Pre-registration programme Stage Three March 2008 Proficient Practice NU3920, NU3921, NU3922 and Developing Proficiency in Practice NU3913, NU3917, NU3918 Module Leader Fiona Work or tel;

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

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

What reasons can you give for not enjoying your placement? 1.Mentor 2.Learning Environment (placement) 3.Myself 4.University

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

Student s Program me Leaders Personal Tutors Student Centre School & Service Framework to support Students Learning in Practice

Stage 3: Performance Indicators 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 learning

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

Preparing for placement Mental healthMental health Adult-either Community, Surgical Speciality or Acute medical placementAdult-either Community, Surgical Speciality or Acute medical placement Child-wards (department RACH, Raigmore and ward 2 Elgin)Child-wards (department RACH, Raigmore and ward 2 Elgin) 1 st placement- 30 hours, final placement 37.5 hours1 st placement- 30 hours, final placement 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; ractice/page.cfm?pge= ractice/page.cfm?pge=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/expectations What do you expect of placement and what do they expect of you?What do you expect of placement and what do they expect of you? Learning contract-your responsibilityLearning contract-your responsibility Action plans from previous placements ?Action plans from previous placements ? Supernumerary status/team memberSupernumerary 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- initial Initial interview (within 72hours)Initial interview (within 72hours) Learning contract/ development plan from previous placementLearning contract/ development plan from previous placement Level three critical analysisLevel three critical analysis Gopee, N Demonstrate critical analysis in academic assignments. Nursing Standard. 16, 35 pp PLADPLAD Practice portfolioPractice portfolio Plan mid-way and final assessment datesPlan mid-way and final assessment dates

Assessment process- mid way Mid-way point for assessmentMid-way point for assessment Time to seek support, confirm level of achievementTime to seek support, confirm level of achievement Review learning contract and assess achievementReview learning contract and assess achievement Time to reflect if meeting level three competencies and implement action plan for achievementTime to reflect if meeting level three competencies and implement action plan for achievement Arrange final assessment date- esp. important if final placementArrange final assessment date- esp. important if final placement Enquire grade at mid-way to assess your performanceEnquire grade at mid-way to assess your performance

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: 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 mentor If any issues-contact the PEF or the PEL for the area

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 Opportunity to speak informally firstOpportunity to speak informally first Initiate a cause for concern immediately if neededInitiate a cause for concern immediately if needed Seek support from practice teamSeek support from practice team See web page ge.cfm?pge=40911See web page ge.cfm?pge= ge.cfm?pge= ge.cfm?pge=40911

Cause for concern from Mentor A mentor may raise a cause for concern about a students performanceA mentor may raise a cause for concern about a students 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 This is NOT a negative process but should be positive and supportiveThis is NOT a negative process but should be positive and supportive See web page;See web page; ge.cfm?pge= ge.cfm?pge=40911

Community is a necessity To qualify as a nurse in the UK you must achieve your competencies in the community as well as in a hospital setting.To qualify as a nurse in the UK you must achieve your competencies in the community as well as in a hospital setting. If community is not your area of interest you must work hard to enable your mentor to see that you are capable of achieving well.If community is not your area of interest you must work hard to enable your mentor to see that you are capable of achieving well. Pathway learning opportunities are integral part of learning in some stage three placementsPathway learning opportunities are integral part of learning in some stage three placements Business user insurance and Mileage pre- approval form from student centre door must be completed before placement, not after....Business user insurance and Mileage pre- approval form from student centre door must be completed before placement, not after.... It is up to your mentor to decide if you are capable of managing a mini caseloadIt is up to your mentor to decide if you are capable of managing a mini caseload

Achievement of Stage three competencies (PLAD) Competencies in stage 3 must be achieved for each placement (normally all inCompetencies in stage 3 must be achieved for each 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) Verification of competencies signedProficient Practice must have their Verification of competencies signed Discuss any N before end of final placement as this can be simulatedDiscuss any N before end of final placement as this can be simulated NU393/3917/3918-due as per assessment schedule NU3920/3921/3922-due as per assessment schedule

Night Duty You need to experience the 24 hour and seven days a week delivery of careYou need to experience the 24 hour and seven days a week delivery of care You will be guided as to how best to achieve thisYou will be guided as to how best to achieve this You may follow your mentor on to a night shift rotaYou may follow your mentor on to a night shift rota

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 web page;Please refer to the Bank & Bursary Policy for Grampian on the web page; /page.cfm?pge= /page.cfm?pge=40911

Skills PLADs are important documents which tell the mentor that you have practised skills in the skills centre and need to practice with real patientsPLADs are important documents which tell the mentor that you have practised skills in the skills centre and need to practice with real patients You may need to simulate skills if not available. Any issues with this contact the PEF or PEL for assistanceYou may need to simulate skills if not available. Any issues with this contact the PEF or PEL for assistance All ESCs must have a N or A, date and signatureAll ESCs must have a N or A, date and signature Take the PLAD with you, leave them on placement while you are there, so they can be completed as and when skill opportunities arise.Take the PLAD with you, leave them on placement while you are there, so they can be completed as and when skill opportunities arise.

Evaluation You are still expected to complete an online evaluation form following your placement. Local evaluations are not RGU evaluations thus we cannot change things if we are unaware...You are still expected to complete an online evaluation form following your placement. Local evaluations are not RGU evaluations thus we cannot change things if we are unaware... Evaluations are important for improving placement learning for future studentsEvaluations are important for improving 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 issues such as the Staff Student liaison committeeContact your student support network with any issues such as the Staff Student liaison committee

This session has helped me prepare for my stage three placements 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 personal tutor sessions/meetings to work on your learning outcomes, etc. Please go to the video conferencing room now if you are going to Orkney and Shetland at any point this year