profile of learning opportunities (polo) - 175.1 - polo day surgery unit.pdf · profile of learning...
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Profile of Learning Opportunities (PoLO) for nursing and midwifery students in practice
Practice Placement ward: Day Surgery PRUH
Introduction to the Ward / Unit
Welcome to: The Day Surgery Unit (DSU) Princess Royal University Hospital (PRUH), King’s College
Hospital NHS Foundation Trust, also known as the Alan Cumming Unit, which is divided into five
areas: pre-assessment, ward area, anaesthetic rooms, theatres and post anaesthetic/recovery.
There are six operating theatres, five anaesthetic rooms and thirty one post anaesthetic beds,
providing patient care during the peri-operative period, within the following specialities, and with
examples of surgical procedures:
General surgery (adult and paediatric) e.g. laparoscopic hernia repair, laparoscopic
cholecystectomy
Ear nose and throat (adult and paediatric) e.g. tonsillectomy/adenoidectomy, insertion
grommets
Ophthalmic surgery (adult and paediatric) e.g. phacoemulsification, lid surgery, squint,
trabeculectomy
Gynaecology (adult and paediatric) e.g. hysteroscopy, surgical management of pregnancy,
laparoscopy
Oro- Maxillofacial (adult and paediatric) e.g. apicectomy /extractions, facial plastic surgery
Orthopaedics (adult and paediatric) e.g. arthroscopy, carpal tunnel, trigger finger
Urology (adult and paediatric) e.g. cystoscopy, circumcision, laser transurethral resection
prostate (TURP)
Oncology/breast e.g. wire guided excision, mastectomy, lipofilling
Acute pain services e.g. facet joint injections, caudal, epidural
Plastic surgery e.g. basal cell carcinoma (BCC) removal, skin grafting
Cardioversion
Location
We are located: to the left of the main hospital building entrance in a satellite unit called the Alan
Cumming Unit
Ward / Unit telephone: 01689 864381
Welcome to the team
Ward / Unit Manager is: Deidre Hart [email protected]
Modern Matron is: Deidre Hart [email protected]
Student co-ordinator is: CPF Susanne Tarrant [email protected]
Practice Development Nurse is: Veronica Figueiredo [email protected]
The ward team consists of:
Registered Nurses
Operating Department Practitioners (ODP)
Health Care Assistants / Theatre support workers
Volunteer ( receptionist)
Domestic /ISS team
Consultant surgeons and teams for all specialities above
Consultant anaesthetists
Physiotherapists
Clinical nurse specialists may visit a patient post op if required
Day Unit Philosophy:
Our aim is to provide a high quality, cost effective and efficient service for all
patients cared for within the division of surgery
We aim to provide a high standard of professional care and technical skill based on
current research findings
We ensure the multidisciplinary team provides care to promote a patient centred
approach
We believe that patients are individuals who have different responses to life events
and therefore have unique needs. All care is therefore assessed and planned
holistically, incorporating physical, psychological, spiritual and cultural needs
We aim to provide and maintain dignity, privacy and comfort to each patient
We aim to promote a pleasant, efficient and safe work environment for all staff,
patients and relatives with professionalism, honesty and confidentiality as an
essential part of the delivery of care
Staff will ensure that the patient, relatives or carers receive the relevant information
and advice in order to cope with the effects of the surgery they have undergone
Our goal is to enable patients to return to an independent life at home as quickly and
safely as possible
Shift pattern students may follow
5 day week 7 day week Weekends
Shifts Early start from 08.00 to 18.00 hrs x 3 and 08.00 to 17.30hrs x 1
Night shift not applicable
Staffing establishment per shift = will vary depending on operating lists running and the
practice area within the department e.g. pre-assessment, theatres, ward area and recovery
Registered nurses
Operating department practitioners (ODP)
Health care assistants / Theatre support workers
Dress Code: You will be required to wear scrub suits and clogs whilst in practice which are
available for all staff.
Meal breaks
You are permitted a 30 minute break on a 9 ½ hour shift and tea breaks at the discretion of the co-
ordinator
To contact colleagues:
Bleeping:
Dial 14 followed by the bleep number and the extension you wish to be called back on. Wait for the
long tone and replace the receiver
Air calling and Paging:
Dial 0 for the operator who will ask for your ‘call sign’ (i.e. page number e.g. KH 6789) and your
message. This is then sent to the person you are trying to contact
Useful numbers
Cardiac arrest 2222
Fire 2222
Security 64384
Hub and Spokes for the Day Surgery Unit ‘Alan Cumming Centre’
Day Surgery (DSU)
'hub'
discharge planning
'nurse led' A to E assessment
principles of asepsis e.g. Aseptic Non
Touch Techniques (ANTT)
developing communication
skills
nurse led pre-assessment e.g. taking medical
history
infection control
patient admission to
ward area
observing surgery
following the patient journey
through DSU
working within a multidisciplinary
team pain
assessment and
management
psychological support wound
management
medicines management
assessment and management of patient care pre
and post
care and management of the patient during
anaesthetic
laser related procedures e.g.
TURP
airway management
radiology intraoperative
e.g. orthopaedics
risk assessment
Core Learning Opportunities (Under Supervision): unit based
Participate in the assessment of individuals pre/post operatively (ward area and pre-
assessment), intraoperatively (in theatres & anaesthetics) and post-operatively (in
recovery) – some of whom have complex needs e.g. dementia, learning disability, co-
morbidities
Ward area (Recovery 2) and pre-assessment: you may participate in/ observe/identify (with
context related examples):
Applying relevant knowledge / measuring & interpreting clinical observations e.g.
blood pressure, respirations and pulse
Developing skills in the use of related equipment under supervision e.g. dynamap,
electrocardiogram (ECG )
Communication e.g. highlighting potential hazard for surgery e.g. fasting pre-op
Undertaking admission process e.g. questioning, listening
Pre-op checklist and documentation
Patient preparation for surgery e.g. Consultant/Anaesthetist, consent, gown wear,
privacy and dignity
Obtaining specific specimens as required e.g. urine / pregnancy testing
Documentation e.g. consent 2 /mental capacity
Risk Assessment e.g. VTE prophylaxis, safeguarding, allergies, infection (MRSA)
Nurse Led Discharge planning e.g. suitability of escort home/home care
required/liaison with District Nurse/medication
Developing an understanding of rationale for investigations/ procedures undertaken
Theatres and Anaesthetics: you may participate in /observe/identify (with context related
examples):
Applying relevant knowledge / measuring & interpreting clinical observations e.g.
blood pressure, respirations, pulse and oxygen saturation
Airway assessment
Access for interventions e.g. IV cannulation by anaesthetist/ODP
Psychological e.g. patient anxiety
Risk Assessment e.g. environmental safety/ patient protection
Wound assessment e.g. choice of dressing
Observing/ assisting with specimens obtained e.g. to plan for subsequent treatment
Documentation e.g. WHO checklist/record keeping
Communication e.g. to assess patient comfort during procedure under local
anaesthetic
Medication e.g. observing effect of anaesthetic agents administered by anaesthetist
Recovery 1: you may participate in /observe/identify (with context related examples):
A to E assessment e.g. airway, pain assessment, wounds
Applying relevant knowledge / measuring & interpreting clinical observations e.g.
blood pressure, respirations and pulse
Recognising the deteriorating patient e.g. NEWS
Communication e.g. information transfer between theatres and recovery staff
Pain /nausea
Medication effectiveness e.g. pain management
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13
1, 2, 4, 6, 7, 9, 10, 12, 13, 17, 19, 22
BSc Part 2 (adult) and PGDip Part 2
1, 2, 4-6, 8-10, 12, 13
1, 3, 4, 5, 6, 7, 9, 10, 11, 13, 18, 22, 24, 37, 38, 39, 40,
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4 – 7, 9-14
1, 2, 7, 13, 14, 16, 20, 24, 27, 43, 49, 52, 78, 84, 88
BSc Part 1 (child) and PGDip Part 1
1, 2, 3, 6, 8, 9, 12, 13
1, 2, 4, 6, 7, 9, 10, 12, 13, 17, 19, 22
BSc Part 2 (child) and PGDip Part 2
1, 2, 5 - 6, 8 -10, 12, 13
1, 5, 6, 7, 9, 10, 11, 12, 16, 17, 18, 27, 33
BSc Part 3 (child) and PGDip Part 3
1, 2, 4, 5, 7, 9, 10, 13
1, 2, 3, 8, 11, 13, 14, 16, 17, 22, 23, 24, 25, 28, 29, 30, 44, 47, 50, 57, 63, 79, 85, 90
Core learning Opportunities (Under Supervision): unit based
Participate in the planning of individualised patient centred care for example:
Ward area e.g. nurse led discharge planning
Theatres and Anaesthetics e.g. airway management/patient safety, pressure ulcer
prevention
Recovery 1 e.g. preparation of the recovery space, protocol for patient transfer to
ward area (recovery 2)
You may participate in/ observe/identify (with context related examples)
Prioritisation of patient need e.g. o Patient positioning in theatre/recovery o Pain management in theatre/recovery o Staff to patient ratio
Decision making e.g. MDT working
Patient inclusion e.g. informed consent/capacity pre-op
Patient centred care e.g. determine patient’s priorities/preferences
Documentation e.g. electronic systems
Multi-disciplinary working e.g. team brief
Communication e.g. sensitive issues/family/parents/carers
Nurse Led Discharge planning o Safety o Unexpected change in patient’s condition o Care transfer home/inpatient ward
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 3, 4, 6, 7, 8, 9
BSc Part 2 (adult) and PGDip Part 2
1, 2, 5, 6, 8, 9, 10 1, 3 - 6, 12, 16, 17, 18, 22
BSc Part 3 (adult) and PGDip Part 3
1, 2, 6, 7, 9, 10, 11, 13, 14
1, 2, 3, 7, 8, 11, 13, 16, 20, 24, 28, 31, 52
BSc Part 1 (child) and PGDip Part 1
1, 2, 3, 6, 8, 9, 12, 13 1, 2, 3, 4, 6, 7, 8, 9
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 3, 4, 5, 6, 12, 16, 17, 18, 22
BSc Part 3 (child) and PGDip Part 3
1, 2, 4, 5, 7, 9, 10, 13 1, 2, 8, 13, 16, 21, 29
Core learning Opportunities: (Under Supervision): in Ward area,
Theatres/Anaesthetics and Recovery
Participate in implementing patient centred care and nursing interventions, promoting
identity and inclusion, and maintaining privacy and dignity:
Ward area and pre-assessment: you may participate in (with context related examples)
Meeting hygiene needs e.g. mouth care following dental surgery
Meeting elimination needs e.g. ensuring bladder void prior to discharge
Meeting mobility needs e.g. accompanying patient to anaesthetic room
Meeting psychological needs e.g. patient anxiety/parent anxiety
Meeting nutritional needs e.g. post op refreshments
Maintaining fluid balance e.g. IV infusion
Care specific to identified risk e.g. pre-op checklist
Pain management e.g. monitoring effect, medicine administration
Care evaluation, re-assessment and review
Communication e.g. explanation of procedure pre-op
Measuring vital signs/weighing/BMI
Infection control e.g. handwashing, safe disposal of waste/sharps
MDT liaison/communication e.g. patient referral
Theatres/Anaesthetics: you may participate in or observe (with context related examples)
Care specific to identified risk e.g. patient airway ‘laryngospasm’
Infection prevention and control e.g. observing ANTT
Care evaluation, re-assessment and review
Documentation and record keeping
Infection prevention and control e.g. observing scrub technique, gowning procedure
and instrument preparation
Pain management e.g. administration of prescribed medication to manage/prevent
pain
Communication e.g. patient under local anaesthetic, explaining process
Measuring & interpreting clinical observations e.g. blood pressure, respirations and
pulse, visual skills via electronic monitoring equipment
Maintaining patient’s dignity
Recovery 1: you may participate in or observe (with context related examples)
Meeting psychological needs e.g. orientating patient during recovery/supporting
parents
Pain management e.g. administration of prescribed medication/monitoring
effect/observing infusion pumps
Care specific to identified risk e.g. patient airway ‘laryngospasm’
Measuring & interpreting clinical observations e.g. blood pressure, respirations and
pulse, visual skills
Communication e.g. escalating concern/deteriorating patient
Documentation of care implemented
Infection control e.g. safe disposal body fluids
Wound care e.g. monitoring dressing intact
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 6, 7, 10, 12, 13, 19, 21 – 23, 26 – 29, 35, 37
BSc Part 2 (adult) and PGDip Part 2
1, 2, 4- 13 1, 5, 6, 7, 9, 12, 16- 18, 22, 27, 33, 36, 38, 41, 49- 51
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4, 5- 14 1, 2, 3, 6, 7, 8, 13, 14, 16, 17, 19, 20, 21, 24, 27, 29, 43, 46, 47, 49, 52, 60, 76, 77, 78, 84, 87, 88, 89
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 6, 7, 10, 12, 13, 19, 21 – 23, 26 – 29, 35, 37
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 3, 4, 5, 6, 7, 9, 12, 13, 16, 17, 18, 27, 33, 41, 49 -51
BSc Part 3 (child) and PGDip Part 3
1, 2, 5, 6, 7, 10, 13 1, 2, 3, 11, 13, 14, 16, 117, 21, 23, 25, 28, 29, 30, 44, 47, 57, 60, 61, 63, 79, 85, 90
Specific Learning Opportunities (Under Supervision) unit based:
Under supervision, participating in the administration of prescribed medication using a
variety of routes.
You may participate in /observe (with context related examples)
Oral medication (on ward and recovery 1)
Injections subcutaneous & intra-muscular (in recovery 1 and on ward)
Medication dose calculations e.g. paediatric dose
Observation only of IV drug administration (recovery and anaesthetics)
Observe anaesthetic administration by Anaesthetist
Observing setting up infusion pump/syringe driver/PCA
Access British National Formulary (BNF) resource
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 35 - 37
BSc Part 2 (adult) and PGDip Part 2
1, 2, 4- 13 49 -51
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4, 5- 14 78, 84, 88
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 35 - 37
BSc Part 2 (child) and PGDip Part 2
1, 2, 5 -10, 12, 13 49, 50, 51, 54,
BSc Part 3 (child) and PGDip Part 3
1, 2, 5, 6, 7, 9, 10, 13 79, 84, 85, 88, 90
Core Learning Opportunities (Under Supervision) unit based:
Participate in the assessment of patient risk for example:
In Pre-assessment: you may participate in /observe/identify (with context related examples)
VTE prophylaxis
Identify allergies
Observe an anaesthetic assessment/suitability for day surgery criteria
Tissue viability e.g. skin integrity prior to surgery
Falls e.g. previous history/disability, pre and post op
Nutrition / Hydration e.g. pre-op fasting information/concordance
Mobility e.g. sensory impairment
Manual Handling
Infection control e.g. MRSA screening
Disability e.g. mental capacity
Safe guarding
Health & Safety of potential complications e.g. cardiac history/co-morbidities
Medicine management e.g. existing anti-coagulant therapy
Communication e.g. non-English speaker
In Theatres/Anaesthetics: you may participate in /observe/identify (with context related
examples)
Tissue viability e.g. pressure prevention/equipment
Nutrition / Hydration e.g. IV fluids/infection control
Manual Handling e.g. equipment/positioning patient
Infection control e.g. observe insertion of IV cannula
Disability e.g. consent/capacity
Safe guarding e.g. patient under general anaesthetic
Health & Safety e.g. WHO checklist/environmental hazards
Medicine management e.g. observe the process for labelling syringes
In Recovery: you may participate in /observe/identify (with context related examples)
Tissue viability
Body temperature e.g. increased surgery time
Deteriorating patient e.g. NEWS score
Falls e.g. patient recovering from general anaesthetic/trolley rails
Manual Handling e.g. staff available to assist
Infection control e.g. MRSA positive
Disability e.g. sensory/visual/auditory
Safe guarding
Health & Safety e.g. environmental hazards
Medicine management e.g. potential side effect of Opiates
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 6, 12, 13, 14, 17, 19
BSc Part 2 (adult) and PGDip Part 2
1, 2, 4 - 6, 8, 9, 10, 12, 13
5, 6, 7, 8, 9, 10, 22
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4 - 7, 9 - 11, 13, 14
5, 23, 27, 26, 29, 46, 53, 57
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 6, 12, 13, 14, 17, 19
BSc Part 2 (child) and PGDip Part 2
1, 2, 5 -10, 12, 13 5, 6, 7, 8, 9, 10, 22
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 7, 9, 10, 11, 13 1, 2, 25, 28, 29, 30, 47, 48, 54, 85
Core Learning Opportunities (Under Supervision) – unit based
Participate in preparing for patient discharge /care transfer /handover for example:
Nurse led discharge
Transfer to inpatient ward
You may participate in/ observe/identify (with context related examples)
management of patient discharge
effective handover at shift change
transfer of patient to and from another clinical area e.g. ward
documentation process
discharge process
MDT & other agencies working e.g. district nurse referral/community care
Patient information
Patient education
Patient/family inclusion in planning and decision making
Medicines management e.g. preparation and patient education
The learning opportunities above are mapped against the Professional Values, Essential
Skills in your PLPAD and presented in the box below. This will assist you to identify and
plan for what you could achieve.
Programme and part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 8, 9, 10, 11, 14
BSc Part 2 and PGDip Part 2
1,8, 9, 12, 13 1, 3, 4, 5, 13, 16, 17
BSc Part 3 and PGDip Part 3
1, 2, 6, 9, 10, 13, 14
1, 2, 8, 10,11, 24, 31, 46, 90
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 8, 9, 10, 11, 14
BSc Part 2 (child) and PGDip Part 2
1, 2, 5 -10, 12, 13 1, 4, 5, 13, 16, 17, 18
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 7, 9, 10, 11, 13 1, 2, 8, 11, 16, 25, 47, 91, 92
Core Learning Opportunities (Under Supervision) unit based
Participate in working within a multi-disciplinary team
You may participate in /observe/identify (with context related examples)
Working alongside colleagues during patient interventions in all areas of DSU
Participating in daily team brief
Patient rounds
Theatre etiquette
Observing how and who co-ordinates a theatre operating list
Recognising barriers to communication e.g. facemasks/protective equipment
Communication e.g. documentation
Team dynamics
Referrals to external team e.g. district nursing team/community team
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome Number
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 8, 9, 14, 21
BSc Part 2 (adult) and PGDip Part 2
1, 2, 4, 5, 6, 12, 13 1, 5, 18
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4, 5, 6, 7, 9, 11, 13, 14
2, 16, 17, 20, 24
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 8, 9, 14, 21
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 18
BSc Part 3 (child) and PGDip Part 3
1, 2, 5, 6, 7, 9, 10, 11, 13, 14
2, 16, 17, 21, 25
Specific Learning Opportunities (Under Supervision): recovery and ward area
Participate in the assessment and management of pain, for example:
Gynaecological surgery e.g. hysteroscopy
Orthopaedic surgery e.g. arthroscopy
Paediatrics e.g. prevent pain prior to cannulation
You may participate in /observe/identify (with context related examples):
Assessment of pain by medical /nursing team
Recognising specific analgesia for types of pain
Pain assessment tool
Participate under supervision in administering prescribed analgesia
Monitoring effectiveness of intervention for pain
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 6, 7, 12, 13, 37
BSc Part 2 (adult) and PGDip Part 2
1, 2, 6-13 5, 11, 12, 18, 49, 50, 51, 54
BSc Part 3 (adult) and PGDip Part 3
1, 2, 6, 7, 9, 10 1, 2, 13, 14, 24, 27, 29, 78, 84, 88
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 6, 7, 12, 13, 37
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 5, 10 -12, 18
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 7, 9, 10 1, 2, 13, 14, 25, 28, 30, 79, 88, 90
Specific Learning Opportunities (Under Supervision) ward /recovery based:
Participate in care of the patient / partner during end of life for example:
Pre and Post- surgical management of pregnancy
You may participate in /observe/identify (with context related examples):
Providing psychological support
Patient preparation for theatre e.g. checklist /consent
Dealing with sensitive issues
Symptom control e.g. pain management
Post-operative observations e.g. pain assessment, vital signs, PV loss
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 3, 4, 6, 7, 8, 9, 10, 12, 13, 19, 22, 23, 25, 28, 29
BSc Part 2 (adult) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 5, 6, 7, 10, 11, 12, 16, 17, 18, 22, 33, 48, 49, 50, 51
BSc Part 3 (adult) and PGDip Part 3
1, 2, 6, 7, 9, 10, 13, 14 1, 2, 11, 13, 14, 16, 17, 18, 20, 23, 24, 27, 46, 52, 56, 62, 78, 84, 87, 88
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 3, 4, 6, 7, 8, 9, 10, 12, 13, 19, 22, 23, 25, 28, 29
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 6, 7, 10, 11, 12, 16, 17, 18, 22, 33, 49, 51
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 9, 10, 13, 14 1, 2, 11, 13, 14, 16, 17, 18, 23, 24, 28, 47, 57, 63, 79, 85, 88
Specific Learning Opportunities (Under Supervision) ward / anaesthetics
/recovery based:
Skills / strategies to communicate with patients with cognitive, and / or sensory
impairment
You may participate in (with context related examples):
Sensory impairment e.g. visual, auditory
Non-English speaker
Patient with learning disability
Patient with dementia
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 7, 8, 19
BSc Part 2 and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 5
BSc Part 3 and PGDip Part 3
1, 2, 6, 7, 9, 10, 13, 14 1, 2, 3, 11, 13, 14, 16, 18, 24
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1, 2, 4, 7, 8, 19
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 5,
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 7, 9, 10, 13, 14 1, 2, 3, 11, 13, 14, 16, 18, 25
Specific Learning Opportunities unit based:
‘Shadowing’ to observe the role of other health & social care professionals within the
context of individual patient need:
You may participate in / observe activities undertaken by (with context related examples):
Physiotherapist
Operating Department Practitioner1, 2,
Consultant surgeon
Consultant anaesthetist
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve.
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1
BSc Part 2 (adult) and PGDip Part 2
1, 2, 5, 6, 8, 9, 12, 13 1, 18
BSc Part 3 (adult) and PGDip Part 3
1, 2, 4, 5, 6, 7, 9, 10, 12, 14
2, 24
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 1
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 8, 12, 13 1, 18,
BSc Part 3 (child) and PGDip Part 3
1, 2, 5, 6, 7, 9, 14 2, 25
Specific Learning Opportunities (Under Supervision) Recovery 2 based:
Management of a group of patients under supervision during admission and discharge:
including assessing, planning, implementing and evaluating care.
Part 2 students the opportunity to develop/enhance skills
Part 3 students the opportunity to enhance skills and contribute to Part 3 Practice
Assessment Episode of Care
You may participate in and develop/enhance skills in (with context related examples):
Undertaking admission process e.g. communication, documentation
Preparing the patient for theatre e.g. consent
Participating in nursing interventions e.g. measuring and interpreting observations
Identification and prioritisation of patient needs
Problem solving
Decision making e.g. evidence based
Communication e.g. referrals to District Nurse
Leadership e.g. raising concerns
Delegation (if appropriate)
The learning opportunities above are mapped against the Professional Values and
Essential Skills in your PLPAD and presented in the box below. This will assist you to
identify and plan for what you could achieve
Programme and Part 1, 2 or 3 as per PLPAD
Professional Values statements in PLPAD
Essential Skills PLPAD Outcome
BSc Part 1 (adult) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 N/A
BSc Part 2 (adult) and PGDip Part 2
1, 2, 5, 6, 8, 9, 11, 12,13 1, 3, 4, 5, 6, 7, 9, 10, 12, 16, 17, 18, 22, 33,
BSc Part 3(adult) and PGDip Part 3
1, 2, 6, 7, 9, 10, 13, 14 1, 2, 11, 13, 14, 16, 17, 20, 23, 24, 27, 28, 29, 35, 56, 62, 64
BSc Part 1 (child) and PGDip Part 1
1, 2, 5, 6, 8, 9, 12, 13 N/A
BSc Part 2 (child) and PGDip Part 2
1, 2, 5, 6, 8, 9, 11, 12, 13 1, 3, 5, 6, 7, 9, 10, 12, 16, 17, 18, 22,
BSc Part 3 (child) and PGDip Part 3
1, 2, 6, 7, 9, 10, 13, 14 1, 2, 8, 11, 13, 14, 16, 17, 21, 23, 24, 25, 28, 29, 35, 36, 37 (where appropriate), 38, 39, 40, 41, 42, 57,63, 65
Reflective learning log
This reflective learning log may be used (optional) by you to record learning activity undertaken
during a spoke visit / learning opportunity. It provides you with additional evidence on which to
focus discussion with your mentor as part of formative feedback. Additionally it serves as a reminder
for your personal reflection.
Spoke learning opportunity: ___________________________________
Date / time: ___________________________________
Learning opportunities identified:
Comments / feed forward from practitioner in area:
Practitioner’s signature: _________________________________
Student Reflection Comments:
Student name / signature: ________________________________
Student Placement Evaluation
Please provide the practice team with feedback on your learning experience by answering the
questions below, and make any comments you wish to be considered. Please give this to your
mentor/ward manager/PDN/CPF or PDM/MPF before you leave. Thank you.
Domain 1 - Establishing effective working relationships (NMC 2008)
Did you receive an orientation to the practice placement?
Domain 2 – Facilitation of learning (NMC 2008)
How did you identify and select appropriate learning opportunities?
Domain 3 – Assessment and accountability (NMC 2008)
How were you provided with feedback on your development and progress?
Domain 4 – Evaluation of learning (NMC 2008)
Were you allocated a mentor and how much time did you spend with them?
Domain 5 – Create an environment for learning (NMC 2008)
How did your mentor and the practice team facilitate your learning?
Domain 6 – Context of practice (NMC 2008)
What did you learn about the specific nature of care provided in the placement?
Domain 7 – Evidence-based practice (NMC 2008)
How were you supported in applying an evidence base to your practice learning?
Domain 8 – Leadership (NMC 2008)
How well were your learning needs met?
How could we enhance your learning experience?
Please make any further comments in the box below.
Thank you for taking the time to complete this evaluation
Reference: Nursing and Midwifery Council (2008). Standards to support learning and assessment in practice. Online
available from www.nmc-uk.org
Suggested reading:
Lapham, R. and Agar, H. (2009) Drug Calculations For Nurses (3rd Edition). Hodder and
Arnold: London
Wicker, P. and O’Neil, J. (2006) Caring for the Perioperative Patient. Blackwell Publishing:
London
Useful sites:
DYP Day Surgery: https://www.rcn.org.uk/__data/assets/pdf_file/0009/78507/004_464.pdf
The American Association of Perioperative Registered Nurses
http://www.aorn/org/clinicalfaqs/
The Association of Anaesthetists of Great Britain and Ireland
http://www.aagbi.org/publications/publications-guidelines/A/F
The Association for Perioperative Practice www.afpp.org.uk
The British Anaesthetic and Recovery Nurses Association www.barna.co.uk
The British Association of Day Surgery (BADS) http://daysurgeryuk.net
The National Institute for Health and Care Excellence (NICE)
http://www.nice.org.uk/guidance/
The Royal College of Nursing http://www.rcn.org.uk/development/publications