September 2011 Cohort - Northumbria · PDF fileSeptember 2011 Cohort YEAR 2 ASSESSMENT OF PRACTICE SUBMISSION DATES: Trimester 1 07 January 2013 Trimester 2 22nd April 2013 Trimester

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School of Health, Community and Education Studies

BSc (Hons) Nursing Studies/Registered Nurse

MENTAL HEALTH BRANCH

September 2011 Cohort

YEAR 2

ASSESSMENT OF PRACTICE SUBMISSION DATES:

Trimester 1 07 January 2013 Trimester 2 22nd April 2013 Trimester 3 5th August 2013

To: Receipting Office, Room C011, Coach Lane Campus West, before 4.00 pm

Student Name: ………………………………………………………………….

Guidance Tutor: …………………………………………………………..........

GT Tel No: ………………………………………………………................

GT email: ………………………………………………………….............

GT Group No: ……………………………..………………………..................

Base Trust: …………………………………………………………….…….

Practice Placement Facilitator: ………………………………………….……. PA1/MiR/Assessment of Practice/Nursing/Branches/MH/Y2 September 2011 Updated 9.06.11/MB

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VERIFICATION PAGE

Student Name (please print): ………………………………………………..

Student signature: ………………………………………………………

PLACEMENT 1

Placement Area: ………………………………………………………………………………………………

Dates of Placement - From: To:

Mentor Name (please print): …………………………………………………………………………….….. Mentor signature: ……….…………………………………………………………………………………… Mentor ID No: …………………………………………………………..…………………..……………….

PLACEMENT 2

Placement Area: ………………………………………………………………………………………………



PLACEMENT 3

Placement Area: ………………………………………………………………………………………………



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NOTES FOR GUIDANCE

THESE MUST BE READ IN CONJUNCTION WITH THE MENTOR HANBOOK

The student and mentor should carefully study the content of the assessment of practice documentation at the beginning of the placement.

Any issues associated with completing the assessment documentation can be discussed with the guidance tutor at any time.

The student and mentor must consult the detailed assessment criteria to assist with the completion of the action plans, weekly reviews, mid placement review and final summative assessment. In addition the student passport with the Personal and Professional Development File (PPDF) should be reviewed to inform the planning process.

The detail within this documentation and the student’s level of performance should normally be reviewed regularly. Weekly constructive feedback which is evidenced based will help to facilitate the student’s personal and professional development throughout the placement. Weekly action plans should be developed by the student and mentor. This will enable the student to provide evidence of practice learning and the mentor to record the evidence utilised to inform assessment decision upon the students performance, within the PPDF.

The mid experience review must be completed by the mid point of the practice experience and discussed with the student. The guidance tutor will review this documentation. For guidance and documentation to record the mid placement review please access the students PPDF

If a student is not achieving as planned at any point in the placement OR if you have any significant areas of concern then contact MUST be made with the guidance tutor and the Practice Placement Facilitator. It is important that reasons for non-achievement are documented on the assessment of practice documentation.

The student must be made aware as soon as possible that they are not achieving or if there are significant concerns regarding the placement.

During the last week of placement a summative assessment discussion must be arranged. The student and mentor are expected to engage in detailed reflection and constructive evidence-based feedback. At this stage details of strengths and learning needs will help to facilitate the student’s future professional development.

The assessment of practice form must be signed by the mentor. The student must also sign the form to show that they have seen and read the comments.

Any disagreement regarding the summative assessment process and/or comments MUST be discussed with the guidance tutor.

Return of the completed Practice documentation is the responsibility of the student. It must be submitted to the assignment receipting office.

INDICATIVE CRITERIA (in Guidelines for the Achievement of Outcomes - back of book)

These are guidelines to help you identify how the student will achieve the practice outcomes. It

is not an exhaustive list but can be used as needed and applied to your practice area. The

practice outcomes for each placement need to be negotiated at the initial interview between

mentor/student. As there are 3 placements it is suggested that approximately ⅓ of

outcomes are attempted at each placement.

The highlighted criteria in the boxes are NMC Skills Clusters which are important and should

all be completed by the end of the year.

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Learning and Assessment in Practice

Pre Placement: - Mentor allocated to the student.

- Student contacts the ward / department to discuss or visit the placement area

and /or access the POLO (Profile of Learning Opportunities) on line.

- Mentor begins to prepare student timetable.

Week 1 in placement:

- Student Induction to area.

- Negotiate practice placement

learning contract based on stage of

programme, previous placement

assessments (PR2 forms) and any

Reasonable Adjustments required.

- Document Student’s Plan of Action

in PPDF.

-Start Attendance Record in Practice

Assessment Document (PAD)

-Set date for visit by guidance tutor

(GT).

By Week 4 (midpoint):

- Formative review of student’s

progress and experience in practice.

-Student presents evidence for

assessment.

-In collaboration with the GT the

Formative Assessment Action Plan

is completed (Traffic Light Form),

green copy stored in PPDF.

-Amber or Red Action Plan need to

negotiate review with GT and /or

PPF.

By final week:

- The student should feel and be

able to work as part of the nursing

team.

-Practice outcomes and

Proficiencies signed off in PAD.

-Student ensures evidence is logged

in PAD.

-Mentor completes summative

assessment in PAD.

- Mentor completes PR2 form and

Attendance Record in PAD.

Post Placement:

-Student submits PAD for monitoring through the Assignments Receipting Office.

-Student evaluates placement via ARC and attends post placement tutorial.

- Ward/ Department team reflect on student evaluation and (if necessary) submit Response Form.

- POLO updated.

Min. of weekly

review of

progress

Continue

to collect and

review

evidence

End of

Placement

First Day of Placement

First day of Placement

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SUMMATIVE ASSESSMENT Please sign and date if the student has or has not achieved the following practice elements:- 1. PROFESSIONAL AND ETHICAL PRACTICE

Proficiency 1.1 Manage one‟s practice, and that of others, in accordance with the NMC Code of Professional Conduct, recognising one‟s own abilities and limitations.

Practice Outcome

Placement 1 (Mentor signature & date)



Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Practice in accordance with the

NMC code of conduct.

b) Use professional standards of

practice to self-assess performance

c) Consult with a registered nurse

when nursing care requires expertise beyond one’s own current scope of competence.

d) Consult other health care

professionals when individual or group needs fall outside the scope of nursing practice.

e) Identify unsafe practice and

respond appropriately to ensure a safe outcome.

f) Manage the delivery of care

services within the sphere of one’s own accountability.

Please see Guidelines for the Achievement of Outcomes page 67

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Student to complete this section with guidance from mentor

Practice Outcome

Type of Evidence Eg: Observed, Testimony of witness, Reflective Diary, Discussion, Case Study, Care Records.

Brief Description Location of Evidence Eg: PPDF 9.1.2 Practice Placement No:

Section Year

Placement

7

Proficiency 1.2 Practice in accordance with an ethical and legal framework which ensures the primacy of patient and client interest and well-being and respects confidentiality.

Practice Outcome




Achieved

Not Achieved Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Demonstrate knowledge of

legislation and health and social policy relevant to nursing practice.

b) Ensure the confidentiality

and security of written and verbal information acquired in a professional capacity.

c) Demonstrate knowledge of

contemporary ethical issues and their impact on nursing and health care.

d) Manage the complexities

arising from ethical and legal dilemmas.

e) Act appropriately when

seeking access to caring for patients and clients in their own homes.


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Practice Outcome



Section Year

Placement

9

Proficiency 1.3 Practice in a fair and anti-discriminatory way, acknowledging the differences in beliefs and cultural practices of individuals or groups.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Maintain, support and

acknowledge the rights of individual or groups in the health care setting.

b) Act to ensure that the rights of

individuals and groups are not compromised.

c) Respect the values, customs

and beliefs of individuals and groups.

d) Provide care which

demonstrates sensitivity to the diversity of patients and clients.


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Practice Outcome



Section Year

Placement

11

2. CARE DELIVERY

Proficiency 2.1 Engage in, develop and disengage from therapeutic relationships through the use of appropriate communication and interpersonal skills.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Utilise a range of effective

and appropriate communication and engagement skills.

b) Maintain and, where

appropriate, disengage from professional caring relationships that focus on meeting the patient’s or client’s needs within professional therapeutic boundaries.


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Practice Outcome



Section Year

Placement

13

Proficiency 2.2 Create and utilise opportunities to promote the health and well-being of patients, clients and groups.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Consult with patients, clients

and groups to identify their need and desire for health promotion advice

b) Provide relevant and current health information to patients, clients and groups in a form which facilitates their understanding and acknowledges their choice/ individual preference.

c) Provide support and

education in the development and/or maintenance of independent living skills.

d) Seek specialist/ expert

advice as appropriate.


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Practice Outcome



Section Year

Placement

15

Proficiency 2.3 Undertake and document a comprehensive, systematic and accurate nursing assessment of the physical, psychological, social and spiritual needs of patients, clients and communities.

Practice Outcome




Achieved

Not Achieved

Not addressed Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Select valid and reliable

assessment tools for the required purpose.

b) Systematically collect data

regarding the health and functional status of individuals, clients and communities through appropriate interaction, observation and measurement.

c) Analyse and interpret data

accurately to inform nursing care and take appropriate action.


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Practice Outcome



Section Year

Placement

17

Proficiency 2.4 Formulate and document a plan of nursing care, where possible, in partnership with patients, clients, their carers and family and friends, within a framework of informed consent.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Establish priorities for care based on

individual or group needs.

b) Develop and document a care plan

to achieve optimal health, habilitation, and rehabilitation based on assessment and current nursing knowledge.

c) Identify expected outcomes,

including a time frame for achievement and/or review in consultation with patients, clients, their carers and family and friends with members of the health and social care team.


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Practice Outcome



Section Year

Placement

19

Proficiency 2.5 Based on the best available evidence, apply knowledge and an appropriate repertoire of skills indicative of safe and effective nursing practice.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Ensure that current research

findings and other evidence are incorporated in practice.

b) Identify relevant changes in

practice or new information and disseminate to colleagues.

c) Contribute to the application of a range of interventions which support and optimise the health and well-being of patients and clients.

d)

e) Demonstrate the safe application of the skills required to meet the needs of patients and clients within the current sphere of practice.

f) Identify and respond to patients

and clients continuing learning and care needs.

g) Engage with, and evaluate, the

evidence base that underpins safe nursing practice.


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Practice Outcome



Section Year

Placement

21

Proficiency 2.6 Provide a rationale for the nursing care delivered which takes account of social, cultural, spiritual, legal, political and economic influences.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Identify, collect and evaluate

information to justify the effective utilisation of resources to achieve planned outcomes of nursing care.


[

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Practice Outcome



Section Year

Placement

23

Proficiency 2.7 Evaluate and document the outcomes of nursing and other interventions.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Collaborate with patients and

clients and, when appropriate, additional carers to review and monitor the progress of individuals or groups towards planned outcomes.

b) Analyse and revise expected

outcomes, nursing interventions and priorities in accordance with changes in the individual’s condition, needs or circumstances.


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Practice Outcome



Section Year

Placement

25

Proficiency 2.8 Demonstrate sound clinical judgement across a range of differing professional and care delivery contexts.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Use evidence based knowledge

from nursing and related disciplines to select and individualise nursing interventions.

b) Demonstrate the ability to transfer

skills and knowledge to a variety of circumstances and settings.

c) Recognise the need for

adaptation and adapt nursing practice to meet variable and unpredictable circumstances.

d) Ensure that practice does not

compromise the nurse’s duty of care to individuals or the safety of the public.


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Practice Outcome



Section Year

Placement

27

3. CARE MANAGEMENT

Proficiency 3.1 Contribute to public protection by creating and maintaining a safe environment of care through the use of quality assurance and risk management strategies.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Apply relevant principles to

ensure the safe administration of therapeutic substances.

b) Use appropriate risk assessment

tools to identify actual and potential risks.

c) Identify environmental hazards

and eliminate and/ or prevent where possible.

d) Communicate safety concerns to

a relevant authority.

e) Manage risk to provide care

which best meets the needs and interests of patients, clients and the public.


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Practice Outcome



Section Year

Placement

29

Proficiency 3.2 Demonstrate knowledge of effective inter-professional working practices which respect and utilise the contributions of members of the health and social care team.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Establish and maintain

collaborative working relationships with members of the health and social care team and others.

b) Participate with members of the

health and social care team in decision-making concerning patients and clients.

c) Review and evaluate care with

members of the health and social care team and others.


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Practice Outcome



Section Year

Placement

31

Proficiency 3.3 Delegate duties to others, as appropriate, ensuring that they are supervised and monitored.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Take into account the role and

competence of staff when delegating work.

b) Maintain one’s own

accountability and responsibility when delegating aspects of care to others.

c) Demonstrate the ability to co-

ordinate the delivery of nursing and health care.


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Practice Outcome



Section Year

Placement

33

Proficiency 3.4 Demonstrate key skills

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Literacy- interpret and present

information in a comprehensible manner.

b) Numeracy- accurately

interpret numerical data and their significance for the safe delivery of care.

c) Information technology and management- interpret and utilise data and technology, taking account of legal, ethical and safety considerations, in the delivery and enhancement of care.

d) Problem-solving- demonstrate

sound clinical decision-making which can be justified even when made on the basis of limited information.


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Practice Outcome



Section Year

Placement

35

4. PERSONAL AND PROFESSIONAL DEVELOPMENT

Proficiency 4.1 Demonstrate a commitment to the need for continuing professional development and personal supervision activities in order to enhance knowledge, skills, values and attitudes needed for safe and effective nursing practice.

Practice Outcome




Achieved

Not Achieved Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Identify one’s own professional

development needs by engaging in activities such as reflection in, and on, practice and life long learning.

b) Develop a personal

development plan which takes into account personal, professional and organisational needs.

c) Share experiences with colleagues and patients and clients in order to identify the additional knowledge and skills needed to manage unfamiliar or professionally challenging situations.

d) Take action to meet any

identified knowledge and skills deficit likely to affect the delivery of care within the current sphere of practice.


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Practice Outcome



Section Year

Placement

37

Proficiency 4.2 Enhance the professional development and safe practice of others through peer support, leadership, supervision and teaching.

Practice Outcome




Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

Achieved

Not Achieved

Not addressed

a) Contribute to creating a climate

conducive to learning.

b) Contribute to the learning

experiences and development of others by facilitating the mutual sharing of knowledge and experience.

c) Demonstrate effective

leadership in the establishment and maintenance of safe nursing practice.


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Practice Outcome



Section Year

Placement

39

YEAR 2

PLACEMENT 1

Name of Placement: …………………………………………………..

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MENTOR CHECKLIST

Module Title

Module Code

Intake/Branch

Placement Trust/Area

Mentors name

Guidance Tutor

Grade Awarded

Dates of Placement

Mentor ensures

Yes

1. Negotiated learning has taken place.

2. Demonstrates and utilizes a variety of sources to achieve practice outcomes

3. Demonstrates the appropriate use of learning opportunities within the learning zone

4. Action planning appropriate to the level of student learning

5. Evidence of completion of formative learning

6. Student has had appropriate Intermediate feedback (Placement Formative Assessment Action Plan form – Traffic Light form) and appropriate action planning if necessary

7. Final interview has been conducted, individual summative feedback has been given and discussed with student

Signature ………………………………….……….. Date……………………………..

Mentors can retain a photocopy of this page as evidence to meet their NMC Standards.

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PLACEMENT 1

MENTOR‟S FINAL COMMENTS Discuss areas of strength and those aspects which require further development If any negotiated practice outcomes have not been achieved please give an explanation for this.

Observed Performance

Knowledge Underpinning Practice

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MENTOR‟S FINAL COMMENTS (CONTINUED)

Professional approach

Reflective Skills

Signed: ………......................................................…………………. Date ..............……………………… PLEASE PRINT NAME __________________________________

Overall Grade (please circle appropriate response): PASS / FAIL

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YEAR TWO PLACEMENT 1– LEVEL 5 Summative assessment qualitative feedback

Mentor – for each of the 4 aspects of practice abilities please tick which statement applies to the abilities of the students during this practice experience.

OBSERVED PERFORMANCE KNOWLEDGE UNDERPINNING PRACTICE

PROFESSIONAL APPROACH REFLECTIVE SKILLS

Outstanding Impressive abilities observed. Skills always performed safely, effectively and efficiently, with appropriate care decision made consistently. Confidence is evident and appropriate. Enthusiastic and motivated.

Outstanding Impressive range of knowledge and understanding articulated. Initiates reasoned debate to substantiate clinical decisions. Supports discussion with a diverse range of evidence sources

Outstanding Shows a mature and well considered approach to others, readily establishes a rapport with clients and colleagues even in difficult situations. Demonstrates a high standard of professional approach and behaviour at all times

Outstanding Demonstrates exceptional insight into own abilities, learning and skills development. Provides and implements in depth and insightful action plans to develop personal and professional abilities. Makes excellent use of all learning opportunities.

Very good Very good abilities observed. Skills performed safely and effectively and appropriative care decisions made. Confidence is demonstrated in abilities. Motivated and willing to participate.

Very good Knowledge base is sound and understanding is expressed with clarity and applied to practice from a range of evidence sources. Can effectively discuss reasons for practice decisions

Very good Shows a mature approach to others, establishes a rapport with ease with clients and colleagues utilizing well established communication skills. Demonstrates a professional approach and behaviour at all times.

Very good Can reflect in detail upon own abilities, learning and skills development. Is able to identify and action areas for further development to enhance performance. Makes very good use of all learning opportunities.

Good Good abilities observed. Skills performed safely and effectively and appropriate care decisions are made. Confidence is apparent in some circumstances. Motivated and willing to participate.

Good Knowledge and understanding is effectively applied to practice. Can discus reasons for practice decisions supported by practice evidence.

Good Shows a considered approach to others communicates effectively, at all times, with clients and colleagues. Demonstrates a professional approach and behaviour at all times.

Good Can reflect upon own abilities, learning and skills development. Is able to identify and action areas for further development to enhance performance. Makes good use of all learning opportunities.

Satisfactory Skills always performed safely with occasional prompting. Initiative and efficiency are not always consistently applied. Motivated and willing to participate.

Satisfactory Knowledge and understanding is detailed but on occasions limited in depth and / or the range of evidence resources utilised. Applies knowledge to care decision.

Satisfactory On the whole shows a considered approach to others. Appropriate communication established with clients and colleagues. Demonstrates a professional approach and behaviour at all times.

Satisfactory Can reflect upon own abilities, learning and skills development. With guidance is able to identify and action areas for further development to enhance performance. Use of learning opportunities could be developed.

The comments achieved below this line would be indicative of student failure

Weak Some abilities observed, however regularly requires prompting. Clear need for development in a number of areas. Willing to participate but may need encouragement.

Weak Knowledge and understanding is superficial from limited evidence sources. Has difficulty articulating reasons for care decisions.

Weak Limited consideration to others. Has some difficulties with establishing clear communication with clients and colleagues. Inconsistent professional approach and behaviour.

Weak Needs guidance to reflect upon own abilities, learning and skills development. Must be prompted and guided to consider and action areas for further development.

Poor Very limited skills acquisition, actions not appropriate or effective. Not motivated or willing to participate.

Poor Poor level of understanding. Unable to articulate reasons for practice decisions.

Poor Limited consideration to others. Limited ability to communicate with clients and colleagues. Approach and attitude not commensurate with professional behaviour.

Poor Limited ability to reflect upon own abilities, learning and skills development. Unable to identify areas for further development.

Overall Grade (please circle appropriate response): Pass / Fail

Student Name: ___________________________ Student Signature: _________________________ (PLEASE PRINT NAMES) Mentor name : ___________________________ Mentor Signature: __________________________ Date:

44

INSERT CARBON FORM – PR 2 PLACEMENT ASSESSMENT

45

ADDITIONAL COMMENTS

46

STUDENT'S COMMENTS Should include self-assessment of own performance based upon Performance Indicators

Student Signature: ……………………………… Date: ………………………………… Mentor Signature: ……………………………… Date: …………………………………

47

MENTAL HEALTH BRANCH PROGRAMME YEAR 2

PLACEMENT 1 - ATTENDANCE RECORD

September 2011 BSc (Hons) Nursing Studies/Registered Nurse

Student Name: ............................................................................... (please print) Students must complete 35 hours of practice experience per week. The chart below must be completed weekly and signed by the student and mentor or another member of the nursing staff. Details of attendance, eg. shifts, sickness or other absence must be recorded. (NB: Please record the number of hours worked each day). This record must be completed at the end of this module. Failure to do so could cause disruption to your Registration.

Week Commencing

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Mentor Signature

Student Signature

22 October 2012

29 October 2012

5 November 2012

12 November 2012

19 November 2012

26 November 2012

3 December 2012

10 December 2012

THE ATTENDANCE SHEET MUST BE WRITTEN IN INK AND MUST NOT BE ALTERED

TIPPEX SHOULD NOT BE USED

48

YEAR 2

PLACEMENT 2


49

MENTOR CHECKLIST

Module Title

Module Code

Intake/Branch


Mentors name

Guidance Tutor

Grade Awarded

Dates of Placement

Mentor ensures

Yes








Signature ………………………………….……….. Date……………………………..


50

PLACEMENT 2




51



Reflective Skills



52

YEAR TWO– LEVEL 5 Summative assessment qualitative feedback































53

INSERT CARBON FORM – PR 2 PLACEMENT ASSESSMENT

54

ADDITIONAL COMMENTS

55



56

MENTAL HEALTH BRANCH PROGRAMME




Week Commencing Monday Tuesday Wednesday Thursday Friday Saturday Sunday Mentor Signature

Student Signature

25 February 2013

4 March 2013

11 March 2013

18 March 2013

25 March 2013

1 April 2013

8 April 2013

15 April 2013



57

YEAR 2

PLACEMENT 3


58

MENTOR CHECKLIST

Module Title

Module Code

Intake/Branch


Mentors name

Guidance Tutor

Grade Awarded

Dates of Placement

Mentor ensures

Yes








Signature ………………………………….……….. Date……………………………..


59

PLACEMENT 3




60



Reflective Skills



61

YEAR TWO– LEVEL 5 Summative assessment qualitative feedback































62

INSERT CARBON FORM – PR 2

PLACEMENT ASSESSMENT

63

ADDITIONAL COMMENTS

64



65

MENTAL HEALTH BRANCH PROGRAMME




Week Commencing


Student Signature

17 June 2013

24 June 2013

1 July 2013

8 July 2013

15 July 2013

22 July 2013

29 July 2013



Submission date: 5th August 2012 - If you are submitting this document prior to completion of your placement please remove the next page before submission

66

MENTAL HEALTH BRANCH PROGRAMME PLACEMENT 3 - ATTENDANCE RECORD


Student Name: ............................................................................... (please print)

Students must complete 35 hours of practice experience per week. The chart below must be completed weekly and signed by the student and mentor or another member of the nursing staff. Details of attendance, eg. shifts, sickness or other absence must be recorded. (NB: Please record the number of hours worked each day). This record must be completed at the end of this placement. Failure to do so could cause disruption to your Registration.

Week Commencing


Student Signature

5 August 2013



If you are submitting this document prior to completion of your placement – please remove this page before submission and submit to your Guidance Tutor on completion of your placement.

67

MENTAL HEALTH BRANCH YEAR 2

GUIDELINES FOR THE ACHIEVEMENT OF OUTCOMES

1. PROFESSIONAL AND ETHICAL PRACTICE

Proficiency 1.1 Manage one‟s practice, and that of others, in accordance with the NMC Code of Professional Conduct, recognising one‟s own abilities and limitations.

. Practice Outcomes a) Practice in accordance with the NMC code of conduct. b) Use professional standards of practice to self-assess performance. c) Consult with a registered nurse when nursing care requires expertise beyond one’s own

current scope of competence. d) Consult other health care professionals when individual or group needs fall outside the

scope of nursing practice. e) Identify unsafe practice and respond appropriately to ensure a safe outcome. f) Manage the delivery of care services within the sphere of one’s own accountability.

Indicative Criteria:

1. Is self aware and self confident, knows own limitations and is able to take appropriate action

2. Works within NMC Code of professional conduct: standards for conduct, performance and ethics to meet responsibilities for prevention and control of infection

3. Be aware of the role and nature of the clinical supervision process and actively participate in this

and other relevant clinical forums to contribute to their ongoing personal and professional development.

4. Provide examples from practice to demonstrate knowledge of the application of mental health law and related legislation

Proficiency 1.2 Practice in accordance with an ethical and legal framework which ensures the primacy of patient and client interest and well-being and respects confidentiality.

. Practice Outcomes a) Demonstrate knowledge of legislation and health and social policy relevant to nursing

practice. b) Demonstrate knowledge of legislation and health and social policy relevant to nursing

practice c) Demonstrate knowledge of contemporary ethical issues and their impact on nursing and

health care. d) Manage the complexities arising from ethical and legal dilemmas. e) Act appropriately when seeking access to caring for patients and clients in their own

homes.

68


1. Is sensitive to mental health service user/patient/client needs, choice and capability and appropriately incorporates this into planned care

2. Supports access to independent advocacy 3. Recognises situations and acts appropriately when mental health service

user/patient/client choice may compromise safety 4. Uses strategies to manage situations where the mental health service users/

patients‟/clients‟ wishes conflict with planned care 5. Acts to ensure that mental health service users/patients/clients who are unable to meet

their activities of living have these addressed in a sensitive and dignified manner which promotes the individual‟s self esteem self and a record is kept in relation how these needs are met, e.g. bathing, elimination, care of the skin, nails, hair, eyes, teeth and mouth

Proficiency 1.3 Practice in a fair and anti-discriminatory way, acknowledging the differences in beliefs and cultural practices of individuals or groups.

. Practice Outcomes a) Maintain, support and acknowledge the rights of individual or groups in the health care

setting. b) Act to ensure that the rights of individuals and groups are not compromised. c) Respect the values, customs and beliefs of individuals and groups. d) Provide care which demonstrates sensitivity to the diversity of patients and clients.


1. Recognises and acts to overcome barriers in developing effective relationships with mental health service users/patients/clients

2. Initiates, maintains and closes professional relationships with mental health service users/ patients/clients and carers

3. Uses professional support structures to develop self awareness, challenge own prejudices and enable professional relationships, so that care is delivered without compromise

4. Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise the care provided

5. Is proactive in promoting and maintaining dignity 6. Challenges situations/others when mental health service users/ patient/client dignity may be

compromised 7. Uses appropriate strategies to encourage and promote mental health service users/

patient/client choice 8. Delivers care that is culturally competent and free from discrimination, harassment and

exploitation. 9. Upholds mental health service users/ patients‟/clients‟ legal rights and speaks out when

these are at risk of being compromised

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2. CARE DELIVERY Proficiency 2.1 Engage in, develop and disengage from therapeutic relationships through the use of appropriate communication and interpersonal skills.

. Practice Outcomes a) Utilise a range of effective and appropriate communication and engagement skills. b) Maintain and, where appropriate, disengage from professional caring relationships that

focus on meeting the patient’s or client’s needs within professional therapeutic boundaries.


1. Makes appropriate use of touch. 2. Listens to, watches for, and responds to verbal and non verbal cues 3. Has insight into own values and how these may impact on mental health service

user/patient/client interactions 4. Recognises circumstances that trigger personal negative responses and takes action to

prevent this compromising of care. 5. Acts to reduce and challenge barriers to effective communication and understanding 6. Where appropriate uses the skills of active listening, questioning, paraphrasing and

reflection to support a therapeutic intervention 7. Uses appropriate and relevant communication skills to deal with difficult and challenging

circumstances (e.g. responding to emergencies, unexpected occurrences, saying “no”, dealing with complaints, resolving disputes, de-escalating aggression, conveying „unwelcome news‟)

8. Applies evidence to practice

9. Selects and applies appropriate strategies and techniques for defusing, disengaging and managing

actual and potential violence and aggression 10. Uses negotiating and other skills to encourage mental health service users/

patients/clients who might be reluctant to drink to take adequate fluids 11. Communicates effectively and sensitively in different settings, using a range of methods

and styles

12. Recognises and responds to emotional discomfort / distress in self and others 13. Demonstrates an awareness of environmental factors on communication and effect appropriate

changes to enhance communication 14. Identifies and facilitates use of effective and positive coping strategies to help mental health

service users/patients/clients recover from mental distress 15. Is proactive and creative in enhancing communication and understanding 16. Promotes sexual health in a way that is relevant to the individual 17. Identifies and articulate your own emotional and psychological responses to situations with

colleagues or with clients in a professional manner 18. Promotes and supports engagement in social networks 19. Promotes uptake of opportunities for employment and productive occupation, education and

training, leisure and recreation i. Uses motivational interviewing techniques ii. Provides a rationale for, utilise and evaluate tools to assess risk of:

(i) Violence (ii) Neglect (iii) Abuse (iv) Self Harm

20. Demonstrates fundamental engagement skills and a basic knowledge of the aims and methods of key evidence based psychological interventions.

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21. Applies basic principles of relevant therapeutic interventions such as cognitive-behavioural techniques, psycho social interventions, solution focused therapy and systemic family therapy i. Demonstrates under supervision the safe, correct, effective and appropriate use of physical

intervention techniques in the presence of challenging behaviour ii. Contribute to a culture of mental health and wellness that fosters self-determination and

resilience

22. Demonstrates an understanding of the importance of advanced directives in setting mutual goals

Proficiency 2.2 Create and utilise opportunities to promote the health and well-being of patients, clients and groups.

. Practice Outcomes a) Consult with patients, clients and groups to identify their need and desire for health

promotion advice . b) Provide relevant and current health information to patients, clients and groups in a form

which facilitates their understanding and acknowledges their choice/ individual preference. c) Provide support and education in the development and/or maintenance of independent

living skills. d) Seek specialist/ expert advice as appropriate.


1 Delivers care that recognises need and provides both practical and emotional support 2 Promotes health and well-being through teaching mental health service

users/patients/clients and carers about their condition and treatment 3 Uses a range of techniques to discuss treatment options with mental health service

users/ patients/clients 4 Enables mental health service users/ patients/clients to take an active role in making

informed choices concerning their care 5 Discusses sensitive issues and provides appropriate advice and guidance e.g.

contraception, substance misuse, impact of lifestyle on health 6 Works within a public health framework to assess needs and plan care for individuals

and groups 7 Recognises infection risk and reports and acts in situations where there is need for

health promotion / protection 8 Uses knowledge of dietary and other factors contributing to ill health, obesity, weight

loss, poor fluid intake and poor nutrition to inform practice 9 Discusses with mental health service users/patients/clients how diet can improve health

and the risks associated with not eating appropriately 10 Provides support and advice to carers when there are feeding difficulties

11. Undertakes a comprehensive needs-led mental health nursing assessment. 12. Give examples of indicators of:

Anxiety

Altered Self Concept

Altered Perception

Communication Problems

Altered Cognition 13. Provides care within the context of a Recovery Approach, focussing upon social inclusion needs,

self-management and the adoption of a positive, holistic approach to care delivery. 14. Present positive views of people who experience mental health distress, valuing their life stories

and life experiences 15. Demonstrates understanding and commitment to health promotion for users and carers, in line

with the Public Health Strategy and Health Improvement Programmes. 16. Has an awareness of the long term conditions agenda and demonstrates skills to advise on

health promotion for those specific conditions

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Proficiency 2.3 Undertake and document a comprehensive, systematic and accurate nursing assessment of the physical, psychological, social and spiritual needs of patients, clients and communities.

. Practice Outcomes a) Select valid and reliable assessment tools for the required purpose b) Systematically collect data regarding the health and functional status of individuals, clients

and communities through appropriate interaction, observation and measurement c) Analyse and interpret data accurately to inform nursing care and take appropriate action.


1. Makes a holistic and systematic assessment of physical, emotional, psychological, social, cultural and spiritual needs, including risk, and creates a comprehensive plan of nursing care in partnership with the mental health service user/ patient/client, carer, family or friends, including those who use alcohol and/or drugs.

2. Takes responsibility for assessment and planning of care delivery 3. Assesses the needs of the mental health service user/patient/client or cohort and applies

appropriate isolation techniques to mange infectious diseases. 4. Identifies signs of dehydration and acts to correct these

5. Give feedback to others that is constructive and facilitates positive change and receiving and giving appropriate consideration to feedback from mental health service user/ patient/client, carer, family or friends

6. Be equipped with the skills and confidence to engage with mental health service users/patients/carers demonstrating competencies such as active listening skills, communicating with people in acute distress.

Proficiency 2.4 Formulate and document a plan of nursing care, where possible, in partnership with patients, clients, their carers and family and friends, within a framework of informed consent.

. Practice Outcomes a) Establish priorities for care based on individual or group needs. b) Develop and document a care plan to achieve optimal health, habilitation, and

rehabilitation based on assessment and current nursing knowledge c) Identify expected outcomes, including a time frame for achievement and/or review in

consultation with patients, clients, their carers and family and friends with members of the health and social care team.


1. Helps the mental health service user/patient/client to identify and use their strengths to

achieve their goals and aspirations. 2. Uses appropriate strategies to enable mental health service users/patients/clients to

understand treatments and other interventions in order to give informed consent. 3. Works within legal frameworks when seeking consent 4. Assesses the needs and wishes of carers and / or relatives in relation to information and

consent 5. Demonstrates respect for mental health service user/patient/client autonomy and their

right to withhold consent in relation to treatment within legal frameworks 6. Recognises, respects and supports the spiritual well-being of individuals 7. Facilitates adjustment to the environment that enhances opportunities to meet spiritual

needs

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8. Prioritises the needs of groups of mental health service users/patients/clients and individuals in order to deliver care effectively and efficiently

9. Has the ability to assess pain using appropriate evidence based tools and able to manage that pain in collaboration with other members of the multi disciplinary team

10. Provides information to mental health service user/patient/client and carers 11. Monitors and records progress against the plan of care

12. Is able to recognise and reflect on barriers to effective communication and modify communication in response e.g. thought disorder, perceptual disturbance, paranoia etc

13. Uses ordinary, everyday conversation that avoids professional jargon

Proficiency 2.5 Based on the best available evidence, apply knowledge and an appropriate repertoire of skills indicative of safe and effective nursing practice.

. Practice Outcomes a) Ensure that current research findings and other evidence are incorporated in practice. b) Identify relevant changes in practice or new information and disseminate to colleagues. c) Contribute to the application of a range of interventions which support and optimise the

health and well-being of patients and clients. d) Demonstrate the safe application of the skills required to meet the needs of patients and

clients within the current sphere of practice. e) Identify and respond to patients and clients continuing learning and care needs f) Engage with, and evaluate, the evidence base that underpins safe nursing practice


1. Performs routine diagnostic tests (e.g. urinalysis) relevant to the area of work and acts appropriately on findings

2. Provides safe and effective care in the context of mental health service users/ patients‟/clients‟ age, condition and developmental stage

3. Safely performs wound care / dressings, applying non-touch and / or aseptic techniques Undertakes agreed pressure area care

4. Works collaboratively with multi-disciplinary team to ensure an adequate fluid intake and output

5. Ensures that appropriate food and fluids are available as required by the mental health service users/ patients/clients especially people with learning disabilities and the elderly people with dementia

6. Takes action to ensure that, where there are problems with eating and swallowing, nutritional status is not compromised

7. Accurately calculates medicines frequently encountered within the mental health practice setting (*)

8. Applies fundamental knowledge of psycho-pharmacology in terms of: Monitoring effects Recognising side effects and initiating action to relieve these Educating mental health service users/ patients/clients and relevant others Choice of medication Identify individuals with allergies and plan their care to promote safety

9. Provides first aid including basic life support to an individual needing emergency assistance including maintaining an airway, stemming bleeding, establishing the recovery position, the response to anaphylactic shock, anaphylaxis intervention

10. Manage seizures safely 11. Orders, receives, stores and disposes of medicines safely in relation to the mental health

practice setting (including controlled drugs). 12. Safely and effectively administers medicines via routes and methods commonly used

within the mental health practice setting and maintain accurate records

13. Supports individuals to manage continence and understand the common causes of incontinence

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Proficiency 2.6 Provide a rationale for the nursing care delivered which takes account of social, cultural, spiritual, legal, political and economic influences.

. Practice Outcomes a) Identify, collect and evaluate information to justify the effective utilisation of resources to

achieve planned outcomes of nursing care.


1. Takes into account differing cultural traditions, beliefs, UK legal frameworks and

professional ethics when planning care 2. Is proactive in promoting care environments that are culturally sensitive and free from

discrimination, harassment and exploitation. 3. Anticipates how the mental health service user/patient/client might feel in a given

situation and responds with kindness and empathy to provide physical and emotional comfort

4. Supports mental health service users/patients/clients to make appropriate choices / changes to eating patterns, taking account of dietary preferences (including religious and cultural requirements) and special diets needed for health reasons

5. Supports patients/clients to make appropriate choices / changes to eating patterns, taking account of dietary preferences (including religious and cultural requirements) and special diets needed for health reasons

6. Refers to specialist member of the multi-disciplinary team for additional / specialist advice

7. Works with patients/clients, parents and carers to provide clear and accurate information

8. Gives clear instruction, explanation before checking understanding relating to use of medicines and

treatment options

Proficiency 2.7 Evaluate and document the outcomes of nursing and other interventions.

. Practice Outcomes a) Collaborate with patients and clients and, when appropriate, additional carers to review

and monitor the progress of individuals or groups towards planned outcomes. b) Analyse and revise expected outcomes, nursing interventions and priorities in accordance

with changes in the individual’s condition, needs or circumstances


1. Detects, records and reports deterioration/improvement and takes appropriate action 2. Reflects on and learns from patient safety incidents as individual and team member and

contributes to team learning 3. Participates in clinical audit to improve mental health service user/patient/client care 4. Discusses progress / changes in the patients‟/clients‟ condition with the multi-

disciplinary team 5. Reports malnutrition / worsening nutritional status as an adverse event and initiates

appropriate action 6. Monitors and assesses mental health service users/patients/clients receiving intravenous

fluids (*) 7. Documents progress against prescription and markers of hydration. (*) 8. Monitors infusion site for signs of abnormality, reports and documents any such signs 9. Effectively keep records of medication administered and omitted, including controlled

drugs 10. Makes provision for replacement meals for those mental health service

users/patients/clients unable to eat at the usual time

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Proficiency 2.8 Demonstrate sound clinical judgement across a range of differing professional and care delivery contexts.

. Practice Outcomes a) Use evidence based knowledge from nursing and related disciplines to select and

individualise nursing interventions. b) Demonstrate the ability to transfer skills and knowledge to a variety of circumstances and

settings c) Recognise the need for adaptation and adapt nursing practice to meet variable and

unpredictable circumstances. d) Ensure that practice does not compromise the nurse’s duty of care to individuals or the

safety of the public.


1. Uses appropriate and relevant communication skills to deal with difficult and challenging

circumstances (e.g. responding to emergencies, unexpected occurrences, saying “no”, dealing with complaints, resolving disputes, de-escalating aggression, conveying „unwelcome news‟)

2. Works within the context of a multi-professional team to enhance the care of mental health service users/patients/clients

3. Acts appropriately when faced with sudden deterioration in patients‟/clients‟ physical or psychological condition or emergency situations (e.g. abnormal vital signs, mental health service user/patient/client collapse, cardiac arrest, self-harm, extremely challenging behaviour, attempted suicide)

4. Performs routine diagnostic tests (e.g. urinalysis) relevant to the area of work and acts appropriately on findings

5. Ensures appropriate assistance and support is available to enable mental health service users/patients/clients to eat

6. Measures, documents and interprets vital signs and acts appropriately on findings

7. Routinely screens for substance use as an integral part of a comprehensive mental health assessment

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3. CARE MANAGEMENT Proficiency 3.1 Contribute to public protection by creating and maintaining a safe environment of care through the use of quality assurance and risk management strategies.

. Practice Outcomes a) Apply relevant principles to ensure the safe administration of therapeutic substances. b) Use appropriate risk assessment tools to identify actual and potential risks. c) Identify environmental hazards and eliminate and/ or prevent where possible. d) Communicate safety concerns to a relevant authority. e) Manage risk to provide care which best meets the needs and interests of patients, clients

and the public.


1. Consistently shows ability to communicate safely and effectively with mental health

service users/patients/clients providing guidance for juniors 2. Acts professionally and appropriately in situations where there may be limits to

confidentiality (e.g. public interest, protection from harm) 3. Acts within the law when confidence has to be broken 4. Works within the legal frameworks for data protection (e.g. access to and storage of

records) 5. Recognises and responds appropriately when people are vulnerable, at risk, or in need of

support and protection 6. Demonstrate an understanding of the actions and procedures required to protect all

vulnerable people including vulnerable adults and safeguarding children legislation. 7. Supports mental health service users/patients/clients in asserting their human rights 8. Challenges practices which do not safeguard those requiring support and protection 9. Supports mental health service users/patients/clients who wish to complain 10. Takes steps not to cross professional boundaries and put self or colleagues at risk 11. Keeps appropriate records in relation to the use and maintenance of medical devices and

the decontamination processes required as per local and national guidelines 12. Explains the devices to mental health service users/patients/clients and / or carers and

checks understanding 13. Initiates and maintains appropriate measures to prevent and control infection according

to route of transmission of micro-organism, in order to protect patients/clients, members of the public and other staff

14. Applies legislation that relates to the management of specific infection risk at a local and national level

15. Adheres to infection prevention and control policies/procedures at all times and ensures colleagues also work according to good practice guidelines

16. Recognises and acts upon the need to refer to specialist advisors as appropriate 17. Ensures that patients/clients, relatives, carers and colleagues are aware of and adhere to

local policies in relation to isolation and infection control procedures 18. Applies a range of appropriate measures to prevent infection including application of

safe and effective aseptic technique relevant to branch 19. Manages hazardous waste and spillages in accordance with local health and safety

policies 20. Works within national and local policies relevant to the mental Health Nursing practice

area

21. Take the appropriate action to manage an emergency summoning assistance immediately when

this is necessary e.g. emergency psychiatric response, sudden collapse, fire etc 22. Uses, under supervision, methods from the National Institute for Health and Clinical Excellence

guidelines on effective methods of working with people whose behaviour is harmful to self or others

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23. Promotes, monitors and maintains health, safety and security in the working environment, where the environment includes, for example, the mental health service user’s/patient’s/client’s home, and the inpatient unit

24. Assesses, evaluates and interprets risk indicators and balances risks against benefits, taking account of the level of risk the patient/client, or others are prepared to take

25. Works within legal frameworks to promote safety and positive risk taking 26. Acts in accordance with relevant practice guidelines from the National Institute for Health and

Clinical Excellence to reduce risks to an individual’s health, safety or well-being 27. Assess older people’s risk of falls and implement evidence based interventions developing an

agreed individualised care plan

Proficiency 3.2 Demonstrate knowledge of effective inter-professional working practices which respect and utilise the contributions of members of the health and social care team.

. Practice Outcomes a) Establish and maintain collaborative working relationships with members of the health and

social care team and others. b) Participate with members of the health and social care team in decision-making

concerning patients and clients. c) Review and evaluate care with members of the health and social care team and others.


1. Recognises the significance of information and only divulges this on a need to know

basis 2. Acts appropriately in sharing information to enable and enhance care (carers, MDT and

across agency boundaries) 3. Recognises and responds appropriately when people are vulnerable, at risk, or in need of

support and protection 4. Shares information safely with colleagues and across agency boundaries for the

protection of individuals/the public 5. Shares complaints, compliments and comments with the team in order to improve care 6. Responds appropriately and effectively to feedback 7. Works with colleagues in other services to ensure safe and effective transition between

services 8. Prepares mental health service users/patients/clients and their carers for the transition /

transfer between services 9. Works in partnership with the mental health service user/patient/client to develop

strategies for smooth transfer / transition and evaluates the outcome 10. Works inter-professionally as a means of achieving optimum outcomes for mental health

service users/patients/clients

11. Obtains valid informed consent for all procedures, with attention to the special and exceptional

needs of individuals with, for example, dementia and/or learning disabilities 12. Takes into account an individual’s ability to give consent and recognises the capacity of the

mental health service user/ patient/client to make an informed decision about care 13. Demonstrates an understanding of the benefits and limitations of the use of levels of observation

to maximise therapeutic effect on inpatient units

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Proficiency 3.3 Delegate duties to others, as appropriate, ensuring that they are supervised and monitored.

. Practice Outcomes a) Take into account the role and competence of staff when delegating work. b) Maintain one’s own accountability and responsibility when delegating aspects of care to

others. c) Demonstrate the ability to co-ordinate the delivery of nursing and health care.


1. Takes responsibility and accountability when delegating care to others 2. Prepares, supports and supervises those to whom care has been delegated 3. Recognises and addresses deficits in knowledge and / or skill in self and takes

appropriate action 4. Appropriately reports concerns regarding staffing / skill-mix

Proficiency 3.4 Demonstrate key skills

. Practice Outcomes a) Literacy- interpret and present information in a comprehensible manner. b) Numeracy- accurately interpret numerical data and their significance for the safe delivery

of care. c) Information technology and management- interpret and utilise data and technology, taking

account of legal, ethical and safety considerations, in the delivery and enhancement of care.

d) Problem-solving- demonstrate sound clinical decision-making which can be justified even when made on the basis of limited information.


1. Takes decisions and is able to provide an explanation and rationale for these decisions

when required 2. Bases decisions on evidence and uses experience to guide decision-making 3. Demonstrates good time management

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4. PERSONAL AND PROFESSIONAL DEVELOPMENT Proficiency 4.1 Demonstrate a commitment to the need for continuing professional development and personal supervision activities in order to enhance knowledge, skills, values and attitudes needed for safe and effective nursing practice.

. Practice Outcomes a) Identify one’s own professional development needs by engaging in activities such as

reflection in, and on, practice and life-long learning. b) Develop a personal development plan which takes into account personal, professional

and organisational needs. c) Share experiences with colleagues and patients and clients in order to identify the

additional knowledge and skills needed to manage unfamiliar or professionally challenging situations.

d) Take action to meet any identified knowledge and skills deficit likely to affect the delivery of care within the current sphere of practice.


1. Appropriately consults and explores solutions and ideas with others to enhance care 2. Through reflection and evaluation demonstrates commitment to personal and

professional development

3. Uses the supervision and support systems available to you within and outside your organisation 4. Takes responsibility for their own personal and professional development, seeking and

accessing development opportunities to meet their needs 5. Sets professional goals that are realistic and achievable 6. Works within policies to protect self and others

7. Communicate with others and contribute effectively to the process of interprofessional learning to demonstrate understanding of the value of collaborative working in a patient/client/service user focused care delivery.

Proficiency 4.2 Enhance the professional development and safe practice of others through peer support, leadership, supervision and teaching.

. Practice Outcomes a) Contribute to creating a climate conducive to learning. b) Contribute to the learning experiences and development of others by facilitating the

mutual sharing of knowledge and experience. c) Demonstrate effective leadership in the establishment and maintenance of safe nursing

practice.


1. As an individual and team member, actively seeks and learns from feedback to enhance care and own professional development

2. Challenges others who do not follow procedures