Tung Wah College. Department of Nursing and Health Sciences. Handbook for Clinical Learning

Transcription

1 Tung Wah College Department of Nursing and Health Sciences Handbook for Clinical Learning (Last update 14 Nov 2013) 1

2 Contents 1. Introduction P Patterns of Clinical Practicums P For students studying Bachelor of Health Science (Honours) majoring in Nursing 2.2 For students studying Bachelor of Health Science (Honours) majoring in Applied Gerontology 2.3 For students studying Higher Diploma in Nursing Programme (HDN) 3. Roles and Responsibilities of Students in Practicums 3.1 Preparation before Practicum 3.2 Duty Hours 3.3 Learning in Practicums 3.4 Professional Behaviour P Attire and Uniform Punctuality Confidentiality of data 4. Assessments of Students Performance 4.1 Assessments of Students Performance in the Clinical Practicums Clinical Practicum Evaluation P Critical reflection Skill Assessments Students studying Bachelor of Health Science (Hons) majoring in Nursing Students studying Higher Diploma in Nursing Programme Clinical Seminar Presentation (HDN only) 4.2 Assessments of Students Performance in the Applied Gerontology Practicum Evaluation Critical Reflection Visits and Observation Project Management Lived Experience 4.3 Submission of Critical Reflective Writing, Clinical Practicum Evaluation Record (CPER), and Visits and Observations Record Forms (in Applied Gerontology Practicums) 4.4 Failure in Practicum 4.5 Appeal of Practicum Failure 2

3 5. Students Absenteeism P Sick Leave 5.2 Supplementary Practicums for Leave of Absence during Practicums 5.3 Non-compliance to Attend the Clinical Practicum 6. Handling Injuries during Practicum P Arrangements of Clinical Practicum during Rainstorm and Tropical cyclone P. 20 Appendices Appendix I Clinical Practicum Evaluation Report P. 22 Appendix II Core-Competence Checklists (IIa & IIb) P. 26 Appendix III Assessment Checklists for AOM (IIIa) and AT (IIIb) P. 30 Appendix IV Guidelines on Writing Reflective Journals for Learning in P. 32 Practicums Appendix V Visits and Observations Record Form (Applied Gerontology) P. 33 Appendix VI Project Management Assessment Checklist (Applied P. 34 Gerontology) Appendix VII Notification of Absence from Practicum form P. 36 Appendix VIII Accident / Incident Report Form P. 37 Appendix IX Course Description Form (NUR2034) P. 40 Appendix X Course Description Form (NUR3015) P. 42 Appendix XI Course Description Form (NUR1024) P. 44 Appendix XII Course Description Form (NUR2017) P. 46 Appendix XIII Course Description Form (NUR2024) P. 49 Appendix XIV Course Description Form (NUR3008) P.53 3

4 1. Introduction This handbook contains essential information for students participating in practicums of Bachelor of Health Science (Hons) Programme (Majoring in Nursing and Majoring in Applied Gerontology) and Higher Diploma in Nursing Programme. Students should read this handbook carefully before the commencement of their practicums. 4

5 2. Patterns of Clinical Practicums 2.1 For students studying Bachelor of Health Science (Honours) majoring in Nursing Students require to undergo two clinical practicums which are 1480 hours (approximately 37 weeks) in total as shown in Table 1a and 1b. Table 1a Tentative Schedule of Clinical Practicums for Normal Year Entry students Year of Study Semester 1 Semester 2 Semester 3 Year 3 First Clinical Practicum (9 weeks) Year 4 Second Clinical Practicum (15 weeks) Year 5 Second Clinical Practicum (cont d) (13 weeks) Table 1b Tentative Schedule of Clinical Practicums for Senior Year Entry students Year of Study Semester 1 Semester 2 Semester 3 Year 3 First Clinical Practicum (9 weeks) Year 4 Second Clinical Practicum (15 weeks) Year 5 Second Clinical Practicum (cont d) (13 weeks) The duration and settings in these Clinical Practicums are based on the requirements for registration with The Nursing Council of Hong Kong (NCHK), which stipulate that students should (1) have at least 440 and 330 hours of practice in medical and surgical nursing respectively and (2) complete at least 60 hours in each of the different departments such as paediatric and adolescent, obstetric, gerontological, mental health, community, primary health care and emergency. Students are required to complete a minimum total of 1,400 hours of practicum. Table 2 shows the minimum hours required for each speciality. 5

6 Table 2 Minimum practicing hours in different clinical areas as stipulated by NCHK (NCHK, 2013) 1. Clinical Areas 1. Medical Nursing For example: General Medicine, Dermatology, Infectious Diseases, Oncology Nursing and Palliative Care, Rehabilitation, Out-patient Department 2. Surgical Nursing For example: General Surgery, Day Surgery, Operating Theatre and Recovery Room, Cardiothoracic Surgery, Neuro-surgery, Gynaecology, Ear, Nose and Throat Care, Orthopaediacs and Traumatology, Rehabilitation, Out-patient Department 3. Paediatric and Adolescent Nursing For example: Paediatrics, Neonates, Adolescent Care, School Clinic Minimum Practice Requirement (Hours) 4. Obstetric Nursing Gerontological Nursing Mental Health Nursing Community Nursing Primary Health Care Accident and Emergency Department Any clinical area(s) among item 1 to item Total: 1400 Note 1: The above should include a period of continuous clinical practice of not less than 3 months. Note 2: Clinical training for local nursing students can be conducted in the following health care institutions: Category A: Hospitals or medical institutions under the management of the Hospital Authority or private hospitals registered under the Hospitals, Nursing Homes and Maternity Homes Registration Ordinance (Cap. 165, Laws of Hong Kong), where in-patient care is provided (Not less than 70% of the total hours of clinical education). Category B: Community settings where the provision of first level care is evident (Not more than 30% of the total hours of clinical education). Not more than one-tenth of this part of training may be conducted outside Hong Kong. Note 3: During the clinical practicum, there must be a system in place to assess students clinical knowledge, skills, problem solving ability and professional attitudes. Evidence must be provided on the assessment of aseptic technique, administration of medications and professional nursing competencies. 60 6

7 Note 4: Possible venues for Note 2-Category B are Integrative Health Centre, nursing homes, etc. 1 The Nursing Council of Hong Kong (2013, March). A Reference Guide to the Syllabus of Subjects and Requirements for the Preparation of Registered Nurse (General) in the Hong Kong Special Administrative Region. 2.2 For students studying Bachelor of Health Science (Honours) majoring in Applied Gerontology Students will undergo two clinical practicums throughout their studies in this Programme. There are 360 hours in each practicum. Table 3 shows the pattern of practicum. Table 3 Tentative Schedule of Applied Gerontology Practicums Year of Study Semester 1 Semester 2 Year 3 First Applied Gerontology Practicum (9 weeks) Year 4 Second Applied Gerontology Practicum (9 weeks) In these practicums, students will take care of older people in community and institutional settings, and experience the continuum of living situations that older people experience, from total independence to total dependence. Students will undergo lived experience with older people, visiting elderly services in the community and working in local old age homes prior to working in the acute care setting, out-patient departments, rehabilitation and gerontology wards and hospice settings in local hospitals. Finally students will practice programme organization and management skills in old age homes or non-government organization. Relevant details are provided in course description forms in Appendix XIII (Course NUR 2024) & Appendix XIV (Course NUR 3008). 2.3 For students studying Higher Diploma in Nursing Programme (HDN) Students are required to undergo two clinical practicums throughout their studies in this Programme. The total clinical hours as required by The Nursing Council of Hong Kong (NCHK) are 1600 hours. Table 4 shows the distribution of the two clinical practicums in this Programme. 7

8 Table 4 Schedule of Clinical Practicums in this Programme Year of Study Semester 1 Semester 2 Semester 3 Year 1 First Clinical Practicum (10 weeks) Year 2 Second Clinical Practicum (28 weeks) Students are required to practise in medical and surgical nursing and have night duty. Table 5 shows the breakdown of the hours in medical and surgical nursing, and night duty. Table 5 Practicing hours in different clinical areas as required by NCHK (NCHK, 2012) 2. Clinical Areas Minimum Practice Requirement (Hours) Medical Nursing General Medicine, Dermatology, Infectious Diseases, 800 Oncology, Hospice Nursing, Rehabilitation, Out-patient Department (OPD), Paediatric and Adolescent Nursing Surgical Nursing General Surgery, Anaesthesiology, Operating Theatre and Recovery Room, Cardiothoracic Surgery, Neuro-surgery, 700 Gynaecology, Ear, Nose and Throat (ENT) Care, Ophthalmology, Orthopaedics and Traumatology, Rehabilitation, OPD, Paediatric and Adolescent Nursing Night Duty 100 Total: The Nursing Council of Hong Kong (2012, February). Core-Competencies for Enrolled Nurses (General) and A Reference Guide to the Syllabus of Subjects and Requirements for the Preparation of Enrolled Nurse (General) in the Hong Kong Special Administrative Region. 8

9 3. Roles and Responsibilities of Students in Practicums 3.1 Preparation before practicum Students should review relevant knowledge and skills prior to the commencement of each practicum. Students should practise the essential skills in laboratory and seek comments from College academic staff as needed. Students must attend the clinical practicum briefing session prior to each practicum. Details of practicum will be available at the Department s website, i.e. Blackboard. Students should comply with the health-related policies stated in this Handbook. 3.2 Duty hours Students will normally be arranged to have practicums on weekdays (Monday to Friday) in the First Clinical Practicum. Each duty will usually consist of 8 hours with 1 hour meal time inclusive. Types of duty will be either: Day shift (e.g or ), A shift (e.g ) or P shift (e.g ). In the First Clinical Practicum, students duty patterns will be assigned by their supervisors who are academic staff of the College. Night duty will usually not be arranged. In the Second Clinical Practicum, students duty patterns will be assigned by the ward staff of the clinical settings. It is expected that the duty patterns of the students in the Second Clinical Practicum should be matched with their Honorary Clinical Instructors (HCIs). Students in the Second Clinical Practicum must inform their Resource Persons (RPs, College Academic Staff) of their duty patterns. 3.3 Learning in practicums Students are not counted as workforce to the practicing venues and should be responsible for their own learning in practicums. They are encouraged to set their own learning objectives in consultation with clinical supervisors or HCIs. During their practicums, students should be proactive in observing various aspects of the healthcare services and care offered by the staff at the practicing venues. When offering direct care to the clients, they should acknowledge their own strengths and weaknesses and seek supervisors guidance, advice, instructions and/or supervision if appropriate. Clients safety should always be the students prime consideration during all practicums. Details of the assessments are provided in the Section 4 of this Handbook. 9

10 3.4 Professional Behaviour Students are representing the College during clinical practicums; they should exhibit a reasonable standard of professional behaviours, especially in the following aspects: Attire and uniform Students must be in full uniforms with student identity cards at all time in practicums. Hair should be kept clean and tidy. Long hair should be tied into a bun at the back. Fingernails should be kept clean and short. No jewellery is allowed except wedding rings and pin-style earrings Punctuality Students must be punctual for practicums. Any student, who foresees he/she will not be able to arrive at the practicum venue on time, should inform his/her supervisor / HCI immediately with reasons and the estimated time of arrival. It will then be at the discretion of the supervisor so as to arrange supplementary duty hours to the student Confidentiality of data Students must comply with the Privacy Ordinance and the policies of maintaining confidentiality of data of the institutions / clinical venues. They should never disclose clients data or conditions in public areas as well social platform such as electronic messaging. If they intend to use client s data for self-study, they should seek approval from the practicing venues and use the data without clients personal particulars. 10

11 4. Assessments of Students Performance 4.1 Assessments of Students Performance in the Clinical Practicums There are a total of four components of assessments in the clinical practicums, viz. clinical practicum evaluation, critical reflection, skills assessments, and clinical seminar presentations. Table 6 Embedment of assessment components in Clinical practicums Assessment Tools / means Outcomes of Schedule in Responsible components of assessment assessment practicum assessor Practicum Evaluation (formative / summative) Clinical Practicum Evaluation Report (CPER) Satisfactory or Unsatisfactory First and Second Clinical Practicums College academic staff / HCIs Critical Reflection Critical Reflective Writing Satisfactory or Unsatisfactory First and Second Clinical Practicums College academic staff (Resource Persons) Aseptic Technique and Administration First and of Oral Second Skills Assessments Medications assessment Pass or Fail Clinical Practicum College academic staff forms Major/minor procedures (HDN only) Clinical Seminar Presentation (HDN only) Assessment rubrics Satisfactory or Unsatisfactory Second Clinical Practicum College academic staff (Resource Persons) Note: Failure to submit the completed CPER within three days after the end of clinical practicum will be considered as failure of corresponding clinical practicum 11

12 4.1.1 Clinical Practicum Evaluation The concepts of care delivery with nursing process have been adopted in the Clinical Practicum Evaluation Report (CPER, Appendix I). For BHSc (Hons) students majoring in Nursing, s/he needs to pass the Second Clinical Practicum in order to fulfil the requirements of NCHK on the assessment of Professional Nursing Competencies. For HDN students, clinical supervisors should complete the Competence Checklist for students as attached in Appendix IIa and IIb. The HCIs can solicit comments and feedbacks from colleagues of clinical areas for the performance of students during the evaluation process. Generally, a formative and a summative assessment will be carried out for each clinical area with the former being an assessment for learning and the latter as assessment of learning. Feedbacks must be given to students after formative assessment in order to facilitate students subsequent learning and improvement of practice Critical Reflection The Critical Reflective writing is kept by each student to note events, incidents and activities occurred during clinical practicum. The recording of these occurrences contributes to the development of students understanding of, and skills in, both practical and theoretical areas by enabling them to analyse critically and reflect on the relationship between theory and practice, the actions of their colleagues, clients and their own responses, as well as the learning objectives and their actual outcomes. Literature support in referencing is necessary. Guidelines on how to write a Critical Reflective Journal are provided in Appendix IV Skills Assessments Students studying Bachelor of Health Science (Honours) majoring in Nursing Apart from Professional Nursing Competencies, students are required to pass Aseptic Technique (AT) and Administration of Medications (AOM) as stipulated by NCHK. The assessment forms for AT and AOM are attached as Appendix IIIa and IIIb Students studying Higher Diploma in Nursing Programme To be eligible to apply for the enrolment in NCHK, students must pass major procedures, minor procedures, AT and AOM assessments as required by NCHK. The AT/AOM assessment forms are attached in Appendix IIIa and IIIb. 12

13 4.1.4 Clinical Seminar Presentation (HDN only) It provides opportunities to promote sharing between College academic staff and students. College academic staff can also monitor students progress and facilitate students learning in the Second Clinical Practicum. 4.2 Assessments of Students Performance in the Applied Gerontology practicums There are five components in the assessment of student performance in the Applied Gerontology practicums. These are: Clinical Practicum Evaluation Record (CPER), Critical Reflective Journal, Visits and Observations, Project Management and Lived Experience. They are summarized in Table 7. Table 7 Embedment of assessment components in Applied Gerontology Practicums Assessment Tools / means of Outcomes of Schedule in components assessment assessment practicum Practicum Evaluation Clinical Practicum Evaluation Report Satisfactory or Unsatisfactory First and Second Applied Gerontology Practicums First and Second Critical Reflection Critical reflective writing Satisfactory or unsatisfactory Applied Gerontology Practicums Visits and Observations Visits and Observations Record Satisfactory or Unsatisfactory First and Second Applied Gerontology Practicums Project Project Management Management Assessment Checklist and Satisfactory or Unsatisfactory Second Applied Gerontology Practicum Reflection Report First and Second Lived Experience Reflection with Learning Contract Satisfactory or Unsatisfactory Applied Gerontology Practicums 13

14 4.2.1 Practicum Evaluation Each student s performance in the direct provision of care under supervision in all practicums will be assessed by the College s academic staff. Generally, a formative and a summative assessment will be carried out for each clinical area, with the former being an assessment for learning and the latter an assessment of learning. The formative assessment must be done at the middle of the practicum while the summative one is done at the end. Feedback must be given to students after the formative assessment in order to facilitate students subsequent learning and improvement of practice Critical Reflection The critical reflective journal is kept by each student to note events, incidents and activities occurred during the course of the clinical practicum. The recording of these occurrences contribute to the development of students understanding of, and skills in, both practical and theoretical areas by enabling them to analyse critically and reflect on the relationship between theory and practice, the actions of their colleagues, clients and their own responses, as well as the learning objectives and their actual outcomes. Guidelines on how to write a critical reflective journal are provided in Appendix IV Visits and Observations Students majoring in Applied Gerontology will be required to visit other units or departments of an institution or community setting to observe the practice of professionals. They should fulfill the attendance requirements of these learning activities and complete the Visits and Observations Record Form, which is attached as Appendix V Project Management This component is arranged for students whose major is in Applied Gerontology and will take place in the Second Applied Gerontology Practicum. The aim of this component is to let students learn how to manage the various activities and responsibilities of a service provider as an overall manager. Students will be assessed with regard to their knowledge and skills required of a project manager. The assessment form used, Project Management Assessment Checklist, is attached as Appendix VI. 14

15 4.2.5 Lived Experience Lived experience is deliberately scheduled at the start of students two practicums. In the First Practicum, students are required to experience a typical day together with a healthy older person. They can do this in one of two ways. If they have an elder relative or close friend, they could spend an entire day with that person. Alternatively, students can initiate communications with elderly in the community in order to acquire a contact point for them to get to know his/her daily lives. In the Second Practicum, students will be arranged to live in a nursing home locally or in the Mainland China (supported by The Helping Hand and the Sino Care Enterprise) for 5 days. In both Practicums, students are first required to write a learning contract in which they establish goals and objectives of learning. College staff as supervisors will facilitate this process. In conclusion, staff will evaluate their accomplishment in terms of the contract goals and communications between staff and students will be maintained throughout the practicum periods. The supervisors will offer guidance and support to help students successfully fulfill their contracts. The prime purpose of this experience is to develop in each student a heart of Giving the central theme of our Programme. Reflecting on what they see, hear, feel, and do will increase their awareness on how people s living are while, respect and compassion towards older people and lives will gradually be cultivated through this lived experience. 4.3 Submission of Critical Reflective Writing and Clinical Practicum Evaluation Report (CPER) & Visits and Observations Record Forms (in Applied Gerontology Practicums) CPER must be duly signed by both the student and the supervisor. Students are strongly advised to make a copy of the CPER before submitting the original form. The signed CPER must be submitted by students to the Department within three working days after the last day of practicum. Failure to submit the completed CPER within the time frame will be considered as failure of corresponding clinical practicum. For critical reflective writing, students are required to submit the writing to Blackboard and Turnitin for similarity check. Late submission is not allowed. 4.4 Failure in Practicum Except for the skills assessments, students failing any component in summative 15

16 evaluation in any practicum will have his/her case brought to the Programme Examination Committee for discussion and decision. The student must retake the practicum. Basically the student can retake the practicum once only. Should student fail in the retake practicum, his/her case will be brought to the Programme Examination Committee again. The potential consequence may be dismissal from the Programme. For the skills assessments in the Clinical Practicums, each student will be given three opportunities on the assessment of AT and AOM. If a student fails his/her first attempt, s/he will be granted a second attempt to be taken with a lapse of 2 weeks during which remedial work should be performed to improve the skills. If the student fails the second attempt, s/he will be considered as failing the corresponding practicum. During the period of retaking the practicum, a final opportunity will be granted for the failed skill. In this last attempt, two other academic staff will be appointed as the assessors. If the student fails this last attempt, his/her retake practicum would be failed, s/he will be dismissed from the Programme. The following table summarizes the responsibility of academic staff and HCIs in different assessments and arrangement for the failed assessments: 16

17 Table 8 Responsibility of academic staff and HCIs in assessment during Second Clinical Practicum Assessment Responsible Arrangement of failure in assessments components assessor Practicum evaluation College academic staff in the First Clinical Practicum HCI in the Second Clinical Practicum - Programme Examination Committee will decide if a retake practicum is offered to the student - if the student fails the retake practicum, s/he may be dismissed from the Programme Skills assessment Academic staff /Resource Person - the second opportunity will be granted if s/he fails in the first attempt. In case of failure in the second attempt, a third attempt will be arranged for the student in his/her retake practicum - if the student fails the third attempt, s/he will be dismissed from the Programme Critical reflection Resource Person - Programme Examination Committee will discuss the consequence Clinical Seminar Presentation Academic staff - Programme Examination Committee will discuss the consequence 4.5 Appeal of Practicum Failure A student wishes to appeal against the result of an assessment should follow the Appeal Procedure of the College stipulated in the Student Handbook The Clinical Practicum Examination Subcommittee (CPES) will discuss the appeal case and decide if field challenge will be granted If field challenge is granted, a 2-week independent practice will be arranged for clinical performance evaluation. The appeal assessment will normally take place after the end of the clinical practicum. Appeal assessment result will be endorsed by PEC and final decision made on whether the student passes or fails practicum. 17

18 5 Student s Absenteeism Students are expected to attend all arranged practicums. They are normally not allowed to apply for any leave during the practicum. In the case of inevitable leave of absence, students should follow the following guidelines. 5.1 Sick leave Students should inform their clinical supervisors (College academic staff or HCIs) and/or Resource Persons their sick leave before commencement of the practicum day. They should submit the Notification of Absence from Practicum form (Appendix VII) to resource person when resuming the practicum. Sick leave certificate is required if sick leave is more than one day. Table 9 summarizes the reporting system during sick leave. Table 9 Summary of personnel involved during sick leave reporting First Clinical Practicum Second Clinical Practicum First tier Supervisor (College academic staff) Ward in-charge HCI Resource person Documents to be handed to College academic staff Resource Person 5.2 Supplementary practicums for leave of absence during practicums The duration of supplementary practicum will be determined by the Programme Examination Committee (1 st Clinical Practicum)/Clinical Practicum Examination Subcommittee (2 nd Clinical Practicum). Students performance will be evaluated in the supplementary practicums and they must pass the assessment in order to get credit for these practicums. Any student who fails to obtain satisfactory performance in the supplementary practicums will have his/her case brought to the Programme Examination Committee for consideration. The potential outcomes include dismissal from the Programme. 5.3 Non-compliance to attend the clinical practicum Non-compliance to attend the clinical practicum is equivalent to absence from duty. The potential outcome includes failing the whole practicum. If necessary, the case will be further directed to Student Disciplinary Committee through the Head of Department. 18

19 6 Handling Injury during Practicums Any student who sustains injury during a practicum must inform the supervisor/hci/resource person and in charge of the practicum venue immediately. S/he should also obtain first aid treatment at the practicum venue and seek medical care at once if necessary at the Accident and Emergency Department (AED).Student should take sick leave as recommended. Student should fill in the Accident/Incident Report Form (AIRF, Appendix VIII) with the assistance of their supervisor / Resource Persons if needed. The completed form, together with all the original documents, should be sent to the Clinical Coordinator for follow up within 72 hours of the accident / incident. 19

20 7 Arrangements of Clinical Practicum during Rainstorms and Tropical Cyclone 1. When Topical Cyclone No.1 or No.3/ Yellow or Red Rainstorm is hoisted: all clinical practicum will proceed as scheduled unless an announcement to the contrary has been made by the University / Department. 2. When Tropical Cyclone No. 8 or above/ Black Rainstorm Warning is hoisted, arrangements of clinical practicum are as below: Tropical Cyclone No.8 or above Black Rainstorm Warning a) If the signal/ warning is hoisted at/ after 04:00 b) If the signal/ warning is hoisted at/ after 06:00 c) If the signal/ warning is hoisted at/ after 11:00 d) If the signal/ warning is hoisted at/ after 18:00 e) If the signal/ warning is hoisted during the clinical practicum hours All Am duty of clinical practicum will be cancelled. All Day duty of clinical practicum will be cancelled. All Pm duty of clinical practicum will be cancelled. All Night duty of clinical practicum will be cancelled. All clinical practicum should be suspended immediately and students will be dismissed from clinical venue. If clinical practicum is held indoors: All clinical practicum should be continued. If clinical practicum is held outdoors: Clinical mentor shall suspend the activities immediately and keep the student in a sheltered environment until it is safe for him/her to return home. No resumption of clinical practicum once the warning is lowered within the shift of clinical practicum 20

21 Appendices 21

22 Appendix I Student Name: Clinical Practicum Evaluation Report Student No. Programme: Higher Diploma in Nursing / Bachelor of Health Science (Hons): NY/SY Hospital/ Institute: Supervisor Types of assessment: Formative (F) Date: Ward/ Specialty: First/Second clinical practicum Night hours: Summative (S) Date: Score Standard Procedure Quality of Performance Assistance X Safe Accurate Effect - each time Affect - each time Safe Accurate Effect - each time Affect - each time Safe Accurate Effect - most of the time Affect - most of the time Safe but not alone; Performs at risk Accurate not always Effect occasionally Affect - occasionally Unsafe Unable to demonstrate behaviour Proficient, coordinated and confident; Occasional expenditure of excessive energy Within an expedient time period Efficient, coordinated and confident Some expenditure of excessive energy Within a reasonable time period Skillful in parts of behaviour and coordinated Expends excessive energy Within a delayed time period Unskillful and inefficient Considerable expenditure of excessive energy With prolonged time period Unable to demonstrate procedure/ behaviour Lacks confidence, coordination, and efficiency Without supportive cues Occasional supportive cues Frequent verbal and occasional physical directive cues in addition to supportive ones Continuous verbal and frequent physical cues Continuous verbal and physical cues Not applicable / Not Observed Bondy, K.N. (1983). Criterion-Referenced Definitions for Rating Scales in Clinical Evaluation. Journal of Nursing Education, 22 (9), Krichbaum, K., Rowan, M., Duckett, L., Ryden, M.B. & Savik, K. (1994). The clinical evaluation tool: a measure of the quality of clinical performance of baccalaureate nursing students. Journal of Nursing Education, 33 (9), Lofmark, A. & Thorell-Ekstrand, I. (2004). An assessment form for clinical nursing education: a Delphi study. Journal of Advanced Nursing, 48(3): Watson, R., Stimpson, A., Topping, A. & Porock, D. (2002). Clinical competence assessment in nursing: a systematic review of the literature. Journal of Advanced Nursing, 39(5): Woolley, G. R., Bryan, M. S. & Davis, J. W. (1998). A Comprehensive approach to clinical evaluation. Journal of Nursing Education, 37 (8), Note: Students must score 3 or above for all objectives in order to obtain a satisfactory grade. 22

23 Objectives 1. Assessment 1.1 Collects data for nursing assessment from a variety of sources. 1.2 Identifies potential and actual health problems by differentiating normal and abnormal behaviour of patients and their families. 1.3 Identifies presence of patient risk factors 1.4 Interprets data based on acquired knowledge 1.5 Identifies health problems 1.6 Establishes priorities for care 2. Planning 2.1 Develops goals with specific time frame based on health problems 2.2 Identifies nursing interventions appropriate and relevant to patient health problems 2.3 Explains rationale for selected interventions 2.4 Incorporates patient and family strengths and weakness in planning 2.5 Identifies discharge planning needs 2.6 Identifies patient learning needs 2.7 Participates in developing health teaching plan 2.8 Demonstrates increasing skill in organizing nursing care 3. Intervention 3.1 Provides for patient safety in the clinical setting 3.2 Demonstrates safety and competence in selected psychomotor skills : F Score S Remarks 23

24 Objectives 3.3 Demonstrates awareness of self in relationship to patients and their significant others 3.4 Uses communication techniques appropriately in patient situation 3.5 Responds appropriately and with sensitivity to patient and family verbal and non-verbal cues 3.6 Respects the rights and dignity of patients and their significant others 3.7 Creates an environment which is conducive to patient recovery 3.8 Implements health teaching plan based on identified learning needs 4. Evaluation 4.1 Utilizes the problem-oriented method for recording relevant data 4.2 Evaluates outcomes of care 4.3 Recognizes the need for modification of the care plan 4.4 Develops alternative interventions 5. Professional Behaviours 5.1 Recognizes own strengths and limitations 5.2 Demonstrates ability to reflect own competency, feeling and understanding of work situations through keeping of learning diary or journal 5.3 Seeks guidance as appropriate 5.4 Demonstrates increasing ability to criticize own work for continued development 5.5 Communicates with other health care team members on overall plan of care for patient 5.6 Participates in group conference and shares pertinent learning experience 5.7 Reports on time F Score S Remarks F = Formative Assessment S = Summative Assessment 24

25 Supervisor Narrative Comments (Formative/Summative evaluation) Student Overall Performance: Satisfactory / Unsatisfactory Student Signature Date Supervisor Signature Date 25

26 Appendix IIa Please put a " " in the appropriate box. First Clinical Practicum Core-Competence Checklist Assessment Items S U Comment Professional, legal, and ethical nursing practice demonstrate a basic understanding on legislation and common laws pertinent to nursing practice. act in accordance with the nursing profession s code of ethics. provide service adhering to core values, organization and departmental policies, regulations and guidelines. report to the appropriate person practices that may breach legislation, policies and procedure regulations relating to nursing practice. Provision of care support and assist the client with the activities of daily living, to achieve optimal level of independence and to provide for psycho-socio-spiritual needs of the individual. facilitate the making of accurate health assessment of the client by collecting recognize and report changes in the health and functional status of the client. communicate clearly and effectively. maintain clear and accurate documentation of care provided. demonstrate basic knowledge on maintaining a safe environment. provide for the safety and comfort needs of the client. demonstrate an understanding on the importance on enhancement of safety of individual and groups at all times. 26

27 Personal and professional attributes demonstrate personal integrity, honesty and self-discipline. demonstrate enthusiasm and commitment at work; cope with stressful situations; remain calm be responsible, self-disciplined and reliable in carrying out assigned tasks. recognize own level of competence and consult experienced registered nurse when nursing care requires expertise beyond his/her scope of competence. use nursing standard to assess own performance. Teamwork establish and maintain collaborative relationships with members of health care team. Note: S = Satisfactory U = Unsatisfactory Overall Performance: Pass / Fail Comments: Student Name: Student No. Student Signature Date Supervisor Signature Name : ( ) Date 27

28 Appendix IIb Please put a " " in the appropriate box. Second Clinical Practicum Core-Competence Checklist Assessment Items S U Comment Professional, legal, and ethical nursing practice fulfill the roles and responsibilities as specified by Nursing Council of Hong Kong. demonstrate an understanding of the rights of individuals/groups in the health care setting. Provision of care report relevant data regarding the health and functional status of the individual or groups. contribute to the formulation of care plans. organize and prioritize delegated nursing care effectively. provide assistance in identifying expected health outcomes of client care. contribute to the evaluation and continuous improvement of care. participate and support continuous quality improvement programs. participate in risk identification, prevention and reduction. act to ensure outcomes of the client care by recognizing and reporting the potential for harm. contribute to health education and health promotion activities for the individual, groups or in the community to prevent illness as well as to restore, maintain and promote health. 28

29 Personal and professional attributes respond positively to change and is keen on assuming responsibilities. establish, maintain and conclude effective interpersonal communications. maintain updated knowledge and skills to enhance effective and efficient practice. ability to appreciate research findings and evidence-based practice recognize the role of an Enrolled Nurse be effective even when working under pressure Teamwork demonstrate an understanding of the role of the Enrolled Nurse as a member of the health care team. contribute to decision-making as member of the health care team. demonstrate ability to influence team members to achieve work targets. Note: S = Satisfactory U = Unsatisfactory Overall Performance: Pass / Fail Comments: Student Name: Student No. Student Signature Date Supervisor Signature Name : ( ) Date 29

30 Appendix IIIa Assessment on Administration of Oral Medication (AOM) Assessment Items S U NA Comment * Hand hygiene * Ensure the prescription is valid * Ensure it is for the right patient * Check for history of medication allergy Assess client s need for p.r.n. medication Assess specific medication actions & side-effects of last dose to the client Position client for comfort Hand hygiene Prepare the equipment in medication cart for administration of oral medication * 1st check (Includes the 5 Rights, & expiry date of medication) * 2nd check * 3rd check * Check identity of the patient Provide information & explanation on medication route, action & side effects Assist client to take medications as necessary Ensure that client has taken the medications Hand hygiene * Chart medication given in medication record with signature (document in DDA record if applicable) Tidy up used equipment/utensils Evaluate effect/side effect of medication given * = Critical item; S= Satisfactory; U= Unsatisfactory; NA= Not performed Remark: Students fail in the assessment if (1) Unsatisfactory performance in any critical item; (2) More than 40% of the listed items (excluding critical items) are unsatisfactory Overall performance: Pass / Fail Comments: Student name & signature Supervisor name & signature Date Date 30

31 Appendix IIIb Assessment on Aseptic Technique (AT): Wound Dressing Assessment Items S U NA Comment Assess client s need for dressing (e.g. Check medical /nursing orders) Ensure right client * Hand hygiene Check/prepare items for performing the procedure Explain procedure to client Provide privacy to client Arrange client in an appropriate position, and expose the wound Loosen/ remove the outer wound dressing * Hand hygiene Open sterile packages. Arrange equipment in an orderly manner Remove inner dressings with forceps (and place in bag for disposal) Maximize sterile field * Clean wound with special attention to: - Use one swab once only - Clean wound from clean to dirty - Ensure no dripping from swab * Does not contaminate equipment/field Response to client s verbal/non verbal cues during the procedure Dry wound properly Apply gauze pad over wound Secure dressing Arrange client in a comfortable position and maintain client safety Tidy up equipment and proper disposal of equipment/material * Hand hygiene Documentation and report: observation on wound condition * = Critical item; S= Satisfactory; U= Unsatisfactory; NA= Not performed Remark: Students fail in the assessment if (1) Unsatisfactory performance in any critical item; (2) More than 40% of the listed items (excluding critical items) are unsatisfactory Overall performance: Pass / Fail Comments: Student name and signature Supervisor name and signature Date Date 31

32 Appendix IV Guidelines on Critical Reflective Writing What to include: 1. Describe your experience and what happened? You can write in general what happened or what happened specifically about an incident. Describe an experience that seems significant in some way. Describe the incident as factually as possible. 2. Examine the incident through integration of your personal experience and available evidence. 3. Articulate your learning by answering the following questions: - What did I learn? - How did I learn it? - Why does it matter to me as a nurse? - What will I do in my future practice in light of this learning? 4. Referencing in APA format. Word count: words Submission: Submit to Blackboard and Turnitin by the pre-specified date. Similarity over 30% will be regarded as plagiarism. No late submission is allowed. References: Beam, R.J., O Brien, R.A., & Neal, M. (2010). Reflective practice enhances public health nurse implementation of nurse-family partnership. Public Health Nursing, 27(2), Freshwater, D., Taylor, B.J., & Sherwood, G. (2008). International Textbook of Reflective Practice in Nursing. UK: Sigma Theta Tau International and Blackwell Publishing Kinsella, E.A. (2010). Professional knowledge and the epistemology of reflective practice. Nursing Philosophy, 11 (1), Lay, S., & McGuire, L.(2010). Building a lean for critical reflection and reflexivity in social work education. Social Work Education, 29(5),

33 Visits and Observations Record Form Appendix V Programme Year Semester Student Name Supervisor Name Organization/Institution/Hospital Student No. Practicum: First / Second Setting Areas Satisfactory Unsatisfactory N/A Fulfilling responsibilities Punctual Preparation of the necessary and relevant information before attending the visit Attentive Contribution to discussion Active participation Applying of relevant knowledge and alternatives to the issue / problem during observation Analysing of information Justifying and commenting of problem / issue during visit and observation Openness to new ideas Exploring of new ideas Willing to give feedback Overall comment (if any): Student name and signature Supervisor name and signature Date Date 33

34 Evaluation I m p l e m e n t a t i o n P l a n n i n g Appendix VI Project Management Assessment Checklist Assessment Area S U NA Remark 1. Project Proposal 1.1 Objectives are clear 1.2 Outcomes are measurable 1.3 Appropriate date is selected 2. Promotion of activity 2.1 Promotion materials are clear and appropriate 2.2 Promotion strategies are effective 3. Budget 3.1 Budget is appropriate and realistic 4. Manpower 4.1 Correct estimation of manpower 4.2 Use of volunteers when appropriate 5. Major programme event 5.1 Programme and activities are relevant 5.2 Length of programme is appropriate for participants 6. Logistics 6.1 Transportation is arranged as needed 6.2 Equipments / instruments / materials are adequately prepared 6.3 Catering / drinking facilities are available as needed 7. Communication 7.1 Communications with staff of institution are effective 7.2 Communications are dynamic 8. Risk management 8.1 Safety issues of the programme are thoroughly considered 8.2 First aid service is available 8.3 Insurance for the programme is secured 8.4 Contingency plan is feasible 9. Evaluation by student 9.1 Evaluation report submitted Note: S= Satisfactory U= Unsatisfactory NA= Not applicable 34

35 Project Management Assessment Checklist (continued) Overall Performance: Satisfactory / Unsatisfactory Supervisor s Comments: Supervisor Name: Supervisor Signature: Date: Student s Comments: Supervisor Name: Supervisor Signature: Date: 35

36 Appendix VII Notification of Absence from Clinical Practicum Course: Bachelor of Health Science (Honors) majoring in / Higher Diploma in Nursing* Year: Semester: Subject: Clinical Venue: Name of Student: Student Number: Date(s) of Absence: Reasons of Absence: Medical Certificate Enclosed: Yes/ No* Supervisor/ College academic staff: Date of report: * Delete as appropriate 36

37 Accident/Incident Report Form Appendix VIII Appendix III 意外 / 事故報告表 Note: This report form should be completed and sent to the Head of Department of Nursing and Health Sciences in sealed envelope within 72 hours of the accident/incident. The information provided herein will be used for investigation and compiling accident statistics. In case of work-related accident to employee of the College which results in death or partial incapacity, the concerned department should complete relevant HR Form and filed with the Human Resources Office immediately after such an accident is known. 注意 : 此表格須於意外 / 事故發生後七十二小時內以密封函件交予部門主管 本表格內容只供意外調查及統計之用 若為僱員因工遭遇意外而致死亡或喪失部份工作能力, 有關部門應填寫人力資源處表格 1. General Information of Accident : 意外資料 Date 日期 : Time 時間 : Location of Incident/Accident 事發地點 : Department in charge of the location 事發地點所屬部門 : 2. Nature of Incident : 事故性質. Personal injury 個人損傷 Damage to property/equipment 財物損失 Spillage of chemicals 化學品洩漏 * Fire / Fatality * 火警 / 死亡 Incident of significant environmental impact 嚴重環境影響的事故 Others (Please specify) 其他 ( 請詳述之 ) 3. Personal Data (Complete this section for each injured reporting person) : 個人資料 ( 各傷者需個別填寫 ) Name 姓名 : ( ) Sex 性別 : Age 年齡 : English (Surname first) 英文 Chinese 中文 Dept/Company 部門 / 公司 : * Student / Staff / Visitor / Contractor * 學生 / 職員 / 訪客 / 承建商 Contact Telephone : * Staff No. / Student No. 聯絡電話 * 職員編號 / 學生編號 Programme of Study (for student) 修讀課程 ( 只適用於學生 ) Nature of injury : Amputation / fracture / contusion / laceration / burn /* others (please specify) 受傷性質 : * 切斷 / 折骨 / 撞傷 / 割傷 / 燒傷 / 其他 ( 請詳述之 ) 37

38 Part of body injured : * Hand / leg / head / eye / others (please specify) 受傷部位 * 手 / 腳 / 頭 / 眼 / 其他部位 ( 請詳述之 ) Name of hospital/clinic where injured person received medical treatment : 就醫醫院 / 診所名稱 (Date 日期 : ) Sick leave recommended : Days (from ( from to to ) ) ( 由至 ) 建議病假日由至 4. Details on how the accident/damage occurred. Sketch if applicable on separate sheet. 事故發生的詳細內容 如有需要請附圖例 5. Causes of accident/incident 事故發生原因 6. Recommendation for prevention of recurrence 建議預防措施 : (1) Reported by injured person: Signature: (2) Reviewed by supervisor/resource person: Signature: Date: Date: 38

39 (3) Reviewed by HoD : Signature: Date: ================================================================ For Office Use Separate investigation report required No Yes Report no. * Please delete as appropriate 請刪除不適用 39

40 Appendix IX Course Description Form Course Code NUR2034 Course Title First Clinical practicum Credit Units 3 QF Level 5 Pre-requisite NUR 1018 Health Assessment Objectives This course allows students to apply professional knowledge and clinical skills in clinical settings at beginner level (PILO 3, 4, 5, 8, 9, 10) Course intended Learning Outcomes Course Synopsis/ Indicative Syllabus Learning & Teaching Methodology Upon completion of the clinical practicum, students are able to: a. apply nursing care in the 12 Activities of Living with appropriate documentation in clinical settings (PILO 3, 4, 8, 9, 10) b. demonstrate effective communication skills which are necessary for interacting with supervisor and clients with or without health problems (PILO 3) c. identify their strength and limitation through reflection and recognize the needs for self-directed and life-long learning (PILO 4, 5) d. exhibit professional behaviours with guidance and facilitation from supervisors (PILO 8, 9) This practicum lasts for 9 weeks. Students will be allocated to sub-acute settings in local hospitals, health institutions, nurse-led integrative clinics or community centres to observe and practise under the guidance of the College s academic staff. Students will also be coached to complete aseptic technique (AT) and administration of medications (AOM) assessments within the First and Second Clinical practicum. Clinical Practicum and Post Clinical Conference Students are required to participate in supervised practicum in clinical settings. During the practicum, students are guided and facilitated by supervisors (NHS academic staff) to critically appraise the clinical situations and attain a deeper understanding of their learning experience, with a focus on integrating theoretical input and clinical practice. Students will also be coached on their skills of AT and AOM to prepare for their assessment. Critical Reflective Journal Students will consolidate their learning in critical reflective journals. They have to reflect on their strengths and limitations with the focus of seeking ways to improve. Such reflection is essential for reconstruction of their own philosophy of living and becoming a Giving practitioner. 40