How can I make the most of my Clinical Placements? Part one Pre-registration programme Stage Two Fiona Work & Sundari Joseph Practice Education Lecturers Intermediate Nursing Practice NU 2662

How can I make the most of my Clinical Placements? Part one- Master lecturePart one- Master lecture Part two- Time with practice teamPart two- Time with practice team Part three –time with personal tutor- learning objectives, etcPart three –time with personal tutor- learning objectives, etc

How enjoyable was your last placement? 1.Very enjoyable 2.Partially enjoyable 3.Not enjoyable

What reasons can you give for this? 1.Mentor 2.Learning Environment (placement) 3.Myself 4.University

What do you hope to get from this session? 1.Information 2.Support 3.How to prepare (tips for preparation) 4.Questions answered

Which one of this list causes you the most concern about your stage two placements? 1.Things about self e.g. professional/confidence/ performance 2.Things about self e.g. finance/personal 3.Things about mentor support 4.Things about the placement 5.Other

Students Prog. Leaders Personal Tutors Student Centre School & Service Framework to Support Students Learning in Practice PRACTICE TEAM

What is a CLET? CLET stands for Clinical Learning Environment TeamCLET stands for Clinical Learning Environment Team There are over 20 CLETs covering all the placement areas and specialismsThere are over 20 CLETs covering all the placement areas and specialisms It is a working group aiming to improve the quality of learning on placementsIt is a working group aiming to improve the quality of learning on placements Students are involvedStudents are involved

Your support network You – the studentYou – the student MentorMentor Ward ManagerWard Manager Practice Educator/Practice Education Facilitator (PE and PEF)Practice Educator/Practice Education Facilitator (PE and PEF) Practice Education Lecturer (PEL)Practice Education Lecturer (PEL) Personal TutorPersonal Tutor Programme LeaderProgramme Leader

Element of performanceStage two Knowledge and understanding The student demonstrates a widening appreciation of the significance of central and peripheral areas of the subject area, evidenced through discussion and reflection with mentor. Problem solving The student applies methods/tools accurately and carefully to more demanding problems with clear guidance from the mentor. Professional attitude The student demonstrates the ability to interact effectively with colleagues, client groups and significant others in less clearly defined situations and with guidance and demonstrates awareness of personal limitations in knowledge and skills. Skills The student demonstrates the ability to apply standard principles to perform somewhat more demanding skills, with clear guidance from the mentor. Performance Indicators

Levels of learning

What can you do before the placement? Check location & travel & accommodation arrangementsCheck location & travel & accommodation arrangements Contact the placement area by phone and visitContact the placement area by phone and visit Who is the nurse in charge and who is your mentor?Who is the nurse in charge and who is your mentor? During that call; find shift patterns, your off duty (? Sunday starts)During that call; find shift patterns, your off duty (? Sunday starts) Read up about the placement- use the RGU library/profiles in student centreRead up about the placement- use the RGU library/profiles in student centre Find out the names of your PEF/PE/PELFind out the names of your PEF/PE/PEL

What can you do before the placement? Plan what you would like to learn from the placement (start with personal tutor session)Plan what you would like to learn from the placement (start with personal tutor session) Make a list and take this with youMake a list and take this with you Read up on night nursing policyRead up on night nursing policy Read up on bank nursing policyRead up on bank nursing policy See practice education web pages onSee practice education web pages on /page.cfm?pge= /page.cfm?pge=40911

On arrival Take your clinical assessment documents and SKILLS PASSPORT and keep them on the ward/deptTake your clinical assessment documents and SKILLS PASSPORT and keep them on the ward/dept Professional conductProfessional conduct Induction/ orientationInduction/ orientation Identify mentor/depute mentorIdentify mentor/depute mentor Negotiate night nursing experienceNegotiate night nursing experience

Clinical Assessment Initial Discussion Initial interview (within 72hours)Initial interview (within 72hours) Discuss development plan from previous placementDiscuss development plan from previous placement Review domains of learning- Professional and Ethical practice, Care Delivery, Care Management and Personal and Professional DevelopmentReview domains of learning- Professional and Ethical practice, Care Delivery, Care Management and Personal and Professional Development Compile a contract of learningCompile a contract of learning Arrange date for mid-placement and final interviewArrange date for mid-placement and final interview 40% working with mentor to be recorded on timesheet (indirect also)40% working with mentor to be recorded on timesheet (indirect also)

Contract of Learning Should: be mutually agreed by mentor and studentbe mutually agreed by mentor and student make expectations explicitmake expectations explicit clarify what you are aiming to achieve (objectives)clarify what you are aiming to achieve (objectives) clarify how you are to achieve your objectives (learning opportunities)clarify how you are to achieve your objectives (learning opportunities) be referred to regularly and reviewed regularlybe referred to regularly and reviewed regularly

Formative Assessments Stage 2 There are 2 formative assessments which you must achieve by the end of stage 2There are 2 formative assessments which you must achieve by the end of stage 2 Principles of AsepsisPrinciples of Asepsis Engaging with Clients- Stage 2Engaging with Clients- Stage 2 These are found in your skills passportsThese are found in your skills passports Get your mentor to sign them when achieved and verify this in your CARGet your mentor to sign them when achieved and verify this in your CAR Patient Group DirectivesPatient Group Directives

Clinical Assessment Mid-placement discussion Mid-way assessmentMid-way assessment Review learning contract and assess achievementReview learning contract and assess achievement Time to reflect if you are meeting level two practice outcomes and implement action plan for achievement if requiredTime to reflect if you are meeting level two practice outcomes and implement action plan for achievement if required Arrange final assessment dateArrange final assessment date

Clinical Assessment Final Interview This is the time when you and your mentor reflect on your performance on placementThis is the time when you and your mentor reflect on your performance on placement Your mentor records their comments grades your performanceYour mentor records their comments grades your performance You record your comments and indicate the grade you would award yourselfYou record your comments and indicate the grade you would award yourself Timesheets need to be completed accurately and signed (lilac)Timesheets need to be completed accurately and signed (lilac) Make sure you have all your documentation before you leave the placementMake sure you have all your documentation before you leave the placement

Cause for Concern from student At any point during your placement there may be something that doesnt seem right to youAt any point during your placement there may be something that doesnt seem right to you Initiate a cause for concern immediatelyInitiate a cause for concern immediately See practice education web pages onSee practice education web pages on /page.cfm?pge= /page.cfm?pge=40911

Cause for concern from Mentor A mentor may raise a cause for concern in order to student performanceA mentor may raise a cause for concern in order to student performance This is to enable further support to help you successfully complete the placementThis is to enable further support to help you successfully complete the placement See practice education web pages onSee practice education web pages on /page.cfm?pge= /page.cfm?pge=40911

Part-Time Work Any part time work that you have must not interfere with your ability to satisfy working alongside your mentor and shift patterns which are allocatedAny part time work that you have must not interfere with your ability to satisfy working alongside your mentor and shift patterns which are allocated Please refer to the Bank & Bursary Policy for Grampian on the practice education web pages onPlease refer to the Bank & Bursary Policy for Grampian on the practice education web pages on

Cleanliness Champions- Stage 2 Unit 4 - personal protective equipment Unit 4 - personal protective equipment Unit 5 - safe use and disposal of sharps Unit 5 - safe use and disposal of sharps Unit 6 - maintenance of a clean health care environmentUnit 6 - maintenance of a clean health care environment Unit 7 - safe handling and disposal of waste Unit 7 - safe handling and disposal of waste For support follow the cleanliness champions flowchart in your skills passportsFor support follow the cleanliness champions flowchart in your skills passports

Skills Passports These are important documents which tell the mentor that you have practised skills in the skills centre and need to practice with real patientsThese are important documents which tell the mentor that you have practised skills in the skills centre and need to practice with real patients Take them with you, leave them on placement while you are there, so they can be completed as and when skill opportunities arise.Take them with you, leave them on placement while you are there, so they can be completed as and when skill opportunities arise.

Inter-professional Learning Demonstrate evidence of interdisciplinary collaboration.Demonstrate evidence of interdisciplinary collaboration. Responsibility of yourself, the student, to arrange - support will be available from your mentor.Responsibility of yourself, the student, to arrange - support will be available from your mentor. Discuss this task at your initial interview with your mentor and again at your midway assessment. This activity should be completed at the end of the placement.Discuss this task at your initial interview with your mentor and again at your midway assessment. This activity should be completed at the end of the placement. The activity links with the Domain Professional and Ethical Practice in the Clinical Assessment Profile (CAP).The activity links with the Domain Professional and Ethical Practice in the Clinical Assessment Profile (CAP). Forms to complete this activity are with your personal tutorsForms to complete this activity are with your personal tutors

Night Duty The night duty policy has now changed to be more flexibleThe night duty policy has now changed to be more flexible It is expected that you acquire experience in the 24 hour 7 days a week serviceIt is expected that you acquire experience in the 24 hour 7 days a week service

Evaluation You have a responsibility to complete an online evaluation form following your placement.You have a responsibility to complete an online evaluation form following your placement. This is important for quality assurance purposes and to enhance placement learning for future studentsThis is important for quality assurance purposes and to enhance placement learning for future students It is an opportunity for you to say what went well and what didnt go wellIt is an opportunity for you to say what went well and what didnt go well Contact your student support network with any issuesContact your student support network with any issues

This session has helped me prepare for my next placement 1.Strongly agree 2.Agree 3.Disagree 4.Strongly disagree

Good Luck! Any Questions? NB. You now have the group work session to ask questions about travel, etc and the EBL personal tutor session to work on your learning outcomes, etc.