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NMC Essential Skills Clusters

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					                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery


                                           NMC Essential Skills Clusters


Student’s Name ________________________________ Intake_______________________ Branch____________________

                Placement area                        Date of placement               Type of experience
                                           From                 To
                                           From                 To
                                           From                 To



The NMC Essential Skills Clusters are a key component of the summative assessment documentation for the Stage 1 clinical
module (NU1656). Mentors are required to assess students in each of the Essential Skills Clusters. Mentors must sign and date
each of the outcomes for the 5 Essential Skills Clusters at the point they are achieved by the student. There are specific
summative assessments for Essential Skills Clusters 2, 3, 4 and 5 that you must see evidence of ability and then sign to
indicate achievement. Each Essential Skill Cluster only needs to be completed once and therefore if it has been achieved in a
previous placement, the student does not have to repeat the assessment. Each Essential Skills Cluster must be completed in
it’s entirety in one placement area.

Please note: a student MUST achieve each outcome to be eligible to progress to the branch programme (Stage 2). Mentors
need to be vigilant in providing students with opportunities to practice skills and demonstrate competence within the Essential
Skills Clusters. The personal tutor will monitor the student’s achievement of each of the 5 Essential Skills Clusters when they
return to the University after each placement.

Essential Skill Cluster                                  ESC no.               Clinical Assessment Profile reference
Care, Compassion and Communication                          1                                  2.1
Medicines Management                                        2                                  2.8
Infection Prevention and Control                            3                                  2.8
Nutrition and Fluid Management                              4                                  2.8
Organisational Aspects of Care                              5                                  2.6




CW / Jan 2009                                                                                                                     1
                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery

                   Summative Clinical Assessment for Essential Skills Cluster (ESC) for Entry to Branch

                                        CARE, COMPASSION AND COMMUNICATION

                  Based on Knowledge & understanding; Problem Solving; Professional Attitude and Skills
                                       at Performance Expectations for Stage 1.



(ESC 1)
Patients/clients can trust a newly qualified nurse to provide care          Please initial &       Suggested evidence
based on the highest standards, knowledge and competence                    date when
                                                                            achieved
Therefore for entry to the branch the students will be able to:
   Work within limitations of the role and recognise own level of
     competence                                                                                Participates in de-briefing /
   Use professional support structures to learn from experience and make                      reflective sessions
     appropriate adjustments
   Promote a professional image                                                               Demonstrates awareness of
   Show respect for others                                                                    professional support
   Form appropriate and constructive professional relationships with                          structures available and the
     families and other carers                                                                 role they play e.g. Royal
                                                                                               College of Nursing, Care
Links to CAP NMC learning outcomes 1.2, 1.6, 2.1                                               Commission




  CW / Jan 2009                                                                                                                2
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                         CARE, COMPASSION AND COMMUNICATION

(ESC 2)
Patients/clients can expect a newly qualified nurse to engage them            Please initial &      Suggested evidence
as partners in care. Should they be unable to meet their own needs              date when
then the nurse will ensure that these are addressed in accordance                achieved
with the known wishes of the patient/client or in their best interests

Therefore for entry to the branch the students will be able to:
   Actively involve patients/clients in their assessment and care planning                      Information within nursing
   Determine patient/client preferences to maximise comfort and dignity                         assessments, care-plans and
   Actively encourage patients/clients to be involved in, and / or ensure                       evaluation sheets
     they are supported in own care/self care
   Assess patients/clients level of capability for self care
   Provide care for those who are unable to maintain own personal
     hygiene (e.g. mouth care, elimination, bathing, care of skin, cleaning
     teeth, hair washing, cleaning eyes and cleaning nails)

Links to CAP NMC learning outcomes 2.5, 2.8
(ESC 3)                                                                                          Nursing documentation and
Patients/clients can expect a newly qualified nurse to treat them                                observation of interaction
with dignity and respect as individuals                                                          with patients/clients

Therefore for entry to the branch the students will be able to:
   Take a person-centred approach to care
   Demonstrate respect for diversity and individual patient/client
     preference regardless of personal view
   Deliver care with dignity, making use of the environment, self, skills
     and attitude
   Act in a way that demonstrates respect for others promoting and
     valuing differences

Links to CAP NMC learning outcomes 2.8



  CW / Jan 2009                                                                                                                3
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                         CARE, COMPASSION AND COMMUNICATION

(ESC 4)                                                               Please initial &
 Patients/clients can expect a newly qualified nurse to care for them    date when          Suggested evidence
in an environment and manner that is culturally competent and free        achieved
from discrimination, harassment and exploitation
                                                                                         Awareness and appropriate
Therefore for entry to the branch the students will be able to:                          use of the services such visits
   Demonstrate understanding of how culture, religion, spiritual beliefs,               from ministers and priests
     gender and sexuality can impact on illness and disability
   Respect peoples rights                                                               Patients rights being
                                                                                         expressed in situations where
Links to CAP NMC learning outcomes 1.2                                                   they are unable to do so
                                                                                         themselves
(ESC 5)
Patients/clients can expect a newly qualified nurse to provide care
that is delivered in a warm, sensitive and compassionate way

Therefore for entry to the branch the students will be able to:
   Be attentive and act with kindness and sensitivity
   Take into account a patients/clients physical and emotional responses                Testimony from patients
     when carrying out care
   Deliver care in a manner that is interpreted by the patient/client as                Observation of interactions
     warm, sensitive, kind and compassionate                                             with patients
   Deliver care that addresses both physical and emotional needs and
     preferences                                                                         De-briefing/reflection
   Evaluate ways in which own interactions affect relationships to ensure               following interaction with
     that they do not impact inappropriately on others                                   patients/clients

Links to CAP NMC learning outcomes 2.1, 2.2




  CW / Jan 2009                                                                                                        4
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                                        CARE, COMPASSION AND COMMUNICATION

(ESC 6)                                                                      Please initial &
Patients/clients can expect a newly qualified nurse to listen and              date when           Suggested evidence
provide information that is clear, accurate and meaningful at a level           achieved
at which the patient/ client can understand

Therefore for entry to the branch the students will be able to:
   Communicate effectively both orally and in writing, so that meaning is
     always clear                                                                               Handover reports
   Use strategies to enhance communication and remove barriers to
     effective communication                                                                    Nursing documentation
   Record information accurately and clearly on the basis of observation
     and communication                                                                          Observation of interactions
   Effectively communicate the patient’s/client’s stated needs/wishes to
     other professionals

Links to CAP NMC learning outcomes 2.1,2.2
(ESC 7)
Patients/clients can expect a newly qualified nurse to protect and
treat as confidential all information relating to themselves and their
care

Therefore for entry to the branch the students will be able to:
   Protect and treat information as confidential except where sharing
     information is required for the purposes of safeguarding and / or                          NHS Grampian policies &
     public protection                                                                          procedures
   Apply the principles of data protection
   Distinguish between information that is relevant to care-planning and
     information that is not

Links to CAP NMC learning outcomes 1.2, 1.3, 2.4, 2.5




  CW / Jan 2009                                                                                                               5
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                         CARE, COMPASSION AND COMMUNICATION

(ESC 8)                                                                      Please initial &
Patients/clients can expect a newly qualified nurse to ensure that              date when              Suggested evidence
their consent is sought prior to care or treatment being given and               achieved
their rights are respected

Therefore for entry to the branch the students will be able to:
   Apply principles of consent in relation to restrictions relating to                            NHS Grampian policies /
     specific client groups and seeks consent for care                                             procedures
   Ensure that the meaning of consent to treatment and care is
     understood by the patient /client                                                             Relevant Legislation:-
   Seek consent prior to sharing confidential information outside of the                          Vulnerable Adults
     professional care team (subject to agreed safeguarding/protection                             Age of Legal Capacity
     procedures)

Links to CAP NMC learning outcomes 1.2, 1.3

  Note: The mentor should use a variety of ways to measure the student’s achievement i.e. direct and / or indirect
  observations, speaking with student to ascertain their views, speaking with clients that the student has interacted with, having
  a debriefing session with the student, asking the views of other staff who have interacted with the student during his or her
  placement in that location.

  This essential skills cluster has been achieved to the standard required

  Mentor’s Name________________________            Mentor’s Signature_________________________ Date_____________

  Student’s Name_______________________            Student’s Signature_______________________          Date_____________




  CW / Jan 2009                                                                                                                  6
                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery

                    Summative Clinical Assessment for Essential Skills Cluster (ESC) for Entry to Branch

                                                MEDICINES MANAGEMENT

                  Based on Knowledge & Understanding; Problem Solving; Professional Attitude and Skills
                                       at Performance Expectations for Stage 1.

  Clinical Placement Area ______________________________      Student’s Name _________________________________

(ESC 34 and 42)                                                     Please initial &
                                                                      date when              Suggested evidence
Patients/clients can trust a newly registered nurse to work            achieved
within the legal and ethical framework that underpins safe
and effective medicines management

Therefore for entry to the branch the students will be able to:
   Demonstrate an understanding of legal/ethical frameworks                           Discussion with student
     relating to safe administration of medicines practice.
   Demonstrate knowledge of what a Patient Group Direction
     (PGD) is and who can use them

Links to CAP NMC learning outcomes 1.2, 1.3,1.4
(ESC 41)
Patients/clients can trust a newly registered nurse to use and
evaluate up-to-date information on medicines management
and works within national and local policy

Therefore for entry to the branch the students will be able to:
   Access commonly used evidence based sources relating to safe
     and effective medicines management

Links to CAP NMC outcomes 2.7, 1.4




  CW / Jan 2009                                                                                                   7
                                               THE ROBERT GORDON UNIVERSITY
                                                 School of Nursing & Midwifery

                                                    MEDICINES MANAGEMENT

(ESC 38)                                                                 Please initial &
Patients/clients can trust a newly registered nurse to                     date when              Suggested evidence
administer medicines safely in a timely manner including                    achieved
controlled drugs

Therefore for entry to the branch the students will be able to:                             Accurate completion of individual
   Use prescription charts correctly                                                       prescription chart and related
   Maintain accurate records or administration                                             documentation.
   Utilise and safely dispose of equipment to draw up / administer
     medication
   Administer medication safely under direct supervision by
     various routes

Links to CAP NMC learning outcomes 2.8, 3.1
(ESC 40)
Patients/clients can trust a newly registered nurse to work in
partnership with patients/clients and carers in relation to
managing their medicines under supervision

Therefore for entry to the branch the students will be able to:
   Involve the patient/client in administration / self administration
     of medicines (under supervision)

Links to CAP NMC learning outcomes 2.5
(ESC 37)
Patients/clients can trust a newly registered nurse to order,
receive, store and dispose of medicines safely in any                                       Observed practice and discussion
setting(including controlled drugs)                                                         with student

Therefore for entry to the branch the students will be able to:
    Demonstrate the ability to safely store medicines under
      supervision
Links to CAP NMC outcomes 2.6, 2.8

  CW / Jan 2009                                                                                                                 8
                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery

                                                 MEDICINES MANAGEMENT

                                                                     Please initial &
                                                                       date when              Suggested evidence
                                                                        achieved
(ESC 35 and 39)
Patients/clients can trust a newly registered nurse to work as
part of the team to offer a range of treatment options of
which medicines may form a part.

Therefore for entry to the branch the students will be able to:
   Demonstrate an awareness of a range of commonly recognised
     approaches to managing symptoms e.g. relaxation
   Discuss options for referral as appropriate
   Demonstrate awareness of roles and responsibilities within the
     MDT for medicines management including how information is
     shared and recorded

Links to CAP NMC learning outcomes 2.6, 2.8, 3.2
(ESC 36)
Patients/clients can trust a newly registered nurse to ensure
safe and effective practice through comprehensive knowledge
of medicines, their actions, risks and benefits.                                        Discussion with student and other
                                                                                        relevant staff to ascertain the
Therefore for entry to the branch the students will be able to:                         students knowledge level
      Use knowledge of commonly administered medicines to act
        promptly in cases where side effects and adverse reactions
        occur

Links to CAP NMC outcomes 2.8, 3.1




  CW / Jan 2009                                                                                                             9
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                                   MEDICINES MANAGEMENT


                             Summative Assessment for Medicines Management ESC (no.2)

                                                                             Please initial &
                     Summative Assessment                                      date when                   Comments
                                                                                achieved
(ESC 33)
Patients/clients can trust a newly registered nurse to
correctly and safely undertake medicines calculations                                           Supervised practice with the
                                                                                                student
Therefore for entry to the branch the students will be able to:
      Demonstrate competence in basic medicines calculations


  Note: The mentor should use a variety of ways to measure the student’s achievement i.e. direct and / or indirect
  observations, speaking with student to ascertain their views, speaking with clients that the student has interacted with, having
  a debriefing session with the student, asking the views of other staff who have interacted with the student during his or her
  placement in that location.

  This essential skills cluster has been achieved to the standard required

  Mentor’s Name________________________            Mentor’s Signature_________________________ Date_____________

  Student’s Name_______________________            Student’s Signature_______________________           Date_____________




  CW / Jan 2009                                                                                                                 10
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                    Summative Clinical Assessment for Essential Skills Cluster (ESC) for Entry to Branch

                                           INFECTION PREVENTION AND CONTROL

                  Based on Knowledge & Understanding; Problem Solving; Professional Attitude and Skills
                                       at Performance Expectations for Stage 1.

  Clinical Placement Area ________________________        Student’s Name ______________________________________

                      Please use this ESC in conjunction with the Cleanliness Champions Programme
(ESC 21)
Patients/Clients can trust a newly registered nurse to be               Please initial &        Suggested evidence
confident using health promotion strategies, identifying                  date when
infection risks and taking effective measures to prevent and               achieved
control infection in accordance with local and national policy

Therefore for entry to the branch the students will be able to :
   Participate in assessing and planning care appropriate to the
     patient’s/clients risk of infection
   Complete relevant care documentation                                                   Discussion with student
   Evaluate interventions to prevent and control infection                                Care documents competed by
   Recognise potential signs of infection and reports as appropriate                      student
   Demonstrate awareness of the role of the Infection Control
     Team and know how to refer when necessary                                             Cleanliness Champions
   Discuss the benefits of health promotion in the prevention and                         Programme
     control of infection

Links to CAP NMC learning outcomes 2.4, 2.5, 2.6, 2.8, 2.9, 3.2




  CW / Jan 2009                                                                                                         11
                                               THE ROBERT GORDON UNIVERSITY
                                                 School of Nursing & Midwifery

                                            INFECTION PREVENTION AND CONTROL

(ESC 22)                                                                  Please initial &
Patients/Clients can trust a newly registered nurse to maintain             date when              Suggested evidence
effective Standard Infection Control Precautions for every                   achieved
patient/client.

Therefore for entry to the branch the students will be able to :
   Clean multi-use equipment appropriately between each patient
   Safely use and dispose of, or decontaminate, items                                       Cleanliness Champions
     appropriately                                                                           Programme
   Demonstrate effective hand hygiene and follow local and
     national guidelines for Standard Infection Control Precautions                          Observation of student
     (SICP)
   Apply knowledge of transmission routes when there is a need
     for SICP
   Clean, disinfect or decontaminate shared nursing equipment
     before and after every use

Links to CAP NMC outcomes 2.5, 2.6, 2.7, 2.8
(ESC 23 )
Patients/Clients can trust a newly registered nurse to provide
effective care for patients/clients who have an infectious
disease including where required the use of standard isolation
techniques

Therefore for entry to the branch the students will be able to :                             Observation and supervised
    Provide safe care for patients/clients who are nursed in isolation                      practice with student
      or protective isolation settings under supervision
    Act appropriately if exposure to infection occurs
    Demonstrate an understanding of what is meant by an
      ‘exposure prone procedure’ and takes necessary precautions
    If the student has a blood borne virus, they consult with
      Occupational Health
Links to CAP NMC learning outcomes 2.6, 3.2

  CW / Jan 2009                                                                                                           12
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                                           INFECTION PREVENTION AND CONTROL

(ESC 24)                                                               Please initial &
                                                                         date when              Suggested evidence
Patients/Clients can trust a newly registered nurse to fully              achieved
comply with hygiene, uniform and dress codes in order to limit,
prevent and control infection

Therefore for entry to the branch the students will be able to :
   Maintain a high standard of personal hygiene                                          Observation of practice
   Observe local dress code for prevention and control of infection
   Wear appropriate clothing for care delivered

Links to CAP NMC learning outcomes 1.6
(ESC 25)
Patients/Clients can trust a newly registered nurse to safely
apply the principles of asepsis when performing invasive
procedures and be competent in aseptic technique

Therefore for entry to the branch the students will be able to :                          Patient testimony
      Understand the principles of wound care, healing and asepsis                       Supervised practice with student
      Provide accurate information to the patient/client

Links to CAP NMC outcomes 2.5, 2.6
(ESC 26)
Patients/Clients can trust a newly registered nurse to act to
reduce risk when handling waste, contaminated linen and
when dealing with spillages of blood and body fluids
                                                                                          Observation of practice
Therefore for entry to the branch the students will be able to :
      Safely dispose of waste, soiled linen, blood and / or other
        body fluids and sharps
      Address potential risks in a timely manner

Links to CAP NMC outcomes 2.5, 2.6
  CW / Jan 2009                                                                                                              13
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                           INFECTION PREVENTION AND CONTROL


                              Summative Assessment for Infection Prevention and Control
                                           ESC (no*2) through simulation

                                                                             Please initial &
                     Summative Assessment                                      date when                  Comments
                                                                                achieved
(ESC 25)

Patients/Clients can trust a newly registered nurse to safely                                   Supervised simulated practice
apply the principles of asepsis when performing invasive                                        with the student
procedures and be competent in aseptic technique

Therefore for entry to the branch the students will be able to :

   Safely perform basic wound care using clean and aseptic
    techniques through simulation


  Note: The mentor should use a variety of ways to measure the student’s achievement i.e. direct and / or indirect
  observations, speaking with student to ascertain their views, speaking with clients that the student has interacted with, having
  a debriefing session with the student, asking the views of other staff who have interacted with the student during his or her
  placement in that location.

  This essential skills cluster has been achieved to the standard required

  Mentor’s Name________________________            Mentor’s Signature_________________________ Date_____________

  Student’s Name_______________________            Student’s Signature_______________________          Date_____________




  CW / Jan 2009                                                                                                                 14
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                   Summative Clinical Assessment for Essential Skills Cluster (ESC) for Entry to Branch

                                             NUTRITION & FLUID MANAGEMENT

                  Based on Knowledge & understanding; Problem Solving; Professional Attitude and Skills
                                       at Performance Expectations for Stage 1.

  Clinical Placement Area: _____________________________ Student’s Name ______________________________________


(ESC 27)                                                              Please initial &
Patients/clients can trust a newly registered nurse to provide          date when              Suggested evidence
assistance with selecting a diet through which they will                 achieved
receive adequate nutritional & fluid intake
                                                                                         Accurate completion of fluid chart
Therefore for entry to the branch the students will be able to :                         and food chart and patient
   Support patients to make healthy food & fluid choices                                admission documentation relating
   Support those who need to adhere to specific dietary & fluid                         to fluid & nutrition.
     regimens.
   Provide assistance as and when required
   Identify and convey information on anyone unable to or having
     difficulty in eating or drinking so that they receive adequate
     nutrition & fluid intake.

Links to CAP NMC learning outcomes 1.5, 2.3 & 2.4




  CW / Jan 2009                                                                                                           15
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                                             NUTRITION & FLUID MANAGEMENT

(ESC 28)                                                              Please initial &
Patients/clients can trust a newly registered nurse to assess           date when              Suggested evidence
and monitor nutritional status and formulate an effective care           achieved
plan.

Therefore for entry to the branch the students will be able to :
   Assess baseline nutritional requirements for healthy person
     (related to age, mobility etc.)                                                     UNICEF breast feeding policy
   Contribute to formulating a care plan through assessment of
     dietary preferences, including local availability of foods &                        WHO ht & wt standards & centile
     facilities.                                                                         charts for babies & children
   Report to other members of the team when agreed plan is not
     been achieved.                                                                      MUST tool for adults

Links to CAP NMC learning outcomes 2.5, 2.6 3.3                                          Assists with planning care
(ESC 29)
Patients/clients can trust a newly registered nurse to assess
and monitor fluid status and formulate an effective care plan

Therefore for entry to the branch the students will be able to :
   Apply knowledge of fluid requirements needed for health and
     during illness/recovery so that appropriate fluid is provided.
   Recognise and report reasons for reduced fluid intake &                              Individualises care plan/s
     output.
   Report to team when fluid intake & output falls below
     requirements

Links to CAP NMC learning outcomes 2.8, 2.9.2.10 & 3.3




  CW / Jan 2009                                                                                                            16
                                           THE ROBERT GORDON UNIVERSITY
                                             School of Nursing & Midwifery

                                           NUTRITION & FLUID MANAGEMENT

(ESC 30)                                                            Please initial &
Patients/clients can trust a newly registered nurse to provide        date when        Suggested evidence
an environment conducive to eating & drinking                          achieved

Therefore for entry to the branch the students will be able to :
      Follow local procedures e.g. protected meal times
      Ensure patient is ready for meal & offered appropriate
        assistance
      Follow food hygiene procedures

Links to CAP NMC outcomes 2.8, 2.9.
(ESC 31)
Patients/clients can trust a newly registered nurse to ensure
that those unable to take food by mouth receive adequate
nutrition

Therefore for entry to the branch the students will be able to :
   Recognise and respond appropriately and report patients who
     have difficulty eating and/or swallowing.
   Adhere to a plan of care that provides adequate nutrition and
     hydration.

Links to CAP NMC outcomes 2.9, 2.10




  CW / Jan 2009                                                                                             17
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                              NUTRITION & FLUID MANAGEMENT


                            Summative Assessment for Nutrition & Fluid Management ESC
(ESC 27)                                                                   Please initial &
Patients/clients can trust a newly registered nurse to provide assistance    date when                          Comments
with selecting a diet through which they will receive adequate nutritional    achieved
& fluid intake

Therefore for entry to the branch the students will be able to :
    Accurately monitor dietary & fluid intake & complete relevant documentation
(ESC 28)
Patients/clients can trust a newly registered nurse to assess and monitor
nutritional status and formulate an effective care plan.

    Therefore for entry to the branch the students will be able to :
    Take and record accurate measurements of weight, height/length, body
      mass index and other appropriate measures of nutritional status.
(ESC 29)
Patients/clients can trust a newly registered nurse to assess and monitor
fluid status and formulate an effective care plan

Therefore for entry to the branch the students will be able to :
   Accurately monitor and record fluid intake and output.
  Note: The mentor should use a variety of ways to measure the student’s achievement i.e. direct and / or indirect
  observations, speaking with student to ascertain their views, speaking with clients that the student has interacted with, having
  a debriefing session with the student, asking the views of other staff who have interacted with the student during his or her
  placement in that location.

  This essential skills cluster has been achieved to the standard required

  Mentor’s Name________________________            Mentor’s Signature_________________________ Date_____________

  Student’s Name_______________________            Student’s Signature_______________________          Date_____________


  CW / Jan 2009                                                                                                                 18
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                   Summative Clinical Assessment for Essential Skills Cluster (ESC) for Entry to Branch

                                             ORGANISATIONAL ASPECTS OF CARE

                  Based on Knowledge & understanding; Problem Solving; Professional Attitude and Skills
                                       at Performance Expectations for Stage 1.

  Clinical Placement Area: _____________________________ Student’s Name ______________________________________

(ESC 9)
Patients/ clients can trust a newly qualified nurse to make a holistic        Please initial &      Suggested evidence
and systematic assessment of their needs and develop a                          date when
comprehensive plan of nursing care that is in their best interests and           achieved
which promotes their health and well-being and minimises the risk                                Accurate completion of
of harm.                                                                                         recordings of vital signs as a
                                                                                                 baseline assessment of
Therefore for entry to branch the student will be able to:                                       weight, height, temperature,
   Contribute to the holistic assessment of patient/clients needs.                              pulse, respiration and blood
   Contribute to the planning of safe effective care                                            pressure.
     based on that assessment.
   Develop constructive and appropriate relationships with                                      Performs routine diagnostic
     patients/clients and their carers                                                           tests e.g. urinalysis, under
   Apply knowledge of anatomy and physiology appropriate for age,                               supervision and accurately
     illness or disability.                                                                      records results.
   Identify potential risks from unhealthy lifestyles
   Respond appropriately by seeking assistance from a senior colleague                          Reports changes in patient’s
     when faced with sudden deterioration in patients’/clients’ physical or                      condition or abnormal
     psychological condition or emergency situations (e.g. abnormal vital                        recordings to senior
     signs, patient / client collapse, self harm)                                                colleague.


Links to CAP NMC learning outcomes 2.3 2.4 2.5 2.6 2.7




  CW / Jan 2009                                                                                                                 19
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery

                                            ORGANISATIONAL ASPECTS OF CARE

(ESC 10)
Patients/ clients can trust a newly qualified nurse to deliver and           Please initial &       Suggested evidence
evaluate care against the comprehensive care plan                              date when
                                                                                achieved
Therefore for entry to branch the student will be able to:
   Work collaboratively with patients/clients and their carers to involve                      Contributes to the safe
     them in the delivery and evaluation of their care.                                         delivery of holistic care as
   Seek opportunities to increase knowledge, capability and skills.                            per care plans.
   Report to other members of the team when agreed plan has not been
     achieved or deterioration is evident.                                                      Assists in the preparation of
                                                                                                clients for clinical
Links to CAP NMC learning outcomes 2.5, 2.6 ,2.7                                                interventions
                                                                                                acknowledging local policy.
(ESC 11)
Patients/clients can trust a newly qualified nurse to act to safeguard
children and adults requiring support and protection.
                                                                                                Assists in developing
Therefore for entry to branch the student will be able to:                                      individualised care plans.
   Apply knowledge of legal frameworks and local policies for the
     protection of vulnerable clients.                                                          Contributes to the
   Recognise and reports any concerns and information which may be                             documentation of information
     significant.                                                                               relevant to the individual
   Seek support to manage and deal with own emotions.                                          patient.

Links to CAP NMC learning outcomes 1.3,1.4, 2.2, 2.5, 2.6, 2.7




  CW / Jan 2009                                                                                                                 20
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                             ORGANISATIONAL ASPECTS OF CARE

(ESC 12)
Patients/ clients can trust a newly qualified nurse to be able to         Please initial &      Suggested evidence
respond appropriately to feedback from patients/clients, the public         date when
and a wide range of sources as a vehicle for learning and                    achieved
development.
                                                                                             Seeks advice from senior
Therefore for entry to branch the student will be able to:                                   colleague when
      Follow local procedures for responding to compliments and                             patients/clients wish to
        comments                                                                             comment or complain.
      Respond appropriately when a patient /client wants to complain
        and provide appropriate assistance and support.
      Use reflective practice to enhance understanding and learning                         Develops use of reflective
        from feedback                                                                        practice to engage with team
      Develop skills required to effectively use feedback from various                      members.
        sources to enhance team activities.

Links to CAP NMC outcomes 2.2, 2.7, 2.8
(ESC 13)

Patients/ clients can trust a newly qualified nurse to be able to
promote continuity when care is to be transferred to another
service or person.

Therefore for entry to branch the student will be able to:

    Work with colleagues to prepare a patient /client
     for transfer/transition to another healthcare area
    Report issues and patient/client concerns regarding the transfer /
     transition
    Assist in the preparation of records and reports related to this
     transfer.

Links to CAP NMC outcomes 2.2, 2.5, 2.7

  CW / Jan 2009                                                                                                         21
                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery

                                           ORGANISATIONAL ASPECTS OF CARE

(ESC 14)
Patients/ clients can trust a newly qualified nurse to be confident in       Please initial &      Suggested evidence
their own role within the multi-disciplinary/multi-agency team and             date when
to inspire confidence in others                                                 achieved

Therefore for entry to branch the student will be able to:                                      Demonstration of working
                                                                                                with others and within NMC
    Work within NMC code of professional conduct                                               code of professional conduct
    Value others’ roles and responsibilities within the team and interact
     appropriately
    Reflect on own practice and discuss issues to enhance learning
    Communicate with colleagues verbally (face to face and by telephone),
     in writing and electronically

Links to CAP NMC outcomes 3.2, 3.3
(ESC 15)
Patients/ clients can trust a newly qualified nurse to be able to                               Observation of practice
delegate care to others and to respond appropriately when a task is
delegated to them

Therefore for entry to branch the student will be able to:
   Accepts delegated tasks and elements of care based on knowledge,
     skill and limitations of the role

Links to CAP NMC outcomes 3.1, 3.2

(ESC 16)
There are no requirements for progression to branch




  CW / Jan 2009                                                                                                                22
                                             THE ROBERT GORDON UNIVERSITY
                                               School of Nursing & Midwifery


                                            ORGANISATIONAL ASPECTS OF CARE

(ESC 17)
Patients/ clients can trust a newly qualified nurse to be able to work       Please initial &      Suggested evidence
safely under pressure                                                          date when
                                                                                achieved
Therefore for entry to branch the student will be able to:
                                                                                                Observation of practice
       Contribute as a team member
       Demonstrate professional commitment by working flexibly to meet
        service needs
       Recognise when situations are becoming unsafe and report
        appropriately
       Use supervision to develop skills and strategies which will enable
        them to manage own stress levels and to work safely and
        effectively

Links to CAP NMC outcomes 2.6
(ESC 18)
Patients/ clients can trust a newly qualified nurse to be able to                               Seeks advice and information
identify and safely manage risk in relation to the patient/client, the                          regarding Risk Assessment
environment, self and others                                                                    and safety issues within
                                                                                                working environment.
Therefore for entry to branch the student will be able to:
    Under supervision works within clinical governance frameworks and
      contributes to promote safety and positive risk taking                                    Contributes to individual Risk
    Report patient/client safety incidents to senior colleagues                                assessment documentation.
    Under supervision assesses risk within current sphere of knowledge
      and competence
    Follow instructions and takes appropriate actions to minimise risk
    Under supervision works within legal frameworks for protecting self
      and others
    Knows and accepts own responsibilities and takes appropriate action
Links to CAP NMC outcomes 1.1, 2.5, 2.6, 2.7

  CW / Jan 2009                                                                                                              23
                                            THE ROBERT GORDON UNIVERSITY
                                              School of Nursing & Midwifery




                                           ORGANISATIONAL ASPECTS OF CARE

(ESC 19)
Patients/ clients can trust a newly qualified nurse to work to resolve    Please initial &      Suggested evidence
conflict and maintain a safe environment                                    date when
                                                                             achieved
Therefore for entry to branch the student will be able to:
      Recognise signs of aggression and responds appropriately to keep                      Seeks advice from senior
        self and others safe                                                                 colleague when signs of
      Assists others or obtains assistance when help is required                            aggression are recognised.

Links to CAP NMC outcomes 1.2, 2.2, 2.7                                                      Develop the use of strategies
                                                                                             to disengage from situations
                                                                                             which may become
                                                                                             aggressive
(ESC 20)
Patients/ clients can trust a newly qualified nurse to select and                            Observation of practice
manage medical devices safely

Therefore for entry to branch the student will be able to:
   Safely use and dispose of medical devices under supervision

Links to CAP NMC outcomes 2.6




  CW / Jan 2009                                                                                                           24
                                              THE ROBERT GORDON UNIVERSITY
                                                School of Nursing & Midwifery

                                             ORGANISATIONAL ASPECTS OF CARE


                              Summative Assessment for Organisation Aspects of Care ESC


                                                                              Please initial & date      Suggested evidence
                          Summative Assessment                                   when achieved
(ESC 9)
Patients/ clients can trust a newly qualified nurse to make a holistic
and systematic assessment of their needs and develop a
comprehensive plan of nursing care that is in their best interests and
which promotes their health and well-being and minimises the risk
of harm.

Therefore for entry to branch the student will be able to:

    Take and record accurately in appropriate documentation, a baseline
     measurement of weight, height, temperature, pulse, respirations and
     blood-pressure.

Recognise findings outside the normal range of these vital signs and
document and report appropriately to senior colleague.

  Note: The mentor should use a variety of ways to measure the student’s achievement i.e. direct and / or indirect
  observations, speaking with student to ascertain their views, speaking with clients that the student has interacted with, having
  a debriefing session with the student, asking the views of other staff who have interacted with the student during his or her
  placement in that location.

  This essential skills cluster has been achieved to the standard required

  Mentor’s Name________________________            Mentor’s Signature_________________________ Date_____________

  Student’s Name_______________________            Student’s Signature_______________________          Date_____________


  CW / Jan 2009                                                                                                                 25
                THE ROBERT GORDON UNIVERSITY
                  School of Nursing & Midwifery




CW / Jan 2009                                     26

				
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Description: NMC Essential Skills Clusters