How can I make the How can I make the most of my Clinical most of my Clinical

Placements?Placements?Pre-registration Pre-registration

ProgrammeProgramme

Stage 1Stage 1Carol Jackson Carol Jackson

Practice Education Practice Education LecturerLecturer

Telephone: 01224 262922 Telephone: 01224 262922

email: c.jackson@rgu.ac.ukemail: c.jackson@rgu.ac.uk

Initial Nursing Practice NU1656

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How can I make the most How can I make the most of my Clinical of my Clinical Placements?Placements?

• Part 1: Master LecturePart 1: Master Lecture

• Part 2: Time with your Personal TutorPart 2: Time with your Personal Tutor

• Part 3: Time with Practice Education Part 3: Time with Practice Education

TeamTeam

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Thinking about Thinking about placements....placements....

1.1. I am looking forward to my I am looking forward to my

placementsplacements

2.2. I am concerned about my placementsI am concerned about my placements

3.3. I am unsure of what is expected from I am unsure of what is expected from

meme

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I am hoping that this I am hoping that this session will...session will...

1.1. Make me feel less anxiousMake me feel less anxious

2.2. Provide informationProvide information

3.3. Tell me what is expected of meTell me what is expected of me

4.4. Help me look forward to Help me look forward to

placementsplacements

5.5. A combination of the aboveA combination of the above

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Format for TodayFormat for Today

• Overview of clinical placement Overview of clinical placement support networksupport network

• Where you can find informationWhere you can find information

• What you can do to prepareWhat you can do to prepare

• What is expected of youWhat is expected of you• Time to ask questionsTime to ask questions

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Students

Course Leader

+

Stage Leader

Personal Tutors

StudentCentre

School & Service Framework to support Students Learning

in Practice

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What is a CLET?What is a CLET?

• CLET stands for: CLET stands for: CClinical linical LLearning earning EEnvironment nvironment TTeameam

• There are over 20 CLETs covering all There are over 20 CLETs covering all the placement areas and specialism'sthe placement areas and specialism's

• It is a working group aiming to improve It is a working group aiming to improve the quality of learning on placementsthe quality of learning on placements

• Students are involvedStudents are involved• http://www.rgu.ac.uk/nursing/practice/page.cfm?http://www.rgu.ac.uk/nursing/practice/page.cfm?

pge=40916pge=40916

Your Support NetworkYour Support Network• You – the studentYou – the student• MentorMentor• Ward ManagerWard Manager• Practice Educator (PE) / Clinical Practice Educator (PE) / Clinical

Educator Educator • Practice Education Facilitator (PEF)Practice Education Facilitator (PEF)• Practice Education Lecturer (PEL)Practice Education Lecturer (PEL)• Personal TutorPersonal Tutor• Stage LeaderStage Leader• Course LeaderCourse Leader• Student CentreStudent Centre 8

MentorMentor

• Your mentor is a qualified nurse Your mentor is a qualified nurse who has undergone additional who has undergone additional training to become a mentortraining to become a mentor

• You can contact your placement You can contact your placement area and try and speak to your area and try and speak to your mentor before you arrive on mentor before you arrive on placementplacement

• Your named mentor will have days Your named mentor will have days off and holidays and you may have off and holidays and you may have another mentoranother mentor

• Team mentoring is commonTeam mentoring is common9

How much of my time on How much of my time on placement should I spend with placement should I spend with

my my mentor/ mentors?mentor/ mentors?

1.1. 100%100%

2.2. 50%50%

3.3. 40%40%

4.4. 10%10%

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The ward manager/ team The ward manager/ team leader isleader is

1.1. Usually the mentorUsually the mentor

2.2. Rarely the mentorRarely the mentor

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Ward Manager or Team Ward Manager or Team leaderleader

• This is a senior nurse who is a line This is a senior nurse who is a line manager for all the nursing staff manager for all the nursing staff working in an areaworking in an area

• You can ask for this person and You can ask for this person and introduce yourself either on the introduce yourself either on the phone if your mentor is not phone if your mentor is not available or on arrival at placementavailable or on arrival at placement

• The deputy is usually called the The deputy is usually called the ‘nurse in charge’‘nurse in charge’

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Practice Educator or Practice Educator or Practice Educator Practice Educator

FacilitatorFacilitator• These are qualified nurses who have These are qualified nurses who have

specialised in nurse educationspecialised in nurse education

• PEs and PEFs support mentors by PEs and PEFs support mentors by arranging special events for students and arranging special events for students and mentorsmentors

• You can talk to your PE or PEF at any time You can talk to your PE or PEF at any time during your placement. Find out the during your placement. Find out the contact number before you leave for contact number before you leave for placementplacement

• Not every area has a PE or PEFNot every area has a PE or PEF

• Check the website Check the website http://www.rgu.ac.uk/nursing/practice/page.cfm?http://www.rgu.ac.uk/nursing/practice/page.cfm?pge=40917pge=40917

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Practice Education Practice Education LecturersLecturers

• These are lecturer roles created to These are lecturer roles created to support students & mentors support students & mentors

• They are nursing lecturers based They are nursing lecturers based within RGU, who cover geographical within RGU, who cover geographical areas around the placement areasareas around the placement areas

• You can talk to us at any time You can talk to us at any time during your placementduring your placement

• Find out who covers your area Find out who covers your area before you gobefore you go

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Personal TutorPersonal Tutor

• Your personal tutor remains your Your personal tutor remains your personal tutor whilst you are on personal tutor whilst you are on placementplacement

• You can contact them at anytimeYou can contact them at anytime• Your Clinical Documents are returned Your Clinical Documents are returned

to your personal tutor for checking and to your personal tutor for checking and signingsigning

• Your personal tutor will also check: Your personal tutor will also check: – Cleanliness Champions PortfolioCleanliness Champions Portfolio– Module NU 1658 PortfolioModule NU 1658 Portfolio

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Course LeaderCourse Leader

• The course (programme) leader for The course (programme) leader for pre-registration has to present your pre-registration has to present your grades at assessment boardsgrades at assessment boards

• They manage the programme you are They manage the programme you are onon

• You may wish to contact them You may wish to contact them through your student representatives through your student representatives on various issueson various issues

• They may contact you regarding your They may contact you regarding your attendance or gradesattendance or grades

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Stage 1 PlacementsStage 1 Placements

• 2 clinical placements in stage 12 clinical placements in stage 1•Placement 1 – 10 weeksPlacement 1 – 10 weeks•Placement 2 – 15 weeksPlacement 2 – 15 weeks

–BN(Hons)BN(Hons) – 9 weeks – 9 weeks

• 30 hours per week clinical30 hours per week clinical• 7 ½ hours per week theory7 ½ hours per week theory

•Module NU1909Module NU1909•Cleanliness ChampionsCleanliness Champions

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Placement Areas in Stage Placement Areas in Stage 11

Adult NursingAdult Nursing• Community/ Community hospitalCommunity/ Community hospital• MedicalMedicalChildren’s NursingChildren’s Nursing• Community Nurse eg HV/CNLDCommunity Nurse eg HV/CNLD• Children’s Hospital Children’s Hospital Mental Health NursingMental Health Nursing• Acute care – Hospital/CommunityAcute care – Hospital/Community• Ongoing Care - Ongoing Care -

Hospital/CommunityHospital/Community18

EU RequirementsEU Requirements

• While on your community While on your community placement, you must complete placement, you must complete three notional days (22.5 hours) three notional days (22.5 hours) for each of the following client for each of the following client groups:groups:

– Mother and ChildMother and Child– Care of the ChildCare of the Child– Learning DisabilitiesLearning Disabilities– Mental HealthMental Health

What can you do before the What can you do before the placement?placement?

• Check location, travel & Check location, travel & accommodation arrangementsaccommodation arrangements

• Contact the placement area by Contact the placement area by phone and arrange a visitphone and arrange a visit

• Read up about the placement- use Read up about the placement- use the RGU library / placement profilesthe RGU library / placement profiles

• Plan what you would like to learn Plan what you would like to learn from the placementfrom the placement

• Make a list and take this with youMake a list and take this with you• Find out the names of your Find out the names of your

PEL/PEF/PEPEL/PEF/PE

What should you think What should you think about?about?• Need to make a good impressionNeed to make a good impression

• Negotiate your needs and be prepared Negotiate your needs and be prepared to compromiseto compromise

• Pay attention to a professional Pay attention to a professional appearance at all timesappearance at all times

• Pay attention to a professional manner Pay attention to a professional manner at all timesat all times

• Know who you can turn to for help & Know who you can turn to for help & supportsupport

• Compile learning contract for your Compile learning contract for your placement-placement-

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Supernumerary status Supernumerary status means....means....

1.1. I can come and go from the I can come and go from the placement as I like.placement as I like.

2.2. I have to negotiate my working I have to negotiate my working hours with my mentor.hours with my mentor.

3.3. I am there to learn and not to workI am there to learn and not to work

4.4. I am an observer onlyI am an observer only

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Supernumerary Status Supernumerary Status What does this mean?What does this mean?

• You are extra to the requirements and You are extra to the requirements and staffing establishment figuresstaffing establishment figures

• The time you are on placement should The time you are on placement should provide adequate opportunities to provide adequate opportunities to learnlearn

• You must work as part of the team to You must work as part of the team to enable you to learn to care for patientsenable you to learn to care for patients

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Shift Patterns and Night Shift Patterns and Night DutyDuty

• You are required to experience the 24 You are required to experience the 24 hours a day, 7 days a week nature of hours a day, 7 days a week nature of practice, therefore will be required to practice, therefore will be required to adopt the normal shift pattern of the adopt the normal shift pattern of the placement location to which you are placement location to which you are allocatedallocated

• It is normally expected that you will It is normally expected that you will follow the shift pattern of your mentor follow the shift pattern of your mentor where possible.where possible.

• If it is your very first placement, you will If it is your very first placement, you will not be expected to undertake night dutynot be expected to undertake night duty

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Part-Time WorkPart-Time Work

• Any part time work that you have must Any part time work that you have must not interfere with your ability to satisfy not interfere with your ability to satisfy working alongside your mentor and working alongside your mentor and undertake the shift patterns which are undertake the shift patterns which are allocatedallocated

• Please refer to the Bank & Bursary Policy Please refer to the Bank & Bursary Policy for Grampian on the Practice Education for Grampian on the Practice Education web site:web site:

• http://www.rgu.ac.uk/nursing/practice/page.cfm?http://www.rgu.ac.uk/nursing/practice/page.cfm?pge=40911pge=40911

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When you arriveWhen you arrive• Be punctualBe punctual• Introduce yourselfIntroduce yourself• Orientation /induction to placement Orientation /induction to placement

location should take place within 24 location should take place within 24 hours of commencementhours of commencement

• Ask questions regarding what you should Ask questions regarding what you should dodo

• Show your mentor the clinical Show your mentor the clinical documents you have brought with you: documents you have brought with you: – PLADPLAD– Time Sheets Time Sheets – Development plansDevelopment plans– Cleanliness Champions FolderCleanliness Champions Folder

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Clinical Assessment Clinical Assessment DocumentationDocumentation

PPlacement lacement LLearning and earning and AAssessment ssessment DDocument (PLAD)ocument (PLAD)

•Performance ExpectationsPerformance Expectations– NMC Standards NMC Standards – Essential Skills ClustersEssential Skills Clusters

•Ongoing Record of Achievement Ongoing Record of Achievement (ORA)(ORA)

•Verification of ProficiencyVerification of Proficiency•Nursing Skills PassportNursing Skills Passport

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Stage 1: Performance Stage 1: Performance ExpectationsExpectationsElement of performance Stage one: NU1656

Knowledge and understanding

The student demonstrates familiarity and a working understanding of basic core facts related to the subject area, evidenced through discussion and reflection with mentor.

Problem solving The student applies basic methods / tools to standard simple situations with detailed guidance from the mentor.

Professional attitude The student demonstrates the ability to interact effectively with colleagues, client groups and significant others in clearly defined situations & with detailed guidance, acknowledging personal limitations in knowledge and skills.

Skills The student demonstrates the ability to apply core principles to perform basic skills with detailed guidance from the mentor.

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Levels of LearningLevels of Learning

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Essential Skills ClustersEssential Skills Clusters

There are 5 essential skills clusters There are 5 essential skills clusters located within the PLAD:located within the PLAD:

1.1. Care, Compassion and Care, Compassion and CommunicationCommunication

2.2. Organisational Aspects of CareOrganisational Aspects of Care

3.3. Infection Prevention and ControlInfection Prevention and Control

4.4. Nutrition and Fluid managementNutrition and Fluid management

5.5. Medicines ManagementMedicines Management

These must be achieved before you enter These must be achieved before you enter Stage 2Stage 2 30

On-going Record of On-going Record of AchievementAchievement

Initial InterviewInitial Interview• You will have your first meeting with your You will have your first meeting with your mentor: Initial Interviewmentor: Initial Interview

• Together you will draw up a learning Together you will draw up a learning contractcontract

• Use the items from the thoughts you have Use the items from the thoughts you have had to guide this interviewhad to guide this interview

• This interview is recorded in your clinical This interview is recorded in your clinical documents and becomes your learning documents and becomes your learning contractcontract

• Ask for a safe place to keep your clinical Ask for a safe place to keep your clinical documents documents

• Leave them on placement while you are Leave them on placement while you are there, so they can be completed as and there, so they can be completed as and when opportunities arise.when opportunities arise.

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On-going Record of On-going Record of Achievement Mid-Achievement Mid-

placement Interviewplacement Interview• Half way through your placement Half way through your placement

your mentor will meet you again and your mentor will meet you again and fill out this section in your clinical fill out this section in your clinical documentsdocuments

• This is your opportunity to check out This is your opportunity to check out how you are doing - a formative how you are doing - a formative grade will be given and should be grade will be given and should be asked forasked for

• Ask questions – how can you Ask questions – how can you improve?improve?

• Together you will develop a plan to Together you will develop a plan to improve for your final assessmentimprove for your final assessment 32

On-going Record of On-going Record of Achievement Final Achievement Final

InterviewInterview• This is the time when you and your mentor This is the time when you and your mentor reflect on your time on placementreflect on your time on placement

• A final grade is awarded and recordedA final grade is awarded and recorded• Your mentor will help you to construct a Your mentor will help you to construct a

Development Plan for your next placementDevelopment Plan for your next placement• Make sure that your clinical documents are Make sure that your clinical documents are

completed accurately. completed accurately. • Timesheets need to be signed and dated on Timesheets need to be signed and dated on

your last working dayyour last working day• Make sure you take all your paperwork away Make sure you take all your paperwork away

with you before you leave the placementwith you before you leave the placement

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Cause for Concern from Cause for Concern from MentorMentor

• A mentor may raise a cause for A mentor may raise a cause for concern in order to question concern in order to question student performancestudent performance

• This is to enable further support This is to enable further support to help you successfully complete to help you successfully complete the placementthe placement

• See Web siteSee Web site• http://www.rgu.ac.uk/nursing/http://www.rgu.ac.uk/nursing/

practice/page.cfm?pge=40913practice/page.cfm?pge=4091334

Cause for Concern from Cause for Concern from StudentStudent

• At any point during your placement At any point during your placement there may be something that there may be something that doesn’t seem right to you. doesn’t seem right to you.

• Contact a member of the Practice Contact a member of the Practice Education Team Education Team

• Initiate a cause for concern Initiate a cause for concern immediatelyimmediately

• See Web siteSee Web site• http://www.rgu.ac.uk/nursing/http://www.rgu.ac.uk/nursing/

practice/page.cfm?pge=40913practice/page.cfm?pge=4091335

Submission of Clinical Submission of Clinical DocumensDocumens

• Remember your clinical module in Remember your clinical module in stage one is - stage one is - Initial Nursing Initial Nursing Practice NU1656Practice NU1656

• It is like any other module in that It is like any other module in that you have submission dates on your you have submission dates on your assessment schedule. The same assessment schedule. The same regulations apply if these dates are regulations apply if these dates are not adhered tonot adhered to

• Submit all your documents to the Submit all your documents to the Student Centre on the due dateStudent Centre on the due date

• Keep a photocopy of your timesheet - Keep a photocopy of your timesheet - it verifies that you have completed it verifies that you have completed your hours on placementyour hours on placement 36

EvaluationEvaluation• You are expected to complete an You are expected to complete an

online evaluation form following your online evaluation form following your placement.placement.

• This is important for improving This is important for improving placement learning for future studentsplacement learning for future students

• It is an opportunity for you to say what It is an opportunity for you to say what went well and what didn’t go wellwent well and what didn’t go well

• Do not name any specific member of Do not name any specific member of staffstaff

• Contact your student support network Contact your student support network with any issueswith any issues

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So tell us what you thought about So tell us what you thought about Part 1 of your preparation for Part 1 of your preparation for

practice.practice.1.1. It provided me with useful It provided me with useful

informationinformation

2.2. It was things I knew alreadyIt was things I knew already

3.3. I knew certain things but it helped I knew certain things but it helped me confirm thingsme confirm things

4.4. It has left me feeling I need to It has left me feeling I need to

know moreknow more

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Good Luck for Your First Good Luck for Your First PlacementPlacement

• So preparation is the key to successSo preparation is the key to success

• Stay focussed - make a good impressionStay focussed - make a good impression

• Enjoy this type of learning experienceEnjoy this type of learning experience• Remember the Practice Team is there to Remember the Practice Team is there to

support you- don’t hesitate to contact ussupport you- don’t hesitate to contact us• These slides will be found at:These slides will be found at:

http://www.rgu.ac.uk/nursing/practice/page.cfm?pge=40915http://www.rgu.ac.uk/nursing/practice/page.cfm?pge=40915

THANKS FOR LISTENINGTHANKS FOR LISTENING

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