Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
Hong Kong College of Surgical Nursing
Surgical Nursing Training: Part BSpecialty – Ophthalmological Nursing
Clinical Log Book
Name of Mentee : ____________________
TABLE OF CONTENTS
No. Content Page
1. Particulars of Mentor and Mentee Training Period 4
2. Selection of Elective Specialty 5
3. Introduction 5
4. Aims 5
5. Learning Objectives 6
6. Advanced Practice Level in Ophthalmological Nursing 8
7. Practice Environment (Training Site) – Ophthalmological Ward ,Clinic and Operation Theatre
8
8. Eligibility of Candidate to Enter Training in Ophthalmological Nursing as Mentee
8
9. Guideline for Clinical Assessment 89.1 Domain & Skill-based Competence 99.2 Key Domains of Competency Framework for
Advanced Practice Nurse10
9.3 Mentee Log book 109.4 Mentors 10
10. Level of Competence Assessment 11
11. Generic Core Log 13
12. Mandatory Specialty Log 15
13. Advanced Specialty Case Log 22
14. Personal Contribution Record 23
15 Assessment 24
2
16 Final Verification 24
17. Evaluation 25
18. Appendix 1: Advanced Specialty Case Log SheetAppendix 2: Summary of Competence PracticeAppendix 3: Assessment Form for Surgical Nursing Training
272829
3
1. PARTICULARS OF MENTOR AND MENTEE TRAINING PERIOD
Name of Mentee:
Rank: _________________ HKCSN Associate Membership No.:
No. Training Site Period of Training
1 Clinical Department: General / Specialty: ________
Ward: Hospital: _______________
From: To:
Name of Mentor: __________________________
Fellowship No.: ____________________________
2 Clinical Department: General / Specialty:
Ward: Hospital: _______________
From: To:
Name of Mentor: ____________________________
Fellowship No.: _____________________________
3 Clinical Department: General / Specialty:
Ward: Hospital: _______________
From: To:
Name of Mentor: ____________________________
Fellowship No.: _____________________________
4 Clinical Department: General / Specialty:
Ward: Hospital: ______________
From: To:
Name of Mentor: ____________________________
Fellowship No.: _____________________________
5 Clinical Department: General / Specialty:
Ward: Hospital: ______________
From: To:
Name of Mentor: ____________________________
Fellowship No.: _____________________________
4
2. SELECTION OF ELECTIVE SPECIALTY
Mentees are required to attain the Advanced Surgical Practice in the Generic Core. Since Ophthalmological Nursing is a specific independent specialty that differs from General Surgery such as Gastrointestinal, Colorectal, or Urology, mentees should only require to select Ophthalmological Nursing as the mandatory specialty and no elective specialty is required for mentees to attain.
* Generic Core Mandatory Specialty
- Advanced Clinical Intervention & Case Management
- Advanced Health Assessment- Advanced Pharmacology &
Therapeutics Drugs management- Advanced Physiology, Psychology,
Sociology and Pathophysiology,- Clinical Leadership- Evidence-based Practice- Team Collaboration &
Communication
Ophthalmological care
* Generic Core is mandatory to be signed by Mentor.
3. INTRODUCTION This is a Surgical Nursing Training: Part B Mentee Log Book providing opportunities for Ophthalmological Nurses. Nurses at the advanced practice level qualified as an Ordinary Member of the Hong Kong College of Surgical Nursing (HKCSN), he / she should be able to demonstrate clinical expertise, to equip and benchmark the clinical updated knowledge, analytical skills and critical thinking in providing holistic quality client care. He / she should adopt in-depth knowledge and build on research evidence to make clinical judgment and autonomous decision making. The practice development is mainly through observation and guided practice in caring patient with ophthalmological problems which enhance the competency of nurses working in Ophthalmology Units and maintain a high standard of care in ophthalmological nursing.
4. AIMS4.1 To fulfill the requirement of College in attaining the qualification of Ordinary
Membership in HKCSN. 4.2 To develop the competence of registered nurses in ophthalmological nursing in
order to ensure a high standard of specialized care for ophthalmological clients
5
4.3 To provide interactive learning experience that will encourage nurses to develop the skills of analysis and critical awareness in order to stimulate an inquiry approach to both the theory and practice of ophthalmological nursing
4.4 To develop the nurses’ awareness of relevant evidence-based findings and facilitate integration of these findings into ophthalmological nursing practice
5. LEARNING OBJECTIVESAfter completion of the training, the ophthalmological nurse should be able to:
5.1 Knowledge and application 5.1.1 Obtain and apply the contemporary knowledge and advance practice in
Ophthalmological Nursing with complex, acute, critical problem and chronic Ophthalmological health conditions in different care settings
5.1.2 Perform comprehensive Ophthalmological assessment, physical assessment and health history taking;
5.1.3 Facilitate the choice of operation or treatment to patients
5.1.4 Able to understand the new trend of treatment modality, operation technique and most update on knowledge of diseases
5.1.5 Knowledge on adjuvant treatment related to Ophthalmological cancer
5.2 Therapeutic Nursing intervention
5.2.1 Able to implement individualize care and evaluate the therapeutic nursing intervention
5.2.2 Able to perform pre, peri and post-operative care to patient
5.2.3 Able to identify post-operative complications and apply immediate care accordingly
5.2.4 Able to perform post-operative nursing management with holistic care, to maintain physical and psychological, social and spiritual wellness
5.2.5 Skill on wound management: post-operative wound, wound complication.
5.3 Diagnosis and investigation
5.3.1 Understand the rationale on ophthalmological problem, diagnosis and investigation
5.4 Therapeutic relationship
5.4.1 Enhance therapeutic nurse-client relationship when patient is newly diagnosed with ophthalmological problem
6
5.4.2 Analyze the family or social relationship to identify factors that influence the psychological health of patient in relation with his / her disease
5.5 Care Management
5.5.1 Able to interpret the pathology results and the rationale of related treatment modality
5.5.2 Able to perform ophthalmological patient advocacy to illustrate patients’ need to the professional health team
5.5.3 Participate in ethical decision making and practice
5.5.4 Utilizes appropriate educational strategies, approaches and materials to enable the patient and family to make informed decisions on treatment, investigation and follow up care
5.5.5 Able to respond to the rapidly changing clinical conditions, including the recognition and management of emerging crises
5.5.6 Able to manage the health condition related to ophthalmological cancer
5.5.7 Able to follow the department regimen to the treatment of disease and communicate the follow up with patient
5.5.8 Collaborate with patient and relatives or significant others in treatment planning and decision making
5.5.9 Able to apply critical thinking and work independently to face different ophthalmological conditions
5.6 Multi-disciplinary Teamwork
5.6.1 Collaborate with other members of the health care team
5.6.2 Able to negotiate with the multi-disciplinary team for service development
5.6.3 Consult with or refer to other members of the health care team
5.7 Patient education, health promotion, survivorship
5.7.1 Educate patient and relatives or significant others concerning the demands of treatment of disease, treatment modalities, the possible psycho-social impact of disease onto patient and the responsibility for self-care
5.7.2 Participate in the survivorship service, including support group
5.8 Ethical/ evidence based practice
5.8.1 Incorporate evidence based practice and research into treatment modalities
7
5.8.2 Initiate and lead quality improvement strategies and measures, research and evidence based practice
5.9 People and service development
5.9.1 Provide anticipatory guidance and health promotion in the professional and community context
5.9.2 Develop standards, pathways and protocols
5.9.3 Contribute to the development of nursing care delivery system in advance
5.9.4 Serve as a role model and preceptor/mentor to colleagues and juniors
6. ADVANCED PRACTICE LEVEL IN OPHTHALMOLOGICAL NURSING Ophthalmological nurse at the advanced practice level is qualified as an Ordinary Member of HKCSN who has achieved education of master level and he/she should be able to demonstrate clinical expertise in relation to assessment, diagnosis, management and evaluation in the care of ophthalmological patients and their families. Ophthalmological nurse should possess the competencies reflecting his/her ability to adopt comprehensive, specialized, factual and theoretical in-depth knowledge built on research evidence to make clinical judgment with autonomous decision making. He/she should attain high level of analytical skills and critical thinking in providing holistic care to the ophthalmological patients and their families and involve in decision making process with multidisciplinary health care teams.
7. PRACTICE ENVIRONMENT (TRAINING SITE) – OPHTHALMOLOGICAL CLINIC, OPERATION THEATRE AND WARDThe Advanced Practice Nurse in Ophthalmological Nursing works with the families and carers to care the patient in accordance with their individual health care needs. For the purpose of the training, acute and sub-acute care setting in the hospital should be accredited by the HKCSN and being recognized as training sites for Ophthalmological Nursing care. Mentor(s) in such setting should also be verified by the HKCSN.
8. ELIGIBILITY OF CANDIDATE TO ENTER TRAINING IN OPHTHALMOLOGICAL NURSING AS MENTEE The nurse should have completed the entry requirement for Surgical Nursing Training. Before enrolment to be the mentee, he/she needs to obtain approval for the entry to the training from the HKCSN.
9. GUIDELINE FOR CLINICAL ASSESSMENT Mentees should have a minimum of 500 hours of direct bedside care of surgical nursing
8
in accredited training site(s) within a 4 years’ time span. The clinical experience can be 50% under supervision and with some (at most 50%) in work placement i.e. 50-100% supervised practice, 0-50% work placement.
The definition of supervised practice refers to the experience in which there is an on-site designated appointed mentor who is an Academy Fellow in current practice.Supervised practice guided by log-book includes:- Experiential learning with mentor guidance on-site- Practicum at work/ non-work place with mentor on-site under university
programmePracticum at work/non-work place with mentor on-site under specialty training programme conducted by recognized institution
If the practicum at workplace in which there is no on-site designated appointed mentor, the experience is recognized as a learning component with explicit learning objectives and evidence of learning assessed by a recognized supervisor / mentor.
The theory component of Surgical Nursing Training: Part B – Mentees are required to attain the Generic Core and Mandatory Specialty.
* Generic Core Mandatory Specialty
- Advanced Clinical Intervention & Case Management
- Advanced Health Assessment- Advanced Pharmacology &
Therapeutics Drugs management- Advanced Physiology, Psychology,
Sociology and Pathophysiology,- Clinical Leadership- Evidence-based Practice- Team Collaboration &
Communication
Ophthalmological care
* Generic Core is mandatory to be signed by Mentor.
9.1 Domain and Skill Based Competence Mentee should demonstrate competencies at Advanced Practice Level in Ophthalmological nursing according to the 7 Domains. Scenario reflecting the corresponding competencies of the domains should be well documented. Ongoing assessment and feedback from mentor(s) to mentee are expected to help the
9
mentee identifying his/her strengths and weaknesses, and achieve the expected professional competencies throughout the period of supervised practice. As summative assessment, the assessment will serve as documented evidence certifying that the mentee has achieved the required competence levels.
9.2 Key Domains of Competency Framework for Advanced Practice Nurse Domain 1 Managing clients with complex health conditionsDomain 2 Enhancing therapeutic nurse-client relationshipDomain 3 Demonstrating effective leadership and team workDomain 4 Enhancing quality assurance and improvement Domain 5 Managing and negotiating innovative and effective approaches to care
delivery Domain 6 Enhancing professional attributes of general and advanced practice Domain 7 Enhancing personal attribute
9.3 Clinical Logbook Log book is a record to facilitate the mentor to assess the competence of the mentee and to provide support and guidance to accomplish the training at the advanced practice level as required. Such practice must be supervised by designated on-site mentor(s). There should be an on-going assessment during the training period. The mentor should provide mentee with feedback of his / her performance, record his / her training, experience and achievements in details, and provide extra training in areas of deficiency. It is recommended that mentor and/or mentee should discuss with clinical supervisor to allow rotation within the department and cluster hospitals to meet the mandatory learning items in the Log book. Entries into the Log book should be made from the beginning of the mentee’s supervised practice in a recognized training site. There are mandatory items (*) which indicate the “must know” knowledge in the specialty. 100% mandatory items are expected to be completed. While at least 50% of the non-mandatory items are expected to be completed.
9.4 Mentor(s) Mentor(s) must be Fellow(s) of the Hong Kong College of Surgical Nursing and is/are in current practice in Surgical Nursing. Mentee must be assigned to a designated mentor at the training site. One mentor should supervise no more than 2 mentees at one time. For a hospital / institution where there is no fellow of the specialty / subspecialtyon-site:- A specialist doctor who is in charge of the service can be invited as the
10
mentor of the mentee approved for training- A nurse supervisor, who meets the criteria set out by the College, can be
invited as the mentorThese mentors are to be appointed by the College prior to the start of training. The College is responsible to appoint a Visiting Mentor to meet with the specialist doctor / nurse supervisor regularly to discuss the progress of the mentee.
Responsibilities of Mentor: Provide learning opportunities to the mentee in practicing advanced
ophthalmological care Facilitate the mentee to integrate and apply the knowledge and skills in
providing care to patients and families with acute or chronic ophthalmological conditions
Facilitate and guide the mentee to reflect the advanced practice skills in patient care
Provide on-going feedback on the mentee’s clinical performance and advice on areas for improvement
Facilitate the mentee to exercise professional autonomy during clinical case management
Facilitate and guide the mentee to prepare for Ordinary Membership Exit Assessment
10. LEVEL OF COMPETENCE ASSESSMENT To guide the mentees in achieving their competencies, a FOUR-level Model of
Competence is adopted. The level of competence ranges from Excellent (Level 4) to Deficient (Level 1). The Mandatory items (*) should be achieved 100% and the achievable items should be reached at Level of Competence (2) Satisfactory or above. Non-mandatory items should be achieved 50% and the achievable items should be reached at Level of Competency (2) Satisfactory or above. Mentees are required to log 3 Practice Records and the last practice should achieve the rating at least Satisfactory or above.
11
Rating Scale KeyRating Description
4 Excellent Staff at this level consistently demonstrates highly specialized
knowledge, skills and behavior in a manner which reflects a
superior level of competence. He/she has the forefront of
knowledge in the field of work and is leader with ability to research
and analyze complex processes. He/she is responsible for service
improvement or development, service delivery, and has a leading
education or commissioning role. Performance is independent,
accurate and complete.
3 Good Staff at this level consistently demonstrates knowledge, skills and
behavior in a manner which reflects an above average level of
competence. He/she has a critical awareness of knowledge and is
innovative with responsibility for developing and changing practice
and/or services in a complex and unpredictable environment. Staff
performance requires minimal assistance from mentor.
2 Satisfactory Staff at this level consistently demonstrates knowledge, skills and
behavior in a manner which reflects an average level of
competence He/she requires a critical understanding of detailed
theoretical and practical knowledge, and has management and
leadership responsibilities. Performance requires moderate
assistance from mentor; it is acceptable but needs strengthening.
1 Deficient Staff at this level demonstrates inadequate amount of knowledge,
skills and behavior in a manner which reflects an insufficient level of
competence. Performance requires moderate assistance from
mentor; it is acceptable but needs further strengthening.
NA Not applicable
12
11. GENERIC CORE LOG
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
GENERIC CORE CLINICAL SKILLS IN OPHTHALMOLOGICAL NURSING
1. Manage complex health conditions
*1.1 Demonstrate clinical knowledge and skills in
performing ophthalmological assessment:
- Visual acuity
- Non-contact tonometry
- Pupillary function
- Ocular motility
*1.2Demonstrate knowledge and skills on pre and post- operative care in ophthalmological condition
*1.3Integrate and apply advanced clinical knowledge and skills in performing ophthalmological nursing procedures
*1.4 Demonstrates knowledge and skills in caring patients with ophthalmological emergency
*1.5
Integrate and apply advanced clinical
knowledge and skills in caring patients with
various ophthalmological conditions:
- Disorders of external eye
- Disorders of cornea
- Disorders of uveal tract
- Disorders of lens
- Disorders of choroid and retina
*1.6 Demonstrate knowledge and skills in caring patients with visual impairment or blindness
2. Therapeutic nurse-client relationship
*2.1
Provide counseling, psychosocial support
and relevant information to clients and their
families
*2.2 Communicate, support and facilitate patient to make informed consent for treatment
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
13
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
3 Effective leadership and team work
*3.1
Coordinate multi-disciplines to meet the
individual needs of patient during the course
of treatment to optimize patient outcome
4 Quality assurance and improvement
*4.1Ensure patient safety due to ophthalmological
diseases and during treatment
5. Innovative and effective approaches to care delivery
*5.1
Integrate clinical investigation and assessment data and apply advanced theoretical knowledge to develop , implement and evaluate nursing care plan
6. Professional attributes of general and advanced practice
6.1
Demonstrate expertise in ophthalmology
nursing and act as resource agent for
referrals and advice
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
14
12.MANDATORY SPECIALTY LOG
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
OPHTHALMOLOGICAL CARE
1. Manage complex health conditions
1.1 Demonstrate knowledge and skills in
performing ophthalmological nursing
procedures:
- *Visual acuity
- *Eye dressing
- *Non-contact tonometry
- *Instillation of eye drops
- *Application of eye ointment
- *Eye padding ±bandaging
- *Corneal staining
- *Schirmer’s tear test
- *Epilation of eye lashes
- *Syringing of lacrimal passage
- *Taking conjunctival swab for culture &
sensitivity test
- *Removal of eye lid stitches
1.2 Demonstrate knowledge and skills in
preparing & assisting ophthalmological
investigations:
15
- *Slit lamp examination
- * Indirect ophthalmoscope
- * Contact lens examination
- * Applanation tonometry
- *Computerized B scan
- *Ultrasound Biomicroscopy
- *Optical Coherence Tomography:
Anterior Segment
Posterior Segment
- * Fundal fluorescence angiogram /
Indocyanine Green angiogram
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
1.3 Demonstrate knowledge and skills in
preparing & assisting ophthalmological
treatment:
- * Incision & curettage of Meibomian cyst
- Incision & drainage of abscess
- *Corneal scrapping x c/st, amoeba , fungus
- Removal of corneal stitches
- *Probing of lacrimal passage
- Punctal occulsion
- Suturing
- Subconjunctival injection
- Subtenon injection
- Intravitreal injection
- Anterior chamber paracentesis
- *Removal of corneal foreign body
16
- Nasal Endoscopy
- Photodynamic therapy
- *Laser therapy
- *Bandage contact lens placement
- Electrolysis for trichiasis
1.4Integrate and apply knowledge and skills in
caring patients with:
1.4.1
Disorder of
external eye
*Ptosis
*Entropion
*Dacryocystitis
Orbital tumor
Orbital floor fracture
*Thyroid eye disease
*Excision of lid papilloma /
mass
*Blepharoplasty
*Endoscopic Dacryo-
cystorhinostomy + intubation
Orbital floor fracture repair
Excision of orbital fat
Evisceration
Enucleation
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or above
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st Practice 2nd
Practice3rd
Practice
1.4.2 Disorders
of Cornea
* Keratitis
Keratoconus
Corneal dystrophy
Decemetocele
Immune-related corneal
ulcers
Cross-linking
*Penetrating Keratoplasty
Deep Anterior Lamellar
17
Keratoplasty
Descemet’s stripping
automated endothelial
keratoplasty
Use of Amniotic membrane
Preparation and use of
Autologous serum eye drops
* Eye bank service
1.4.3
Disorders
of Uveal
Tract
Different types of Glaucoma:
- Open Angle
- *Angle Closure
- Normal Tension
- Uveitic
- Congenital
- Secondary
Different types of Glaucoma
surgeries:
-* Trabeculectomy ±MMC
- *Needling ±5FU
- Cyclophotocoagulation
Therapy
- I-stent
- *Intravenous injection of
Diamox
-* Intravenous infusion of
mannitol
- Different types of Uveitis
- Scleritis
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
18
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rating(1-4)
Mentor’s Signature
1st Practice 2nd
Practice3rd
Practice
1.4.4Disorders of
Lens
Different types of cataract:
- Congenital
- Traumatic
- * Senile
- Phacomorphic
Different types of cataract
surgeries:
- * Extracapsular cataract
Extraction
- Intracapsular cataract
Extraction
- *Phacoemulsification
- Scleral fixation
Different types of
intraocular lens:
- Monofocal
- Multifocal
- Toric
- Aniridia
1.4.5Disorders of
Conjunctiva
- * Excision of Pterygium +
Autograft
- Removal of conjunctival
naevus, papilloma or
foreign body
1.4.6Disorders of
Vitro-retina
Different types of retinal
disease:
- * Retinal Detachment
- Retinal pigmentosa
- * Macular degeneration
- * Macular oedma
- * Retinal artery occlusion
- * Retinal vein occlusion
- * Diabetic retinopathy
- * Epiretinal membrane
- * Vitreous haemorrhage
- * Macular hole
19
- Choroidal detachment
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
No Competency Area
Practice RecordRating of
Competence
RemarksDate and Mentor’s
Signature
Rating(1-4)
Mentor’s Signature
1st
Practice2nd
Practice3rd
Practice
Different types of retinal
surgeries:
- *Pars plana vitrectormy
- *Scleral buckling and
encircling
-* Retinal cryotherapy
-* Endolaser
- *Pnematic retinopexy
-* Membrane peeling
- *Silicone oil placement
1.4.7Disorders of
Neurology
-* Optic neuritis
-* Optic neuropathy
- Temporal arteritis
-* Cranial nerve palsy
1.4.8
Disorders in
Paediatric
ophthalmological
condition
- Retinopathy of prematurity
-* Strabismus
- Retinoblastoma
- *Amblyopia
1.4.9
Infections and
inflammation of
visual system
- *Chalazion
- *Blepharitis
- *Acute Conjunctivitis
- *Endophthalmitis
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
20
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
21
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rate(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
1.5 Others *Infection control in
ophthalmology
Ocular trauma & emergencies:
- *Chemical injury
- *Rupture eyeball
- *Intraocular foreign body
- *Penetrating eye injury
- *Laser safety
-* Introduction of slit lamp
-*Pharmacology
-* Orthoptic assessment
- * Optometric assessment
- Electrodiagnostic test
Nurses’role in ophthalmological
setting:
- Out-patient clinic running and
management
- Triage and referral; patient
history and ocular assessment
- In-patient setting
- Pre-admission and pre-
discharge nursing service
- Theatre management in
ophthalmological setting
- *Wound management
- Nursing care of ocular implants
& prosthesis
- * Psychological care for
ophthalmological patients
- * Handling of ophthalmological instruments and equipment- * Principles and methods of disinfection and sterilization- * Commoin
22
ophthalmological terminology and abbreviations- * Evidence-based practice in ophthalmological nursing- * Legal and ethical issue-consent, time out procedure-documentation- * Occupational safety & health in ophthalmological practice
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
23
No Competency Area
Practice RecordRating of
CompetenceRemarks
Date and Mentor’s Signature Rate(1-4)
Mentor’s Signature
1st
Practice 2nd
Practice3rd
Practice
2. Therapeutic nurse-client relationship
*2.1Demonstrate effective counseling and communication skills to enhance nurse-client relationship with patients and families
3. Effective leadership and team work
*3.1
Coordinate multi-disciplines to meet the
individual needs of patient during the course of
treatment to optimize patient outcome
4. Quality assurance and improvement
*4.1Demonstrate patient safety due to
ophthalmological disease and during treatment
5. Innovative and effective approaches to care delivery
*5.1
Integrate clinical investigation and assessment data and apply advanced theoretical knowledge to develop , implement and evaluate nursing care plan
Optimize the resources to facilitate the operations and the provision of an accessible, effective and efficient service
6. Professional attributes of general and advanced practice
6.1
Demonstrate expertise on ophthalmological
care and be a resource agent for referrals and
advice
7. Enhancing personal attribute
7.1Share clinical experience and knowledge with
colleagues
7.2Evaluate own practice and enhance own
nursing knowledge and skills
Notes: * Mandatory items should be achieved 100%. Non mandatory items should be achieved 50%.
Rating 1= Deficient; 2=Satisfactory; 3= Good, 4=Excellent.
In order to pass the competency assessment at ordinary membership level, all items should be achieved at least level 2 or
above
24
13. ADVANCED SPECIALTY CASE LOG
This Advanced Specialty Case Log aims to build up in-depth skill based competencies of mentees in areas of nursing practice specific to Ophthalmological Nursing after the Specialty Log. Mentees should apply critical thinking and evidence based knowledge and skills to each areas of nursing practice that meet the 7 domains of competency as stipulated in the Log Book.
Mentees are required to log at least 5 scenario records from the following Specified Areas of Competency Practice and 7 domains of competency should be demonstrated in the scenario records. Mentors should provide supervision to mentees throughout the care process and it is expected that the competency skills of the mentee improves with the increased experience gained.
Specified Areas of Competence Practice 1 Health assessment, History Taking2 Management of Chronic Diseases3 Management of Acute Diseases4 Pre-operative Preparation of Patients in Various Operations5 Immediate Post-Operative Care Observation / Monitoring6 Different Ophthalmological nursing procedures7 Management of Ocular Emergencies8 Patient Education and Counseling9 Management on Complex Clinical Condition10 Different Ophthalmological Investigations
13.1 Advanced Specialty Case Log Sheet
25
An Advanced Specialty Case Log Sheet (Appendix 1) is designed and prepared to facilitate mentor-mentee discussion on scenario case log.
13.2 Summary of Competence Practice To ensure mentee has attained all the specified areas of competency practice during scenario case logs, mentee has to fill in a Summary of Competence Practice (Appendix 2) indicating the coverage of competence practice from each scenario with the verification from the mentor.
26
14. PERSONAL CONTRIBUTION RECORD
To demonstrate personal attributes, mentees are recommended to record their outstanding and remarkable experience contribution to the significant outcomes during the discharge of nursing practice.
Date Significant Contribution Remarks
_______________________ ________________________Mentee’s Signature Mentor’s Signature
_______________________ ________________________Date Date
27
15.ASSESSMENT
Mentee should be assessed periodically at half yearly during the 4 years’ of clinical practice with the Assessment Form for Higher Surgical Training (Appendix 3).
16.FINAL VERIFICATION
This is to verify that _________________________ (Name of Mentee) of HKCSN
Associate Membership Number ______________________ has completed the period
supervised practice from ___________ (dd/mm/yy) to ____________ (dd/mm/yy)
in the training post as approved by the HKCSN.
___________________________ _______________________
Mentor’s Name and Signature Date (dd/mm/yy)
28
17. EVALUATION
Evaluation is to be completed by the Mentor for recommending the mentee to attend Certification Examination leading to the award of HKAN Ordinary Membership
Please tick () in the appropriate boxes belowEvaluation
Competence Areas Grading Demonstrated Competency Practice in
Specific Areas (1-10, please
specify)
Demonstrated Competency
Domain (1-7, please
specify)
RemarksPass Fail
1. Generic and Special Log1.1 Mandatory
achieved 100% with
competency level 2 or
above
NA NA
1.2 Non-mandatory
achieved 50% with
competency level 2 or
above
NA NA
2 Advanced Specialty Case Log 2.1 Scenario 1
2.2 Scenario 2
2.3 Scenario 3
2.4 Scenario 4
2.5 Scenario 5
Overall Grading
29
Recommendation: □ Recommended to attend membership certification examination leading to the award of
HKAN Ordinary Membership
□ NOT Recommended to attend membership certification examination leading to the award of HKAN Ordinary Membership
Overall Comments (use addition sheet if necessary) :
Name and Signature of Mentee Name (Block Letter) :______________________
Signature : _______________________________Membership Number: _____________________
Date:
Name and Signature of Mentor Name (Block Letter) :______________________
Signature : _______________________________Fellowship Number: _______________________
Date:
Endorsement Chairman of Examination & Accreditation Committee
□ Endorsed □ Not endorsed
Name (Block Letter) : ______________________
Signature : _______________________________
Date:
30
31
18. APPENDIX 1
Advanced Specialty Case Log Sheet
This Log Sheet is used for Scenario Case Log. Mentee could supplement with additional sheet if required.Date
Patient Information Initial / Episode No. _______________
Sex / Age : _______________________ Ward : _________________
Diagnosis : __________________________________________________
Clinical Background : _________________________________________
Psychosocial Background : ____________________________________
Intervention/ Management/ Education provided
Reflection / Learning
______________________ ________________________Mentee’s Name & Signature Mentor’s Name & Signature
_______________________ ________________________Date Date
32
18. APPENDIX 2
Summary of Competence Practice
Please tick ‘’ in the appropriate boxes below
Demonstration of CompetenceScenario Case Log Remarks
Case
1
Case
2
Case
3
Case
4
Case
5
1 Health assessment, History taking,
2 Management of Chronic Diseases
3 Management of Acute Diseases
4 Pre-operative Preparation of Patients in
Various Operations
5 Immediate Post-Operative Care Observation /
Monitoring
6 Different Ophthalmological Nursing
Procedures
7 Management of Ocular Emergencies
8 Patient Education and Counseling
9 Management on Complex Clinical Condition
10 Different Ophthalmological Investigations
Domains of Competency1 Managing clients with complex health
conditions
2 Enhancing therapeutic nurse-client
relationship
3 Demonstrating effective leadership and team
work
4 Enhancing quality assurance and
improvement
5 Managing and negotiating innovative and
effective approaches to care delivery
6 Enhancing professional attributes of general
and advanced practice
7 Enhancing personal attribute
Date & Signature of Mentee
Date & Signature of Mentor
33
18. APPENDIX 3
HONG KONG COLLEGE OF SURGICAL NURSING
ASSESSMENT FORM FOR SURGICAL NURSING TRAINING (6 MONTHLY)
Name of Mentee: Training Period From: To:
Date of commencement of Surgical Nursing Training: ____________________________
Hospital: Specialty in Training:
No. of Days absent Reason for absence (e.g. holiday / study leave / others)
Guidelines for Mentor : Please enter your number (scored 1-4) in the column provided, which best reflects
your assessment using the prompts as a guide. Each column must contain a number. Please note that
explanatory comments would be required for a score of 1 and 4 in “Overall Rating” of the performance.
UNSATISFACTORY = 1 SATISFACTORY = 2 ABOVE AVERAGE = 3 EXCELLENT =4
RATING UNSATISFACTORY SATISFACTORY EXCELLENT
(A) CLINICAL SKILLSAssessment
History / Examinations
Incomplete or inaccurate
Poorly recorded
Poor basic skills
Usually complete, orderly
and systematic
Precise, thorough
and perceptive
Oral Presentation Jumbled / disorganized Usually satisfactory Well organized
Systematic / focused
Use of Investigations Inappropriate, poor ability to
Interpret and apply data in
clinical management
Can utilize X-rays /
understand results
Almost always best
utilization of tests.
Excellent at
interpretation.
Judgment Fails to grasp significance
of findings or respond
accordingly. Under or
overreacts to emergencies.
Reliable, Competent
under pressure. Asks for
advice appropriately.
Outstanding clinicians,
who is aware of his / her
limits.
Post-operative Care Disinterested. Fails to
notice complications and
act appropriately
Conscientious. Good
awareness of
complications. Reliable
follow-up
Excellent care. Notices
problems early.
Outstanding in follow-up.
(B) TECHNICAL SKILLS
34
Bed-side care Too hasty or too slow.
Slow learner. Poor hand /
eye coordination.
Good hand / eye
coordination. Sound skills
for level of training
Excellent and unusual
ability at bed-side care
Independent
procedures
Rough, “Near enough is
good enough”. Hesitant
Mastered basic skills
Well ordered approach,
careful
Outstanding technician
As procedure assistant Fails to follow the operation Follows the operation with
guidance from the operator
Anticipates the needs of
the operator
35
(C) ACADEMIC PERFORMANCE Knowledge of Subject
Poor knowledge base.
Significant deficiencies or
poor perspective
Adequate fund of
knowledge
and relates it satisfactory
to
patient care.
Outstanding knowledge
of the subject. Knows
common areas in depth.
Aware of the unusual.
Case presentations Wordy or inaccurate on
history, signs or diagnosis.
Poor discussion.
Competent, concise and
correct on clinical details.
Good deductions.
Accurate and succinct
case presentation, good
perspective in case
discussions.
Learning Little evidence of reading
texts or journals. Needs
direction to study.
Reads appropriately, asks
for information and follow-
up.
Always keen to discover
new knowledge, Takes
extra courses.
Teaching Avoids if possible. Poorly
prepared, poorly delivered.
Competent and well
prepared in teaching
others.
Enthusiastic teacher.
Logical and clear.
Can inspire.
(D) ATTITUDES Communication
with patients
Bad listener and
communicator. Disliked by
patients. Increases patient
anxieties.
Listens well, explains well.
Trusted by the patient.
Excellent rapport.
Inspires confidence.
Patients delighted to be
looked after by him / her.
Cooperation with staff Refuses to help out.
Poor relationship with
peers
and may undermine.
Good rapport with
colleagues
and medical staff.
Willing to help.
Always willing to help
even if personally
inconvenient. Diffuses
any problems in the
team.
Self motivation
Organization
Idle, lacking in any work
enthusiasm. Behind with
letters or summaries.
Hard-working, keen to
learn,
self-organizes waiting list.
Full of energy.
Performances go
far beyond the “call of
duty”.
Reliability
Punctuality
Poor time management.
Forgets to do things.
Unreliable
Dependable. Efficient in
use
of his / her time
Highly conscientious.
Always completes tasks
and anticipates well.
Stress Response Copes poorly.
“Disappears” when
problems arise
Responds appropriate,
seeks help when needed,
copes well.
Thinks ahead, still
efficient
“when the going gets
tough”.
Seems to thrive on
pressure.
36
Acceptance of criticism Responds poorly to
criticism. Angry. “Turn off”.
Adequate response. Works
to correct the problem
area.
Prompt response,
marked improvement
and positive change.
RESEARCH ACTIVITIES DURING CURRENT TERM: Continuing Research 1. No current research project
(Circle appropriate number) 2. Research project in progress
3. Active researcher, demonstrated flair for research, original ideas
Research Requirement satisfied: YES / NO / not applicable
Publications 1. No current project
(Circle appropriate number) 2. Project in process of being prepared for submission for publication
How? Meeting: Date: (Please specify) Title of Presentation
Publication(s) Reference (including date)
COMPETENCY ASSESSMENT: Mentees are required to submit this half-yearly assessment form. Mentees are also required to KEEP a duplicated copy in their Log book during the entire higher training. The respective training rotation will not
be recognized if the mentees fail to submit the outstanding documentation by the deadline.
OVERALL RATING (place appropriate number in boxes provided)
UNSATISFACTORY = 1 SATISFACTORY = 2 ABOVE AVERAGE = 3 EXCELLENT =4
Overall Rating Log Book Statistics
SUMMARY REPORT ON TRAINING PROGRAMME
Assessment Period 1st / 2nd / 3rd / 4th / 5th / 6th / 7th / 8th (6 monthly) (circle or write appropriate
number)
ADDITIONAL / EXPLANATORY COMMENTS (If insufficient space attach separate document)
Feedback to mentee in area with score less than 2 & suggestion for improvement
37
38
RECOMMENDATIONS REGARDING FUTURE TRAINING Date : (Circle appropriate number)
1. Mentee should continue in Training Position.2. Continued position in training programme in doubt due to identified deficiencies.3. Mentee should be removed from training programme because of deficiencies that have
not been rectified.
Signature of Supervisor / Mentor Print Name
Mentee’s Signature I have sighted this assessment YES / NO
Important Note: Mentees should ensure that this higher Mentee Assessment form together with a copy of the Log book summary and Log book summary report are distributed as follows:
1. Original assessments, Log book summary forms and report, and competency assessment forms should be submitted to the Accreditation Committee through your supervisor / mentor. The Secretariat of the Hong Kong College of Surgical Nursing at LG1, School of Nursing, Princess Margaret Hospital, 232 Lai King Hill Road, Lai Chi Kok, Kowloon, Hong Kong.
2. Copies of the above should be made and retained by the mentee for his / her personal record of curriculum.
3. A score less than 2 in any category will be discussed by the Accreditation Committee, Hong Kong College of Surgical Nursing.
39
40