PRE-REGISTRATION NURSING SKILLS PASSPORT

Transcription

1 PRE-REGISTRATION NURSING SKILLS PASSPORT Adult Nursing Student Name: Student Number: Cohort: Students must complete the pre-registration nursing skills passport as this is a mandatory course requirement. The pre-registration nursing skills passport provides evidence to inform the assessment of the NMC Essential Skills Clusters and Standards of Proficiency in the Placement Assessment Document. Students are responsible for ensuring that the pre-registration nursing skills passport is completed on an ongoing basis throughout the programme. 1

2 Guidance Notes: Assessment of skills using the pre-registration nursing skills passport The pre-registration nursing skills passport provides one form of evidence that mentors should use when making judgments about the student s achievement of the NMC Essentials Skills Clusters and Standards of Proficiency in the Placement Assessment Document. It is an assessment for learning tool and as such it is the responsibility of the student to ensure that it is completed throughout the full period of training. It can subsequently be used, by the student, towards continual development of their personal and professional portfolio. The supplementary skills passport contains: Skills are those that are identified as being central to the role of an adult nurse and, in this context, are supplementary to the Essential Skills identified in the Placement Assessment Document. These skills are likely to be available in most adult placements. Additional skills are those that are important to the role of an adult nurse. However, these skills may not be available in all placements, although students may encounter them at some point. Students should attempt to achieve additional skills if these are available and it is appropriate for students to undertake these in light of their knowledge, experience, service user s wishes and Trust policies and procedures. Mentors should be aware that they remain accountable for delegating tasks to the student and must: 1. Be able to justify the decision to allow the student to carry out the practice 2. Provide an appropriate level of supervision whilst the student carries out a procedure. 2

3 Assessing the student s skills: The student and mentor are required to plan how the student will achieve each skill by identifying which of the skills listed in the passport are available to the student during the placement. They should do this on an ongoing basis and by reviewing the student s progress in the initial, intermediate and final interviews. Students are required to attempt all skills that Trust policies and procedures allow and their mentor deems appropriate (i.e. students cannot opt out of being assessed). The student s performance should be assessed only for the skills that are available and that the mentor deems appropriate. Mentors should use a team approach to assess the student by gathering the views of their colleagues about the student s performance. The mentor should consider two elements when assessing the student: 1. Observation of the student s performance 2. Checking the student s knowledge by asking questions and / or reviewing one further piece of evidence provided by the student e.g. a short reflective account which the student may have completed in their Placement Assessment Document. N.B. A student s level of proficiency may fluctuate between placements for a variety of reasons. Mentors should use their professional judgment to determine whether the student has demonstrated sufficient evidence of skills achievement to warrant a pass in the related NMC proficiencies. 3

4 Achieving the skills in a safe and effective manner requires the student to: 1. Adhere to appropriate policies, procedures and legislation 2. Prepare and maintain a safe environment 3. Use and discard or dispose of equipment and aids appropriately and safely 4. Seek assistance where this is required 5. Emotionally and physically support the client / client / service user. Mentors should assess the student and enter that the student has achieved by signing in the appropriate box. Fraudulent entry of assessment outcomes or signatures by students in any document is a serious disciplinary matter that will be investigated by the University. This document should be completed in ink and must be available in the clinical setting at all times. All parts of this document requiring a signature should be signed by the appropriate person. It is the student s responsibility to provide this document when required. 4

5 Skills Instructions: Mentors should complete an assessment of the student s skills as and when the student has acquired the skill. Key: A () Skill (To be achieved under the direction / observation of a Registered Nurse) 1. Blood Glucose Monitors blood glucose level and records and reports this appropriately. 2. Blood and Blood Products 2a. Follows correct procedure for collection and storage 2b. Performs and records required observations during the procedure. 2c. Responds appropriately to any adverse effects 2d. Safely disposes of blood / blood products and equipment 5

6 Skill (To be achieved under the direction / observation of a Registered Nurse) 3. Continence 3a. Monitors patient s current pattern of continence 3b. Assists with toileting needs, ensuring privacy and dignity 3c. Assists in assessing the need for patients to have an indwelling catheter 3d. Identifies and prepares the equipment for patients requiring urinary catheterisation 3e. Adheres to policy and procedures for insertion of a urinary catheter 3f. Manages the care of an indwelling urinary catheter effectively 3g. Assists in assessing patients with bowel problems (constipation / diarrhoea) 3h. Assists in planning the care of patients with bowel problems (constipation / diarrhoea) 3i. Assists in implementing care for patients with bowel problems (constipation / diarrhoea) 6

7 Skill (To be achieved under the direction / observation of a Registered Nurse) 3. Continence (Continued) 3j. Assists in evaluating care for patients with bowel problems (constipation / diarrhoea) 3k. Assists in providing health education, including dietary advice, for patients with bowel problems (constipation / diarrhoea) 3l. Attends to the hygiene needs of patients after toileting. 4. Moving and Handling 4a. Ensures the safety of patients, staff, self and others including co-handlers 4b. Assists in completing a comprehensive assessment of the individual patient s moving and handling needs9b. Completes a comprehensive assessment of the individual patient s moving and handling needs 4c. Assists in completing on the spot assessment using appropriate assessment frameworks (e.g. LITE: task, organization, individual capability, load, environment, equipment or TILE) before commencing the manoeuvre 7

8 Skill (To be achieved under the direction / observation of a Registered Nurse) 4 Moving and Handling (continued) 4d. Demonstrates awareness of self-posture 4e. Works with others to plans and implement moving and handling manoeuvres 4f. Communicates effectively with the patient and all involved. 4g. Co-ordinates co-handlers 4h. Selects and uses appropriate aids and equipment as per individual patient assessments. 4i. Contributes to the risk assessments of tasks in a specific workplace to prevent injury, obtaining appropriate assistance where necessary 4j. Reports incidents verbally and assists in completing all relevant documentation (e.g. self and patient untoward incidents). 8

9 Skill (To be achieved under the direction / observation of a Registered Nurse) 5. Oxygen therapy. 5a. Ensures patent airway of patient, using oral suction if necessary 5b. Assesses oxygenation / circulatory condition and needs using observation skills 5c. Uses pulse oximetry and is aware of its limitations 5d. Selects and assembles appropriate equipment for oxygen administration and airway management ensuring correct dose as prescribed 5e. Assesses effectiveness of oxygen therapy and airway management, taking appropriate action whilst maintaining safety 5f. Takes appropriate action to ensure safe administration of oxygen / medicines. 5g. Records and reports appropriately all relevant data 5h. Demonstrates understanding of issues and acknowledges limitations when caring for patients with respiratory problems / receiving oxygen therapy. 9

10 Skill (To be achieved under the direction / observation of a Registered Nurse) 6. Pain Management. 7a. Assesses a patient s pain using recognized assessment tools where available 6b. Assesses the pain of those who are unable to verbally express pain / have difficulties communicating. 6c. Positions the patient appropriately 6d. Implement pain relieving interventions: Pharmacological Non-pharmacological Alternative therapies 6e. Evaluate, act upon and document a patient s response to interventions. 6f. Assist in referral to and liaison with other members of the multidisciplinary team as appropriate. 10

11 Skill (To be achieved under the direction / observation of a Registered Nurse) 7. Pressure Area Care 7a. Demonstrates knowledge of risk factors 7b. Contributes to risk assessment using an identified tool where appropriate 7c. Recognises indications of pressure damage 7d. Assists in implementing appropriate actions to reduce risk of pressure damage 7e. Assists in planning holistic care for patients at risk (e.g. nutrition, sleep, position, patient handling) 7f. Identifies specialist equipment and support for the patient at risk of pressure damage, acknowledging own limitations. 7g. Assists in evaluating care of patients at risk of pressure damage 11

12 Additional Skills Instructions: Mentors should complete an assessment of the student s skills as and when the student has acquired the skill. Key: A () Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A1. Cardiac monitoring / ECG A1a. Prepares a patient for and assists in the procedure for taking an ECG A1b. Prepares the patient and applies electrodes for effective cardiac monitoring A1c. Assists with cardiac monitoring A1d. Recognises sinus rhythm and ectopic beats A1e. Recognises life threatening arrhythmias (i.e. ventricular tachycardia, ventricular fibrillation and asystole) A2. Chest drains. A2a Prepares the patient and assists with insertion of a chest drain A2b. Observes the management of a chest drain 12

13 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A2. Chest drains (Continued) A2c. Recognises complications of inserting / having a chest drain in situ A2d. Observes removal of a chest drain A3. Central lines Acting on best evidence, guidelines and Trust policy: A3a. Assist in the preparation of a patient for the insertion of a central line A3b. Observes the insertion procedure A3c. Observes and cares for the patient during the procedure 13

14 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A3. Central lines (Continued) A3d. Measures, records, reports and interprets CVP readings A3e. Demonstrates awareness of specialist management of central IV lines. A4. Continence Acting on best evidence, guidelines and Trust policy: A4a. Performs urinary catheterization A4b. Supports the patient regarding self catheterization A4c. Appropriately disposes of used equipment A4d. Documents exactly what has been inserted (catheter type, size, degree of balloon inflation and of insertion) A5. Endotracheal suctioning A5a. Identifies the need for suctioning and prepares the patient A5b. Performs suctioning and disposes of equipment safely A5c. Demonstrates awareness of the potential complications of suctioning. A6. Incident report. Completes an incident report 14

15 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A7. Intravenous Infusion. A7a. Assists the registered nurse with selecting, assembling and managing peripheral IV equipment (Students are not expected to manage IV pumps independently) A7b. Demonstrates correct management of a peripheral IV cannula A7c. Monitor and record infusion rates / fluid balance A7d. Identifies complications of IV therapy A7e. Demonstrates basic understanding of IV infusion pumps. A8. Last Offices. A8a. Respects spiritual, cultural, religious beliefs and wishes of patients and significant others. A8b. Performs last offices in accordance with the above and local policies 15

16 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A8. Last Offices (Continued) A8c. Develops strategies to support self and others A9. Naso Gastric Tube Acting on best evidence and national guidelines and Trust policy: A9a. Identifies and assembles equipment for insertion of NG tube A9b. Undertakes procedure for insertion of NG tube correctly A9c. Tests the position and patency of the NG tube as per Trust policy A9d. Manages care of the patient with an NG tube A10. Neurological Assessment A10a. Assesses cognition A10b Assesses level of consciousness A10c. Assesses papillary reaction A10 d. Assesses limb function A10e. Effectively uses the Glasgow coma scale A10f. Understands the significance of neurological observations, takes appropriate actions and reports 16

17 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A11. Stoma Care (including colostomy, ileostomy, ureterostomy) A11a. Assists in the preparation of a patient for stoma formation A11b. Manages the stoma immediately post surgery, recognizing potential complications A11c. Selects and utilizes stoma appliances, cleanses the stoma and changes the stoma bag A11d. Assists in preparation of patient for discharge and self care. A11e. Provides psychological support for a patient with a stoma A12. Total Parenteral Nutrition (TPN) A12a Participates in the checking and administration of TPN 17

18 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A13. Total Parenteral Nutrition (TPN) (Continued) A12b. Participates in the monitoring and management of a patient with TPN A12c. Recognises complications associated with the administration of Parentral Nutrition A13 Tracheostomy A13a. Assists in the preparation of a patient for tracheostomy formation A13b. Manages tracheostomy immediately post surgery, recognizing potential complications A13c. Identifies the purpose of different tracheostomy tubes A13d. Assists in the preparation of a patient for discharge and self care. 18

19 Additional Skill (To be achieved under the direction / observation of a Registered Nurse) A14 Lumbar puncture A14a Assist in the preparation of a patient for a lumbar puncture A14b Observes the procedure A14c. Participates in the observation, monitoring and care of the patient during the procedure A14d.Participates in the safe collection of the cerebro-spinal fluid A14e Assists in the appropriate dispatching of the specimen to the laboratories with appropriately completed documentation A14f. Participates in the appropriate observation of the patient after the procedure. A15 Neurovascular Observations Acting on best evidence and guidelines Assesses colour of limb Assesses temperature of limb Assesses appropriate movement of limb Assesses perceived sensation of limb Identifies presence of appropriate pulse Assesses capilliary refill 19

20 Additional Skills (This table my be used for any further skills which the student may acquire whilst on placement in a clinical area) Instructions: Mentors should complete an assessment of the student s skills as and when the student has acquired the skill. Key: A () Additional Skill (To be achieved under the direction / observation of a Registered Nurse) 20

23 Additional Skills (This table my be used for any further skills which the student may acquire whilst on placement in a clinical area) Instructions: Mentors should complete an assessment of the student s skills as and when the student has acquired the skill. Key: A () Additional Skill (To be achieved under the direction / observation of a Registered Nurse) All content on the Sheffield Hallam University website is owned by, or licenced to Sheffield Hallam University and is protected by copyright. This material may not be copied or reproduced in any form. Sheffield Hallam University, All Rights Reserved. 23