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Sign Off Mentor Preparation

Sign Off Mentor Preparation. Faculty of Health and Human Sciences Placement Development Teams. 1. NMC Criteria for Sign-off Mentors. Sign off mentors are required for: 3rd year nursing students’ final placements.

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Sign Off Mentor Preparation

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  1. Sign Off Mentor Preparation Faculty of Health and Human Sciences Placement Development Teams 1

  2. NMC Criteria for Sign-off Mentors Sign off mentors are required for: • 3rd year nursing students’ final placements. • Midwifery students at all progression points and at point of entry to the register (final placement) • Return to Practice & Overseas Adaptation They must have undertaken an approved mentorship programme or equivalent to the Mentorship module. 2

  3. The NMC expect registrants to protect the public • The sign-off mentor role was introduced to ensure mentors were equipped to make decisions in recommending a student for registration. • Large numbers of registrants are going through capability or fitness to practice investigations (NMC2014). • Too many mentors are not referring students early on in their programme giving benefit of the doubt or not addressing issues • Survey of 2,000 mentors 75% said they had passed a student who they were concerned about (Nursing Times 2010) Accountability

  4. Sign off mentors Introduced to ensure sound judgements made about whether a student has achieved the required standard of proficiency for safe effective practice for entry on to the register. Mentors with a qualification or experienced mentors working towards a qualification, prepared to meet additional NMC criteria and recorded on the Trust Register. In midwifery, a sign off mentor is required to assess the student at the end of years one and two. In the final placement sign off mentor or mentor supported by sign off mentor will make the final decision relating to proficiency.. Sign Off mentors must spend the equivalent of an hour per student per week in addition to the 40% expected (approx 18 hrs) –to focus on monitoring the student’s progress against their learning objectives and the assessment criteria, and is known as ‘protected time’. 4

  5. Role • Support and assess final placement students on the same part of the NMC register • Support junior mentors in difficult decision making or supporting novice mentors undertaking their preparation. • Support and assess students undertaking post registration programmes. • Support and assess students on other programmes in years one and two, although only midwifery sign-off mentors may assess midwifery students. 5

  6. Making final assessments can be daunting • You are vouching for students’ proficiency and ability to function and be accountable as a new registrant. • NMC requires 1 hour ‘protected time’ per week in addition to 40% directly/ indirectly supervising student’s practice. • How could you use this time effectively? • How could other members of the team support you in achieving this? Using protected time effectively

  7. Interviews/ review meetings in addition to initial, formative and final. Provide formal feedback on a regular basis. • Review student’s progress; identify particular trends. Consider ways they respond to constructive advice. • Gain information from other members of the team to guide your overall assessment. • Consider how you may address any identified issues • Review portfolio (OAR and any electronic component) • Spend time giving feedback on how they manage care for a designated group of clients. A few ideas

  8. Need to focus to achieve proficiency (time frame) • Planning – OARS – Learning contract - Band 5 Job competencies. Examples • Management experience – organising and delegating care for a group of clients • Teaching and leadership experience – eg: contributing to the support of junior students and placement information • Inter-agency referrals and follow ups – discharge – ongoing care (pathway) • Policy - Lone worker (community) and supernumerary guidance. Students in Practice

  9. Year 3 Learning Outcomes Demonstrate an ability to manage own practice and that of others in accordance with the NMC Code of Professional Conduct Demonstrate achievement of competence/ proficiency in care management for entry onto the register. Demonstrate achievement of all professional standards and programme requirements for entry to the specific part of the NMC register. 9

  10. Confirmation of Proficiency Make a final judgement: Has the student achieved the required standard of proficiency for safe effective practice for entry to the NMC register? • Competence: is the ability to perform consistently to the required standard, demonstrable only after a period of practice or rehearsal. • Proficiency: can be applied to a practitioner/learner who consistently applies the competency standard deeming the student to be proficient for registration 10

  11. On-going Achievement Record (OAR)NURSING Seen by each mentor in the first week of the placement and signed at the end Seen by personal tutor after every placement and at the end of each year Only formally submitted at the end of the final year - (usually last week in August) Sign off mentors to provide an overview of the students 3yrs of practice and their proficiency for registration (not just this placement). If student opts for an 'elective’ placement during last 4 weeks of final placement the sign-off mentor should complete final Sign Off Comments prior to the elective Separate sheet for the 'elective' supervisor/mentor to provide additional comments at the end of the 4 weeks – see POPPI for further information. 11

  12. On-going Achievement Record (OAR)MIDWIFERY Seen by sign-off mentor in the first week of the placement and reviewed regularly throughout the placement Comprises EU (European Union) numbers, placement records/ progress reports and the Mentor Assessment of Practice (MAP) document Midpoint and end of placement progress reports need to be completed by the student and sign-off mentor and any contributing buddy mentor/ attending midwifery lecturer MAP evidence needs to be regularly reviewed and updated Grading of practice takes places at the end of a placement/ year (depends on clinical area pattern) Sign-off mentor, student and midwifery lecturer must attend the summative tripartite when grading takes place OAR formally submitted at the end of each year In Year 3, the sign-off mentor also needs to sign the practice proficiency statement for entry to the register. 12

  13. After reflecting on this presentation go to the Sign Off Mentor Quiz to consolidate your learning

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