FACULTY OF HEALTH, SOCIAL CARE
AND EDUCATION
Supplementary Practice Portfolio
District Nursing
January 2015
Course leader: Kellie Norris
Contact details:
Kellie.Norris@anglia.ac.uk course leader
Jane.Young’anglia.ac.uk
Student Name
Student Number
Start Date:
Submission Date:
Site:
Outcome:
Chelmsford/Cambridge
Pass / Fail
date
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Purpose of this Practice Document
Community Nurse Prescribing and Non Medical Prescribing and District Nursing Practice
The practice placement portfolio is designed as a working document to aid and record your reflections
in and on practice. The portfolio should be used in the in the community setting with your district
nurse mentors in addition to the practice portfolio used with your medical mentor for your non medical
prescribing module.
Non- Medical Prescribing V300
In order to meet NMC guidelines for the District Nurse course, you are required to undertake a total of
22 practice days per trimester, the non- medical prescribing module runs over two trimesters. The
practical component of the non medical prescribing course that you are required to fulfil by the NMC
is a total of 78 hours over the two trimesters. This equates to approximately 12 days which is
included in your 22 days per trimester. This means over the next two trimesters from January
2015 until August 2015 you need to complete 44 days in practice, 78 hours of this, must enable you
to meet the NMC requirements for your non- medical prescribing course, the remaining 32 days will
be spent under the direct or indirect supervision of your district nurse mentor.
Community Nurse Prescribing V100
In order to meet NMC guidelines for the District Nurse course you are required to undertake a total of
22 days practice per trimester. The Community Nurse Prescribing module runs over 1 trimester, the
practice component of the Community Nurse Prescribing course that you are required to fulfil by the
NMC is 25 Hours which equates to approximately 4 days which is included in your 22 days practice
per trimester. The remaining 18 days will be spent under the direct or indirect supervision of your
district nurse mentor.
You will use this additional practice portfolio to demonstrate your growing competence in your
Specialist Pathway. Practice will be evidenced in the portfolio by working with your mentor, and
identifying relevant practice issues and suggesting or implementing changes within your supervision
records.
You are also expected to identify your days in practice in the portfolio.
Please use this time as an opportunity to broaden your horizons, spend time with other practitioners
and organisations who deliver health and social care
Mentors/Practice Teachers will assign a pass/ fail mark to the portfolio at the end of the
practice experience.
You will be facilitated during the module by a member of the community nursing Team who will act as
the link tutor between Anglia Ruskin University and practice.
Tutorials will be available during the period in practice, which will facilitate this linking between
theoretical concepts and practice.
In relation to the practice period of the module you have been provided with this practice document
which you will need to utilise with your mentor throughout the module to monitor your progress in
practice on a fortnightly basis and to explore your growing competency.
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At the formative Practice Assessment and at the Summative Practice Assessment the
mentor/practice teacher, will review your progress.
At any point during the prescribing course, if the practice teacher/ mentor has concerns in relation to
your progress a Cause for Concern meeting can be initiated between you, the mentor and a member
of the community nursing team. If you have any concerns that cannot be dealt with between yourself
and your mentor you can ask for a Cause for Concern meeting to be initiated.
During the ongoing assessment and supervision, the mentor will discuss with you the issues that they
have identified, thus intellectual synthesis will take place using learning experiences in conjunction
with the learning outcomes of the module.
A member of the community nursing team will also arrange a Link Visit in the practice area once a
trimester to address any issues that you or your mentor have.
Support in the Practice Placement
Support for students will be provided by the community nursing team and professionals working
within the health care organisations and other organisations.
Experience and support in practice will be located within the widest possible framework and include
multidisciplinary teaching, supervision and mentorship. Contact will be made with innovators in
practice across all involved organisations and incorporate national and international perspectives.
Practice teachers/ mentors are closely involved in facilitating your practice experience, to help you
meet the learning outcomes and competencies of the module. You will therefore need to give your
Practice Teachers/ mentors access to VLE in order that they can use it when helping you to achieve
the learning outcomes and competencies of the module. You can give your Practice Teacher/mentor
access to the VLE for example during your fortnightly supervision sessions.
Practice Teacher’s/ Mentor’s Role
Student's Responsibilities
You are expected to attend the practice placement each day for the normal working day period
agreed by your mentor/ practice teacher. In the event of absence, the course Leader (Kellie Norris)
should be informed.
Similarly you must inform your Mentor/Practice Teacher when you are unable to attend practice.
It is your responsibility to:
1.
Negotiate and arrange your learning experiences with your Mentor/ Practice Teacher.
2.
Arrange individual discussions/tutorials with your Mentor/ Practice Teacher in order to
diagnose your learning needs and design action plans to develop competencies and meet
targets.
3.
At least once a fortnight throughout this experience a meeting must be arranged between
yourself and your mentor/ Practice Teacher so that your progress can be assessed.
N.B.
It is a requirement of the course that your mentor/Practice Teacher sees your portfolio
on a fortnightly basis. If this is not submitted to the Mentor/Practice Teacher they will
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be required to inform the course leader and an action plan will be developed to ensure
that this occurs.
If after this meeting your portfolio continues not to be ready for the supervisory
meetings a cause for concern meeting will be held, between yourself, your
Mentor/Practice Teacher and Course Leader.
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LEARNING AGREEMENT
In order to make explicit the requirements of the student and the Mentor/ Practice Teacher in practice
learning and assessment, it is essential to develop a learning agreement or learning contract. This is
a tool to clarify and acknowledge issues likely to affect the learning experience and to provide a
framework for dealing with changes and developments. Although there are areas that are usually a
part of such a tool there should be room to work jointly with students to bring in their ideas and
concerns. As adult learners students have specific skills and needs which must be incorporated into
the planned learning experience. As experienced professionals working with clients, the
Mentor/Practice Teachers have a variety of responsibilities to clients and to the employing
organisation as well as the students. The learning contract should build upon placement preparation
and should address:
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Basic contact details and agreement about attendance, time worked each day,
absence and cover;
Arrangements for supervision and progress review;
Recognition of the power differentials between mentors/practice teachers and
students;
Commitment to anti-discriminatory and anti-oppressive practice;
Recognition of the student learning style, previous experience and any difficulties or
requirements expressed;
Assessment of student’s learning needs based on previous experience and skills;
Managing the transition from practising under supervision to independent practice.
Recognition that if problems occur specific actions must be taken in partnership with
the University;
Client contact and confidentiality issues.
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Assessment of Practice
Mentors/Practice Teachers are responsible for assessing your competency to practice as a Specialist
Community Practitioner District Nurse and will therefore assess practice experience and award a
pass/fail at the end of the experience. The Final Assessment involves yourself and your
Mentor/Practice Teacher only. The course leader is not normally involved in this process unless there
is some concern about your practice.
For the V300 Non Medical Prescribing this portfolio should be handed into the I centre by
Monday 20th July before 14.00hrs.
For the V100 Community Nurse Prescribing Course this portfolio should be handed into the I
centre by Thursday 2nd April before 14.00hrs.
OUTLINE OF TEACHING LEARNING AND ASSESSMENT TOOL
Instructions for Use
At least once a fortnight throughout the time you are undertaking the NMP or Community Prescribing
Course a meeting should be arranged between yourself and your Mentor/Practice Teacher so that
your progress can be assessed. A record of these fortnightly supervision meeting will be kept in this
portfolio along with 3 User Testimonials.
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You will refer to your Mentor/ Practice Teacher as it is recognised that the patients/client groups
are still the responsibility of the Mentor/Practice Teacher during this period.
You will report to your Mentor/ Practice Teacher on a fortnightly basis for progress review and
action planning. All supervision records must be up to date for these meetings.
Assessment of relevant skills by your Mentor/Practice Teacher will take place on a fortnightly
basis and relevant documentation completed.
Final Assessment in Practice with your Mentor/ Practice Teacher will take place in the week that
the portfolio is due to be completed.
In order to ensure that clients have the opportunity to reflect on the work undertaken by you and
provide feedback, clients will be encouraged to complete a testimonial on your work with them.
Clients should be given the testimonials by the Mentor/Practice Teacher either in the Home or
Clinic setting for completion. They can also contact clients by phone to receive feedback and
complete the documentation. These will form part of your practice portfolio and part of the
assessment in practice process. You will need to have at least three testimonials by the end of
the module.
The submitted portfolio must include:
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A learning agreement
Practice Experience Log of Days Worked
Mentor/Practice Teacher and Student fortnightly Supervision records
Final assessment documentation
User Testimonials (at least 3)
GUIDELINES FOR ASSESSMENT PROCESS
Diagnostic Assessment/Learning Agreement and Action Plan
Process
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Within the first week of practice your Mentor/ Practice Teacher and yourself will meet together to
identify learning needs and develop an appropriate Action Plan.
Your learning and progress during the practice experience will be reviewed on a fortnightly` basis with
the Mentor/Practice Teacher during a clinical supervisory session.
You and your Mentor/Practice Teacher will complete the appropriate documentation.
In the event of your Mentor/ Practice Teacher or you being concerned as to the progress made, it is
the Mentor/Practice Teachers responsibility to immediately contact the specialist lecturer within the
University to arrange a date whereby the Mentor/Practice Teacher/Student and Specialist
Lecturer/course Leader can meet to address the difficulties and determine an action plan (see –
Cause for Concern Meeting documentation).
Supervision records completed since you last submitted a portfolio, along with a log of days worked in
that period, in consolidated practice and user testimonials should be attached to the portfolio.
The portfolio should be read and comment sheets completed by yourself and your Mentor/ Practice
Teacher prior to the meeting to sign off your District Nursing practice days.
Assessment Boards and Results
Ratified results will be available via E-Vision – address http://e-vision.anglia.ac.uk after the Awards
Board.
If you have to retake your consolidated practice period the course leader will discuss the management
of this process.
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Practice Assessment Tool
Contents Page
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Induction and learning needs
Learning agreement
Practice Learning Log of Days Worked
Professional attributes
Supervision Record
User Testimonial
Cause for concern
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Specialist Community District Nurse
INDUCTION & LEARNING NEEDS
STUDENT SELF ASSESSMENT:-
Signed:-
.................................................................................
Date:-
.........................................
Date:-
.........................................
Practice Teacher:-
Signed:-
.................................................................................
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The Learning Contract
(To be completed by student and Mentor)
Student Name: ……………………………………………………………… Mentor Name: ……………………………………………………………….............
Date
Learning Outcomes
Learning Resources/Actions
Needs and interests, areas of
Essential knowledge and
skill.
Methods and situations for how and when
learning can occur.
Evidence of achievement
Date
Mentor
signature
Student
signature
Achieved/Not
achieved
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Table 3. Log of Days in practice
These sheets should be submitted as part of a practice portfolio.
Date
Brief outline of activities observed or undertaken
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Date
Brief outline of activities observed or undertaken
(Please generate more rows if necessary)
Total Days completed
…………..
Date Completed…………………
This is an accurate record of the number of days I have worked in practice.
Student signature………………………………………………………
Mentor/Practice Teacher Signature………………………………………………..
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THE INTERPERSONAL AND PROFESSIONAL SKILLS PROFILE
The interpersonal /professional skills profile has been divided into 6 sections, each indicating statements around the values
underpinning the NHS Constitution and the 6C’s. These values are assessed on a continuous basis, in different contexts
and applied to interactions across practice and educational settings. Practice teachers/Mentors should consider each
statement with regard to the Dreyfus and Dreyfus (1986) model, discuss with the student and sign to confirm the relevant
stage has been achieved at the summative assessment. The stages include novice (N), advanced beginner (AB),
competent(C), proficient (P)
Mentor/Practice Teacher
1. CARE
Please indicate stage achieved
Supervision
Formative
Summative
Comments
Mentor/Practice Teacher
Comments
Please consider all statements below
Respects opinions, beliefs and values of others.
Works in partnership to identify and address clients and
communities health concerns
Response to and evaluation of client /communities needs
Identifies how the social and cultural factors influence the
health of individuals and communities.
Uses evidence based practice and adheres to policies
and procedures.
Acts on advice to improve client care
2. COMPASSION
Please consider all statements below
Please indicate stage
Supervision
Formative
Summative
Promotes and treats clients/ colleagues with respect and
dignity.
Demonstrates compassion towards clients/ colleagues
and self.
Motivation to help and care for others
Openness to suffering and ability to tolerate feelings of
distress
Responds to need in an empathic, empowering, sensitive
appropriate and timely manner
Recognise the uniqueness of the family/ community and
utilises a non judgemental approach
3. COMPETENCE
Please consider all statements below
Mentor/Practice Teacher
Comments
Please indicate stage
Supervision
Formative
Summative
Safety of Practice
Management of difficulties encountered
Ability to reflect on practice and adapt accordingly
Respects and operates within defined time schedules
Ability to make informed decisions
Maintains own and others health and safety
Remains calm and professional in challenging
situations.
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Practice teachers/Mentors should consider each statement with regard to the Dreyfus and Dreyfus (1986) model,
discuss with the student and sign to confirm the relevant stage has been achieved.
Mentor/Practice Teacher
4. COMMUNICATION
Comments
Please indicate stage achieved
Supervision
Formative
Summative
Please consider all statements below
Communicates effectively with clients and colleagues
Inter-professional team working to support
effective client care.
Self-awareness of the effect of their behaviour on others.
Has an approachable manner.
Reaction to constructive criticism
Communicates key aspects of client care to
relevant personnel.
Maintains accurate and contemporaneous records
Mentor/Practice Teacher
5. COURAGE
Comments
Please indicate stage achieved
Supervision
Formative
Summative
Please consider all statements below
Demonstrates interest regarding standards of client care.
Response to concerns of clients and colleagues
Accepts responsibility appropriately
Shares appropriate experience and knowledge to
enhance client care.
Acts as an advocate for clients, communities and
colleagues.
Escalates concerns appropriately when the need
arises.
Mentor/Practice Teacher
6. COMMITMENT
Comments
Please indicate stage achieved
Supervision
Formative
Summative
Please consider all statements below
Demonstrates a professional attitude
Professional behaviour with others
Level of motivation
.
Actively seeks opportunities to develop own
learning.
Performance within the team
Demonstrates adaptability
.
Consistently acts within the code of professional conduct,
law and ethics.
Student Name…………………………
Student Signature………………………………………
Mentor’s/practice teachers Name…………………………………. Date…………..
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Specialist Community District Nursing Supervision Record
The attainment of the skills listed in the The NMC standards for Specialist Community Practice community
nursing in the home/district nursing. The Personal and Professional Attributes must be taken into consideration
by the Mentor/ Practice Teachers during the weekly supervision session and included when writing up the
student’s weekly supervision records . The fortnightly supervision records will aide the student and practice
teacher to assess and plan the learning experience for the student.
Session 1
Date:
Comments:
Students Signature:
Session 2
Mentor/Practice Teachers Signature:
Date:
Comments:
Students Signature:
Mentor/Practice Teachers Signature:
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Session 3
Date:
Comments:
Students Signature:
Session 4
Students Signature:
Session 5
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Session 4
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
Date:
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Students Signature:
Session 4
Students Signature:
Mentor/Practice Teachers Signature:
Date:
Mentor/Practice Teachers Signature:
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Specialist Community Specialist Practice District Nursing
Formative Assessment
NB The Formative Assessment may be word processed but must be signed and dated. Student and practice
teacher should keep copies
WEEK(S):-
DATE(S) From:To:-
Student Self Assessment:-
Signed:-
Date:-
Mentor/Practice Teacher
Signed: …………………………………………………..
Date: …………………………….
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Action Plan:-
Achieved Week Number:-
Signatures:Student:-
...............................................................................
Date:-
........................................
Mentor/Practice Teacher:- ......................................................
Date:-
........................................
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Final Assessment in Practice
NB The complete portfolio must be available for the Final Assessment in Practice
WEEK(S):-
.......................................
DATE(S) From:To:-
.................................
.................................
Student Self Assessment:-
Signed:-
.................................................................................
Date:-
.........................................
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Mentor/ Practice Teacher Comments:-
Name ………………………………………………… is of a pass standard and is now deemed to have
completed the extra required days in practice required to meet the practice component of the specialist
practitioner course District nursing.
Name ……………………………………………….. does not meet the required standard to pass the
Practice Element.
(Please ensure that the appropriate section above is completed
and the other section is scored through).
Signed Mentor/Practice Teacher
Date:-
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User Testimonial
Questions
Can you tell me how you felt about having a student work with you?
Please could you now answer the questions below indicating your views using the scale provided?
Please tick the relevant box.
1. The student listened to what I had to say.
Strongly Agree
Agree
Neither Agree
Disagree
or Disagree
2. The student was able to address my concerns
Strongly Agree
Agree
3.
Neither Agree
or Disagree
Strongly
Disagree
Disagree
Strongly
Disagree
Disagree
Strongly
Disagree
Disagree
Strongly
Disagree
The student was able to answer my questions
Strongly Agree
Agree
Neither Agree
or Disagree
4. I felt confident in the advice that they offered
Strongly Agree
5.
Neither Agree
or Disagree
The student got back to me with any queries I had
Strongly Agree
6.
Agree
Agree
Neither Agree
or Disagree
Disagree
Strongly
Disagree
Disagree
Strongly
Disagree
The student kept to appointment times
Strongly Agree
Agree
Neither Agree
or Disagree
7. I was happy with the way that the assessment of my baby/child was carried out (HVs only)
Strongly Agree
Agree
Neither Agree
or Disagree
Disagree
Strongly
Disagree
8. Did the student conduct himself/herself in a professional manner?
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(Please describe)
9. Would you like to make any other comments?
Thank you for completing this testimonial.
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ANGLIA RUSKIN UNIVERSITY
Faculty of Health & Social Care and Education
SPECIALIST COMMUNITY DISTRICT NURSING
(For use only when there is failure to progress or an issue that is
not resolving through the educational supervision process)
Cause for Concern Meeting
(Attendees include:- Student/Assessor/ Teacher/Lecturer, if necessary Student’s Manager)
DISCUSSION NOTES:(include identification of concern)
SUMMARY OF POINTS:-
Date:-
....................................
STRATEGIES FOR RESOLUTION:(include a reasonable timescale relative to the concern and the student's point in practice)
Date:-
....................................
SIGNATURES:Student:-
......................................................................
Date:-
...................................
Practice Teacher: ...........................................................
Date:-
...................................
Module Leader/Lecturer:- .............................................
Date:-
...................................
Other:
Date:-
...................................
......................................................................
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FURTHER DISCUSSION ARRANGED:Date:-
..........................................................................
Time:-
........................................
Date:-
..........................................................................
Time:-
........................................
Date:-
..........................................................................
Time:-
........................................
Date:-
..........................................................................
Time:-
........................................
OUTCOMES:-
Date:-
.........................................
SIGNATURES:Student:-
...............................................................................
Date:-
........................................
Practice Teacher: - ....................................................................
Date:-
........................................
Module Leader/Lecturer: - ......................................................
Date:-
........................................
Other:
Date:-
........................................
...............................................................................
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