INTAKE Intake and output sheet

Document Sample
INTAKE Intake and output sheet Powered By Docstoc
					FACULTY OF HEALTH & APPLIED SOCIAL SCIENCES

SCHOOL OF NURSING & PRIMARY CARE PRACTICE
& SCHOOL OF APPLIED SOCIAL SCIENCES


                  DIPLOMA IN HIGHER EDUCATION (NURSING)


                           ESSENCE OF CARE
                       PRACTICE SKILLS INVENTORY




            E
                                 RECORD OF ACHIEVEMENT

                       COMMON FOUNDATION PROGRAMME
                                          INTAKE


          PL
This practice skills inventory will form part of the summative assessment activities for the
 Placement 1


 Mentor name (print)
                                                         Dates from


                                                         Signature
                                                                           to
        AM
 Placement 2                                             Dates from        to


 Mentor name (print)                                     Signature


 Placement 3                                             Dates from        to


 Mentor name (print)                                     Signature
EX


 STUDENT NAME:


 NRSDN 1001
 Module Leader:
 NRSDN 1002
 Module Leader:
work-based modules:

•   NRSDN1001

•   NRSDN1002



SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   1
It must be submitted with the practice portfolio at the end of each of the modules.

This Skills Inventory is based upon the Department of Health Essence of Care Patient-
focused Benchmarks for Clinical Governance (DH 2003). In this regard, the Skills
Inventory serves two purposes, firstly the students’ practice learning is embedded within
the national benchmark framework for nursing and secondly it contributes directly to
enhancing best practice within all areas of care.

To achieve the Essence of Care Skills and to guide you in the learning, teaching and
assessment process, please refer to the Essence of Care Patient-focused Benchmarks for
Clinical Practice (DoH 2003) and your local policies and guidelines.

The Inventory is divided into two sections: Core Skills and Additional Skills.
      In order to pass both modules, ALL CORE SKILLS MUST BE ACHIEVED




            E
            Shaded Core Skills must be achieved by the end of NRSDN1001.

         Non-shaded Core Skills must be achieved by the end of NRSDN1002.

Even though you do not need to achieve the non-shaded skills until the end of




          PL
NRSDN1002, you may have limited opportunity in the second half of the year in which all
non-shaded skills can be achieved. You must therefore make sure that you achieve as
many non-shaded skills as possible in the first half of the year.

The Additional Skills are skills which are important but which, depending on the areas you
are placed on, you may or may not have the opportunity to achieve. Obviously, if you get
the opportunity you should practice as many skills as possible, but you will still be able to
pass the modules even if you do not get a chance to achieve some or all of the Additional
        AM
Skills.

All skills must be practiced in accordance with practice placement policies and guidelines
and performed under the supervision of a Qualified Practitioner following the standard
practice area risk assessment.

Refer to the Practice Area Code for which areas are best suited to achievement of
skills. Please ensure whilst allocated to those areas that you take the opportunity to
achieve the corresponding skills. Some skills MAY be achieved in other areas – please
ensure you take the opportunity on each placement as it arises to achieve as many skills
EX


as possible.

N.B. A MENTOR’S SIGNATURE DENOTES A SKILL HAS BEEN PRACTISED/
ACHIEVED.

THERE IS NO OPTION HERE FOR ‘NO OPPORTUNITY’ OR ‘NOT APPLICABLE’. IN
SUCH INSTANCES IT SHOULD BE LEFT BLANK.




SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   2
MENTOR AND STUDENT GUIDANCE
For each placement, three documents are to be completed;
    1. Learning Agreement, 2. Practice assessment document (PAD) and 3. Practice
       Skills Inventory
Each is required to confirm achievement of modular outcomes, and should be discussed
with the student at an identified time, at the beginning of each placement, midway during
the placement, and towards completion of each placement.
Any outstanding learning outcomes, practice outcomes or clinical skills from a previous
placement area should be discussed and included as part of the learning agreement for
any ensuing placement.
MENTOR RESPONSIBILITIES
The following guidance is summarised from the NMC’s Standards to Support Learning and
Assessment in Practice (NMC 2006):
Students on NMC approved pre-registration nursing education programmes must be




            E
supported and assessed by mentors. Nurse education requires mentors to provide the full
range of support and assessment required to meet the needs of pre-registration education.
The purpose of these standards is to assure the NMC that those who make the
judgements of students have been appropriately prepared to assess performance against
the relevant NMC standards of proficiency.




          PL
Mentors who sign off all, or part of a programme leading to registration, ARE
ACCOUNTABLE TO THE NMC for their decision that the students are fit for practice and
that they have the necessary knowledge, skills and competence to take on the role of
registered nurse.
Registration provides a licence to practice and is the prime means of protecting the public.
Mentors are responsible and accountable for:
   •   Organising and co-ordinating student learning activities in practice
        AM
   •   Supervising students in learning situations and providing them with constructive
       feedback on their achievements
   •   Setting and monitoring achievement of realistic learning objectives
   •   Assessing total performance- including skills, attitudes and behaviours
   •   Providing evidence as required by programme providers of student achievement or
       lack of achievement
   •   Liaising with others (e.g. mentors, practice facilitators, programme leaders etc) to
       provide feedback, identify any concerns about the student’s performance and agree
       action as appropriate
   •   Providing evidence for, or acting as, sign-off mentors with regard to making
EX


       decisions about achievement of proficiency at the end of a programme.
   •   Check the student’s level of knowledge, skill and competence before assigning
       client care activities.
   •   Assign patient care activities that are within the student’s capabilities and are
       commensurate with their point on the course.
   •   Provide reasonable levels of teaching, guidance and supervision in the clinical area.
   •   Provide constructive feedback on the student performance at regular and indicated
       points during their placement which should be documented.
   •   Observe/ support the students’ achievement of intended learning outcomes for a
       minimum period equivalent to 40% per working week for full-time students and pro-
       rata for part-time students.




SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   3
Student Interviews
Initial or preliminary interview is carried out with the student within the first few days of any
placement so a learning agreement can be negotiated and formulated. An intermediate
interview should take place half way through the placement to review progress to date and
that formal feedback is given and documented. The final summative interview needs to
take place towards the end of the last week

Mentor updates
The NMC requires all qualified mentors to maintain and develop their knowledge, skills
and competence as a mentor through regular updating.
The purpose of annual updating is to ensure that mentors:
   •   Have current knowledge of NMC approved programmes
   •   Are able to discuss the implications of changes to NMC requirements
   •   Have an opportunity to discuss issues related to mentoring, assessment of




            E
       competence and fitness for safe and effective practice.

Mentors should be prepared to demonstrate how they have maintained and developed
their knowledge, skills and competence as a mentor.




          PL
PLEASE NOTE, ALL SKILLS MUST BE UNDERTAKEN IN ACCORDANCE WITH THE TRUST/
ORGANISATION’S POLICIES AND PROCEDURES
        AM
EX




SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   4
Skill No          Skills                                    QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                            OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                            SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                                 Placement 1                         Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                            Signature & Date




                                                                               Signature & Date




                                                                                                  Signature & Date




                                                                                                                     Signature & Date



                                                                                                                                        Signature & Date



                                                                                                                                                           Signature & Date
Please note, all skills must be undertaken in




                                                            Practiced




                                                                                                  Practiced




                                                                                                                                        Practiced
                                                                               Achieved




                                                                                                                     Achieved




                                                                                                                                                           Achieved
accordance with the trust/ organisation’s policies
and procedure

CARE, COMPASSION AND COMMUNICATION

                  Provides care based on the highest
            C1    standards, knowledge and




               E
                  competence

                  Engages clients as partners in care.
                  Should they be unable to meet their
                  own needs then the nurse will




             PL
            C2




            C3
                  ensure that these are addressed in
                  accordance with the known wishes
                  of the patient/client or in their best
                  interests


                  Treats clients with dignity and
                  respect them as individuals
           AM
                  Cares for clients in an environment
                  and manner that is culturally
            C4    competent and free from
                  discrimination, harassment and
                  exploitation

                  Provides care that is delivered in a
            C5    warm, sensitive and compassionate
                  way
EX


                  Listens, and provides information
            C6    that is clear, accurate and
                  meaningful



                  Protects and treats as confidential
            C7    all information relating to clients and
                  their care


                  Ensures that the client’s consent will
                  be sought prior to care or treatment
            C8
                  being given and that their choice will
                  be respected



                  Communicates within a framework
            C9
                  of consent and common courtesy




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                    5
Skill No          Skills                                  QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                          OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                          SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                               Placement 1                         Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                          Signature & Date




                                                                             Signature & Date




                                                                                                Signature & Date




                                                                                                                   Signature & Date



                                                                                                                                      Signature & Date



                                                                                                                                                         Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies




                                                          Practiced




                                                                                                Practiced




                                                                                                                                      Practiced
                                                                             Achieved




                                                                                                                   Achieved




                                                                                                                                                         Achieved
and procedure

CARE, COMPASSION AND COMMUNICATION

                  Recognises the individuality of the
           C10
                  client




               E
                  Recognises and promotes the
           C11    dignity, privacy, respect and self
                  esteem of the individual


                  Listens and shows understanding




             PL
           C12
                  (attending skills)


                  Contributes to accurate record
                  keeping to demonstrate effective
           C13
                  communication which informs and
                  supports high quality care

                  Gives clear, sensitive and individual
           AM
           C14    information prior to and during
                  nursing interventions/ care


                  Accurately and clearly passes on
           C15    information to appropriate members
                  of the care team and client/relatives


                  Displays warmth in interactions with
            A1
                  clients and families
EX


                  Appropriately uses closed/open
            A2
                  questions


            A3    Appropriately uses clarification


            A4    Appropriately uses summarising


           C16    Appropriately uses touch


                  Listens/communicates with clients
            A5    who have cognitive/sensory
                  impairment




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                    6
Skill No          Skills                                   QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                           OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                           SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                                Placement 1                         Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL




                                                           Signature & Date




                                                                              Signature & Date




                                                                                                 Signature & Date




                                                                                                                    Signature & Date



                                                                                                                                       Signature & Date



                                                                                                                                                          Signature & Date
A = ADDITIONAL SKILL
Please note, all skills must be undertaken in




                                                           Practiced




                                                                                                 Practiced




                                                                                                                                       Practiced
                                                                              Achieved




                                                                                                                    Achieved




                                                                                                                                                          Achieved
accordance with the trust/ organisation’s policies
and procedure


INFECTION PREVENTION AND CONTROL

                  Describes and demonstrates a
                  range of infection control
           C17
                  procedures appropriate to the




               E
                  practice setting


                  Safely disposes of sharp objects
           C18
                  such as a syringe and needle




             PL
            A6




           C19
                  Correctly prepares and completes a
                  basic dressing using an aseptic
                  technique


                  Demonstrates clinical hand
                  washing/ cleansing correctly using
                  appropriate technique and promotes
                  good practice amongst other
           AM
                  members of the health care team.


                  Demonstrates a range of infection
           C20    control procedures appropriate to
                  the practice setting


                  Fully complies with hygiene, uniform
           C21    and dress codes in order to limit,
                  prevent and control infection
EX


                  Demonstrates to others the safe
           C22    disposal of waste and waste
                  products

                  Uses health promotion strategies,
                  identifying infection risks and taking
           C23    effective measures to prevent and
                  control infection in accordance with
                  local and national policy


                  Maintains effective standard
           C24    infection control precautions for
                  every patient/client




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                    7
Skill No          Skills                                  QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                          OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                          SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                               Placement 1                         Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                          Signature & Date




                                                                             Signature & Date




                                                                                                Signature & Date




                                                                                                                   Signature & Date



                                                                                                                                      Signature & Date



                                                                                                                                                         Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies




                                                          Practiced




                                                                                                Practiced




                                                                                                                                      Practiced
                                                                             Achieved




                                                                                                                   Achieved




                                                                                                                                                         Achieved
and procedure

INFECTION PREVENTION AND CONTROL
              Acts to reduce risk when handling
              waste (including sharps),
         C25 contaminated linen and when
              dealing with spillages of blood and
              body fluids




               E
                  Correctly prepares, completes and
            A7    evaluates a dressing using an
                  aseptic technique

                  Monitors the safe use of intravenous




             PL
            A8




            A9
                  devices and drivers, reporting
                  concerns immediately to qualified
                  staff

                  Provides effective care for
                  patients/clients who have an
                  infectious disease including, where
                  required, the use of standard
                  isolation techniques
           AM
                  Safely applies the principles of
                  asepsis when performing invasive
           A10
                  procedures, and be competent in
                  aseptic technique

MOVING AND HANDLING

                  Correctly and safely stands a client
            C26
                  from a chair

                  Safely walks a client who requires
            C27
                  guidance
EX


                  Correctly and safely rolls a patient
            C28
                  onto their side

                  Correctly and safely uses an
                  appropriate method to move a
            C29
                  supine patient up the bed (e.g. slide
                  sheet)
                  Transfers a client from bed to bed or
                  bed to chair using ONE of the
            A11   following: - lateral transfer board
                  (banana board; standing turner;
                  turntable; step transfer

                  Uses a mechanical hoist to transfer
            A12   a client from chair to bed or bed to
                  chair




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                    8
Skill No          Skills                                    QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                            OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                            SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                            Placement 1                               Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL




                                                             Signature & Date



                                                                                Signature & Date




                                                                                                   Signature & Date




                                                                                                                      Signature & Date



                                                                                                                                         Signature & Date



                                                                                                                                                            Signature & Date
A = ADDITIONAL SKILL




                                                             Practiced




                                                                                                   Practiced




                                                                                                                                         Practiced
                                                                                Achieved




                                                                                                                      Achieved




                                                                                                                                                            Achieved
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies
and procedure

PERSONAL & ORAL HYGIENE

                  Assesses patient/clients personal
           C30
                  hygiene needs




               E
                  Negotiates care for personal
           C31    hygiene needs based on
                  assessment




             PL
           A13




           A14
                  Assures privacy and dignity when
                  assisting clients with personal and
                  oral hygiene activities


                  Assembles and prepares
                  appropriate equipment for assisting
                  clients with personal and oral
                  hygiene needs
           AM
                  Ensures personal toiletries are used
                  or made available when assisting
           A15
                  with personal and oral hygiene
                  activities

                  Reassesses and judges the
                  effectiveness of the care delivered
           A16
                  for personal and oral hygiene needs
                  with the patients/client/carer
EX


                  Maintains client’s skin, hair and nails
           C32    in optimum condition relative to their
                  health status


                  Ensures effective oral hygiene is
                  maintained to ensure the structures
           C33
                  and tissues of the mouth are kept in
                  a healthy condition

                  Provides patients/ clients/carers with
                  information and education to meet
           C34
                  their personal and oral hygiene
                  needs


                  Reports appropriately on the
           C35    effectiveness of the care delivered
                  for personal and oral hygiene




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                    9
Skill No          Skills                                 QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                         OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                         SIGNATURE IS REQUIRED TO CONFIRM ACHIEVEMENT.

                                                         Placement 1                               Placement 2                          Placement 3

PREFIX GUIDE
C = CORE SKILL




                                                          Signature & Date



                                                                             Signature & Date




                                                                                                Signature & Date




                                                                                                                   Signature & Date



                                                                                                                                      Signature & Date



                                                                                                                                                         Signature & Date
A = ADDITIONAL SKILL
Please note, all skills must be undertaken in




                                                          Practiced




                                                                                                Practiced




                                                                                                                                      Practiced
                                                                             Achieved




                                                                                                                   Achieved




                                                                                                                                                         Achieved
accordance with the trust/ organisation’s policies
and procedure


PRESSURE AREA CARE & MOBILISATION

                  Educates and involves patients in
                  methods to prevent complications of
            C36




               E
                  immobility, e.g. deep breathing
                  exercises, change of position


                  Correctly performs passive and
            A17
                  active limb exercise




             PL
            C37
                  Correctly uses a pressure area risk
                  assessment tool


                  Correctly uses pressure relieving
                  aids, e.g. alternating cell
           AM
            A18
                  mattresses, gel pads/mattresses,
                  mattress overlays


                  Correctly applies anti-embolic
            A19
                  stockings


NUTRITION AND FLUID MANAGEMENT

                  Accurately undertakes and records
EX


           C38    a baseline assessment of height and
                  weight


                  Calculates body mass index (BMI)
           C39    and applies to nutritional status
                  where appropriate

                  Prepares the client area so it is
                  conducive to eating and drinking
            C40   and food is served at the correct
                  temperature and report
                  appropriately

                  Assists the client to maintain and
                  promote independence whilst eating
            C41
                  and drinking, and provide assistance
                  and care where needed




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   10
Skill No          Skills                                    QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                            OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                            SIGNATURE IS REQUIRED TO CONFIRM
                                                            ACHIEVEMENT.

                                                            Placement 1                             Placement 2                          Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                            Signature & Date



                                                                               Signature & Date




                                                                                                  Signature & Date




                                                                                                                     Signature & Date



                                                                                                                                        Signature & Date




                                                                                                                                                           Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies
and procedure




                                                            Practiced




                                                                                                  Practiced




                                                                                                                                        Practiced
                                                                               Achieved




                                                                                                                     Achieved




                                                                                                                                                           Achieved
NUTRITION AND FLUID MANAGEMENT


                  Assists with the hygiene needs of
            C42
                  client before and after eating, e.g.




               E
                  clean dentures/teeth, hand hygiene


                  Responds to individual nutritional
                  needs, e.g. physical, religious, age,
            C43




             PL
                  special needs, cultural
                  requirements/requests


                  Uses appropriate opportunities to
           C44
                  encourage a healthy diet



                  Participates in monitoring food and
           AM
           C45    fluids consumed by clients and
                  reports appropriately


                  Provides assistance with selecting a
           A20    diet through which clients will receive
                  adequate nutritional and fluid intake


                  Ensures that those unable to take
           A21    food by mouth receive adequate
                  nutrition
EX


                  Safely administers fluids when fluids
           A22
                  cannot be taken independently


                  Measures and records accurately
                  and clearly the client’s fluid intake,
           C46    noting any deviations,
                  communicating and reporting
                  appropriately




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   11
Skill No          Skills                                  QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                          OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                          SIGNATURE IS REQUIRED TO CONFIRM
                                                          ACHIEVEMENT.
                                                          Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                          Signature & Date



                                                                             Signature & Date




                                                                                                Signature & Date




                                                                                                                   Signature & Date



                                                                                                                                      Signature & Date



                                                                                                                                                         Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies
and procedure




                                                          Practiced




                                                                                                Practiced




                                                                                                                                      Practiced
                                                                             Achieved




                                                                                                                   Achieved




                                                                                                                                                         Achieved
PHYSIOLOGICAL MEASUREMENTS




               E
                  Performs and records accurately
           C47    measurement of pulse-rate and
                  rhythm

                  Performs and records accurately




             PL
           C48




           C49
                  measurement of blood pressure
                  using electronic or manual
                  apparatus

                  Performs and records accurately
                  measurement of respiratory-rate,
                  depth and rhythm

                  Performs and records accurately
           AM
                  measurement of body temperature
           C50
                  using appropriate apparatus
                  (electronic, thermo-reactive etc.)

ORGANISATIONAL ASPECTS OF CARE
                  Makes a holistic and systematic
                  assessment of client needs and
                  develops a comprehensive plan of
           C51    nursing care that is in their best
                  interests and which promotes their
                  health and well-being and minimises
EX


                  the risk of harm

                  Delivers and evaluates care against
           C52    the comprehensive assessment and
                  care plan


                  Acts to safeguard those requiring
           C53
                  support and protection


                  Responds appropriately to feedback
                  from patients/clients, the public and
           A23
                  a wide range of sources as a vehicle
                  for learning and development


                  Promotes continuity when client
           C54    care is to be transferred to another
                  service or person




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   12
Skill No          Skills                                   QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                           OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                           SIGNATURE IS REQUIRED TO CONFIRM
                                                           ACHIEVEMENT.
                                                           Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                           Signature & Date



                                                                              Signature & Date




                                                                                                 Signature & Date




                                                                                                                    Signature & Date



                                                                                                                                       Signature & Date



                                                                                                                                                          Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies




                                                           Practiced




                                                                                                 Practiced




                                                                                                                                       Practiced
                                                                              Achieved




                                                                                                                    Achieved




                                                                                                                                                          Achieved
and procedure
ORGANISATIONAL ASPECTS OF CARE

                  Works as an active team member,
           C55    supporting and assisting others
                  appropriately




               E
                  Values others’ roles and
           C56    responsibilities within the team and
                  interacts appropriately




             PL
                  Accepts delegated tasks and
                  elements of care based on
           C57
                  knowledge, skill and limitations of
                  role

                  Consults with others where
           C58    limitation of own knowledge or
                  experience requires this
           AM
           C59    Works safely under pressure


                  Identifies and safely manages risk in
           C60    relation to the patient/client, the
                  environment, self and others

                  Works to resolve conflict and
           A24
                  maintain a safe environment

                  Selects and manages medical
           A25
EX


                  devices safely

MEDICINES MANAGEMENT

                  Ensures safe and effective practice
                  through comprehensive knowledge
           C61
                  of medicines, their actions, risks and
                  benefits

                  Administers medicines safely in a
           C62    timely manner, (which may include
                  controlled drugs)

                  Works as part of a team to offer a
           C63    range of treatment options of which
                  medicines may form a part




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   13
Skill No          Skills                                   QUALIFIED PRACTITIONERS MAY SIGN PRACTICE
                                                           OPPORTUNITIES; REGISTERED NURSE MENTOR
                                                           SIGNATURE IS REQUIRED TO CONFIRM
                                                           ACHIEVEMENT.
                                                           Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                           Signature & Date



                                                                              Signature & Date




                                                                                                 Signature & Date




                                                                                                                    Signature & Date



                                                                                                                                       Signature & Date



                                                                                                                                                          Signature & Date
Please note, all skills must be undertaken in
accordance with the trust/ organisation’s policies




                                                           Practiced




                                                                                                 Practiced




                                                                                                                                       Practiced
                                                                              Achieved




                                                                                                                    Achieved




                                                                                                                                                          Achieved
and procedure
MEDICINES MANAGEMENT

                  Accurately selects and calculates
           C64    correct does of medication and
                  checks expiry date




               E
                  Stores and disposes of medicines
           C65    safely in any setting (including
                  controlled drugs)

                  Keeps and maintains accurate
           C66    records within a multi-disciplinary




             PL
           C67




           C68
                  framework and as part of a team

                  Works in partnership with
                  patient/clients and carers in relation
                  to managing their medicines


                  Works within local and national
                  policies, using up to date information
           AM
                  on medicines management

                  Demonstrates understanding of
                  legal/ethical frameworks relating to
           C69
                  safe administration of medicines in
                  practice

                  Uses knowledge of commonly
                  administered medicines in order to
           C70
                  act promptly in cases where side
                  effects and adverse reactions occur
EX


                  Uses prescription charts correctly
           C71
                  and maintains accurate records

                  Utilises and safely disposes of
                  equipment needed to draw up/
           A26
                  administer medication (e.g. needles,
                  syringes, gloves)
                  Administers medication to
                  patients/clients safely under direct
           C72    supervision, including orally and by
                  injection


                  Involves patient/client and carers in
           C73    administration/ self-administration of
                  medicines




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   14
Skill No               Skills                                       QUALIFIED PRACTITIONERS MAY SIGN
                                                                    PRACTICE OPPORTUNITIES; REGISTERED
                                                                    NURSE MENTOR SIGNATURE IS REQUIRED TO
                                                                    CONFIRM ACHIEVEMENT.
                                                                    Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL
A = ADDITIONAL SKILL




                                                                    Signature & Date



                                                                                       Signature & Date



                                                                                                          Signature & Date



                                                                                                                             Signature & Date



                                                                                                                                                Signature & Date



                                                                                                                                                                   Signature & Date
Please note, all skills must be undertaken in accordance with the
trust/ organisation’s policies and procedure




                                                                    Practiced




                                                                                                          Practiced




                                                                                                                                                Practiced
                                                                                       Achieved




                                                                                                                             Achieved




                                                                                                                                                                   Achieved
CONTINENCE

                       Assists clients with the use of
              C74      bedpan/urinal and ensure its safe




               E
                       removal and disposal


                       Meets individual needs including
                       privacy, dignity, mobility and flexibility
              C75




             PL
                       of toileting regimes to meet cultural,
                       age and gender related sensitivities


                       Seeks patients views on the
              C76      environment in relation to bladder and
                       bowel care


                       Assesses individual needs in relation
              A27
                       to continence
           AM
                       Accurately measures fluid output and
              C77
                       input to calculate fluid balance


                       Accurately tests and records urine
              A28
                       samples



                       Correctly collects and dispatches
              A29
EX


                       bladder and bowel samples



              A30      Performs catheter care



                       Appropriately manages urinary
              A31
                       sheaths and other continence aids




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   15
Skill No          Skills                                     QUALIFIED PRACTITIONERS MAY SIGN
                                                             PRACTICE OPPORTUNITIES; REGISTERED
                                                             NURSE MENTOR SIGNATURE IS REQUIRED TO
                                                             CONFIRM ACHIEVEMENT.
                                                             Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL




                                                             Signature & Date



                                                                                Signature & Date



                                                                                                   Signature & Date



                                                                                                                      Signature & Date



                                                                                                                                         Signature & Date



                                                                                                                                                            Signature & Date
A = ADDITIONAL SKILL

Please note, all skills must be undertaken in




                                                             Practiced




                                                                                                   Practiced




                                                                                                                                         Practiced
                                                                                Achieved




                                                                                                                      Achieved




                                                                                                                                                            Achieved
accordance with the trust/ organisation’s policies and
procedure

HEALTH PROMOTION

                  Supports clients to make healthier
           C78




               E
                  choices for themselves and others


                  Demonstrates the knowledge and
           A32    skills to enable clients to maintain and
                  improve their health and well-being




             PL
           A33




           A34
                  Health promotion is undertaken in
                  partnership combining different
                  expertise and experiences

                  Clients are given access to health
                  promotion information / support
                  services
           AM
                  Discusses appropriately patient
           A35    progress with the patient and/or carer
                  under supervision.


                  Highlights and participates in an
           A36
                  opportunity for health promotion


SAFETY
EX


                  Ensures clients are orientated to their
            C79
                  care environment and key personnel



                  Correctly cleanses and stores
            C80
                  equipment




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   16
Skill No          Skills                                   QUALIFIED PRACTITIONERS MAY SIGN
                                                           PRACTICE OPPORTUNITIES; REGISTERED
                                                           NURSE MENTOR SIGNATURE IS REQUIRED TO
                                                           CONFIRM ACHIEVEMENT.
                                                           Placement 1                           Placement 2                           Placement 3
PREFIX GUIDE
C = CORE SKILL




                                                           Signature & Date



                                                                              Signature & Date



                                                                                                 Signature & Date



                                                                                                                    Signature & Date



                                                                                                                                       Signature & Date



                                                                                                                                                          Signature & Date
A = ADDITIONAL SKILL

Please note, all skills must be undertaken in




                                                           Practiced




                                                                                                 Practiced




                                                                                                                                       Practiced
                                                                              Achieved




                                                                                                                    Achieved




                                                                                                                                                          Achieved
accordance with the trust/ organisation’s policies and
procedure

MENTAL HEALTH (for Mental Health students only)

                  Discusses in an informed manner the
   MH      A37    origin and purpose of an ECC




               E
                  document


                  Correctly records data from client
   MH      A38
                  interview on the ECC documentation



   MH




   MH
             PL
           A39




           A40
                  Takes part in a multi-disciplinary
                  meeting reviewing a client’s care plan



                  Carries out a specialised assessment
                  e.g. Beck’s Anxiety Scale
           AM
EX




 SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                   17
                                                MEDICINES MANAGEMENT, CONTINUOUS DEVELOPMENT

               Please sign off when students have been involved in the preparation or administration of medicines via various routes.




                                                                       E
                     Safely demonstrated      Safely demonstrated    Safely demonstrated   Safely demonstrated   Safely demonstrated      Observation of
                     administration of oral   administration of an   administration of a   administration of     application of topical   procedure/
                     medications              intra muscular         subcutaneous          rectal medication     preparations             administration of a
                                              injection              injection                                                            controlled drug
        Date




                                                                     PL
        Area
        Supervisor
        Date
        Area
        Supervisor
        Date
        Area
        Supervisor
        Date
        Area
        Supervisor
        Date
        Area
        Supervisor
        Date
        Area
        Supervisor
                                    AM
        Date
         EX
        Area
        Supervisor
        Date
        Area
        Supervisor




SKILLS NRSDN1001/1002 COMBINED BRANCH/COHORT ????/LJMU
                                                                                 18

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:112
posted:10/29/2011
language:English
pages:18