BSc (Hons) Nursing
YEAR TWO
ASSESSMENT IN CLINICAL PRACTICE:
ONGOING RECORD OF ACHIEVEMENT
Module: Translating Enquiry into Practice
N 2344
Level 8/ 20 credit points
Name of student
Matriculation
number
Location of
placement 1
Ward /Unit
From: 5th November 2012
To: 23rd December 2012
Ward /Unit
From:
To:
Clinical Supervisor
Location of
placement 2
Clinical Supervisor
8th April 2013
31st May 2013
Contents:
Section 1 General information for students and mentors
Pages 2-8
Section 2 Guidance for Student : Assessment in placement
Pages 9-11
Section 3 Guidance for Mentor : Assessment of student
learning and performance
Pages 12-17
Section 4
Ongoing Record of Achievement documentation
Placement 1
Page 19
Med/Surg
Programme aims
Page 20
Translating Enquiry into Practice;
Module aims
Page 21
Record of mentors’ signatures
Page 22
Page 23/24
Confirmation of identity form (to be returned to clinical supervisor)
Student’s Personal Development Plan
Page 24
Record of Induction to placement area
Pages 25
Mid-Way Assessment (Form A)
Pages 26-38
Final Assessment
Page 39
Final Assessment (mentor’s summary) Form C
Page 40
Learning Log
Page 41/42
Record of attendance
(Form B)
Programme Aims for BSc (Hons) Nursing Year 2
In order to successfully complete level 2 studies and be eligible for the Diploma in Higher Education,
students will:

Develop skills of critical enquiry through analysis and application of relevant theories for
practice.

Examine the relationship between the supporting disciplines which inform nursing practice
and theory.

Scrutinise sources of evidence to promote care which is safe and effective.

Discuss and explore a range of health improvement approaches for a range of clients in
diverse healthcare settings.

Further develop skills of self directed learning and practice reflection in learning activities.

Further reflect on the application of communication skills in inter-professional, social and
therapeutic contexts.

Apply and debate legal, ethical and statutory frameworks that regulate nursing and health

Describe the principles of patient assessment and care delivery in different care settings
within the context of collaborative care

Demonstrate competence and knowledge base in wide range of practical nursing skills
applicable to level 8.
19
Work- Based Learning Module: Translating Enquiry into Practice
N 2344
Aim: To facilitate the integration of theory and practice through work based learning
LEARNING OUTCOMES
On successful completion of the module the student will be able to:
Apply principles of enquiry based learning to the discussion of selected clinical
L1
problems and issues encountered in placement
L2
Participate in the holistic assessment, planning, implementation and evaluation of
care offered to individuals in a variety of health care and community settings.
L3
Use knowledge of altered physiology to inform nursing assessment of patients/ clients
and consider the implications for their care and safety.
L4
Engage respectfully, appropriately and effectively with a diverse range of patients
and clients across the lifespan
L5
Apply principles of professional and ethical practice in nursing care delivery
L6
Reflect on the social, cultural, spiritual, legal, political and economic influences on
health and recovery
L7
Provide information and emotional support to individuals with altered health status,
and their families to facilitate choice and independence
L8
Safely perform a repertoire of nursing skills relevant to the area of expertise, to an
appropriate level of competency
(module aims and outcomes are mapped to NMC proficiencies)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
scan
Record of Mentor Signatures
BSc (HONS ) NURSING YEAR 2:
Student Name/Matriculation number :
Placement 1: Medical /Surgical *
(* delete as appropriate)
Location:
Name of mentor: (Please print)
Signature:
Name of mentor(2) (if appropriate)
Signature
Placement 2: Medical /Surgical *
(* delete as appropriate)
Location:
Name of mentor: (Please print)
Signature:
Name of mentor (2) (if appropriate)
Signature
21
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
BSc Hons Nursing
Checking student identity and attendance monitoring
Identity Check
To enable an identity check we have asked all students to show the relevant practice educator their
QMU Matriculation card. This card shows the photograph and name of the student. All practice
educators are asked to sign the declaration below, to indicate that the photograph matches the
student who has arrived on placement.
Please contact us immediately if there is a discrepancy.
Attendance
We require that all students inform both their practice educator and the University should they be
unable to attend their placement on any given day. Where the student has an agreed absence from
placement, we ask that the practice educator informs the University of this arrangement within a 48
hour period.
In the event that a student has an unauthorised/unexpected absence from placement, we ask that
the practice educator informs the University of this absence immediately.
Contact
Gill Glover on 0131 474 0000 / gglover@qmu.ac.uk in the first instance. If she is not available,
please redial and ask to speak to the School Office. If more convenient, please email
HSAdmin@qmu.ac.uk stating the student’s name, the date and the nature of the absence.
Practice educator declaration:
I have seen
's QMU matriculation card and can
confirm that the photograph on the card matches the student on placement. I also understand
the action I should take in the event of any student absence from placement.
Signature:
Date:
Print Name:
Organisation:
PLEASE SIGN THIS FORM AND ASK THE STUDENT TO TAKE IT TO THEIR FIRST
CLINICAL SUPERVISION SESSION.
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Clinical practice 2/placement 1
Personal Development Plan: medical/surgical*delete as appropriate

I hope to be able to participate in the following learning experiences :

I feel I have strengths in the following areas of nursing care (based on previous
assessments)

I would like to develop more confidence in the practice of the following clinical skills

I would like the opportunity to undertake the following skills /procedures under
supervision

I would like to be able to visit ..
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013

I feel I need to develop the following aspects of my performance

I expect this placement to …..
Comments from mentor
Induction to placement area
Date induction received
Layout of the clinical area
Any specific risks to personal safety
involved in the setting
Health and safety precautions
Fire precautions
Procedures for responding to
emergencies
Expected shift patterns
Overview of health /clinical remit of the
placement
Introductions to key professionals
24
Mentor’s Signature
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
ASSESSMENT FORM A : Mid-way Assessment
Clinical practice 2/placement 1
MED/SURG (*delete as appropriate )
Due week of : Monday November 26th 2012
Name of student
Using ASSESSMENT FORM B as a guide, please assess the following and discuss with
student.Areas of strength in student performance
Areas of performance that require further development/improvement
Any aspect of performance that is giving ‘cause for concern’ (please notify the Clinical
Supervisor –details at the front of this document)
STUDENT may respond here
Mentor signature:
Date:
Placement location:
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
ASSESSMENT FORM B (FINAL)
Year 2 Clinical Practice 2/placement 1
(Medical/surgical *delete as appropriate)
Domain 1: Professional/Ethical Practice
(Professional attributes)
A. Manage self, one's practice, and that of others, in accordance with the NMC Code of
Professional Conduct, recognising one's own abilities and limitations.
Related ESCs: 1,2,4,8,9,11,14,15,16,21,23,24,28,29,34,38,39,
Achieved √
Mentor’s signature
Not achieved X
1.Practises in accordance with the NMC Code of
Professional Conduct;
2. Demonstrates professionalism by adhering to
local uniform policy, maintaining a high standard of
self-presentation, being punctual and reliable in
carrying out assigned duties
3. Works within limitations of his/her role ,
recognises own level of competence and seeks
support or assistance from appropriate
practitioners when outside the scope of his/her
own nursing practice
4.Delivers care within sphere of own accountability
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 1: Professional and Ethical Practice (may include demonstration of
achievement through discussion with mentor, collation of documentary material, direct
observation by mentor or patient testimony)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
B. Practise in accordance with an ethical and legal framework that ensures the primacy of
patient/client interest and wellbeing and respects confidentiality.
Related ESCs :1,4,7,8,9,11,12,15,21,26,38,39
Achieved √
Mentor’s signature
Not achieved X
1.Identifies and discusses legislation and health
and social policy relevant to nursing practice
2. Protects confidentiality of verbal and written
information except when sharing information
required for the purposes of safeguarding and
protecting the public
3. Able to articulate and demonstrate respect for
the principles of informed consent and apply them
where appropriate.
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 1: Professional and Ethical Practice (may include demonstration of
achievement through discussion with mentor, collation of documentary material, direct
observation by mentor or patient testimony)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
C .Practise in a fair/anti-discriminatory way, acknowledging the difference in beliefs and
cultural practices of individuals or groups.
Related ESCs :1,2,3,4,7,8,9,11,12,21,26,27,38,39,40
Achieved √
Mentor’s signature
Not achieved X
1.Identifies and acknowledges the rights , values,
customs and beliefs of individuals or groups in the
placement area
2.Acts to ensure that the rights of individuals and
groups are not compromised;
3.Provides care that demonstrates sensitivity to
patients'/clients' rights to equality and diversity.
Evidence provided by student in support of successful achievement of proficiencies
relating to Domain 1: Professional and Ethical Practice (may include demonstration
of achievement through discussion with mentor, collation of documentary
material, direct observation by mentor or patient testimony).
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Domain 2: Care Delivery
D. Engage in, develop and disengage from therapeutic relationships through the use of
appropriate communication and interpersonal skills.
Related ESCs:1,2,3,5,6,11,14,18,19
Achieved √
Mentor’s signature
Not achieved X
1.Is attentive , and acts with kindness and
sensitivity when interacting with patients /clients
2.Communicates effectively both orally and in
writing so that the meaning is always clear.
3.Uses active listening and empathetic responses
when engaging with patients/clients,
4.Recognises and works within the professional
boundaries of the nurse/patient/family
relationship
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 2 Care Delivery (may include demonstration of achievement through discussion
with mentor, collation of documentary material, direct observation by mentor or patient
testimony)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
E. Create/utilise opportunities to promote the health and wellbeing of patients/ clients and
groups.
Related ESCs:1,2,3,4,5,6,8,9,10,20,21,25,27,28,29,40,
Achieved √
Mentor’s signature
Not achieved X
1. Collaborates with patients/clients and carers in
order to assess their health and well being .
2. Provides relevant and current health
information to patients/clients in a way which
meets their individual learning needs and
promotes choice
3. Provides support/education and health
promotion in order to help people achieve
independence in activities of living
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 2 Care Delivery (may include demonstration of achievement through discussion
with mentor, collation of documentary material, direct observation by mentor or patient
testimony)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
F. Undertake and document a comprehensive, systematic and accurate nursing assessment of
the physical, psychological, social and spiritual needs of patients / clients / communities.
Related ESCs:1,9,10,18,21,28,29,36
Achieved √
Mentor’s signature
Not achieved X
1. Systematically collects data regarding the health
and functional status of individuals/clients through
appropriate interaction, observation and
measurement.
2 .Analyses and interprets data accurately to
inform nursing care and take appropriate action
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 2 Care Delivery (may include demonstration of achievement through discussion
with mentor, collation of documentary material, direct observation by mentor or patient
testimony)
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
G. Formulate and document a plan of care where possible in partnership with
patients/clients/carers/significant others within a framework of informed consent
Related ESCs: 2,7,9,10,16,17,23,28,32,38,39,40
Achieved √
Mentor’s signature
Not achieved X
1. Prioritises the needs of individuals and groups
of patients/clients in order to provide care
effectively and efficiently
2. Works collaboratively with patients/clients to set
goals and develop a written care plan which
safely and accurately reflects individual needs and
identifies and reviews expected outcomes in
response to changes
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 2 Care Delivery (may include demonstration of achievement through discussion
with mentor, collation of documentary material, direct observation by mentor or patient
testimony)
32
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
H. Based on best evidence ,apply knowledge and an appropriate repertoire of skills indicative of
safe nursing practice
Related ESCs: 9,10,16,17,18,41
Achieved √
Mentor’s signature
Not achieved X
1.Uses current research findings and other
evidence to support safe practice
2.Contributes safely towards aspects of care
delivery such as nursing procedures, medical
procedures and a range of skills and
interventions.
3. Where appropriate for level of competence, is
able to organize and manage person-centered care
independently.
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 2 Care Delivery (may include demonstration of achievement through discussion
with mentor, collation of documentary material, direct observation by mentor or patient
testimony)
33
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
I and J addressed in year 4
K. Demonstrate sound clinical judgment across a range of differing professional and care
delivery contexts.
Related ESCs 1,5,9,10,14
Achieved √
Mentor’s signature
Not achieved X
1..Applies knowledge of age and condition related
anatomy and physiology and development to the
planning and delivery of care.
2. Detects, records and reports if necessary,
deterioration or improvement and takes
appropriate action according to level of
competence
Evidence provided by student in support of successful achievement of proficiencies relating to
Domain 2 Care Delivery (may include demonstration of achievement through discussion with
mentor, collation of documentary material, direct observation by mentor or patient testimony)
34
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Domain 3: Care Management
L. Contribute to public protection by creating and maintaining a safe environment of care
through the use of quality assurance and risk management strategies.
Related ESCs: 9,10,11,15,16,17,18,19,21,23,26,34,36,38
Achieved √
Mentor’s signature
Not achieved X
1. Able to safely participate in the
administration of medicines , and has
knowledge of drug actions, associated risks
and benefits of drug therapies
2.Under supervision ,works within legal
frameworks and is able to assess risk within
the current sphere of knowledge and
competence,
3.Reports and documents patient or client
safety incidents to senior colleagues
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 3 Care Management (may include demonstration of achievement through
discussion with mentor, collation of documentary material, direct observation by mentor or
patient testimony)
35
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
M. Demonstrate knowledge of effective inter-professional working practices that respect and
utilise the contributions of members of the health and social care team.
Related ESCs: 12,13,14,15
Achieved √
Mentor’s signature
Not achieved X
1.Works within the context of a multi-professional
team and works collaboratively with other
agencies when needed, to enhance the care of
people and families.
Evidence provided by student in support of successful achievement of proficiencies
relating to Domain 3 Care Management (may include demonstration of
achievement through discussion with mentor, collation of documentary material,
direct observation by mentor or patient testimony
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
N: Addressed in year 3
O. Demonstrate key skills
Related ESCs: 6,7,13,18,20,38,40
Achieved √
Mentor’s signature
Not achieved X
1.Literacy - interprets and presents information
that is comprehensible;
2.Numeracy - accurately interprets numerical data
and their significance for safe delivery of care;
3) Information technology and management interprets and utilises data/technology, taking
account of legal, ethical and safety considerations,
in the delivery and enhancement of care;
May be omitted if placement
/unit /ward does not expect
student to use IT facilities
Evidence provided by student in support of successful achievement of proficiencies relating
to Domain 3 Care Management (may include demonstration of achievement through
discussion with mentor, collation of documentary material, direct observation by mentor
or patient testimony)
37
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Domain 4: Personal/Professional Development
P. Demonstrate a commitment to the need for continuing professional development and
personal supervision activities in order to enhance knowledge, skills, values and attitudes
needed for safe and effective nursing practice.
Achieved √
Mentor’s signature
Not achieved X
1.Shares experiences with colleagues and
patients/clients to identify additional knowledge /
skills needed to manage unfamiliar or
professionally challenging situations; e.g sudden
death
2..Takes action to meet any identified knowledge
and skills deficit likely to affect the delivery of care
within current sphere of practice.
Evidence provided by student in support of successful achievement of proficiencies
relating to Domain 4 : Personal /Professional Development (may include
demonstration of achievement through discussion with mentor, collation of
documentary material, direct observation by mentor or patient testimony)
38
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
SCAN
ASSESSMENT FORM C
Mentor’s Review of Student Performance: (Final)
Clinical Practice 2 /placement 1 (med/surg *delete as appropriate)
On the basis of the preceding assessment, the student has /has not achieved the
assessed NMC standards and proficiencies for this placement their performance is
SATISFACTORY
(please circle as appropriate)
UNSATISFACTORY
Mentor’s Statement:
Mentor name:
Date
Mentor’s signature:
Student’s comments:
Student signature
Date
Signed (Clinical Supervisor)
Date
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Learning Log: Year 2 placement 1
med/surg*delete as appropriate
On clinical placement you are expected to demonstrate initiative and considerable
organisational skills in order to provide evidence for achievement of your outcomes.
You might wish to maintain this log as a reminder of visits to areas that you have
arranged as part of your placement.
Date
Visit to
Outcome/s to be achieved
Comments: e.g length of visit, contact person
Date
Visit to
Outcome/s to be achieved
Comments: e.g length of visit, contact person
Date
Visit to
Outcome/s to be achieved
Comments: e.g length of visit, contact person
Date
Visit to
Outcome/s to be achieved
Comments: e.g length of visit, contact person
Date
Visit to
Outcome/s to be achieved
Comments: e.g length of visit, contact person
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Professional Practice Portfolio
Placement No: 1:
BSc Hons in Nursing
2012 /13
2011
ATTENDANCE RECORD:
FROM
Placement Location:
Wk
Mon
CSs
Hrs
5 / 11 / 12
COHORT
-
23 /12 / 12
Ward:
Tues
CS
Hrs
Wed
CS
Hrs
CS
Hrs
Thurs
1
2
3
4
5
6
7
41
NU 2
Name:
Fri
CS
Hrs
Sat
CSs
Hrs
Sun
CS
Hrs
Hrs/Wk
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Student
Signature
Example
1
7am – 8.30 pm
15/11/10
Mentor
Signature
2
11.5
7am – 8.30
pm
Total for
placement
7am – 8.30
pm
11.5
11.5
36.5
If absent through sickness please put an 'S' in the box against the appropriate date
For other absences please put an 'A'
Hours counted do not include meal breaks, ie a 12 ½ hour shift =11 ½ hours worked .Clinical Supervision (CS): only counted towards Hrs/Wk if undertaken outwith the
placement time You are required to complete a minimum of 555 hours in the course of an annual 15 weeks of placement

Please delete as appropriate
please complete in black ink only
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Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Student to complete this record at the end of each placement and collate with e-practice placement portfolio: Add any new
skills/procedures undertaken in placement:
Record of skills and procedures achieved during clinical placement in year 2
Essential
skills cluster
Care,
Compassion &
Communication
Infection
Prevention &
Control
Achieved in year 1
Taught in QMU
(skills in bold typeface not taught
until semester 2)
Communication: non
verbal behaviour
,listening &
responding
,questioning
,exploratory skills:
inter-professional,
giving information,
older people, sensory
deficits, dementia
:Last Offices
Hand washing &
Infection control
(Standard
Precautions) Aseptic
technique/wound care
Pre-operative information giving
Trans cultural assessment,
understanding loss and , grief
and bereavement, end of life
care
Prevention of Health care
acquired infection
Wound dressing
43
PERFORMED
UNDER
SUPERVISION
√ X
ACHIEVED
COMPETENCY
(Mentor SIG)
√x
PERFORMED
WITHOUT
SUPERVISION√ x
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
Organisational
Aspects of Care
Blood Pressure
measurement, TPR ,
Personal Hygiene:
washing, bed bathing,
hair care, assistance
with dressing, bed
making (unoccupied
and occupied bed)
Basic Life Support,
First Aid
Urine testing
,Specimen collection,
Oral hygiene, Care of
dentures, Assisting
patients with eating &
drinking:
Elimination: Fluid
Balance charts,
assisting patients
using urinal, bedpan &
commode, catheter
care, emptying
catheter bags,
catheter specimens of
urine, caring for
patients with
constipation,
diarrhoea &
incontinence
Drug calculations and
administration
Care planning and assessment :
CP resuscitation , use of laerdal
masks: Pre and Post operative
care, informed consent
Tissue viability, wound care,
pressure area care, risk
assessment /incident reporting
Documentation and record
keeping , preparing patients
for transfer and investigations
Suppositories/enema
administration , Female
catheterisation , passing NG
tubes ,P.E.G feeding , Blood
transfusion, Blood glucose
monitoring
Drug calculation (numeracy
skills) and administration :
Intramuscular and sub-cutaneous
injection administration
Management of IV infusions
44
Year 2 ORA/ TEP/CP2/PLACEMENT 1 2012/2013
45