Practice supervisor Preparation - University of Leeds
PRACTICE SUPERVISOR & PRACTICE ASSESSOR TRANSITION FOR MENTORS NMC (2018) Part 2: Standards for Student Supervision and Assessment Adapted for use in Leeds Practice Placement circuit September 2019 Developed by PAN Midlands Yorkshire and East Practice Learning Group for use and amendments under the Creative Commons licence. Details at https://creativecommons.org/licenses/by-nc-nd/3.0/ LEARNING OUTCOMES 1. Understanding of the Practice Assessor (PA), Practice Supervisor (PS) and Academic Assessor (AA) roles 2. How to support student in practice including considerations to equality and diversity and reasonable adjustments. 3. Demonstrate knowledge about the Practice Assessment Document to support objective student assessment and progression.
4. Illustrate ways in which the role can be used for your own CPD/revalidation. WHAT IS NEW FOR MENTORS? In addition to the traditional 3 year University based student nurses New learners: Associate/ assistant practitioner roles - employer led; in- house Nursing Associates NMC regulated (education; practice standards; register; code) employer owned known as TNA (trainee nursing associate) Apprentice Nurses - 4 years; same curriculum and NMC standards as traditional student nurses employer owned known as DNA (degree nurse apprentice) Other health apprentices non nursing E Pad Mindland, Yorkshire and East new PADs to reflect new standards on Pebblepad for ALL nursing students
STANDARDS FOR EDUCATION AND TRAINING NEW ROLES FOR STUDENT SUPERVISION AND ASSESSMENT Practice Supervisor Any registered healthcare professional after preparation Continuity needed to measure student progress Can assess some skills / outcomes and will feedback to Practice Assessor on the student Expectation that all RNs and MWs in Leeds will take on this role following preceptorship Practice
Assessor Academic Assessor NMC registered (not field specific): RN for nursing student, RM for midwifery student, can be RN or Reg NA for TNA Current, suitably prepared and supported Must observe student in practice Assess and confirm achievement Do not supervise and assess the same student Expectation that current up to date mentors in Leeds will take on this role once prepared Academic staff, NMC Registered, not field specific Current, suitably prepared, supported Collate and confirm achievement in practice in conjunction with PA to enable student to progress to next stage of the programme
University lecturers in Leeds EXAMPLE MODEL Students may work with Example Placement multiple Practice Supervisors. Practice Supervisors will feedback to students Practice Assessor who will make assessment decision. Practice Assessors will liaise with Academic Assessors to make decision on students progression to the next stage. Potential Benefits of New Roles Everyone will have an input into assessment = increased consistency in
judgements Separates supervision and assessment roles Improves interprofessional working Supporting student learning becomes everyone's responsibility Less prescriptive e.g. end of 40% mentor student working & Sign off mentor requirement
You can be both a practice supervisor and a practice assessor, but not to the same student ROLES AND RESPONSIBILITIES OF THE PRACTICE ASSESSOR Conduct Conduct assessments and ensure assessment decisions are informed by feedback from practice supervisors Make and record Make and record objective, evidence based assessments on conduct, proficiency and achievement, drawing on records, observations, student reflection and other resources Maintain Maintain current knowledge and expertise relevant for proficiencies and programme outcomes Work in
Work in partnership with academic assessors to evaluate and recommend progression Opportunities Have sufficient opportunities to periodically observe the student across environments ROLES AND RESPONSIBILITIES OF THE PRACTICE SUPERVISOR Safe and Effective Support and Supervise Feedback Raise Concern practice supervision ensures safe and effective learning experiences that uphold public protection and the safety of people all students on an NMC approved programme are supervised in practice by NMC registered nurses and midwives and other registered health and social care professionals there is sufficient coordination and continuity of support and supervision of students to ensure safe and effective learning experiences the level of supervision provided to students reflects their learning needs
and stage of learning support and supervise students, providing feedback on their progress towards, and achievement of, proficiencies and skills Appropriately raise and respond to student conduct and competence concerns and are supported in doing so ROLES AND RESPONSIBILITIES OF THE ACADEMIC ASSESSOR Collate and Confirm Make and record Collate and confirm student achievement of proficiencies and programme outcomes in the academic environment Has understanding of the students learning and achievement in practice Make and record objective evidence based decisions on conduct, proficiency and achievements and makes recommendations for progression Work in Work in partnership with a practice assessor to evaluate and recommend
the student for progression for each part of the programme Communication Enables scheduled communication and collaboration between academic and practice assessors ROLES AND RESPONSIBILITIES OF THE STUDENT Engagement Prepared Feedback and Documentation Be Aware Raise Concern Students must take a key role in their supervision and assessment in practice Prepared for and have a sound understanding of the proficiencies they need to achieve Actively encouraged to seek out practice supervisors to support their learning and encourage feedback to be recorded in their PADs Be aware of their nominated PA and AA from the beginning of the placement
Know which person they should speak to in the practice area if they have concerns I am currently a Mentor on mentor register do I need to still update myself and continue with triennial review ? Yes ! Because: From September 2020 Year 1 and Year 2 nursing students and some Trainee Nursing Associates at both Leeds Uni (TBC) and Leeds Beckett will move onto the new standards for supervision & assessment in practice so will need PAs and PSs and As Year 3 student nurses and some TNAs during September 2020 - 21 will run out on the old standards so will need Mentors and Sign off mentors Current mentors who are up to date may
become Mentors once they have been prepared on the new standards. This will be recorded as a Practice Assessor on the Mentor register My colleagues are currently on a SLIP programme (or applying for one) are they wasting their time? No! Because: Current SLIP programmes at Leeds Uni and Leeds Beckett have been mapped against new PA standards so will prepare mentors to be both mentors and PAs Eventually SLIP will be replaced with a Practice
Assessor programme FACILITATES INDEPENDENT LEARNING ( NMC 2018 SSSA PAGE 6) Active participation in care, minimal guidance, performing with increased confidence and competence Guided participation in care and performing with increasing confidence End Part 3 End Part 2 Knowledge Skills Attitude End Part 1 Knowledge
Practising independently with minimal supervision, leading and coordinating care with confidence Skills Assessment of each component of MYE PAD Yes or No Attitude and values EQUALITY & DIVERSITY Equality Act 2010 Protected Characteristics Reasonable adjustments to support learning and assessment in practice Legal standards of competence (e.g. NMC specified hours in practice) cannot be adjusted
Standards of competence must be achieved to ensure patient safety ONE PRACTICE ASSESSMENT DOCUMENT (GENERIC STANDARDS) Adult Childrens Learning disabilities Mental Health THE PAN PRACTICE ASSESSMENT DOCUMENT ( E - PAD) Introduction/ Orientation Skills Practice Assessment Document Part 1,2,3
Interviews Initial, midway, final Assessment Framework Practising independently with minimal supervision Ongoing Achievement Record Professional Values Service User Carer Feedback Episodes of Care Reflections 1 2
Guided Participation 3 MYEPAD /OAR: documentation and assessment Practice Supervisor Practice Assessor Completes: Completes: Can complete initial interview per placement Can conduct/ confirm initial interview per placement Mid-point professional values Contributes to assessment of proficiencies based on scope of practice in liaison with the Practice Assessor Mid-point and final interview per placement
Signs off Service User Feedback Episode (s) of care Provides feedback interprofessional working page Academic Assessor Assessment and confirmation of proficiencies Final professional values per placement Medicines Management Completes OAR at end of each placement & progression point Completes: Action Plan (if required and with Practice Assessor) Signs off Final Interview if required Signs off OAR at end of each placement and progression point RAISING CONCERNS What should you do if you are concerned about: Performance
Absence Conduct Potential fitness to practice Communication student & link lecturer Documentation Adherence to timeframes ? STUDENT CONCERNS
What should a student do if they are concerned about practice they have witnessed? Speak to mentor or lead person for placement If apprentice, raise with manager internally Discuss with academic staff in University (personal / course tutor) Follow Leeds Managing Perceived Unsafe Practice or Risks to Student flow chart Managing perceived unsafe practice or risks to student learning in practice Student w itnesses unsafe/ concerning practice either on placement, w hile w orking as an agency w orker or w orking as an apprentice EI THER Student speaks to mentor or lead f or placement. If they are an employee they raise w ith manager and AND/ resolve internally severity, impact on Educational Environment, a nd therefore NM C Exceptional Reporting. Al so consider CQC reporting. HEI r eporting to NM C must go via the appointed official correspondent.
However any i ndividual member of the public can a lso report concerns directly to the NM C and/or CQC. Pa rtner Universities within shar ed placement circuit a lso to be informed Mentor or placement team have serious concerns about the practice or behaviour of a student this may be linked to a specific incident. Expectation that placement w ill risk assess and send student home/ alert police and safeguarding as necessary, as they w ould a member of staff. Practice Placement Unit: office hours Reception: 0113 3431375 If you have di fficulties contacting a speci fic member of staff at any partner Universi ty or are unsure who to contact pl ease contact the PPU (School of Healthcare, Universi ty of Leeds). Contact details are also avai lable on www.practiceplacements.l eeds.ac.uk Reported to / discussed w ith academic staff in University (Personal /
Course tutors) UNIVERSITY OF LEEDS No further action YES Matter resolved NO OR ***Determine if this is a Safeguarding concern report accordingly. Consi der Version 12: 14/12/18 for review 01/12/19 University of Leeds student to inf orm Placement Unit or Programme Lead, Obtain statement f rom student. Incident to be investigated by University and /or Placement Providers as appropriate involve both the
individual placement area concerned, and the placement PLF or equivalent *** Leeds Beckett to inform the Practice Support Tutor or Academic Practice Lead for Pre-Registration Nursing Inf orm Practice Placement Unit w ho w ill inform Director of Practice/ Programme Lead/ Course Lead, liaise w ith placement to agree action *** During office hours University of Leeds: Contact the 24 hours security 0113 343 5494/5 (nonemergencies) message to be given to Out of office hours Director of Practice Leeds Beckett University: As part of the Student Crisis Protocol contact the 24 hour Security response line on 0113 812 6666 Course Leader to be informed Placement responds to any Security advice/ instructions. Director of Practice/ Programme/
Course Lead to be notified during w orking hours via normal emergency response protocol and action to be determined w ith placement partners as above*** Additi onally if this is a student on an a gency shift, foll ow a gency reporting procedure. GIVING FEEDBACK Take time to give feedback Think about the structure first Focus on the positive but also highlight what can be improved Give specific examples to illustrate the feedback and make it objective Be non judgemental Give the learner time to respond Link to assessment criteria / expected level of progress if possible Are there any issues for you in giving feedback? CASE STUDY Student A is in the middle of her programme of study. She has been in the placement where you are the Practice Assessor for four weeks. Her Practice Supervisor has raised some concerns regarding her competence with some skills following several learning opportunities and she has failed these. As the PA you
arrange to discuss this with her. What communication and interpersonal skills would you need to demonstrate? What do you need to address? What would you do after the discussion? CASE STUDY 2 Student B is at the beginning of his programme of study. He has already undertaken a six week placement. He started in placement where you are the Practice Assessor two weeks ago. His Practice Supervisor reports to you that members of the team have seen him using his phone frequently and seems to have limited professional boundaries with patients/service users. What would you do as the Practice Assessor? Who would you liaise with? How would you monitor the student? ANY QUESTIONS REFLECTION / REVALIDATION After this session take some time to reflect on how this new role will impact on your current way of working Add this reflection to your certificate of attendance from this session.
Ensure you evidence your work with learners within your revalidation documentation. This workshop equates to two hours of participatory CPD You are required to complete an update each year Triennial Review documentation will now be part of the revalidation process FURTHER INFORMATION Pan Midlands Yorkshire and East Practice Learning group website www.myeplg.ac.uk NMC SSSA Supporting Information on their website www.nmc.org.uk/supporting-information-on-standards-for-student-supervision-and-assessmen t University of Leeds and Leeds Beckett University placement website https://practiceplacements.leeds.ac.uk/ - click on Nursing and Midwifery Your Link Lecturer Your organisations Practice Learning Facilitator(s) or Practice Learning Team
CPD diary. See RCP website. Other external opportunities. BMJ. Online learning modules. RSM (Royal Society of Medicine) See website for details of courses etc. Talk to other senior trainees for advice! Gastroenterology specific. JAG courses .
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