2018 Graduate Nurse Transition to Practice Overview · 2018-05-23 · 2018 Graduate Nurse...

2018 Graduate Nurse Transition to Practice Overview 1


Introduction ...................................................................................................................................... 3

Transition to Practice ...................................................................................................................... 5

2018 Graduate Nurse Transition to Practice Program - Key Dates ................................. 6

Feedback .......................................................................................................................................... 8

Feedback Meeting Guide ............................................................................................................................... 9

Schedule/Record of Feedback Meetings .................................................................................................. 10

Feedback Meeting - Orientation ................................................................................................................. 11

Feedback Meeting – Months 1 & 2 .............................................................................................................. 12

Feedback Meeting – Months 3 to 5 ............................................................................................................. 13

Feedback Meeting – Months 6 to 8 ............................................................................................................. 14

Feedback Meeting – Months 9 to 11 ........................................................................................................... 15

Professional Development ......................................................................................................... 16

Orientation/Induction Record ...................................................................................................................... 17

Mandatory Professional Development Requirements ............................................................................. 18

Registered Nurse Transition-To-Practice Professional Development Record ....................................... 23

Development Plan .......................................................................................................................................... 26

Development Plan: 6h to 8th Month ............................................................................................................. 32

Medication Management Evaluation for Registered Nurses ................................................................. 36

Developing a Professional Portfolio ......................................................................................... 38

Contents of a Professional Portfolio ............................................................................................................. 40

Reflection and Practice Narratives ......................................................................................... 42


Introduction

Aged & Community Services Australia (ACSA) is the peak body representing aged and community

care providers in Tasmania. This Aged Services Sector Graduate Nurse Transition Program is facilitated

by ACSA of behalf of our members and provides opportunities for both full time and part-time

employment on a Statewide basis.

Aged Services is one of the fastest growing, and rapidly developing, industries in Australia providing

secure employment opportunities with structured career pathways. The Sector in Tasmania

recognises the importance of investing in the future of the industry and developing first class clinicians

and leaders who specialise in caring for older people.

Aged Services appeals to people who are looking for a career that is

complex, challenging, and person-centred: giving you the opportunity

to develop good relationships with clients and their families and cultivate

a teamwork approach with your peers and other health professionals. It

also offers the opportunity for leadership and influence in the field of

Aged Care.

Our program

This innovative program has been designed to support and mentor newly graduated nurses who are

transitioning to work to become confident, safe, competent and professional practitioners.

The program is focused on supporting graduates to become the best aged services nurse they can

be. The graduate will be exposed to various areas of the aged services sector.

As a graduate entering into the Aged Services Sector you will be supported by a workplace Mentor.

From the time you commence in the workplace your Mentor will work with you to ensure that you

are appropriately supported and trained on how to properly assess clients, manage your workload,

formulate therapeutic relationships using person centred care, further develop your clinical skills and

the many other tasks that will part of your day to day activities.

As well as the organisational support you will be supported by the ACSA Facilitator, have access to

an online collaboration site/forum and through monthly sessions in Campbell Town you will develop

a network with other Graduate Nurses who have chosen Aged Services as a Career Pathway.

Duration

The duration of the program is 12 months including structured education and professional

development. Terms of employment vary depending on the organisation you are working with and

may range from permanent full time through to a part-time contract for the term of the program. It

is recommended to organisations that part-time employment be no less than 20 hours per week.

Those participating in the program will have the opportunity to be part of a ‘Clinical Honours

Program’. After the completion of the first 12 months our Sector strongly encourages and will actively

support the completion of a post graduate qualification related to aged care. Scholarships may

also be available.

The chances of those who successfully complete the program of maintaining long term secure

employment in the Aged and Community Care Sector are extremely high.


Education & Professional Development

Structured professional development days and structured workplace

coaching and mentoring in a supportive environment, enables the

graduate to build their knowledge skills and career confidence.

Education and Professional Development focuses on the following key core development areas:

Assessment of the Older Person

Managing the Care of the Older Person

Caring for People with Dementia

The Palliative Approach

Communication, Leadership and Supervision

First Class Support

Mentors - Your Mentor will be an experienced registered nurse and will guide and support you on a

daily basis towards achieving your development goals. You will meet regularly with your Mentor to

discuss your progress, share your experience and plan your continued development.

Graduate Network - Participants in the program will become part of the Graduate Network. Through

regular Network Meetings and Online Forums there will be the opportunity to share experiences, gain

support and learn from each other.

Industry Expertise - Through ACSA’s members, and our extended network, you will have access to

experienced aged care practitioners with a range of specialist skills and knowledge. Many of our

leaders and experts are Registered Nurses who have worked across a range of health areas and

have chosen aged care for their career and they will welcome the opportunity to share their

experience with graduates and help them to explore the career paths available to a Nurse in the

Aged Care Services Sector.


Transition to Practice Transition, may be defined as ‘the period of learning, adjustment and socialisation, when the nurse

applies, consolidates and increases their existing knowledge, gaining competence (knowledge, skill

and attitude) that is applicable to the nursing practice of the clinical setting or resident/client

population in which they are expected to perform’ (Patterson 2005). In essence, transition is the

process where the nurse gains confidence and demonstrates competence in a new work setting.

In a transition period Nurses will progress from the induction phase to the consolidation and

development phases.

In nursing, transition has co-dependent practice and professional components. Transition to practice

requires educational support to consolidate theoretical and evidence based knowledge. The

transition nurse has a mentor who facilitates experiential learning and skill acquisition in a supportive

and collegial professional environment. Professional transition to the new role is dependent on a

process of psychological transition. In a new environment and role, whilst the nurse may have chosen

the challenges, it is also recognised that high levels of stress due to a conflict in personal/professional

values, loss of familiar ways and expertise are likely to threaten confidence and endanger her/his

professional identity. The Mentor acknowledges the numerous emphases of professional transition and

takes into consideration both personal and professional factors impacting on the nurse.

Induction Phase

Any nurse entering a

clinical setting where

she or he has no

experience with the

resident/client

population or is

unfamiliar with the

goals and tools of

resident/client care

are limited to the

novice level of

performance

Consolidation Phase

Any nurse who has limited

prior meaningful experience

in the settings, resident/client

population or clinical tools.

The nurse is able to

demonstrate safe and

acceptable performance in

accordance with scope of

practice

Development Phase

Any nurse who has had adequate

meaningful experience in the same

or similar resident/client

group/clinical situations.

The nurse can demonstrate

conscious and deliberate planning

skills and capacity to safely manage

the many contingencies required

within the scope of nursing practice


2018 Graduate Nurse Transition to Practice Program - Key Dates Please Note: In line with our objective to deliver a program to meet the needs and requirements of

our Transition to Practice Nurses, participating organisations and the Aged Care Services Sector the

following information is current as at the 5th March, 2018 and may be subject to review and change.

Date Activity Target Grp Time Venue

5h March

Official Program

Commencement Date

7th March Program Induction (Day 1)

Transition

to

Practice

Nurses

10.00 - 3.30 Campbell Town

Hotel

21st March Program Induction (Day 2)

Transition

to

Practice

Nurses

10.00 – 3.30

Campbell Town

Hotel

6th April

Site Induction Completed,

Clinical Feedback Meetings

Scheduled for the year,

Development Plan for months

1 & 2 Completed and

relevant paperwork

submitted.

All

24th April PD – Communication

Transition

to

Practice

Nurses

10.00 – 3.00 Campbell Town

Hotel

11th May

Feedback Meeting for Mths 1

& 2 conducted, Medication

Management Evaluation

completed and relevant

paperwork submitted.

All

30th May PD - End of Life Care,

Palliation

Transition

to

Practice

Nurses


Hotel

27th June

PD - Arthritis, Osteoporosis &

Bone Health. Management

of Persistent Pain

Transition

to

Practice

Nurses


Hotel

25th July PD - Dementia

Transition

to

Practice

Nurses


Hotel

10th August

Feedback Meeting for Mths 3

to 5 conducted and

paperwork submitted.

All

29th August PD – Wound Care

Transition

to

Practice

Nurses

10.00 – 3.00

Campbell Town

Hotel


26th September PD – Delegated Authority &

Supervision

Transition

to

Practice

Nurses


Hotel

31st October

PD – Delirium, Depression,

Dementia, Cognitive

Screening, Parkinson’s

Disease

Transition

to

Practice

Nurses


Hotel

31st October

Review & Planning Day -

Review of 2018 program and

planning for 2019 program

All

9th November Feedback Meeting for Mths 6

to 8 conducted. All

28th November PD – Nutrition & Hydration in

the Older Person

Transition

to

Practice

Nurses


Hotel

30th January

2019 PD – Diabetes Management

Transition

to

Practice

Nurses


Hotel

8th February Feedback Meeting for Mths 9

to 11 conducted. All

27th February Presentations

Transition

to

Practice

Nurses


Hotel

27th February

Program Completion – All

relevant paperwork

completed and forwarded to

ACSA.

All

March Graduation

Transition

to

Practice

Nurses

TBC TBA


Feedback

Timely feedback is a valuable strategy to assist a nurse in meeting his or her professional objectives.

For the Transition to Practice Nurse, formal written feedback meetings are scheduled:

Feedback for:

Orientation (2 weeks from commencement)

months 1 & 2

months 3 to 5

months 6 to 8

months 9 to 11

Additional feedback meetings may be initiated by the Transition to Practice nurse, the mentor or the

Director of Care where required. A documented record from these meetings is an important

inclusion in a Professional Portfolio.

The formal meeting is attended by the Transition to Practice Nurse, the mentor and in some cases

the Director of Care.

Prior to the meeting the Transition to Practice Nurse:

reviews their Development Plan and updates where required

reviews and updates their Professional Portfolio for reference at the meeting

Prior to the meeting the Mentor/DOC:

consults with colleagues to ensure that they are confident in feedback to be provided.

The meeting structure will enable participants to collaboratively discuss, detail and document:

identified strengths of the Transition to Practice Nurse

identified areas where further development is required

objectives to be achieved over the next period of clinical practice

reference to the Professional Portfolio, to ensure all aspects are up to date and reflective of

achievement.

It is essential that at the initial meeting (within 2 weeks of commencement) that dates and times are

set for all formal feedback meetings.

Following is the templates that should be used to record meeting content and outcomes. A copy

of the completed record should be forwarded to ACSA as outlined in ‘Key Dates’.


Feedback Meeting Guide

Guidelines and questions for conducting the feedback meeting:

This following information provides guidance for conducting Transition to Practice feedback meetings

and aims to ensure that all Transition to Practice Nurses are undertaking consistent and structured

feedback.

It is expected that the duration of the meeting is around 20 minutes.

Initiate discussion asking: How the last xxx months have been for the nurses.

Discuss:

issues such as communication, problem solving, prioritising & time management skills

general progress

strengths & weaknesses

areas to focus on

Review Professional Portfolio:

Mandatory & site/organisation objectives and achievements.

Professional Development Record, Development Plan, Medication Management

Evaluation,.

Discuss (as applicable):

annual leave

career plans and options

Professional Portfolio

Document how the Mentor, Director of Care or others in attendance at the meeting consider the

Transition to Practice Nurse is progressing.

Remind the Transition to Practice Nurse that they are required to keep their Professional

Development Record up to date and that it must be completed no later than the time of their last

feedback.

Forward to the ACSA Office (as per key dates):

the competed Professional Development Record

copy of the completed Feed Back Form

Please note: A Certificate of Achievement will only be generated after ACSA has a copy of all

Feedback Meeting Records, and a copy of the completed Professional Development Record.


Schedule/Record of Feedback Meetings

Meeting Date

Meeting

Attended

(Transition to

Practice Nurse)

Meeting

Attended

(Mentor/DOC)

Comments

Orientation – 2 weeks

from commencement

Months 1 & 2

Months 3 to 5

Months 6 to 8

Months 9 to 11(Final

Review


Feedback Meeting - Orientation

Transition to Practice Nurse:

Meeting Number:

Date:

Attendees:

Comments from Attendees

General Progress

Goals Achieved

(mandatory and

site/organisation

specific):

Clinical Feedback

Strengths:

Areas to Focus

on:

Provide Feedback on:

Knowledge

Attitude

Professional

Education:

Potential:

Other eg. annual leave, Professional Portfolio, career plans:

Next meeting scheduled for:

Signatures

Name: Name:

Transition to Practice Nurse Mentor/DOC

Date: Date:


Feedback Meeting – Months 1 & 2


Meeting Number:

Date:

Attendees:


General Progress

Goals Achieved

(mandatory and

site/organisation

specific):

Clinical Feedback

Strengths:

Areas to Focus on:


Knowledge

Attitude

Professional

Education:

Potential:



Signatures

Name: Name:


Feedback Meeting – Months 3 to 5


Meeting Number:

Date:

Attendees:


General Progress

Goals Achieved

(mandatory and

site/organisation

specific):

Clinical Feedback

Strengths:

Areas to Focus

on:


Knowledge

Attitude

Professional

Education:

Potential:



Signatures

Name: Name:


Date: Date:




Meeting Number:

Date:

Attendees:


General Progress

Goals Achieved

(mandatory and

site/organisation

specific):

Clinical Feedback

Strengths:

Areas to Focus

on:


Knowledge

Attitude

Professional

Education:

Potential:



Signatures

Name: Name:


Date: Date:




Meeting Number:

Date:

Attendees:


General Progress

Goals Achieved

(mandatory and

site/organisation

specific):

Clinical Feedback

Strengths:

Areas to Focus on:


Knowledge

Attitude

Professional

Education:

Potential:



Signatures

Name: Name:


Date: Date:


Professional Development Professional Development includes:

Orientation

Mandatory Professional Development requirements

Individual Development Plans

Professional Development

o In-service Education

o Training & Professional Development Programs attended

Self Directed Learning

Journal Article Reviews

Presentations

Research Activities

Clinical Supervision

Practice Development and Quality Improvement Activities

As a Nurse ongoing professional development is an essential component in maintaining registration.

However, more importantly, the Aged Services Sector recognises the benefits a culture of ‘lifelong

learning’ can bring not only to the individual nurse, the organisation, the sector as a whole and

most importantly to the quality of services we are able to deliver to our clients.


Orientation/Induction Record

The nurse works in a supportive environment during the period of introduction to his or her new role

or area. It is essential that workplace practice commences with an orientation that includes the

clarification of expectations, resources available and communication responsibilities.

The following guide should assist to structure, and provide a record of orientation.

REQUIREMENTS DURING ORIENTATION/INDUCTION COMPLETED

Director of Care Meeting

- overview of the site/organisation, the client profile and the

multidisciplinary team

- expectations of the nurse’s practice, including skills priorities

- allocation of support staff including mentor

- rostering expectations

- communication expectations

Mentor Responsibilities

- layout of the site

- introduction to key staff

- structure of shifts, handover, models of care

- resources available, e.g. learning packages, professional

development calendar, specialist staff

- have established that Transition to Practice Nurse and Mentor

have a common understanding of the Program (as

documented in the Program Overview)

- 12 month schedule for Feedback Meetings is in place

- Month 1 & 2 Development Plan Completed

Signatures

Name: Name:

_______________________________

Transition to Practice Nurse

__________________________________

Mentor/DOC


Mandatory Professional Development Requirements

For successful completion of the Registered Nurse Transition to Practice Placement the Transition to

Practice Nurse must meet the following mandatory requirements. It is the responsibility of the

Transition to Practice Nurse to complete the required documentation.

Orientation

PRACTICE REQUIREMENT EVIDENCE

(to be completed by TtP

Nurse)

Deteriorating Resident / Client Response

- Knowledge of Advanced Care Directives

- Able to facilitate a Transfer to another health facility

- Awareness of criteria for initiating a medical emergency call

- Awareness of responsibilities prior to placing a medical

emergency call

- Able to describe the role of staff within a medical emergency

situation

- Knowledge of staff role including self in a situation where there is

a significant change in health of a resident /client

Basic Life Support (BLS)

- Ability to demonstrate the application of CPR to organisation

standards

- Management of choking (Induction training)

Emergency Codes

- Awareness of emergency procedures for relevant practice

setting

- Awareness of emergency manuals and how to access

- Awareness of emergency communication system

- Able to describe all codes

Emergency Equipment (relevant to setting)

- Demonstrate understanding of the relevant emergency

equipment / procedures

- Demonstrates the correct checking procedures for the

emergency equipment

- Able to identify and locate each piece of equipment and its use

in a emergency

- Is able to detail how restocking of items of the emergency

equipment / trolley occurs

Fire Safety Training

- Aware of emergency fire exits on unit or site

- Able to identify fire safety issues and report appropriately

- Completes site/organisation emergency procedures assessment


Manual Handling

- Awareness of Manual Handling Policy

- Completed Manual Handling Training

- Demonstrates correct manual handling techniques

Infection Control

- Demonstrates appropriate use of standard and additional

precautions

- Able to apply and use infection control guidelines and safety

equipment

- Utilises correct procedures for safe disposal of body waste and

sharps

- Identifies unsafe practices and responds appropriately

- Demonstrates satisfactory Hand Hygiene technique

- Able to incorporate Hand Hygiene appropriately into practice

Incident Reporting

- Mandatory reporting (Aged Care Act)

- Demonstrates awareness organisational reporting procedures

Medication Administration

- Completes service specific medication package and

assessments

- Demonstrates accuracy with drug calculations

- Demonstrates competence of medication administration

- Demonstrates the ability to access/research medication

information

Two Month Assessment

Electronic Information Accessed

- Demonstrated ability to access and appropriately use the

site/organisation relevant software applications and associated

processes

Scope of Practice

- Demonstrates application of the decision making framework to

practice

- Demonstrates responsibility in regards to delegation and

supervision

- Demonstrated understanding of scope of practice in regards to

other staff (e.g. enrolled nurses and students)


Resident/client personal care

- Demonstrates the ability to meet all resident/clients personal

care needs e.g. oral health, footcare, continence management,

personal hygiene etc.

Five Month Assessment

Clinical Skills

Demonstrates the ability to undertake a comprehensive, holistic

assessment of a resident/client

Demonstrates the ability to develop a plan of care to meet the

needs identified in the comprehensive, holistic assessment

Demonstrates an understanding of the review processes for

resident/client assessments and care plans

Is able to identify high risk care needs and develop appropriate

care plans to manage these risks. (e.g.* actual wounds, unstable

diabetes, poor nutrition status etc)

Is able to identify high potential risk care needs and develop

appropriate care plans to mitigate these risks i.e. prevent the

potential risk occurring. (e.g.*skin integrity, falls, UTI, etc.)

Demonstrates an awareness of medication risks, such as

polypharmacy, drug interactions, incorrect orders,

Complementary Medicines use, and seek appropriate

assistance

Demonstrates the ability to contact after hours medical services

and the provision of relevant information to the service

Demonstrates an awareness of the need for referral to Allied

Health Professionals and specialist services (i.e. what do the main

AHP and specialist services do and what value will they add to

meeting resident/client needs)

Regulatory

- Demonstrates an understanding of the importance of accurate

and timely ACFI documentation

- Demonstrate a working knowledge of quality reporting and/or

accreditation standards

- Displays the ability to action compulsory reporting requirements

- Displays an understanding of the role of The Guardianship Board

and Substitute Decision Making processes


Communication

- Demonstrates the ability to communicate effectively with:

o Residents/clients

o Staff

o Families

o Other professionals

- Demonstrates written communication at a level that meets the

requirements of the job role and the organisation

- Demonstrates an understanding of the role of an Advocate

Seven Month Assessment

Palliative Approach

- Demonstrates and applies an understanding of Palliative

Approach

- Demonstrates and applies understanding of End of Life Care

- Supports families, residents and staff through grief and loss

- Ability to effectively identify and manage symptoms at end of life

- Ability to refer to relevant support services and networks

Nine Month Assessment

Supervision and Leadership

- In the role of providing Supervision, demonstrates the ability to

communicate effectively to staff, residents/clients families and

other relevant stakeholders

- Ability to manage conflict within the team and workplace

- Provides direction to staff in line with the requirements of the

organisation

- Demonstrated ability to manage self and the team to ensure

that all tasks and objectives are successfully achieved.


Dementia/Delirium/Depression

Ability to identify difference between Dementia, Delirium and

Depression

Demonstrated ability to implement individualised strategies to

address identified issues/situations related to Dementia, Delirium

and Depression

Able to formulate, plan, implement and review a

Comprehensive and Multi Disciplinary Care Plan that supports a

resident experiencing Dementia considering a wide range of

other conditions that may co-exist. Including contextualisation

of person, setting, staffing and staff skill levels, resources.

Ability to develop, implement and evaluate behavioural

strategies.

Demonstrated understanding of Behaviour Modifying Chemicals

and Medication Interventions: understand what is available,

how to use it, risks involved, evaluate effectiveness, consent.

Ability to identify and refer to relevant support services and

networks

Continuous Improvement

- Demonstrated capacity to apply continuous improvement

principles in the practical setting


Registered Nurse Transition-To-Practice

Professional Development Record

Name: Organisation:

For successful completion of the Registered Nurse Transition-to-Practice professional development

requirements and receipt of a Certificate of Achievement, the activities listed below must be

achieved.

It is the responsibility of the Transition-to-Practice nurse to provide evidence of achievement of

criteria.

Area Date Signature (Mentor

or DOC)

Orientation

Site/Organisation Orientation

Transition-to-Practice Induction Day

Development Plan

Site/organisation specific objectives as identified and

recorded in Development Plan for months 1 and 2

(minimum 4 objectives)

Site/organisation objectives as identified and recorded in

Development Plan for months 3 to 5 (minimum 4

objectives)


Development Plan for months 6 to 8 (minimum 4

objectives)


Development Plan for months 9 to 11 (minimum 4)

Mandatory Skills

Orientation Period

Deteriorating Resident/Client Response

Basic Life Support (BLS)

Emergency Codes

Emergency Equipment (Relevant to setting)

Fire safety training

Manual handling

Infection control

Incident reporting

Medication Administration

Two Months

Site medication management packages completed

Electronic Information Accessed

Scope of Practice


Resident/Client Personal Care

Date Outcome

(completed)

Five Months

Clinical Skills

Regulatory

Communication

Seven Months

Palliative approach

Nine Months

Supervision and leadership

Dementia, Delirium or Depression

Continuous Improvement

Feedback

Feedback documented and performance development

meeting attended for Induction Period

Attendees:


meeting attended for months 1 and 2

Attendees:


meeting attended for months 3 to 5

Attendees:


meeting attended for months 3 to 8

Attendees:


meeting attended for moths 9 to 11

Attendees:

Professional Development Date Attended

Participation in Professional Development Workshops

PD Day 1 Title: Program Induction

PD Day 2 Title: Program Induction

PD Day 3 Title: Communication

PD Day 4 Title: End of Life Care, Palliation


PD Day 5 Title: Arthritis, Osteoporosis & Bone Health.

Management of Persistent Pain

PD Day 6 Title: Dementia

PD Day 7 Title: Wound Care

PD Day 8 Title: Delegated Authority & Supervision

PD Day 9 Title: Delirium, Depression, Dementia, Cognitive

Screening & Parkinson’s Disease

PD Day 10 Title: Nutrition & Hydration in Older People

PD Day 11 Title: Diabetes Management

PD Day 12 Title: Presentations

Mentor viewed, completed portfolio

Summary

Comments:

Signatures

Name: Name:

_______________________________

Transition to Practice Nurse

__________________________________

Mentor/DOC

Date: Date:

ACSA Office Use Date Signed

Completed 12 months clinical practice

Feedback documentation indicates satisfactory level of

practice for beginning registered nurse

Certificate of Achievement generated


Development Plan The Aged Services sector recognises the need to support you as a newly graduated nurse as you transition to your role in an Aged Services Setting.

The transition period incorporates specific professional and practice activities which include:

identification and attainment of mandatory competencies

individual Development Plans

participating in the professional development education that is specific to the new nurse’s role

participating in scheduled feedback meetings with key support staff.

Participants in the Transition to Practice Program are supported with a continuous professional development program specifically designed for the

unique requirements of new nurses in an Aged Services Sector settting:

orientation

in-service sessions

structured professional development days

undertaking individual learning activities (e.g. organisation in-services sessions, developing a professional reading portfolio)

identification of individual objectives and a development plan for documenting achievement

active participation in a performance development process with mentor support

maintenance of a skills acquisition record

collation of Professional Portfolio*

* The information contained in the Professional Portfolio is reviewed during your formal feedback meetings and ‘sign off’ on the portfolio by your

Mentor is required for successful completion of the program.


Completing the Mandatory Competencies:

It is your responsibility to facilitate/record the completion of mandatory competencies by providing evidence of you competence. Evidence may come

from a range of sources, and include directly observed consistent achievement, work place records, education session attendance, clinical practice

journal, reflective narratives, feedback documentation etc.

The standard of practice required is in accordance with the Australian Nursing and Midwifery Council Competency Standards and the site/organisation

policies and procedures.


Individual Development Plan: 1st and 2nd Month

(reviewed as at end of 2 months)

The nurse, in consultation with their mentor/DOC, is required to identify and document a minimum of four site/individual specific objectives

Objective Record specific objectives which

you will be working towards in the

next practice period

Strategy State how you will achieve each of these

objectives

Success Criteria Record how you will know you have

achieved the objective

Assessment

end Month 2

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Development Plan: 3rd to 5th Month

(reviewed as at the end of 5 months)

The nurse, in consultation with their mentor/DOC, is required to identify and document a minimum of four individual/site specific objectives

Objective Record specific objectives which

you will be working towards in the

next practice period


objectives



Assessment

end Month 5

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Development Plan: 6th to 8th Month



Objective Record specific objectives

which you will be working

towards in the next practice

period


objectives



Assessment

end Month 8

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Development Plan: 9th to 11thMonth



Objective Record specific objectives

which you will be working

towards in the next practice

period


objectives



Assessment

end Month 11

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________

Objective:

Achieved

Carried over

Not achieved

Date: ________________

Signature: ___________________


Medication Management Evaluation for Registered Nurses

Name of Registered Nurse: Name of Assessor:

Date of Assessment:

1 Storage, Checking & Administration Yes No NA Comment

Trolley/drug cupboard kept locked when not in

use and unattended

Check medication order is written correctly, is

clear and legible on the drug chart

Does the nurse query unclear orders?

Correct identification process:

Right resident/client – name & UR number

Right drug

Right dose

Right route

Right time

All allergies and reactions are noted and allergy

band in place

The withholding of medication has been

recorded in the correct manner:

On the medication chart

Progress Notes

Notify RMO

Check expiry date of medications

Correct calculation of medications

Standard precautions followed

Medications administered in non-touch

technique

Has the nurse demonstrated knowledge of:

the purpose of the medication?

why it is ordered?

the common side effects?

interactions?

Are appropriate resources utilised to gain

knowledge:

Pharmacology text (MIMs, AID)

Pharmacist

Intranet

Pharmacology text

Are medications administered directly to the

resident/client and resident/client observed

ingesting?

Are all medications signed and dated in the

appropriate place and the correct time

recorded? Are dose variations included?


3 Narcotic Substances Yes No NA Comment

Aware of the drugs under the different drug

schedules i.e. S4, S4D & S8

Administers narcotic according to the legal

requirements and organisation policy

Administered by RN and RN/EN witness

RN and RN/EN witness, check resident/client and

sign medication chart

The outcome of medication is noted in progress

notes

4 Documentation Yes No NA Comment

Accurate documentation:

Medication chart:

- time administered

- initialled

IV fluids chart (if appropriate)

FBC as required (if appropriate)

Progress notes

Mentor’s comments:

Mentor: Signature: Date:

Transition to Practice Nurse: Signature: Date:


Developing a Professional Portfolio

The Nurse as a Health Care Professional

Nursing identifies itself as a profession and with this there is a requirement to maintain professional

characteristics and responsibilities. The professional nurse:

has a recognised and unique body of knowledge and associated specialised skills;

has an ‘ideal of service’ and is prepared to exercise their knowledge and skills in the interest

of others;

has membership of a strong internal organisation (licensure) and a well-developed group

consciousness (e.g. code of ethics, conduct) leading to self-governance and control over

education and practice;

in essence, is practical in execution rather than theoretical; and

has a high level of individual responsibility and accountability.

The professional nurse has an obligation to engage in lifelong learning, to commit to further

education to maintain competence in their chosen areas of practice, and to continually strive to

improve standards of nursing care throughout their working life.

The nursing and midwifery professions maintain competence through continual self-assessment of

practice performance and engaging in relevant professional development activities. Personal and

professional growth occurs through continuous updating of knowledge and skills throughout the

entire nursing or midwifery career.

The Professional Portfolio

Health professionals have a responsibility to maintain their competence to practice and to provide

evidence of fulfilment of that responsibility. The evidence is most easily represented in a Professional

Portfolio (Portfolio). It is through the Portfolio documentation that the health care practitioners may

demonstrate the continuing acquisition of skills, knowledge, attitudes, understanding and

achievement. A Portfolio can reflect the past and present, covering all aspects of professional life.

As well as evidence of competence to practice, the Portfolio provides:

a central location for recording and storing professional documents;

useful information when participating in professional development planning;

material which will assist in addressing selection criteria when applying for a position; and

a recognised means of recording professional activities.

The Portfolio may include:

most recent curriculum vitae;

copies of academic transcripts;

documents related to significant professional career development;

copies of annual performance development agreements (including goal setting and

achievement and clinical feedback records);

copies of selected work that has been completed for the practice area e.g. patient

information pamphlets, quality improvement activities;

evidence that research is incorporated into practice; and

mementos which demonstrate appreciation and valuing of practice.


Continuous Professional Development activities may be included, such as:

records of completion of mandatory assessment and education requirements;

records of educational sessions attended, including study days and in-service sessions;

flyers and programs from study days, workshops and conferences attended;

evidence of involvement in professional activities e.g. membership of committees, projects

team membership; and

evidence of reflective thinking such as identifying where improvements can occur, or

changes of confidence in practice has or can occur.

Legal Requirement for Evidence of Competence

Under National Law all health practitioners are required to be registered with the Australian Health

Practitioners Registration Agency (AHPRA) AHPRA.

Nurses and midwives must meet prescribed Nursing and Midwifery Board of Australia (NMBA)

registration standards NMBA Registration Standards and comply with codes and guidelines regarding

the expectations of professional nursing practice NMBA - Codes and Guidelines.

All nurses and midwives must meet the minimum continuing professional development (CPD)

standards prescribed by the NMBA NMBA Continuing Professional Development Standard in order to

renew their registration. The NMBA may request evidence of competence to support renewal of

registration and a Portfolio is the recognised format.

http://www.ahpra.gov.au/

http://www.nursingmidwiferyboard.gov.au/Registration-Standards.aspx

http://www.nursingmidwiferyboard.gov.au/Codes-and-Guidelines.aspx

http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD10%2f135&dbid=AP&chksum=8UL9PD4%2byPR9h99u%2b6alcA%3d%3d


Contents of a Professional Portfolio

The Transition to Practice Nurses Professional Portfolio should include:

Personal Information

Name:

Address:

Contact Details:

Home:

Work:

Mobile:

Email:

Date of Birth (optional):

Registration Number:

Qualifications and Experience

Curriculum Vitae

Qualifications

Employment History

Professional Membership

Committee / Working Group Participation

Presentations

Publications

Research Activities

Performance and Development Record

Record of Feedback Meetings

Development Plans

Statement of Duties

Professional Development Record

Professional Development

Professional Development activities including:

Professional Development Sessions

Self-directed learning

o Description, Purpose, Date, Duration, Critical Reflection

Journal article review

o Title, Purpose, Date, Duration, Critical Reflection

Presentations

o Title, Topic, Purpose, Audience, Venue, Date, Duration


o Activity, Requirements, Date & Duration, Outcome

Certificates

Professional Membership

Organisation, position held, years

Committee/Working Group Participation

Committee/Working Group, position held, years


Publications

Title, Publication (Journal, Company), Length, Date issued for publication

Research Activities

Title, Project, Role, Outcome, Date


Activity, Requirements, Date and Duration, Outcome

Authorship of Health Related Documents

Title, Purpose, Length, Date

Record of In-service Professional Development

Date Session Title Presenter CPD

(hours)

Record of ‘other’ Professional Development (outside of Transition to Practice Program)

Date Activity Provider Activity Type CPD

(hours)


Reflection and Practice Narratives

Practice Narratives are useful for:

Documentation of experiences that occur in practice

Recording critical reflection and analysis

Facilitation of feedback

Recording progress in the development of skills

Providing discussion points during the scheduled Practice Review meetings

Developing learning objectives and goals

The Practice Narrative Record

A Practice Narrative Record should be completed when any significant experience has occurred.

The process of reflecting-on-practice analyses one’s self-awareness as a professional.

What constitutes a significant experience?

An experience in which you feel your interventions really made a difference in

resident/client outcome;

An experience that went unusually well;

An experience that did not go as planned; or

An experience that was particularly demanding

What to record

The narrative should include a record of the situation, followed by reflection on the event; detailing

the significance of the episode; identified highlights; where deficits were detected and how things

could be improved in the future.

Provide a brief description of the context, i.e.: where, when and what happened, a

description of action/s taken, the significance of the episode and identification of any issues

or concerns involved. Include reflection regarding:

o What thought processes were taking place at the time?

o What feelings were experienced during and after the episode?

o What was most demanding about the situation?

Describe the actual or potential outcome of the event, and consider what could have

been done differently or what action should or will occur as a result of this experience?

The narrative can be related to the relevant ANMC National Competency Standards for the

Registered/Enrolled Nurse with a record of the element number of the competences that the

episode related to. One episode may be fairly complex and contribute to the demonstration of

several of the competencies.

http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements.aspx

http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements.aspx

2018 Graduate Nurse Transition to Practice Overview · 2018-05-23 · 2018 Graduate Nurse...

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