Practice Assessment Document - PDF Free Download

BSc in Nursing Studies / Registered Nurse Field: ADULT Practice Assessment Document Student Name: Guidance Tutor (GT): GT Tel No: Submission Dates First submission: 09/01/17 Second submission: 24/07/17 GT Email: GT Group Number: Base Trust: Practice Placement Facilitator: 3 i

VERIFICATION PAGE to be completed by anyone who signs this document SURNAME FIRST NAME DESIGNATION LOCATION SIGNATURE NMC PIN Number 1 Any assessment should only be completed by a registered nurse. Any professional completing any aspect of the documentation should have undergone training and development that has enabled them to be competent to support and assess students. The final assessment decision regarding achievement of competence in practice entry to the register must be made by a sign-off mentor who is a registered nurse from the same nursing field as that which the student intends to enter.

EVIDENCE DEVELOPMENT OPPORTUNITIES YEAR 3 Total Client Care (TCC) assessments to be completed twice during the first placement. Leading and Managing Care (LMC) assessments to be completed twice in placement two. Team Assessment of Permance in Practice (TAPP) assessments can be completed throughout the year, if appropriate, however assessments completed in placement two will reflect more closely student permance towards the end of the programme. Direct Observation of Practical Skills (DOPS) can be completed at any time in placement during year two and three and more than once as required. Direct Observation of Practice (DOP) Total Client Care Assessments (TCC) Spoke report Spoke report Team Assessment of Permance in Practice (TAPP) Direct Observation of Practice (DOP) Leading and Managing Care Assessments (LMC) PLACEMENT ONE: HUB EXPERIENCE ONE SPOKE ONE SPOKE TWO PLACEMENT TWO: HUB EXPERIENCE TWO Skills Passport* Skills Passport* TAPP Report** Safe Medicate Summative* * Evidence from University and available at the beginning of the indicated placements ** TAPP reports will be available if and when the appropriate documentation has been completed 2

ASSESSMENT GUIDANCE Any individual who signs within this document must complete the verification section on page two At the start of any practice learning experience the student and mentor should carefully study the content of this practice assessment documentation. This should include a review of the students overall progress so far and previous practice assessment and development plans At any point the mentor or student may contact the Practice Learning Team (GT or PPF) additional support or clarification An initial interview between mentor and student should be conducted within the first week of any placement or spoke learning opportunity and documented in the appropriate section. This interview should consider learning opportunities (including the collection of evidence), goals and In this final year the student will experience two PASS/FAIL placements and in addition a number of spoke placements that are matively assessed Evaluation of student permance in individual competencies can take place throughout the practice experience. Competencies can be assessed in all placements (this includes spoke placements). Prior to the evaluation of an individual competency the student should collect and identify relevant evidence Spoke specific guidance: In the final week of the practice experience the student and mentor should complete the spoke report PASS/FAIL placements, specific guidance: During the initial interview the student and mentor should identify the competencies that will be targeted, this will help the mentor identify if the student is making appropriate progress towards competencies at the mid point and end of the placement and will theree inm the decision to pass or fail the student A mid placement review must be conducted and documented If the student is failing to make the required progress or any other areas of concern are identified at any point during the practice experience, contact MUST be made with the Guidance Tutor or PPF The student must be made aware of any concerns as soon as possible and an action plan should be developed During the final week of the first and second PASS/FAIL placements the summative assessment of the students overall permance should occur. This will involve the completion of the appropriate summative assessment m By the end of the year student ability in ALL competencies listed within this document must be evaluated and in addition any carried over from the previous year and identified in the supplemental assessment document. To progress onto the register the student must reach the level of skilled in ALL competencies Sign off mentor guidance: The sign off mentor must indicate by signing the appropriate declaration, at the end of the final hub experience, that the student has achieved ALL relevant competencies, is capable of safe and effective practice and has reached the expected standards Further guidelines and the declaration m can be found at the end of this document 3 See pass/fail criteria on the following page and the student and mentor guides year three additional inmation and guidance.

PASS/FAIL CRITERIA YEAR 3 COMPETENCY SCALE Both main placements will be assessed on a pass/fail basis by the students mentor. The spokes are matively assessed. Mentors within the spoke areas should complete the appropriate spoke reports and aid the student to develop evidence to illustrate competency. They may, if they wish, assess individuals competence providing the student is in agreement and appropriate evidence can be provided. Mentors should triangulate evidence from a variety of tools and sources to aid and inm the evaluation of competency and the students overall permance. The final decision to pass or fail a student at the end of the first and second main placements remains with the students identified mentor. The student may be identified as failing the following reasons : The student fails to act with professionalism, integrity and/or within recognised ethical and legal frameworks. The student is unable to practise safely or demonstrate an awareness of their own limitations. The student fails to make the required progress towards the target competencies by the end of the episode of clinical practice/year. MEETS EXPECTATIONS FOR REGISTRATION BORDERLINE FOR REGISTRATION NEEDS DEVELOPMENT FOR REGISTRATION Levels of Practice Accomplished Skilled Supported Assisted Dependent Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Needs occasional direct supervision or support Needs regular direct supervision or support Needs constant direct supervision or support ACHIEVED *SKILLED IS THE MINIMUM PASS LEVEL IN THE FINAL YEAR The student fails to provide appropriate evidence. By the end of the year the student must reach the level of SKILLED or above in ALL competencies. This includes any competencies carried over from the previous year Criteria Appraisal of Competence Adapted from Bondy, K. N. (1983) Criterion-referenced definitions rating scales in clinical evaluation. Journal of Nursing Education, 22(9); 376-382 4

Nursing practice and decision making Professional Values PROGRESS Leadership management and team working Communication and interpersonal skills INSTRUCTIONS FOR USE This progress chart can be completed by the mentor, guidance tutor or student at any time but should be kept up to date. It is a summary of what has been assessed and the level of competency achieved. A1 D7 refer to the competencies that must be assessed by the end of the year. The documentation their assessment can be found towards the end of this document. In addition the student may have a supplemental assessment document containing competencies from the previous year that were not assessed at skilled or above. Competency A4 A5 A8 A9 Final Year Competencies Tick box when Achieved (Skilled or above) Competency C1 C4 C1.1 C3.1 C4.1 C4.2 C7.1 C7.2 C8.1 Tick box when achieved (Skilled or above) List competencies carried over from previous year i.e. A1.1 Tick box when Achieved (Skilled or above) The student may document these competencies in the final column Remember the student must reach a minimum level of skilled in all competencies. B4 B5 B3.1 D1 D2 D3 D5 D6 D7 5

Glossary of terms & evidence: PAD - Practice Assessment Document. All associated evidence should be documented within your PAD and stored within your PPDF. PPDF - Personal and Professional Development File. The PPDF is the file in which you store your record of learning, development and achievements in university and in practice. Potential evidence triangulation with observed student permance (examples are given each progression criteria/competency on their associated page): TAPP - Team Assessment of Permance in Practice report TCC - Total Client Care assessment LMC - Leading and Managing Care assessment DOPS - Direct Observation of Practical Skills assessment Safe Medicate - report Skills Passport - evidence of session attendance Structured reflection - template available in the PPDF Documented discussion with mentor - template available in the PPDF Witness Testimony report - template available in the PPDF Module assessments Other ms of relevant evidence that may be identified by mentor or student 6

YEARLY PLACEMENT ATTENDANCE RECORD Student Name Please Print) The chart below must be completed weekly and signed by the student and mentor or another member of the nursing staff. Please record the number of HOURS worked each day. Please enter ZERO or DO a day off (do not leave blank) and also document sickness and absence. This record must be completed prior to each submission, failure to do so could cause disruption to your. * Please note students are required to complete 37.5 hours per week in practice. Week Commencing: Location (eg Ward 5, STGH) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Mentor Signature Student Signature 07/11/16 14/11/16 21/11/16 28/11/16 05/12/16 12/12/16 06/03/17 13/03/17 20/03/17 27/03/17 10/04/17 17/04/17 24/04/17 01/05/17 08/05/17 15/05/17 22/05/17 05/06/17 12/06/17 19/06/17 26/06/17 03/07/17 10/07/17 17/07/17 7 THE ATTENDANCE SHEET MUST BE WRITTEN IN INK AND MUST NOT BE ALTERED. TIPPEX SHOULD NOT BE USED.

Additional Placement Comments This page can be used by the student, mentor or other member of the Practice Learning Team to make additional comments or the Guidance Tutor to record details of a clinical visit. Date Comment Outcome/Action Signature Designation 8

MENTOR / STUDENT CHECK LIST 1. Pre placement contact PLACEMENT ONE 2. Orientation to practice area 3. Initial interview 4. Mid point mative assessment at 3 weeks Clinical area: Mentor: 5. Discussion of reasonable adjustments 6. TCC Assessments completed Dates: From: To: 7. DOPS completed* 8. Summative assessment * (If appropriate) 9

INITIAL INTERVIEW PLACEMENT ONE This interview should be completed within the first week. A learning plan should be developed and documented below The aims of the interview are to discuss and identify learning opportunities including the collection of evidence The student and mentor should set goals which will include identifying target competencies, please summarise below Target competencies should reflect the students previous experience, their current learning needs and the nature of the clinical environment. Please refer to the Development Plan completed in the previous placement and take account of overall progress towards competency achievement in each domain (documented on page five). Initial focus should be on any competencies carried over from the previous year. When target competencies have been identified consideration should be given to what learning strategies and resources will be utilised to achieve these targets A suitable week the mid placement mative assessment and review of this learning plan should be identified Please summarise details of this interview below and document the target competencies. Competency targets can be revised or added to at the mid placement review. Learning plan: Identified Competency Targets (document in the boxes below) Mentor Signature & Date Student Signature & Date 10

FORMATIVE ASSESSMENT Student s Name: Intake: Placement: Student reflection on progress and self assessment Mentor / Educator signature: Mentor comments on progress and areas development Student signature: Date: Additional Action Plan required? (please circle): No Yes For further guidance on Action Planning see the reverse of this sheet. If an additional Action Plan is required the students Guidance Tutor and/or the PPF should be contacted support. 11

Criteria Actions / Resources No additional Action Plan required Is identified as working successfully towards all of the agreed learning outcomes /progression criteria/ competencies. No remedial action is necessary; to continue as per original learning plan Is working successfully towards most of the agreed learning outcomes /progression criteria/ competencies in the practice setting. However needs development in the identified area listed on the action plan. Inm GT/PPF of action plan status and arrange meeting as required Identify the specific learning outcome /progression criteria/ competency that needs development in an agreed action plan Identify how opportunities and evidence will be provided. Regularly review the action plan Additional Action Plan required Is not progressing as required to meet the agreed learning outcomes/ progression criteria/competencies. Failure to reach the appropriate level in these areas by the end of the identified practice experience will result in the student failing the placement and the associated module to which this period of practice is attached. (See the practice placements website the action plan template) Arrange a tripartite meeting with GT and seek support from practice learning team Identify specific learning outcomes/progression criteria/ competencies that need development in an agreed action plan Identify criteria success and identify how opportunities and evidence will be provided Instigate regular meetings between the mentor and student and provide regular feedback to the Guidance Tutor (See the practice placements website the action plan template) 12

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RECORD OF STUDENT FAILURE To be completed by the mentor if the student has failed Please indicate areas concern and the associated competencies RECORD OF VARIANCE Please record a detailed rationale where a decision has been made to mark a competency as achieved when the available evidence would suggest non-achievement. Or the student has not achieved a competency despite evidence to the contrary. Mentor / Educator signature: Student signature: Mentor / Educator signature: Student signature: Date: Date: 14

MENTOR / STUDENT CHECK LIST 1. Pre experience contact with clinical area SPOKE EXPERIENCE ONE 2. Orientation to practice area 3. Initial interview 4. Spoke Feedback Clinical area: Mentor: Dates: From: To: 16

SPOKE VISIT INITIAL INTERVIEW This interview should be completed within the first few days. A learning plan should be developed and documented below The aims of the interview are to discuss and identify learning opportunities including the collection of evidence The student and mentor should set goals. Please summarise details of this interview below The student should review progress towards the end of the spoke experience and bee the mative assessment Spoke learning plan & goals: Mentor signature: Student signature: Date: 17

SPOKE REPORT: PART 1 Student s Name: Intake: Student reflection on progress and self assessment Mentor comments on overall progress and areas development * Mentor signature: Student signature: Date: 18 * Please provide more detailed comments on specific achievements and progress towards competencies on the following page

SPOKE REPORT PART 2 Student s Name: Intake: Write brief comments on the students progress and main achievements in the following areas of practice Professional values Communication and interpersonal skills Nursing practice and decision making Leadership, management & team working 19 Mentor signature: Date:

MENTOR / STUDENT CHECK LIST SPOKE EXPERIENCE TWO 1. Pre experience contact with clinical area 2. Orientation to practice area 3. Initial interview 4. Spoke Feedback Clinical area: Mentor: Dates: From: To: 20

SPOKE VISIT INITIAL INTERVIEW This interview should be completed within the first few days. A learning plan should be developed and documented below The aims of the interview are to discuss and identify learning opportunities including the collection of evidence. The student and mentor should set goals. Please summarise details of this interview below. The student should review progress towards the end of the spoke experience and bee the mative assessment Spoke learning plan & goals: Mentor signature: Student signature: Date: 21

SPOKE REPORT PART 1 Student s Name: Intake: Student reflection on progress and self assessment Mentor comments on overall progress and areas development * Mentor signature: Student signature: Date: 22 * Please provide more detailed comments on specific achievements and progress towards competencies on the following page

MENTOR / STUDENT CHECK LIST SPOKE EXPERIENCE THREE 1. Pre experience contact with clinical area 2. Orientation to practice area 3. Initial interview 4. Spoke Feedback Clinical area: Mentor: Dates: From: To: 24

SPOKE VISIT INITIAL INTERVIEW This interview should be completed within the first few days. A learning plan should be developed and documented below The aims of the interview are to discuss and identify learning opportunities including the collection of evidence. The student and mentor should set goals. Please summarise details of this interview below. The student should review progress towards the end of the spoke experience and bee the mative assessment Spoke learning plan & goals: Mentor signature: Student signature: Date: 25

SPOKE REPORT PART 1 Student s Name: Intake: Student reflection on progress and self assessment Mentor comments on overall progress and areas development * Mentor signature: Student signature: Date: 26 * Please provide more detailed comments on specific achievements and progress towards competencies on the following page

MENTOR / STUDENT CHECK LIST 1. Pre placement contact PLACEMENT TWO 2. Orientation to practice area 3. Initial interview 4. Discussion of reasonable adjustments Clinical area: Mentor: 5. Mid point mative assessment - to be completed 4-6 weeks bee final submission 6. TCC Assessments completed Dates: From: To: 7. DOPS completed* 8. Summative assessment 9. Sign Off completed * (If appropriate) 28

This interview should be completed within the first week. A learning plan should be developed and documented below The aims of the interview are to discuss and identify learning opportunities including the collection of evidence. The student and mentor should set goals which will include identifying the remaining competencies that need achieving prior to. Please refer to the previous Development Plan and take account of overall progress towards competency achievement in each domain. When remaining competencies have been identified consideration should be given to what learning strategies and resources will be utilised to achieve these targets. A suitable week the mid placement mative assessment and review of this learning plan should be identified. Learning plan: HUB INITIAL INTERVIEW 2ND VISIT Remaining competencies/target competencies (document in the boxes below) Mentor Signature & Date Student Signature & Date 29

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Domain: Professional Values COMPETENCY: A4 All nurses must work in partnership with service users, carers, families, groups, communities and organisations. They must manage risk, and promote health and wellbeing while aiming to empower choices that promote self-care and safety. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 35

COMPETENCY: A4 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Witness testimony report GUIDANCE: Supported Level: Progression point two criteria 10.1 Acts collaboratively with people and their carers enabling and empowering them to take a shared and active role in the delivery and evaluation of nursing interventions Skilled Level: Progression point three criteria 10.6 Provides safe and effective care in partnership with people and their carers within the context of people s ages, conditions and developmental stages 36

Domain: Professional Values COMPETENCY: A5 All nurses must fully understand the nurse s various roles, responsibilities and functions, and adapt their practice to meet the changing needs of people, groups, communities and populations. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 37

COMPETENCY: A5 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Public health module viva feedback GUIDANCE: Supported Level: Progression point two criteria 14.3 Values others roles and responsibilities within the team and interacts appropriately Skilled Level: Progression point three criteria 9.15 Works within the context of a multi-professional team and works collaboratively with other agencies when needed to enhance the care of people, communities and populations 38

Domain: Professional Values COMPETENCY: A8 All nurses must practise independently, recognising the limits of their competence and knowledge. They must reflect on these limits and seek advice from, or refer to, other professionals where necessary. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 39

COMPETENCY: A8 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Team Assessment of Permance in Practice (TAPP) Structured reflection GUIDANCE: Supported Level: Progression point two criteria 10.2 Works with the limitations of own knowledge and skills to question and provide safe and holistic care 14.4 Reflects on own practice and discusses issues with other members of the team to enhance learning Skilled Level: Progression point three criteria 1.8 Demonstrate clinical confidence through sound knowledge, skills and understanding relevant to field 5.13 Through reflection and evaluation demonstrates commitment to personal and professional development and life-long learning 40

Domain: Professional Values COMPETENCY: A9 All nurses must appreciate the value of evidence in practice, be able to understand and appraise research, apply relevant theory and research findings to their work, and identify areas further investigation. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 41

COMPETENCY: A9 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Evidence based practice module assessment GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 9.14 Applies research based evidence to practice 42

Domain: Communication and interpersonal skills COMPETENCY: B4 All nurses must recognise when people are anxious or in distress and respond effectively, using therapeutic principles, to promote their wellbeing, manage personal safety and resolve conflict. They must use effective communication strategies and negotiation techniques to achieve best outcomes, respecting the dignity and human rights of all concerned. They must know when to consult a third party and how to make referrals advocacy, mediation or arbitration. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 43

COMPETENCY: B4 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Team Assessment of Permance in Practice (TAPP) GUIDANCE: Supported Level: Progression point two criteria 6.6 Uses strategies to enhance communication and remove barriers to effective communication minimising risk to people from lack or poor communication Skilled Level: Progression point three criteria 4.7 Manages and diffuses challenging situations effectively 5.6 Anticipates how people might feel in a given situation and responds with kindness and empathy to provide physical and emotional comt 5.11 Recognises circumstances that trigger personal negative responses and takes action to prevent this compromising care 6.13 Uses appropriate and relevant communication skills to deal with difficult and challenging circumstances, example, responding to emergencies, unexpected occurrences, saying no, dealing with complaints, resolving disputes, de-escalating aggression, conveying unwelcome news 44

Domain: Communication and interpersonal skills COMPETENCY: B5 All nurses must use therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and must always respect professional boundaries. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 45

COMPETENCY: B5 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Team Assessment of Permance in Practice (TAPP) GUIDANCE: Supported Level: Progression point two criteria 1.6 Forms appropriate and constructive professional relationships with families and other carers Skilled Level: Progression point three criteria 2.12 Acts with dignity and respect to ensure that people who are unable to meet their activities of living have choices about how these are met and feel empowered to do as much as possible themselves 2.14 Actively helps people to identify and use their strengths to achieve their goals and aspirations 3.7 Uses appropriate strategies to empower and support their choice 5.9 Engages with people in the planning and provision of care that recognises personalised needs and provides practical and emotional support 46

Domain: Communication and interpersonal skills COMPETENCY: B3.1 Adult nurses must promote the concept, knowledge and practice of self-care with people with acute and long-term conditions, using a range of communication skills and strategies. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 47

COMPETENCY: B3.1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Team Assessment of Permance in Practice (TAPP) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 48

Domain: Nursing Practice and Decision Making COMPETENCY: C1 All nurses must use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care, communicate findings, influence change and promote health and best practice. They must make person-centred, evidence-based judgments and decisions, in partnership with others involved in the care process, to ensure high quality care. They must be able to recognise when the complexity of clinical decisions requires specialist knowledge and expertise, and consult or refer accordingly. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 49

COMPETENCY: C1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Witness testimony report Documented discussion with mentor GUIDANCE: Supported Level: Progression point two criteria 7.4 Distinguishes between inmation that is relevant to care planning and inmation which is not 9.2 Accurately undertakes and records a baseline assessment of weight, height, temperature, pulse, respiration and blood pressure using manual and electronic devices 9.8 Collects and interprets routine data under supervision, related to the assessment and planning of care from a variety of sources 9.9 Undertakes the assessment of physical, emotional, psychological, social, cultural and spiritual needs, including risk factors by working with the person and records, shares and responds to clear indicators and signs 9.10 With the person and under supervision, plans safe and effective care by recording and sharing inmation based on the assessment Skilled Level: Progression point three criteria 9.12 In partnership with the person, their carers and their families, makes a holistic, person centred and systematic assessment of psychological, social, cultural and spiritual needs, including risk, and together, develops a comprehensive personalised plan of nursing care 9.13 Acts autonomously and takes responsibility collaborative assessment and planning of care delivery with the person, their carers and their family 50

Domain: Nursing Practice and Decision Making COMPETENCY: C4 All nurses must ascertain and respond to the physical, social and psychological needs of people, groups and communities. They must then plan, deliver and evaluate safe, competent, person-centred care in partnership with them, paying special attention to changing health needs during different life stages, including progressive illness and death, loss and bereavement. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 51

COMPETENCY: C4 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Witness testimony report GUIDANCE: Supported Level: Progression point two criteria 9.3 Understands the concept of public health and the benefits of healthy lifestyles and the potential risks involved with various lifestyles or behaviours, example, substance misuse, smoking, obesity 9.4 Recognises indicators of unhealthy lifestyles Skilled Level: Progression point three criteria 9.16 Promotes health and well-being, self care and independence by teaching and empowering people and carers to make choices in coping with the effects of treatment and the ongoing nature and likely consequences of a condition including death and dying 9.18 Discusses sensitive issues in relation to public health and provides appropriate advice and guidance to individuals, communities and populations example, contraception, substance misuse, smoking, obesity 9.22 Works within a public health framework to assess needs and plan care individuals, communities and populations 52

Domain: Nursing Practice and Decision Making COMPETENCY: C1.1 Adult nurses must be able to recognise and respond to the needs of all people who come into their care including babies, children and young people, pregnant and postnatal women, people with mental health problems, people with physical disabilities, people with learning disabilities, older people, and people with long term problems such as cognitive impairment. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 53

COMPETENCY: C1.1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Structured reflection Documented discussion with mentor Personal and Professional Development File (PPDF) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 54

Domain: Nursing Practice and Decision Making COMPETENCY: C3.1 Adult nurses must safely use a range of diagnostic skills, employing appropriate technology, to assess the needs of service users. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 55

COMPETENCY: C3.1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Team Assessment of Permance in Practice (TAPP) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 56

Domain: Nursing Practice and Decision Making COMPETENCY: C4.1 Adult nurses must safely use invasive and non-invasive procedures, medical devices, and current technological and pharmacological interventions, where relevant, in medical and surgical nursing practice, providing inmation and taking account of individual needs and preferences. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 57

COMPETENCY: C4.1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Team Assessment of Permance in Practice (TAPP) Total Client Care Assessment (TCC) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 58

Domain: Nursing Practice and Decision Making COMPETENCY: C4.2 Adult nurses must recognise and respond to the changing needs of adults, families and carers during terminal illness. They must be aware of how treatment goals and service users choices may change at different stages of progressive illness, loss and bereavement. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 59

COMPETENCY: C4.2 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Total Client Care Assessment (TCC) Team Assessment of Permance in Practice (TAPP) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 60

Domain: Nursing Practice and Decision Making COMPETENCY: C7.1 Adult nurses must recognise the early signs of illness in people of all ages. They must make accurate assessments and start appropriate and timely management of those who are acutely ill, at risk of clinical deterioration, or require emergency care. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 61

COMPETENCY: C7.1 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Documented discussion with mentor OSCE feedback / score sheet Witness testimony report GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 62

Domain: Nursing Practice and Decision Making COMPETENCY: C7.2 Adult nurses must understand the normal physiological and psychological processes of pregnancy and childbirth. They must work with the midwife and other professionals and agencies to provide basic nursing care to pregnant women and families during pregnancy and after childbirth. They must be able to respond safely and effectively in an emergency to safeguard the health of mother and baby. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 63

COMPETENCY: C7.2 Student documentation of evidence review: To be completed by the student prior to evaluation Potential evidence triangulation with observed student permance: Structured reflection Documented discussion with mentor Personal and Professional Development File (PPDF) GUIDANCE: Supported Level: Progression point two criteria Skilled Level: Progression point three criteria 64

Domain: Nursing Practice and Decision Making COMPETENCY: C8.1 Adult nurses must work in partnership with people who have long-term conditions that require medical or surgical nursing, and their families and carers, to provide therapeutic nursing interventions, optimise health and wellbeing, facilitate choice and maximise self-care and self-management. Further guidance specific to this competency is provided over the page. Mentor to identify the level of practice based on triangulation of evidence and document below * Only use if re-evaluated (no need to re-evaluate if previously achieved) Level of practice Level of support Signature & Date: *Signature & Date: * Signature & Date: ACHIEVED *SKILLED IS MINIMUM PASS LEVEL Meets Accomplished Skilled Demonstrates capability independent practice and often exceeds Demonstrates capability independent practice Borderline Supported Needs occasional direct Needs development Assisted Dependent Needs regular direct Needs constant direct Evidence Reviewed: Please sign in the box that the evidence highlighted over the page has been reviewed 65