LTHT Triennial Review December 2011

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					         Triennial Review for N.M.C. Mentors
     Quality Assurance record Sheet for Managers.
   (Please print 2 copies, 1 for personal file, and 1 for mentor to keep)

Mentors name: ………………………………………………..

Ward/Department: ……………………………………………

Date of triennial review: __/__/____

Triennial review standards met?                              Yes            No

If yes, no further action and place in their personal file.

If no, please develop an action plan. (P12)

Review date of action plan: __/__/____ (e.g 01/01/2010)

Date of next triennial review: __/__/____ (e.g 01/01/2010)
(Please reset date of triennial review on mentor register)

Manager’s name: ……………………………..


Manager’s signature: …………………………


Matron’s name: …………………………………


Matron’s signature: …………………………….


Division or Directorate: …………………………




                                     1
  Triennial review of mentors, and sign off mentors:
                 knowledge and skills.


The Leeds Teaching Hospitals N.H.S. Trust supports the Nursing
and Midwifery Council (N.M.C) standards for learning and
assessment in practice (2008).

The standards clearly state that all Nursing and Midwifery students
on placements in the Trust should be directly or indirectly
supervised at all times by an N.M.C. mentor who has achieved the
required standard at the triennial review.

All students will be supervised by a named mentor for a minimum
of 40% of their time in practice. In addition all Sign off Mentors
each week will have 1hour of protected assessment time with their
final placement student.

The Trust is fully committed to working in partnership with Higher
Education Institutions (H.E.Is) and the Strategic Health Authority
(S.H.A) in achieving the required standards.




Further Information/Contact Details


Jerry Masterson 0113 2066562



Document Created: April 2010

Review Date: December 2011




                                2
Triennial Review record:

Name: …………………………………………………………………….

Mentor qualification: …………………………………………………..

Date of mentor qualification: __/__/____

Are you a sign off mentor?         Yes      No

The name of the placement where you work:

……………………………………………………………………..

Name of the Sister or Charge Nurse conducting the
Review:

……………………………………………………………………

In order to meet the N.M.C. Standards to support learning and
assessment in practice you will need to provide evidence that
you have;

   A recognised mentor qualification and date of
    attainment.
   Mentored a minimum of 2 pre-registration students in
    the previous 3 years.
   Completed an annual mentor update.
   Participated in a group activity using a model of
    reflective learning to explore issues involving mentoring
    such as the failing student.
   Mapped your ongoing development as a mentor against
    the current N.M.C. standards.
   Met all the requirements needed to maintain your status
    on the live mentor register.




                               3
4
        Post Support for Learning in Practice Course –
     ON GOING RECORDS OF ACHIEVEMENT FOR MENTOR
                       DEVELOPMENT

    Name:                                                  Place of work:

     Mentor qualification (e.g. 998/MIP/SLIP):_______________________________________________________________




                                    Your personal and professional development as a mentor
The NMC have stated:
“Mentors.. must demonstrate their knowledge, skills and competence on an on-going basis…………..



                                                           5
To be maintained on the local register the individual must have evidence of having:

      Mentored at least 2 students within a 3 year period
      Participated in annual updating …….
      Explored as a group activity the validation and reliability of judgements made when assessing practice in challenging
        circumstances
      Mapped on going development in the role against the current NMC mentor standards…….”
(NMC, 2008 p.11)

The NMC also stipulate that the Mentor registers should be subject to triennial (3 yearly) review whereby placement providers (i.e.
NHS Trusts, Private or voluntary health care organisations providing placements for NMC students) will ensure that only those
mentors who continue to meet the NMC mentor requirements remain on the local mentor register. You therefore need to continue
to keep a record of your experiences and your learning as a mentor. The records on the following pages may be useful in capturing
some of the evidence required. You may wish to add additional evidence such as records of teaching and learning activities that
you have facilitated, for example, teaching plans, student feedback or an orientation package.

In addition, NMC require mentors who make the final assessment of practice (i.e. for final placement students –usually 3rd years) to
meet additional criteria to reflect the level of responsibility. These mentors will be known as “sign- off mentors” and should be
annotated as such on the locally held mentor register. These criteria include being:

    “…Registered on the same part of the register
    Working in the same field of practice…….
    Clinical currency and capability……..
    Been supervised on at least 3 occasions for signing off proficiency at the end of a final placement…….by an existing sign off
     mentor or practice teacher *
    A working knowledge of current programme requirements, practice assessment strategies and relevant changes in
     education and practice for the student they are assessing..
    An in-depth understanding of their accountability to the NMC for the decision they make to pass or fail a student when
     assessing proficiency requirement at the end of a programme.” (NMC, 2008 p. 21)




                                                                 6
    *n.b. new guidance from NMC April 2010 states that
    “….anyone working towards becoming a sign-off mentor must be supervised signing off students on NMC approved courses on
    three separate occasions. This remains unchanged. However, having received feedback about some of the difficulties in meeting
    the criteria for sign-off mentor, the NMC Professional Practice and Registration Committee have agreed that a wider range of
    methods may be used for the first and second occasions, as long as they test the skills required to sign off students safely. These
    include:
           simulation
           role-play
           objective structured clinical examination (OSCE), and
           interactive use of electronic resources.

    These, and other methods may be determined locally, and will be considered as part of NMC programme approval and monitoring.
    The final supervision for signing off proficiency must, however, remain with an actual student undertaking an NMC approved
    programme.”

    This means that up to 2 events may be simulated – but must still be signed off by either a sign off mentor, practice teacher or
    lecturer/educator with a NMC recordable teaching qualification. (see Sign off mentor records later in booklet which provide a means
    of recording these additional sign off mentor criteria.)

    n.b. You need to ensure that you inform both your line manager AND whoever manages the processes for updating your local
    mentor register – usually a Practice Learning Facilitator – when you have undertaken your annual update or when you are ready to
    be a sign off mentor




                                                                      7
References and Resources for Mentors:

NMC (2008) Standards to support learning and assessment in practice London: NMC available from
http://www.nmc-uk.org/Documents/Standards/nmcStandardsToSupportLearningAndAssessmentInPractice.pdf

On Line mentor update - A multi professional e-learning package for practitioners supporting student’s practice learning has been
developed by Yorkshire and Humberside HA and is accessible to all: http://www.mentorupdate.co.uk/
Practice placement Unit for Leeds pre registration nursing students (The Leeds placement circuit shared between the two Leeds
universities) www.practiceplacements.leeds.ac.uk Their website has loads of vital information for ALL mentors/practice/clinical
educators, such as student nurse documents
West Yorkshire on-line practice quality initiatives available from www.healthcareplacements.co.uk This website maintains the
   profiles of all practice areas (NHS, private, voluntary, 3rd sector etc.) used for pre registration health students for nurses and
   allied health professionals across west Yorkshire. It also captures all the student evaluations and placement audit details.
   Please check if your clinical area has an up to date profile on it – this enables students to access information ahead to see the
   area they are going to and the type of work they will be involved in. If not, speak to your Practice learning facilitator or whoever
   is the lead for student placements in your organisation.


Within the NHS Trusts are Practice Learning Facilitators who help to contribute to assuring the quality and capacity of placement
learning opportunities for student nurses. They usually have some responsibility for updating the locally held mentor register so it is
worth finding out who they are in your Trust and processes for letting them know when you have annually updated or become a
sign off mentor.


 NHS Leeds (PCT):                              LEEDS TEACHIGN HOSPITALS NHS TRUST:          LEEDS PARTNERSHIP FOUNDATION TRUST:
 Mary Griffiths: m.f.griffiths@nhs.net         Jerry Masterson                               Jenny Shaw   Jenny.Shaw@leedspft.nhs.uk
 Jude McKaig:    j.mckaig@nhs.net              Jerry.Masterson@leedsth.nhs.uk




                                                                   8
                            Records of Student Nurses/midwives/learners mentored:
Student ID   Programme and level Student’s University Dates of placement      Nature of mentoring e.g. primary mentor
number       of student




                                                       9
                                             Mentor update activities - annual
Date and   Nature of update e.g. Link lecturer update/    Key learning from activity   Name of facilitator /self
time       teaching session attendance/ self directed                                  directed
           work/ On line learning package completed




                                                            10
Other professional activities to support learning and assessment in practice (e.g. peer review regarding judgements made
                 in a student’s assessment/ development of teaching/learning materials for ward/dept.)
Date          Nature of activity               Details




                                                          11
                                                    SIGN-OFF MENTOR EVENT ONE
Date:                                                                 Venue:
NMC Sign-off Mentor Criteria:                       How was the criteria demonstrated:
                                                    (Include date and nature of last mentor update etc.)
Clinical currency and capability



Working knowledge of current NMC programme
requirements & practice assessment strategies


An understanding of NMC registration requirements



In-depth understanding of their accountability to the
NMC for decision made to pass or fail a student
when assessing proficiency at the end of a
programme
I confirm all the criteria for a sign-off mentor (SOM) have been met

Printed Name of Assessor/SOM…………………………Signature of Assessor/SOM…….……………………………………… Date……………

Nature of qualification (must be SOM mentor/Practice teacher/ NMC recordable teacher qualification for simulated events 1 and 2.
Must be SOM when signing off final event or events with actual
student)………………………………………………………………………………………………………….




                                                                   12
                                                    SIGN-OFF MENTOR EVENT TWO
Date:                                                             Venue:

NMC Sign-off Mentor Criteria:                       How was the criteria demonstrated:
                                                    (Include date and nature of last mentor update etc.)
Clinical currency and capability



Working knowledge of current NMC programme
requirements & practice assessment strategies


An understanding of NMC registration requirements



In-depth understanding of their accountability to the
NMC for decision made to pass or fail a student
when assessing proficiency at the end of a
programme
I confirm all the criteria for a sign-off mentor (SOM) have been met:
Printed Name of Assessor/SOM…………………………Signature of Assessor/SOM…….……………………………………… Date……………

Nature of qualification (must be SOM mentor/Practice teacher/ NMC recordable teacher qualification for simulated events 1 and 2.
Must be
SOM when signing off final event or events with actual student)
……………………………………………………………………………………………………….




                                                                  13
                                                    SIGN-OFF MENTOR EVENT THREE
Date:                                                              Venue:

NMC Sign-off Mentor Criteria:                        How was the criteria demonstrated:
                                                     (Include date and nature of last mentor update etc.)
Clinical currency and capability



Working knowledge of current NMC programme
requirements & practice assessment strategies


An understanding of NMC registration requirements



In-depth understanding of their accountability to the
NMC for decision made to pass or fail a student
when assessing proficiency at the end of a
programme
I confirm all the criteria for a sign-off mentor (SOM) have been met and this mentor can now be annotated on the mentor register as a
sign off mentor
Printed Name of Assessor/SOM…………………………Signature of Assessor/SOM…….……………………………………… Date……………

Nature of qualification (must be SOM /Practice Teacher when signing off final SOM event with actual student)………………………………




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                    Action Plan (if triennial review standards not met)

     Recommendations/ Solutions              Actions and steps           Person responsible           Milestones
     What changes need to be made?      How will you make the changes?        for change          What is the due date
                                                                          Who will be the lead             for
                                                                         person responsible for   Completion of each
                                                                           ensuring that each       step or action?
                                                                             step or action       Record date when
                                                                               happens?               completed.
1.


2.


3.


4.


5.




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