Extended Scope Placements

Shirley Masterson and Jude Mitchell2014

Image: Graham Turner for the Guardian

What do you know about extended

scope / role emerging

placements?

PASS 

With support of practice supervisor, is able to identify the scope of service and needs of service users. Has grounded awareness of practice service context.

Can identify potential occupational therapy role considering needs of service users and service providers, with support from practice supervisor

Plans and implements a realistic occupation based intervention for service and users or parts thereof with support from practice supervisor

Able to justify and reason through the innovation with reference to occupational therapy philosophy and theory with support from practice supervisor.

Can evaluate the new intervention. Is able to identify changes and improvements for future implementation. Feedback from service users and providers is sought.

  1. Assessment of scope of service

2. Identification of occupational therapy role

3. Intervention planning and implementation

4. Professional reasoning

5. Evaluation and planning

1. Development of occupational therapy role and intervention

2. Professional communication 1. Communication with Clients/Carers

2. Communication with Occupational Therapy Team and other agencies

3. Assertiveness  

4. Anti-Oppressive Practice 

5. Documentation

 PASS  

Is clear and sensitive in communicating with clients and carers understanding the importance of informed consent and confidentiality. Demonstrates care and compassion to others.

Helpful, positive interactions with team and other agencies.

Has an open and clear approach to self and others. Able to discuss issues in open, mature and professional manner.

Able to demonstrate ability to value difference in others and incorporate this into their practice. With assistance understands the impact of dysfunction and deprivation on service users, aware of socio-cultural diversity.

Beginning to take responsibility for documentation. Some assistance may be required to complete full range.

  1. Communication with Clients/Carers

2. Communication with Occupational Therapy Team and other agencies

3. Assertiveness  

4. Anti-Oppressive Practice 

5. Documentation

2. Professional communication

 PASS  

Is clear and sensitive in communicating with clients and carers understanding the importance of informed consent and confidentiality. Demonstrates care and compassion to others.

Helpful, positive interactions with team and other agencies.

Has an open and clear approach to self and others. Able to discuss issues in open, mature and professional manner.

Able to demonstrate ability to value difference in others and incorporate this into their practice. With assistance understands the impact of dysfunction and deprivation on service users, aware of socio-cultural diversity.

Beginning to take responsibility for documentation. Some assistance may be required to complete full range.

  1. Professional Suitability 2. SelfAppraisal

3. SelfDevelopment

4. Initiative andMotivation

5. ReflectivePractitioner

6. Safety

PERSONAL AND PROFESSIONAL DEVELOPMENT

 PASS

Reliable, honest and trustworthy. Clear professional attitude and gaining in self-confidence. Accepts responsibility appropriate to level. Adheres to professional code of conduct.

Developing level of self-appraisal with reasonable insight into own abilities and limitations 

Able to identify and plan realistic and appropriate personal goals.Beginning to maintain CPD.

Positive approach and use of initiative. Self-motivated. Beginning to use own professional judgement.

Uses reflection to evaluate practice. Making sound judgements based on reflective analysis.

Aware of safety and risks within immediate working environment. Practices within the legal and ethical boundaries of the profession with advice.

  1. Self Management 2. Workload Management 3. Policies and Procedures 4. Information Handling  

5. Interprofessional working

WORKING PRACTICES

PASS 

Usually exhibits good time management and organisational skills. Makes good use of spare time and mostly meets deadlines.

Understands need for WLM. Demonstrates ability to apply theory to practice. Mostly works efficiently and effectively. Takes decisions appropriately. Understands need for prioritising

Aware of importance of policy, procedures and legislation and is usually able to apply them to practice with assistance. Works safely and corrects errors. Understands need for health and safety measures.

Gathers and processes information appropriately. Respects confidentiality. Aware of need to keep others informed and usually does so. Aware of principles of audit and quality.

Demonstrates awareness of need to work interprofessionally where appropriate. With assistance is client centred, facilitating autonomy and empowerment of individuals and communities.

Overview?• Enables students to experience working outside the established role of

an occupational therapist.

• Students will go out in pairs (or groups of three), working three days a week in the placement setting.

• They will return to University two days per week for the duration of the placement.

• Students will be required to develop an occupationally focussed intervention within the extended scope setting,

• They will receive a wide range of support

• Students will be supported by an onsite supervisor who will oversee induction, day to day performance and contribute to the assessment of the student's

• The placement runs in the second semester of year 2

What are the benefits?FAQ #1

StudentsOrganisations

Profession Service Users

You

Do I get paid?

• East Midlands - will pay long arm supervisor and organisation, will be worked out pro rata

• Yorkshire and Humber - will pay educator and NHS organisation not non-NHS organisation.

FAQ #2

How far do supervisors influence the interventions?

• Students are assessed on their ability to scope the needs of the service users so are expected to come up with ideas themselves.

• Supervisors can offer suggestions and guidance but will need to understand that the student will make a decision based upon their own ideas and understanding of the service user’s needs

• Supervisors could offer a broad outline or suggestions e.g. link with community, provide activity etc.

FAQ #3

What are the supervision arrangements?

FAQ #4

Weeks On-site supervisor Long-arm supervisor Group supervision Thursdays

Week 1  Meet with students Supervision on site  

Week 2  Ongoing    Group supervision at SHU

Week 3  Ongoing  Supervision (telephone, Skype, Facetime, on-site, off site)

Week 4  Ongoing   Group supervision at SHU

Week 5  Half way supervision Half way assessment with on-site supervisor

Week 6  Ongoing   Group supervision at SHU

Week 7 Ongoing 

 Supervision (observe interventions)

Week 8  Ongoing   Group supervision at SHU

Week 9   Ongoing  Supervision (telephone, Skype, Facetime, on-site, off site)

Week 10 Ongoing Group supervision at SHU

Week 11   Ongoing  Supervision (telephone, Skype, Facetime, on-site, off site)

 

Week 12 Presentations on site Final report

Presentations on site

Final report

Group supervision at SHU

How are you going to take this forward?