Assessment of Practice: Adult Nursing

211 Pages·2017·5.75 MB·English

Updated SEPT 2015

Assessment of Practice:

Adult Nursing
2
Assessment of Practice

Name _______________________________

University ID number _______________________________

Intake/Group _______________________________

Field of Practice _______________________________

Personal Tutor _______________________________

Telephone _______________________________

Email _______________________________

Programme Leader _______________________________

Telephone _______________________________

Email _______________________________

Confidentiality
Entries made in this practice assessment document must ensure the service users’ right to
confidentiality is respected at all times
Contents

Content Page

YEAR 1 BLOCK 1 5-29

YEAR 1 BLOCK 2 30-62
ANTT PBA - pp43 -51

63-97
YEAR 2 BLOCK 1
COMMUNICATION PBA – pp76 - 86

YEAR 2 BLOCK 2 98-121

YEAR 3 BLOCK 1 122-160
MEDICINES MANAGEMENT PBA – pp139 - 149

YEAR 3 BLOCK 2 161-188

CLINICAL SKILLS EVIDENCE 189-198

Inc. MOVING & HANDLING YEARLY RECORDS

Ongoing Record of Achievement (ORA) 199-209
SIGN-OFF MENTOR DOCUMENTATION – pp210 - 214

4
YEAR 1
Before commencing placement experience in Year 1 the
student must have obtained DBS and Occupational Health
clearance & Completed Mandatory Training

Verified by (print name and designation)

Signature: Date:

5
YEAR 1 BLOCK 1

Placement area name ____________________________

Telephone number ____________________________

Checklist of responsibilities to be completed by mentor:

Read the guidance
notes…………………………………………………………………...

Sign mentor signature
sheet……………………………………………………………….

Complete and sign initial
interview………………………………………………………...

Complete and sign practice
induction……………………………………………………..

Complete and sign final
interview………………………………………………………….

Sign practice hours
record………………………………………………………………….

Complete Ongoing Record of
Achievement……………………………………………...

Complete attitudinal
assessment……………………………………...…………………..

Complete student / mentor contact
sheet………………………………………………...

Formulate action plan with student (and tutor if student is
referred)…………………..

This Placement Assessment Document is part of the summative assessment for the unit.

Students must photocopy the relevant ONGOING RECORD OF
ACHIEVEMENT page for the block of placement that they have been
assessed. This should be submitted to your Personal Tutor. Practice
Hours records should be submitted to the Student Hub.

It is the responsibility of the student to keep this document safe and ensure that the
document is made available during placement so that the mentor can complete the
appropriate parts of the form.
6
Mentor signature sheet
All mentors signing student documentation must insert their details below

Name of Mentor Registered Work Telephone number and email Name of practice learning area Signature Sign off
(please print) qualification (i.e. mentor
ENB 998/prep Yes/No
for mentorship)

Other Health Care Professional signature sheet
All health care professionals signing student documentation must insert their details below

Name of Health Profession Work Telephone number and email Name of practice learning area Signature
Care Professional
(please print)

From now on the term mentor will be used throughout the document
7
STUDENT SELF ASSESSMENT

This section should be completed prior to starting your placement.

Fill in this section before you have your initial interview with your mentor

Please use the space below to identify and write down your interests or the issues you want to explore on
this placement and to reflect upon your previous experience. You might want to wait a day or so before
you meet with your mentor so you have the chance to think about the learning opportunities available
within this area. You can always ‘firm up’ your ideas at the initial meeting with your mentor and, indeed, at
later meetings.

The following questions may help to get you started.

 What do I want to see/do?
 Can I build upon previously identified strengths or work on previously identified weaknesses?
 Where do my priorities lie (bearing in mind what stage you are in your course)?
 What help do I need to pursue my interests/the issues I’ve identified?
 What part should I play in following up my interest/the issues I’ve identified?
 Who should take the lead?

If this is not your first placement experience, you should also use the learning opportunities you identified
with your mentor at the end of your last placement.

Students interests, strengths and areas for development (identified by the student)

PERSONAL TUTOR SIGNATURE: DATE:

STUDENT SIGNATURE: DATE:

Please consider how you will develop your KEY SKILLS on this placement [Numeracy, IT, Problem Solving,

Man aging Own Learning, Working with Others, Communication Spoken and Written and Reading]
BOX
Induction to the Placement
Induction to the placement environment to be completed on first day by a Part 1 Part 2
qualified member of the practice team. Signature and Signature and Signature and Signature and
date date date date
1. Fire regulations discussed
Informed of BLS procedures, equipment, emergency number and student
2. role
3. Health and safety policies discussed
4. Informed of assigned mentor’s name
5. Uniform policy discussed
6. Orientation programme/booklet provided
7. Practice Learning Environment philosophy discussed
8. Introduction to staff and environment
9. Informed of the PEF, PEL & ULL for the practice placement
The student’s role in the process of evaluating and auditing the learning
10 environment is discussed
11. Sickness and absence protocols discussed
Evidence of student attending mandatory training applicable to their field of
12. practice
13 Discussed any issues re – health, pregnancy or learning needs.
Signature: Date: Signature: Date:
Student Signature:
Practice 1
Signature of qualified member of staff:
Student Signature:
Practice 2
Signature of qualified member of staff:
9
INITIAL MEETING WITH MENTOR
Initial Interview of progress – to be completed within two days of the
start of practice experience

Completion of practice induction

Review of student self assessment

Identification of learning needs based on the competencies

Formulation of the action plan

Learning Needs based on the Competencies Action plan

Personal Development Plan discussed Yes No

Specific Learning/Health needs Yes No
discussed

If YES complete a reasonable adjustments action plan

A risk assessment should be undertaken as necessary, especially for those students who are
under 18 years of age, pregnant or 12 months post partum.

Mentor’s Date:
signature:

Student’s Date
signature:

10