nursing practice skills inventory1).pdf · the skills inventory contains a range of skills that...
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BSc (Hons) Nursing
Nursing Practice
Skills Inventory
Student Name: ……………………………………….
Field of Practice: ………………………………………
September 2014
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Contents
Introduction and Guidance
3
Essential skills
Infection prevention and control 7
Care Compassion and Communication 13
Nutrition and fluid management 19
Medicines management 25
Organisational aspects of care 37
Field Related skills
Adult 65
Child 67
Learning Disability 69
Mental Health 71
Generic 73
Other additional skills 75
Skills action plans
77
Personal notes section
83
Sample signature record
89
Compulsory Updates/Core Skills
93
Night Duty/24 Hour Care Record
95
References
97
3
Introduction
This inventory forms an important part of your Professional Development
Portfolio and is linked to the practice assessment modules in each year of
the programme
The PAR (Practice Assessment Record) document encompasses the NMC
Essential Skills Clusters and this Skills Inventory should be seen as
supplementary to the achievement of competencies within the PAR.
This document along with the PAR will be reviewed with your Personal
Tutor (PT) at regular intervals. The purpose of these meetings is to ensure
that you are making satisfactory progress and that all appropriate
opportunities for skills acquisition are being utilised
Signature Records
Any suitably prepared and competent practitioner can sign the skills
inventory, providing they feel assured they you have sufficient knowledge
and evidence of your ability.
Remember to ask each signatory to complete the register of
signatures at the back of the inventory
Guidance
The Skills Inventory contains a range of skills that relate to the NMC
Essential Skills Clusters which should apply to all care situations, but which
may also be applied in a field specific context.
There is also space to record acquisition of further skills (not included in
the inventory) to enhance your own personal portfolio of experiences. (See
blank record sheet toward the rear of the inventory)
All skills must be practised in accordance with the policies and guidelines
in place on that particular placement area and performed under the
supervision of a suitably prepared Practitioner (NMC 2010)
When developing nursing skills in practice you will be expected:
to directly observe a practitioner carrying out the skill and discuss
its underlying evidence base with your mentor/supervisor.
to practise the skill under supervision
to be deemed competent by your mentor.
Only when your mentor/supervisor feels that you can consistently
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undertake the skill in a safe and effective manner (under close
supervision), they will sign to say that you are competent in that skill
(year 1) and competent (under less direct supervision) in Year 2 and
developing autonomy in Year 3. These judgements may be made earlier
than the expected progression point deadline, but cannot be deferred to a
later date.
Even if competence has been demonstrated you should continue to take
whatever opportunities are available to further practice the skill and
maintain your competence on every placement
Throughout your programme, you will have 2 main practice experiences
per year in a range of different areas. Not all of the practice areas will
offer opportunities to practice and/or achieve all of the skills; however
whilst on a practice experience, the ‘Hub and Spoke’ practice model may
allow you the opportunity to experience other practice areas and develop
wider skill sets.
Essential skills Clusters (ESCs) and Progression Points
The majority of skills identified in the Skills Inventory are linked to ESCs
and have to be achieved at various progression points. Should mentors
wish to seek clarification on the level of autonomy and competence
expected by the NMC at each progression point can be found in annexe 3
of the Standards for pre-registration nursing education (NMC 2010)
Skills Action Plans
Action Plans for achievement of skills detailed in this inventory can be
found toward the end of this inventory and are tools to help students to
self-manage their skills acquisition. A blank template has been provided
for each practice learning experience. Completing a plan will help you
focus on which skills are yet to be achieved as the programme progresses.
Discussing them with your mentor / supervisor will help agree a course of
action if gaining competency in a skill is proving difficult or if for example,
a lack of opportunity hinders skill development. The action plan may
involve simulation in the university, a short visit to another practice area
or practitioner, or may simply involve more frequent and focused support.
Completed action plans are useful evidence of professional development
and should remain a part of the inventory to link to your personal
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development portfolio and personal tutor reviews.
Tips for Effective Skills Acquisition
(1) Professional education is underpinned by an adult learning ethos.
Although your mentor will be keen to develop an effective partnership in facilitating your learning, the ownership and ultimate responsibility
for your learning remains with you.
(2) Keep this inventory with you whilst on practice and ideally refer to it each shift
(3) Get into the habit of considering which skills experience to aim for at
the start of a shift and discuss your achievements to the practitioners you have worked with when you feel ready to be signed off.
(4) Ask for help from your mentor/supervisor. Some skills are more
complex than others and require different expectations of performance depending on experience (e.g. Safeguarding Children and Vulnerable
adult). In these situations further guidance has been given as to the
expected level of performance for each progression point.
(5) Remember that any suitably prepared and competent practitioner
can sign you as competent in a skill , providing they feel assured
they have sufficient knowledge and evidence of your ability to do so.
(6) Don’t lose yours skills booklet! Periodic photocopying of
completed pages for safe storage in your wider portfolio guards against loss. You can replace a blank inventory but it will be extremely difficult
to replace hard earned competency signatures.
(7) Ensure you complete the skills that are linked to progression points. Your mentor and practice module leader will guide you in what is
appropriate.
(8) Use a variety of ways to demonstrate your skill. Demonstrating to a mentor or supervisor that you are
competent in a skill can be through observable demonstration,
answering questions, obtaining statements from other practitioners, undertaking a simulated skill in practice, or
sharing a reflection on the skill. A mixture of these forms of
evidence will be used in any assessment by a mentor or
supervisor.
(9) Keep practising and use every opportunity to acquire new skills. You
are advised to focus on achieving all additional skills within your own field whilst familiarising yourself with the other field specific additional
skills to promote inter-professional understanding.
(10) Remember to ask each signatory to complete the register of signatures at the back of the inventory
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ESC DOMAIN: INFECTION PREVENTION AND CONTROL
1. Hand Decontamination
Consistent, reliable and competent
demonstration of hand decontamination
(mapped to ESC 22)
Components of Skill (for guidance only)
Applies universal precautions in relation to
infection control
Selects appropriate agent to decontaminate
hand
Appropriately times when to carry out hand
decontamination
Correctly applies hand decontamination
technique
Correctly disposes of paper towels
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Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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2. Applying the Principle of Asepsis
Consistent and competent application of principles of
asepsis when performing invasive nursing procedure
(mapped to ESC 21, 22, 23, 24, 25 & 26)
Components of Skill (for guidance only)
Adheres to local policy and national guidelines on
dress code for prevention and control of infection,
including: footwear, hair, piercing and nails and use of
sterile gloves where appropriate
Applies standard precautions in relation to infection
control Uses appropriate communication skills to
greet, explain procedure(s) and gain consent of
adult/child/young person/family.
If equipment is used, appropriately selects and
completes checks to ensure equipment is sterile, in
date, intact, undamaged and dry
Ensures comfort, privacy and dignity
Appropriately disposes of waste, applying standard
universal precautions
Under direct supervision, accurately and clearly
records findings, noting any deviations and reporting
appropriately
Provides adult/child/young person/family with
appropriate accurate information on the management
of any device, site or wound to prevent and control
infection and promote healing.
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Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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3. Identification of the Safe Management of
Risk
Consistent, reliable and competent identification of the
safe management of risk (mapped to ESC18)
Components of Skill (for guidance only)
Under supervision, works within clinical governance
frameworks.
Promotes a safe environment for adult/child/young
person/families/visitors
Appropriately and clearly records and reports any risk
factors
Demonstrates knowledge and applies principles of the
Health and Safety at Work Act
Applies principles of infection control policies
appropriately
Observes for potential risk and reduces any potential
for harm as appropriate
Remains aware of and responsive to the needs of
vulnerable people
Manages overall environment to minimise risk.
Assesses, evaluates and interprets risk indicators and
balances risks against benefits, taking account of the
level of risk people are prepared to take.
Reflects on and learns from safety incidents as an
individual and as a team member and contributes to
team learning
13
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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DOMAIN: CARE, COMPASSION & COMMUNICATION
4. Engagement with an Adult/Child/Young
Person
Engages in meaningful therapeutic relationship with
adult/child/ young person or carer
(mapped to ESC 1, 3, 4, 5, 8)
Components of Skill (for guidance only)
Introduces self to adult/child/young person
appropriately
Initiates appropriate conversation
Seeks consent prior to any interaction, intervention or
procedure
Is able to obtain meaningful information through
effective communication which informs care planning
Demonstrates verbal communication skills appropriate
to the adult/child/young person/family and the
environment
Uses non verbal communication skills to communicate
and actively listen to the adult/child/young
person/family
Demonstrates warmth, genuineness and sensitivity to
build a therapeutic relationship with adult/child/young
person within the boundaries of the practice placement
Demonstrates a range of engagement skills appropriate
to the practice placement
Respect individuals and strive to help them the
preserve their dignity at all times
Respects and advocates for a adult / child / young
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person or their carer’s rights
17
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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5. Conflict Resolution
Safely and confidently prevents and resolves
conflict to maintain a safe environment
(mapped to ESC 20)
Components of Skill (for guidance only)
Recognises signs of aggression and responds
appropriately to keep self and others safe.
Assists others or obtains assistance when help
is required.
Identifies appropriate strategies and techniques
for conflict resolution.
19
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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6. Assessment of an Adult/Child/Young Person
To participate in comprehensive, collaborative, holistic
needs-based assessment
(mapped to ESC 6, 9)
Components of Skill (for guidance only)
Introduces self to adult/child/young person
Participates in the identification and assessment of a
adult/child/young person’s needs under supervision ,
using appropriate assessment tools.
Demonstrates verbal communication skills appropriate
to the adult/child/young person and the environment
Uses non-verbal communication skills to communicate
and actively listen to the adult/child/young
person/family
Responds appropriately to the needs of vulnerable
people
Demonstrates appropriate observation skills to enhance
the structured assessment process
Actively engages the adult/child/young person in the
assessment process
Engages, where appropriate with family, carers and
relevant professionals from the multidisciplinary team
to obtain assessment information
Participates in the written documentation of the
assessment in accordance with local, legal and
regulatory requirements
21
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
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ESC DOMAIN: NUTRITION AND FLUID MANAGEMENT
7. Fluid Intake
Reliable and competent assistance of a adult/child/young
person to maintain fluid intake (mapped to ESC 27, 28)
Components of Skill (for guidance only)
Appropriately assesses the adult/child/young person
and identifies potential risks
Identifies issues which may affect fluid intake
Appropriately supports the individual in safe
management of fluid intake
Encourages adult/child/young person’s participation as
appropriate
Collaborates with the multi disciplinary team, where
appropriate, to choose the correct fluid regime and/or
appropriate method of intake.
Measures and records accurately and clearly the
adult/child/young person’s fluid intake – noting any
deviations, communicating evaluations appropriately
23
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
24
8. Nutrition
Reliable and competent assistance of a adult/child/young
person to maintain nutrition
(mapped to ESC 27, 28 & 30 & 31 in Year 2 & 3)
Components of Skill (for guidance only)
Appropriately assesses the adult/child/young person and
identifies potential risks and Identifies issues which may
affect eating or drinking
Ensures comfort, appropriate positioning and environment
for the adult/child/young person specific to their nutritional
needs.
Encourages adult/child/young person’s participation as
appropriate
Assists in assessing temperature of food/drink
Offers the adult/child/young person the opportunity to meet
hygiene needs e.g. wash hands, brush teeth
Assesses appropriate nutritional and fluid needs including
the identification of level of risk e.g. body mass index;
M.U.S.T.
Collaborates with relevant members of multidisciplinary
team, where appropriate, to select appropriate diet and
method of nutrition for the individual adult/child/young
person’s needs
Maintains client comfort, privacy & dignity
Measures and records accurately the adult/child/young
person’s intake – noting any deviations, communicating and
reporting appropriately
Calculates if an infant is taking appropriate amounts of feed
to sustain growth and development (may be simulated)
Bottle feeds a baby correctly (where able, may be
simulated)
Where appropriate, uses electronic devices to deliver and
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monitor continuous gastric feeds
Signatories please complete the signature log at the back of this
inventory
Year 1: Progression Point one: Safely demonstrates fundamental
skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1
Practitioner Sig:
...............................
Placement 2 Practitioner Sig:
..............................
Placement 1
Practitioner Sig:
...............................
Placement 2 Practitioner Sig:
..............................
Placement 1
Practitioner Sig:
.............................
Placement 2 Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and activities at an emerging level of competence with care, compassion,
underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4 Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4 Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4 Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote
evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery and give support to novice students. Supervision level should reflect
developing autonomy.
Directly Observed Practised Competent
Placement 5 Practitioner Sig:
................................ Placement 6
Practitioner Sig:
………………………………..
Placement 5 Practitioner Sig:
............................... Placement 6
Practitioner Sig:
………………………………..
Placement 5 Practitioner Sig:
............................. Placement 6
Practitioner Sig:
…………………………………
26
9. Intravenous Therapy
Consistent, reliable and competent administration of
intravenous fluids (mapped to ESC 32)
Components of Skill (for guidance only)
NB: This skill may not be appropriate to all fields of
nursing and may be addressed through simulation within
the University setting when not available in clinical
practice
Monitors and assesses people receiving intravenous
fluids.
Monitors infusion site for signs of abnormality, and
takes the required action reporting and documenting
signs and actions taken.
Documents infusion progress against prescription
including markers of hydration
Understands and applies knowledge of intravenous
fluids and how they are prescribed and administered
within local administration of medicines policy.
27
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
28
ESC DOMAIN: MEDICINES MANAGEMENT
10. Numeracy
Consistent, reliable and competent application of
numeracy to all nursing situations
(mapped to ESC 33 – all years & 32, 34 & 35 – years
2&3)
Components of Skill (for guidance only)
Utilises weight and height measurements to accurately
calculate the body mass index, and responds
appropriately to findings outside the normal range.
Demonstrates ability to calculate the differences from
previous assessments
Utilises measurements of vital signs to demonstrate
the ability to calculate differences from previous
assessments and identify findings outside the normal
range.
Is competent in basic medication calculations
tablets and capsules
liquid medicines
injections, including unit dose, sub and multiple unit
dose, SI unit conversion
Demonstrates an ability to apply numeracy skills in a
range of practice contexts eg. calculation of fluid and
nutritional intake / output
29
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
30
11. Assisting in the administration of Medicines
(Direct Supervision at all times)
Consistent, reliable and competent assistance in the
administration of medications
(mapped to ESC 33 –all years and ESC 34 & 35 – Years
2 & 3)
Components of Skill (for guidance only)
Uses appropriate communication skills to greet,
explain procedures and gain consent of
adult/child/young person/family.
Works in collaboration with adult/child/young
person/family
Demonstrates safe practice in the administration of
medicines and adhere to the 5 ‘rights’ ie right drug;
right dose; right time; right route and checks expiry
dates
Supports the individual to self medicate as appropriate
Assists adult/child/young person to take medication,
offering a drink if appropriate
Assesses adult/child/young person/family’s knowledge
of medication and provides additional information as
appropriate
Accurately and clearly records dose of medication
given
Monitors the therapeutic effect/side effects of
medication (e.g. pain relief from analgesia) and acts
appropriately and promptly
Applies placement policy if medication is refused,
including documentation of refusal
Demonstrates knowledge of the legal requirements
which inform the Patient Group Direction (PGD)
31
32
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
33
12. Oxygen Therapy (Direct Supervision at all times)
Consistent, reliable and competent administration of
prescribed oxygen therapy (mapped to ESC 37)
Components of Skill (for guidance only)
Uses appropriate communication skills to greet,
explain the procedure and gain consent of
adult/child/young person/family
Works in collaboration with the adult/chid/family
Demonstrates safe practice in the administration of
oxygen therapy and adhere to the 5 rights of
administration: right patient, right drug, right dose,
right time, right route and checks expiry dates.
Consults prescription sheet to determine percentage,
mode of delivery and duration of oxygen therapy
Identifies potential risks, chooses appropriate
equipment (mask/nasal cannula) and checks expiry
date.
Ensures comfort and assists adult/child/young person
in positioning mask/cannula
Appropriately delivers prescribed rate of oxygen with
correct setting of flow meter as appropriate to
situation
Monitors the therapeutic effect of oxygen therapy
including oxygen saturation monitoring where
appropriate
Accurately and clearly records the therapeutic effects
of oxygen therapy and acts appropriately and promptly
34
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
35
13. Intra-Muscular Injection
(Direct Supervision at all times)
Consistently competent administration of prescribed
intra-muscular injection (mapped to ESC 33, 38)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet,
explain procedure and gain consent of
adult/child/young person/family.
Demonstrates safe practice with the administration of
IM injections and observes the 5 rights of
administration: right patient, right drug, right dose,
right time, right route and checks expiry dates
Consults prescription sheet
Collects and checks all equipment
Accurately selects and calculates correct dose of
medication in the required volume, dilution, dosage
and checks expiry date
Records controlled drugs in Controlled Drug Book in
accordance with the University and local Trust policy
Uses protective equipment / clothing if appropriate
Selects appropriate site and applies correct technique
Safely disposes of equipment
Accurately and clearly records dose of medication
given
Applies practice area policy if medication is refused,
including documentation of refusal
Monitors the therapeutic effect/side effects of
medication (e.g. pain relief) and acts appropriately
36
and promptly
37
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
38
14. Subcutaneous Injection
(Direct Supervision at all times)
Consistent, reliable and competent administration of
prescribed subcutaneous injection
(mapped to ESC 33, 38)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet,
explain procedure and gain consent of
adult/child/young person/family.
Demonstrates safe practice in relation to SC injection
administration and adhere to the 5 rights of
administration: right patient, right drug, right dose,
right time, right route and checks expiry dates
Consults prescription sheet
Collects and checks all equipment
Accurately selects and calculates correct dose of
medication in the required volume, dilution, dosage
and checks expiry date
Records any controlled drugs in Controlled Drug Book
in accordance with University and local Trust policy
Selects appropriate site and applies correct technique
Safely disposes of equipment
Accurately and clearly records dose of medication
given
Applies placement policy if medication is refused,
including documentation of refusal
Monitors the therapeutic effect/side effects of
medication (e.g. pain relief from analgesia) and acts
39
appropriately and promptly
40
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
41
15. Medicines Management
Consistently work within legal and ethical frameworks that
underpin safe and effective medicines management
(mapped to ESC 34, 35, 37, 38, 39, 40, 41)
Components of Skill (for guidance only)
Demonstrates understanding of their role in medication
management related to NMC and local requirements for
a range of medication directions used within the practice
area
Demonstrates the importance of establishing an adult
/child/ young person understanding in relation to the use
of medicines and responds appropriately
Demonstrates the correct disposal of all medication
Demonstrates ability to assess an adult /child/ young
person and respond to any change in condition
Demonstrates appropriate delivery of clear and accurate
information relating to medication
Demonstrates support of clients to make safe and
informed choices about medicines
Demonstrates safe and legal dispensing of medication to
an adult /child/ young person for either self-
administration, administration by another professional or
by themselves
Demonstrates the effective recording of decisions and/ or
care received in relation to management of medication
Articulates the management and reporting of an adverse
reaction e.g. anaphylaxis
Demonstrates the correct methods for the storage and
transportation of medication
Verbalises the procedure for registrants in the event of a
42
drug error being identified.
43
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
44
DOMAIN: 0RGANISATIONAL ASPECTS OF CARE
16. Evaluating effectiveness of Nursing
Interventions
Consistent and effective evaluation of Care
(mapped to ESC 10)
Components of Skill (for guidance only)
Acts collaboratively with people and their carers
enabling and empowering them to take a shared and
active role in the delivery and evaluation of nursing
interventions.
Works within the limitations of own knowledge and
skills to question and provide safe and holistic care.
Actively seeks to extend knowledge and skills using a
variety of methods in order to enhance care delivery.
Detects, records, reports and responds appropriately
to signs of deterioration or improvement.
Provides safe and effective care in partnership with
people and their carers within the context of people’s
ages, conditions and developmental stages.
Prioritises the needs of groups of people and
individuals in order to provide care effectively and
efficiently.
Involves the person in review and adjustments to their
care, communicating changes to colleagues.
45
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
46
17. Safeguarding Children and Vulnerable Adults
Consistently supports and protects the vulnerable
(mapped to ESC 11)
Components of Skill (for guidance only)
Acts within legal frameworks and local policies in relation
to safeguarding adults and children who are in
vulnerable situations.
Shares information with colleagues and seeks advice
from appropriate sources where there is a concern or
uncertainty.
Uses support systems to recognise, manage and deal
with own emotions
Documents concerns and information about people who
are in vulnerable situations.
Recognises and responds when people are in vulnerable
situations and at risk, or in need of support and
protection.
Shares information safely with colleagues and across
agency boundaries for the protection of individuals and
the public.
Makes effective referrals to safeguard and protect
children and adults requiring support and protection.
Works collaboratively with other agencies to develop,
implement and monitor strategies to safeguard and
protect individuals and groups who are in vulnerable
situations.
Supports people in asserting their human rights.
Challenges practices which do not safeguard those in
need of support and protection.
47
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
48
18. Personal Hygiene and Dressing
Consistent, reliable and competent demonstration of
assisting a adult/child/young person to maintain his/her
own personal hygiene and dressing needs in a safe
manner (mapped to ESC 2)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Provides a conducive environment ensuring dignity,
privacy and warmth
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Works in collaboration with adult/child/young
person/family
Selects appropriate equipment/toiletries
Safely transfers adult/child/young person to bathroom if
appropriate
Provides oral, hair, nail and aural care.
Encourages adult/child/young person to participate as
much as possible, determining preferences to maximise
comfort and dignity
Chooses appropriate clothing whilst respecting personal
choice, culture, comfort and dignity
Within current sphere of knowledge and proficiency,
assesses and identifies potential risks , including for
vulnerable groups
Observes and records the condition and integrity of skin,
including unexplained injuries and signs of tissue
damage.
49
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
50
19. Manual Handling
Consistent and reliable demonstration of manual handling
techniques
Components of Skill (for guidance only)
Applies standard universal precautions in relation to
infection control
Demonstrates knowledge and applies principles of the
Health and Safety at Work Act
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person
Ensures comfort of the adult/child/young person during
procedure
Appropriately assesses the adult/child/young person,
identifies potential risks and chooses appropriate
equipment
Safely transfers adult/child/young person from bed to
chair/trolley using appropriate equipment
Safely uses mechanical hoist (where appropriate)
Safely and appropriately assists adult/child/young person
who requires assistance with walking/standing
Safely and appropriately positions/repositions
adult/child/young person in bed/chair
51
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
52
20. Near Testing (Immediate diagnostic tests e.g
BM; Urinalysis)
Consistent and reliable demonstration of diagnostic
testing (mapped to ESC 9)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure and gain consent of adult/child/young
person/family
Encourages adult/child/young person to participate as
much as possible,
Within current sphere of knowledge and proficiency,
assesses and identifies potential risks in a timely
manner
Appropriately selects test equipment and completes
checks to ensure products are sterile, in date, intact,
undamaged and dry
Correctly collects sample, whilst providing a conducive
environment that ensures dignity, privacy and comfort
of adult/child/young person
Completes near testing procedure as per manufacturers
guidance
Appropriately disposes of waste, applying universal
precautions
Accurately and clearly records findings, noting any
deviations and reports appropriately
Informs adult/child/young person/family of recording
where appropriate
Responds appropriately to findings outside the normal
53
range
54
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
55
21. Measuring and Recording Temperature
Reliable, competent measurement of temperature in a
adult/child/young person (mapped to ESC 9)
Components of Skill (for guidance only)
Applies standard universal precautions in relation to
infection control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Appropriately assesses the adult/child/young person,
identifies potential risks and chooses appropriate
equipment and site.
Ensures comfort of adult /child/young person during
procedure
Measures and records temperature accurately and
clearly
Compares findings with past recordings where
appropriate
Informs adult/child/young person/family of recording
where appropriate
Responds appropriately to findings outside the normal
range in a timely manner
56
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
57
22. Measuring and Recording Respiration
Reliable and competent measurement of respirations in a
adult/child/young person (mapped to ESC 9)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Ensures comfort of adult/child/young person during
procedure
Counts the respirations for one minute whilst observing
and monitoring the rate, rhythm, depth and respiratory
effort
Listens for any abnormal sounds associated with
breathing (e.g. wheezing)
Measures and records respirations accurately and
clearly
Compares findings with past recordings where
appropriate
Informs adult/child/young person/family of recording
where appropriate
Responds appropriately to findings outside the normal
range in a timely manner
58
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
59
23. Measuring and Recording Pulse
Reliable and competent measurement of taking and
recording the pulse in a adult/child/young person
(mapped to ESC 9)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Ensures comfort of adult/child/young person during
procedure
Assesses adult/child/young person and locates an
appropriate pulse site
Uses correct finger position and applies sufficient
pressure for accurate pulse measurement
Observes and monitors rate, rhythm and volume
Compares findings with past recordings where
appropriate
Measures pulse for one minute and records pulse
accurately and clearly
Informs adult/child/young person/family of recording
where appropriate
Responds appropriately to findings outside the normal
range in a timely manner
60
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
61
24. Measuring and Recording Blood Pressure
Consistent and reliable measurement and recording of
blood pressure (mapped to ESC 9)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Assess the adult/child/young person, identifies
appropriate limb for measurement and appropriately
selects equipment, including cuff size
Demonstrates competency in using manual and / or
electronic devices.
Ensures comfort of adult/child/young person during
procedure
Uses correct finger position and applies sufficient
pressure for accurate palpation of radial/brachial pulse
Measures and records blood pressure accurately.
Compares findings with past recordings where
appropriate
Informs adult/child/young person/family of recording
where appropriate
Responds appropriately to findings outside the normal
range in a timely manner
62
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental
skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1
Practitioner Sig:
...............................
Placement 2
Practitioner Sig:
..............................
Placement 1
Practitioner Sig:
...............................
Placement 2
Practitioner Sig:
..............................
Placement 1
Practitioner Sig:
.............................
Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and activities at an emerging level of competence with care, compassion,
underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4 Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4 Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4 Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote
evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery and give support to novice students. Supervision level should reflect
developing autonomy.
Directly Observed Practised Competent
Placement 5 Practitioner Sig:
................................ Placement 6
Practitioner Sig:
………………………………..
Placement 5 Practitioner Sig:
............................... Placement 6
Practitioner Sig:
………………………………..
Placement 5 Practitioner Sig:
............................. Placement 6
Practitioner Sig:
…………………………………
63
25. Measuring and Recording Weight/Height
Reliable and Competent measurement of weight and
height in a adult/child/young person (mapped to ESC 9,
28)
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Assesses adult/child/young person, identify potential
risks and chooses appropriate equipment.
Ensures comfort of adult /child/young person during
procedure(s).
Assists the adult/child/young person as appropriate,
adhering to manual handling guidelines
Adheres to manufacturers instructions for all equipment
Measures and records findings accurately and clearly
Calculates Body Mass Index (BMI) and applies to
nutritional status where appropriate
Compares findings with past recordings where
appropriate
Responds appropriately to findings outside the normal
range in a timely manner
64
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
65
26. Pressure Area Care
Consistent, reliable and competent care of pressure areas
of a adult/child/young person
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Educates adult/child/young person/family in methods to
prevent complications of immobility
Within current sphere of knowledge and proficiency,
assesses and identifies potential risks
Works in collaboration with adult/child/young person
Encourages adult/child/young person to participate as
much as possible, determining preferences to maximise
comfort and dignity
Under supervision, correctly uses a pressure area risk
assessment tool
Under direct supervision, accurately and clearly records
findings, noting any deviations and reporting
appropriately
Demonstrates prevention and care strategies for the
management and complications associated with
immobility e.g. active/passive limb movement;
hydrotherapy, rebound therapy, selection of pressure
relieving aids
66
67
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
68
27. Assessing and Maintaining Continence
Consistent, reliable and competent assisting of a
adult/child/young person to maintain his/her own
continence
Components of Skill (for guidance only)
Applies universal precautions in relation to infection
control
Uses appropriate communication skills to greet, explain
procedure(s) and gain consent of adult/child/young
person/family.
Works in collaboration with adult/child/young
person/family
Encourages adult/child/young person to participate as
much as possible, determining preferences to maximise
comfort and dignity
Within current sphere of knowledge and proficiency,
assesses and identifies potential risks
Meets people’s essential needs in relation to safety and
security, wellbeing, comfort, bowel and bladder care,
Uses appropriate clinical tool(s) to assess continence
needs (adult adults)
Selects equipment including continence aids as
appropriate
Demonstrate safe use of a range of continence aids e.g.
pans, urinals, commodes, pads, conveens
Safely transfers adult/child/young person to the
toilet/bathroom if appropriate
Provides a conducive environment that ensures dignity,
privacy and warmth
Collaborates with a continence advisor where
appropriate
69
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
70
28. Invasive Lines
Consistent, reliable and competent care of a
adult/child/young person. (Examples may include catheter,
PEG,JEG or NG Tube) (mapped to ESC 31, 32)
Components of Skill (for guidance only)
NB: this skill may not be applicable to all fields of nursing and
may be addressed through simulation in the University
setting
Applies universal precautions in relation to infection control
Uses appropriate communication skills to greet, explain
procedure and gain consent of adult/child/young
person/family.
Works in collaboration with adult/child/young person/family
Encourages adult/child/young person to participate as
much as possible, determining preferences to maximise
comfort and dignity
Within current sphere of knowledge and proficiency,
assesses and identifies potential risks
Appropriately selects equipment and completes checks to
ensure products are sterile, in date, intact, undamaged and
dry
Provides a conducive environment that ensures dignity,
privacy and comfort of adult/child/young person
throughout the process
Appropriately disposes of waste, applying universal
precautions
Under direct supervision, provides adult/child/young
person/family with appropriate accurate information on the
management of any device
Accurately and clearly records findings, noting any
deviations and reports appropriately
71
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
72
29. Medical Devices / Equipment
Consistently uses and manages medical devices safely
and effectively (mapped to ESC 20)
Components of Skill (for guidance only)
Safely uses and disposes of medical devices under
supervision and in keeping with local and national
policy and understands reporting mechanism relating to
adverse incidents
Works within legal frameworks and applies evidence
based practice in the safe selection and use of medical
devices.
Safely uses and maintains a range of medical devices
appropriate to the area of work, including ensuring
regular servicing, maintenance and calibration including
reporting adverse incidents relating to medical devices.
Keeps appropriate records in relation to the use and
maintenance of medical devices and the
decontamination processes required as per local and
national guidelines.
Explains the devices to people and carers and checks
understanding.
73
Signatories please complete the signature log at the back of this inventory
Year 1: Progression Point one: Safely demonstrates fundamental skills & activities with care, compassion, underpinning knowledge &
appropriate attitudes under close supervision.
Directly Observed Practised Competent
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................... Placement 2
Practitioner Sig:
..............................
Placement 1 Practitioner Sig:
............................. Placement 2
Practitioner Sig:
.............................
Year 2: Progression Point Two: Consistently demonstrate skills and
activities at an emerging level of competence with care, compassion, underpinning knowledge and appropriate attitudes. Expected to take
responsibility and develop more independence in care delivery with less
direct supervision.
Directly Observed Practised Competent
Placement 3
Practitioner Sig:
................................
Placement 4
Practitioner Sig:
................................
Placement 3
Practitioner Sig:
...............................
Placement 4
Practitioner Sig:
..............................
Placement 3
Practitioner Sig:
.............................
Placement 4
Practitioner Sig:
..............................
Year 3: By Registration: Consistently demonstrate and promote evidence based care with compassion, confidence, competence and
appropriate attitudes. Take increasing responsibility for care delivery
and give support to novice students. Supervision level should reflect developing autonomy.
Directly Observed Practised Competent
Placement 5
Practitioner Sig:
................................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
...............................
Placement 6 Practitioner Sig:
………………………………..
Placement 5
Practitioner Sig:
.............................
Placement 6 Practitioner Sig:
…………………………………
74
Record here any additional Adult Nursing Focused skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
75
Observed Practised at basic
level: Patient needs
met
Competent at
Field Specific level
76
77
Record here any additional Child Focused skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
78
Observed Practised at basic
level: Patient needs
met
Competent at Field
Specific level
79
Record here any additional Learning Disability Focused skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
80
Observed Practised at basic
level: Patient needs
met
Competent at
Field Specific level
81
Record here any additional Mental Health Focused skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
82
83
Observed Practised at basic
level: Patient needs
met
Competent at
Field Specific level
84
Record here any additional GENERIC Focused skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
85
86
Observed Practised at basic
level: Patient needs
met
Competent at Field
Specific level
87
Record here any further skills observed or achieved over the course of your programme
Additional Opportunistic Skills Acquisition:
Brief description of skills acquired:
88
89
Observed Practised at basic
level: Patient needs
met
Competent at
Field Specific level
90
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
91
Date
Mentor Signature Student Signature
92
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
Date
Mentor Signature Student Signature
93
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
Date
Mentor Signature Student Signature
94
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
Date
Mentor Signature Student Signature
95
96
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
Date
Mentor Signature Student Signature
97
Skills Action Plan (Optional)
Skill ………………………………………………………………
Students Goal / Reflection
Course of Action (what are you going to do to achieve your
goal and by when)
Outcome
Date
Mentor Signature Student Signature
98
Personal Notes/Reflections
99
Personal Notes/Reflections
100
Personal Notes/Reflections
101
Personal Notes/Reflections
102
Personal Notes/Reflections
103
Personal Notes/Reflections
104
Sample Signature Record
Print Full Name &
Role e.g. Jane
Smith Staff Nurse
Signature Placement
Location and
Contact Number
105
Sample Signature Record
Print Full Name &
Role e.g. Jane
Smith Staff Nurse
Signature Placement
Location and
Contact Number
106
Sample Signature Record
Print Full Name &
Role e.g. Jane
Smith Staff Nurse
Signature Placement
Location and
Contact Number
107
Sample Signature Record
Print Full Name &
Role e.g. Jane
Smith Staff Nurse
Signature Placement
Location and
Contact Number
108
Compulsory Updates: NAME………………………………………. Cohort………………………… Each Year a photocopy of this form MUST be given to your PT on completion for our records
Update via Blackboard/Practical
Year 1 Year 2
Year 3
COSHH
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Date:
Student:
Food Hygiene
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Infection Control
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Update via Compulsory Practical Year 1 Year 2 Year 3
First Aid
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Date:
Student:
Verifier:
Basic Life Support
Date:
Student:
Verifier:
Date:
Student:
Verifier:
Date:
Student:
Verifier:
109
Personal Safety
Date:
Student:
Verifier:
Date:
Student:
Verifier:
Date:
Student:
Verifier:
Moving & Handling
Date:
Student:
Verifier:
Date:
Student:
Verifier:
Date:
Student:
Verifier:
Fire Lecture: Blackboard
Date:
Student:
PT signature:
Date:
Student:
PT signature:
Date:
Student:
Verifier:
ESC 42 (ii) Through simulation demonstrates knowledge and application of the principles required for safe and effective supply and administration via a patient group direction
including an understanding of role and accountability
.
Date:
Student:
Verifier:
ESC 42 (iii) Through simulation demonstrates how to supply and administer via a patient group direction
Date:
Student:
Verifier:
110
HOUR CARE/NIGHT DUTY EXPERIENCE
As part of your Course you are required to experience care throughout the whole 24-hour period. It is therefore mandatory that you have some experience of
night duty during your three year Course. Sometimes night shifts will be difficult to do for either personal reasons or the nature of the Field/Placement. If so, you will need to discuss this with your PT and you will need to document evidence of 24-hour care (dates/times).
For night duty – you should do no more than 30 nights (maximum).
Ideally you should organise to follow your Mentor on to night duty. If this is not possible then discuss this with your Mentor, Nurse in charge and Link Tutor if
appropriate, and make sure there is a Level 1 Registered Nurse on night duty who can act as your supervisor.
On some placements, e.g. Community, or where Enrolled Nurses are in charge, night duty is not always appropriate. So think ahead and plan this experience
carefully.
Please complete the summary of hours form on the following page and ensure your Mentor signs and verifies these.
At the end of placement 6 a copy of this form MUST be handed to your Pathway Leader for verification.
111
Night Duty Record Name:……………………………… Cohort…………………
Venue
Date
Number of
Hours Worked
Signature of
Student
Signature of Mentor
112
References
The Inventory is mapped against the Essential Skills Clusters
in the Nursing and Midwifery Council Standards for Pre-
Registration Nursing Education (NMC,2010) and is also
based upon the following:
NMC Standards for Pre-Registration Nursing Education
(NMC 2010)
Department of Health Essence of Care Patient-Focused
Benchmarks for Clinical Governance (DoH, 2010).
In this regard, the Skills Inventory serves two purposes,
firstly it ensures that your practice learning is embedded
within national benchmark frameworks for nursing and
secondly it contributes directly to enhancing best practice
within all areas of care.
Acknowledgements:
This Practice skills inventory utilises materials shared by the
Cheshire and Merseyside Joint HEI Curricula group, and in
particular to the School of Health Science at Liverpool John
Moores University , University of Liverpool and the Faculty of
Health and Social Care at the University of Chester.
If found, please return to:
Faculty of Health & Science
113
Nursing & Midwifery
University of Cumbria