Pre-registration programmePre-registration programme

Stage ThreeStage Three

March 2008March 2008

Proficient Practice NU3920, NU3921, NU3922

and

Developing Proficiency in PracticeNU3913, NU3917, NU3918

Module LeaderFiona Work

f.work@rgu.ac.uk or tel; 01224 262956

How enjoyable was your How enjoyable was your previous placement?previous placement?

1.1. Very enjoyableVery enjoyable

2.2. Partially enjoyablePartially enjoyable

3.3. Not enjoyableNot enjoyable

What reasons can you give What reasons can you give for enjoying your for enjoying your

placement?placement?1.1. MentorMentor

2.2. Learning Environment Learning Environment (placement)(placement)

3.3. MyselfMyself

4.4. UniversityUniversity

What reasons can you give What reasons can you give for not enjoying your for not enjoying your

placement?placement?1.1. MentorMentor

2.2. Learning Environment Learning Environment (placement)(placement)

3.3. MyselfMyself

4.4. UniversityUniversity

Which one of this list causes you Which one of this list causes you the most concern about your the most concern about your

stage three placements?stage three placements?

1.1. Things about self e.g. Things about self e.g. professional/confidence/ professional/confidence/ performanceperformance

2.2. Things about self e.g. Things about self e.g. finance/personalfinance/personal

3.3. Things about mentor supportThings about mentor support4.4. Things about the placementThings about the placement5.5. OtherOther

Students

Programme

Leaders

Personal Tutors

StudentCentre

School & Service Framework to support Students Learning in Practice

Stage 3: Performance Stage 3: Performance IndicatorsIndicators

Knowledge and understanding The student demonstrates a confident and working understanding of the limits of the subject area, evidenced through discussion and reflection with mentor.

Problem solving The student begins to self-direct him/herself, identify key elements or problems and choose appropriate methods to solve problems with only general guidance from the mentor.

Professional attitude The student demonstrates the ability to confidently interact with colleagues, client groups and significant others in all situations without the need for detailed guidance and demonstrates awareness of professional development needs.

Skills The student demonstrates the ability to select and use detailed principles to perform more complex skills, without the need for direct guidance from the mentor.

Levels of learningLevels of learning

What is a CLET?What is a CLET?

• CLET stands for Clinical Learning CLET stands for Clinical Learning Environment TeamEnvironment Team

• There are over 20 CLETs covering all There are over 20 CLETs covering all the placement areas and specialismsthe placement areas and specialisms

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

• You may be invited and should attend-You may be invited and should attend-you are very welcomeyou are very welcome

Preparing for placementPreparing for placement• Mental healthMental health• Adult-either Community, Adult-either Community,

Surgical Speciality or Acute Surgical Speciality or Acute medical placementmedical placement

• Child-wards (department Child-wards (department RACH, Raigmore and ward 2 RACH, Raigmore and ward 2 Elgin)Elgin)

• 11stst placement- 30 hours, final placement- 30 hours, final placement 37.5 hoursplacement 37.5 hours

• 2 separate placement/ modules in third stage

• Review placement profile and background reading on specialist area

• Prepare the learning contract• Check practice education

web page;http://www.rgu.ac.uk/nursing/http://www.rgu.ac.uk/nursing/

practice/page.cfm?practice/page.cfm?pge=40911pge=40911

• Uniform check• Travel arrangement/

accommodation• Contact placement• You may have an

orientation day/visit on first day

• Standards to support teaching and learning in practice

• Identify mentor with contact phone call

• Support network of PEF and PEL

• Long thin module option• If re-entry- inform placement

On arrival/expectationsOn arrival/expectations• What do you expect of placement and what do What do you expect of placement and what do

they expect of you?they expect of you?• Learning contract-your responsibilityLearning contract-your responsibility• Action plans from previous placements ?Action plans from previous placements ?• Supernumerary status/team member Supernumerary status/team member • Professional conductProfessional conduct• ConfidentialityConfidentiality• Induction/ orientation in some placementsInduction/ orientation in some placements• Remember your PLADRemember your PLAD• Initial interview (within 72hours)Initial interview (within 72hours)• Identify mentor and support mentorsIdentify mentor and support mentors• 40% contact with mentor40% contact with mentor• Arrange regular contact discussions with mentorArrange regular contact discussions with mentor

Assessment process- initialAssessment process- initial• Initial interview (within 72hours) Initial interview (within 72hours) • Learning contract/ development plan Learning contract/ development plan

from previous placementfrom previous placement• Level three critical analysisLevel three critical analysis

Gopee, N. 2002. Demonstrate critical analysis in Gopee, N. 2002. Demonstrate critical analysis in academic assignments. Nursing Standard. 16, 35 academic assignments. Nursing Standard. 16, 35

pp 45-52pp 45-52

• PLADPLAD• Practice portfolioPractice portfolio• Plan mid-way and final assessment Plan mid-way and final assessment

datesdates

Assessment process- mid Assessment process- mid wayway

• Mid-way point for assessmentMid-way point for assessment• Time to seek support, confirm level of Time to seek support, confirm level of

achievementachievement• Review learning contract and assess achievementReview learning contract and assess achievement• Time to reflect if meeting level three Time to reflect if meeting level three

competencies and implement action plan for competencies and implement action plan for achievementachievement

• Arrange final assessment date- esp. important if Arrange final assessment date- esp. important if final placement final placement

• Enquire grade at mid-way to assess your Enquire grade at mid-way to assess your performanceperformance

Assessment process-final Assessment process-final • PLAD to be completed by self and mentorPLAD to be completed by self and mentor• Grade awardedGrade awarded• Skills completed in PLADSkills completed in PLAD• Timesheets completed correctlyTimesheets completed correctly• Time to reflect on placement with mentorTime to reflect on placement with mentor

If final placement:If final placement:• Portfolio completed for registration process (encourage)Portfolio completed for registration process (encourage)• Verification of Competencies (completed)Verification of Competencies (completed)• Cleanliness Champion must be completedCleanliness Champion must be completed

These are your own responsibilities, not that of your mentorThese are your own responsibilities, not that of your mentorIf any issues-contact the PEF or the PEL for the areaIf any issues-contact the PEF or the PEL for the area

Cause for Concern from Cause for Concern from studentstudent

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

• Opportunity to speak informally first Opportunity to speak informally first • Initiate a cause for concern immediately if Initiate a cause for concern immediately if

neededneeded• Seek support from practice teamSeek support from practice team• See web page See web page

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

Cause for concern from Cause for concern from MentorMentor

• A mentor may raise a cause for concern A mentor may raise a cause for concern about a student’s performanceabout a student’s performance

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

• This is NOT a negative process but should This is NOT a negative process but should be positive and supportivebe positive and supportive

• See web page;See web page;http://www.rgu.ac.uk/nursing/practice/http://www.rgu.ac.uk/nursing/practice/

page.cfm?pge=40911page.cfm?pge=40911

Community is a necessityCommunity is a necessity• To qualify as a nurse in the UK you must achieve your To qualify as a nurse in the UK you must achieve your

competencies in the community as well as in a hospital competencies in the community as well as in a hospital setting.setting.

• If community is not your area of interest you must work If community is not your area of interest you must work hard to enable your mentor to see that you are capable hard to enable your mentor to see that you are capable of achieving well.of achieving well.

• Pathway learning opportunities are integral part of Pathway learning opportunities are integral part of learning in some stage three placementslearning in some stage three placements

• Business user insurance and Mileage pre-approval form Business user insurance and Mileage pre-approval form from student centre door must be completed from student centre door must be completed before before placement, not after....placement, not after....

• It is up to your mentor to decide if you are capable of It is up to your mentor to decide if you are capable of managing a mini caseloadmanaging a mini caseload

Achievement of Stage three Achievement of Stage three competencies (PLAD)competencies (PLAD)

• Competencies in stage 3 must be achieved for each Competencies in stage 3 must be achieved for each placement (normally all in placement (normally all in NU3913, NU3917, NU3918)

• Developing Proficiency in Practice (NU3913, NU3917, NU3918) must receive a grade D or

above before you can progress to module Proficient Practice (NU3920, NU3921, NU3922)

• Proficient Practice must have their Verification of Verification of competencies signedcompetencies signed

• Discuss any N Discuss any N before before end of final placement as this end of final placement as this can be can be simulatedsimulated

NU393/3917/3918-due as per assessment NU393/3917/3918-due as per assessment scheduleschedule

NU3920/3921/3922-due as per assessment NU3920/3921/3922-due as per assessment scheduleschedule

Night DutyNight Duty

• You need to experience the 24 You need to experience the 24 hour and seven days a week hour and seven days a week delivery of caredelivery of care

• You will be guided as to how You will be guided as to how best to achieve thisbest to achieve this

• You may follow your mentor on to a You may follow your mentor on to a night shift rotanight shift rota

Part-Time WorkPart-Time Work

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

• Please refer to the Bank & Bursary Please refer to the Bank & Bursary Policy for Grampian on the web page;Policy for Grampian on the web page;

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

Skills Skills • PLADs are important documents which tell PLADs are important documents which tell

the mentor that you have practised skills in the mentor that you have practised skills in the skills centre and need to practice with the skills centre and need to practice with real patientsreal patients

• You may need to simulate skills if not You may need to simulate skills if not available. Any issues with this contact the available. Any issues with this contact the PEF or PEL for assistancePEF or PEL for assistance

• All ESCs must have a N or A, date and All ESCs must have a N or A, date and signaturesignature

• Take the PLAD with you, Take the PLAD with you, leave them on leave them on placementplacement while you are there, so they can while you are there, so they can be completed as and when skill be completed as and when skill opportunities arise.opportunities arise.

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

evaluation form following your placement. evaluation form following your placement. Local evaluations are not RGU evaluations thus Local evaluations are not RGU evaluations thus we cannot change things if we are unaware...we cannot change things if we are unaware...

• Evaluations are important for improving Evaluations are important for improving placement learning for future studentsplacement learning for future students

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

• Contact your student support network with any Contact your student support network with any issues such as the Staff Student liaison issues such as the Staff Student liaison committeecommittee

This session has helped me This session has helped me prepare for my stage three prepare for my stage three

placementsplacements

1.1. Strongly agreeStrongly agree

2.2. AgreeAgree

3.3. DisagreeDisagree

4.4. Strongly disagreeStrongly disagree

Good Luck!Good Luck!

Any Questions?Any Questions?

NB. You now have the group work session to NB. You now have the group work session to ask questions about travel, etc and the ask questions about travel, etc and the

personal tutor sessions/meetings to work personal tutor sessions/meetings to work on your learning outcomes, etc.on your learning outcomes, etc.

Please go to the video conferencing room Please go to the video conferencing room now if you are going to Orkney and now if you are going to Orkney and

Shetland at any point this yearShetland at any point this year