Higher Education Diploma in Nursing Studies by qyd44618

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									                              Higher Education Diploma in Nursing Studies
                                  - Common Foundation Programme -

                                Clinical Practice Placement Portfolio


Student Name:

Cohort

Campus


Clinical Practice Placement A                         (1)

                                                      (2)



Clinical Practice Placement B                         (1)

                                                      (2)

                                                      (3)




If found, please return to:

Name:

Address:                 School of Nursing and Midwifery
                         Queen‟s University Belfast
                         Medical Biology Centre
                         Lisburn Road
                         Belfast BT9 7BL




                                                  1
COMPLETING THE CLINICAL
  PRACTICE PLACEMENT
      PORTFOLIO




           2
                                     Clinical Assessment Strategy

Beliefs about Learning and Assessment
Any model of assessment ought to capture the developmental nature of learning and the increasing
complexity of professional nursing practice. It is our belief that students are active participants in their
learning and should accept an increasing level of involvement and responsibility in this process.
Therefore, the concepts of progress and development are central to this assessment strategy. A
guiding principle behind this approach is one which supports the notion of life-long learning and is in
keeping with on-going professional development through Post-Registration for Education and Practice
(PREP).

These beliefs are best operationalised in a format of assessment which is continuous in nature,
integrates theory and practice, and is based on dialogue among all parties in the educational process.


Clinical Assessment Strategy
The overall strategy is that of a Clinical Portfolio. The portfolio will be maintained by the student
throughout the Common Foundation Programme (CFP). The Clinical Portfolio, which provides a range
of evidence, will serve as a basis for dialogue and enable assessors to evaluate the extent to which
appropriate learning outcomes have been achieved. The primary focus of the Clinical Portfolio is to
assess the holistic integration of clinical skills and underpinning theoretical and evidence-based
issues.

The Clinical Portfolio will have two inter-related sections. Section One will be a record of a student's
on-going development of clinical skills, while Section Two incorporates a range of evidence which a
student will present to demonstrate awareness of the theoretical and research-based issues which
underpin clinical practice.

Both sections of the portfolio will reflect student development and are designed to meet the learning
outcomes for each Clinical Module in the CFP. The clinical progress of a student will be monitored at
points throughout the CFP by the use of formative and summative assessment.


Clinical Skills Centre
The nature and amount of practice required for the development and acquisition of clinical skills can
be affected by multiple factors. In recognition of this situation, the learning experiences gained in the
Clinical Skills Centre will be used to formatively assess the student. Therefore, Level D (of the Nicol et
al. Framework, see appendix I) will be the expected level of achievement prior to the student
practising their clinical skills in a care setting.

Clinical Practice Portfolio

Section 1        Practice skills document

The practice skills document will act as a record of the student‟s activity. The document identifies a
range of skills which normally the student is expected to have achieved by the end of the CFP. It is
recognised that the student may not have the opportunity to engage in all skills in the practice setting,
therefore skills assessment may be undertaken in the practice setting and / or the clinical skills centre.
A viva voce (outlined below) may be required for skills not achieved by the end of Clinical Module B.

Section 2     Range of Evidence - will include the following

   Learning Outcomes
       Each placement will have a specified set of learning outcomes which the student will be
       expected to achieve on completion of each practice placement.

   Core Criteria for Professional Practice
       The core criteria will form part of the progress report which will be completed by the student,
       the mentor and the link nurse lecturer. The criteria address the following issues:
                Orientation to placement;
                Achievement of learning outcomes.
                Commitment to professional values;
                                                     3
                 Interpersonal effectiveness and communication;
                 Commitment to personal and professional growth;

   Self Assessment Record / Identification of Learning
        The student will be encouraged through the activity of self-assessment to reflect on strengths
        and weaknesses and how learning outcomes for each placement have been achieved.

   Action Plan
        The student will formulate an action plan which will assist in determining future goals and
        priorities. The action plan must be authenticated by the nurse lecturer.

   Evaluation of Learning

   Reflective diary
        The student will complete a reflective diary whilst on clinical placement. This activity is aimed
        at facilitating the student to record/recall personal experiences and observations which can be
        used to increase understanding, thereby further enhancing the clinical environment as a
        positive learning environment.

Assessment of Clinical Skills
The assessment of clinical skills is based on the framework outlined by Nicol et al (1996; Appendix 1).
This framework allows students to develop competence in clinical and communication skills over the
span of the whole of the CFP (and beyond).

The format for the assessment is the Schedule of Skills Development (adapted from the Clinical Skills
Centre at St Bartholomew‟s Hospital, London) which is a composite list of the skills required by
students of nursing and medicine (Dacre and Nicol, 1996).

Within the Schedule, skills are listed by body systems, with subdivisions into: assessment and
diagnostic skills; caring, comfort and safety skills; and therapeutic and technical skills. By listing the
clinical practice skills in this way it is possible to identify the level of performance for each skill at
specific points during the programme.

In keeping with a philosophy which recognises the development of competence to be incremental,
and a framework in which there are various stages of clinical skill development, summative
assessment (for clinical skills) will take place only at the end of Clinical Module A and B.

In order to facilitate all parties concerned with the assessment of clinical skills, only those skills which
have been identified as „core skills‟ shall be awarded a grading.
Method for awarding a grading to the level of clinical skill:
 The grading shall be awarded to the „core skills‟ identified. These „core skills‟ are in bold print to
    make them easily recognisable in Section 1 of each student‟s practice portfolio.
 „Sub-components‟ of the core skills are listed but these are to be regarded as guidance to remind
    students, mentors and lecturers of the scope of the skill concerned and, also, facilitate individuals
    in arriving at a conclusion as to what extent the „core skill‟ has been achieved
 Spaces have been left at appropriate places in the list of clinical skills. This is in recognition of the
    fact that it is impossible to accurately predict either a complete list of skills, or the circumstances
    in which they happen. In instances where the student has had appropriate exposure to a clinical
    skill which is not listed (either as a „core skill‟, or a sub-component‟ of a core skill) then it should
    be manually entered into the appropriate place in the skills list
 Please note while every opportunity should be taken to help the student gain a wide experience –
    the student would not be expected to perform skills for which they have not been prepared.


Formative Assessment of Clinical Skills
Formative assessment is the mechanism which facilitates evaluation of the student‟s on-going
development of clinical skills and integration of theoretical knowledge. It is a process-driven form of
assessment in which the actual process is as important as the outcome.

Formative assessment has no “pass/fail” criteria. Whilst it is recognised that students do not "fail"
formative assessments they shall nevertheless be reminded of the importance of all assessment of
                                                      4
clinical work as it contributes to evidence for summative assessments as indicated in the skills
document.

A discursive approach to formative assessment is the key to providing the student with accurate
feedback of progress and also guidance on any areas of weakness with respect to clinical skill
development and construction of the Clinical Portfolio.

In Semester I formative assessment will be conducted by a Nurse Lecturer who will provide guidance
and evaluation of the student's developing portfolio. At this stage the portfolio will contain results from
Clinical Skills Centre work and early evidence of theoretical learning which the student is starting to
integrate.

Normally, a student is expected to achieve a grade D in clinical skills assessment before being
permitted to practice in a care setting. A student who fails to achieve grade D will be required to
undertake further practice of the identified core clinical skills in the Clinical Skills Centre. A further re-
assessment of their clinical skill development will take place within one week. Failure to achieve grade
D on re-assessment will cause the students profile to be brought to the attention of the Course
Director.

In Clinical Modules A and B clinical placement of four weeks will have a midway review at the mid-
point and an end-point assessment. The mid-point assessment will be used to highlight student
development and areas of weakness. The end-point formative assessment will take place in the last
week of placement. These assessments will normally be conducted by the student's mentor.
(However, the link Nurse Lecturer in the normal course of their clinical visits may be involved at this
stage).

In placements of less than four weeks students may complete a self-assessment, although a Mentor‟s
assessment is desirable.

Failure to secure the appropriate grade in clinical modules will require the student to discuss their
progress with their Link Lecturer and a mutually agreed action plan shall be put in place which
requires the student to undertake further practice of clinical skills in practice settings and / or the Skills
Centre. Lecturers and Mentors are advised to use the Cause for Concern Section if required.

Viva Voce
It is recognised that some skills may not be achieved during CFP clinical placements for a variety of
reasons. Students are therefore asked to submit a list of such skills with their portfolio at the end of
Clinical Module B. This list of skills will then form the basis of a viva voce examination to determine
the student‟s underpinning level of theoretical knowledge relevant to such skills. The nurse lecturer
will award a pass / fail on the basis of the viva voce and incorporate this result into their deliberations
when awarding a final grade to the overall portfolio. In addition, the skills not yet achieved will remain
part of the student‟s portfolio and will be assessed, as and when appropriate, in their respective
branch programme.


Summative Assessment:
Summative assessment is a judgement of student achievement of learning outcomes. It contributes
to the award of a grade which is indicative of the degree to which the student is able to integrate
knowledge, skills, attitudes and understandings gained from clinical placements and the theoretical
element of the programme.

At summative assessment a number of formative assessments will have been conducted and the
student will have been given opportunity to address any areas of concern.

Grading of Clinical Portfolio
Clinical module A
The portfolio will be submitted to the School of Nursing and Midwifery to be examined by the Personal
Tutor (or deputy) who will award it a grade as outlined in Phillips et al. (1994, see Appendix II)
framework. The student must submit the portfolio to the designated clerical staff of the School by
12.00 midday on Friday 29 June 2001. Students should arrange with their Personal Tutor to collect
                                         rd
their work and obtain feedback before 3 September 2001. A minimum grade of „D‟ has to be
achieved in most skill areas depending on placement types.

                                                      5
Clinical Module B
Similarly, the student must submit the portfolio by 12.00 midday on Friday 25 February 2002 and
collect it again before 18 March 2002.

A minimum grade of „C‟ has to be achieved before the student can progress to their chosen branch
programme.

Students who achieve a grade of D or E will be advised on which part(s) of the Clinical Portfolio have
to be resubmitted. An examination of the re-submitted work will be conducted by the Advisor of
Studies and a grade awarded.

Failure to secure a minimum pass mark in the re-submitted work will be subject to the normal rules
and regulations of the Board of Examiners.


Summative assessment of the CFP Clinical Portfolio is viewed as a continuous learning tool for the
student to enhance development into their branch programme.

Role of the Student
The role of the student is to:
         maintain a record of all clinical skill laboratory work and assessment of same
         create and develop a body of evidence on theoretical contribution to skill activity
         submit Clinical Portfolio to mentor to review formatively in each allocation,
         attend to any weaknesses or areas of concern identified through formative assessment,
            contribute discussion during formative assessment, and
         submit Clinical Portfolio for summative assessment at a specified date towards the end of
            the CFP.

Role of the Mentor
The role of the mentor is to:
         discuss and review the student‟s clinical experiences on arrival in practice.
         identify and discuss the student's strengths and weaknesses
         read Clinical Portfolio evidence with respect to learning outcomes for particular Clinical
            Module.
         dialogue with the student and lecturer during formative assessment
         award a mutually agreed grade, with Nurse Lecturer, to end-of-placement rating of clinical
            skills

Role of the Nurse Lecturer
The role of the Nurse Lecturer is to:
         monitor the student‟s developing Clinical Portfolio during clinical visits
         dialogue with the student and mentor during formative assessment discussions
         highlight the student's strengths and weaknesses
         award a mutually agreed grade, with mentor, to end-of-placement rating of clinical skills
         summatively assess Clinical Portfolio submission at end of CFP




                                                   6
                                            What is reflection?

It is the active consideration of, and learning from our thoughts and actions, together with the further
use of these thoughts and actions as a means of developing reflective thinking.
Reflection that happens during an action (example, care intervention) is called reflection-in-action.
An example of this would be when the student consciously considers the style and content of an
interaction with a patient/client.

Reflection after the event is called reflection-on-action. Central to the process of reflection is the
need to the focus on the „HOW‟ and „WHY‟ of our actions. There are several ways of reflecting on
practice, but it is important that a structured evaluation of the reflective process is possible.

The following approach serves to guide structured reflection:

1. The experience itself –
Describe the experience, as you understand it.

2. Contributing factors –
What were the main factors which led to the experience?

3. The actual experience –
Consider what exactly happened within this learning experience, when it happened, where it
happened, and how exactly it effected the patient/client, members of staff (inclusive of yourself), and
significant others, for example- family.

4.   Reflection process –
    Why did you (or others) intervene as you did?
    What were the consequences of you actions?
    How did you feel about this experience when it was happening?
    How did the patient/client feel about it?
    How did you know how the patient felt about it?
    What factors or knowledge influenced your/other people‟s actions and decisions (you may need to
     question both yourself and/or others)?

5.   Considerations from reflection –
A)   Were you concerned with –
    Appropriateness of practice
    Moral & ethical aspects
    Personal aspects
    Effectiveness and efficiency of your or the first level nurse‟s practice.

B)   Did you consider or take account of any further action you or others could have taken or intend to
     take?

C)   What have you learned about yourself both personally and professionally as a result of
     reflection?

Reflection demands thought before writing, therefore you should use these guidelines to help you
write concise, knowledgeable entries in your reflective diary. The use of a reflective diary can help
students interpret and internalise knowledge, which if utilised in a positive manner, will be transferable
across many practice placements.

In order to enhance learning through reflection, it is envisaged that the mentor and the student will
negotiate and agree a suitable time, whereby the student will be afforded two hours per week towards
writing up the reflective diary. It is essential that the two hours are planned within the „working day‟,
so that the student has access to the mentor if required, for clarification of learning
experiences/opportunities.

It is anticipated that one reflective entry will be undertaken for each week of each placement.
The exception to this is:

    the Mother and Child Experience;
                                                      7
An agreed project will be undertaken for this two week placement and submitted in either Clinical
Module A or Clinical Module B, along with the portfolio.

As completion of the Mother and Child workbook is allocated two weeks, the preceding and
subsequent two week period will be in a placement appropriate to the branch which the student is
following.

PRESENTATION

   A4 lined pages should be used.
   These may be handwritten in ink.
   They should be dated.
   All effort should be made to ensure patient/client and institutional confidentiality.




                                                     8
                 SECTION 1

PRACTICAL SKILLS DOCUMENT




Please refer Excel Doc. Skills Page 2 sheet 2 first then
        sheet 1 contains 11 pages all together.




                           9
Marking the clinical skills document in a four week placement

The student, mentor and link lecturer will, towards the end of the placement, allocate a grade to the core
skills. (Students may self assess on a two week placement, but a mentor‟s assessment is desirable.)
To facilitate the decision making process the student must, on an ongoing basis, tick the core skills
subsection if and when they have experienced the sub skills.

See sample below

                                                                    Module A
Dates of Placements (from-
to)
                                                      Type of            Type of             Summative A
                                                      Placement 1        Placement 2
                                                      Childcare          Adult
Skill                            Expected score
                                 at end of            Formative          Formative
                                 Clinical Module A    Self/Mentor        Self/Mentor         Personal Tutor
1.1 Verbal Communication         D                    D              D   D           C       C
Opening conversations                                                   
Questioning skills                                                      
Pacing of questions                                                     
Use of silence                                                           
Checking understanding                                                   
Communicating to people:
 With speech difficulties                                                
 With hearing difficulties                            
 With altered consciousness
 levels                                                                  
Talking to relatives – general
Talking with relatives who
are channel of care:
 For adults                                                              
 For children                                         
Care of the dying patient and
their family                                                             




Student Signature
Mentor Signature
Advisor/Lecturer Signature


                                           *See Appendix 1




                                                     10
                                             Module A                                               Module B
  Dates of Placements (from-
                          to)
                                           Type of     Type of           Summative                 Type of     Type of     Type of         Summative
                                           Placement 1 Placement 2       A                         Placement 3 Placement 4 Placement 5     B
                                   *
Skill                              Expected Formative      Formative     Personal    Expected     Formative    Formative    Formative      Personal
                                   score at   Self/ Mentor Self/Mentor   Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                   end of                                            of Clinical
                                   Clinical                                          Module B
                                   Module A
   1.1 Verbal Communication                 D                                                  C
        Opening conversations
              Questioning Skills
            Pacing of questions
                  Use of silence
       Checking understanding
     Communicating to people:
        With speech difficulties
        With hearing difficulties
    with altered consciousness
                            levels
 Talking with relatives - general
  Talking with relatives who are
                channel of care:
                        for adults
                     For children
  Care of the dying patient and
                      their family




           Student Signature
            Mentor Signature
   Advisor/Lecturer Signature




                                                                         11
                                           Module A                                            Module B
  Dates of Placements (from-
                          to)
                                          Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                          Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                *
Skill                           Expected Formative    Formative     Personal    Expected     Formative    Formative    Formative      Personal
                                score at Self/ Mentor Self/Mentor   Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                end of                                          of Clinical
                                Clinical                                        Module B
                                Module A
   1.2 Written Documentation D                                                            C
       Nursing documentation:
              Biographical data
                   Assessment
                 Care planning
            Assessing progress
     maintaining records/charts

                  1.3 Non-Verbal      D                                                   B
                Communication
    Observation/awareness and
                     response to:
                   body language
                           posture
                             stance
                  Personal space
                   Active listening
                      Eye contact
                     Use of touch
    using initiative with patients
           with special needs
            Student Signature
              Mentor Signature
   Advisor/Lecturer Signature




                                           Module A                                            Module B
                                                                    12
  Dates of Placements (from-
                          to)
                                               Type of     Type of         Summative                 Type of     Type of     Type of         Summative
                                               Placement 1 Placement 2     A                         Placement 3 Placement 4 Placement 5     B
                                     *
Skill                                Expected Formative      Formative     Personal    Expected     Formative    Formative    Formative      Personal
                                     score at   Self/ Mentor Self/Mentor   Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                     end of                                            of Clinical
                                     Clinical                                          Module B
                                     Module A
        1.4 Information regarding             D                                                  C
                      investigation
                 Information giving
                  Informed consent
                             written
                             verbal

             1.5 Communication             D                                                     C
                       Education
            Teaching a motor skill
                 Health promotion

     1.6 Communication with                D                                                     C
                     colleagues
                Verbal reporting
     Communicating with multi-
               disciplinary team
   Learning to cope with stress:
                        personal
                        in others


           Student Signature
            Mentor Signature
   Advisor/Lecturer Signature




                                                                           13
                                                 Module A                                            Module B
  Dates of Placements (from-
                          to)
                                                Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                                Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                    *
Skill                               Expected Formative    Formative       Personal    Expected     Formative    Formative    Formative      Personal
                                    score at Self/ Mentor Self/Mentor     Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                    end of                                            of Clinical
                                    Clinical                                          Module B
                                    Module A
                    2.0 General
         2.1 Assessment and                 D                                                   C
  diagnosis of nursing needs
Observation of patient's general
                          health
   Observation of skin integrity
               2.2 Bedmaking                D                                                   C
                    Unoccupied
                       occupied
                Preparing a cot
          changing draw-sheet
   2.3 Patient/client handling              D                                                   C
             Assistance in bed
    preventing complications of
                        bed rest
   bed to chair transfer (weight
                        bearing)
     bed to chair transfer (non-
                weight bearing)
 managing the fallen/collapsed
                          patient
       using cot sides/bed rails
        using approved moving
                   handling aids
            Student Signature
             Mentor Signature
  Advisor/Lecturer Signature

                                                 Module A                                            Module B

                                                                          14
  Dates of Placements (from-
                          to)
                                                Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                                Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                    *
Skill                               Expected Formative    Formative       Personal    Expected     Formative    Formative    Formative      Personal
                                    score at Self/ Mentor Self/Mentor     Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                    end of                                            of Clinical
                                    Clinical                                          Module B
                                    Module A

                    3.0 Hygiene             D                                                   C
                       Bed-bath
 Bathing babies/young children
           General shower/bath
                  Assisted wash
                    Oral hygiene
               Care of dentures
                        Eye care
                    Facial shave
         Assisting with dressing
             Maintaining privacy
      4.0 Eating and drinking               D                                                   C
    Preparation of patient/client
        Preparation of feeds for
                 babies/children
 Feeding babies/young children
                       Assisting:
       dependent patient/client
       client with special needs
            Naso-gastric feeds:
                           safety
            Student Signature
              Mentor Signature
  Advisor/Lecturer Signature




                                                                          15
  Dates of Placements (from-
                          to)
                                             Type of     Type of          Summative                 Type of     Type of     Type of         Summative
                                             Placement 1 Placement 2      A                         Placement 3 Placement 4 Placement 5     B
                                    *
Skill                               Expected Formative      Formative     Personal    Expected     Formative    Formative    Formative      Personal
                                    score at   Self/ Mentor Self/Mentor   Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                    end of                                            of Clinical
                                    Clinical                                          Module B
                                    Module A
                   5.0 Elimination           D                                                  B
                  Assisting use of:
                          bedpans
                            urinals
                       Commodes
                Changing nappies
          Toileting young children
          Maintaining privacy and
                            dignity



            5.1 Observation and       D                                                         B
               Recording Output
        Maintaining output records
                             urine
                           Faeces
                           Emesis



           Student Signature
            Mentor Signature
   Advisor/Lecturer Signature




                                                                          16
                                               Module A                                            Module B
  Dates of Placements (from-
                          to)
                                              Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                              Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                  *
Skill                             Expected Formative    Formative       Personal    Expected     Formative    Formative    Formative      Personal
                                  score at Self/ Mentor Self/Mentor     Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                  end of                                            of Clinical
                                  Clinical                                          Module B
                                  Module A

  6.0 Monitoring/Observation              D                                                   B
                        Height
                        Weight
                 Temperature:
                           oral
                          aural
                      auxillary
                         Pulse
                    Apex beat
                   Respiration
               Blood pressure
                    Peak flow
        Urine Testing (routine)
   6.1 Urine Testing (special)        D                                                  D
             Blood sugar (BM)
                       Faeces
             Pain assessment


           Student Signature
            Mentor Signature
   Advisor/Lecturer Signature




                                                                        17
                                             Module A                                              Module B
  Dates of Placements (from-
                          to)
                                           Type of     Type of          Summative                 Type of     Type of     Type of         Summative
                                           Placement 1 Placement 2      A                         Placement 3 Placement 4 Placement 5     B
                                  *
Skill                             Expected Formative      Formative     Personal    Expected     Formative    Formative    Formative      Personal
                                  score at   Self/ Mentor Self/Mentor   Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                  end of                                            of Clinical
                                  Clinical                                          Module B
                                  Module A
 7.0 Collecting Specimens for              D                                                  C
                 Investigations
              Urine:     Routine
                          MSSU
               Faeces: Culture
                    Occult blood
                         Sputum
                    Swabs: Ear
                           Nose
                          Throat
                         Wound
      Labelling specimen forms
         8.0 Infection Control             D                                                  C
                   Handwashing
                  Use of aprons
          Opening sterile packs
              Aseptic technique
    Disposal of soiled dressings
              Disinfection policy
                          Waste
                         Sharps
                  Laundry items
      Use of disinfection agents
         Adherence to universal
                     precautions
  Awareness of infection control
            Student Signature
             Mentor Signature
   Advisor/Lecturer Signature

                                                                        18
                                                 Module A                                            Module B
  Dates of Placements (from-
                          to)
                                                Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                                Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                    *
Skill                               Expected Formative    Formative       Personal    Expected     Formative    Formative    Formative      Personal
                                    score at Self/ Mentor Self/Mentor     Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                    end of                                            of Clinical
                                    Clinical                                          Module B
                                    Module A
     Name of Placement Area
               9.0 Wound Care               D                                                   C
                 Preparation of:
                          patient
                     Equipment
                   Environment
              Cleansing wound
             Suture/clip removal
          Care of wound drains
   Care of special wound drains
       Reporting and recording

       10.0 Intravenous Fluid               -                                                   D
                 Management
Care and preparation of patient
          Care of site (venflon)
                 Erecting fluids
       Setting manual flow rate
Use of mechanical flow devices


           Student Signature
            Mentor Signature
   Advisor/Lecturer Signature




                                                                          19
                                                  Module A                                            Module B
  Dates of Placements (from-
                          to)
                                                 Type of     Type of       Summative                 Type of     Type of     Type of         Summative
                                                 Placement 1 Placement 2   A                         Placement 3 Placement 4 Placement 5     B
                                     *
Skill                                Expected Formative    Formative       Personal    Expected     Formative    Formative    Formative      Personal
                                     score at Self/ Mentor Self/Mentor     Tutor       score at end Self/ Mentor Self/ Mentor Self/ Mentor   Tutor
                                     end of                                            of Clinical
                                     Clinical                                          Module B
                                     Module A
     Name of Placement Area
  10.1 Therapeutic/Technical                 D                                              C
                       Medication
   storage and safe handling of
                             drugs
        reading of prescriptions
          checking drug prior to
                   administration
                Administration of
                   tablets/liquids
                   Suppositories
                       eye-drops
             topical preparations
              Inhalers/nebulizers
                        Injections
                     SC injection
                      IM injection
    Safe disposal of equipment
      11.0 Recognition of first              D                                                   D
     steps in emergency care
         Altered Consciousness
              Respiratory Failure
                  Cardiac Arrest
                   Haemorrhage
             Student Signature
               Mentor Signature
  Advisor/Lecturer Signature


                                                                           20
                                SECTION 2

                 RANGE OF EVIDENCE


1)   Assessment Results

2)   Clinical Practice Learning Outcomes

3)   Reflective Diary

4)   Clinical Practice Progress Records

5)   Practice Portfolio Evaluation Reports A
      Practice Portfolio Evaluation Reports B

6) Cause for Concern




                                                21
Name                                               Cohort

                                                        Assessment Results

           Module:                                          Results                                Re-Sit Results

                                            Exam   Coursewor    Assignmen   Practical   Exam   Coursewor   Assignmen   Practical
                                                   k            t                              k           t

Semester   Art and Science of Nursing (1)
1

           Biomedical Sciences (1)


           Nursing Practice (1)


Semester   Nursing Practice (2)
2

           Biomedical Sciences (2)


           Behavioural Sciences (1)


Semester   Therapeutic Nature of Nursing
3          (1)


           Behavioural Sciences (2)


           Art and Science of Nursing (2)




                                                                  23
Name                                             Cohort


                                                          Clinical Practice Placements
                                                                      Placement Area     Result
Semester   Clinical Practice Placement A   (1)
2
                                           (2)

Semester   Clinical Practice Placement B   (1)
3
                                           (2)

                                           (3)




                                                                 24
Clinical Practice Placement Learning Outcomes

Child Health Placement
 demonstrate a professional manner and appreciation for the importance of being polite and
    considerate to staff and clients;
 comply with the policies and procedures of the placement area;
 discuss the principle concepts underlying family centred care;
 identify the roles and relationships of child health professionals, involved in the delivery of care to
    children and their families, in both the community and hospital setting;
 demonstrate the ability to interact with children;
 discuss the importance of play for ‟normal‟ children and infants;
 demonstrate an awareness of the implications of health education/promotion for the child and
    his/her family;
 practice, as appropriate, taught skills under supervision.

Learning Disability Placement
 demonstrate a professional manner and appreciation for the importance of being polite and
   considerate to staff and clients;
 comply with the policies and procedures of the placement area;
 demonstrate an understanding of devaluation and discrimination in relation to people with a
   learning disability;
 demonstrate and understanding of how the needs of people with a learning disability are
   assessed;
 demonstrate a range of interpersonal and intervention skills with the emphasis on constructive
   relationship building/maintenance;
 identify support and resources available for people with a learning disability
 demonstrate an understanding of the health care needs, of people with a learning disability and
   consider health promotional activities;
 practice as appropriate, taught skills under supervision.

Adult Nursing Placement
 demonstrate a professional manner and appreciation of the importance of being polite and
   considerate to staff and clients;
 comply with the policies and procedures of the placement area;
 discuss aspects of care planning in identification of patient/client needs;
 demonstrate an awareness of the implications of health promotion/education for the patient/client;
 discuss the effects of hospitalisation upon an adult patient/client and their family/carers;
 identify the roles of health care professionals, involved in the delivery of care, in both community
   and hospital settings;
 demonstrate an awareness of his/her beliefs and attitudes in the delivery of care;
 practice as appropriate, taught skills under supervision.

Mental Health Nursing Placement

   demonstrate a professional manner and appreciation for the importance of being polite and
    considerate;
   comply with the policies and procedures of the placement area;
   discuss his/her feelings and reactions to nursing people with mental health problems;
   identify factors which affect a person‟s physical, mental and social well-being, demonstrating an
    awareness of mental health needs through care planning;
   recognise the need for appropriate boundary-setting in relationships with patients/clients/residents
    and colleagues;
   discuss the effects of caring for people with mental health problems in a variety of care and social
    settings;
   demonstrate an understanding of the need to establish constructive relationships with
    patients/clients with mental health problems;
   practice as appropriate, taught skills under supervision.




                                                   25
                               Clinical Practice Progress Records (1)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

               Orientation Interview Sheet (To be completed on each Placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   26
Clinical Practice Progress Record (1)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 27
Clinical Practice Progress Record (1)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             28
                              Clinical Practice Progress Record (1)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date



                                                 29
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                          MAKE UP TIME
  START      RETURN            NO OF       NO OF                       DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO             NO OF HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED




                                                  30
NAME AND ADDRESS OF RE-ALLOCATED                       DATES OF                  NO OF DAYS/HOURS
PLACEMENT                                              RE-ALLOCATION             MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager                        Date:
________________________
                          Clinical Practice Progress Records (2)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   31
Clinical Practice Progress Record (2)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 32
Clinical Practice Progress Record (2)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             33
                              Clinical Practice Progress Record (2)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 34
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                          MAKE UP TIME
  START      RETURN            NO OF       NO OF                       DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO             NO OF HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED




                                                  35
NAME AND ADDRESS OF RE-ALLOCATED                       DATES OF                  NO OF DAYS/HOURS
PLACEMENT                                              RE-ALLOCATION             MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager Date: _________________
                          Clinical Practice Progress Records (3)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   36
Clinical Practice Progress Record (3)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 37
Clinical Practice Progress Record (3)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             38
                              Clinical Practice Progress Record (3)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 39
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                          MAKE UP TIME
  START      RETURN            NO OF       NO OF                       DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO             NO OF HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED




                                                  40
NAME AND ADDRESS OF RE-ALLOCATED                       DATES OF                  NO OF DAYS/HOURS
PLACEMENT                                              RE-ALLOCATION             MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager                        Date: ___________
                          Clinical Practice Progress Records (4)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   41
Clinical Practice Progress Record (4)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 42
Clinical Practice Progress Record (4)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             43
                              Clinical Practice Progress Record (4)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 44
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                         MAKE UP TIME
  START      RETURN            NO OF       NO OF                      DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO               NO OF
                                                                                                     HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED


                                                  45
NAME AND ADDRESS OF RE-ALLOCATED                       DATES OF                 NO OF DAYS/HOURS
PLACEMENT                                              RE-ALLOCATION            MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager                        Date: ___________
                          Clinical Practice Progress Records (5)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   46
Clinical Practice Progress Record (5)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 47
Clinical Practice Progress Record (5)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             48
                              Clinical Practice Progress Record (5)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 49
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                          MAKE UP TIME
  START      RETURN            NO OF       NO OF                       DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO             NO OF HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED




                                                  50
NAME AND ADDRESS OF RE-ALLOCATED                       DATES OF                   NO OF DAYS/HOURS
PLACEMENT                                              RE-ALLOCATION              MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager                        Date: ___________
                          Clinical Practice Progress Records (6)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   51
Clinical Practice Progress Record (6)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 52
Clinical Practice Progress Record (6)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             53
                              Clinical Practice Progress Record (6)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 54
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                         MAKE UP TIME
  START      RETURN            NO OF       NO OF                      DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO               NO OF
                                                                                                     HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED


                                                  55
NAME AND ADDRESS OF RE-ALLOCATED                                DATES OF                   NO OF DAYS/HOURS
PLACEMENT                                                       RE-ALLOCATION              MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager                        Date: ___________
                          Clinical Practice Progress Records (7)

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   56
Clinical Practice Progress Record (7)

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 57
Clinical Practice Progress Record (7)

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             58
                              Clinical Practice Progress Record (7)

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                        Intake:

Practice Area:                                          Semester:

Type of Experience:                                       From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž           Not Satisfactory   Ž

Attendance                        Satisfactory   Ž           Not Satisfactory   Ž

Attitude                          Satisfactory   Ž           Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž           Not Satisfactory   Ž

Please specify exact number of days sick/absent:             ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                               Date:

Designation:
                                                                  Date:
Student’s Signature:

Lecturer’s Signature                                              Date




                                                 59
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                         MAKE UP TIME
  START      RETURN            NO OF       NO OF                      DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO               NO OF
                                                                                                     HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED


                                                  60
NAME AND ADDRESS OF RE-ALLOCATED              DATES OF         NO OF DAYS/HOURS
PLACEMENT                                     RE-ALLOCATION    MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager   Date: ___________




Name                                               Cohort


TO BE COMPLETED BY ADVISER OF STUDIES/NURSE LECTURER

                     PRACTICE PORTFOLIO EVALUATION REPORT
                            (to be discussed with student)

CLINICAL PRACTICE PLACEMENT A:




GRADE AWARDED:


ACTION PLAN:




STUDY ADVISER/NURSE LECTURER:

STUDENT:

DATE:




                                         61
Name                                        Cohort

TO BE COMPLETED BY ADVISER OF STUDIES/NURSE LECTURER

                   PRACTICE PORTFOLIO EVALUATION REPORT
                          (to be discussed with student)

CLINICAL PRACTICE PLACEMENT B:




GRADE AWARDED:


ACTION PLAN:




STUDY ADVISER/NURSE LECTURER:

STUDENT:

DATE:




                                    62
                CAUSE FOR CONCERN


-Use confidential cover if appropriate




                                         63
APPENDICES




    64
                                 Clinical Practice Progress Records

                                The School of Nursing and Midwifery
                                     Queen’s University Belfast

                Orientation Interview Sheet (to be completed on each placement)


Name of Student:

                Intake:                                            Semester:

Practice Module:

Name of Facility:

                 From:                                                    To:

Name of Mentor:

Name of Link Lecturer:


Please indicate if you have provided an orientation to the practice placement in relation to the
following by ticking the appropriate box :

Geographical layout                                                         YES Ž            NO    Ž

Explanation of the procedures in the event of a fire                        YES Ž            NO    Ž

The procedure for the emergency resuscitation of individuals                YES Ž            NO    Ž

Practice area policies                                                      YES Ž            NO    Ž


Others (please specify)




Signature of Mentor:                                                    Date:




                                                   65
Clinical Practice Progress Record

Identification of Learning


1.       Current skill/knowledge level in relation to the learning outcomes for this practice
         module




2.       Identify deficits in knowledge/skills




3.       Action to be taken to address learning deficits




                                                 66
Clinical Practice Progress Record

Evaluation of Learning
4.       Evaluation of learning outcomes/achievement of goals/further action needed




5.      Midway Review (week two of four week placements only)




Mentor’s Signature                                                Date:

             and/or

Nurse Lecturer                                                    Date:


Student’s Signature                                               Date:




                                             67
                               Clinical Practice Progress Record

                                Mentor’s End of Placement Report
                              (to be completed on every placement)

Name of Student:                                       Intake:

Practice Area:                                         Semester:

Type of Experience:                                      From:                 To:

Please tick appropriate box

Punctuality                       Satisfactory   Ž          Not Satisfactory   Ž

Attendance                        Satisfactory   Ž          Not Satisfactory   Ž

Attitude                          Satisfactory   Ž          Not Satisfactory   Ž

Professional Appearance           Satisfactory   Ž          Not Satisfactory   Ž

Please specify exact number of days sick/absent:            ______ Days

Please specify time made-up, with exact dates: __________________________

___________________________________________________________________

Overall Comment Mentor and Nurse Lecturer




Student Evaluation of Placement Learning Experience




Mentor’s Signature:                                              Date:

Designation:
                                                                 Date:
Student’s Signature:

Lecturer’s Signature                                             Date




                                                 68
                               The School of Nursing and Midwifery
                                    Queen’s University Belfast

                                   PRE REGISTRATION DIVISION

             STUDENT SICKNESS/ABSENCE RECORD ON CLINICAL PLACEMENT

       Please complete a separate form for each clinical placement facility. Please note that if
                                        sickness/absence
            exceeds 5 days, this time must be made up during prescribed annual leave.

NAME OF STUDENT
STUDENT NUMBER
INTAKE                                                      CAMPUS
NAME AND ADDRESS OF
CLINICAL FACILITY
TYPE OF EXPERIENCE                                            NAME OF LINK
                                                              LECTURER
DATE OF PLACEMENT                                             LENGTH OF
                                                              PLACEMENT
CLINICAL MODULE                A             B              C          D                  E               F
(please tick appropriate
box)

                                         ZERO ABSENCES

                No absences during placement                   Please tick box

                       ABSENCES (ALL ABSENCES MUST BE MADE UP)
  Please detail below any absences during clinical placement and provide details of time made up.

  DATES OF ABSENCE             TOTAL       TOTAL                         MAKE UP TIME
  START      RETURN            NO OF       NO OF                      DATES OF DAYS/HOURS
  DATE        DATE             DAYS        HOURS
  FROM         TO                                           FROM                    TO               NO OF
                                                                                                     HOURS




Signed: _______________________________ Mentor/Ward Manager                       Date:
________________________

Signed: _______________________________ Student                                   Date:
________________________

This form should be kept in the student‟s portfolio and the Personal Tutor is responsible for ensuring
all details are correct and handed into the Pre-Reg office at the end of each module. If time has not
been made up, the Personal Tutor liases with the Link Lecturer to arrange this in consultation with the
Clinical Allocations Unit. When all made up time is completed and SIGNED the form is handed into
the Pre-Reg department for filing.

Copy of Form sent to Clinical             Sent by                                    Date
Allocations for re-allocation

                 IF ABSENCES EXCEED 5 DAYS RE-ALLOCATION IS REQUIRED


                                                  69
NAME AND ADDRESS OF RE-ALLOCATED              DATES OF          NO OF DAYS/HOURS
PLACEMENT                                     RE-ALLOCATION     MADE UP




I CONFIRM THAT THESE DAYS/HOURS HAVE BEEN COMPLETED

Signed: _______________________________ Mentor/Ward Manager   Date: ___________




                                         70
Appendix I

 Levels of Communication and Clinical Skill Development

 Level A:         Skills Mastery
 Psychomotor components of the skill no longer require conscious thought
 Cognitive and affective components are highly developed and an integral part of every nursing
 intervention
 Performance, based on increasing knowledge and experience, is confident, efficient and responsive to
 situational cues
 Communication skills are a natural part of every professional interaction
 Cognitive, affective and psychomotor components are highly developed and are less subject to
 interference from other ongoing activities
 Performance, based on increasing knowledge and experience, is confident, efficient and responsive to
 situational cues
 Reflection is central to practice at this level
 Level B:        Safe and Accurate Performance with Indirect Supervision in the Care Setting
 Performance of the skill will be accurate, co-ordinated, effective and affective
 The student is able to adapt his or her performance in response to changes in the care situation
 Cognitive and affective components of the skill are integrated
 The student is able to use an appropriate blend of communication skills, in a co-ordinated and effective
 manner
 The student is aware of his or her limitations and seeks help and advice as appropriate
 The student is able to adapt his or her performance in response to changes in the care situation
 Performance at this level is 'competent'
 The student is aware of his or her limitations and seeks help and advice as appropriate

 Level C:        Safe and Accurate Performance Under Direct Supervision in the Care Setting
 The student is able to demonstrate accuracy in the skill, but not necessarily speed
 Psychomotor dexterity is demonstrated
 Cognitive and affective components of the skill are evident.
 The student is able to utilise and blend communication skills together
 The communication skills chosen are appropriate to the patient/client and the situation
 The skills are executed smoothly and appear natural
 Level D:
 The Student is able to demonstrate accuracy in the skill, but not necessarily speed
 Psychomotor dexterity is demonstrated
 Awareness of the cognitive and affective components of the skill is demonstrated
 The student is able to utilise and blend communication skills together
 The communication skills chosen are appropriate to the patient/client and the situation
 The skills are executed smoothly and appear natural

 Level E:        Foundation
 The student is able to demonstrate psychomotor components of the skill by following instruction
 Performance is slow and lacks co-ordination
 The student is able to identify the cognitive and affective components of the skill
 The student is able to identify the rational for the use of the communication skill, although tends to
 reiterate text book explanations
 The student is able to state when the use of the communication skill is appropriate, and to what degree
 Performance of the communication skill is awkward and the student may appear self-conscious
(Source: Nicol et al., 1996)




                                                  71
Appendix II



                     A Strategy for Overall Assessment of the Clinical Portfolio

 Grade A

    Clear evidence of wide reading and understanding supported by appropriate (correct) use of
     Reference
    Clear evidence of relevant research
    Clear expression
    Debate and argument indicating some appraisal of facts
    Comparing and contrasting of issues and the relating of theory to practice where appropriate

 Grade B

    Some evidence of relevant research
    Sound knowledge and understanding of issues being addressed
    Some attempt made at using knowledge to draw conclusions and explore relevant ideas, relating
     theory to practice where appropriate

 Grade C

    Largely descriptive with little discussions and interpretation
    Some application of theory to practice where appropriate

 Grade D

    Restricted application of knowledge to situations
    Superficial handling of the issues discussed
    Descriptive account showing little evidence of reading
    No significant errors of inaccuracies which might imply dangerous practice/judgement

 Grade E

    Inadequate levels of knowledge
    Minimal evidence of understanding
    Many unsupported statements
    Presence of errors and/or inaccuracies which may imply dangerous practice/judgement


(Source: Phillips et al., 1994; p. 73)




                                                     72
Appendix 3

                               NURSING PRACTICE PRACTICALS
                                     SEMESTER 1 AND 2




   Moving and Handling 1, 2 and 3

   Bedmaking

   Hygiene 1 and 2

   Eating and Drinking

   Patient Assessment

   Clinical Observations

   Elimination

   Communication and Teaching

   Preparation for Childcare Placement

   Preparation for Mental Health Placement

   Preparation for Learning Disability Placement

   C.P.R.




                                                    73

								
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