How can I make the most of my Clinical Placements

1
How can I make the most of my Clinical Placements?
Initial Nursing Practice NU1656

• Pre-registration programme
• Part 1 Sundari Joseph and
• Fiona Work
• Part 2 Practice Education Team
• Part 3 Personal Tutors

2
Thinking about placements....

• I am looking forward to my placements
• I am being positive about my placement experience
• I am concerned about my placements
• I am unsure of what is expected from me

3
I am hoping that this session will...

• Make me feel less anxious
• Provide information
• Tell me what is expected of me
• Help me look forward to placements
• A combination of the above

4
Format of Part 1 and Part 2

• Overview of clinical placement support network
• Where you can find information
• What you can do to prepare
• What you is expected of you
• Time to chat with your Practice Team and ask
  questions

5
School Service Framework to support Students
Learning in Practice
6
Your support network

• You the student
• Mentor
• Ward Manager
• Practice Educator/Practice Education Facilitator
• Practice Education Lecturer
• Personal Tutor
• Programme Leader

7
What can you do before the placement?

• Check location travel accommodation
  arrangements
• Contact the placement area by phone and arrange a
  visit
• Read up about the placement- use the RGU library
• Plan what you would like to learn from the
  placement
• Make a list and take this with you

8
Stage 1 Performance Indicators
9
Levels of learning
10
What should you think about?

• Need to make a good impression
• Negotiate your needs and be prepared to
  compromise
• Pay attention to a professional appearance at all
  times
• Pay attention to a professional manner at all
  times
• Know who you can turn to for help support
• Compile learning contract for your placement-

11
Mentor

• Your mentor is a qualified nurse who has
  undergone additional training to become a mentor
• You need to contact your placement area and try
  and speak to your mentor before you arrive on
  placement
• Your mentor will have days off and you may have
  another mentor
• Team mentoring is common

12
How much of my time on placement should I spend
with my mentor/ mentors?

• 100
• 50
• 40
• 10

13
The ward manager/ team leader is

• Usually the mentor
• Rarely the mentor

14
Ward Manager or Team leader

• This is a senior nurse who is a line manager for
  all the nursing staff working in an area
• You can ask for this person and introduce
  yourself either on the phone if your mentor is
  not available or on arrival at placement
• The deputy is usually called the nurse in charge

15
Practice Educator or Practice Educator Facilitator

• These are qualified nurses who have specialised
  in nurse education
• PEs and PEFs support mentors by arranging special
  events for students and mentors
• You can talk to your PE or PEF at any time during
  your placement. Find out the contact number
  before you leave for placement
• Not every area has a PE or PEF
• Check the website http//www.rgu.ac.uk/nursing/pra
  ctice/page.cfm?pge40917

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Practice Education Lecturers

• These are lecturer roles created to support
  students mentors
• They are nursing lecturers based within RGU, who
  cover geographical areas around the placement
  areas
• You can talk to us at any time during your
  placement
• Find out who covers your area before you go

17
Personal Tutor

• Your personal tutor remains your personal tutor
  whilst you are on placement
• You can contact them at anytime
• Your CAPs and CARs go back to your personal tutor
  for checking and signing
• Your personal tutor also checks your portfolio

18
Programme Leader

• The programme leaders for pre-registration have
  to present your grades at assessment boards
• They manage the programme you are on
• You may wish to contact them through your student
  reps on various issues
• They may contact you regarding your attendance or
  grades

19
What is a CLET?

• CLET stands for Clinical Learning Environment
  Team
• There are over 20 CLETs covering all the
  placement areas and specialisms
• It is a working group aiming to improve the
  quality of learning on placements
• http//www.rgu.ac.uk/nursing/practice/page.cfm?pge
  40916

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Supernumerary status means....

• I can come and go from the placement as I like
• I have to negotiate my working hours with my
  mentor
• I am there to learn and not to work
• I am an observer only

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Supernumerary Status what does this mean?

• The time you are on placement should provide you
  adequate opportunities to learn
• You are required to experience the 7 days a week,
  24 hours a day nature of practice therefore will
  be required to adopt the normal shift pattern of
  the placement location to which you are allocated
• If it is your very first placement you will not
  be allocated night duty

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Supernumerary Status what does this mean?

• You are not on clinical placement in a purely
  observational capacity.
• You must show your mentor that you can do things
• Work out the balance between using your
  initiative and being closely supervised

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Supernumerary Status what does this mean?

• You are extra to the requirements and staffing
  establishment figures
• You must work as part of the team to enable you
  to learn to care for patients

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Night Duty

• You need to experience the 24 hour and seven days
  a week delivery of care
• You will be guided as to how best to achieve this

25
Part-Time Work

• Any part time work that you have must not
  interfere with your ability to satisfy working
  alongside your mentor and shift patterns which
  are allocated
• Please refer to the Bank Bursary Policy for
  Grampian on the web site
• http//www.rgu.ac.uk/nursing/practice/page.cfm?pge
  40911

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When you arrive

• Be punctual
• Introduce yourself
• Orientation /induction to placement location
  should take place within 24 hours of commencement
• Ask questions regarding what you should do
• Show your mentor the documents you have brought
  with you Ongoing Record of Achievement, CAP,
  CAR, Skills Passport, Time Sheets and Cleanliness
  Champions programme.

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Clinical Assessment Initial Interview

• You will have your first meeting with your
  mentor Initial Interview
• Together you will draw up a learning contract
• Use the items from the thoughts you have had to
  guide this interview
• This interview is recorded on your CAR and
  becomes your learning contract
• Ask for a safe place to keep all your clinical
  documents

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Skills Passports

• These are important documents which tell the
  mentor that you have practised skills in the
  skills centre and need to practice with real
  patients
• Take them with you, leave them on placement while
  you are there, so they can be completed as and
  when skill opportunities arise.

29
Essential skills clusters

• There are 5 essential skills clusters located in
  your Skills Passports
• Care and compassion
• Infection Control
• Medicines Management
• Patient Care Organisation
• Nutrition
• These have to be achieved before you enter Stage 2

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Clinical Assessment Mid-Placement Interview

• Half way through your placement your mentor will
  meet you again and fill out this section in your
  CAR
• This is your opportunity to check out how you are
  doing- a formative grade will be given
• Ask questions
• Together you will develop a plan to improve for
  your final assessment

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Cause for Concern from student

• At any point during your placement there may be
  something that doesnt seem right to you
• Initiate a cause for concern immediately
• See Web site
• http//www.rgu.ac.uk/nursing/practice/page.cfm?pge
  40913

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Cause for concern from Mentor

• A mentor may raise a cause for concern in order
  to question student performance
• This is to enable further support to help you
  successfully complete the placement
• See Web site
• http//www.rgu.ac.uk/nursing/practice/page.cfm?pge
  40913

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Clinical Assessment Final Interview

• This is the time when you and your mentor reflect
  on all your time on placement
• A final grade is awarded- recorded on your CAR
• Timesheets need to be signed off
• Make sure you take away all your paperwork before
  you leave the placement
• Development plan for next placement

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Clinical documentation submission

• Remember your clinical module in stage one is
  Initial Nursing Practice NU1656
• It is like any other module in that you have
  submission dates on your assessment schedule
• The same regulations apply if these dates are not
  adhered to
• Keep a photocopy of your timesheet- it verifies
  that you have completed your hours on placement
• Submit all your documents on the due date- found
  in your assessment schedule

35
Evaluation

• You are expected to complete an online evaluation
  form following your placement.
• This is important for improving placement
  learning for future students
• It is an opportunity for you to say what went
  well and what didnt go well
• Contact your student support network with any
  issues

36
Placement Areas in Stage 1

• Community/ Community hospital
• Hospital
• Islands
• Care Homes

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Tell us what you think about Care Homes

• Care Homes are important places as they deliver
  quality care for our elderly population
• Yes press 1
• No press 2
• Not sure press 3

38
Care Home settings are important placement
experiences because

• I can learn about elderly continuing care
• They can show me how not to do things
• I will see care delivered in a holistic way
• Care homes can provide me with career
  opportunities when I qualify

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Care Home Settings

• A very different setting for delivering care
• Care homes are vital and important experiences
• Homely/ Holistic care/ Relative involvement
• Policies and procedures will be different-
• e.g. infection control, care planning
• Private Organisation not NHS
• Regulation of Care (Scotland) Act 2001- Care
  Commission
• http//www.scotland.gov.uk/Publications/2005/11/03
  104227/42273

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Care Home Settings

• Vulnerable Adult
• The Adult Support and Protection (Scotland) Act
  2007
• http//www.scotland.gov.uk/Topics/Health/care/VAUn
  it/ProtectingVA

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Care Home Settings

• Child Protection- The regulations of Care
  (Scotland) Act (2002)
• Procedure for care commission staff in respect of
  child protection
• http//www.protectinghighlandschildren.org/Other_D
  ocs/Care20Commission20CP20Procedures.pdf
• Child protection Pack
• http//www.gama-fife.co.uk/cp15.pdf

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Care Home Settings

• Support for students is exactly the same
• No PEFs except in Moray area
• Care homes are audited by RGU to ensure quality
  learning environment for students
• Cause for concern process- the same
• Enjoy your care home experience

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So tell us what you thought about Part 1 of your
preparation for practice..

• It provided me with useful information
• It was things I knew already
• I knew certain things but it helped me confirm
  things
• It has left me feeling I need to know more

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Good Luck for your first placement

• So preparation is the key to success
• Stay focussed- give good impressions
• Enjoy this type of learning experience
• Remember the Practice Team is there to support
  you- dont hesitate to contact us
• These slides can be found at
• http//www.rgu.ac.uk/nursing/practice/page.cfm?pg
  e40915
• THANKS FOR LISTENING