the school of nursing and midwifery./file/... · 2017-11-28 · practice record. the list of skills...
TRANSCRIPT
The School Of Nursing And Midwifery.
BMedSci Nursing (Adult)
CLINICAL SKILLS PASSPORT
Student Details
NAME:
COHORT:
I understand that this booklet may be reviewed by my mentor, the programme leader, my personal tutor, the UoS link tutor , the learning environment manager, the external examiner and all subsequent mentors.
Signature of Student Date
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 2
Guidelines on the use of this document This document is designed to help you direct your learning in relation to your clinical skills development and assist you in keeping a record of your progress. It is a compulsory part of the summative assessment of practice documentation and should be used to provide additional evidence at your progress reviews at the intermediate and final interview of each practice learning experience. It should be completed by the end of the programme. It lists the core skills expected to be achieved by all students during the programme that may not be included in the assessment of practice record. The list of skills is not exhaustive; in recognition of this fact, a section is included for you to add any skills unique to your personal learning experiences. You can initial and date each skill at Level 1 when you have been instructed in or observed the skill. This can take place either in the School of Nursing or in practice. Levels 2, 3 and 4 must be initialled and dated by a Registered Nurse in practice:
Level 1: You have been taught the skill in School or observed the procedure in the practice setting Level 2: You have participated in the skill under direct supervision Level 3: You have consistently performed the skill safely on a number of occasions and required minimal supervision Level 4: You can consistently perform the skill safely and competently, giving the rationale for your actions
PLEASE BEAR IN MIND THAT APPROPRIATE LEVELS OF SUPPORT ARE REQUIRED FROM A FIRST LEVEL REGISTERED NURSE FOR EACH UNIT WHEN USING THIS DOCUMENT. It is expected that, when performing each skill, you exhibit not only the skill element but also demonstrate that you have a sound knowledge base and understand the underlying principles, making reference to national and local policies as appropriate.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 3
First Level Registered Nurse Signature Register
Print Name Clinical Area Job Role Signature Contact Telephone
Number
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 4
Mandatory Training Record
Year 1 Year 2 Year 3
Date Signature Date Signature Date Signature
Fire Safety
Patient Safety
Personal Safety
Basic Life Support
Moving and Handling -Theory -Practical
Infection Prevention and control -Handwashing
Equality and Diversity
Information Governance
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 5
Breathing
SKILL
1
2
3
4
Assess individuals’ breathing and patency of airway
Monitor and record peak flow & act appropriately
Maintain safe administration of oxygen as prescribed
Monitor and record expectorant
Obtain sputum specimen and send for analysis
Correct disposal of sputum secretions
Assist and monitor clients receiving nebuliser therapy
Demonstrate and support patients in the use of correct inhaler technique
Provide psychological support to the breathless client
Collaboratively work within the Multidisciplinary team (MDT) to provide assessment and care for people with breathing problems
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 6
Vital Signs
SKILL
1
2
3
4
Complete relevant track and trigger charts, report findings and treat accordingly
Demonstrate the ability to monitor and record Blood Glucose, recognise abnormalities and respond appropriately.
Assist in the recording of an Electro Cardiogram (ECG)
Recognise deteriorating patient and responds appropriately : 1. A – E assessment 2. Cardio Pulmonary Resuscitation (CPR) 3. Anaphylaxis
Recognises the causes of Deep Vein Thrombosis (DVT) and takes appropriate action in prevention, in conjunction with the MDT
Can recognise and appropriately manage anaphylaxis
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 7
Pain Assessment and Management
SKILL
1
2
3
4
Effectively uses pain assessment tools and responds appropriately to findings.
Administers pharmacological and non-pharmacological treatments following policies and procedures
Monitors effectiveness of the treatment for pain
Refers to appropriate members of the MDT for pain management advice
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 8
Preparation of Patients undergoing Investigations and/or Interventions
Skill
1
2
3
4
Provides psychological and emotional support to patients and their significant others prior to undergoing procedures.
Provides effective monitoring and care of patients in the post-operative /procedure phase.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 9
Pressure Area care
SKILL
1
2
3
4
Demonstrates the ability to utilise relevant risk assessment tools used within the workplace
Demonstrates the ability to inspect skin and recognise any changes that suggests tissue damage and can grade this appropriately
Produces a comprehensive plan of care from findings of the assessment
Delivers a variety of interventions to effectively deliver pressure relieving care
Evaluates and records effectiveness of care intervention
Demonstrates understanding of working with the MDT by seeking advice from, or referring patient to, Tissue Viability Specialist.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 10
Infection Prevention and Control
SKILL
1
2
3
4
Can recognise signs of infection and respond appropriately
Demonstrates correct handwashing procedures.
Makes appropriate use of all PPE (Personal Protective Equipment) as required
Disposes of clinical and non-clinical waste and soiled linen according to local policy and IPC procedures.
Promotes correct Infection Prevention Control (IPC) practice amongst Patients, Visitors and Colleagues
Assesses the needs of the infectious person or people and applies appropriate isolation techniques
Applies knowledge of exposure prone procedures and takes appropriate precautions and actions.
Works effectively as part of the MDT when faced with issues that could impact on IPC procedures e.g. lack of isolation facilities or confused or critically unwell patients that require isolation due to infection.
Initiates and maintains appropriate measures to prevent and control infection according to rate of transmission of micro-organisms in order to protect service users, members of the public and other members of staff
Demonstrates the safe handling of sharps following policies and procedures
Is able to describe the process for reporting needle stick injuries
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 11
Wound Care
SKILLS
1
2
3
4
Assesses simple wounds using relevant tools and documentation to recognise signs of healing or complications
Reports to and works with other members of the MDT e.g. Tissue Viability or Wound care teams in the complex care of wounds.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 12
Personal Cleansing and Dressing
Skills
1
2
3
4
Demonstrate the ability to assess, plan, implement and evaluate care for a range of clients who are unable to cleanse or dress independently
Assists patients to maintain their oral hygiene
Provides support and encouragement to the client requiring assistance with cleansing and dressing and enables them to be as independent as possible, whilst maintaining dignity and privacy.
Demonstrates the ability to segregate laundry following local policies and procedures
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 13
Eating and Hydration
Skill
1
2
3
4
Utilising appropriate assessment tools e.g. MUST scoring makes a comprehensive assessment of clients’ needs in relation to nutrition and hydration and acts appropriately to findings
Accurately monitors and records nutritional intake on appropriate charts and acts on any changes or inadequate intake.
Accurately monitors and records fluid intake on fluid balance charts and reports when intake/output is above or below requirements.
Assists patients into a position that is suitable for eating and drinking, taking into account any health conditions/needs they may have.
Assists and encourages clients with feeding and drinking as required, maintaining dignity and promoting independence where possible.
Communicates with the MDT (Dieticians, SALT’s) to construct a plan of care based on the information gained from the monitoring.
Effectively uses nausea assessment tools and responds appropriately to findings, administering medication if prescribed
Monitors effectiveness of the treatment for nausea
Assesses clients’ who are unable to take oral diet and fluid and plans, implements and assesses care for
Nasogastric feed PEG feed Enteral feed Parental feed
Checking position and patency of the tube and correct type of feed and rate to be administered, in these instances.
Understands the risks associated with dysphagia and can deliver appropriate care to minimise the risks.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 14
Elimination
Skill
1
2
3
4
Establish client’s usual pattern and nature of elimination and reports any changes.
Assist Clients to use Bed Pan Urinal Commode Toilet
Whilst promoting independence and maintaining privacy and dignity
Cares for clients with indwelling catheters Empty’s catheter bag as required Monitors urine output
Monitors and records bowel action, and uses Bristol Stool chart to monitor for any abnormalities
Can perform urinalysis and document and report findings correctly
Can obtain urine samples following correct procedure in the following instances: Mid stream urine (MSU) From an in-dwelling catheter 24 hour urine collection
Responds appropriately to any detected abnormalities and reports to appropriate person.
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 15
Medicines Management
Skill
1
2
3
4
Demonstrates the ability to read a medicines prescription chart effectively
Safely disposes of equipment following administration of medications as per health and safety requirements
Correctly records medicine administration and at the appropriate time
Records any problems with administering medications, including omissions, in the appropriate documentation
Understands the process of ordering, receiving, storing and disposal of medication safely in Primary Care Secondary Care
Understands the process of ordering, receiving, storing and disposal of controlled drugs in Primary Care Secondary Care
Can competently carry out drug calculations Under direct supervision for Tablets and Capsules Liquid medicines Injections
Can recognise and report adverse drug reactions and near misses
Can demonstrate how to look up formulary of medicines to ensure safe administration
Can work with MDT to ensure Medicine Management works effectively
Understands the principles and can administer medications under Patient Group Directives
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 16
Intravenous Therapy
Skill
1
2
3
4
Monitors and assesses clients receiving Intravenous Fluids
Under direct supervision of the Registered Nurse, assists in the reading of prescription for, selection of IV fluids and assembling equipment, prior to infusion being initiated by the Registered Nurse.
Utilises appropriate assessment tools to assess the exit site of invasive devices for any potential problems. E.g. VIP score (Visual Infusion Phlebitis)
Safely removes peripheral IV cannula and disposes of it appropriately.
Understands and follows correct national and local procedures regarding the collection of blood and blood products, under close supervision
Understands and follows correct national and local procedures regarding the storage of blood and blood products, under close supervision
Monitors the patient receiving blood and blood products before, during and after the procedure
Can identify signs and symptoms of a blood or blood product adverse reaction during or after administration and reports this appropriately.
Safely disposes of equipment following administration of blood or blood products
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 17
End of Life Care (EoL)
Skill
1
2
3
4
Recognises when a patient is nearing the end of their life
Assists in the development of the End of Life Care pathway
Contributes to the assessment, planning, implementation and evaluation of care for clients who are at EoL, recognising and respecting their individual beliefs and values. This should include:
Symptom recognition and management Advanced care planning
Provide psychological support for clients who are at EoL and their significant others
Liaise with other member of the MDT McMillan Nurse Hospice team Voluntary Services Clinical Nurse Specialist
Communicate appropriately with patients at EoL and their relatives/carers
Follows local policies and legal requirements in relation to care of the deceased person
Can provide appropriate support to bereaved relatives/significant others
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 18
Mobility
Skills
1
2
3
4
Can complete, act upon and review moving and handling risk assessments
Encourages individuals to play an active role in moving and handling procedures, according to their level of ability
Can complete falls risk assessments and plan action to reduce risk as appropriate
Completes relevant incident forms/documentation following a fall
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 19
Health Promotion
Skills
1
2
3
4
Can identify behaviours that can have an impact on health
Participates in health screening as appropriate.
Supports people with long term conditions to manage their condition, providing education as appropriate
CLINICAL SKILLS PASSPORT University of Sheffield School of Nursing and Midwifery. BMedSci Nursing (Adult)
JH2017 20
ADDITIONAL SKILLS
Skills 1
2
3
4