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The School Of Nursing And Midwifery.

Pre–Registration Postgraduate Diploma in Nursing (Adult)

CLINICAL SKILLS PASSPORT

Student Details

NAME:

COHORT:

I understand that this booklet may be reviewed by my mentor, the programme leader, my personal tutor, the UoS link tutor , the learning environment manager, the external examiner and all subsequent mentors.

Signature of Student Date

CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. PRPGDip Nursing (Adult)

JH2017 2

Guidelines on the use of this document This document is designed to help you direct your learning in relation to your clinical skills development and assist you in keeping a record of your progress. It is a compulsory part of the summative assessment of practice documentation and should be used to provide additional evidence at your progress reviews at the intermediate and final interview of each practice learning experience. It should be completed by the end of the programme. It lists the core skills expected to be achieved by all students during the programme that may not be included in the assessment of practice record. The list of skills is not exhaustive; in recognition of this fact, a section is included for you to add any skills unique to your personal learning experiences. You can initial and date each skill at Level 1 when you have been instructed in or observed the skill. This can take place either in the School of Nursing or in practice. Levels 2, 3 and 4 must be initialled and dated by a Registered Nurse in practice:

Level 1: You have been taught the skill in School or observed the procedure in the practice setting Level 2: You have participated in the skill under direct supervision Level 3: You have consistently performed the skill safely on a number of occasions and required minimal supervision Level 4: You can consistently perform the skill safely and competently, giving the rationale for your actions

PLEASE BEAR IN MIND THAT APPROPRIATE LEVELS OF SUPPORT ARE REQUIRED FROM A FIRST LEVEL REGISTERED NURSE FOR EACH UNIT WHEN USING THIS DOCUMENT. It is expected that, when performing each skill, you exhibit not only the skill element but also demonstrate that you have a sound knowledge base and understand the underlying principles, making reference to national and local policies as appropriate.


JH2017 3

First Level Registered Nurse Signature Register

Print Name Clinical Area Job Role Signature Contact Telephone

Number


JH2017 4

Mandatory Training Record

Year 1 Year 2

Date Signature Date Signature

Fire Safety

Patient Safety

Personal Safety

Basic Life Support

Moving and Handling -Theory -Practical

Infection Prevention and control -Handwashing

Equality and Diversity

Information Governance


JH2017 5

Breathing

SKILL

1

2

3

4

Assess individuals’ breathing and patency of airway

Monitor and record peak flow & act appropriately

Maintain safe administration of oxygen as prescribed

Monitor and record expectorant

Obtain sputum specimen and send for analysis

Correct disposal of sputum secretions

Assist and monitor clients receiving nebuliser therapy

Demonstrate and support patients in the use of correct inhaler technique

Provide psychological support to the breathless client

Collaboratively work within the Multidisciplinary team (MDT) to provide assessment and care for people with breathing problems


JH2017 6

Vital Signs

SKILL

1

2

3

4

Complete relevant track and trigger charts, report findings and treat accordingly

Demonstrate the ability to monitor and record Blood Glucose, recognise abnormalities and respond appropriately.

Assist in the recording of an Electro Cardiogram (ECG)

Recognise deteriorating patient and responds appropriately : 1. A – E assessment 2. Cardio Pulmonary Resuscitation (CPR) 3. Anaphylaxis

Recognises the causes of Deep Vein Thrombosis (DVT) and takes appropriate action in prevention, in conjunction with the MDT

Can recognise and appropriately manage anaphylaxis


JH2017 7

Pain Assessment and Management

SKILL

1

2

3

4

Effectively uses pain assessment tools and responds appropriately to findings.

Administers pharmacological and non-pharmacological treatments following policies and procedures

Monitors effectiveness of the treatment for pain

Refers to appropriate members of the MDT for pain management advice


JH2017 8

Preparation of Patients undergoing Investigations and/or Interventions

Skill

1

2

3

4

Provides psychological and emotional support to patients and their significant others prior to undergoing procedures.

Provides effective monitoring and care of patients in the post-operative /procedure phase.


JH2017 9

Pressure Area care

SKILL

1

2

3

4

Demonstrates the ability to utilise relevant risk assessment tools used within the workplace

Demonstrates the ability to inspect skin and recognise any changes that suggests tissue damage and can grade this appropriately

Produces a comprehensive plan of care from findings of the assessment

Delivers a variety of interventions to effectively deliver pressure relieving care

Evaluates and records effectiveness of care intervention

Demonstrates understanding of working with the MDT by seeking advice from, or referring patient to, Tissue Viability Specialist.


JH2017 10

Infection Prevention and Control

SKILL

1

2

3

4

Can recognise signs of infection and respond appropriately

Demonstrates correct handwashing procedures.

Makes appropriate use of all PPE (Personal Protective Equipment) as required

Disposes of clinical and non-clinical waste and soiled linen according to local policy and IPC procedures.

Promotes correct Infection Prevention Control (IPC) practice amongst Patients, Visitors and Colleagues

Assesses the needs of the infectious person or people and applies appropriate isolation techniques

Applies knowledge of exposure prone procedures and takes appropriate precautions and actions.

Works effectively as part of the MDT when faced with issues that could impact on IPC procedures e.g. lack of isolation facilities or confused or critically unwell patients that require isolation due to infection.

Initiates and maintains appropriate measures to prevent and control infection according to rate of transmission of micro-organisms in order to protect service users, members of the public and other members of staff

Demonstrates the safe handling of sharps following policies and procedures

Is able to describe the process for reporting needle stick injuries


JH2017 11

Wound Care

SKILLS

1

2

3

4

Assesses simple wounds using relevant tools and documentation to recognise signs of healing or complications

Reports to and works with other members of the MDT e.g. Tissue Viability or Wound care teams in the complex care of wounds.


JH2017 12

Personal Cleansing and Dressing

Skills

1

2

3

4

Demonstrate the ability to assess, plan, implement and evaluate care for a range of clients who are unable to cleanse or dress independently

Assists patients to maintain their oral hygiene

Provides support and encouragement to the client requiring assistance with cleansing and dressing and enables them to be as independent as possible, whilst maintaining dignity and privacy.

Demonstrates the ability to segregate laundry following local policies and procedures


JH2017 13

Eating and Hydration

Skill

1

2

3

4

Utilising appropriate assessment tools e.g. MUST scoring makes a comprehensive assessment of clients’ needs in relation to nutrition and hydration and acts appropriately to findings

Accurately monitors and records nutritional intake on appropriate charts and acts on any changes or inadequate intake.

Accurately monitors and records fluid intake on fluid balance charts and reports when intake/output is above or below requirements.

Assists patients into a position that is suitable for eating and drinking, taking into account any health conditions/needs they may have.

Assists and encourages clients with feeding and drinking as required, maintaining dignity and promoting independence where possible.

Communicates with the MDT (Dieticians, SALT’s) to construct a plan of care based on the information gained from the monitoring.

Effectively uses nausea assessment tools and responds appropriately to findings, administering medication if prescribed

Monitors effectiveness of the treatment for nausea

Assesses clients’ who are unable to take oral diet and fluid and plans, implements and assesses care for

Nasogastric feed PEG feed Enteral feed Parental feed

Checking position and patency of the tube and correct type of feed and rate to be administered, in these instances.

Understands the risks associated with dysphagia and can deliver appropriate care to minimise the risks.


JH2017 14

Elimination

Skill

1

2

3

4

Establish client’s usual pattern and nature of elimination and reports any changes.

Assist Clients to use Bed Pan Urinal Commode Toilet

Whilst promoting independence and maintaining privacy and dignity

Cares for clients with indwelling catheters Empty’s catheter bag as required Monitors urine output

Monitors and records bowel action, and uses Bristol Stool chart to monitor for any abnormalities

Can perform urinalysis and document and report findings correctly

Can obtain urine samples following correct procedure in the following instances: Mid stream urine (MSU) From an in-dwelling catheter 24 hour urine collection

Responds appropriately to any detected abnormalities and reports to appropriate person.


JH2017 15

Medicines Management

Skill

1

2

3

4

Demonstrates the ability to read a medicines prescription chart effectively

Safely disposes of equipment following administration of medications as per health and safety requirements

Correctly records medicine administration and at the appropriate time

Records any problems with administering medications, including omissions, in the appropriate documentation

Understands the process of ordering, receiving, storing and disposal of medication safely in Primary Care Secondary Care

Understands the process of ordering, receiving, storing and disposal of controlled drugs in Primary Care Secondary Care

Can competently carry out drug calculations Under direct supervision for Tablets and Capsules Liquid medicines Injections

Can recognise and report adverse drug reactions and near misses

Can demonstrate how to look up formulary of medicines to ensure safe administration

Can work with MDT to ensure Medicine Management works effectively

Understands the principles and can administer medications under Patient Group Directives


JH2017 16

Intravenous Therapy

Skill

1

2

3

4

Monitors and assesses clients receiving Intravenous Fluids

Under direct supervision of the Registered Nurse, assists in the reading of prescription for, selection of IV fluids and assembling equipment, prior to infusion being initiated by the Registered Nurse.

Utilises appropriate assessment tools to assess the exit site of invasive devices for any potential problems. E.g. VIP score (Visual Infusion Phlebitis)

Safely removes peripheral IV cannula and disposes of it appropriately.

Understands and follows correct national and local procedures regarding the collection of blood and blood products, under close supervision

Understands and follows correct national and local procedures regarding the storage of blood and blood products, under close supervision

Monitors the patient receiving blood and blood products before, during and after the procedure

Can identify signs and symptoms of a blood or blood product adverse reaction during or after administration and reports this appropriately.

Safely disposes of equipment following administration of blood or blood products


JH2017 17

End of Life Care (EoL)

Skill

1

2

3

4

Recognises when a patient is nearing the end of their life

Assists in the development of the End of Life Care pathway

Contributes to the assessment, planning, implementation and evaluation of care for clients who are at EoL, recognising and respecting their individual beliefs and values. This should include:

Symptom recognition and management Advanced care planning

Provide psychological support for clients who are at EoL and their significant others

Liaise with other member of the MDT McMillan Nurse Hospice team Voluntary Services Clinical Nurse Specialist

Communicate appropriately with patients at EoL and their relatives/carers

Follows local policies and legal requirements in relation to care of the deceased person

Can provide appropriate support to bereaved relatives/significant others


JH2017 18

Mobility

Skills

1

2

3

4

Can complete, act upon and review moving and handling risk assessments

Encourages individuals to play an active role in moving and handling procedures, according to their level of ability

Can complete falls risk assessments and plan action to reduce risk as appropriate

Completes relevant incident forms/documentation following a fall


JH2017 19

Health Promotion

Skills

1

2

3

4

Can identify behaviours that can have an impact on health

Participates in health screening as appropriate.

Supports people with long term conditions to manage their condition, providing education as appropriate


JH2017 20

ADDITIONAL SKILLS

Skills 1

2

3

4


JH2017 21

ADDITIONAL SKILLS

Skills 1

2

3

4

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