Assessment Tools Placement London Dietetics by liaoqinmei

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									            Assessment Tool 1: Placement C
                      Working with individual patients/clients
          Incorporates K1, C1, C3, P1, P2, P3, P4, P5a, P6a, P6b


Your name:


Range of settings: You will need evidence from activity with new referrals in at least 2
settings and from work with follow-ups in at least 2 settings. Please tick the relevant box for
each piece of evidence:
   Inpatient               Outpatient              Home visit
   Care Home               Day centre              Other (Please describe)
Please tick below to indicate if the consultation was a follow up or new referral.
New referral
Follow up
Range of client groups: You will need evidence from activity with new referrals
relating to three different dietary interventions and two different population groups.
Additionally you will need evidence from activity with follow up patients relating to three
different dietary interventions and two different population groups. (see form CEG). Please
describe the patient and dietary intervention below e.g. healthy eating advice for weight
reduction, patient from a traditional South Asian family with raised lipids etc.




How to get evidence:             You can get good evidence by asking a supervisor to discuss
your practice reflectively with you. You must discuss your practice in enough depth to show
your rationale. You will also need to be observed so that your supervisor can make a
judgement about your communication skills. Remember that you can use work products (see
below) to back up what you write on the tool. Once you have met the range statements” (see
form CEG) you can show consistency by completing this tool using examples of practice from
the range of patients you saw during the day: As long as your supervisors agrees that your
 practice was reasonably consistent. Once your supervisors think that you have strong
evidence they will suggest that you stop completing this assessment tool unless your
competence falls back.
Please Note: Until you have met the range statements” you need to meet all the
relevant criteria in one consultation. If you think that one or more criteria were not
applicable you should discuss this with your supervisor. If they agree and you meet all the
other criteria you can still use the consultation as evidence.
Work product/other evidence used and location in portfolio eg care plans,
case studies, record cards, entries from medical/nursing notes, verified witness statements
or extracts from your reflect ive diary:
Example: “Record card, no. 3 in appendix.”




 Modified November 2004                          1
Please explain why you think you have met each criterion in the
boxes below. Your supervisor will sign at the bottom of page four if
they agree that you have met every relevant criterion.
You must show that you can:
1. Use appropriate sources of information to ensure a full and accurate assessment e.g.
   medical notes, nursing notes, computer databases, bed end charts, other team members,
   the patient, relatives and carers (P4 and/or P1).




2. Collect and record all information relevant to the case in line with established standards
   and procedures eg. medical (diagnosis, prognosis, PMH, medication, biochemistry and
   other test results), nutritional (diet history, food likes and dislikes, weight and other
   anthropometric information), psychological (mood and motivation to change), personal
   (name, address and telephone number etc), social (home circumstances, significant others
   etc), cultural (ethnic group, relevant religious beliefs) or financial (employment status and
   use of benefits etc). (K1 ,P1 and/or P4, P2).




 Modified November 2004                         2
You must show that you can:
3. Demonstrate an ability to listen attentively e.g. respond to verbal and non-verbal
   cues, summarise, paraphrase, ensure the other person knows they have been
   heard by nodding etc (P4 and/or C1).




4. Interpret nutrition relevant quantitative information accurately e.g. food record charts,
   diet history, food/supplement/enteral feed composition, anthropometry including
   weight/weight history and BMI, fluid balance and stress/mobility factors for calculations
   (P4 and/or P2).




  Modified November 2004                       3
 You must show that you can:
5. 3 Plan interventions that respond to the patient’s concerns, taking account of relevant
   patient specific issues e.g. food likes/dislikes, personal beliefs/religion, culture, personal
   support, finances, mood, mobility factors, communication issues, cooking/shopping
   facilities, motivation to change, work/family commitments and key life events (P4 and/or
   C1, P3, P5a).




6. Plan interventions that take relevant institutional/organisational issues into account e.g.
   nursing/other staff workloads and shift patterns, budgetary issues, limitations of
   hospital catering. (Note this criterion is often not applicable to outpatient consultations.
   If this is the case please write “not applicable” in the box.) (P4 and/or P3, P6b).




 Modified November 2004                          4
 You must show that you can:
7. Communicate in a manner that facilitates understanding e.g. use appropriate language,
   makes use of visual and other aids as required (P4 and/or C1).




8. Report back to supervisors/other team members as appropriate justifying your
   interventions based on your knowledge of evidence based practice and/or good practice
   as appropriate in all disciplines relevant to the case e.g. medicine, nutrition, psychology,
   pharmacology and sociology (P4 and/or K1, C3, P6a, P6b).Explanatory note: Much of
   what you do will be based on good practice guidelines. By this we mean consensus opinions
   from meetings, information from your lecture notes, chapters from textbooks,
   departmental standards and guidelines or relevant policy documents. Sometimes practice
   is more strongly evidence based. Evidence based practice is set out in documents like
   systematic reviews or NICE guidelines.




Signature of supervisor:                                                 Date:



 Modified November 2004                          5
           Assessment Tool 2: Placement C
                                  Working with groups
                               Incorporates K1, C2, P5b


Your name:


Range of evidence needed: You will need evidence from each of the following.
Please tick the relevant box for each piece of evidence:

   Presentation to a group of dietitians.

   Presentation to a group of patients/clients.

   A health promotion project eg development of a display stand for the hospital
   occupational health department, work on part of a community food project such as a cook
   and eat session etc

How to get evidence: You can get good evidence by asking a supervisor (s) to observe
you carrying out a presentation and then discussing the rationale behind your plan. For your
health promotion project you should submit your project materials and talk through the
rationale behind your plan.


Please Note: You need to meet all the relevant criteria in each section in one
presentation/project.

Work product/other evidence used and location in portfolio eg copy of
your PowerPoint slides for a talk with your speaker’s notes, copy of your aims, objectives and
outcomes for a presentation or project, photographs of your display stand etc:

Example: “Copy of slides with notes. No. 9 in evidence appendix.”




Modified November 2004                         6
Please explain why you think you have met each criterion in the
boxes below. Your supervisor will sign at the bottom of each section
if they agree that you have met every relevant criterion.
You must show that you can:
SECTION A:
1. Plan presentations/health promotion projects with clear aims and objectives/outcomes
   (C2, P5 b).




2. Justify your plan in relation to practical issues such as the nature of the client group,
   location, time available and resources available (K1, C2, P5b).




3. Justify the content of your presentation/project in relation to evidence based practice
   eg systematic reviews, NICE guidelines and/or good practice eg consensus opinions from
   meetings, information from your lecture notes, chapters from the Manual of Dietetic
   Practice/other relevant textbooks or relevant policy documents. (K1, C2, P5b).




4. Evaluate presentations/projects (C2, P5b).




Signature of supervisor:                                          Date:


 Modified November 2004                         7
You must show that you can:
SECTION B – Presentations Only
1. Give a structured presentation introducing yourself and the aims of the presentation,
   moving on to the main body of the talk and summarising. (C2).




2. Communicate effectively with the group e.g. make regular eye contact, speak clearly, use
   appropriate language avoiding jargon, use notes/prompts effectively, engage the group
   with the material and facilitate questioning etc (C2).




3. Make appropriate use of audio-visual aids e.g. food models, PowerPoint slides, displays
   and videos. (C2).




4. Keep to time and demonstrate effective time management strategies e.g. build in
   time for questions and clarify how you will manage them, set mini-deadlines on your
   speaker’s notes and ensure that everyone has a fair chance to speak etc. (C2).




Signature of supervisor:                                         bate:


 Modified November 2004                        8
           Assessment Tool 3: Placement C
                        Supporting professional development
                 Incorporates K1, P6a, P7, P10, P11, P12, P13

Your name:


How to get evidence: You will be able to get evidence by discussing your reflections
and contributing to dietetic team meetings and projects. You will need to note things in your
reflective diary as they happen or you will not remember them later.

Please Note: You can meet each criterion on a separate occasion. You should only have one
copy of this assessment tool in your portfolio at the end of the placement.

Work product/other evidence used and location in portfolio (please
state the criterion number in brackets)

Example “Extract from my reflective diary. No. 19 in appendix. (1)”




  Modified Nov 2004                               9
Please explain why you think you have met each criterion in the
boxes below. Your supervisor will sign if they agree that you have
met the criterion.
You must show that you can:
1. Reflect effectively on your practice:

              Identifying and evaluating critical incidents (P10).

              Using information from reflection to identify strengths and weaknesses and to
              develop learning contracts (K1, P10, P13).

              Identifying and explaining changes in practice resulting from the above (P7,
              P10)




Signature of supervisor                                              Date


  Modified Nov 2004                             10
You must show that you can:
2. Seek advice and guidance appropriately, acknowledging your limitations and seeking
   answers to your questions from others and/or the literature as appropriate (K1, P7,
   P10, P11, P12, P13).




Signature of supervisor                                                Date
3. Seek opportunities for additional involvement e.g. develop or update resources,
   contribute to the development of student training materials, organise a supplement
   tasting session etc (K1, P6a, P12).




Signature of supervisor                                                Date
4. Take a lead role in journal clubs and/or case discussions e.g. by giving a presentation or
   facilitating a discussion (K1, P6a, P12, P13).




Signature of supervisor                                                Date
5. Identify and explain how the process of research or audit has changed dietetic practice
   (K1, P6a, P11, P12).




Signature of supervisor                                                Date


  Modified Nov 2004                             11
           Assessment Tool 4: Placement C
                                      Professionalism
                            Incorporating P7, P8, P9, P14


Your name:


How to get evidence: You can get evidence by reflecting on your practice and
discussing your reflections with a supervisor(s). You will need to note things in your
reflective diary as they happen or you will not remember them later.

Please Note: You can meet each criterion on a separate occasion. You should only have one
copy of this assessment tool in your portfolio at the end of the placement.

Work product/other evidence used and location in portfolio. (Please
state criterion number in brackets.)
Example: “Time management grid. No. 24 in appendix. (6,7)”




Modified November 2004                        12
Please explain why you think you have met each criterion in the
boxes below. Your supervisor will sign if they agree that you have
met the criterion.
You must show that you can:
1. Act in the best interests of the patient e.g. do nothing that might adversely affect
   patients, always follow procedures for obtaining consent, take appropriate action if aware
   that another person may have done something that could be detrimental to a patient, only
   act within the limits of your knowledge and skills, ensure that you can communicate
   effectively i.e. use interpreters and communication aids as required, ensure that you keep
   adequate and accurate records, always act with integrity and honesty (P7).




Signature of supervisor                                              Date
2. Avoid inappropriate product promotion e.g. avoiding unjustifiable claims about a product,
   failing to refer to more than 1 brand name, promoting products in an unrestrained
   manner. (P7)




Signature of supervisor                                                Date
3.   Maintain confidentiality and comply with the data protection act (P7).




Signature of supervisor                                                Date

 Modified November 2004                        13
You must show that you can:
4. Demonstrate an awareness of your responsibility to ensure that you are mentally and
   physically fit for practice (P7).




Signature of supervisor                                               Date
5. Recognise the individual’s right to make his or her own decisions (P14).




Signature of supervisor                                               Date
6. Arrive punctually for work and meetings and that you complete work on time without
   needing to be prompted (P9).




Signature of supervisor                                               Date

7. Manage a clinical caseload and non-clinical projects within normal working hours i.e.
   make a daily plan of work and re-prioritise as circumstances change (P9).




Signature of supervisor                                               Date


 Modified November 2004                       14
You must show that you can:
8. Identify situations from your experience on placement where there was potential for
   your/any dietitians’ words/actions to lead to discrimination and suggest suitable action.
   E.G. (Note as always these are just examples to prompt your thinking.) Race (is the
   literature used by the department appropriate for people from all racial/ethnic
   backgrounds and language groups), religion (consider your own understanding of religious
   food avoidance and fasting), age (consider the access older people have to dietetic
   services), mental health status (consider the access people with mental health problems
   have to dietetic services), sexual orientation (is there potential to make assumptions
   about people’s sexual orientation) or disability (consider physical access issues in relation
   to dietetic clinics and what is done to ensure that people with learning difficulties get
   equal access to dietetic services.) (P8, P14).




   Signature of supervisor                                 Date

9. Identify situations from your placement experience where your behaviour and/or
   appearance might have influenced your interactions with individuals or groups. Think
   about attributes and behaviour that your colleagues and patients might value in a
   professional. (P 14).




Signature of supervisor                                                 Date




Signature of supervisor                                                Date




 Modified November 2004                        15
Evidence Grid: C Placement
Assessment tools 1 and 2 are linked to learning outcomes that have “range statements”. This means that you need to demonstrate competence in a range of
situations. For each assessment tool strike through the dots/dietary interventions in column 2 and the relevant settings/groups in column 1 each time you
have a piece of evidence verified (see glossary) in each category. Onc e you have shown that you can practise competently under different conditions, you will
be expected to continue to practise competently. This does not mean that you have to be perfect but you do have to show that you are safe to practise.
For this reason your supervisors may ask you to collect some more evidence after you have covered all the groups and settings shown below in o rder to
satisfy them that your competence is reasonably consistent. However you should not be expected to complete assessment tools for all the patients you see.
Remember that you also need to complete tools 3 and 4. These tools are not linked to learning outcomes with range statements and so you only need to
complete one copy of each tool. You must ask your supervisors to let you know when they think that you have evidence of adequate breadth and depth to
demonstrate all the criteria on tools 3 and 4, as it is not possible to set precise rules. These tools cover professional beh aviour and once again, having
produced evidence of competence you will be expected to continue to behave in a professional manner in order to pass. Supervisory verification of indivi dual
assessment tools or criteria on assessment tools is not the same as having the learning outcomes “signed off.” (See glossary.)
Range of situations for which you need         Tool 1 (New referrals)                      Tool 1 (Follow ups)
                                                                                                                                                 Tool 2
evidence
                                                                                       •   •
Settings (E.G. inpatients, outpatients, home   •   •
visits, GP clinics, specialist clinics.)

Population Groups (E.G. adolescents, younger
adults, children, older adults or different    •   •                                   •   •

cultural/ethnic groups.)
                                                                                       •   •   •
Different dietary interventions (See “How to
demonstrate competence” for a description of   •   •   •

each category.)

Presentation to a group of dietitians                                                                                                            •


Presentation to a group of patients/clients                                                                                                      •


Planning, delivery, evaluation of a health                                                                                                       •
promotion project
Modified November 2004   17

								
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