Principles and skills for nursing practice Portfolio

KYN237 Principles and skills for nursing practice Portfolio Faculty of Health & Social Care Principles and skills for nursing practice Portfolio Student name Copyright 2014 The Open University SUP 041319 *SUP041319* Printed in the United Kingdom 2.1

Contents Introduction and welcome p.4 Induction checklist p.5 Guidance on completing your Portfolio p.6 Section One Summary of Documents to be submitted to the Open University on completion of the module Student personal details p.7 Signature verification record p.8 Student self-declaration of health and character p.10 Record of skills development and achievement p.11 Summative outcome record of achievement of skills p.54 Summative outcome record of required hours and experience p.55 Record of experiences p.56 Section Two Record of Progress Documents you should retain on completion of the module Gaining service user/carer consent p.59 Levels of practice p.60 KYN237 Portfolio 2

Ongoing achievement record p.62 Record of participation in review meetings p.75 Record of student hours p.77 Collecting Portfolio evidence and using the evidence index p.81 Guidance on evidence collection p.83 Evidence index p.85 Appendix 1 Service user/carer/relative feedback p.86 Appendix 2 Raising and escalating concerns p.88 KYN237 Portfolio 3

Introduction and welcome Welcome to the practice-based component of your qualification. This is your Portfolio, which is an integral part of your learning process. It is not simply a catalogue of learning activities; rather, the Portfolio should provide evidence of learning from academic activities as well as from practice experience or in the workplace. It is particularly important for nursing students to demonstrate achievement of the Nursing and Midwifery Council (NMC) Standards for Pre-Registration Nursing Education (NMC, 2010). You are responsible for the safekeeping of your Portfolio. You must at all times maintain the confidentiality of service users, carers, clients and colleagues, and comply with the current Data Protection legislation. (More information about this can be found on the United Kingdom government s Data Protection website.) It is important that you ensure your Portfolio is kept secure at all times, whether at home, in practice, in tutorials, or in any other place. You must observe the standard of confidentiality set by you practice learning organisation(s) and any code of conduct associated with your field of practice. Your Portfolio should not be shared with anyone who is not connected with the module or the qualification you are following. You must ensure that your Portfolio is made available to your mentor and practice tutor when requested. The material in your Portfolio, once submitted to the University, may be shared with relevant personnel associated with quality assurance, examination board processes and relevant regulatory/professional bodies as appropriate. This information will be kept for the period of time prescribed by The Open University (OU) for purposes. You must sign the declaration below indicating that you agree to share this information. Please do this immediately. I agree to make my Portfolio available to my mentor and practice tutor during practice modules, and to share it with the relevant personnel associated with quality assurance, examination board processes and professional regulation (as required). Student signature (in full).. Student name (in full). Date.. Please complete an induction checklist for each practice setting you are in. KYN237 Portfolio 4

Induction to practice learning environment Introduction to staff, including identification of named mentors(s) Geographical layout of area Fire, health and safety procedures Environmental and personal risk (e.g. infection control, lone working, pregnancy, allergens, deployment of young people under 18) Emergency procedures and equipment Client confidentiality and disclosure policies Professional behaviour (e.g. dress code, time keeping, mobile phone usage, social networking, NMC guidance for students) Date Sign Specific policies and legal frameworks relevant to area (e.g. infection control, moving and handling, safeguarding, raising concerns, any field specific example) Review student s mandatory training record Accident/incident reporting procedures and systems Procedure for receiving and referring messages and enquiries Shift patterns and meal breaks/facilities Sickness/absence reporting procedure Date Sign Student s signature Date Mentor s signature Date.. NB additional copies of this form can be downloaded from your module website. KYN237 Portfolio 5

Completing your Portfolio Guidance on how to complete your Portfolio successfully is provided throughout, either before or at the beginning of each new form. It is important that you become familiar with the layout of the Portfolio and ensure you understand the requirements for its completion. Please read the instructions about how to complete each section of the part relating to your qualification very carefully so the records are completed accurately and fully. Completing your Portfolio legibly, accurately and fully will help you to enhance your skills in effective record keeping, an essential skill to develop in healthcare and nursing practice. If you need a fresh copy of any of the pages please download them from your module website. This Portfolio is used by students taking the module KYN237 Principles and skills for nursing practice as part of the Pre-Registration Nursing Degree. Students taking this module as part of the degree programme will have a practice-based mentor. Submitting your Portfolio on completion of the module You must submit only the pages identified as ESSENTIAL INFORMATION to the Open University on completion of the module. Supernumerary practice for nursing students During practice learning nursing students are required by the Nursing and Midwifery Council to be recognised as supernumerary. You learn in a supernumerary capacity under the supervision of a named practitioner (your mentor) and with the support of your employer and practice tutor. Supernumerary status is defined as you: not working as a paid member of staff or care team and not rostered as part of the workforce having a legal right to practise in the designated setting as a student rather than as an employee being overseen in your practice learning by your practice tutor (PT) who has responsibility for facilitating access to practice learning opportunities to enable you to fulfil the NMC s experience requirements and achieve its specified competencies receiving supervision and support from a mentor who is employed by your employing organisation and whose name appears on the live register of mentors. KYN237 Portfolio 6

Section one - Student personal details ESSENTIAL INFORMATION It is important that your full details are recorded accurately before you take your Portfolio into practice so that it can be returned to you if mislaid. At your initial review meeting with your mentor and practice tutor, your practice tutor will only sign this page when it has been fully and accurately completed. Field of study: Adult nursing/mental health nursing (please delete as necessary) Employer name Employer address Postcode Telephone Practice tutor name: Signature: Date: KYN237 Portfolio 7

Signature verification record This signature verification record should be completed by your practice tutor, mentor and all other qualified practitioners who observe and assess your practice. For a registered nurse to act as your mentor they must meet the following criteria: be qualified in the same field of practice as the one in which you intend to practise, i.e. either adult or mental health nursing have completed a minimum of one year s post-qualifying experience in the same field of practice as the one in which you intend to practise have completed mentor preparation as specified by the NMC s standards to support learning and in practice (NMC, 2008) comply with NMC standards related to continuing to act as a mentor have completed an induction to the OU BSc (Hons) Pre-registration Nursing Programme. Mentors must commit to: facilitating your practice-based learning providing supervision commensurate with your competence and confidence liaising with colleagues to access feedback on your practice performance liaising with your practice tutor as required through agreed methods of communication participating in the three review meetings with you completing practice records being accountable for the of your practice performance alerting your practice tutor to any concerns about your capacity/ability to meet the standards of conduct and health required of a student of nursing. A registered nurse who does not meet the above criteria cannot take on responsibilities for you. It is therefore important that prior to summative you check that all the above criteria are met and if not, you must discuss the situation with your PT so alternative arrangements can be made. Mentors who summatively assess your practice must be registered on the same part at the same level of the register as you are seeking to enter. Nurses registered at level 2 can contribute to supporting your learning and providing supervision; however, they cannot undertake summative. KYN237 Portfolio 8

Signature verification record ESSENTIAL INFORMATION Remember to ask your practice tutor, mentor and anyone else who has signed Essential Information pages of your Portfolio to enter their details on this record. Make sure you check this before you submit your Portfolio at the end of the module. Role and job title Name (please print) Signature (in full) Date Practice tutor Mentor Mentor Mentor Other signatory Other signatory KYN237 Portfolio 9

Student self-declaration of health and character This form should be completed and signed at the end of your module It must be submitted with the other Essential Information forms in this Portfolio by the specified submission date (please see your Assessment Guidance or study planner). If at any time during the module you or others raise concerns about your health and/or character which includes any investigation about your conduct by your employer, you must contact your practice tutor immediately. Failure to comply with this requirement could place your successful completion of this module at risk. If you tick No anywhere on this form, please forward a detailed statement about any concern(s) you and/or others have about your health and/or character to your practice tutor using the Student self-declaration of health and character form (website version) available on your module website. OU region Health I declare that my physical health and mental health is sufficiently good to enable me to practise safely and effectively (please tick the appropriate boxes for both physical and mental health). Physical health Mental health Yes No (please follow instructions above) Yes No (please follow instructions above) Character I declare that my character is sufficiently good to enable me to practise safely and effectively (please tick the appropriate box). Yes No (please follow instructions above) Student signature (in full).. Date KYN237 Portfolio 10

Record of skills development and achievement This form records the skills and field-specific competencies you have met, including the level at which you are practising at the initial review, midreview and final stages. To successfully complete this module you must demonstrate that you are practising at a minimum level of indirect supervision in all the skills and field-specific competencies specified in this Portfolio. For any skills or field-specific competencies that are not achieved at the required level of practice by the final meeting, you will need to negotiate with your mentor and practice tutor a further meeting (before Portfolio submission) for you to be re-assessed. All entries must be initialled and dated. You are not required to complete the areas of this tool that are shaded grey. Please leave these blank. The levels of practice are DS (direct supervision) IS (indirect supervision) I (independent) Initial review Mid review Final 1. CARE, COMPASSION AND COMMUNICATION 1.1 Provides collaborative care based on the highest standards, knowledge and competence. Mentorasses sed Selfasses sed Mentorasses sed Mentorasses sed Skills i. Forms appropriate and constructive professional relationships with families and other carers. ii. Uses professional support structures to learn from experience and make appropriate adjustments. KYN237 Portfolio 11

Record of skills development and achievement Initial review Mid review Final 1. CARE, COMPASSION AND COMMUNICATION (continued) 1.2 Engages in person-centred care, empowering people to make choices about how their needs are met when they are unable to meet them for themselves. Mentorasses sed Selfasses sed Mentorasses sed Mentorasses sed Skills i. Actively empowers people to be involved in the and care planning process. ii. Determines people s preferences to maximise comfort and dignity. iii. Actively supports people in their own care and self-care. iv. Considers with the person and their carers their capability for self-care. v. Provides personalised care, or makes provisions for those who are unable to maintain their own activities of living, maintaining dignity at all times. vi. Assists people with their care. KYN237 Portfolio 12

Record of skills development and achievement Initial review Mid review Final 1. CARE, COMPASSION AND COMMUNICATION (continued) 1.3 Engages therapeutically and actively listens to people s needs and concerns, responding using skills that are helpful, providing information that is clear, accurate, meaningful and free from jargon. Mentorasses sed Mentorasses sed Mentorasses sed Skills i. Uses strategies to enhance communication and remove barriers to effective communication, minimising risk to people from lack of or poor communication. 1.4 Protects and treats as confidential all information relating to people and their care. Skills i. Distinguishes between information that is relevant to care planning and information that is not. KYN237 Portfolio 13

Record of skills development and achievement Initial review Mid review Final 1. CARE, COMPASSION AND COMMUNICATION (continued) 1.5 Gains people s consent based on sound understanding and informed choice prior to any intervention and ensures that their rights in decision making and consent are respected and upheld. Skills i. Applies principles of consent in relation to restrictions relating to specific client groups and seeks consent for care. ii. Ensures that the meaning of consent to treatment and care is understood by the people or service users. KYN237 Portfolio 14

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE 2.1 Treat people as partners and work with them to make a holistic and systematic of their needs; to develop a personalised plan that is based on mutual understanding and respect for their individual situation, promoting health and wellbeing, minimising risk of harm and promoting their safety at all times. Skills i. Accurately undertakes and records a baseline of weight, height, temperature, pulse, respiration and blood pressure using manual and electronic devices. ii. Understands the concept of public health and the benefits of healthy lifestyles and the potential risks involved with various lifestyles or behaviours, for example substance misuse, smoking, obesity. iii. Recognises indicators of unhealthy lifestyles. iv. Contributes to care based on an understanding of how different stages of an illness or disability can impact on people and carers. KYN237 Portfolio 15

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.1 Treat people as partners and work with them to make a holistic and systematic of their needs; to develop a personalised plan that is based on mutual understanding and respect for their individual situation, promoting health and wellbeing, minimising risk of harm and promoting their safety at all times (continued). Skills v. Measures and documents vital signs under supervision and responds appropriately to findings outside the normal range. vi. Performs routine diagnostic tests, for example urinalysis, under supervision as part of process (near client testing). vii. Collects and interprets routine data, under supervision, related to the and planning of care from a variety of sources. viii. Undertakes the of physical, emotional, psychological, social, cultural and spiritual needs including risk factors by working with the person and records, shares and responds to clear indicators and signs. KYN237 Portfolio 16

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.1 Treat people as partners and work with them to make a holistic and systematic of their needs; to develop a personalised plan that is based on mutual understanding and respect for their individual situation, promoting health and wellbeing, minimising risk of harm and promoting their safety at all times (continued). Skills ix. With the person and under supervision, plans safe and effective care by recording and sharing information based on. x. Where relevant, applies knowledge of age and conditionrelated anatomy, physiology and development when interacting with people. KYN237 Portfolio 17

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.2 Delivers agreed interventions and contributes to the evaluation of their effectiveness against the agreed and care plan. Skills i. Acts collaboratively with people and their carers, enabling and empowering them to take a shared and active role in the delivery and evaluation of nursing interventions. ii. Works within the limitations of own knowledge and skills to question and provide safe and holistic care. iii. Prepares people for clinical interventions as per local policy. iv. Actively seeks to extend knowledge and skills using a variety of methods in order to enhance care delivery. v. Detects, records, reports and responds appropriately to signs of deterioration or improvement. KYN237 Portfolio 18

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.3 Safeguards children and adults from vulnerable situations and supports and protects them from harm. Skills i. Documents concerns and information about people who are in vulnerable situations. 2.4 Responds to feedback and a wide range of other sources, to learn, develop and improve services. Skills i. Responds appropriately when people want to complain, providing assistance and support. ii. iii. Uses supervision and other forms of reflective learning to make effective use of feedback. Takes feedback from colleagues, managers and other departments seriously and shares the message and learning with other members of the team. KYN237 Portfolio 19

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.5 Promotes continuity of care when a person s care is being transferred to another service or person. Skills i. Assists in preparing people and carers for transfer and transition through effective dialogue and accurate information. ii. Reports issues and people s concerns regarding transfer and transition. iii. Assists in the preparation of records and reports to facilitate safe and effective transfer. KYN237 Portfolio 20

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.6 Functions as an autonomous and confident member of the multidisciplinary or multi-agency team and to inspire confidence in others. Skills i. Supports and assists others appropriately. ii. Values others roles and responsibilities within the team and interacts appropriately. iii. Reflects on own practice and discusses issues with other members of the team to enhance learning. iv. Communicates with colleagues verbally, face to face, by telephone, in writing and electronically, in a way that the meaning is clear, and checks that the communication has been fully understood. KYN237 Portfolio 21

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.7 Works safely under pressure and maintains the safety of service users, self, colleagues and others at all times. Skills i. Contributes as a team member. ii. Demonstrates professional commitment by working flexibly to meet service needs and to enable quality care to be delivered. iii. Uses supervision as a means of developing strategies for managing own stress and for working safely and effectively. iv. Adheres to safety policies when working in the community and in people s homes, for example lone worker policy. 2.8 Enhances the safety of service users and identifies and manages risk and uncertainty in relation to people, the environment, self and others. Skills i. Contributes to promoting safety and positive risk taking. ii. Under supervision works safely within the community setting taking account of local policies, for example lone worker policy. KYN237 Portfolio 22

Record of skills development and achievement Initial review Mid review Final 2. ORGANISATIONAL ASPECTS OF CARE (continued) 2.9 All nurses must appreciate the value of evidence in practice, be able to understand and appraise research, apply relevant theory and research findings to their work, and identify areas for further investigation. Skills i. Can identify and understand the implications of the research-based evidence for specific nursing procedures. ii. Is beginning to appraise the research-based evidence supporting nursing procedures. iii. Is beginning to identify areas in which further research is indicated. KYN237 Portfolio 23

Record of skills development and achievement Initial review Mid review Final 3. INFECTION PREVENTION AND CONTROL 3.1 Identifies and takes effective measures to prevent and control infection in keeping with national and local policy. Skills i. Participates in assessing and planning care appropriate to the risk of infection, thus promoting the safety of service users. ii. Participates in completing care documentation and evaluation of interventions to prevent and control infection. iii. Aware of the role of the infection control team and Infection Control Nurse specialist and local guidelines for referral. iv. Recognises potential signs of infection and reports to relevant senior member of staff. v. Discusses the benefits of health promotion within the concept of public health in the prevention and control of infection for improving and maintaining the health of the population. KYN237 Portfolio 24

Record of skills development and achievement Initial review Mid review Final 3. INFECTION PREVENTION AND CONTROL (continued) 3.2 Maintains effective standard infection control precautions and applies and adapts these to needs and limitations in all environments. Skills i. Applies knowledge of transmission routes in describing, recognising and reporting situations where there is a need for standard of infection control precautions. ii. Participates in the cleansing of multi-use equipment between each person. iii. Uses multi-use equipment and follows the appropriate procedures. iv. Safely uses and disposes of, or decontaminates, items in accordance with local policy and manufacturers guidance and instructions. v. Adheres to requirements for cleaning, disinfecting and decontaminating shared nursing equipment, including single or multi-use equipment, before and after every use as appropriate, according to recognised risk, in accordance with manufacturers and organisational policies. KYN237 Portfolio 25

Record of skills development and achievement Initial review Mid review Final 3. INFECTION PREVENTION AND CONTROL (continued) 3.3 Provides effective nursing interventions when someone has an infectious disease including the use of standard isolation techniques. Skills i. Safely delivers care under supervision to people who require to be nursed in isolation or in protective isolation settings. ii. Takes appropriate actions in any environment, including the home care setting, should exposure to infection occur, for example chicken pox, diarrhoea and vomiting, needle stick injury. iii. Applies knowledge of exposure prone procedure and takes appropriate precautions and actions. iv. Takes personal responsibility when a student knowingly has a blood-borne virus to consult with occupational health before carrying out exposure prone procedures. KYN237 Portfolio 26

Record of skills development and achievement Initial review Mid review Final 3. INFECTION PREVENTION AND CONTROL (continued) 3.4 Safely applies the principles of asepsis when performing invasive procedures and is competent in aseptic techniques in a variety of settings. Skills i. Demonstrates understanding of the principles of wound management, healing and asepsis. ii. Safely performs basic wound care using clean and aseptic techniques in a variety of settings. iii. Assists in providing accurate information to people and their carers on the management of a device, site or wound to prevent and control infection and to promote healing wherever the person might be, for example in hospital, in the home care setting, in an unplanned situation. KYN237 Portfolio 27

Record of skills development and achievement Initial review Mid review Final 3. INFECTION PREVENTION AND CONTROL (continued) 3.5 In a variety of environments including the home setting, acts to reduce risk when handling waste (including sharps) and contaminated linen, and when dealing with spillages of blood and other body fluids. Skills i. Adheres to health and safety at work legislation and infection control policies regarding the safe disposal of all waste, soiled linen, blood and other body fluids and disposing of sharps, including in the home setting. ii. Ensures dignity is preserved when collecting and disposing of body fluids and soiled linen. iii. Acts to address potential risks within a timely manner including in the home setting. KYN237 Portfolio 28

Record of skills development and achievement Initial review Mid review Final 4. NUTRITION AND FLUID MANAGEMENT 4.1 Assists people to choose a diet that provides adequate nutritional and fluid intake. Skills i. Under supervision helps people to choose healthy food and fluid in keeping with their personal preferences and cultural needs. ii. Accurately monitors dietary and fluid intake and completes relevant documentation. iii. Supports people who need to adhere to specific dietary and fluid regimens and informs them of the reasons. iv. Maintains independence and dignity wherever possible and provides assistance as required. v. Identifies people who are unable to or have difficulty in eating or drinking and reports this to others to ensure adequate nutrition and fluid intake is provided. KYN237 Portfolio 29

Record of skills development and achievement Initial review Mid review Final 4. NUTRITION AND FLUID MANAGEMENT (continued) 4.2 Assesses and monitors people s nutritional status and, in partnership, formulates a plan of care. Skills i. Takes and records accurate measurements of weight, height, length, body mass index and other appropriate measures of nutritional status. ii. Assesses baseline nutritional requirements for healthy people related to factors such as age and mobility. iii. Contributes to formulating a care plan through of dietary preferences, including local availability of foods and cooking facilities. iv. Reports to other members of the team when agreed plan is not achieved. KYN237 Portfolio 30

Record of skills development and achievement Initial review Mid review Final 4. NUTRITION AND FLUID MANAGEMENT (continued) 4.3 Assesses and monitors people s fluid status and, in partnership with them, formulates an effective plan of care. Skills i. Applies knowledge of fluid requirements needed for health and during illness and recovery so that appropriate fluids can be provided. ii. Accurately monitors and records fluid intake and output. iii. Recognises and reports reasons for poor fluid intake and output. iv. Reports to other members of the team when intake and output falls below requirements. 4.4 Creates an environment that is conducive to eating and drinking. Skills i. Follows procedures in relation to mealtimes, for example protected mealtimes, indicators of people who need additional support. ii. Ensures that people are ready for their meal; that is, in an appropriate location and position, offers opportunity to wash their hands, offers appropriate assistance. KYN237 Portfolio 31

Record of skills development and achievement Initial review Mid review Final 4. NUTRITION AND FLUID MANAGEMENT (continued) 4.5 Ensures people unable to take food by mouth receive adequate fluid and nutrition to meet their needs. Skills i. Recognises, responds appropriately and reports when people have difficulty eating or swallowing. ii. Adheres to an agreed plan of care that provides for individual difference, for example cultural considerations, psychosocial aspects, and provides adequate nutrition and hydration when eating or swallowing is difficult. KYN237 Portfolio 32

Record of skills development and achievement Initial review Mid review Final 5. MEDICINES MANAGEMENT 5.1 Correctly and safely undertakes medicines calculations. Skills i. Is competent in basic calculations including; tablets and capsules liquid medicines injections including: o unit dose o sub and multiple unit dose o SI unit conversion. 5.2 Works within legal and ethical frameworks that underpin safe and effective medicines management. Skills i. Demonstrates understanding of legal and ethical framework relating to safe administration of medicines in practice. ii. Demonstrates an understanding of types of prescribing, types of prescribers and methods of supply. iii. Demonstrates understanding of legal and ethical frameworks for prescribing. KYN237 Portfolio 33

Record of skills development and achievement Initial review Mid review Final 5. MEDICINES MANAGEMENT (continued) 5.3 Works as part of a team to offer holistic care and a range of treatment options of which medicines may form a part. Skills i. Demonstrates awareness of a range of commonly recognised approaches to managing symptoms, for example relaxation, distraction and lifestyle advice. ii. Discusses referral options. 5.4 Ensures safe and effective practice in medicines management through comprehensive knowledge of medicines, their actions, risks and benefits. Skills i. Uses knowledge of commonly administered medicines in order to act promptly in cases where side effects and adverse reactions occur. 5.5 Safely orders, receives, stores and disposes of medicines (including controlled drugs) in any setting. Skills i. Demonstrates ability to safely store medicines under supervision. KYN237 Portfolio 34

Record of skills development and achievement Initial review Mid review Final 5. MEDICINES MANAGEMENT (continued) 5.6 Administers medicines safely and in a timely manner including controlled drugs. Skills i. Uses prescription charts correctly and maintains accurate records. ii. Utilises and safely disposes of equipment needed to draw up and administer medication, for example needles, syringes, gloves. iii. Administers and, where necessary, prepares medication safely under direct supervision, including orally and by injection. 5.7 Keeps and maintains accurate records using information technology where appropriate, within a multidisciplinary framework as a leader and as part of a team and in a variety of care settings. Skills i. Demonstrates awareness of roles and responsibilities within the multidisciplinary team for medicines management, including how and in what ways information is shared within a variety of settings including at home. KYN237 Portfolio 35

Record of skills development and achievement Initial review Mid review Final 5. MEDICINES MANAGEMENT (continued) 5.8 Works in partnership with people receiving medical treatments and their carers. Skills i. Under supervision involves people and carers in administration and self-administration of medicines. 5.9 Uses and evaluates up-to-date information on medicines management and works within national and local policy guidelines. Skills i. Accesses commonly used evidence-based sources relating to the safe and effective management of medicine. 5.10 Demonstrates understanding and knowledge to supply and administer via a patient group direction. Skills i. Demonstrates knowledge of what a patient group direction is and who can use them. KYN237 Portfolio 36

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 1 Professional val ues Competencies 1.1 Understands and applies current legislation to all service users, paying special attention to the protection of vulnerable people, including those with complex needs arising from ageing, cognitive impairment, longterm conditions and those approaching the end of life. 2.1 Practises in a way that addresses the potential power imbalances between professionals and people experiencing mental health problems, including situations when compulsory measures are used, by helping people exercise their rights, upholding safeguards and ensuring minimal restrictions on their lives. 2.1.1 Develops in-depth understanding of mental health legislation e.g. Mental Health Act 2007 and how it relates to care and treatment of people with mental health problems. Final KYN237 Portfolio 37

Record of skills development and achievement Mental health field-specific competencies Initial review Mid review Mental health Domain 1 Professional values (continued) Competencies 3.1 Promotes mental health and wellbeing, while challenging the inequalities and discrimination that may arise from or contribute to mental health problems. 4.1 Works with people in a way that values, respects and explores the meaning of their individual lived experiences of mental health problems, to provide person-centred and recovery-focused practice. 8.1 Demonstrates an awareness of their own mental health and wellbeing. 8.1.1 Engages in reflection and supervision to explore the emotional impact on self of working in mental health. 8.1.2 Recognises how their personal values, beliefs and emotions impact on practice, and how their practice aligns with mental health legislation, policy and valuesbased frameworks. Final KYN237 Portfolio 38

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 2 Communication and interpersonal skills Competencies 1.1 Uses skills of relationship-building and communication to engage with and support people distressed by hearing voices, experiencing distressing thoughts or experiencing other perceptual problems. 1.2 Uses skills and knowledge to facilitate therapeutic groups with people experiencing mental health problems and their families and carers. 4.1 Is sensitive to, and takes account of, the impact of abuse and trauma on people s wellbeing and the development of mental health problems. 4.1.1 Uses interpersonal skills and makes interventions that help people disclose and discuss their experiences as part of their recovery. Final KYN237 Portfolio 39

Record of skills development and achievement Mental health field-specific competencies Initial review Mid review Mental health Domain 2 Communication and interpersonal skills (continued) Competencies 5.1 Uses personal qualities, experiences and interpersonal skills to develop and maintain therapeutic, recoveryfocused relationships with people and therapeutic groups. 5.1.1 Demonstrates an awareness of their own mental health, and knows when to share aspects of their own life to inspire hope while maintaining professional boundaries. 6.1 Fosters helpful and enabling relationships with families, carers and other people important to the person experiencing mental health problems. 6.1.1 Uses communication skills that enable psychosocial education, problem solving and other interventions to help people cope and to safeguard those who are vulnerable. Final KYN237 Portfolio 40

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 3 Nursing practice and decision making Competencies 1.1 Recognises and responds to the needs of all people who come into their care including: babies, children and young people pregnant and post-natal women people with physical health problems people with physical disabilities people with learning disabilities older people people with long-term problems such as cognitive impairment. 3.1 Applies knowledge and skills in a range of evidencebased individual and group psychological and psychosocial interventions, to carry out systematic needs s, develop case formulations and negotiate goals. 4.1 Applies knowledge and skills in a range of evidencebased psychological and psychosocial individual and group interventions to develop and implement care plans and evaluate outcomes, in partnership with service users and others. Final KYN237 Portfolio 41

Record of skills development and achievement Mental health field-specific competencies Initial review Mid review Mental health Domain 3 Nursing practice and decision making (continued) Competencies 5.1 Promotes mental health, helps prevent mental health problems in at-risk groups, and enhances the health and wellbeing of people with mental health problems. 6.1 Helps people experiencing mental health problems to make informed choices about pharmacological and physical treatments, by providing education and information on the benefits and unwanted effects, choices and alternatives. Supports people to identify actions that promote health and help to balance benefits and unwanted effects. 7.1 Provides support and therapeutic interventions for people experiencing critical and acute mental health problems. 7.1.1 Recognises the health and social factors that can contribute to crisis and relapse. 7.1.2 Uses skills in early intervention, crisis resolution and relapse management in a way that ensures safety and security and promotes recovery. Final KYN237 Portfolio 42

Record of skills development and achievement Mental health field-specific competencies Initial review Mid review Mental health Domain 3 Nursing practice and decision making (continued) Competencies 7.2 Works positively and proactively with people who are at risk of suicide or self-harm, and uses evidence-based models of suicide prevention, intervention and harm reduction to minimise risk. 8.1 Practises in a way that promotes the self-determination and expertise of people with mental health problems, using a range of approaches and tools that aid wellness and recovery and enable self-care and selfmanagement. 9.1 Uses recovery-focused approaches to care in situations that are potentially challenging, such as at times of acute distress, when compulsory measures are used, and in forensic mental health settings. 9.1.1 Seeks to maximise service user involvement and therapeutic engagement, using interventions that balance the need for safety with positive risk-taking. Final KYN237 Portfolio 43

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 3 Nursing practice and decision making Works safely and effectively with people with learning disabilities and supports the needs and rights of the person, their family and other carers. Competencies i. Works with people with learning disabilities in promoting good physical and mental wellbeing and supporting families in responding to their needs and care. ii. iii. iv. Recognises major risk in deteriorating physical and mental health in people who have learning disabilities. Can access help in an emergency and recognises the need to make referrals to specialist services. Has a broad understanding of the physical, psychological and social effects of having a learning disability and can recognise strategies that promote and improve health and wellbeing. Is aware of the legislation in relation to mental health, capacity and human rights and the broad application of these to people with learning disabilities. Final KYN237 Portfolio 44

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 3 Nursing practice and decision making Works with children and young people in promoting health and wellbeing and supporting families in responding to their needs. Competencies i. Works with children and young people in promoting good physical and mental health and wellbeing and supporting families in responding to their needs and accessing care. ii. iii. iv. Can identify when a child or young person s condition indicates the need for further intervention and refers appropriately. Has a broad understanding of the physical, psychological and social development of children. Can recognise strategies that promote and improve health and wellbeing in children and young people. v. Is aware of the legislation and guidance (including from the NMC) in relation to children and young people in respect to consent, safeguarding, confidentiality and access to services. Final KYN237 Portfolio 45

Record of skills development and achievement (To be completed by students on the Mental Health Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Mental health field-specific competencies Initial review Mid review Mental health Domain 4 Leadership, management and team working Competencies 4.1 Actively promotes and participates in clinical supervision and reflection, within a values-based mental health framework, to explore how their values, beliefs and emotions affect their leadership, management and practice. 5.1 Helps to raise awareness of mental health, and provide advice and support in best practice in mental health care and treatment to members of the multiprofessional team and others working in health, social care and other services and settings. 6.1 Contributes to the management of mental health care environments by giving priority to actions that enhance people's safety, psychological security and therapeutic outcomes, and by ensuring effective communication, positive risk management and continuity of care across service boundaries. Final KYN237 Portfolio 46

Record of skills development and achievement (To be completed by students on the Adult Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Adult field-specific competencies Initial review Mid review Adult Domain 1 Professional values Competency 1.1 Understands and applies current legislation to all service users, paying special attention to the protection of vulnerable people, including those with complex needs arising from ageing, cognitive impairment, long-term conditions and those approaching the end of life. Final Adult field-specific competencies Initial review Mid review Adult Domain 2 Communication and interpersonal skills Competency 3.1 Promotes the concept, knowledge and practice of selfcare with people with acute and long-term conditions, using a range of communication skills and strategies. Final KYN237 Portfolio 47

Record of skills development and achievement (To be completed by students on the Adult Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making Competencies 1.1 Recognises and responds to the needs of all people who come into their care including: babies, children and young people pregnant and post-natal women people with mental health problems people with physical disabilities people with learning disabilities older people people with long-term problems such as cognitive impairment. 3.1 Safely uses a range of diagnostic skills, employing appropriate technology, to assess the needs of service users. Final KYN237 Portfolio 48

Record of skills development and achievement Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making (continued) Competencies 4.1 Safely uses invasive and non-invasive procedures, medical devices, and current technological and pharmacological interventions, where relevant, in medical and surgical nursing practice, providing information and taking account of individual needs and preferences. 4.2 Recognises and responds to the changing needs of adults, families and carers during terminal illness. 4.2.1 Demonstrates awareness of how treatment goals and service users choices may change at different stages of progressive illness, loss and bereavement. 7.1 Recognises the early signs of illness in people of all ages, making accurate s and starting appropriate and timely management of those who are acutely ill, are at risk of clinical deterioration, or require emergency care. Final KYN237 Portfolio 49

Record of skills development and achievement Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making (continued) Competencies 7.2 Understands the normal physiological and psychological processes of pregnancy and childbirth. 7.2.1 Works with the midwife and other professionals and agencies to provide basic nursing care to pregnant women and families during pregnancy and after childbirth. 7.2.2 Responds safely and effectively in an emergency to safeguard the health of mother and baby. 7.2.3 In liaison with a registered midwife provides essential advice and support to mothers who are breast feeding. 8.1 Works in partnership with people who have long-term conditions that require medical or surgical nursing, and their families and carers, to provide therapeutic nursing interventions, optimise health and wellbeing, facilitate choice and maximise self-care and self-management. Final KYN237 Portfolio 50

Record of skills development and achievement (To be completed by students on the Adult Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making Works safely and effectively with people experiencing mental health problems and is able to recognise strategies to promote recovery. Competencies i. Works with people with mental health problems in promoting health and wellbeing and supporting families in responding to their needs and accessing care. ii. iii. iv. Recognises and interprets the signs of deteriorating mental health. Can access appropriate expert help in an emergency and recognises the need to make referrals to specialist services. Has a broad understanding of the physical, socioeconomic and psychological effects of experiencing poor mental health and is aware of/has strategies that promote and improve mental health. Has an informed awareness of treatment options and their limitations, and when they might be applied. v. Is aware of the legislation in relation to mental health, capacity and human rights and the broad application of these to people with mental health problems. Final KYN237 Portfolio 51

Record of skills development and achievement (To be completed by students on the Adult Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making Works safely and effectively with people with learning disabilities and supports the needs and rights of the person, their family and other carers. Competencies i. Works with people with learning disabilities in promoting health and wellbeing and supporting families in responding to their needs and care. ii. iii. iv. Recognises major risk in deteriorating physical and mental health in people who have learning disabilities. Can access help in an emergency and recognises the need to make referrals to specialist services. Has a broad understanding of the physical, psychological and social effects of having a learning disability and can recognise strategies that promote and improve health and wellbeing. Is aware of the legislation in relation to mental health, capacity and human rights and the broad application of these to people with learning disabilities. Final KYN237 Portfolio 52

Record of skills development and achievement (To be completed by students on the Adult Pre-registration Nursing Programme only) Field-specific competencies to be achieved at a level that requires indirect supervision by completion of KYN237. Adult field-specific competencies Initial review Mid review Adult Domain 3 Nursing practice and decision making Works with children and young people in promoting health and wellbeing and supporting families in responding to their needs. Competencies i. Works with children and young people in promoting health and wellbeing and supporting families in responding to their needs and accessing care. ii. iii. iv. Can identify when a child or young person s condition indicates the need for further intervention and refers appropriately. Has a broad understanding of the physical, psychological and social development of children. Can recognise strategies that promote and improve health and wellbeing in children and young people. v. Is aware of the legislation and guidance (including from the NMC) in relation to children and young people in respect to consent, safeguarding, confidentiality and access to services. Final KYN237 Portfolio 53

Summative outcome record of achievement of skills ESSENTIAL INFORMATION Mental health nursing students To demonstrate successful achievement of practice learning outcomes and to meet stage 2 criteria, your mentor needs to confirm that: all the skills have been achieved at the level of indirect supervision. all the mental health nursing field-specific competencies have been achieved at the level of indirect supervision. Please circle as appropriate YES NO YES NO Signature of mentor completing summative Signature of mentor completing summative Adult nursing students To demonstrate successful achievement of practice learning outcomes and to meet stage 2 criteria, your mentor needs to confirm that: all the skills have been achieved at the level of indirect supervision. all the adult nursing field-specific competencies have been achieved at the level of indirect supervision. Please circle as appropriate YES NO YES NO Signature of mentor completing summative Signature of mentor completing summative Definition of indirect supervision As you progress through stage two your competence and confidence should sufficiently develop to enable you to move from direct supervision at all times to situations when indirect supervision is appropriate. Indirect supervision is defined as situation in which the mentor/practice tutor is immediately available to you by means other than being physically present, for example in the practice area where you are, but not next to you. KYN237 Portfolio 54

Summative outcome - Record of required hours and experience The total number of practice hours you have completed across the module must be entered below. The total required hours completed can be calculated by adding together your monthly totals of practice hours across the module recorded on your Record of student hours forms. TOTAL PRACTICE HOURS COMPLETED Student confirmation I confirm that this Record of required hours and experience is a genuine record of the hours completed and experience experience(s) gained.. Signature (in full).... Date Mentor confirmation I confirm that the 855 practice hours (114 days) claimed as completed is correct Yes No (please circle as appropriate) If 855 hours are not completed, please identify total completed so far: I confirm that the Record of student hours demonstrates a minimum of 342 hours (46 days) were completed when a designated mentor was available to the student. Yes No (please delete as appropriate) Mentor name (please print).. Signature (in full) Designation/role.... Date.... KYN237 Portfolio 55

Record of experiences ESSENTIAL INFORMATION It is important that you, your employer and the OU have an accurate record of the types of experience you have gained, and the service user groups in whose care you have been involved and learned from. Experience type: please tick all the types of experience you have gained during KYN237 Tick Signature Date Community-based care* In-patient care* Acute care Continuing care Care of the older person* Care of the adult* Care of people with mental health issues* Care of people with learning disabilities* Care of children and young people* Experience of 24-hour care/ twilight care (mental health students) Experience of 7-days-a-week care provision Interprofessional care* Service user dependency level Low* Medium* High Adult nursing students only General and specialist medicine KYN237 Portfolio 56

General and specialist surgery Maternity care End-of-life care Mental health nursing students only Maternal mental health services Mental health services to children and young people (Child and Adolescent Mental Health Services) Assertive outreach or equivalent Recovery services or equivalent * must be achieved during KYN237 If you are uncertain about completing this form, discuss it with your practice tutor when they visit you. KYN237 Portfolio 57

Section Two Record of progress Ongoing achievement record (OAR) The OAR should be completed after you and your mentor, with the support of your practice tutor, have reviewed your practice and determined the level of supervision you require at the initial review, mid review and final meetings, using the levels of practice on page 60. Please note that you should be practising at the level of indirect supervision when providing patient care. After the final meeting, remember to make a copy of the forms marked Copy this page when complete to include in your next Portfolio. It is important that the mentor, practice tutor and any other relevant programme related personnel have access to previous action plans and feedback. When your mentor is reviewing your performance they will take the following into consideration: Practice performance Professional behaviour Perceived professional attitudes Attendance record Punctuality record Professional appearance NB It is essential to gain the consent of service users and their carers for your involvement in their care using the protocol outlined on page 59. If you have any concerns about the safety and wellbeing of service users or carers or concerns about the safety of any practice setting you should speak to your mentor without delay. You should also report your concerns to your practice tutor who will offer advice and support. The OU process for raising and escalating concerns is to be found in Appendix 2. KYN237 Portfolio 58

Gaining service user and carer consent for your involvement in their care Service users have a fundamental legal and ethical right to determine what happens to their own bodies. Therefore, valid consent to any intervention is absolutely essential in all forms of healthcare. The Department of Health has issued a range of guidance documents on consent for examination and treatment, which can be accessed on its website. OU healthcare students are required to observe the following protocol to ensure that service users have freely agreed to have care delivered by a student under supervision. Service users may withdraw their consent at any time. If a person indicates that they do not want a student to be involved in their care, you must respect their views and inform your mentor. Protocol for gaining service users consent As a student, you must always ensure that service users and their carers have agreed to your involvement in their care and, in addition, know who is responsible for supervising your practice. You must follow this protocol when you first meet a service user or their carer: 1. Introduce yourself as a student and state who is supervising your practice. 2. Ask the service user or carer/advocate whether they agree to receive care from you as a student under supervision. 3. If the service user or carer asks questions, or seeks more information about the care you want to offer, explain this care and discuss it with them. 4. Ask the service user or carer whether they would like to speak to your mentor about the care that you want to offer. If they would like to discuss any aspect of this care with your mentor, tell them you will ask your mentor to speak to them before you offer any care. 5. If the service user or carer does not offer complete and freely given agreement and/or seems confused or worried about your role, refer this to your supervisor before taking any further action. 6. If the service user or carer offers complete and freely given agreement, you may progress to offering the care agreed. 7. If the service user or carer would prefer you not to contribute to their care, their preference must be respected. Use this protocol whenever you approach a service user or carer with whom you have not previously worked. Also use the protocol if you are working with a service user or carer as a student for the first time, even if you know them from a previous role you have held in that care environment. KYN237 Portfolio 59

Students must achieve skills at the level of Indirect supervision for this module Levels of practice Level of practice (IS) Indirect Supervision (For stage 2 nursing students) Knowledge and understanding Practice performance Professional behaviour Can practise safely under indirect supervision (IS) Applies accurate knowledge to practice Has a limited range of alternatives Begins to make judgements based on available evidence Safe, accurate, and mostly efficient and confid ent Needs occasional support, supervision and gui dance Beginning to initiate appropriate interventi ons Prioritises care with mini mal promptin g Professional interventi on or behaviour i s generally appropria te for the care situatio n Rationale given for care is coherent and appropriate Identifies need for assi stance KYN237 Portfolio 60

Level of practice (I) Independent (For stage 3 nursing students) Knowledge and understanding Practice performance Professional behaviour Can practise independently (I) Applies relevant evidence-based knowledge Critically analyses a range of alternatives Sound analytical judgement underpins actions Critically evaluates interventions Prioritises and delivers timely person-centred effective care Adapts to current and emerging situations Safe, proficient and confident practitioner Seeks out appropriate advice and support when needed Effectively leads, delegates, supervises and challenges Careful, deliberate planning of personcentred, personalised care Gives coherent, accurate and necessary information Interventions and behaviour are suitable and adaptable to the range of service users and circumstances Identifies and makes appropriate referrals within multidisciplinary team Develops their own and others practice and promotes and sustains change (Adapted from Bondy, 1983; Benner, 1984; NMC, 2010) KYN237 Portfolio 61

Ongoing achievement record (OAR) Initial review meeting: to be completed following discussion with your mentor and practice tutor My strengths are: Areas of my practice that need developing are: Concerns about my practice performance/ achievement are: Skills and field-specific competencies to be developed are: To accommodate my particular needs the following adjustments have been agreed: KYN237 Portfolio 62

Ongoing achievement record (OAR) Post initial review meeting action plan I plan to achieve them In light of the discussion at the initial review meeting, my learning needs are (please list below): by taking the following actions: by identifying the following people who can best support this development: by the following date: Date agreed for mid-review meeting: KYN237 Portfolio 63

Ongoing achievement record (OAR) Initial review: mentor comments on student s performance and progress As well as commenting upon achievements, please clarify any skills and field-specific competencies the student may not have achieved and which require further development or support. (Comments should only be inserted following discussion with the student.) Mentor name (please print) Mentor signature (in full) Date KYN237 Portfolio 64

Ongoing achievement record (OAR) Mid-review meeting My strengths are: Areas of my practice that need developing are: Concerns about my practice performance/ achievement are: Skills and field-specific competencies to be developed are: To accommodate my particular needs the following adjustments have been agreed: KYN237 Portfolio 65

Ongoing achievement record (OAR) Post mid-review meeting action plan I plan to achieve them In light of the discussion with my mentor my learning needs are (please list below): by taking the following actions: by identifying the following people who can best support this development: by the following date: Date agreed for final meeting: KYN237 Portfolio 66

Ongoing achievement record (OAR) Mid-review mentor comments on student s performance and progress As well as commenting upon achievements, please clarify any skills and field-specific competencies the student may not have achieved and which require further development or support. (Comments should only be inserted following discussion with the student.) Mentor name (please print) Mentor signature (in full) Date KYN237 Portfolio 67

Ongoing achievement record (OAR) Mid review: practice tutor comments on student s performance and progress As well as commenting upon achievements, please clarify any skills and field-specific competencies the student may not have achieved and which require further development or support. (Comments should only be inserted following discussion with the student.) Practice tutor name (please print) Practice tutor signature (in full) Date KYN237 Portfolio 68

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Final meeting My strengths are: Areas of my practice that need developing are: Concerns about my practice performance/ achievement are: Skills and field-specific competencies to be developed are: To accommodate my particular needs the following adjustments have been agreed: KYN237 Portfolio 69

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Post final meeting action plan I plan to achieve them In light of the discussion with my mentor my learning needs for the remainder of the module are (please list below): by taking the following actions: by identifying the following people who can best support this development: by the following date: KYN237 Portfolio 70

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Post final meeting action plan (continued) I plan to achieve them In light of the discussion with my mentor my learning needs for my next practice module are (please list below): by taking the following actions: by identifying the following people who can best support this development: by the following date: KYN237 Portfolio 71

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Final meeting: mentor comments on student s performance and progress As well as commenting upon achievements, please clarify any skills and field-specific competencies the student may not have achieved and which require further development or support. (Comments should only be inserted following discussion with the student.) Mentor name (please print) Mentor signature (in full) Date KYN237 Portfolio 72

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Final meeting: practice tutor comments on student s performance and progress As well as commenting upon achievements, please clarify any skills and field-specific competencies the student may not have achieved and which require further development or support. (Comments should only be inserted following discussion with the student.) Practice tutor name (please print) Practice tutor signature (in full) Date KYN237 Portfolio 73

Ongoing achievement record (OAR) (copy this page when complete to include in your next Portfolio) Record of mentor informal feedback This record is provided so that mentors can record informal feedback given during a practice learning period, as this may inform decisions at the formal review meetings. This is to be used by mentors as they wish; however, completed records must be inserted into your Portfolio. Mentor name (please print) Mentor signature (in full) Date KYN237 Portfolio 74

Record of participation in review meetings You, your mentor and your practice tutor need to print your names in the second column of the table below. For all three meetings you all need to sign and date the table below to confirm your participation. Name (please print) Initial review Mid review Final Signature (in full) Date Signature (in full) Date Signature (in full) Date Student Mentor Practice tutor If there are outstanding skills or competencies (where relevant) not achieved at the required level of practice by the final and a further opportunity is arranged use this box to record details of the meeting. All must sign, include role and date. Record of additional meeting: KYN237 Portfolio 75

Completing the record of student hours As a student and employee you have an obligation to account for your time. Over the course of the module you must complete 855 hours (114 days) of practice learning, of which 342 hours (46 days) must be completed with the supervision of your mentor. On commencement of the module, supervision from your mentor will be direct; however, by completion of the module you should be practising under the indirect supervision of your mentor. You need a copy of the Record of student hours form for each month of the module. You can either photocopy the form or print copies from the Portfolio forms document on your module website. Every month this form should be completed and signed for each day you are in the workplace. At the end of each day, complete the form and ensure a staff member signs it to confirm those hours. Completion must not be retrospective. Once completed you need to take a copy of each form to send to your employer and practice tutor (see comments below on submitting the form to your practice tutor). Remember to keep the original copy for your own records. Actual hours to document At the end of every day when you are in your workplace, enter the start and end times of the shift and number of hours completed, for example 07.00 15.00 7.5. You were present for 8 hours, but 30 minutes were your break time, so you completed 7.5 hours. Sign the entry. If your mentor has been available to you during the day then ensure your mentor signs the entry. This enables your practice tutor to see that you have had access to your mentor. If your mentor has not been available to you, another registered practitioner/manager must sign the entry. Across the module you need to add together the monthly totals of practice hours to give you the total number of practice hours to be entered on the Record of student hours form. Annual leave/sickness/absence If you are on leave, enter A/L against the relevant date(s). If you are on sick leave, enter sick against the relevant date(s). If you are absent, enter absent against the relevant date(s). Monthly totals At the end of the month add up the hours spent in practice, on leave, sick/absent and enter the totals into the monthly totals boxes on the final page of the form. Submitting your forms to your PT Once your forms are completed at the end of each month, either scan and email them to your practice tutor or photocopy and post them. A copy is also required by your employer. You must do this within 5 days of the month end. Your mentor will report to your practice tutor any concerns she or he has about your attendance or practice experiences achieved and performance. In such situations your practice tutor will review your progress and conduct on the module to establish whether any action is required. KYN237 Portfolio 76

Record of Student Hours Practice setting PI Number Month Year Date Actual practice hours completed as a student (shift times: hours) Annual leave/ sickness/absence (hours) Student signature (in full) Mentor signature (in full) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. KYN237 Portfolio 77

Record of Student Hours Practice setting PI Number Month Year Date Actual practice hours completed as a student (shift times: hours) Annual leave/ sickness/absence (hours) Student signature (in full) Mentor signature (in full) 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. KYN237 Portfolio 78

Record of Student Hours Practice setting PI Number Month Year Date Actual practice hours completed as a student (shift times: hours) Annual leave/ sickness/absence (hours) Student signature (in full) Mentor signature (in full) 25. 26. 27. 28. 29. 30. 31. KYN237 Portfolio 79

Record of Student Hours Month Practice Hours Monthly Totals Sickness/Absence Annual leave Student signature.... Date..... This is an accurate record of practice hours and leave/absence. Mentor signature.... Date..... KYN237 Portfolio 80

Collecting Portfolio evidence and using the evidence index The following table provides guidance on the variety of evidence you can gather and use to demonstrate you achievement of skills and competencies or standards. Using the Evidence Index, list the types of evidence from the table you have collected to demonstrate your achievement of the skills and competencies or standards. Please ensure that you mark each piece of evidence with a number, so that it is easy to find, and give a description so that the nature of the evidence is clear. You should clearly indicate which competency or standard each piece of evidence supports as a piece of evidence may well be able to demonstrate achievement of several skills and competencies or standards. It is important that a range of evidence is provided to inform you mentor s decisions; however, it should be remembered that your mentor will be seeking quality evidence rather than large quantities. File each piece of evidence behind the Evidence index form in the order in which it is listed. This will help you to locate the relevant supporting evidence you have selected to demonstrate your progress to your mentor in preparation for each review meeting. An example is provided below: Evidence number Description of evidence Skill/competence/standard covered (e.g. service user testimony, policy document, certificate etc.) 1. C Certificate of attendance for update safeguarding even in local trust 2.3i 2. UA 6.4 Reflection on your own use of an tool. 2.1viii KYN237 Portfolio 81

Service user involvement Your mentor must seek the views of at least two service users to inform their of your performance and achievements using the feedback proforma in Appendix 1. Please note that in order to protect the confidentiality of service users, they have the right to ask that you do not see their comments, but if they choose to share it with you, it may be used as evidence in your Portfolio. Appendix 1 contains mentor guidance for gaining service user/carer or relative feedback and the proforma to provide feedback on student performance. Confidentiality Your Portfolio evidence can draw on both personal and practice experiences. This may mean including information about, and passing judgement on, the organisation you work for as well as your colleagues, service users and/or carers. When using such material in your Portfolio you should make sure that all information is made anonymous, for example by changing or removing the names of people or places. If you refer to a person by name then you should change their name and explicitly acknowledge that you have changed it. It is good practice to cite the requirements of any professional code of conduct associated with your field of practice. You should also check that you have the permission of the person(s) concerned to use any material. Make sure you read through your supporting evidence and remove every mention of settings and people s details. If you want to use your employer s headed paper for any items of supporting evidence, you must gain your employer s permission and ensure that their policy on the use of headed paper is observed. Using such paper in your evidence does not in itself compromise service user confidentiality provided that the anonymity of the person and the setting is preserved. KYN237 Portfolio 82

Guidance on gathering and providing Portfolio evidence Type of evidence Abbreviation to be used Description of the type of evidence Unit activity UA This is the work you complete through the unit activities. When used as supporting evidence in your Portfolio, the activities provide potentially strong evidence and can reduce your study workload because this is work you have already completed. The unit activities often relate to skills development and, in many instances, include learning the theory underpinning the skill and then using the skill in practice. Tutor-marked assignments TMA If you use TMA content as the basis of Portfolio evidence you will need to write a short account to indicate how the TMA supports achievement of the skills or fieldspecific competencies and to highlight the relevant text within the TMA. Interactive computer-marked icma As part of the of your learning you will complete online icma questions. These can provide useful evidence of your knowledge and understanding which underpins your practice of the associated skills. Certificated learning C Participation in a certificated workshop or training, supported by a summary account of what you learned from it. A certificate alone does not constitute evidence; it should be supported by an account of what you have learned and how it will improve your practice. The certificate should be placed behind the evidence that refers to it. If you refer to it in more than one piece of evidence, you should cross-reference it. Summary accounts SA You could write a summary account following your participation in a forum discussion, about an episode of care you have observed or participated in (with supervision), your understanding of a journal article, or your study of another module. KYN237 Portfolio 83

Guidance on gathering and providing Portfolio evidence Type of evidence Abbreviation to be used Description of the type of evidence Testimony T Testimony of other people (written comments, letters, feedback from service users and/or carers). This can include verification of your performance in practice written by suitably qualified practitioners. If feedback is offered verbally you should write it up in a way that the person who gave you the feedback can read and understand it. For example, if a service user who is visually impaired offers you feedback and you wish to use it as evidence in your Portfolio you may wish to audio record your summary of what was shared with you. If a young child offers you feedback you may wish to use a smiley face satisfaction scale. For some skills and field-specific competencies it is essential you seek feedback from service users and/or carers. A pro forma is provided in Appendix 3 for your mentor to obtain feedback from service users and carers. Please ask your mentor to seek feedback on your performance from at least two service users or carers. Learning in relation to an audio or video clip AV You may have chosen to learn more about, or seek different views on a topic by accessing websites, for example Patient Voices, watching a video or listening to an audio recording. Accessing such resources can add depth and breadth to your knowledge, understanding and practice. Presentations P You may present at a conference, during a seminar in your practice setting or at a meeting. You will need to provide verified evidence of your involvement. Project work PW You may decide that you want to follow up aspects of the module, perhaps through website and evidence searches. If you do this, discuss your work and its relevance to KYN237 practice with a qualified practitioner, and ask them to verify it. Resource collection RC This should include some summary accounts about what you have learned from KYN237 resources. Sources should be referenced in OU Harvard style. KYN237 Portfolio 84

Evidence Index Evidence number 1. Description of evidence (e.g. service user testimony, policy document, certificate etc.) Skill/competence/standard covered 2. 3. 4. 5. 6. 7. 8. 9. 10. KYN237 Portfolio 85

Appendix 1 Service user/carer/relative feedback on student performance Introduction With the person s freely given and fully informed consent, your mentor is required to seek feedback from a minimum of two service users, carers or relatives about your performance whilst contributing to their care and/or support. This feedback will contribute to the evidence your mentor considers to inform their review of your performance and their decisions. Please ensure your mentor is reminded of this requirement in good time, prior to your final meeting. Information to mentors A key source of information about a student s performance in practice is service users, carers and relatives. To this end, to inform your of the student s performance, a requirement of the module is that mentors seek feedback from a minimum of two service users or carers or relatives. To assist you a statement is provided below that you can use to explain to people why you are seeking their feedback: I would like you to share with me your views about the way student [insert name] has contributed to the care you have received. This is to help [insert name] to learn and develop his/her skills in providing care in a compassionate way and communicating effectively with people using our services. The feedback you give will not adversely affect the care you receive. I will record your feedback anonymously on this form and will not include any information that could breach your confidentiality. If you would prefer not to give feedback this is perfectly acceptable. After the service user, carer or relative has completed the form, please provide an opportunity for them to read it. The student does not have an automatic right to see the feedback from the service user unless they give permission for it to be shared with them. KYN237 Portfolio 86

Appendix 1 Service user/carer/relative feedback on student performance What did [insert name] do well? What could they do to improve their communication with you? What could they do to demonstrate a more compassionate approach to you? Is there anything else you would like to share that would help [insert name] to develop their practice? Mentor signature (in full) Date KYN237 Portfolio 87

Appendix 2 Raising and escalating concerns Raising and escalating concerns: a process for Open University students studying the Foundation Degree in Healthcare Practice, the Diploma in Higher Education in Healthcare Practice or individual work-based modules within these qualifications. Any student concerned about the safety or well-being of service users or carers or the safety of a practice environment must speak to their supervisor or the registered practitioner in charge/senior carer on duty and outline their concerns without delay. Students must also inform their line manager and follow their employer s procedures and policies for Whistleblowing. Students must also report their concerns to the OU Practice Tutor, again without delay, who will provide advice and support. The Practice Tutor should refer the issue to the OU Staff Tutor/Regional Education Manager. Raising and escalating concerns: a process for Open University Pre-registration nursing students Nursing students must follow the protocol outlined above. Nursing students must also follow current NMC guidance on raising and escalating concerns, located at http://www.nmc-uk.org/publications/guidance/ The OU, in collaboration with the employer/partner organisation, will implement the OU Department of Nursing s risk process. KYN237 Portfolio 88