Mentor Update – 2009 Students documentation and Essential Skills Clusters Assessments = Extended Version.

1. Mentor Update – 2009 Students documentation and Essential Skills Clusters Assessments = Extended Version. Produced by David Kinnell, Lecturer.

2. MENTOR UPDATE 2009. The purpose of annual updating is to ensure that mentors: • Have current knowledge of NMC approved programmes, • Are able to discuss the implications of changes to NMC requirements. • Have an opportunity to discuss issues related to mentoring, assessment of competence and fitness for safe and effective practice, (NMC, 2008).

3. Working in partnership towards meeting the NMC requirements. • Other Universities that are involved in monitoring and developing changes: • The University of Derby, • The University of Lincoln, and • The Open University. • The Mentor Preparation Advisory Group has representation from across the 3 Health Communities and works in partnership with the Practice Learning Committee. • Also, Disability Liaison Officers have offered guidance = disability equality training.

4. Mentor Preparation Course: 10 day Course, over 10 weeks • Standard Mentor Training must be 10 days in all Schools of Nursing. • 5 days theory based (1, 3, 5, 7, and 9) exploring the 8 domains and 26 outcomes of mentorship. • 5 days Work Based Learning in order to collect Mentor Portfolio evidence (2, 4, 6, 8, and 10). • B71 SPL: Non-credited. • B73 SPL: 20 level 3 credits. • All applicants must apply on line: • www.nottingham.ac.uk/nursing/lbr_applications

5. Student’s Placement Documentation: • Assessment of Practice Record. • Ongoing Achievement Record. • Clinical Skills Book – including Essential Skills Clusters Assessments. • Student Portfolio.

6. 1) Assessment of Practice Document. • This document contains either: • 40 Placement Outcomes – C.F.P., or • 62 Placement Proficiencies – Branch, • (NMC, 2004). • White, Yellow and Pink copies have been removed = • now in the Ongoing Achievement Record as from October 2007 cohort. • Encourage students to use a range of evidence to meet their achievements.

7. 2) Ongoing Achievement Record – Continuity of Practice Assessment Record • From October 2007 all students have new practice based documentation that will continue throughout their training. • There will be documentary evidence of any problems experienced in practice and the action plan implemented. • The Sign-off Mentor as from April 2010 will have access to this in Semester 6; it will be monitored by the Student’s Personal Tutor throughout. • A sample of this document will be randomly moderated at the end of each semester.

11. Skills Escalator Pre-Registration Nursing Courses,(Adapted from Bondy, 1983). • Practice Level 4 (Minimum Level: Semester 5 (L3) Semester 6 (L4) • I have practiced independently meeting the standards of proficiency, seeking advice and support as appropriate and demonstrating knowledge, skills and attitudes appropriate to this Practice Level. • Practice Level 3 (Minimum Level for End of Year Two). • I have practiced with decreasing supervision to achieve the standards of proficiency, requiring occasional support and prompts in the development of appropriate knowledge, skills and attitudes. • Practice Level 2 (Minimum Level for End of Year One: • I have practiced with assistance in the delivery of care to achieve my practice outcomes (CFP) standards of proficiency (Branch) demonstrating knowledge, skills and attitudes appropriate to this Practice Level. • Practice Level 1 (Commencing Level for Common Foundation): • I have practiced, with constant supervision, in the delivery of essential care to develop the knowledge, skills and attitudes required to achieve my practice outcomes. • (Replaces: Helper, Supervised / Participant and Assistant).

12. 3) Clinical Skills Book – Essential Skills Clusters, (September 2008). • The E.S.C.’s are intended to compliment the Nursing Standards (NMC, 2004). • They are a set of national skills statements that are intended to support existing outcomes and proficiencies. • 5 different aspects, 42 statements identifying what the patient / client can trust a newly registered nurse to do. • They involve the process of calculation. • The assessments undertaken in practice must be recorded by the mentor on the Essential Skills Assessment - Record of Achievement which is in the back of the student’s OAR Document.

13. Essential Skills Clusters for Pre-registration Nursing Programmes: Annexe 2 to NMC Circular 07/2007 • The Essential Skills Clusters - 42 statements: • Care, Compassion and Communication (8 statements), • Organisational aspects of care (12 statements), • Infection prevention and control (6 statements), • Nutrition and fluid maintenance (6 statements), • Medicines management (10 statements).

14. Clinical Skills Book – Essential Skills Clusters: C.F.P., (September 2008). • The mentors must now accept responsibility for some of these summative assessment undertaken: • Hand hygiene – maintained as O.S.C.E. in School = Then: ------------------------------------------------------------------------------ • Measures Height, Weight and Body Mass Index, • Monitors and records Fluid Balance, • Monitors and records Dietary Intake = C.F.P. • = These 3 will be assessed by the mentor in practice. • --------------------------------------------------------------------------- • Vital body sign assessment: Temperature, Pulse rate, Respiratory rate and Blood pressure – O.S.C.E. and • Aseptic Technique – simulation in School.

15. Clinical Skills Book – Essential Skills Clusters, (September 2008). • The Mentor will assess Branch related assessments: • Nutritional assessment, • Hydration / Dehydration assessment, • Enteral Feeding (child, adult, L.D.), • Intravenous Infusion (Child, Adult), • Medicine Administration for an individual or small group (4 patients / clients). • --------------------------------------------------------------- • Patient Group Direction Assessment – in School.

16. Essential Skills Clusters assessments. • Mentor must: • Set date and time for summative assessment. • Assess and verify all the stated assessment criteria. • Record achievement in the Record of Achievement found at the back of the Ongoing Achievement Record.

17. Mentor Nominated Student Award / Student Code of Conduct. • Mentor Nominated Student Award: • Mentor nominates a third year management student. • Code of Conduct: • Given to all students at start of training – • Can be accessed on the mentor website.

18. Mentor nominated student award: practice award. • Student should be in semester six. They must have worked alongside of you for 40% of their placement. • In submitting your nomination consider: • How has the student impacted positively on their placement? • How have they excelled in their nursing? • Have they demonstrated service worthy of recognition? • Has contribution elsewhere been recognised e.g. professional interest groups? • What makes this person stand out from other students? • Adhering to this criteria in no more than 200 words say why the student should be nominated for a Practice Award for their cohort.

19. Student Code of Conduct – 2009. • As a student you are expected to comply with both University and Nursing / Midwifery Council guidelines regarding conduct. • This is particularly important for self regulation of the profession in protecting the public and society.

20. Student Code of Conduct – 2009. • Attitudes and behaviour towards patients: • Demonstrate respect for patients, carers, family and significant others that encompasses, without prejudice, diversity of background and opportunity, language, culture and way of life. • To develop appropriate professional relationships with patients, maintaining clear boundaries at all times. • Always make clear to patients that you are a student and not a qualified nurse, and not give nursing advice or recommend treatment unless under supervision. • Make sure the patient has agreed to your presence and involvement. • Discontinue interaction if the patient indicates a wish to stop. • Full Code of Conduct is available on mentor website.

21. 4) Student Portfolio. • Students are responsible for maintaining their own Student Portfolio according to the guidance on the virtual portfolio tool. • The portfolio is a collection of a range of evidence that must verify the achievements of the outcomes (C.F.P.) or proficiencies (Branch related). • The Mentor must ensure that the student is collecting their evidence on a weekly basis, if possible, in order to maintain a continuous assessment approach.

22. Supporting students who have a disability, (NMC, 2008, p.14). • The NMC advises that all mentors should receive disability equality training. • Programme providers should work in partnership to prepare placements areas for supporting students with disabilities and prepare students for the demands the placements will make of them. • In particular, the learning environments in practice and academic settings should enable students to be confident that disclosure of their specific needs will not lead to discrimination.

23. Supporting students who have a disability, (NMC, 2008). • Consideration should be given to allocating time for mentors to meet the special needs of students with disabilities. • The University of Nottingham Disability Policy Advisory Unit – • www.nottingham.ac.uk/disability for further information on what our students can expect and how the University of Nottingham meets the needs of our students. • Please contact your local Disability Liaison Officer, School of Nursing for advice: • Fiona McCandless-Sugg (01623 465608) – Mansfield only.

24. Triennial Review starts 2010 includes: • To be maintained on the local register the individual must have evidence of having: • Mentored at least two students with due regard within the three year period. • Participated in annual updating: this will be recorded on your Triennial Review Documentation Sheet. • Explored the validity and reliability of judgements made when assessing practice. • Mapped ongoing development in their role against current NMC mentor standards – linked into the NHS Knowledge and Skills Framework.

25. Mentorship. • Mentor database – record of all mentors, initial mentor training and last update = N.M.C. requirement. • Do you know your status = • Contact: Jennie Cobbold (01623) 819350 or jennie.cobbold@nottspct.nhs.uk Reference: • Nursing and Midwifery Council (NMC) (2008) Standards to support learning and assessment in practice: NMC standards for mentors, practice teachers. London, NMC.

26. Ongoing Mentor Support: • Visit the Mentor Website: • www.nottingham.ac.uk/nursing/mentors • Mentor Preparation, • Mentor Handbook, • New Standards (including Mentor Bulletins), • Mentor Update Information, • Mentor Newsletters, • Mentor Resources.

27. Some of the main changes that started in September 2007: Summary. • Student’s Documentation in Practice. • Ongoing Achievement Record: Continuity of Practice Assessment Record (Initially known as the Student Passport – started as from September 2007). • Clinical Skills Book including the Essential Skills Clusters (started September 2008). • Triennial Review (Review your mentorship experience every 3 years to maintain your mentor status and currency). • Any Questions?