Appendix 30 YEAR TWO Aims (KSF indicator) The placement aims to provide opportunities for the student to Develop effective and appropriate communication skills with a range of people, ages and contexts Outcomes (KSF applications) By the end of all the placements the student will be able to demonstrate the ability to 1: Communication KSF core dimension, level 1 Begin to modify own verbal and non verbal communication with clients, carers and others Identify how and why SLTs adapt their communication Personal Develop knowledge and skills Introduce reflective practice 2: Personal and people development KSF core dimension, level 1 Personal Take responsibility for personal development by setting objectives and monitoring progress Respond to feedback and begin to implement changes People Develop awareness of type, extent of manner of information SLTs share with others to appreciate the wider context of SLT intervention People Seek and share information with others (e.g. placement educator and peers) Consider what SLTs do to enhance others’ knowledge and understanding (e.g. clients, carers, other professionals), why, and how they do it Examples of Evidence Reflect on informal interaction with a client Use an observation checklist to record how and why SLTs modify their communication with different people (e.g. clients, carers and others) Personal Experiences and Expectation form ABCD placement objective setting PDP form Reflect on and record effectiveness of own interactions with clients, carers and with placement educator Self completion of placement report half way through placement Placement educator’s comments on placement report forms People Ask placement educator appropriate questions Verbally summarize observations made State key features of a disorder Explain the rationale of a therapeutic approach observed to peers Clinical appraisal assignment Introduce students to the importance of health, safety and security for self and others 3: Health, safety and security KSF core dimension, level 1 Be aware of some risks to own and others’ health, safety and security Attendance certificate of H and S training (and any further Trust training as required) Negotiate safe travel arrangements with placement educator if required Appendix 30 Introduce the student to departmental checklists (informed by e.g. Trust policies, procedures and guidelines) 4: Service improvement KSF core dimension, level 1 Completion of all relevant placement forms Present CRB form in first placement session to placement educator (if required) Complete student self-audit section of RCSLT National Standards for Practice-based Learning Completed placement evaluation forms Begin to understand some clinical administration processes Introduce the student to teamwork Introduce the student to professional conduct issues 5: Quality KSF core dimension, level 1 Have some awareness of: * some clinical admin. procedures (e.g. referral, waiting lists, DNA) * constraints on the service * the placement educator’s competing duties of care Placement induction e.g. block Preserve client confidentiality Clinical appraisal assignment Appreciate the importance of teamwork and multiprofessional collaboration in client care Tutorial case discussions 6: Equality and diversity KSF core dimension, level 1 Begin to understand some ethical and moral considerations Explanation to peers how a client was referred and the involvement of others Clinical appraisal assignment Demonstrate non-discriminatory and respectful conduct 7: Assessment & care planning to meet health and wellbeing needs KSF specific dimension, level 1 Appendix 30 Develop knowledge of assessment principles and their application to clinical decision making Observe a case history/ initial appointment and comment on some key issues Develop knowledge regarding different assessment approaches and begin to understand how assessment findings and other data inform clinical decisions Devise and use an observation checklist outlining clients’ communication and other relevant factors, environmental or contextual considerations (e.g. client mood) Discuss process of case history / initial appointment (weekly or block placement) and type of information gained (e.g. clinical/attitudinal etc.) What is the client’s agenda and what is the placement educator’s agenda and why? Discuss the advantages and disadvantages of formal and informal assessments with placement educator Discussion and where possible interpretation of data obtained from observation / own participation, clinical notes and assessment Develop analytical skills Develop an awareness of the broader clinical context and appreciate how this influences speech and language therapy intervention Understand aspects of the management process What theoretical knowledge influences clinical decisions Begin to understand the process of setting objectives and outcome measures Develop knowledge of a range of therapeutic techniques and assist in the delivery of therapy Use observation checklist and share findings with placement educator and peers Make and interpret observations re client and clinical context 8: Health and wellbeing needs intervention KSF specific dimension, level 1 Identify key personnel who Explain to placement educator/ peers the structure might be involved in the client’s within the placement setting e.g. head teacher, management teachers, classroom assistants, families etc and their roles Recognise the opportunities and constraints within the setting Observation sheet includes ‘bigger picture’ considerations, e.g. dynamics, values and beliefs, Understand the key stages in a environmental factors care pathway Describe to peers a department’s referral, waiting Demonstrate knowledge of lists, DNA procedures etc (CQ3 chap 6) disorders of communication, models of working, resources Case presentation outlining key elements of the disorder, how assessment and other clinical and Extract key information that theoretical data informed clinical decisions informed what objectives were set and how by the placement Share with peers what objectives were set educator (qualitative/functional and quantitative), who was Gain an overview of an episode involved and why of care Describe key components of a session, e.g. Evaluate how sessions are opening/closing, discussion with carers, task structured progression, etc Undertake some therapeutic techniques and evaluate their effectiveness Be flexible Reflecting on personal experiences (e.g. did you feel comfortable and/or confident in this delivery?) Reflecting on own effectiveness (e.g. what could be modified and how?) Ref: A Speech and Language Therapy Competency Framework to Guide Transition to Full RCSLT membership for newly qualified Practitioners (2005) is available at: www.rcslt.org/resources/newlyqualifiedpractioner Appendix 30 YEAR THREE Aims (KSF indicator) Outcomes (KSF applications) The placement aims to provide opportunities for the student to By the end of all the placements the student will be able to demonstrate the ability to Interact with a range of clients, carers and professionals in an appropriate manner Disseminate information effectively Personal Develop knowledge and skills, reflective practice and self monitoring skills People Provide information to others to enhance their knowledge and understanding, and to help them support the SLT intervention Examples of Evidence 1: Communication KSF core dimension, level 2 Adapt communication (oral and written) to context and needs of clients, carers and others Video of session with client Written report on a client using appropriate style and content Seek and share information with a client/carer/other Verbal summary of key points following a team discussion 2: Personal and people development KSF core dimension, level 2 Personal Personal Identify own strengths and weaknesses / Experiences and expectations form areas to develop, ABCD placement objective setting set appropriate objectives, PDP form monitor effectiveness and progress Tutor visit/video implement some changes Weekly session plan (self evaluation), documenting and reviewing what and how behaviours have changed Self completion of placement report half way through placement placement educator’s and tutors’ comments on placement report forms Develop some autonomy with decreasing reliance on the placement educator In/dependence rating on placement report form People Consider the type, extent and manner of information to be shared with others (e.g. clients, carers, other professionals) People Adapt information for teacher and for a parent, outlining how and why style and/or content are different Clinical tutorial discussion / case report Provide placement educator with a journal article regarding a disorder / intervention 3: Health, safety and security KSF core dimension, level 2 Appendix 30 Ensure adherence to Trust and Cardiff Met health and safety guidance Work in a way that minimises risks to own and others’ health, safety and security Attendance certificate of H and S training (and any further Trust training as required) Read Trust guidance on care of personal and Trust belongings Modifying equipment e.g. selecting larger items for child who ‘mouths’ objects Ensure equipment is sterile e.g. toy cup cleaned after used for symbolic play drinking Be aware of relevant SLT departmental checklists (informed by e.g. Trust policies, procedures and guidelines) 4: Service improvement KSF core dimension, level 2 Adhere to relevant departmental, professional body and university checklists as required Present CRB form in first placement session to placement educator (if required) Complete student self-audit section of RCSLT National Standards for Practicebased Learning Complete all Cardiff Met placement forms Completed placement evaluation forms Begin to understand some clinical administration processes and how the quality of work is maintained 5: Quality KSF core dimension, level 2 Record client activity appropriately Placement induction Write up case notes using appropriate style and content Maintain a clinical diary Understand the processes for referral to and on from SLT, waiting lists, review, discharge and DNAs Undertake relevant clinical administration e.g. write a report following assessment, review or discharge Understand the role of clinical audit Attend a case note audit Begin to manage time Be organised and begin to use time efficiently Set realistic targets to prepare for clinical sessions Understand the roles of other team members Describe the role of another team member Shadow another professional Understand some ethical and equality issues relating to the caseload 6: Equality and diversity KSF core dimension, level 2 Demonstrate non-discriminatory practice Discuss potential or real issues arising from the caseload with the placement educator e.g. culture, religion, age, sexual orientation, socio-economic status etc 7: Assessment & care planning to meet health and wellbeing needs KSF specific dimension, level 2 Appendix 30 Develop knowledge experience and decision making in selection and delivery of assessments with non-complex clients Begin to rationalise selection of assessments in line with individual needs and available resources Begin to rationalise assessment approaches taken Choice of assessments used rationalised in case report assignment Include in the above rationale, consideration of * assessment approaches used (case history, formal/informal, observation, discussions with client/carers, checklists) * methods (direct/indirect) * equipment Observe an acquired case history / initial appointment and participate in some aspects of assessment Observation of placement educator during block and where possible administer aspects of client assessment e.g. case history; assessment; checklists Liaise and interact with others Discuss client’s abilities and needs with carer/teacher Begin to use client data to make and justify holistic and specific clinical decisions Analyse client data e.g. transcription, conversational analysis, LARSP Score and interpret test results 8: Health and wellbeing needs intervention KSF specific dimension, level 2 Appendix 30 Consider how theoretical models of intervention (e.g. social, education, medical) are applied to practice Understand the opportunities and constraints within the context (environmental / organisational / cultural), and how SLT can be most effective within the setting Appreciate others’ beliefs and values. Gain experience of the process of setting objectives and outcome measures Contribute to the planning and implementation of therapy with clients, involving relevant others Develop realistic, achievable and measurable long and short term goals Demonstrate functional change Recognise how impressions and hypotheses informed rationales for intervention Rationalise decision making Structure sessions appropriately Understand and use a range of intervention strategies and therapy techniques Share information with relevant others and consider their views Work effectively within an episode of care Manage time Monitor and modify intervention Critically evaluate effectiveness of intervention Show flexibility Case note record of discussions with other professionals, e.g. teachers, LSA, health visitor Attending information sharing session with key people/colleagues e.g. school review Treatment plans show appreciation of the school curriculum Record of discussions / correspondence with client/key others in determining goals ABCD objectives for clients Stages of intervention plan to reach goals outlined Discussion of goals within multidisciplinary team Record therapy outcomes against goals Report on assessment findings and intervention plan Decision making process and options discussed with placement educator, developed in session plans and case studies Case notes Timing of tasks within sessions and in relation to overall plan Hierarchy of task complexity Opening and closing of sessions Video or audio recording of explanations to a client/ carer, discussion with teacher Track why and how and why treatment plans have been adapted to meet client’s needs Reflections on own performance from video Record of feedback discussions with placement educator on effectiveness of delivery Documentation of discussions with others Discharge report Understand departmental discharge criteria/policy Discharge client / refer on as appropriate Ref: A Speech and Language Therapy Competency Framework to Guide Transition to Full RCSLT membership for newly qualified Practitioners (2005) is available at: www.rcslt.org/resources/newlyqualifiedpractioner Appendix 30 YEAR FOUR Aims (KSF indicator) The placement aims to provide opportunities for the student to Initiate and maintain interaction with a range of clients, carers and professionals Disseminate information effectively Personal Develop knowledge and skills, reflective practice and self monitoring skills People Provide information to others to enhance their knowledge and understanding, and to help them support the SLT intervention Outcomes (KSF applications) By the end of all the placements the student will be able to demonstrate the ability to 1: Communication KSF core dimension, level 3 Adapt oral communication to context and needs of others Adapt written communication to context and needs of others Examples of Evidence Explain intervention to a client/carer/other Case notes using appropriate style and content Two reports on the same client, adapted for different readers’ needs Proactively seek and share information and collaborate with others (e.g. colleague /client /carer) to support holistic client management Present information at an inter/intra professional meeting e.g. educational review, multidisciplinary discharge, discussion with support worker 2: Personal and people development KSF core dimension, level 3 Personal Personal Identify own strengths and weaknesses / Experiences and Expectations form areas to develop, ABCD placement objective setting set and refine objectives, PDP form and tutorial notes monitor effectiveness and Reflective tutorial take responsibility for making changes Weekly session plans (self evaluation) Self completion of placement report half way through placement Work with increasing independence In/dependence rating on placement report form People Make decisions regarding appropriate type, extent and manner of information shared with others (e.g. clients, carers, other professionals) Adapt information for a recipient (considering e.g. learning style, ability, needs) use and modify materials appropriately (e.g. written / oral / pictorial) 3: Health, safety and security KSF core dimension, level 3 People Summary of SPPARC video analysis to facilitate language modification between client and carer Diagram to explain dysphagia for carer Produce a handout of key factors of a condition for a client/carer/SLT dept. Summarise a journal article regarding a disorder / intervention and give copy of original to placement educator Appendix 30 Ensure adherence to Trust and Cardiff Met health and safety guidance Work in a way that minimises risks to own and others’ health, safety and security Attendance certificate of H and S training (and any further Trust training as required) Read Trust guidance on working with behaviours that challenge Modify environment e.g. seating for stroke patient, wheelchair straps/brakes on Appropriate selection, use and hygiene of equipment e.g. ensuring a toothbrush is sterile after being ‘mouthed’/ dribbled over Use where appropriate relevant SLT departmental checklists (informed by e.g. Trust policies, procedures and guidelines) 4: Service improvement KSF core dimension, level 3 Adhere to relevant departmental, professional body and university checklists as required Present CRB form in first placement session to placement educator (if required) Complete student self-audit section of RCSLT National Standards for Practicebased Learning Attendance at a case note audit Complete all Cardiff Met placement forms Completed placement evaluation forms Understand some clinical administration processes and how the quality of work is maintained 5: Quality KSF core dimension, level 3 Record client activity appropriately Placement induction Write up case notes using appropriate style and content Understand the processes for referral to and on from SLT, waiting lists, review, discharge and DNAs Undertake relevant clinical administration e.g., prioritise a caseload Case discussion of client discharge Effectively manage time Use time efficiently and effectively before, during and after sessions Prepare session plans/tasks and write up case notes within an realistic timeframe Work as part of a multidisciplinary team, understanding others’ roles Describe the role of other team members and their interface with SLT Attend an intra/inter professional meeting /case conference/ team discussion Understand some ethical and equality issues relating to the caseload 6: Equality and diversity KSF core dimension, level 3 Consider how some ethical and moral challenges could be managed Demonstrate non-discriminatory practice Discuss potential or real issues arising from the caseload with the placement educator such as culture, religion, age, sexual orientation, socio-economic status Placement report Share experiences with peers in tutorials of how potential and real challenges were/could be addressed 7: Assessment & care planning to meet health and wellbeing needs KSF specific dimension, level 3 Appendix 30 Gain wider knowledge, experience and decision making regarding assessment of more complex clients Take a case history Refine decision making skills Rationalise selection of assessments in line with individual needs, characteristics and available resources Rationalise assessment approaches taken and collaborates with a range of others Interprets data to inform clinical decisions Understand the advantages and disadvantages of selected assessments Adheres to CQ3 guidelines re assessment Use information from case history to inform decision making Explain to placement educator rationales for choice of assessments used with any one client Include in the above rationales consideration of: assessment approaches used (formal/informal, observations, checklists, discussions with client/carers, multidisciplinary/joint working), methods (direct/indirect) and equipment Data analysis Critically evaluate one/more assessment in a self-directed peer tutorial 8: Health and wellbeing needs intervention KSF specific dimension, level 3 Identify potential model/s Understand the opportunities and constraints Case note record of discussions with care of intervention (e.g. within the context (environmental / workers, SLT assistant, other social, education, organisational / cultural), and work professionals medical) appreciating systemically to maximise effectiveness Organising / attending information others’ beliefs and values sharing session with key people/colleagues Consideration of systemic factors in treatment plans, e.g. school curriculum, staff training required, staffing levels, Identify client potential Rationalise decisions cultural attitude to disability and develop and Determine and implement the most Rationales of decisions in treatment plans implement a therapy appropriate method/s of intervention e.g. Therapeutic and management options management plan with direct/indirect. justified in reflective tutorial client and relevant others Know of and use effectively a range of Record of discussions / correspondence appropriate therapy techniques and with client/key others in determining intervention strategies goals Share information with relevant others Report on assessment findings and intervention plan Case notes Adaptation of available resources, sourcing and sharing information e.g. from journals / internet searches / Set realistic, achievable Work within an episode of care support groups and measurable goals Demonstrate functional change for the client Reflections on own performance from and functional outcome video measures. ABCD objectives for clients Written session plans Discussion of goals within multidisciplinary Monitor and modify Critically evaluate effectiveness of team intervention intervention. Record therapy outcomes against goals Show flexibility Tracking of how and why intervention has been adapted to meet client’s needs Discharge client Understand departmental discharge criteria / Modified treatment plans appropriately and onward policy Documentation of discussions with others referral / re-referral Discharge report to include identification of future recommendations / re-referral / onward referrals to others Ref: A Speech and Language Therapy Competency Framework to Guide Transition to Full RCSLT membership for newly qualified Practitioners (2005) is available at: www.rcslt.org/resources/newlyqualifiedpractioner