 Professional Behaviour in Practice Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Stage 1, Placement 1 Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting - Final
Interview
Practice consistently
reflects professional
values & attitudes
Practice mainly reflects
professional values &
attitudes
(development plan must
be agreed and recorded)
Practice consistently reflects
unprofessional values &
attitudes
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
1. Make the care of people their first concern, treating them as individuals and respecting their dignity
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to the
needs of others
2. Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
3. Be open and honest, act with integrity and uphold the reputation of your profession
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their
own learning needs and limitations
timekeeping is satisfactory and they communicate
appropriately is unable to attend placement
complying with hygiene, uniform and dress codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
Date completed ……………… Mentor signature………………………....Student signature………………………….
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 1
Final Interview
This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 1
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1- Stage 1
STATEMENT OF PLACEMENT ACHIEVEMENT (mentors please note this is a duplicate of the statement in the practice assessment document
and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards for the stage have been achieved) Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement and is ready to progress to the next stage.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this way should be addressed as a priority in the next placement) Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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PLACEMENT 1
STAGE 2
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Professional Behaviour in Practice Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Stage 2, Placement 1 Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting - Final
Interview
Practice consistently
reflects professional
values & attitudes
Practice mainly reflects
professional values &
attitudes
(development plan must
be agreed and recorded)
Practice consistently reflects
unprofessional values &
attitudes
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
2. Make the care of people their first concern, treating them as individuals and respecting their dignity
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to the
needs of others
3. Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
4. Be open and honest, act with integrity and uphold the reputation of your profession The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their
own learning needs and limitations
timekeeping is satisfactory and they communicate
appropriately is unable to attend placement
complying with hygiene, uniform and dress codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
Date completed ……………… Mentor signature………………………....Student signature………………………….
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 2
Final Interview
This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 2
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 2
STATEMENT OF PLACEMENT ACHIEVEMENT
(mentors please note this is a duplicate of the statement in the practice assessment document and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards are being achieved)
Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this
way should be addressed as a priority in the next placement)
Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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FINAL PLACEMENT
STAGE 2
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Final Placement - Stage 2 Professional Behaviour in Practice Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Stage 2, Final Placement Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting - Final
Interview
Practice consistently
reflects professional
values & attitudes
Practice mainly reflects
professional values &
attitudes
(development plan must
be agreed and recorded)
Practice consistently reflects
unprofessional values &
attitudes
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
1Make the care of people their first concern, treating them as individuals and respecting their dignity
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to the
needs of others
2.Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
3.Be open and honest, act with integrity and uphold the reputation of your profession The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their
own learning needs and limitations
timekeeping is satisfactory and they communicate
appropriately is unable to attend placement
complying with hygiene, uniform and dress codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Date completed ……………… Mentor signature………………………....Student signature…………………………. Final Placement - Stage 2
Final Interview This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Final Placement - Stage 2
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Final Placement - Stage 2
STATEMENT OF PLACEMENT ACHIEVEMENT (mentors please note this is a duplicate of the statement in the practice assessment document
and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards for the stage have been achieved) Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement and is ready to progress to the next stage.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this way should be addressed as a priority in the next placement) Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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PLACEMENT 1 STAGE 3
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 3 Professional Behaviour in Practice Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting - Final
Interview
Practice consistently reflects
professional values & attitudes
Practice consistently reflects unprofessional
values & attitudes (development plan must
be agreed & recorded)
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
1 Make the care of people their first concern, treating them as individuals and respecting their dignity The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to the
needs of others
2. Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
3. Be open and honest, act with integrity and uphold the reputation of your profession The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their
own learning needs and limitations
timekeeping is satisfactory and they communicate
appropriately is unable to attend placement
complying with hygiene, uniform and dress codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
Date completed ……………… Mentor signature………………………....Student signature………………………….
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 3 Final Interview
This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 3
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Placement 1 - Stage 3
STATEMENT OF PLACEMENT ACHIEVEMENT
(mentors please note this is a duplicate of the statement in the practice assessment document and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards are being achieved)
Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this
way should be addressed as a priority in the next placement)
Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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FINAL PLACEMENT
STAGE 3
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Record of Weekly Review Meetings.
Date Record of Key Issues – may also form on-going development plan Your Initials
Sign off Mentor Initials
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Final Placement - Stage 3 Professional Behaviour in Practice Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting -
Final Interview
Practice consistently reflects
professional values & attitudes
Practice consistently reflects unprofessional
values & attitudes (development plan must be
agreed & recorded)
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
1 Make the care of people their first concern, treating them as individuals and respecting their dignity The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including
listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to
the needs of others
4. Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
5. Be open and honest, act with integrity and uphold the reputation of your profession The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their
own learning needs and limitations
timekeeping is satisfactory and they
communicate appropriately is unable to attend
placement
complying with hygiene, uniform and dress
codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
Date completed ……………… Mentor signature………………………....Student signature………………………….
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
26
Final Placement - Stage 3 Final Interview
This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
27
Final Placement - Stage 3
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
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Final Placement - Stage 3
STATEMENT OF PLACEMENT ACHIEVEMENT
(mentors please note this is a duplicate of the statement in the practice assessment document and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards have been achieved) Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement and is ready to progress to registration.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this
way should be addressed as a priority in the next placement)
Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
29
Final Placement - Stage 3
Statement of overall practice achievement for Programme Declaration of achievement of NMC requirements for eligibility to apply for registration on Part 1 of the NMC register, Registered Nurse
Student’s FULL Name: Intake:
Field/Pathway: Month & Year of Completion:
/20
Declaration by Sign off Mentor/Practice Teacher
I have reviewed the Student’s Ongoing Record of Achievement and Skills Workbook and the current practice placement evidence (final placement document) and can confirm that I am on the same Part and Branch of the NMC register as the student and have:
worked with the student for 40% of time on placement.
had time to reflect, give feedback and also kept a record of the student’s achievement,
assessed the student on his/her final placement and I sign to confirm that to the best of my knowledge this student is a capable, safe and effective practitioner, who has attained the practice elements for eligibility to apply for registration with the NMC.
Name of Sign Off Mentor/ Practice Teacher (Please print)
Date: / / Signature of Sign Off Mentor/ Practice Teacher
Declaration by Designated Academic Representative:
I have reviewed the student’s:-
Ongoing Record of Achievement and Skills Workbook;
Self Declaration of Good Health and Character and can confirm to the best of my knowledge that:-
the NMC practice elements have been signed off by a Sign-off Mentor/Practice Teacher
all NMC theory and practice requirements have been successfully completed
Name of Designated University Representative:
Date: / /
Signature of University Lecturer:
Declaration by Lead-Pre Registration Nursing:
I confirm that to the best of my knowledge, all NMC requirements for registration have been successfully met
Name of Lead-Pre Registration Nursing:
Date: / /
Signature of Lead-Pre Registration Nursing:
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
30
Patient and Service User Feedback
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
31
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
32
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
33
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
34
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
35
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
36
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
37
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
38
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
39
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
40
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
41
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
42
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
43
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
44
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
45
Patient/Service User Feedback Form
Mentors should obtain consent from patients/service users who should feel able to decline to participate.
We would like to hear your views about the way the student nurse has looked after you.
Your feedback will help the student nurse’s learning
The feedback you give will not change the way you are looked after
Tick if you are: The Patient/Service User Carer/Relative
How happy were you with the way the student nurse:
Very Happy
Happy
I’m not sure
Unhappy
Very Unhappy
Cared for you?
Listened to your needs?
Understood the way you felt?
Talked to you?
Showed you respect?
What did the student nurse do well?
What could the student nurse have done differently?
Mentor signature: Date: Student signature: Date:
Thank you for your help
This form has been designed by Service Users, and with thanks from the Pan London PAD group.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
46
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
47
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
48
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
49
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
50
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
51
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
52
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
53
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
54
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
55
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
56
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
57
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
58
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
59
Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
60
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
61
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
62
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
W.Yorkshire Ongoing Record of Achievement and Skills Log for Pre-Registration Nursing (Leeds) 2017/18
63
Testimony
These pages provide an opportunity for any person (including service users and carers, other professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
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Testimony
These pages provide an opportunity for any person (including service users and carers, your peers, another professional) who you have worked with to comment on your practice. Permission MUST be sought from mentor/ qualified member of staff before seeking testimony from any service user or carer. Service users and carers should NOT sign their entries (for reasons of confidentiality) Mentors should countersign these entries. Entries may be dictated if appropriate. You might want to consider the professionalism of the student, their communication skills, were you treated with dignity & respect, their ability to carry out your cares etc.
Date Stage/ placement in programme (e.g. stage 1, placement 2)
Print Name, Sign & give your role
Student to identify which practice standards these comments can be mapped to.
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SKILLS LOG
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Skills Log
Introduction Attainment of the professional skills outlined in this Skills Log (SL) are essential for the development of your nursing competence and the assessment of your progress in practice. Each skill in this SL has been identified as important by both clinical practitioners and lecturers, and will help you demonstrate that you have achieved the NMC (2010) Standards of Competency for entry to the Register. You should however remember at all times when you have been deemed to have achieved safe performance of a skill you will still always work under the supervision of a First level Nurse/Mentor. KNOWLEDGE OF COMMON MEDICATIONS HAS BEEN INCLUDED IN THE SL.
How to Use This Log book 1. It is a requirement of all nursing programmes that the Essential Skills in this logbook must be met
by the end of your programme in order to Register.
2. You may observe and practice with guidance the skills in this SL as many times as you wish. Remember - repetition and practising of skills with formative feedback is a useful aid to developing competence.
3. A Registered Practitioner (RP)/Mentor must sign you have been TAUGHT THE SKILL.
4. You should take every opportunity to practice the skill as many times as you feel necessary before you and the RP/Mentor agree you are ready to assess the skill as being achieved.
5. RP / Mentors who teach and assess skills must complete the table on page 44.
6. ‘Skill Achieved’ is defined as consistently undertaking a skill in a safe and smooth practice based activity with no need for RP/Mentor intervention. You must also ensure patient/client comfort and should be able to articulate the rationale for the skill.
7. You must be proactive in seeking learning opportunities in order to reach the ‘skill-achieved’ level in each essential skill, working in partnership with practitioners in practice placement areas. The desirable skills [i.e. those in italics] should be attained at the ‘skill achieved’ level if the opportunity is available. In each category there is a space for additional skills that you have observed, practised and/or achieved.
8. REMEMBER - you must never work beyond your competence. A RP/Mentor should guide you on your practice placement as to the appropriateness of observing and practicing a clinical skill.
9. If you experience difficulty in attaining the 'skill achieved' level in an essential skill you should liaise with your RP/Mentor and where appropriate with your named university lecturer/link lecturer, in order to give you every opportunity to attain ALL essential skills by the end of the specified stage and no later than the end of the programme
10. During your placement you must retain this SL and make it available to your RP/Mentors and when required by your programme to your named university lecturer/link lecturer. Successful completion of the Programme can only be ratified when the essential skills (together with the assessment in practice documentation) have been successfully attained at the 'skill achieved' level.
11. You MUST submit your SL on the dates specified by your university programme. The SL will be retained by the University; you may photocopy sections for you Personal Development Profile PRIOR to submission.
12. REMEMBER; once a skill has been achieved, the expectation is that you will continue to perform that skill to a competent standard.
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Flow Chart
Skill Taught either in University OR in Practice. 'Teacher' Dates and Signs SW
Skill Observed
Skill Practiced
Student/Mentor Identifies Student Ready To Be Assessed
Registered Practitioner/Mentor Assesses Student's Performance/Knowledge/Understanding of Skill.
If Student ‘Achieves Skill’ – RP/Mentor Dates and Signs SW
All skills must be completed by the end of the programme.
Skills Logbook MUST be submitted as per specific university programme requirements
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Record of RP/Mentor’s Signature/Initials who have taught and/or assessed the student.
Registered Practitioner / Mentor [ Full Name]
Signature Initials Dates Placement
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Record of RP/Mentor’s Signature/Initials who have taught and/or assessed the student.
Registered Practitioner / Mentor [ Full Name]
Signature Initials Dates Placement
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Record of RP/Mentor’s Signature/Initials who have taught and/or assessed the student.
Registered Practitioner / Mentor [ Full Name]
Signature Initials Dates Placement
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Record of RP/Mentor’s Signature/Initials who have taught and/or assessed the student.
Registered Practitioner / Mentor [ Full Name]
Signature Initials Dates Placement
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SKILLS In Order to have the following skills signed off as ‘skill achieved’ you must
Identify that the skill is appropriate for that stage of the programme (identified by the non shaded boxes)
Have been taught, observed and practiced the skill whilst ensuring the individual’s comfort, safety, dignity and privacy is maintained throughout the procedure, respecting individuality, culture, age and choice.
Perform the skill as a safe and smooth practice based activity with no need for RP/Mentor intervention whilst articulating the rationale for the skill.
Demonstrate effective communication skills throughout the performance of the skill Complete all record keeping for the identified skill. At all times adhere to the relevant local Organisational policies and procedures and NMC Guidelines Once a skill has been achieved, the expectation is that you will continue to perform that skill to a competent standard in all other placement areas PLEASE DO NOT SIGN THE SHADED SKILLS as the shading indicates the stage at which students are deemed to have the underpinning knowledge needed to complete the whole skill, rather than perform the task. They should be working towards all skills whenever possible
Mandatory training
You will undertake training and updates in Moving and handling (M&H), BLS and managing conflict sessions in order for you to undertake your role as a student nurse and for no other purpose. Your attendance at these sessions will be recorded via registers. These sessions are mandatory and failure to attend your allocated session will mean you are not able to access your placement. In addition you will need to undertake the on line Information Governance package on an annual basis. You need to print off two copies of your certificate of completion, one for your records and one to be submitted to PPU.
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SKILLS Essential skills in BOLD Desirable skills in italic’s. Do not sign in shaded
boxes All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date Signed
Date Signed
Date Signed
On the Bed
Bed to Chair/Chair to bed
Trolley to Bed/Bed to Trolley
Use of equipment Specify x2:
1]
2]
After a Fall or From Floor
Postural management
BASIC LIFE SUPPORT
Emergency Equipment Checks (Stage 1) O2 & Suction
Emergency Equipment Checks (Stage 2) O2 & Suction
Emergency Equipment Checks (Stage 3) O2 & Suction
First aid
Oral/nasal suctioning
Participates in BLS
Participates in complex life support
Participates & supports individuals in emergency first aid situation
Participate in Basic Airway Support Management
Attends managing conflict sessions/updates as per HEI Specify stage
APPLYING INFECTION CONTROL PROCEDURES USING PERSONAL PROTECTIVE EQUIPMENT (PPE)
Hand washing
Uses PPE appropriately
Food hygiene/handling
Sterilising feeding equipment
Bed making – vacant
Bed making - Occupied
Cleans commode as per Trust policy
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Aseptic technique: surgical wounds
Aseptic technique: non-surgical wounds
Clean technique
Isolation barrier nursing
Handling & Disposal of:
Clinical Waste
Sharps
Body fluids: blood/vomit/faeces
Dealing with spillage
Bed Linen
Demonstrate effective communication skills; with service users and carers, families and members of multi-agency teams, using a Person-Centred approach and demonstrating self-awareness in challenging situations. To include
verbal, non-verbal and written forms of communication
Care of all patients
Demonstrates listening/attending skills
Client/Adult
Family/Carers
Relatives/Extended family
Patients/relatives who are unable to understand English
Refers to /uses translation service
Adapts to/responds to communication difficulties i.e. culture, language, hearing, speech
The multi-disciplinary team
Message taking & reporting
Manages electronic records as per policy
Hand- over information -single patient
Demonstrate self-awareness in challenging situations
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date Signed Date Signed Date Signed
Care of patient with complex communication needs
Hand-over information a group of patients
Breaking bad news
PARTICIPATE IN THE PROCESS OF NURSING CARE
from first point of contact to transition or discharge
Care of all patients
Emergency/acute admission
Arranged admission
Assessment of an adult and completion of appropriate documentation
Assessment Tools—Specify X2
Tool 1
Tool 2
Pain assessment: specify tool
Tool 1
Tool 2
Pain Control – Differentiates between appropriate Pharmacological intervention
Specify:
Pain Control - Non-pharmacological intervention
Specify:
UNDERTAKE ASPECTS OF PRACTICAL CARE FOR INDIVIDUALS respecting their individuality, age and developmental needs
Care of all patients - Vital signs. Recording and Reporting
Blood pressure: manual
Blood pressure –electronic
Pulse – radial
Pulse – Brachial
Pulse – Carotid
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Pulse - lower limb
Take Doppler
Temperature-orally
Temperature – Axilla
Temperature -Electronically - state type used:
Respiration recording
Blood Glucose Monitoring Tool x 1:
Maintain Fluid Balance Chart
Peak flow measurement
Measurements:
Weight
Body Mass Index
Assessment of capillary refill
Care of the Complex Patient
Assessment of respiratory distress i.e. nasal flaring, noise, effort, recession
Oxygen saturation monitoring
Neurological assessment
Glasgow coma scale
Care of central venous line
Nursing Process
Planning care for individual
Evaluating care for individual
Prioritising care for individual
Documents care accurately
Documents accidents according to Trust policy
Documents complaints according to Trust policy
Transfer of Information/Discharge planning
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
HYGIENE AND TOILET NEEDS
Care of all patients
Care of skin-hygiene
Eye care
Care of mouth and teeth
Bathing an adult in bed
Assisted hygiene
Shaving
Assisting with toilet needs:
Toilet
Bed pan/urinary bottle
Care of a Complex Patient
Pressure area care
Care of an adult with complex elimination needs: state example……………
Catheter care: indwelling urinary catheter
Catheter care: intermittent urinary catheter
Urethral catheterisation
Care of Stoma
HYDRATION / NUTRITIONAL NEEDS
Care of all patients
Assess nutritional status State tool …………..
Drinking
Management of Enteral Feeding
Eg Naso gastric/PEG feeds
Insert a naso gastric tube
Records , report, fluid balance charts
Accurately Interprets fluid balance charts
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Care of complex patient
Oral feeding of an adult with complex needs. Specify .e. Gastrostomy/PEG feeds
1)
2)
Use of feed pump
Parenteral feeding
Assessment of hydration status (input/output)
Intravenous infusion: care of the infusion site
Care of peripheral line
Care of giving set
Use of volumetric pump
Use of syringe driver
Care of Blood transfusion
In liaison with a registered midwife provides essential advice and support to mothers who are breast feeding
SPECIMENS: COLLECTING, RECORDING, REPORTING
Care of all patients
Urine collection: 2 methods
Method 1
Method 2
Faecal/stool collection
Throat swab
Wound swab
Accurately interprets results from specimens Specify 2:
1)
2)
Obtain a sputum specimen
Observation of Sputum
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SKILLS Essential skills in BOLD
Desirable skills in italic’s. Do not sign in shaded area.
All essential skills must be completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Care of patient: pre- procedure (diagnostic and/or surgical)
Routine pre procedure care
Preparation of an adult taking into account individual needs
Preparation of area/ equipment
Anti-embolic stockings - Application
Anti-embolic stockings – Patient advice and care
Emergency pre-procedure care (complex patient/admission)
Care of patient: post- procedure (diagnostic and/or surgical)
Care of and adult with altered levels of consciousness
Perform post operative observations: specify
Assessment of wound post operatively
Wound care: assess plan implement and evaluate wound/wound healing
Removal of drains
Removal of skin closures. specify
Safeguarding
Able to use a range of risk assessment tools eg
Other please specify
Falls
NEWS
Pressure area care
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
EXPRESSING SEXUALITY
Respects dignity and privacy
Selects age appropriate clothing
Provides age appropriate care i.e. management of menstruation.
APPRECIATING DIVERSITY
Including:
Spirituality/Religion
Family dynamics
Culture
END OF LIFE/DYING/LOSS
Demonstrate the ability to support an adult and family at a time of loss
Perform last offices
Demonstrate an understanding of procedures following the death of an adult and complete relevant documentation
Provides ongoing support to the family that is sensitive to family, cultural and religious need.
MANAGEMENT SKILLS Prioritising care of individual patient
Prioritising care of a group of patients
Participates in Discharge planning
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Undertakes lead in co-ordinating care for group of adults (or caseload) for a shift On at least 4 occasions specify role ……….
1)
2)
3)
4)
Able to delegate workload appropriately
Manages change effectively
Identifies learning needs within team, plans & undertakes teaching activity to meet need (i.e. one-to-one, group)
Undertakes referrals to other professional/agencies as appropriate
HEALTH PROMOTION
Addresses health promotion Specify x 3 Issues:
1]
2]
3]
Additional Skills Undertaken In The Clinical Area/University – BUT NOT LISTED IN THE LOGBOOK - Please Specify
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SKILLS Essential skills in BOLD Desirable skills in italic’s.
Do not sign in shaded area. All essential skills must be
completed by end of stage 3
University or Practice
Registered Nurse:
Registered Nurse:
Registered Nurse:
Skill Taught Skill Achieved Stage 1
Skill Achieved Stage 2
Skill Achieved Stage 3
Date Signed Date
Signed Date
Signed
Date
Signed
Safely administer Medicines under the supervision of a Registered Nurse To include: calculating dose, actual giving, performing safety checks, preparation of drug for administration,
monitoring dosage & side effects, completing documentation & storage. Calculate Drug Dosage
Follows storage of medicines policy
Oral Medication
Sub-Cutaneous Injection
Intramuscular Injection
Inhaled Medication
Nebulised Medication
Enteral Medication
Transdermal Medication
Eye-Drops
Rectal Medication
Topical Medication
Undertakes Management of Medication for an individual patient for a shift (Stage 2)
Undertakes Management of Medications for a group of patients for a shift (Stage 3)
Administer Oxygen Therapy
Use Oxygen Humidification
Other: Specify
Controlled Medication
Please complete Common Medication Used in Practice Placement pages below. If you are in a placement where you do not administer medication, as an exception and with your programme managers agreement, you must identify a range of medications that the service users are taking and discuss with your mentor the action, effect, side effects and contra-indications of these medications as if you were administering them. If your mentor is happy with your answers, they can then be signed off as being achieved. NB: University of Huddersfield and Leeds Met students may use authentic world to complete the drug calculations
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The ability to ensure safe medication means a nurse has to be competent with the whole process of medication management, not just the giving of medicines. Therefore whenever a nurse has an interaction with a patient/client they must be confident they understand all the sections below to ensure safe medication management even if the patient/client is self-medicating
Medication 1; Name of Medication …
Action
How does the medication work on the body
Effect / Indication
What effects does it have on the body? Why is the patient/client taking this medication?
Route
What routes can this medication be given? Has the most appropriate route been chosen? If a different route is chosen what will that mean for the patient/client?
Dose
Is the dosage correct for the patient/client, age/condition, route?, Does the patient/client have other conditions which need to be considered e.g. does the dose need adjusting if the client has liver or renal conditions?
Common Side effects (Please relate this to a
patient/service user you are caring for /involved with)
What are the common side effects? Do you need to give advice about these? E.g. advice about ‘not standing too quickly’, or ‘take with food’ and explain why to the patient/client If the patient/client experiences these side effects what have they to do about them? If the patient/client experiences these side effects what can we do about them? E.g. ask for anti-emetics to be prescribed if nausea is experienced, or change the route/time of day the medication is taken to reduce symptoms
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
What other conditions or medication is the patient/client taking, both prescribed and over the counter, which may interact with this medication Does the patient/client know how to store the medication at home?
Drug Calculation (you must show workings
out
We must be accurate in our calculations to ensure the correct dose is administered by the medical/nursing staff or by the patient/client in the home So we need to check are they self medicating the right dose, the right number of times per day, with the correct time gap between doses?
Safely given drug to identified individual (indicate route used)
This section is where you record that you have given the medication safely. Where this is a medication self-administrated by the patient/client you can record the route as SA (self-administered). You can record up to 5 examples, within the programme, where you have demonstrated competence with SA medications Route ……………. Mentor Signature ……………………………….. Date …………………….
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Medication 1; Name of Medication … Medication 2; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used)
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 3; Name of Medication … Medication 4; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions (Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 5; Name of Medication … Medication 6; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 7; Name of Medication … Medication 8; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 9; Name of Medication … Medication 10; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 11; Name of Medication … Medication 12; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 13; Name of Medication … Medication 14; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 15; Name of Medication … Medication 16; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 17; Name of Medication … Medication 18; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 19; Name of Medication … Medication 20; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 21; Name of Medication … Medication 22; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 23; Name of Medication … Medication 24; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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Medication 25; Name of Medication … Action
Effect / Indication
Route
Dose
Common Side effects (Please relate
this to a patient/service user you are
caring for /involved with)
Cautions
(Please relate this to a patient/service user you are caring for /involved with)
Drug Calculation (you must
show workings out
Safely given drug to
identified individual (indicate
route used
Route ……………. Mentor Signature ……………………………….. Date …………………….
Route ……………. Mentor Signature ……………………………….. Date …………………….…………………….
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CATCH UP PLACEMENT
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Catch up Placement Professional Behaviour in Practice - Final interview stage
Your mentor must complete this page fully in all aspects before undertaking the Final Interview, completing the final interview mentor feedback page. NB Failure on ANY element of these behaviours at this interview stage will result in a failure of placement
Satisfactory
Unsatisfactory
Professional Attitude in a Practice Setting - Final
Interview
Practice consistently reflects
professional values & attitudes
Practice consistently reflects unprofessional
values & attitudes (development plan must
be agreed & recorded)
Mentor to sign their full signature in the box corresponding to their assessment of the student’s professional attitude
1 Make the care of people their first concern, treating them as individuals and respecting their dignity The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
communication with people (patients, their
carers/family and colleagues) including listening.
maintaining people’s privacy and dignity
being respectful and courteous and non-
judgmental
using their skills of empathy and is sensitive to the
needs of others
6. Work with others to protect and promote the health and wellbeing of those in their care, their families, carers and the wider community
The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
maintaining confidentiality
maintaining records
using problems solving skills
recognising their own limitations and seeking
support when unsure of what to do
maintaining professional boundaries
7. Be open and honest, act with integrity and uphold the reputation of your profession The following activities reflect this principle of care and my assessment of the student’s professional attitudes and values in relation to these is:
working alongside other members of the health
care team
taking responsibility for making the most out of
their learning opportunities
managing feedback about their learning
using reflection as a means of identifying their own
learning needs and limitations
timekeeping is satisfactory and they communicate
appropriately is unable to attend placement
complying with hygiene, uniform and dress codes.
* Reference to NMC Code (2015) may assist your decision making about what is regarded as ‘satisfactory professional conduct’ from a student. NB Any professional behaviour or attitude assessed by your mentor as failing to reflect appropriate professional standards, may be subject to further investigation by the University and/or relevant Trust/Clinical Placement as well as requiring an action plan
Date completed ……………… Mentor signature………………………....Student signature………………………….
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Catch up Placement Final Interview
This interview gives you and your mentor an opportunity to reflect on the experience and for a progress assessment to be completed. There should be no ‘surprises’ at this time so you should be aware of your progress. It should be completed within the last week of the placement by the mentor.
NB - Should there be an expectation that the student is going to fail to progress, a member of the students’ academic team must be present at this interview.
STUDENT self evaluation
You may wish to consider the following areas: how you have made links between theory and practice, multidisciplinary/interagency working, communication skills, nursing skills
Strengths of my practice
Aspects of my practice I need to develop and how I intend to improve these
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Catch up Placement
Mentor’s Feedback; Is the student working at the level expected for this stage of training? Yes / No For the University of Bradford and Huddersfield students only: have you graded their practice? Yes / No
Strengths of the students practice
Aspects of practice the student needs to develop
Ongoing Achievement Record and Skills Log reviewed? Yes / No
Practice Standards elements reviewed? Yes / No
Professional Behaviours completed? Yes / No
Testimonies / Service user feedback reviewed? Yes / No / Not applicable
Have any concerns or potential concerns been raised at this point? Yes / No
If yes, has the academic tutor/ link lecturer been informed? Yes / No
Student Signature
Date
Mentor Signature
Date
Practice Evaluation completed (www.healthcareplacements.co.uk) certificate date
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Catch up Placement
STATEMENT OF PLACEMENT ACHIEVEMENT
(mentors please note this is a duplicate of the statement in the practice assessment document and must be completed here as well)
NAME OF STUDENT (please print): ………………………………………….………….. NAME OF PLACEMENT …….…………………………………………………….………… ORGANISATION (e.g. name of NHS Trust) ……………………………………………... NAME OF MENTOR (please print): ………………………………………………………..
PASS (the practice standards are being achieved)
Based on the evidence documented during this placement and summarised on the final interview comment sheet, I confirm that the student has PASSED the placement.
Signature of Mentor:
Date:
Signature of Student:
Date:
FAIL (some of the practice elements haven’t been achieved'. N.B. practice elements decided in this
way should be addressed as a priority in the next placement)
Based on the evidence documented on this student’s performance during this placement and summarised on the final interview sheet, I confirm that the student has FAILED on the placement. If the student has attempted but been unsuccessful in achieving any practice standard or skill then they CANNOT be deemed to have passed the placement. The student’s progress has been discussed and an ACTION PLAN will be developed with the appropriate lecturer and used in the next placement.
Signature of Mentor: Date:
Signature of Student: Date:
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