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Mentor Update – 2009 Students documentation and Essential Skills Clusters Assessments.

Mentor Update – 2009 Students documentation and Essential Skills Clusters Assessments. Produced by David Kinnell, Lecturer. MENTOR UPDATE 2008. The purpose of annual updating is to ensure that mentors: Have current knowledge of NMC approved programmes,

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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. Produced by David Kinnell, Lecturer.

  2. MENTOR UPDATE 2008. 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. Student’s documentation, 2009. • Assessment of Practice Record. • Ongoing Achievement Record. • Clinical Skills Book – Essential Skills Clusters Assessments. • Student Portfolio.

  4. 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.

  5. 2) Ongoing Achievement Record – Continuity of Practice Assessment Record • From October 2007 all students will 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 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.

  6. 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).

  7. 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.

  8. 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).

  9. 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.

  10. 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.

  11. Essential Skills Clusters Assessments in practice. • Mentor must: • Agree date and time for the summative assessment. • Observe and verify that student has passed all criteria stated in Clinical Skills Book. • Sign the ‘Record of Achievement’ at the back of the Ongoing Achievement Record. • No Branch ESC in CFP!

  12. 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.

  13. Ongoing Achievement Record – January 2009 Student Intake. • A change in the process: • Please note that these students will have an additional blue sheet = First Summative Assessment Record: completed in semester 2. • All students must achieve ALL 40 CFP outcomes at Bondy Practice Level 2 in order to successfully complete the CFP = Branch. • If the student is not competent and appears to be failing please involve Academic Link or the student’s Personal Tutor.

  14. Disability Equality Training, (NMC, 2008, p.14). • Programme providers are bound by the general duties stated in the Disability Discrimination Act (1995, 2005) and must therefore consider any necessary reasonable adjustments required by the student. • For example, coloured overlays. • Programme providers should work in partnership to prepare placement areas for supporting students with disabilities. For guidance contact Fiona McCandless-Sugg, Disability Liaison Officer (01623 465608).

  15. Student Code of Conduct / Student Awards. • Code of Conduct: • Each student must abide by the code given to them at the start of training – see mentor website. • Mentor nominated Student Award: • This award will be given to a third year student in their final semester who has been nominated by a mentor.

  16. 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.

  17. Mentorship. • Mentor database – record of all mentors, initial mentor training and last mentor update 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 and teachers. Second edition. London, NMC.

  18. 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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