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Mentor Update 2009: Students Documentation and Essential Skills Clusters Assessments

This update provides mentors with current knowledge of NMC approved programmes and allows for discussion of changes to NMC requirements. It emphasizes working in partnership to meet NMC requirements and highlights the essential skills clusters assessments.

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Mentor Update 2009: Students Documentation and Essential Skills Clusters Assessments

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  1. Mentor Update – 2009 Students documentation and Essential Skills Clusters Assessments = Extended Version. Produced by David Kinnell, Lecturer.

  2. MENTOR UPDATE 2009. The purpose of annual updating is to ensure that mentors: • Have current knowledge of NMC approved programmes, • Are able to discuss the implications of changes to NMC requirements. • Have an opportunity to discuss issues related to mentoring, assessment of competence and fitness for safe and effective practice, (NMC, 2008).

  3. Working in partnership towards meeting the NMC requirements. • Other Universities that are involved in monitoring and developing changes: • The University of Derby, • The University of Lincoln, and • The Open University. • The Mentor Preparation Advisory Group has representation from across the 3 Health Communities and works in partnership with the Practice Learning Committee. • Also, Disability Liaison Officers have offered guidance = disability equality training.

  4. Mentor Preparation Course: 10 day Course, over 10 weeks • Standard Mentor Training must be 10 days in all Schools of Nursing. • 5 days theory based (1, 3, 5, 7, and 9) exploring the 8 domains and 26 outcomes of mentorship. • 5 days Work Based Learning in order to collect Mentor Portfolio evidence (2, 4, 6, 8, and 10). • B71 SPL: Non-credited. • B73 SPL: 20 level 3 credits. • All applicants must apply on line: • www.nottingham.ac.uk/nursing/lbr_applications

  5. Student’s Placement Documentation: • Assessment of Practice Record. • Ongoing Achievement Record. • Clinical Skills Book – including Essential Skills Clusters Assessments. • Student Portfolio.

  6. 1) Assessment of Practice Document. • This document contains either: • 40 Placement Outcomes – C.F.P., or • 62 Placement Proficiencies – Branch, • (NMC, 2004). • White, Yellow and Pink copies have been removed = • now in the Ongoing Achievement Record as from October 2007 cohort. • Encourage students to use a range of evidence to meet their achievements.

  7. 2) Ongoing Achievement Record – Continuity of Practice Assessment Record • From October 2007 all students have new practice based documentation that will continue throughout their training. • There will be documentary evidence of any problems experienced in practice and the action plan implemented. • The Sign-off Mentor as from April 2010 will have access to this in Semester 6; it will be monitored by the Student’s Personal Tutor throughout. • A sample of this document will be randomly moderated at the end of each semester.

  8. Skills Escalator Pre-Registration Nursing Courses,(Adapted from Bondy, 1983). • Practice Level 4 (Minimum Level: Semester 5 (L3) Semester 6 (L4) • I have practiced independently meeting the standards of proficiency, seeking advice and support as appropriate and demonstrating knowledge, skills and attitudes appropriate to this Practice Level. • Practice Level 3 (Minimum Level for End of Year Two). • I have practiced with decreasing supervision to achieve the standards of proficiency, requiring occasional support and prompts in the development of appropriate knowledge, skills and attitudes. • Practice Level 2 (Minimum Level for End of Year One: • I have practiced with assistance in the delivery of care to achieve my practice outcomes (CFP) standards of proficiency (Branch) demonstrating knowledge, skills and attitudes appropriate to this Practice Level. • Practice Level 1 (Commencing Level for Common Foundation): • I have practiced, with constant supervision, in the delivery of essential care to develop the knowledge, skills and attitudes required to achieve my practice outcomes. • (Replaces: Helper, Supervised / Participant and Assistant).

  9. 3) Clinical Skills Book – Essential Skills Clusters, (September 2008). • The E.S.C.’s are intended to compliment the Nursing Standards (NMC, 2004). • They are a set of national skills statements that are intended to support existing outcomes and proficiencies. • 5 different aspects, 42 statements identifying what the patient / client can trust a newly registered nurse to do. • They involve the process of calculation. • The assessments undertaken in practice must be recorded by the mentor on the Essential Skills Assessment - Record of Achievement which is in the back of the student’s OAR Document.

  10. Essential Skills Clusters for Pre-registration Nursing Programmes: Annexe 2 to NMC Circular 07/2007 • The Essential Skills Clusters - 42 statements: • Care, Compassion and Communication (8 statements), • Organisational aspects of care (12 statements), • Infection prevention and control (6 statements), • Nutrition and fluid maintenance (6 statements), • Medicines management (10 statements).

  11. Clinical Skills Book – Essential Skills Clusters: C.F.P., (September 2008). • The mentors must now accept responsibility for some of these summative assessment undertaken: • Hand hygiene – maintained as O.S.C.E. in School = Then: ------------------------------------------------------------------------------ • Measures Height, Weight and Body Mass Index, • Monitors and records Fluid Balance, • Monitors and records Dietary Intake = C.F.P. • = These 3 will be assessed by the mentor in practice. • --------------------------------------------------------------------------- • Vital body sign assessment: Temperature, Pulse rate, Respiratory rate and Blood pressure – O.S.C.E. and • Aseptic Technique – simulation in School.

  12. Clinical Skills Book – Essential Skills Clusters, (September 2008). • The Mentor will assess Branch related assessments: • Nutritional assessment, • Hydration / Dehydration assessment, • Enteral Feeding (child, adult, L.D.), • Intravenous Infusion (Child, Adult), • Medicine Administration for an individual or small group (4 patients / clients). • --------------------------------------------------------------- • Patient Group Direction Assessment – in School.

  13. Essential Skills Clusters assessments. • Mentor must: • Set date and time for summative assessment. • Assess and verify all the stated assessment criteria. • Record achievement in the Record of Achievement found at the back of the Ongoing Achievement Record.

  14. Mentor Nominated Student Award / Student Code of Conduct. • Mentor Nominated Student Award: • Mentor nominates a third year management student. • Code of Conduct: • Given to all students at start of training – • Can be accessed on the mentor website.

  15. Mentor nominated student award: practice award. • Student should be in semester six. They must have worked alongside of you for 40% of their placement. • In submitting your nomination consider: • How has the student impacted positively on their placement? • How have they excelled in their nursing? • Have they demonstrated service worthy of recognition? • Has contribution elsewhere been recognised e.g. professional interest groups? • What makes this person stand out from other students? • Adhering to this criteria in no more than 200 words say why the student should be nominated for a Practice Award for their cohort.

  16. Student Code of Conduct – 2009. • As a student you are expected to comply with both University and Nursing / Midwifery Council guidelines regarding conduct. • This is particularly important for self regulation of the profession in protecting the public and society.

  17. Student Code of Conduct – 2009. • Attitudes and behaviour towards patients: • Demonstrate respect for patients, carers, family and significant others that encompasses, without prejudice, diversity of background and opportunity, language, culture and way of life. • To develop appropriate professional relationships with patients, maintaining clear boundaries at all times. • Always make clear to patients that you are a student and not a qualified nurse, and not give nursing advice or recommend treatment unless under supervision. • Make sure the patient has agreed to your presence and involvement. • Discontinue interaction if the patient indicates a wish to stop. • Full Code of Conduct is available on mentor website.

  18. 4) Student Portfolio. • Students are responsible for maintaining their own Student Portfolio according to the guidance on the virtual portfolio tool. • The portfolio is a collection of a range of evidence that must verify the achievements of the outcomes (C.F.P.) or proficiencies (Branch related). • The Mentor must ensure that the student is collecting their evidence on a weekly basis, if possible, in order to maintain a continuous assessment approach.

  19. Supporting students who have a disability, (NMC, 2008, p.14). • The NMC advises that all mentors should receive disability equality training. • Programme providers should work in partnership to prepare placements areas for supporting students with disabilities and prepare students for the demands the placements will make of them. • In particular, the learning environments in practice and academic settings should enable students to be confident that disclosure of their specific needs will not lead to discrimination.

  20. Supporting students who have a disability, (NMC, 2008). • Consideration should be given to allocating time for mentors to meet the special needs of students with disabilities. • The University of Nottingham Disability Policy Advisory Unit – • www.nottingham.ac.uk/disability for further information on what our students can expect and how the University of Nottingham meets the needs of our students. • Please contact your local Disability Liaison Officer, School of Nursing for advice: • Fiona McCandless-Sugg (01623 465608) – Mansfield only.

  21. Triennial Review starts 2010 includes: • To be maintained on the local register the individual must have evidence of having: • Mentored at least two students with due regard within the three year period. • Participated in annual updating: this will be recorded on your Triennial Review Documentation Sheet. • Explored the validity and reliability of judgements made when assessing practice. • Mapped ongoing development in their role against current NMC mentor standards – linked into the NHS Knowledge and Skills Framework.

  22. Mentorship. • Mentor database – record of all mentors, initial mentor training and last update = N.M.C. requirement. • Do you know your status = • Contact: Jennie Cobbold (01623) 819350 or jennie.cobbold@nottspct.nhs.uk Reference: • Nursing and Midwifery Council (NMC) (2008) Standards to support learning and assessment in practice: NMC standards for mentors, practice teachers. London, NMC.

  23. Ongoing Mentor Support: • Visit the Mentor Website: • www.nottingham.ac.uk/nursing/mentors • Mentor Preparation, • Mentor Handbook, • New Standards (including Mentor Bulletins), • Mentor Update Information, • Mentor Newsletters, • Mentor Resources.

  24. Some of the main changes that started in September 2007: Summary. • Student’s Documentation in Practice. • Ongoing Achievement Record: Continuity of Practice Assessment Record (Initially known as the Student Passport – started as from September 2007). • Clinical Skills Book including the Essential Skills Clusters (started September 2008). • Triennial Review (Review your mentorship experience every 3 years to maintain your mentor status and currency). • Any Questions?

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