Faculty of Health and Human Sciences SCHOOL of NURSING … · BSc (Hons) Nursing - Ongoing Achievement Record (OAR) Year 2 2017 Child Health 1 Faculty of Health and Human Sciences

BSc (Hons) Nursing - Ongoing Achievement Record (OAR) Year 2 2017 Child Health 1

Faculty of Health and Human Sciences SCHOOL of NURSING and MIDWIFERY

Ongoing Achievement Record (OAR) BSc (Hons) Nursing programme:

CHILD HEALTH Year 2 Student name:…………………………..…………….. Personal Tutor:…………………………………………………. Student Registration No:……………………………… Tutor Contact Telephone No:………………………………… Tutor Contact e-mail Address:……….……………….……… I consent to the sharing of information within this OAR and the e-portfolio with academic and clinical staff. Signed: …………………………………….. Date: ………………………

This Document Must Be Available For All Placements Throughout The Duration Of The Programme.


Students undertaking programmes delivered by the Faculty of Health and Human Sciences are reminded that any alteration to University documentation, including practice portfolios, involving forgery/falsification of a mentor’s comments d will be investigated. This investigation could lead to disciplinary action, which may lead

to you being unable to achieve professional registration.

Plymouth: 01752 586954 or 01752 586959 Truro: 01872 256450

Programme Administration Plymouth University Faculty of Health and Human Sciences Level 4 Rolle Building Drake Circus Plymouth PL6 8AA

If you are experiencing any problems in placement please contact your PDT Lead in the first instance http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf

If you have a disability Please speak to your tutor and contact Disability Assist Services http://www.plymouth.ac.uk/disability

The University is very supportive of students with disabilities, and year on year we are making adjustments to assist students with special needs. It may be of value to put in support to assist you – but unless we know what your needs are, we cannot guarantee that that will be the case.

http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf

http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Contact%20List.pdf


CONTENTS

Section 1: Introduction to the Ongoing Achievement Record........................................................................ Error! Bookmark not defined.

Nursing and Midwifery Council (NMC) Requirements .................................................................................................................................. 4

Practice Assessment ..................................................................................................................................................................................... 5

Guidelines for Practice Assessment ............................................................................................................................................................. 6

Expectations of Students in Placement ........................................................................................................................................................ 9

Expectations of Mentors in Placement ........................................................................................................................................................ 10

Signature Record ............................................................................................................................................................................................. 11

Section 2: Year Two Assesment of Practrice .............................................................................................................................................. 14


Introduction to the Ongoing Achievement Record

BSc (Hons) Nursing Programme The Ongoing Achievement Record (OAR) is a record of your achievement in practice assessment throughout your pre-registration nursing education and is part of your Skills and Practice modules. This record enables you to demonstrate that you have met the Nursing and Midwifery Council (NMC) progression points and Standards of Competence for Pre-Registration Nursing Education (NMC 2010). It is a mandatory requirement for you and your mentors to complete the OAR, the grade contributes to your overall degree. Mandatory Training The Programme requires all students to undertake mandatory training in a number of areas each year. This will usually be provided by Plymouth University at the start of each academic year. Your attendance will be recorded on your POW record. Failure to undertake mandatory training will prevent you commencing placement Mandatory Requirements

Moving and Handling

Basic Life Support

Safeguarding Vulnerable People and Children

Mental Capacity Act

Equity and Diversity

Placement Induction When commencing placement it is a requirement that you complete the appropriate Placement Provider induction within the stipulated timeframe. This is arranged by you placement host.

Nursing and Midwifery Council (NMC) Requirements

During your placement you will be supported and assessed by mentors. Who you will work under direct or indirect supervision for a minimum of 40% of your placement In your final year 3 placement you will be allocated to sign-off mentor and receive an additional protected hour a week to review your progress.


A mentor is a nurse who has completed specific preparation in assessing students and is responsible for ongoing supervision and assessment in practice settings. Other registered professionals who have been suitably prepared can supervise and contribute to the assessment of nursing students. A sign-off mentor is a mentor who has met additional criteria, is registered in the field of practice that the student intends to enter and makes a final judgement of competence and proficiency during the final placement of Year 3.

Practice Assessment

Assessment of practice is through continuous monitoring of progress. You should gradually move towards a point of practising at a level of proficiency, competence and accuracy under supervision. Formative and summative assessment by your mentor must be documented at set points in the programme. You will be assessed on the following NMC Domains in all placements:

Professional values

Communication and interpersonal skills

Nursing practice and decision-making

Leadership, management and team working

Achieving all domains each year will enable to you to meet the following progression point’s to move forward in the programme:

Progression Point 1 (end of Year 1)

Progression Point 2 (end of Year 2)

Point of Registration

Safety and safeguarding people of all

ages, their carers and their families

Professional values and expected

attitudes and behaviours towards

people, their carers and their families

Works more independently, with less direct

supervision, in a safe and increasingly

confident manner.

Demonstrates potential to work autonomously,

making the most of opportunities to extend

knowledge, skills and practice.

Meets all standards of

competence for entry to

the NMC Register


The OAR must be submitted on the stated hand-in date; therefore you should ensure that all documentation is complete. All practice assessments must be signed by your mentor at the end of each practice placement. If this is not possible for any reason then they must be signed within 3 weeks following completion of the placement.

E-Portfolio Your e-portfolio will be assessed by your mentor therefore, you will be expected to share relevant evidence identified in the e-portfolio with them. You will be required to demonstrate that you are developing your skills and knowledge in relation to the assessed domain.

Guidelines for Practice Assessment

Preparation for placement – before each placement you are required to undertake preparatory work considering:

Key elements of nursing care related to the management of children and families in the placement

Common medications and treatments used in the placement (refer to BNFC online)

Action to be taken when escalating concerns or reporting incidents

Development plan – this must be commenced by you and your mentor, ideally within the first week of the placement. This will

enable you to identify what you hope to achieve in that placement. The development plan should be reviewed throughout the

placement to assess your progress.

Formative assessment of practice - is an essential part of the assessment process that supports your development. The formative

assessment is an opportunity for you and your mentor to review progress, strengths and weaknesses, and to plan how to maintain

your strengths and improve your weaknesses. The formative assessment enables you to undertake a self-assessment and to review

the evidence gathered to support your achievements to date.

Action plan – if there are concerns raised during the formative assessment, the action plan should be completed to help you focus

on improving key elements of your practice.

Summative assessment timing – your summative assessment is undertaken in a planned meeting when you and your mentor identify whether you have successfully achieved the required level of performance for all the domains, it cannot be undertaken until you have gained at least 20 days or 150 hours experience on your placement. It is recommended that you should be summatively assessed towards the end of your placement. Any concerns identified after summative assessment should be raised immediately with your personal tutor


Evidence – to demonstrate achievement of a domain you must provide evidence to your mentor. A minimum requirement for each

domain is Direct

Evidence of achievement In total you are required to provide 3 pieces of evidence:

1. You are required to demonstrate observed competency Direct Observation (DO)

2 You are required to produce one reflection for each domain Reflection (R)

Your reflection should be referenced be no more than 750 words and should relate to a further form of evidence

3rd form of evidence - examples

Questioning, oral or written (Q)

Reports/Statements from Others (RO/SO)

Simulation (S)

Evidence of Products of your Work (EW)

Service User Report (SU)

Wider Patient Engagement Activity (WP)

Non achievement - if you do not provide sufficient appropriate evidence or you have been assessed as not competent you will not

pass the module.


BSc(Hons) Nursing Programme - Assessment in Practice - Placement Referral

Normally students have 2 attempts at practice assessment

If a student has completed 150 hours they are eligible for assessment

All student are normally required to have the following:

Year 1 - Two summative assessments, Year 2 -Three summative assessments, Year 3- Two summative assessments

Any referred domains Re-assessment of all domains can be undertaken in the next placement*

(unless final placement of the year)

End of year

placement referral

Final placement referral will be subject to a decision at the end of year Assessment Award Board (AAB) and may be subject to 150

hours additional placement time to enable reassessment.

*Re-assessment will be classed as a second and final attempt unless supported with valid extenuating circumstances. Mentors will decide the grade however

the grade will be capped at 40%in line with university regulations

Non completion of

assessment supported

by extenuating

circumstances

(sickness etc.)

Students who submit extenuating circumstances for non-submission of assessment will be required to:

Receive a formative evaluation/ guidance for next placement from the mentor in the ‘non assessed’ placement

Undertake a placement at the end of the year (following AAB decision) for a period of 150 hours practice to be assessed

in all domains, documented in the reassessment section of OAR


Expectations of Students in Placement

While you are in placement you are expected to;

Have undertaken the preparatory work before you start the placement

Work 40% of your time under direct or indirect supervision by a mentor

Work the shifts that the rest of the nursing team work i.e. 24 hour, 7 day if appropriate

Not normally work any more than 75 hours per fortnight (i.e. the equivalent of 37.5 hours per week).

Attend the hand over meetings at the beginning and end of the shifts

Not normally work more than two weekends in any four week period or more than 14 night shifts during the programme.

Where this is difficult, an alternative may be negotiated between student and mentor and personal tutor

Agree a development plan with your mentor within the first week of your placement

Agree the type of evidence that you intend to present to your mentor for each Domain

Identify and complete wider patient activity

Obtain completed written reports from a service user/patient /carer during each year of your nursing programme within some

clinical placements (see Appendix Service User Report Form)

Year One – at least one report Year Two – at least two reports

Year Three – at least two reports, one of which is undertaken in the final sign-off placement.

Agree a date for your formative assessment with your mentor

Following your formative assessment agree a date for your summative assessment with your mentor

Show your mentor your OAR and any evidence that they request to see

Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible


Expectations of Mentors in Placement

Be aware of the Expectations of Students in Placement (see previous page)

Ensure student are directly or indirectly supervised by a mentor for at least 40% of their time in placement

Ensure that the student is rostered to work the same shifts as the rest of the nursing team

Agree a development plan with your student within the first week of their placement

Agree the type of evidence that you expect the student to present for each Domain

Support the student in undertaking wider patient activity and if your student requires it, recommend an appropriate patient/service

user/carer who would be willing and able to provide your student with constructive written feedback related to;

appropriate communication skills

provision of caring and compassionate nursing care

demonstration of dignity and respect at all times

involvement of patient / service user / carer / advocate in decisions of care

provision of information about care

Agree a date for your student’s formative assessment with you

Following their formative assessment agree a date for their summative assessment with you

Review your student’s OAR and any evidence that they present to you

Ensure that you have recorded the type of evidence seen and the mark you wish to award in the relevant section

Ensure that you sign the student’s OAR in the relevant places

Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible


SIGNATURE RECORD For all whose signatures appear in the portfolio

Date/s Placement Name of signatory

Role (i.e.: mentor/sign-off mentor/ service-

user)

Signature Signature Initials


SIGNATURE RECORD (cont) For all whose signatures appear in the portfolio

Date/s Placement Name of signatory

Role (i.e.: mentor/sign-off mentor/ service-

user)

Signature Signature Initials


Section 2: Year Two

CHN202 Developing Competence in Nursing Skills and Decision Making

Grading of Practice The practice assessments within this programme are a component of the Skills and Practice modules for each year; therefore contributing to the overall grade.

To effectively achieve equal weighting of marks between theory and practice, practice will be graded and contribute to the overall degree classification for the student at the end of the programme. Grading practice rewards students who demonstrate a high standard of competence and achievement in clinical practice; and who demonstrate integration of management and leadership skills in their clinical placement settings.

Students are assessed in the all 4 domains in each placement area. The mentor will indicate the level of achievement the student

has met for each domain. The level of achievement awarded, from 0 to 100%, should reflect the skills, knowledge and values

pertinent to the stage of the student’s programme and the student should demonstrate these both in the practice area and with

the evidence collated in their e-portfolio. Only grades identified in the banding should be used (e.g. 52% or 55% or 58%).

A minimum grade of 40% must be gained for each domain for a pass to be achieved. The OAR contributes to 50% of the overall grade for the Skills and Practice modules in each year of the programme; the remaining 50% is obtained via the Objective Structured Clinical Examination. Referral in either element will result in an overall referral for the module, but the student will only be required to re-take the element on which they have been referred.

If the student is given a score of less than 40% (referral grade) for any domain then an Action Plan will be negotiated between the student, mentor with the personal tutor/Placement Lead support and guidance on how to develop this domain further for resubmission. The student may work on any referred domains during their last practice placement in each year of the programme. However cannot be submitted until the date advised by the Award Board and any resubmitted domains will be capped at a grade of 40% for BSc (Hons) level. Under University Regulations the student is only allowed two summative attempts at practice.


Grading of Practice Guidance Please remember to apply to the descriptors pertinent to the stage/year of student

Frequently fails to

meet expectations in

performance

Sometimes meets

expectations in

performance.

Meets expectations

in performance

Sometimes exceeds

expectations in

performance

Frequently exceeds

expectations in

performance

Sometimes excellent/

outstanding

performance

Consistently

outstanding

performance

Clear failure to

achieve a pass

0 – 29%

Failure to achieve a pass

32/35/38%

Satisfactory pass

42/45/48%

Good

pass

52/55/58%

Very good

pass

62/65/68%

Excellent

pass

72/78/84%

Outstanding Pass

86//94/100%

Insufficient

attendance

Unprofessional

behaviour/appear

ance/attitudes

Practice has

potential to cause

harm

Consistently

inadequate

communication

skills

Dismisses

learning

opportunities

Very poor ability

to demonstrate

underpinning

knowledge and/or

skills

Poor attendance

Potential unsafe

practice

Unprofessional

Behaviour

Inadequate

communication skills

Lack of

insight/awareness of

own limitations and

boundaries

neglects learning

opportunities

lack of ability to

demonstrate

underpinning

knowledge and/or

skills

Punctual

Professional

behaviour/

appearance/

attitudes

Practices safely

Demonstrates

evidence of learning

through reflection

Can demonstrate

care management

for a group of

patients (under

supervision) (year 2

onwards)

Insight into own

limitations and

boundaries and

receptive to

recommendations

See previous +

Enthusiastic

Uses initiative

Evidence of sound

clinical decision

making

Able to complete a

holistic assessment

Demonstrates good

understanding of the

application of

knowledge and

evidence

See previous +

Able to articulate

good decision

making skills

without prompting

Demonstrate

underpinning

knowledge for

actions and

decisions

Utilises and

shares research

Evidence of peer

coaching in

practice

See previous +

Demonstrates good

leadership skills

Demonstrates

clinical reasoning

and confidently

make clinical

decisions

Consistently

demonstrates the

application

underpinning

knowledge for

actions and clinical

decisions

Can influence

change in practice

CONSISTENTLY

Excels in all of

the previous

criteria

Has made an

evidence based

change to

practice


Domain 1: Professional Values Indicative Guidance

Practice honestly and with integrity, applying the principles of The Code Professional Standards of Practice and behaviour for nurses and midwives (2015)

Understand law relating to child and parental consent, including both giving and refusing consent, withdrawal of treatment and legal capacity.

Practise in a holistic, non-judgmental, caring and sensitive manner whilst challenging inequality and discrimination.

Practise in a way that recognises children and young people as individuals, who experience change and transition throughout their childhood.

Work in partnership with children, young people and their families, treating them with dignity and respect and, wherever possible take into account their views and preferences regarding their care.

Demonstrate the ability to advocate for children and young people in their care.

Demonstrate responsibility and accountability for keeping their knowledge and skills up to date through continuing professional development.

Demonstrate Integration of relevant theory and evidence based practice to their work

When relevant the student must also:

Identify and complete wider patient activity and patient report evidence

Please complete the relevant sections of the mandatory development plan on the following page


Domain 1 Mandatory Development Plan Placement 1

Confirmed by Mentor: Placement: Dates from: to:

How I will achieve the Domain

Additional Placement Objectives

How I will achieve them



Mentor: Placement: Dates from: to:

How I will achieve Domain




Domain 2: Communication and Interpersonal Skills Indicative Guidance

Build partnerships and therapeutic relationships through safe, effective and non-discriminatory communication.

Use the full range of communication methods, including verbal, non-verbal and written, to acquire, interpret and record their knowledge and understanding of people’s needs.

Demonstrate awareness of their own values and beliefs and the impact this may have on their communication with others.

Recognise when children, young people and others are anxious or in distress and respond effectively, using therapeutic principles to promote wellbeing.

Demonstrate understanding of when to consult an appropriate third party.

Utilise therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and respects professional boundaries.

Maintain accurate, clear and complete records, including the use of electronic formats.

Demonstrate respect for individuals rights to confidentiality and keep information secure in accordance with the law and relevant ethical and regulatory frameworks, sharing personal information with others only in the interests of safety and protection.

When relevant to the placement the student must also:
















Domain 3: Nursing Practice and Decision Making

Indicative Guidance

Use up-to-date knowledge and evidence to assess, plan, deliver and evaluate care.

Recognise when the complexity of clinical decisions requires specialist knowledge and expertise, and consult or refer accordingly.

Demonstrate awareness of how treatment goals and service users’ choices may change at different stages of progressive illness, loss and bereavement.

Practice safely within local and national guidelines and policies.

Keep others safe by implementation of infection control requirements

Demonstrate competence in basic medicines calculations relating to: (not administration) this should include tablets and capsules, liquid medicines, injections including: unit doses and SI unit conversions.

Under direct supervision, safely and effective prepare and administer medicine via routes commonly used, maintain accurate records and monitor effect.

Demonstrate accurate assessment and recording of dietary and fluid intake and output against fluid intake and markers of hydration • Work in partnership to manage risk, promote health, wellbeing and choice. • Support and promote the health, wellbeing, rights and dignity of children and young people. • Promote the concept, knowledge and practice of self-care with children, young people and others with acute and long-term

conditions • Be able to work in partnership to provide therapeutic nursing interventions for children and young people with long term conditions. • Demonstrate reflection on care provided to improve their clinical decision-making.

When relevant to the placement the student must also:
















Domain 4: Leadership, Management and Team Working

Indicative Guidance

Under supervision demonstrate the ability to prioritise care, and manage time and resources effectively to ensure quality of care is maintained or enhanced.

Demonstrate self-awareness and the ability to recognise how their own values, principles and assumptions may affect their practice.

Demonstrate the awareness to prevent and resolve conflict.

Demonstrate the ability to maintains their own portfolio of personal and professional development. Encourage learning of other students (peer coaching)

When relevant the student must also:
















Formative Assessment Placement One

Agreed date for Formative Assessment

Student’s Self-assessment Score

0 – 100% Student Comments

Professional Values

Communication and Interpersonal Skills

Nursing Practice and Decision Making

Leadership, Management and Team Working

Student signature; ............................................................. Date: .............................

Mentor’s Assessment Score

0 – 100% Mentor Comments

Professional Values




Mentor signature: ……………………........................ Date: ...........................


Action Plan

Please set objectives for improvement following the formative assessment

Date

Issue/Concern Action Required Re-evaluation Date


Summative Assessment Placement One

Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see assessment tool).

Assessment Forms of Evidence Grade

Domain 1: Professional Values

Evidence Evidence Evidence

Domain 2: Communication and Interpersonal Skills






Student Declaration: I (name) hereby confirm that I have uploaded to my e-portfolio the relevant evidence that has been presented to my mentor for each domain. I confirm that I have uploaded 2 Service User reports to my e-portfolio and they have been presented to my mentor Student signature: Date

PASS / REFER (Please circle, if refer state which domain)

Total percentage for Placement (Add scores and divide by 4)

Mentor Name: Mentor Signature: Mentor Qualification:

Night Duty/Twilight shifts worked:


Placement One

Student Comments Signature: Date:

Mentor Comments Including areas for development in subsequent placement Signature: Date:

Personal Tutor Comments (including record of Wider Patient Engagement (WPE) activity)


Formative Assessment Placement Two

Agreed Date for Formative assessment:

Student’s Self-assessment Score

0 – 100% Student Comments

Professional Values




Student signature; ............................................................. Date: .............................

Mentor’s Assessment Score

0 – 100% Mentor Comments

Professional Values




Agreed date for summative assessment Mentor signature: ……………………........................ Date: ...........................


Action Plan

Please set objectives for improvement following the formative assessment Date



Summative Assessment Placement Two

Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see assessment tool). Assessment Forms of Evidence Grade

Domain 1: Professional Values


Domain 2: Communication and Interpersonal Skills






Student Declaration: I (name) hereby confirm that I have uploaded to my e-portfolio the relevant evidence that has been presented to my mentor for each domain. I confirm that I have uploaded _____ Service User reports to my e-portfolio and they have been presented to my mentor Student signature: Date

PASS / REFER (Please circle, if refer state which domain)

Total percentage for Placement (Add scores and divide by 4)

Mentor Name: Mentor Signature: Mentor Qualification:

Night Duty/Twilight shifts worked:


Placement Two

Student Comments

Signature: Date:

Mentor Comments Signature: Date:

Personal Tutor Comments (including record of Wider Patient Engagement (WPE) activity)


Year 2 Personal Tutor Summary First Attempt All Domains Achieved

Yes/No (delete as appropriate) If no, state Domains to be reassessed Overall Grade

Attained Student Progression Point 2

In addition Children’s nurses must understand the normal physiological and psychological processes of pregnancy and childbirth. They must be able to respond safely and effectively in an emergency to safeguard the health of mother and baby and recognise the early signs of illness in people of all ages. NB this may be achieved at any time in the programme.

I can confirm that WPE has been undertaken and that 2 statements from SU/P/Carer have been completed.

Student can progress / cannot progress If cannot, state reasons Personal Tutor signature Date


Resubmission Action Plan

Please set objectives for improvement in planning for resubmission second attempt.

Date



Year 2 Second Attempt

Domain/s reassessed

Grade for each

Mentor Comments :

Mentor Signature : Date: Student ’s signature: Date:

Student can progress / cannot progress

Overall Grade

Personal Tutor Signature: Date: