Internship Stage 4. School of Nursing, Midwifery & Health Systems UCD

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1 Internship Stage 4 School of Nursing, Midwifery & Health Systems UCD

2 Internship Integral part of programme Need to be Competent Award of the BSc (Hons) degree Registration with An Bord Altranais

3 Internship Employee and student; 2 students replace 1 RN Paid 80% of SN pt 1 for 36 weeks ANNUAL LEAVE each hospital HR Policies and HSE guidelines Sick leave - 8 weeks sick pay but clinical hrs must be completed

4 Attendance regulations 100% attendance on all clinical placements Any absences must be made up at the end of Stage 4 BEFORE either the degree is awarded or ABA registration is possible. Unsuccessful repeat the duration of module any time owing is in addition to this Employee & Student adhere to local and statutory regulations (HSE circular) & UCD student rules and regulations (Student Handbook) and An Bord Altranais (Standards and Requirements Document). Cannot graduate or register until all clinical time is made up

5 Reflective Practice 8 days - partnership - UCD SNMHS/partner hospitals Check dates clinical partner site Most days venue - clinical partner site (except March) Identify scenarios

6 Supports UCD/SNMHS Personal tutor Clinical assessment Phil/Frances U/G Gabrielle Student advisor Chaplain College Counsellor Hospital Preceptor/CNM CPC Practice dev coordinator

7 Clinical Placement Usually, but not always, the Hospitals like to inform you of your internship allocations themselves during on-site orientation. *Internship Allocations will only appear in ARC if the hospital requests this General, Psychiatry and Midwifery - Jan Sept 2011 (36 weeks) Children s & General Jan 2011 End April 2011 (supernumerary) May 2011 January 2012 (Internship x 36 weeks) Clinical assessment Pass/Fail (GPA neutral) Stress and anxiety

8 Clinical Placements Begin Monday 3 rd /4 th January 2011 Hospital orientation programme specific Ward allocation rotate Present DoCAT/MidCAT to personal tutors for review: General 18 th or 20 th or 26 th or 27 th April and 14 th Sept 2011 Psychiatry and Midwifery students 26 th & 27 th Apr and 14 th Sept 2011 Children s & General - Supernumerary OLCHC & SVUH 21 st April 2011; OLCHC & MMUH 26 th April 2011 Internship - OLCHC, SVUH & MMUH 6 th Sept or Wed 7 th Sept 2011; Provisionally 10 th January 2012

9 Portfolio of Evidence Your record of attainment throughout the four years If you lose your Portfolio you have no record of your attainments!!! Replacement - 30 DoCAT/MidCAT 10 Skills book

10 Domains of Competence: An Bord Altranais assumptions Competence is NOT purely concerned with skills competent nurse possess many attributes practical and technical skills, communication and interpersonal skills, organisational and managerial skills, evidence based practice, reflective thinking and problem solving abilities Competence is not static Competence must therefore be maintained (An Bord Altranais 2005)

11 Domains of Competence Five Domains: 1. Professional/Ethical practice 2. Holistic Approaches to Care and the Integration of Knowledge 3. Interpersonal Relationships 4. Organisation and Management of Care 5. Personal and Professional Development All five domains represent the exit criteria for registration Further sub-divided into performance criteria and indicators

12 Clinical Assessment Strategy Stage One Stage Two Stage Four Stage Three End of Stage Four Requirements & Standards (ABA) Start of Programme

13 Domains of Competency Assessment Tools (DoCAT/MidCAT) General (5 DoCAT) 3 levels Level 1 1a (7/52) 1b (7/52) Level 2 2a (7/52) 2b (7/52) Level 3 2c (8/52) Children s & General (3 DoCAT each discipline) Level 1 (DoCAT 1A) (5/52) Level 2 (DoCAT 2A (5/52) & 2B (6/52) Psychiatry (5 DoCAT) 1a (7/52) 1b (7/52) 2a (7/52) 2b (7/52) 2c (8/52) 5 placement x 6 weeks [excluding AL] Midwifery (6 MidCAT) Level 3 Antenatal, Delivery & Postnatal Level 4 Antenatal, Delivery & Postnatal

14 General 5 Domains Level 1A, 1B, 2A, 2B, 2C DoCAT 7 Weeks (no. of weeks depends on when AL occurs, given differently in each hospital and can even be different per student so no standard no. of weeks) 3 meetings Skills list Level 2C DoCAT 8 Weeks (no. of weeks depends on when AL occurs, given differently in each hospital and can even be different per student so no standard no. of weeks) Management Exp

15 Psychiatry Progression 5 DoCAT 1A, 1B, 2A, 2B, 2C Same as General BSc Students. = 5 placements x 6 weeks of clinical in each (excluding Annual Leave).

16 Children s Progression Level 1 DoCAT 1A (5/52) 5 Domains 3 meetings Skills list Level 2 DoCAT 2A (5/52) As for 1A DoCAT 2B (6/52) 5 Domains Management experience

17 Midwifery Progression Level 3 no weeks 5 to 6 wks per DoCAT/Placement (minimum of 5 wks). Antenatal Delivery Postnatal Level 4 no weeks - 5 to 6 wks per DoCAT/Placement (minimum of 5 wks) Antenatal Delivery Postnatal

18 Skills List Contains a list of clinical skills Process of skill attainment divided into four levels Must reach competence level in all skills by end of Stage 4 Must be available at all times whilst on clinical placement

19 DoCAT/MidCAT Outcomes Reminder sent Pass (P) = achieved all standards +/- time Incomplete (I) = standard not signed off [due to insufficient time in clinical area] No Grade (NG) = failure to present doc to personal tutor with no ext circumstances Ext circumstances ( IX) form completed, evidence included, decided by committee (refer to new policy) Always go to Clinical Allocations immediately after seeing Personal Tutor at DoCAT Presentation time if any absence has occurred OR if any standard other than Pass has been received.

20 Unsuccessful clinical assessment 3 meetings Intermediate meeting NB Indicators of areas where improvements can be made Final meeting student, CPC, preceptor PT (academic advisory & action plan) Repeat clinical placement before moving to next level (different on each programme) Protocols - blackboard in Dec 10

21 Registration process Registration with the Nursing Board cannot occur until the following process is complete: Final DoCAT/MidCAT are signed off Outstanding time is made up and/or supplemental DoCAT/MidCAT completed Timesheets evidencing outstanding time has been made up are submitted to the Allocations Office here in the School. The College Exam Board has ratified the results The Partner Hospitals meet with the School to permit each student to go forward for registration. The Students SIS is reading as degree complete i.e. that the student can see from their exam results screen that ALL credits for the degree have been awarded. The School Clinical Allocations Office will notify the students details of when to collect their An Bord Altranais Application for Registration Form (already signed by Head of School). Student then brings the form to their own Director of Nursing to sign Then sends the form to An Bord Altranais for registration.

22 Questions?