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Domains

Professional Values (P)

P.1	Practises honestly and with integrity, applying the principles of The NMC Code: Professional standards of practice and behaviour for nurses and midwives (2015) and Raising Concerns: Guidance for nurses and midwives (2015).
	Works within limitations of the role and recognises own level of competence. Displays appropriate interest and enthusiasm. view more details hide details

P.2	Consistently displays a professional image in behaviour and appearance.
	Adheres to local policy and national guidelines on dress code for prevention and control of infection, including: footwear, hair, piercing and nails. Adheres to placement sickness and absence policy. Displays a responsible approach to time management including punctuality and reliability. view more details hide details

P.3	Consistently acts in a manner that is attentive, kind, sensitive, compassionate and non-discriminatory, that values diversity and acts within professional boundaries.
	Engages with people in a way that ensures dignity is maintained whilst adopting an appropriate attitude. Demonstrates an understanding of the impact culture, religion, spiritual beliefs, gender and sexuality have on health, illness and disability. view more details hide details

P.4

Consistently displays respect for an individual's rights and choices

P.5

Consistently displays an awareness of how one's own values, beliefs, emotions, health and well-being impact on practice.

Communication and Interpersonal Skills (C)

C.1

Consistently demonstrates the ability to listen, seek clarity, and carry out instructions safely.

C.2	Consistently recognises signs of aggression and takes appropriate action to keep themselves and others safe.
	Recognises and reports incidents of negative stereotyping to protect the rights and needs of individuals view more details hide details

C.3	Demonstrates safe and effective communication skills.
	Initiates, maintains and closes appropriate and constructive professional relationships with individuals, their families and/or carers. Uses helpful and enabling ways to maximise communication where hearing, vision, cognition or speech is compromised. Records information accurately and clearly. When engaging with others, takes into account their physical and emotional responses. Practises in a way that recognises, respects and responds to all individual's needs. Uses appropriate age and developmental stage communication. Demonstrates skills of relationship building and communication to engage with people experiencing distress. Uses communication strategies, to identify individuals' and their families/carers key concerns. view more details hide details

C.4	Demonstrates an awareness of the legal and professional frameworks in relation to informed consent.
	Gains informed consent from individuals/carers for all aspects of care. view more details hide details

C.5	Understands and applies the principles of confidentiality and data protection, especially where sharing information is required to safeguard and protect individuals.
	Reports and documents concerns about individuals, children and families who may be in vulnerable situations. Ensures individuals, their families and/or carers are aware of information sharing protocols. view more details hide details

C.6	Discusses the link between lifestyle choices and health, and takes the opportunity to promote health and well-being.
	Recognises the role that the family and/or carer may play in achieving health and well-being of the individual. Recognises the effects of lifestyle on prenatal and postnatal health. view more details hide details

C.7

Consistently demonstrates the need to work in partnership with individuals and their families and/or carers.

C.8

Consistently promotes the concept, knowledge and practice of self-care with people with acute and long term conditions, using a range of communication skills and strategies.

Nursing Practice and Decision Making (N)

N.1	Confidently applies safe, person-centred care, under appropriate supervision, for those who are unable to meet their own physical, emotional, psychological and mental health needs across the lifespan.
	Works in partnership and where appropriate empower individuals, families and carers to be involved in the assessment and care planning process. Recognises the changing needs of individuals, families and carers during long term conditions and/or terminal illness. Undertakes appropriate holistic assessment and plans, delivers and evaluates care using assessment frameworks and care pathways. Records and shares information appropriately based on assessment including physical, social, cultural, psychological, spiritual, genetic and environmental factors. Recognises and challenges the effects of health inequalities on an individual's health. Delivers evidence based practice. view more details hide details

N.2	Empowers individuals to meet their essential needs in relation to safety, security, well-being and comfort, promoting their dignity at all times. This must include accurate monitoring and recording of:
	personal hygiene needs. nutritional requirements. fluid requirements. elimination needs. Follows food hygiene procedures in accordance with local policy. Identifies and responds where there is a risk of individuals missing meals/feeds. Undertakes a variety of appropriate techniques to promote comfort and relieve distress. view more details hide details

N.3	Recognises and acts appropriately when an individual's physical or psychological condition is deteriorating, demonstrating how to respond in an emergency and administer essential first aid.
	Demonstrates knowledge of normal vital sign ranges at different developmental stages, and responds appropriately to changes. Measures and documents vital signs, and responds appropriately to signs outside the normal range. Recognises verbal and non-verbal indicators of pain and distress in individuals across the lifespan. Uses appropriate tools when assessing pain. Reports pain in individuals and ensure appropriate intervention, evaluation and care modification is provided. view more details hide details

N.4	Uses and disposes of medical devices safely under supervision according to local and national policy,reporting any incidents or near misses.
	Safely uses medical devices under supervision when caring for individuals across a range of medical and/or surgical experiences. view more details hide details

N.5	Pro-actively works within the laws governing health and safety at work, including safe manual handling and infection control.
	Reports safety incidents regarding individuals to senior colleagues. Works within legal frameworks to protect self and others. Safely disposes of all waste, including blood and other bodily fluids, soiled linen and sharps, including in the home setting. Adheres to health and safety policies when working in the community and in people's homes, for example, lone worker policy. view more details hide details

N.6	Consistently applies a comprehensive knowledge of pharmacology, and safely and accurately carries out medicines calculations, preparation and administration under direct supervision in accordance with local policies. This includes:
	tablets and capsules liquid medicines injections, including unit dose, sub and multiple unit dose, SI unit conversion Demonstrates understanding of legal and ethical frameworks relating to safe administration of medicines in practice. Demonstrates an understanding of types of prescribing, prescribers, and methods of supply and storage. Prepares and safely administers medication under direct supervision. Uses knowledge of commonly administered medicines in order to act promptly if side effects and adverse reactions occur. Utilises and safely disposes of equipment needed to draw up and administer medication, for example, needles, syringes, gloves. Recognises the particular vulnerability of individuals in relation to accurate medicines calculations. Applies understanding of the particular vulnerability of individuals when performing accurate medicines calculations and reports concerns promptly through appropriate channels, modifying care as necessary to maintain safety. Involves individuals, families and/or carers in administration and self-administration of medication. view more details hide details

N.7	Safely and accurately uses a range of diagnostic skills, employing appropriate technology, to assess the needs of individuals.
	Prepares individuals and their families and/or carers for clinical intervention view more details hide details

N.8	Working in partnership recognises and respects an individual's expertise and knowledge, and right to self-determination regarding their health and well-being.
	Encourages and enables informed decision making. Facilitates choice and maximises self-care and self-management. Acknowledges the support which may be needed at different transitions within the life cycle or journey through services. Demonstrates an awareness of advocacy, and that all individuals have the right to lead full and independent lives, and the ability to apply this principle to their practice. Demonstrates understanding of health and social care policies relating to the health and well-being of individuals, and how these inform practice. Demonstrates, understands and appreciates why care is delivered in the individual's home, or in another environment that suits their age, needs and preferences. view more details hide details

N.9

Record and evaluate measurements of weight, height, length, body mass index and other measures of nutritional status.

N.10

Accurately undertake record and interpret a range of baseline assessments using manual and electronic devices.

N.11

Confidently promotes and applies the principles of wound management, healing and asepsis.

Leadership, Management and Team Working (L)

L.1	Pro-actively seeks help and shares information as appropriate with colleagues where people's needs are not being met or they are at risk.
	Under supervision assesses risk within current sphere of knowledge and competence. Engages with the multi-professional/agency/cross-boundary teams. view more details hide details

L.2

Works confidently within legal and professional frameworks.

L.3	Works effectively within, knowledge, skills and professional boundaries, understanding that they are responsible for their own actions.
	Accepts delegated activities within limitations of own role, knowledge and skill. Utilises appropriate support systems to manage own stress. Understands and applies the importance of rest for effective practice. view more details hide details

L.4	Acts in a way that values the roles and responsibilities of others including service users and carers, and interacts appropriately.
	Respects and responds appropriately to constructive feedback. Effectively communicates people's stated needs and wishes to other professionals. Appreciates the ways in which own interactions affect relationships to ensure that they do not impact inappropriately on others. view more details hide details

L.5	Works within local policies to safeguard and protect people, particularly children, young people, older people and vulnerable adults.
	Demonstrates an understanding of their central role in preventing maltreatment. Identifies and understands how to refer those at risk of experiencing harm. Demonstrates an awareness of the role of relevant agencies and professionals. view more details hide details

L.6	Effectively uses reflection and appropriate supervision mechanisms for working safely.
	Demonstrates self-awareness through their own personal and professional development whilst learning from practice. Seeks feedback on own practice, reflects and adapts practice appropriately. view more details hide details

L.7	Works autonomously, as well as in teams, making the most of opportunities to extend knowledge, skills and practice.
	Demonstrates understanding of the process of appropriate delegation. Facilitates others to develop their competence and role modelling. Evaluates current service delivery and recognises potential for future service improvements. Undertakes case load management. view more details hide details

Page	Title
1	Cover Page
2	Contents
3	Introduction
4	Record of Placement Support Visits
5	Domain 1: Professional Values (P)
6	Domain 2: Communication and interpersonal skills (C)
7	Domain 3: Nursing practice and decision making (N)
8	Domain 4: Leadership, management & team working (L)
9	Student Self-Assessment in Preparation for Practice Year 3
10	Evidence of Exposure
11	Practice Experience 1 Hub Details
12	Induction to Practice Experience 1
13	Preliminary Discussion Practice Experience 1
14	Record Of Additional Interviews
15	Personal Developmental Learning Plan Practice Experience Hub 1
16	Spoke 1 (1-4 weeks)
17	Spoke 2 (1-4 weeks)
18	Spoke 3 (1-4 weeks)
19	Short Visits (less than one week)
20	Hub Interim Progress Review
21	Action Plan
22	Ongoing Achievement Record
23	Final Placement
24	Practice Experience 2 Hub Details
25	Induction to Practice Experience 2
26	Preliminary Discussion Practice Experience 2
27	Record Of Additional Interviews
28	Personal Developmental Learning Plan Practice Experience Hub 2
29	Spoke 1 (1-4 weeks)
30	Spoke 2 (1-4 weeks)
31	Spoke 3 (1-4 weeks)
32	Short Visits (less than one week)
33	Hub Interim Progress Review
34	Action Plan
35	Ongoing Achievement Record
36	Final Assessment of Competence
37	Action Plan: Practice Retrieval
38	Practice Retrieval Interim Progress Review
39	Practice Retrieval - Ongoing Achievement Record
40	Practice Retrieval Section (if applicable)

Placement	Completed	Hours
PARE Hospital - Test Ward	Active	0h 00m

| Contents

Page	Preview	Title	Signatures Student Mentor /Supervisor Named Mentor
1		Cover Page
2		Contents
3		Introduction
4		Record of Placement Support Visits
5		Domain 1: Professional Values (P)
6		Domain 2: Communication and interpersonal skills (C)
7		Domain 3: Nursing practice and decision making (N)
8		Domain 4: Leadership, management & team working (L)
9		Student Self-Assessment in Preparation for Practice Year 3
10		Evidence of Exposure
11		Practice Experience 1 Hub Details
12		Induction to Practice Experience 1
13		Preliminary Discussion Practice Experience 1
14		Record Of Additional Interviews
15		Personal Developmental Learning Plan Practice Experience Hub 1
16		Spoke 1 (1-4 weeks)
17		Spoke 2 (1-4 weeks)
18		Spoke 3 (1-4 weeks)
19		Short Visits (less than one week)
20		Hub Interim Progress Review
21		Action Plan
22		Ongoing Achievement Record
23		Final Placement
24		Practice Experience 2 Hub Details
25		Induction to Practice Experience 2
26		Preliminary Discussion Practice Experience 2
27		Record Of Additional Interviews
28		Personal Developmental Learning Plan Practice Experience Hub 2
29		Spoke 1 (1-4 weeks)
30		Spoke 2 (1-4 weeks)
31		Spoke 3 (1-4 weeks)
32		Short Visits (less than one week)
33		Hub Interim Progress Review
34		Action Plan
35		Ongoing Achievement Record
36		Final Assessment of Competence
37		Action Plan: Practice Retrieval
38		Practice Retrieval Interim Progress Review
39		Practice Retrieval - Ongoing Achievement Record
40		Practice Retrieval Section (if applicable)

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Nursing (Adult) Year 3

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Domains

Professional Values (P)

Communication and Interpersonal Skills (C)

Nursing Practice and Decision Making (N)

Leadership, Management and Team Working (L)

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Nursing (Adult) Year 3

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