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3. The Competency-Based Preceptor Programme

4. Now part of the North Glasgow University Hospitals NHS Trust Nursing Strategy following a successful research project EXAMINING THE EFFECTIVENESS OF A COMPETENCY BASED PRECEPTOR PROGRAMME FOR NEWLY QUALIFIED / EMPLOYED NURSES AND MIDWIVES FINAL REPORT Jan McClean Margaret C Smith July 2000 Available to read from John Carmichael, Tel. 0141 201 4121

5. In 1993 the UKCC recommended a period of Preceptorship, of approximately 4 months for all newly qualified AND newly appointed nurses and midwives. Attention should focus on strengthening the practical clinical skills The purpose of support and guidance is to ensure that responsibilities are not placed too soon or inappropriately upon a newly registered or inexperienced practitioner

6. Selection and Preparation of the Preceptor Plays a vital role in the success and quality of Preceptorship “assist professional colleagues, in the context of your own knowledge, experience and sphere of responsibility to develop their professional competence, and assist others in the care team to contribute safely and to a degree appropriate to their roles” UKCC 1992

7. Components of the C-BPP

8. Every ward is unique and the first step is to define its uniqueness Case Mix Clinical Speciality Philosophy and Values Patient Population Ward Routine Skill Mix Specific skills required Mode of Care Delivery Components of the C-BPP 1

9. Components of the C-BPP 1 This is your CRITICAL PATHWAY

10. COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY COMPETENCY STATEMENT: WARD Category Day 3 - 7 Orientation Schedule Orientation Schedule Orientation Schedule Physical Environment Physical Environment Physical Environment Geography Geography Geography Geography Equipment / Devices Equipment / Devices Equipment / Devices Equipment / Devices Communication Systems Communication Systems Communication Systems Communication Systems Personnel Personnel Personnel Personnel Nursing Teams Nursing Teams Nursing Teams Nursing Teams Procedure Manuals Procedure Manuals Procedure Manuals Procedure Manuals Routine Activities Routine Activities Routine Activities Ward Routine Ward Routine Ward Routine Ward Routine Doctors Rounds Doctors Rounds Doctors Rounds Doctors Rounds Medication Rounds Medication Rounds Medication Rounds Medication Rounds Multi-disciplinary Activities Multi-disciplinary Activities Multi-disciplinary Activities Multi-disciplinary Activities Handover Report Handover Report Handover Report Handover Report Emergency Procedures Emergency Procedures Emergency Procedures CPR CPR CPR CPR Fire Fire Fire Fire Medical Emergencies Medical Emergencies Medical Emergencies Medical Emergencies Specific Clinical Skills Specific Clinical Skills Specific Clinical Skills Documentation Documentation Documentation Care Plans Care Plans Care Plans Care Plans Case Notes Case Notes Case Notes Case Notes Admission / Transfer / Discharge Admission / Transfer / Discharge Admission / Transfer / Discharge Admission / Transfer / Discharge Peri-operative CSM Chart Peri-operative CSM Chart Peri-operative CSM Chart Peri-operative CSM Chart Role of Clerkess Role of Clerkess Role of Clerkess Role of Clerkess Off Ward Procedures and Visits Off Ward Procedures and Visits Off Ward Procedures and Visits Operating Theatres / Recovery Operating Theatres / Recovery Operating Theatres / Recovery Operating Theatres / Recovery Pharmacy Pharmacy Pharmacy Pharmacy X-Ray X-Ray X-Ray X-Ray Orthopaedic OPD Orthopaedic OPD Orthopaedic OPD Orthopaedic OPD Patient Education/ Resources Patient Education/ Resources Patient Education/ Resources Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Day 1 - 3 Day 1 - 3 Day 1 - 3 Day 3 - 7 Day 3 - 7 PERFORM WITH PRECEPTOR PERFORM WITH PRECEPTOR PERFORM WITH PRECEPTOR FOLLOW PRECEPTOR FOLLOW PRECEPTOR FOLLOW PRECEPTOR

11. COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY COMPETENCY STATEMENT: WARD Week 2 - 4 Week 5 - 12 Category Orientation Schedule Orientation Schedule Orientation Schedule Physical Environment Physical Environment Physical Environment Geography Geography Geography Geography Equipment / Devices Equipment / Devices Equipment / Devices Equipment / Devices Communication Systems Communication Systems Communication Systems Communication Systems Personnel Personnel Personnel Personnel Nursing Teams Nursing Teams Nursing Teams Nursing Teams Procedure Manuals Procedure Manuals Procedure Manuals Procedure Manuals Routine Activities Routine Activities Routine Activities Ward Routine Ward Routine Ward Routine Ward Routine Doctors Rounds Doctors Rounds Doctors Rounds Doctors Rounds Medication Rounds Medication Rounds Medication Rounds Medication Rounds Multi-disciplinary Activities Multi-disciplinary Activities Multi-disciplinary Activities Multi-disciplinary Activities Handover Report Handover Report Handover Report Handover Report Emergency Procedures Emergency Procedures Emergency Procedures CPR CPR CPR CPR Fire Fire Fire Fire Medical Emergencies Medical Emergencies Medical Emergencies Medical Emergencies Specific Clinical Skills Specific Clinical Skills Specific Clinical Skills Documentation Documentation Documentation Care Plans Care Plans Care Plans Care Plans Case Notes Case Notes Case Notes Case Notes Admission / Transfer / Discharge Admission / Transfer / Discharge Admission / Transfer / Discharge Admission / Transfer / Discharge Peri-operative CSM Chart Peri-operative CSM Chart Peri-operative CSM Chart Peri-operative CSM Chart Role of Clerkess Role of Clerkess Role of Clerkess Role of Clerkess Off Ward Procedures and Visits Off Ward Procedures and Visits Off Ward Procedures and Visits Operating Theatres / Recovery Operating Theatres / Recovery Operating Theatres / Recovery Operating Theatres / Recovery Pharmacy Pharmacy Pharmacy Pharmacy X-Ray X-Ray X-Ray X-Ray Orthopaedic OPD Orthopaedic OPD Orthopaedic OPD Orthopaedic OPD Patient Education/ Resources Patient Education/ Resources Patient Education/ Resources Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Week 2 - 4 Week 2 - 4 Week 5 - 12 Week 5 - 12 DIRECT PRECEPTOR GUIDANCE DIRECT PRECEPTOR GUIDANCE DIRECT PRECEPTOR GUIDANCE INDIRECT PRECEPTOR GUIDANCE INDIRECT PRECEPTOR GUIDANCE INDIRECT PRECEPTOR GUIDANCE

12. Describe the essential, that the novice Practitioner is expected to be able to perform specific, clinical skills Insert them into your Critical Pathway Components of the C-BPP 2 specific, clinical skills specific, clinical skills Critical Pathway Critical Pathway List about 6 and write broad Competency Statements for them Work out and Document “Measurable” Performance Criteria Decide and Document Learning Strategies and Resources Insert into

13. Components of the C-BPP 2 LEARNING CONTRACTS

14. Outline the pathophysiology of diabetic ketoacidosis State the biochemical changes State the action of Insulin Outline operational function of sliding scales Demonstrate ability to alter regime as per sliding scale Prepare correct documentation Assemble required equipment and prescribed therapeutic regime Demonstrate ability to manage fluid replacement giving sets and Infusion pump Calculate infusion rates as per guidelines Implement regime as per ward protocol and prescribed sliding scale Components of the C-BPP 2 Provide Nursing Care for the Patient with Diabetes Mellitus (DKA) Strategies Observation Demonstration Supervised Practice Guided Practice Discussion Resources Preceptor DKA Protocol Evaluation Pack Device Management Instruction Hospital Procedures and Guidelines Manual Discussion and Questioning Observed Outcome Self Assessment Provide total nursing care for at least 4 patients meeting all criteria

15. Contact us if you wish any more information or would simply like to discuss the Programme with someone from the team The Competency-Based Preceptor Programme