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PRACTICE SUPERVISOR & PRACTICE ASSESSOR - TRANSITION FOR MENTORS
NMC (2018) Part 2: Standards for Student Supervision and Assessment
Adapted for use in Leeds Practice Placement circuit June 2020
Developed by PAN Midlands Yorkshire and East Practice Learning Group for use and amendments under the Creative Commons licence. Details at
https://creativecommons.org/licenses/by-nc-nd/3.0/
June 2020 the MYEPLG now included members for the north east and is called Midland, Yorkshire North East and East Practice Learning Group (MYNEEPLG)
1. Understanding of the Practice Assessor (PA), Practice Supervisor (PS) and Academic Assessor (AA) roles
2. How to support student in practice including considerations to equality and diversity and reasonable adjustments.
3. Demonstrate knowledge about the Practice Assessment Document to support objective student assessment and progression.
4. Illustrate ways in which the role can be used for your own CPD/revalidation.
In addition to the traditional 3 year University based student nurses
New learners:
Associate/ assistant practitioner roles - employer led; in- house
Nursing Associates – NMC regulated (education; practice standards; register; code) – employer “owned” – known as TNA (trainee nursing associate)
Apprentice Nurses - 4 years; same curriculum and NMC standards as traditional student nurses – employer “owned” – known as DNA (degree nurse apprentice)
Other health apprentices –non nursing
E – Pad Midland, Yorkshire and East – new PADs to reflect new standards on Pebblepad – for ALL nursing students
Practice
Supervisor
• Any registered healthcare professional after preparation • Continuity needed to measure student progress • Can assess some skills / outcomes and will feedback to Practice
Assessor on the student • Expectation that all RNs and MWs in Leeds will take on this role following
preceptorship
Academic Assessor
Practice Assessor
• NMC registered (not field specific): RN for nursing student, RM for midwifery student, can be RN or Reg NA for TNA
• Current, suitably prepared and supported • Must observe student in practice • Assess and confirm achievement • Do not supervise and assess the same student • Expectation that current up to date mentors in Leeds will take on this
role once prepared
• Academic staff, NMC Registered, not field specific • Current, suitably prepared, supported • Collate and confirm achievement in practice in
conjunction with PA to enable student to progress to next stage of the programme
• University lecturers in Leeds
Students may work with multiple Practice Supervisors.
Practice Supervisors will feedback to students Practice Assessor who will make assessment decision.
Practice Assessors will liaise with Academic Assessors to make decision on students progression to the next stage.
Example
Placement
Potential Benefits of New Roles
Improves interprofessional working
Supporting student learning becomes everyone's responsibility
Separates supervision and assessment roles
Everyone will have an input into assessment = increased consistency in judgements
You can be both a practice supervisor and a practice assessor, but not to the same student
Less prescriptive e.g. end of 40% mentor student working & Sign off mentor requirement
• Conduct assessments and ensure assessment decisions are
informed by feedback from practice supervisors Conduct
• Make and record objective, evidence based assessments on conduct, proficiency and achievement, drawing on records, observations, student reflection and other resources
Make and record
• Maintain current knowledge and expertise relevant for proficiencies and programme outcomes Maintain
• Work in partnership with academic assessors to evaluate and recommend progression Work in
• Have sufficient opportunities to periodically observe the student across environments Opportunities
• practice supervision ensures safe and effective learning experiences that uphold public protection and the safety of people
• all students on an NMC approved programme are supervised in practice by NMC registered nurses and midwives and other registered health and social care professionals
Safe and Effective
• there is sufficient coordination and continuity of support and supervision of students to ensure safe and effective learning experiences
• the level of supervision provided to students reflects their learning needs and stage of learning
Support and Supervise
• support and supervise students, providing feedback on their progress towards, and achievement of, proficiencies and skills
• Appropriately raise and respond to student conduct and competence concerns and are supported in doing so
Raise Concern
• Collate and confirm student achievement of proficiencies and programme
outcomes in the academic environment
• Has understanding of the student’s learning and achievement in practice
Collate and Confirm
• Make and record objective evidence based decisions on conduct, proficiency and achievements and makes recommendations for progression
Make and record
• Work in partnership with a practice assessor to evaluate and recommend the student for progression for each part of the programme
Work in
• Enables scheduled communication and collaboration between academic and practice assessors Communication
• Students must take a key role in their supervision and assessment in practice Engagement
• Prepared for and have a sound understanding of the proficiencies they need to achieve Prepared
• Actively encouraged to seek out practice supervisors to support their learning and encourage feedback to be recorded in their PADs
Feedback and Documentation
• Be aware of their nominated PA and AA from the beginning of the placement
Be Aware
• Know which person they should speak to in the practice area if they have concerns
Raise Concern
I am currently a Mentor on mentor register do I need to still update myself and continue with triennial review ?
Yes ! Because:
From September 2020 Year 1 and Year 2 nursing students and some Trainee Nursing Associates at both Leeds Uni (TBC) and Leeds Beckett will move onto the new standards for supervision & assessment in practice so will need PAs and PSs and As
Year 3 student nurses and some TNAs during September 2020 - 21 will run out on the old standards so will need Mentors and Sign off mentors
Current mentors who are up to date may become Practice Assessors once they have been prepared on the new standards. This will be recorded as a Practice Assessor on the Mentor register
My colleagues are currently on a SLIP programme (or applying for one) – are they wasting their time? No! Because:
Current SLIP programmes at Leeds Uni and Leeds Beckett have been mapped against new PA standards so will prepare mentors to be both mentors and PAs
Eventually SLIP will be replaced with a Practice Assessor programme
Guided participation
in care and
performing with
increasing confidence
Active participation in
care, minimal guidance,
performing with
increased confidence
and competence
Practising
independently with
minimal supervision,
leading and
coordinating care
with confidence
Knowledge Skills Attitude and values
Assessment of
each component of
MYE PAD
Yes or No End Part 1
End Part 2
Knowledge
Skills
Attitude
End Part 3
Equality Act 2010
Protected Characteristics
Reasonable adjustments to support learning and assessment in practice
Legal standards of competence (e.g. NMC specified hours in practice) cannot be adjusted
Standards of competence must be achieved to ensure patient safety
ONE PRACTICE ASSESSMENT DOCUMENT (GENERIC STANDARDS)
Adult
Children’s
Learning
disabilities Mental
Health
THE PAN PRACTICE ASSESSMENT DOCUMENT ( E - PAD)
Practice Assessment Document Part 1,2,3
Ongoing Achievement Record
Introduction/
Orientation
Interviews
Initial, midway, final
Professional Values
Episodes of Care - Reflections
Service User Carer Feedback
Skills
1 2
3
Assessment Framework
Guided Participation
Practising independently with minimal supervision
MYEPAD /OAR: documentation and assessment
Practice Supervisor
Completes:
• Can complete initial interview per placement
• Mid-point professional values
• Contributes to assessment of proficiencies based on scope of practice in liaison with the Practice Assessor
• Signs off Service User Feedback
• Provides feedback interprofessional working page
Practice Assessor
Completes:
• Can conduct/ confirm initial interview per placement
• Mid-point and final interview per placement
• Assessment and confirmation of proficiencies
• Final professional values per placement
• Episode (s) of care
• Medicines Management
• Completes OAR at end of each placement & progression point
Academic Assessor
Completes: Action Plan (if required and with Practice Assessor) Signs off Final Interview if required Signs off OAR at end of each placement and progression point
What should you do if you are concerned about:
• Performance
• Absence
• Conduct
• Potential fitness to practice
• Communication – student & link lecturer
• Documentation
• Adherence to timeframes ?
What should a student do if they are concerned about practice they have witnessed?
Speak to mentor or lead person for placement
If apprentice, raise with manager internally
Discuss with academic staff in University (personal / course tutor)
Follow Leeds “Managing Perceived Unsafe Practice or Risks to Student” flow chart
Managing perceived unsafe practice or risks to student
learning in practice Version 13: 26/01/20 for review 26/01/21Student witnesses unsafe/ concerning
practice either on placement, while working as an agency worker or
working as a nursing apprentice/
nursing associate apprentice
Reported to /
discussed with academic staff in
University
(Personal / Course tutors)
Obtain statement from student. Incident to be
investigated by University and /or Placement Providers as appropriate – involve both the
individual placement area concerned, and the
placement PLF or equivalent ***
No further action
Matter
resolved
YES
NO
Student speaks to Practice
Assessor, Practice Supervisor / Mentor or lead for placement.
If they are an employee they
raise with manager and resolve internally
University of Leeds – student
to inform Placement Unit or Programme Lead,
Leeds Beckett to inform the
Practice Support Tutor or
Academic Practice Lead for
Pre-Registration Nursing
EITHER
AND/
OR
Practice Assessor, Practice Supervisor / Mentor or placement
team have serious concerns about the practice or behaviour of a student – this may be linked to a specific incident. Expectation that
placement will risk assess and send student home/ alert police
and safeguarding as necessary, as they would a member of staff.
During office hours
Out of office hours
University of Leeds: Contact the 24
hours security 0113 343 5494/5 (non-emergencies) message to be given to
Director of Practice
Placement responds to any Security advice/
instructions. Director of Practice/ Programme/ Course leads to be notified during working
hours via normal emergency response
protocol and action to be determined with placement partners as above***
Inform Practice Placement Unit who will inform
Director of Practice/ Programme Lead/ Course Lead, liaise with placement to agree action ***
UNIVERSITY OF LEEDS
Leeds Beckett University: As part of
the Student Crisis Protocol – contact the 24
hour Security response line on 0113 812 6666
– Course Leader to be informed
Practice Placement Unit: office
hours Reception: 0113 3431375
If you have diff iculties contacting a specif ic
member of staff at any partner University or are
unsure w ho to contact please contact the PPU
(School of Healthcare, University of Leeds).
Contact details are also available on
w w.practiceplacements.leeds.ac.uk
Additionally – if this is a student on an agency
shift, follow agency reporting procedure.
***Determine if this is a Safeguarding
concern – report accordingly. Consider
severity, impact on Educational Environment, and
therefore NMC Exceptional Reporting. Also consider CQC reporting. HEI reporting to NMC must go via
the appointed official correspondent.
However – any individual member of the public can
also report concerns directly to the NMC and/or
CQC.
Partner Universities within shared placement circuit also to be informed
Take time to give feedback
Think about the structure first
Focus on the positive but also highlight what can be improved
Give specific examples to illustrate the feedback and make it objective
Be non judgemental
Give the learner time to respond
Link to assessment criteria / expected level of progress if possible
Are there any issues for you in giving feedback?
Student A is in the middle of her programme of study. She has been in the placement where you are the Practice Assessor for four weeks. Her Practice Supervisor has raised some concerns regarding her competence with some skills following several learning opportunities and she has failed these. As the PA you arrange to discuss this with her.
• What communication and interpersonal skills would you need to demonstrate?
• What do you need to address?
• What would you do after the discussion?
• What information do you need to share with or obtain from discuss with the Academic Assessor?
Student B is at the beginning of his programme of study. He has already undertaken a six week placement. He started in placement where you are the Practice Assessor two weeks ago. His Practice Supervisor reports to you that members of the team have seen him using his phone frequently and seems to have limited professional boundaries with patients/service users.
• What would you do as the Practice Assessor?
• Who would you liaise with?
• How would you monitor the student?
• What information do you need to discuss with the Academic Assessor?
After this session take some time to reflect on how this new role will impact on your current way of working
Add this reflection to your certificate of attendance from this session.
Ensure you evidence your work with learners within your revalidation documentation.
This workshop equates to two hours of participatory CPD
You are required to complete an update each year
Triennial Review documentation will now be part of the revalidation process
Pan Midlands Yorkshire and East Practice Learning group website www.myeplg.ac.uk
NMC SSSA Supporting Information on their website
www.nmc.org.uk/supporting-information-on-standards-for-student-supervision-and-assessment
University of Leeds and Leeds Beckett University placement website https://practiceplacements.leeds.ac.uk/ - click on Nursing and Midwifery
Your Link Lecturer
Your organisation’s Practice Learning Facilitator(s) or Practice Learning Team