Healing of airway anastomoses and stenting of airway stenosis
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BSc (HONS) PARAMEDIC PRACTICE
PRACTICE ASSESSMENT DOCUMENT
SEPTEMBER 2015
Name:
CONTENTS
Page
1 PRACTICE PLACEMENTS OVERVIEW 2
2 AUTHORISED SIGNATORIES 4
3 STAFF CONTACT DETAILS AND ZONE ACADEMICS5
4 PLACEMENT OVERVIEW 6 4.1 Location & Selection of Placements 64.2 Preparation for Practice Placements 64.3 Allocation of Placements 74.4 Your Responsibilities on Placement 74.5 Paramedic Placements: Home Station 84.6 Non-Paramedic Placements: Host Trust 84.7 Elective Placement 84.8 Practice Placement Support 9
5 PLACEMENT CO-ORDINATION 95.1 Academic Zone Academics
9 5.2 Practice Mentors /Non-Paramedic Supervisors 9
6 PLACEMENT POLICIES AND PROCEDURES 106.1 Reporting Sickness & Absence 106.2 Disclosure & Barring Service Check (DBS) 106.3 Confidentiality and Informed Consent 106.4 Fitness to Practice 106.5 Whistleblowing/Placement Concerns 11
7 PRACTICE PLACEMENT ASSESSMENT 117.1 Practice Assessment Document 117.2 Practice Assessment Review: Initial/Mid-Point Assessment 11 7.3 Practice Assessment: Paramedic Placements 117.4 Practice Assessment: Non-Paramedic Placements 117.5 Practice Assessment: Skills Log 127.6 Practice Placement Hours Requirements 12
8 DRUG ADMINISTRATION & COMPETENCE 14
YEAR 1: 15
Placement Induction 16Non-Paramedic Practice Placement: Caring 17Non-Paramedic Practice Placement Assessment 19Initial Practice Mentor Meeting Record 21Mid-Point Formative Assessment 22Paramedic Practice Placement Assessment 23Placement Hours Record 30
YEAR 2: 33
Placement Induction 34Non-Paramedic Practice Placement: Critical Care 35Non-Paramedic Practice Placement: Mental Health 37Non-Paramedic Practice Placement: Paediatric Care 39Initial Practice Mentor Meeting Record 41Mid-Point Formative Assessment 42Paramedic Practice Placement Assessment 43Placement Hours Record 50
YEAR 3: 54
Placement Induction 54Non-Paramedic Practice Placement: Community Care 55Non-Paramedic Practice Placement: Elective 58Initial Practice Mentor Meeting Record 60Mid-Point Formative Assessment 61Paramedic Practice Placement Assessment 69
Practice Skills Competency Record 72
DISCLAIMERThe information contained in this guide is, as far as possible, accurate and up to date at the time of printing. The express permission of Teesside University must be obtained to reproduce any, or all of this publication, other than for personal use or for those purposes permitted by law.
STUDENT & ACADEMIC ZONE STAFF DETAILS
This document remains the property of the University and you should keep it safe and carry with you at all times during placement periods. It is a continuous record of all practice competencies and skills developed across the whole of your programme.
You are required at the end of each placement phase to meet with your Module Leader to review your on-going feedback from all practice
placements
STUDENT DETAILS – PLEASE PRINT AND COMPLETE BOXES BELOW:
Name of Student(Please PRINT)
Signature of Student
Student Number
Cohort
Personal Academic
Paramedic Zone
Non-Paramedic Zone
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1 PRACTICE PLACEMENTS
The purpose of this handbook is to provide you with information about how placements are managed, organised and co-ordinated for your BSc (Hons) Paramedic Practice programme. It will enable you to get the most out of each placement and guide you towards the successful completion of practice placements and competencies. In the following pages you will find details of practice competencies, skills, learning outcomes and objectives for all of your placements across the whole programme.
You should keep this document safe so that you, your Mentor and University staff can refer to it throughout your three years of study. It is a working document and must be handed in at the end of each practice year for summative assessment.
The practical application of skills learned in the theory modules and the ability to understand the complexities of practice situations is an integral part of your learning experience. You are expected to attend and complete all placements and meet all of the learning outcomes, practice competencies and skills assessments. Placements are essential to the programme and you must be prepared to travel, often at a distance to a variety of placement areas.
Paramedic Placements: You will normally be placed at a single station referred to as your ‘home station’ for your Paramedic placements. You will be based at your ‘home’ station for a practice year and normally move to another ‘home’ station in subsequent years and be allocated a new Mentor.
Non- Paramedic Placements: You will normally be placed in a ‘home trust’ for all of your Non-Paramedic placements during the entire three year programme. In each year of your programme you should expect to spend five weeks in wards/departments and other areas in your ‘home trust’. You are normally allocated to someone who will supervise your practice in individual placement areas within your ‘home trust’.
First Year Placements: ThemeThe theme of the first year placements is to develop your knowledge and skills to enable you to safely assess, identify and manage service users with life threatening conditions and manage their care during transportation to an appropriate care facility. You will develop an-awareness of the importance of professionalism, care and compassion. The skills needed for fundamental care are introduced during your first placement and will ensure that you have exposure to the fundamental care skills that are required of all healthcare professionals and will be developed further in all subsequent placement areas.
Second Year Placements: ThemeDuring the second year placements you will continue to develop your emergency care skills. In addition you will perform more detailed service user assessment and focus on the management of service users presenting with non-critical illness or injury within an increasing scope of practice. You will begin to identify when the transfer of care to a specialist centre or referral to another professional
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is appropriate for your service user. You will therefore be placed in areas of care that manage acute and chronic conditions and traumatic injuries.
Third Year Placements: ThemeThe theme of the third year is to develop your autonomous practice and skills for managing minor injuries/illness and unscheduled/urgent care. You will learn to safely see/treat and discharge service users and give advice on self-management/care. Where you are unable to manage service users within your own scope of practice you will be able to safely recognise and refer your service user to the most appropriate provider of care. You will enhance your management skills and may have some exposure to managing care in special circumstances such as Hazard Area Response Team (HART).
Within the third year you will have an elective placement. You can elect (subject to availability and approval) to return to a previously attended area of practice or a different area but with a specific focus on how Paramedics could make an impact on that area of practice.
You will be expected to keep a running record of all of the placement hours you have attended and submit this as evidence. When you have successfully completed all aspects of the academic programme, met your practice competencies and skills you will be eligible to apply for registration as a Paramedic with the Health & Care Professions Council (HCPC).
I hope that you will find the programme rewarding, interesting and challenging and the programme team look forward to teaching and learning with you over the next three years.
Good Luck!
Marion RichardsonProgramme Leader – BSc (Hons) ParamedicSchool of Health & Social CareCenturia Building - H2.3101642 [email protected]
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2 AUTHORISED SIGNATORIES
Signatures of Mentors and Supervising Clinicians are to be recorded here for verification/cross-checking purposes.
YEAR 1 – PLACEMENT MENTORS/SUPERVISORS
Signature PRINT name clearly Designation/Registration Number
YEAR 2 – PLACEMENT MENTOR & SUPERVISOR
Signature PRINT name clearly Designation/Registration Number
YEAR 3 – PLACEMENT MENTOR & SUPERVISOR
Signature PRINT name clearly Designation/Registration Number
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3 STAFF CONTACT DETAILS AND ZONED ACADEMICS
University Main Campus Address
School of Health & Social CareTeesside UniversityCenturia BuildingMiddlesbroughTS1 3BA
Staff Contact Details
Member of Staff Role Tel Number Email AddressMarion Richardson
Programme LeaderSenior Lecturer
01642 738507 [email protected]
Mark Nevins Senior Lecturer 01642 738242 [email protected] Vale Senior Lecturer 01642 384077 [email protected] Jones Senior Lecturer 01642 342539 [email protected] Capsey Senior Lecturer 01642 384154 [email protected] Moat Senior Lecturer 01642 384 119 [email protected]
Academic Zoned Academics
Paramedic Zones AcademicsNorth East Ambulance Chris MoatYorkshire Ambulance Matt CapseyNon-Paramedic Zones AcademicsGreat North Air Ambulance Mark NevinsCounty Durham & Darlington Mark NevinsNorthTees Chris JonesSouth Tees Gary ValeTees Esk & Wear Valley Marion Richardson
Twitter @TeesParamedic
Facebook: Teesside Paramedic Team
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4 PLACEMENT OVERVIEW
The Paramedic programme is designed to integrate practice experience and learning with theory modules. You are expected to use your experiences in practice to enhance your understanding of the theory modules and to be able to demonstrate the ability to identify and apply the theory underpinning practice. Practice placements are organised in a variety of settings with a strong focus on Paramedic placements to ensure that you have a good understanding of the role of the Paramedic.
Integration of theory and practice modules is paramount throughout the programme and we achieve this by:
Working closely with our partners to ensure the programme content is relevant and reflects current practice.
Involving practice colleagues in teaching and assessing practical skills. University staff visiting practice. The learning outcomes from theory modules relating directly to the aims
and objectives of practice. Using knowledge, skills and attitudes gained in practice as a basis for
theory learning in future modules.
4.1 Location and Selection of Placements
You are required to undertake a range of placements that will equip you with a broad base of experience. The following are some examples of the areas you may be placed:
Paramedic Services NHS & Private Hospitals Paediatric Care Emergency Departments / Admissions Units Critical Care Areas GP Practices / Walk in Centres/Specialist Practitioners Mental Health Units Fundamental Care Areas (Nursing Home/Ward Areas)
The placements are selected according to the stage and outcomes of your programme.
You will be expected to attend all placements in all locations and should be prepared to travel, sometimes at a distance, to your placement area and be prepared to work days, nights, weekends and bank holidays.
4.2 Preparation for Practice Placements
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You will attend a briefing to discuss the competencies/objectives to be achieved prior to each placement phase and a further workshop on completion to review and share your experiences. You are expected to meet with the Module Leader at the end of each placement phase to review your progress and practice hours.
You will complete a Corporate Trust Induction and a local induction with your Practice Mentor/Supervisor which will provide you with essential health/safety and other information that you need to know about your placement area before you commence your placement. You MUST attend a Corporate Trust Induction prior to attending your first placement.
Specific skills that you must demonstrate competency in each year of your programme are contained in the Skills Log. You must demonstrate competence in those skills as you progress through the programme and will be assessed in practice each year.
The whole programme will embed competence, compassion, caring, courage, communication and commitment (6 C’s) for service user care as a key theme demonstrating your aptitude to be a professional throughout all modules and practice placements.
Professional development occurs throughout the programme and you are encouraged to take responsibility for your own learning and to develop an awareness of your own strengths and needs. Emphasis is placed on the integration of theoretical and practice experience within the context of professional development.
4.3 Allocation of Placements
Placements are critical to ensure that you are exposed to practice and provide opportunities to make the links between the theoretical components and the practice components of your programme. You should expect to be in practice for 20 weeks of each year of your programme. You must demonstrate a minimum of 750 hours of practice learning in each year.
Placement allocation will be provided for you through our placements management system which can be accessed by clicking this link: http://sohsc.tees.ac.uk/
4.4 Your Responsibilities on Placement
Complete the local workplace induction. Adhere to all workplace policies and procedures. Act in a professional manner at all times. Identify your learning needs and negotiate objectives Ensure that you wear your uniform and appropriate PPE.
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Monitor ARC and the programme support site regularly
At the end of each phase of placement you must:
Make an appointment to see your Personal Academic to review your progress.
4.5 Paramedic Placements: Home Station
You will be allocated to a specific trust where you will normally be based for the duration of your programme. You will be allocated a home station in each year of your practice placements. You will normally be based at single location for the duration of all of your Paramedic placements in that particular year. You will have a named Practice who you will work with and follow their shift pattern whilst on placement. The home station will change in each year and you will be allocated a different home station and Practice Mentor for Years 2 and Year 3. This will broaden your experience and exposure to a range of diverse environments in which Paramedics work. Only your named Practice Mentor(s) can complete your assessment and confirm that you have met your practice competencies. There may be occasions when you will not work with your named Practice Mentor (because of holidays etc.) but you can expect where they are not available you will work with another Paramedic who will support you with your learning.
4.6 Non-Paramedic Placements: Home Trust
You will be allocated to a specific ‘home trust’ where you will normally be based for all of your non-paramedic placements for the duration of your programme. Non-Paramedic placements are designed to enable you to gain experience of specific areas of care pertinent to your sage of learning and practice. You must attend those placements and complete your objectives while you are there. There may be some objectives that you are unable to achieve in one practice placement; these can be carried forward to the next placement. You will be allocated to a supervising clinician who will work with you to provide opportunities to meet your learning objectives and provide you with some feedback on your performance. The feedback they provide will form part of the evidence your Practice Mentor uses to complete your summative assessment at the end of your practice year.
4.7 Elective Placement
In Year 3 you may choose from a range of options to return to a previous placement (Paramedic or Non-Paramedic) in another part of the UK or an international or individually negotiated placement (such as working in a commercial environment) subject to meeting the University’s agreed processes and approval. There may be some unique features that you may wish to experience or demonstrate but this placement experience should be focussed on helping you make the transition between student
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and qualified practitioner. Further details of the elective placement and placement areas will be discussed in Year 3.
4.8 Practice Placement Support
Each member of the academic team has responsibility for a zoned area within the Paramedic practice areas. The zoned academic works closely with our partners and may visit or contact you while you are on placement. The zoned academic is the link between your zoned area and the University. Should you be struggling to achieve the required level of competence or there are any issues within that practice area they will work with your Practice Mentor/Supervisor to devise an action plan to resolve any issues. . While on placement you are the responsibility of your Practice Mentor. You should raise any concerns/issues initially with your Practice Mentor/Supervising Clinician or where you feel you are unable for whatever reason, your zoned academic. You may also have cause for concern regarding some of the things you may see or be involved with in practice. For guidance on how to report such incidences please see Section 6.
5 PLACEMENT CO-ORDINATION
5.1 Zoned Academics
The zoned academic is responsible for all students on placement within their geographical area. For information on those specific areas please see the contact details on page 5 of this document.
5.2 Practice Mentors/Non-Paramedic Supervisors
Practice Mentors/Non-Paramedic Supervisors have the day-to-day responsibility for facilitating your learning in practice. They will normally have completed or be working towards a recognised Mentorship or teaching qualification and/or attended a preparatory workshop.
The Practice Mentor/Supervisor role includes:
Ensuring you are inducted into the placement area Supporting you with objectives and practice learning outcomes. Providing feedback on performance. Paramedic Mentors: Completing initial, mid-point summative
assessments Non-Paramedic Supervisors: Completing Non-Paramedic
placement feedback Identifying areas of good practice Suggest areas for development in the future.
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6 PLACEMENT POLICIES AND PROCEDURES
6.1 Reporting Sickness & Absence
The University has a duty to ensure that all students are fit and able to undertake practice placements. If you have had an illness or injury in the weeks before a placement you may be required to provide evidence that you are fit to undertake the practice placement.
You must inform the Zoned Academic, your Practice Mentor (and/or follow your home organisations sickness procedures) and Student Records (01642 384586) on your first day of sickness.
You must also report that you are fit to return to work. Copies of fit notes must be submitted to the University. It is your responsibility to ensure that you are fit to work whilst on placement.
6.2 Disclosure and Barring Service – DBS Checks (DBS)
You are required to inform the Programme Leader immediately should you be convicted or cautioned for any offence and/or your DBS status changes at any point during the programme.
6.3 Confidentiality and Informed Consent
Confidentiality and informed consent are essential in the health and social care setting, as maintaining confidentiality and gaining consent, promotes trust and individual choice for each client/service user. You must gain informed consent for all service user episodes including assessment, treatment and management. If you wish to use any information relating to a specific service user in your written work, you must gain witnessed verbal consent and complete the relevant documentation. This must be submitted with the assignment.
You must also inform service users that you are a student and give them the opportunity to decline being assessed and/or cared for by you. This is their fundamental right as a service user. 6.4 Fitness to Practise
The University has a duty to protect the public by ensuring that each student is fit to practise at the level at which s/he is studying. Assessment of your fitness to practise, and your compliance with professional codes of conduct is an integral part of this professional programme. The HCPC may have additional and specific requirements in relation to fitness to practise, which must be met. Your Fitness to Practise may be challenged when you fail to demonstrate appropriate standards of behaviour, either at University, on practice placement, or at other times and may be deemed to be professionally unsuitable and unfit to practise. In these circumstances, a student will be considered under the current University’s
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Fitness to Practise Regulations. If you have any concerns regarding your fitness to practise you should contact your Personal Academic. Further details of the University’s Fitness to Practise regulations can be found on the Student E-Directory.
6.5 Whistleblowing/Placement Concerns
Raising concerns about practice, standards of care, quality and safeguarding service users is a primary function of all healthcare professionals. If you see or become involved in something that you feel is inappropriate then you have a duty to report this. This applies to all practice areas and all practitioners, regardless of whether they are professionally registered or not (such as Health Care Assistants and other Support Staff) in all settings and in all areas.
If you have such concerns you should bring this to the attention of your Practice Mentor/Supervising Clinician but in those cases where you feel unable for whatever reason you should contact your zoned academic as soon as possible and complete the ‘Placement Concern’ form which is available on the Student Intranet/E-Directory.
7 PRACTICE PLACEMENT ASSESSMENT
7.1 Practice Assessment Document
The knowledge, skills and attitudes gained in each placement are cumulative. The competency assessments are based on the Health & Care Professions Council (HCPC), Standards of Proficiency for Paramedics (SOPs). Practice placements in both Paramedic and Non-Paramedic areas are directly linked to your theoretical learning and are both formatively and summatively assessed.
The practice experience demands your active involvement, with the expectation that you will progressively take more responsibility for your learning throughout the programme. You must successfully complete your placements before progression to the next. Non-Paramedic placements are a strong feature of this programme and the feedback you receive from your supervising clinician is used by your Practice Mentors to contribute to your overall summative assessment at the end of each practice year. You must successfully complete all placements and achieve all summative competencies and skills for each practice year before progressing to the next.
7.2 Practice Assessment – Initial & Mid-Point Reviews
Within the first week of meeting your Practice Mentor you should complete the initial meeting and agree a plan of how you are going to meet your practice competencies and skills over the whole practice placement period. This will be formatively reviewed at the mid-point of each
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placement year. This allows you and your Practice Mentor to discuss your progress and highlight any areas of good practice or areas that require further development. Feedback from your non-Paramedic placements will be used by your Practice Mentor to contribute to your mid-point assessment.
7.3 Practice Assessment – Paramedic Placements
In each stage of your programme your Practice Mentor summatively assesses your competencies and skills. Feedback from your non-Paramedic placements will be used by your Practice Mentor to contribute to your summative assessment. This is normally completed in the last week of your placement year each year.
7.4 Practice Assessment – Non-Paramedic Placements
Your non-Paramedic placements have formative learning objectives which you are expected to work towards during your non-Paramedic placement. Your supervisor in those areas will negotiate a learning contract with you to support you to meet your practice objectives. They are expected to provide you with some feedback on your objectives at the end of the placement which will be used by your Practice Mentor during their summative assessment. All Non-Paramedic placements MUST be completed in order to fulfil the requirements of your practice assessment as the feedback is used to make a summative assessment at the end of your practice year.
7.5 Practice Assessment: Skills Log
Your skills log is a continuous record of the skills that you have demonstrated as you progress through your programme. Once you have passed your simulated assessment an academic member of staff will sign and date the ‘Ready for Practice’ section of the skills log. This means that you can practice ANY skill that has been deemed to be ‘Ready for Practice’ in the clinical area.
Skills that require summative assessment are clearly indicated in your skills assessment log shaded in grey. If you do not demonstrate competence by the end of the practice year then you will be deemed to have referred in practice and your Practice Mentor will detail their reasons for non-competence in their feedback. If you have not been able to practice certain skills due to a lack of opportunity then you will be asked to demonstrate those skills to an academic in a simulated environment at the end of each year. This will be recorded as ‘SIM’ in your practice assessment document
Only your Practice Mentor can sign to confirm whether you are able to demonstrate the achievement of the practice competencies detailed in the Practice Assessment document they cannot be assessed by any other clinician. If you refer in practice or in your summative skills session, you
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may be offered a re-assessment at the discretion of the Progression & Award Board. If you do not demonstrate competence following a re-assessment then you will be discontinued from the programme.
7.6 Practice Placement Hours Record
You are expected to work the same hours and shift pattern as your Mentors and this will vary from area to area. You should be prepared to work a mixture of shifts which include 8, 12 and 13 hour days depending on the practice placement area and your Practice Mentor/Supervising Clinician. This will include early mornings, late evenings, night shift, weekend work and working during public holidays.
You must record your actual hours worked on placement using the placement hour’s record, including any extra time that you worked because your shift ended at a later time than expected. This is a continuous record of the hours worked across the three years and is a requirement of the programme. At the end of each shift you must ensure that your Practice Mentor/Supervisor signs to confirm hours worked.
It is your responsibility to ensure that the ‘placement hours record’ is filled in correctly, signed and dated. At the end of the programme all practice hours need to be correctly totalled for validation purposes.
You must demonstrate 750 hours of practice in each year of your programme. The minimum numbers in each placement area and at each stage of your programme are detailed below.
Year 1
Year 2
Year 3
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Placement area Duration HoursCare Placement 2 Weeks 75 HrsParamedic Phase 1 2 Weeks 75 HrsHistory Taking 3 Weeks 112.50 HrsParamedic Phase 2 4 Weeks 150 HrsParamedic Phase 3 9 Weeks 337.50Total Hours 750 Hours
Placement area Duration HoursParamedic Phase 1 4 Weeks 150 HrsCritical Care 2 Weeks 75 HrsPaediatric Care 1 Weeks 37.5 HrsMental Health 2 Weeks 75 HrsParamedic Phase 2 11 Weeks 412.5 HrsTotal Hours 750 Hours
8 DRUG ADMINISTRATION & COMPETENCE
The Medicines and Healthcare products Regulatory Agency (MHRA), (2008) advise that only HCPC Registered Paramedics can administer certain medicines on their own initiative for immediate, necessary treatment of sick and injured persons and provide a list of Prescription Only Medicines under the paramedic exemption list (please see their website for further details).
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Placement area Duration HoursMinor Injuries 5 Weeks 187.5 HrsParamedic Phase 11 Weeks 412.5 HrsElective 4 Weeks 150 HrsTotal Hours 750 Hours
YEAR 1
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PLACEMENT INDUCTION AREAS – YEAR 1
The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor.
Please check off the items below when they have been completed and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.
Placement Area Home Station P1: Care Area P2: Service User Assessment
Key Staff & RolesToilets/Changing FacilitiesLocation of Staff AreaFacilities for eating/drinkingDress Code (Non-Paramedic) ONLYSpecific Work Area OverviewCommunication – Making/Receiving Calls – Use of Radio/MDTPostal ArrangementsCar Parking & Charges (if applicable)
Health & SafetyEmergency proceduresSafety PolicyLocation of First Aid boxFire ProcedureAccident reporting and location of accident bookCOSHH regulationsDisplay Screen Equipment regulations/proceduresManual handling proceduresProtective clothing arrangementsInstruction on equipment participant will be using (list equipment):Others (Please state)WhistleblowingLone Working
NON-PARAMEDIC PRACTICE PLACEMENT: CARING
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LEARNING OUTCOMES:
Demonstrate the 6 C’s in the practice area. Demonstrate the ability to assist service users with personal hygiene. Demonstrate the ability to assist service users with personal care. Demonstrate the ability to assist service users with nutrition and hydration. Demonstrate the ability to communicate effectively with service users and
their carers/significant others. Demonstrate the ability to work as part of a team. Describe and discuss how to safeguard vulnerable service users. Maintain the service user’s dignity and respects their values and beliefs. Demonstrate an awareness of how to report and challenge where dignity,
equality and diversity have an impact on the safety or effectiveness of delivering care.
LEARNING PLAN: (to be negotiated between supervising clinician/student)
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good practice/understanding.
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervisor) ……………………….… Date ……………….
Signature (Student) ………………………………. Date ………………
NON-PARAMEDIC PRACTICE PLACEMENT: PATIENT ASSESSMENT
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
LEARNING OUTCOMES:
CORE VALUES
Demonstrate the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Be aware of responsibilities/process for raising concerns about vulnerable
patient/child protection issues. Able to maintain the service users dignity and respects their values and
beliefs and cultural diversity.
PLACEMENT SPECIFIC
Demonstrate the ability to take a service user history. Demonstrate the ability to record appropriate observations. Able to discuss the relevance of observations and their use in relation to
assessment. Able to record contemporaneous and appropriate, relevant (written and
electronic) notes. Observe and participate in handover(s) of care from or to another
healthcare professional where appropriate. Is able to demonstrate an ability to prioritise care/interventions. Demonstrate the ability to obtain informed consent.
LEARNING PLAN: (to be negotiated between supervising clinician/student)
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good practice/understanding.
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Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervisor) …………..……………………….… Date…………………….
Signature (Student) …………………………………………. Date…………………….
Initial Practice Mentor Meeting Record: Year 1
This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the
Paramedic phase of your practice placements.
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Summary of Initial Meeting/Discussion:
Identified areas for professional development:
Identified areas for practice skills development:
Any other identified personal/other support needs:
Action Plan for ongoing development:
Signature of Practice Mentor …………………………Date ………………….
Signature of Student …………………………………..Date ………………….
Mid-Point Formative Assessment: Year 1
This form is to be used to record the formative mid-point assessment. If a Mentor or student has concerns that they may not meet the learning
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outcomes/professional requirements and summative assessment for the placement this should be discussed with the Zoned Academic.
Summary of Practice:
Identified areas for professional development:
Identified areas for practice skills development:
Any other identified / personal support needs:
Action Plan for on-going development:
Signature of Practice Mentor ……………… Date ………………………..
Signature of Student ……………………..... Date ………………………….
PARAMEDIC PRACTICE PLACEMENT ASSESSMENT 1
Name of Practice Mentor
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Home Station
Summary of Absences (if any)
Practice Mentors and students are referred to the HCPC Standards of Proficiency for Paramedics (2014).
Please tick the appropriate box below to indicate whether the student has achieved the required competencies for this practice placement:
Standards of Proficiency PASS REFER The reasoning behind any practice referral should be documented clearly by the Practice Mentor below. Practice Mentor Summary:
Student Comments:
Practice Mentor ………………………………….. Date …………………
Signature: Student: ……………………………… Date …………………
STANDARDS OF PROFICIENCY
Autonomy and Accountability
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Unable to demonstrate anability to practice safely andeffectively within their scope of practice
|---------------------------|
Able to demonstratethe ability to practicesafely and effectivelywithin their scope ofpractice
Comments:
Unable to describe the legal and ethical boundaries of their profession
|---------------------------|Able to describe the legal and ethical boundaries of their profession
Comments:
Unable to demonstrate high standards of personal and professional conduct |-------------------------------|
Able to demonstrate high standards of personal and professional conduct
Comments:
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Unable to demonstrate an ability to act autonomously and exercise professional judgement
|-------------------------------|
Able to demonstrate the ability to act autonomously and exercise professional judgement
Comments:
Professional Relationships & Diversity
Is unable to demonstrate the ability to practice in a non-discriminatory manner and is unable to recognise the importance of culture, equality and diversity on practice.
|---------------------------|
Able to demonstrate the ability to practice in a non-discriminatory manner and is aware of the impact of culture, equality and diversity on practice.
Comments:
Unable to demonstrate effective and appropriate communication skills and maintain confidentiality |---------------------------|
Able to demonstrate effective and appropriate communication skills/maintain confidentiality
Comments:
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Unable to demonstrate the ability to work appropriately and in partnership with service users, other professionals and support staff
|---------------------------|
Able to demonstrate the ability to work appropriately and in partnership with service users, other professionals and support staff
Comments:
Recording Keeping, Information Governance & Quality Assurance
Unable to demonstrate the ability to record and maintain appropriate records
|---------------------------|Able to demonstrate the ability to record and maintain appropriate records
Comments:
Unable to demonstrate the ability to discuss / gain informed consent from service users
|---------------------------|
Able to demonstrate the ability to discuss / gain informed consent from service users
Comments:
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Unable to demonstrate the ability to reflect on and review practice |---------------------------|
Able to demonstrate the ability to reflect on and review practice
Comments:
Unable to demonstrate the ability to discuss how to quality assure the care that they deliver.
|---------------------------|
Able to demonstrate the ability to discuss how to quality assure the care that they deliver.
Comments:
Formulation of Assessment & Delivery Plans Unable to demonstrate the ability to utilise the key concepts of their profession and knowledge base to assess patients
|---------------------------|
Able to demonstrate the ability to utilise key concepts of their profession/knowledge base to assess patients
Comments:
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Unable to demonstrate the ability to engage with the evidence based practice process to inform their decisions.
|---------------------------|
Able to demonstrate the ability to engage with the evidence based practice to inform their decisions.
Comments:
Unable to draw from their knowledge and skills base to formulate and implement a management plan for service users
|---------------------------|
Able to demonstrate the ability to use their knowledge/ skills base to formulate and implement a management plan for service users
Comments:
Unable to demonstrate the ability to form an differential diagnosis
|---------------------------|Able to describe and demonstrate the ability to form a differential diagnosis
Comments:
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Knowledge, Understanding and Skills
Unable to describe the interventions needed to meet the clinical needs of patients |---------------------------|
Able to describe appropriate interventions to meet the clinical needs of patients
Comments:
Unable to demonstrate competence in the clinical skills that are appropriate to their stage of learning
|---------------------------|
Able to demonstrate competence in the clinical skills that are appropriate to their stage of learning
Comments:
Unable to demonstrate the ability to maintain a safe practice environment and sterile fields
|---------------------------|
Able to demonstrate the ability to maintain a safe practice environment /sterile fields
Comments:
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PLACEMENT HOURS RECORD – Year 1
This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively.
Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty.
INDUCTION / ONE DAY FLY OUT / OTHER (PLEASE STATE)
Date Hours
Signature Designation Notes
Paramedic InductionNon-Paramedic InductionGNAAS One Day Fly OutOther (State Reason)
Total
FUNDAMENTAL CARE: 75 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
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Total
SERVICE USER ASSESSMENT: 112.50 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Total
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PARAMEDIC: 562.50 MINIMUM / NO MAXIMUM
Date Hours Signature Designation
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Carried Forward
Carried Forward from Previous Page
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Carried Forward
Carried Forward from Previous Page
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Total for Year 1
YEAR 2
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PLACEMENT INDUCTION AREAS – YEAR 2
The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor.
Please check off the items below when they occur and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.
Placement Area Home Station P1: Critical Care
P2: Paediatric
P3: Mental Health
Key Staff & RolesToilets/Changing FacilitiesLocation of Staff AreaFacilities for eating/drinkingDress Code (Non-Paramedic) ONLYSpecific Work Area OverviewCommunication – Making/Receiving Calls - Radio/MDTPostal ArrangementsCar Parking & Charges (if applicable)
Health & SafetyEmergency proceduresSafety PolicyLocation of First Aid boxFirst Aid ProcedureFire ProcedureAccident reporting and location of accident bookCOSHH regulationsDisplay Screen Equipment regulations/proceduresManual handling proceduresProtective clothing arrangementsInstruction on equipment participant will be using (list equipment):Others (Please state)WhistleblowingLone Working
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NON-PARAMEDIC PRACTICE PLACEMENT: CRITICAL CARE
LEARNING OUTCOMES:
CORE VALUES
Demonstrate the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Is aware of responsibilities/process for raising concerns about vulnerable
patient/child protection issues. Maintains the service user’s dignity and respects their values and beliefs
and cultural diversity.
PLACEMENT SPECIFIC
Discuss (where appropriate demonstrate) how to manage a service users airway using appropriate clinical skills.
Demonstrates the ability to record and interpret observations (ETCO2, SPO2, Pulse, Respirations etc.) in the critically ill/high dependency service user
Discuss and/or take appropriate corrective actions . Discuss the equipment required to manage a patient with critical care/high
dependency needs and give a rationale for its use. Is able to demonstrate aseptic technique and maintain a sterile field.
Demonstrate an ability to assist/support the care of the critically ill/high dependency service user.
LEARNING PLAN: (to be negotiated between supervising clinician/student)
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good practice/understanding.
Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervisor) ………….………….….…………… Date………………..
Signature (Student) ……………………..…………..……….. Date……………….
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NON-PARAMEDIC PRACTICE PLACEMENT: MENTAL HEALTH
LEARNING OUTCOMES:
CORE VALUES
Demonstrate the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Aware of responsibilities/process for raising concerns about vulnerable
patient/child protection issues. Able to maintain the service users dignity and respects their values and
beliefs and cultural diversity.
PLACEMENT SPECIFIC
Discuss the impact of Mental Health/Capacity Acts on the assessment, management and delivery of care for service users.
Able to identify and discuss the key issues for caring for service users with acute/chronic mental health issues.
Able to identify/discuss key interventions/medications and their use in the practice area
Able to identify/discuss the use of Community/Outreach and drug/alcohol Services
Able to describe/discuss the suicide/self-harm risk assessment processes.
LEARNING PLAN: (to be negotiated between supervising clinician/student)
Feedback Comments (Supervising Clinician)
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
Areas of strength where the student has demonstrated good practice/understanding.
Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervisor)………………………..…….………Date…………………
Signature (Student) …..…………………………..………...Date………………...
NON-PARAMEDIC PRACTICE PLACEMENT: PAEDIATRIC CARE
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LEARNING OUTCOMES:
CORE VALUES
Demonstrate the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Awareness of responsibilities/process for raising concerns about
vulnerable patient/child protection issues. Maintain the service user’s dignity and respects their values and beliefs
and cultural diversity. Communicate effectively with parents/carers/significant others
PLACEMENT SPECIFIC
Describe how to ‘spot the sick child’ Describe and identify ‘red flags’ in critical/acute illness. Describe how to assess competence and gain consent. Identify key medications/interventions for acute/chronic illness Demonstrate the ability to communicate effectively with children and
parents. Awareness of the key aspects of caring for children and their families. Discuss the use of play to assist with caring for children and families.
LEARNING PLAN: (to be negotiated between supervising clinician/student)
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
practice/understanding.
Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervising Clinician)… ………………………… Date ………………
Signature (Student)………………………………..…………... Date……………….
Initial Practice Mentor Meeting Record: Year 2
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This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the
Paramedic phase of your practice placements.
Summary of Initial Meeting/Discussions:
Identified areas for professional development
Identified areas for practice skills development
Any other Identified / personal support needs
Action Plan for on-going development
Signature of Practice Mentor ……,,,,,,,,,,,……… Date ………………….
Signature of Student ……………………………. Date ………………….
Mid-Point Formative Assessment: Year 2
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This form is to be used to record the formative mid-point assessment. If a Mentor or student has concerns that they may not meet the learning
outcomes/professional requirements and summative assessment for the placement this should be discussed with the Zoned Academic.
Summary of Practice
Identified areas for professional development
Identified areas for practice skills development
Any other Identified / personal support needs
Action Plan for on-going development
Signature of Practice Mentor …………………… Date ………………………..
Signature of Student …………………………….. Date ………………………….
PARAMEDIC PRACTICE PLACEMENT ASSESSMENT 2
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Name of Practice Mentor
Home Station
Summary of Absences (if any)
Practice Mentors and students are referred to the HCPC Standards of Proficiency for Paramedics (2014).
Standards of Proficiency PASS REFER
The reasoning behind any practice referral should be documented clearly by the Practice Mentor below. Practice Mentor Summary:
Student Comments:
Practice Mentor………….. ……………………….. Date …………………
Student: …………………………………………… Date …………………
STANDARDS OF PROFICIENCY
Autonomy and Accountability
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Unable to recognised the limitsof their scope of practice anddoes not recognise the need torefer to an appropriate clinician |---------------------------|
Recognises theirlimits of scope ofpractice and refers toan appropriateclinician whereappropriate
Comments:
Unable to explore how the legal and ethical boundaries of their profession impact on their decisions for practice
|---------------------------|
Able to explore how the legal and ethical boundaries of their profession impact on their decisions for practice
Comments:
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Unable to demonstrate high standards of personal and professional conduct |-------------------------------|
Able to demonstrate high standards of personal and professional conduct
Comments:
Unable to critically analyse their decisions to act autonomously and exercise professional judgement |-------------------------------|
Able to critically analyse their decisions to act autonomously and exercise professional judgement
Comments:
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Professional Relationships & Diversity
Unable to demonstrate the ability to practice in a non-discriminatory manner and is unable to recognise the impact of culture, equality and diversity on practice
|---------------------------|
Demonstrates the ability to practice in a non-discriminatory manner recognising the impact of culture, equality and diversity on practice.
Comments:
Unable to critically analyse effective communication skills while maintaining confidentiality.
|---------------------------|
Able to critically analyse effective communication skills / while maintaining confidentiality
Comments:
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Unable to demonstrate the ability to work in partnership with service users, other professionals and support staff |---------------------------|
Demonstrates the ability to work in partnership with service users, other professionals and support staff
Comments:
Record Keeping, Information Governance & Quality Assurance
Unable to critically discuss the reasons for maintaining appropriate records
|---------------------------|Able to critically discuss the reasons for maintaining appropriate records
Comments:
Unable to critically discuss informed consent and data protection/information governance on practice.
|---------------------------|
Able to critically discuss informed consent and data protection/ information governance on practice
Comments:
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Unable to critically reflect and review their practice |---------------------------|
Is able to critically reflect and review their practice
Comments:
Unable to critically analyse their performance and discuss and appropriate process
|---------------------------|
Able to critically analyse their performance and discuss an appropriate review process.
Comments:
Formulation of Assessment & Delivery Plans Unable to critically analyse and justify their assessment of services users using appropriate models/tools
|---------------------------|
Able to critically analyse and justify their assessment of service users using appropriate models/tools
Comments:
Unable to critically analyse and Able to critically
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justify the quality and strength of evidence they have used to inform their decisions |---------------------------|
analyse and justify the quality and strength of evidence they have used to inform their decisions.
Comments:
Unable to justify and critically analyse their management plan for service users
|---------------------------|Able to Justify and critically analyse their management plan for service users
Comments:
Unable to critically analyse and justify their differential diagnosis
|---------------------------|Able to critically analyse and justify their differential diagnosis
Comments:
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Knowledge, Understanding and Skills
Unable to justify the interventions they have selected to meet the clinical needs of patients
|---------------------------|
Able to Justify the interventions they have selected to meet the clinical needs of patients
Comments:
Unable to demonstrate competence in the clinical skills that are appropriate to their stage of learning
|---------------------------|
Able to demonstrate competence in the clinical skills that are appropriate to their stage of learning
Comments:
Unable to critically analyse the reasons for maintaining a safe practice environment and the creation of appropriate sterile fields
|---------------------------|
Able to critically analyse the reasons for maintaining a safe practice environment creation of sterile fields
Comments:
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PLACEMENT HOURS RECORD – Year 2
This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively.
Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty.
CRITICAL CARE: 75 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Total
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PAEDIATRIC CARE: 37.50 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Total
MENTAL HEALTH CARE: 75 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Total
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PARAMEDIC: 562.50 MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Carried Forward
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Carried Forward from Previous Page
Sub Total
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Carried Forward from Previous Page
Total for Year 2
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YEAR 3
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PLACEMENT INDUCTION AREAS – YEAR 3
The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor.
Please check off the items below when they occur and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.
Placement Area Home Station P1: Minor Inj/Ill P2: Elective Area
Key Staff & RolesToilets/Changing Facilities
Location of Staff AreaFacilities for eating/drinkingDress Code (Non-Paramedic) ONLYSpecific Work Area OverviewCommunication – Making/ Receiving Calls – Radio/MDTPostal ArrangementsCar Parking & Charges (if applicable) Health & SafetyEmergency proceduresLocation of First Aid boxFirst Aid ProcedureFire ProcedureAccident reporting and location of accident bookCOSHH regulationsDisplay Screen Equipment regulations/proceduresManual handling proceduresProtective clothing arrangementsInstruction on equipment participant will be using (list equipment):Others (Please state)WhistleblowingLone Working
Safety Procedures
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NON-PARAMEDIC PRACTICE PLACEMENT: COMMUNITY CARE
LEARNING OUTCOMES:
CORE VALUES
Demonstrate the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Aware of responsibilities/process for raising concerns about vulnerable
patient/child protection issues. Maintain the service users dignity and respects their values and beliefs
and cultural diversity.
PLACEMENT SPECIFIC
Demonstrate the ability to take an appropriate clinical history and systematic examination of the relevant body system.
Interpret clinical findings offering a differential diagnosis. Utilise appropriate clinical tests (such as urinalysis, blood tests) and
discuss their findings in the formulation of their differential diagnosis. Formulate an appropriate treatment plan referring to appropriate clinical
tools and best evidence/trust/department guidelines Demonstrate appropriate wound care techniques (irrigation, cleaning)
where applicable. Select appropriate closure methods and apply appropriate closure
methods and dressings where applicable. Recognise the need for x-ray, prophylactic antibiotics, tetanus prophylaxis
or HIV/Hep B risk assessment if required and refers to a senior clinician as appropriate.
Evaluate the treatment/advice and provides appropriate follow up advice where appropriate.
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Summary of Absences (if any) …………………………………………………………………
LEARNING PLAN: (to be negotiated between supervising clinician/student)
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good practice/understanding.
Areas for development which may need to be addressed in subsequent placements.
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At least one development point that the student can take forward to their next placement.
Feedback Comments (Student)
Signature (Supervising Clinician) ………………….…… Date……………………
Signature (Student) ……………………………….……... Date…………………....
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NON-PARAMEDIC PRACTICE PLACEMENT: ELECTIVE AREA
LEARNING OUTCOMES:
CORE VALUES
Demonstrates the 6 C’s. Demonstrate the ability to communicate effectively. Demonstrate the ability to work as part of a team. Aware of responsibilities/process for raising concerns about vulnerable
patient/child protection issues. Maintain the service users dignity and respects their values and beliefs
and cultural diversity.
PLEASE HAND-WRITE YOUR NEGOTIATED OBJECTIVES BELOW
LEARNING PLAN: (to be negotiated between supervising clinician/student)
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Name of Supervising Clinician …………………………………………………………………
Placement Area ………………………………………………………………………………….
Organisation ……………………………………………………………………………………...
Summary of Absences (if any) …………………………………………………………………
Feedback Comments (Supervising Clinician)
Areas of strength where the student has demonstrated good practice/understanding.
Areas for development which may need to be addressed in subsequent placements.
At least one development point that the student can take forward to their next placement
Feedback Comments (Student)
Signature (Supervising Clinician) ………………..………… Date ……...……………
Signature (Student) ………………………………………….. Date …………….…….
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Initial Practice Mentor Meeting Record: Year 3
This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the Paramedic phase
of your practice placements.
Summary of Initial Meeting/Discussions:
Identified areas for professional development
Identified areas for practice skills development
Identified additional / personal support needs
Action Plan for ongoing development
Practice Mentor ………………………………………… Date ………………….
Student ……………………………………………….…. Date ………………….
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Mid-Point Formative Assessment: Year 3
This form is to be used to record the formative mid-point assessment. If a Mentor or student has concerns that they may not meet the learning
outcomes/professional requirements and summative assessment for the placement this should be discussed with the Zoned Academic.
Summary of Practice
Identified areas for professional development
Identified areas for practice skills development
Identified additional / personal support needs
Action Plan for on-going development
Practice Mentor ……………………………… Date ………………………..
Student ……………………………………….. Date ………………………….
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PARAMEDIC PRACTICE PLACEMENT ASSESSMENT 3
Name of Practice Mentor
Home Station
Summary of Absences (if any)
Practice Mentors and students are referred to the HCPC Standards of Conduct, Standards of Proficiency for Paramedics (2014).
Standards of Proficiency PASS REFER
The reasoning behind any practice referral should be documented clearly by the Practice Mentor below. Practice Mentor Summary:
Student Comments:
Practice Mentor……………….: ……………………….. Date …………………
Student: ………………………………………………… Date …………………
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Unable to critically evaluate the role of the Paramedic and the legal and ethical boundaries of their profession
|---------------------------|
Able to critically evaluate the role of the Paramedic and the legal and ethical boundaries of their profession
Comments:
Unable to demonstrate high standards of personal and professional conduct |-------------------------------|
Able to demonstrate high standards of personal and professional conduct
Comments:
Unable to demonstrate the ability to be autonomous, confident or competent when exercising professional judgement
|-------------------------------|
Able to exercise autonomy, confidence and competence when exercising professional judgement
Comments:
STANDARDS OF PROFICIENCY
Autonomy and Accountability
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Unable to demonstrate anability to practice autonomouslyor recognise the limits andscope of their practice |---------------------------|
Able to demonstrate the ability to practice autonomously recognising the limits and scope of their practice
Comments:
Professional Relationships & Diversity
Unable to demonstrate an ability to work ethically in a non-discriminatory context and does not demonstrate the value of equality and diversity in practice
|---------------------------|
Demonstrates ability to work ethically and in a non-discriminatory context valuing equality and diversity in practice,
Comments:
Unable to demonstrate the ability to communicate effectively or adapt their communication style in context
|---------------------------|
Communicates fluently and effectively using a range of styles appropriate to the context
Comments:
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Unable to demonstrate the ability to work autonomously in partnership with service users, other professionals and support staff
|---------------------------|
Demonstrates the ability to work autonomously in partnership with service users, other professionals and support staff
Comments:
Record Keeping, Information Governance & Quality Assurance
Unable to demonstrate the ability to accurately record and maintain contemperoneous records within the context of their practice and current legislation/policy/law
|---------------------------|
Demonstrates the ability to accurately record and maintain contemperoneous records within the context of their practice and current legislation/policy/law
Comments:
Unable to demonstrate autonomous practice in gaining informed consent, assessing capacity, information governance and data protection issues.
|---------------------------|
Demonstrate autonomous practice in gaining informed consent, assessing capacity, information governance/ data protection issues
Comments:
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Unable to critically reflect and evaluate practice |---------------------------|
Is able to critically reflect and evaluate their practice
Comments:
Unable to synthesise, appraise and critically evaluate the quality of care they have delivered
|---------------------------|
Able to synthesise, appraise and critically evaluate the quality of care they have delivered.
Comments:
Formulation of Assessment & Delivery Plans
Unable to critically evaluate and review the effectiveness of their assessment of service users
|---------------------------|
Able to critically evaluate and review the effectiveness of their assessment of service users
Comments:
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Unable to demonstrate a comprehensive and detailed knowledge of the quality of the evidence to inform their decisions
|---------------------------|
Able to demonstrate a comprehensive understanding and detailed knowledge of the quality of the evidence to inform their decisions.
Comments:
Unable to synthesise, evaluate or appraise their management plan for service users.
|---------------------------|Able to synthesise, evaluate and appraise their management plan for service users
Comments:
Unable to utilise skills and knowledge to appraise, evaluate and justify differential diagnosis of patietns
|---------------------------|
Able to draw from their knowledge and skills to appraise, evaluate and justify their differential diagnosis of patients
Comments:
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Knowledge, Understanding and Skills
Able to justify and evaluate the effectiveness of the interventions they have selected to meet the clinical needs of patients
|---------------------------|
Able to Justify and evaluate the effectiveness of the interventions they have selected to meet the clinical needs of patients
Comments:
Unable to demonstrate competence in the clinical skills that are appropriate to their stage of learning
|---------------------------|
Able to demonstrate competence in the clinical skills that are appropriate to their stage of learning
Comments:
Unable to demonstrate a comprehensive and detailed knowledge for maintaining safe environments and the creation and control of sterile fields
|---------------------------|
Demonstrates a comprehensive and detailed knowledge maintaining a safe practice environment and control of sterile fields
Comments:
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PLACEMENT HOURS RECORD – Year 3
This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively.
Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty.
COMMUNITY CARE: 187.50 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Carried Forward
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Date Hours Signature DesignationCarried Forward
Total
ELECTIVE: 150 HOURS MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Carried Forward
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Total
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PARAMEDIC: 412.50 MINIMUM / NO MAXIMUM
Date Hours Signature Designation
Sub Total
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Carried Forward from Previous Page
Sub Total
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Carried Forward from Previous Page
Total for Year 3
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Skills
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Year 1 – Key Competencies
Competence Status Academic Staff Signature (PRINT/Sign/Date)
Adult BLS with AED OSCE Completed
Paediatric BLS OSCE Completed
Year 2 – Key Competencies
Key Skill/Competence Status Academic Staff Signature (PRINT/Sign/Date)
Management of cardiac arrest and peri-arrest arrhythmias (Adult)
Simulated Session Completed
Management of cardiac arrest and peri-arrest arrhythmias (Child)
Simulated Session Completed
Year 3 – Key Competencies
Key Skill/Competence Status Academic Staff Signature (PRINT/Sign/Date)
Management of cardiac arrest and peri-arrest arrhythmias (Adult)
Evidence of Achievement Submitted
Management of cardiac arrest and peri-arrest arrhythmias (Child)
Evidence of Achievement Submitted
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These are ESSENTIAL skills that MUST be demonstrated in each Practice Year.
All of the skills listed below require summative assessment. If you have not been able to practice certain skills due to a lack of opportunity then you will be assessed on those skills in a simulated environment at the end of each year. This will be recorded as ‘SIM’ in your practice assessment document
Please note that the demonstration of competence can be made in practice, through discussion and simulation.
Ready for Practice
Year 1 Year 2 Year 3
FUNDAMENTAL OBSERVATIONS
Example: 1-1-13 GV
Yes 1-2-13 GV
Identify key sites and use appropriate equipment to record a temperatureIdentify pulse sites – carotid/radial/femoral/ brachial – and record rate, rhythm and qualityRecord respirations
Record a manual blood pressure using appropriate equipmentRecord an automatic blood pressure using appropriate equipmentPerform capillary refill time test centrally and peripherally
Use pulse oximetry to record SpO2
Use capnography device to record end tidal CO2
Apply ECG electrodes in appropriate sites to record
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monitor cardiovascular activityApply ECG electrodes appropriately and record 12 Lead ECGsMeasure and record level of consciousness using AVPU
Measure and record level of consciousness using GCS
Measure and record Blood Glucose
Measure and record pupillary responses
Measure and record urinalysis test
Measure and record serum lactate
AIRWAY MANAGEMENT
Demonstrate Head Tilt/Chin Lift, Jaw thrust and modified manual airway techniquesOperate suction machinery and select appropriate suction catheter(s)Correctly size and insert Oro-pharyngeal airways
Correctly size and insert naso-pharyngeal airways justifying selection of deviceCorrectly size and insert supraglottic airway devices justifying selection of deviceDiscuss how to/size and insert endo-tracheal airway devices noting appropriate landmarksDiscuss how to/select equipment and perform a needle cricothyroidotomy
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Discuss how to/select equipment and perform a needle thoracocentesisDemonstrate effective manual ventilation using Bag-Valve-MaskOperate ventilator and select appropriate settings for use
Demonstrate/discuss how to remove foreign body using airway management equipmentIdentifies landmarks for auscultation of chest and breath sounds and assesses respiratory functionDemonstrates correct technique for percussion of the chest in a respiratory examinationDemonstrates correct palpation technique of the chest in a respiratory examinationCARDIOVASCULAR
Identifies landmarks for heart sounds
Demonstrates competence in selection and insertion of intra-venous vascular access devices (no flushing of device)Demonstrates competence in selection and insertion of intra-osseous access device (no flushing of device)Selects and applies an appropriate dressing to arrest haemorrhageManagement of cardiac arrest(If the student does not have the opportunity to demonstrate these skills in practice they will be assessed by academic tutors using simulation at the end of the academic year)
Demonstrates CPR in line with current UK (adult) resuscitation guidelines
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Demonstrates CPR in line with current UK (adult) resuscitation guidelines
Demonstrates safe defibrillation in line with current UK resuscitation guidelines
Demonstrates effective management of an adult cardiac arrest including airway management, iv access and identification of relevant drug therapy (student is not to administer any drugs this must be done by registered paramedic)
Demonstrates effective management of a paediatric cardiac arrest including airway management, iv access and identification of relevant drug therapy (student is not to administer any drugs this must be done by registered paramedic)
Ready for Year 1 Year 2 Year 3
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PracticeMANAGEMENT OF TRAUMASelect and apply cat-tourniquet device to an appropriate woundSelect and apply haemostatic dressing
Demonstrate the ability to apply appropriate haemorrhage control dressingsDemonstrate the appropriate packaging of a service user
Select and apply appropriate dressings to manage a service user who presents with burnsSelect and apply pelvic immobilisation devices
Select and apply traction splinting devices
Demonstrate competence in appropriate management of suspected cervical injuryDemonstrate competence In immobilising fractures
Demonstrate competence in extrication using appropriate equipmentDRUG PREPARATION
Demonstrates preparation of pre-filled drug devices for administrationDemonstrates performance of appropriate safety checks – drug, dose, date, damageDemonstrates preparation of equipment required to administer drugs
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INFECTION CONTROL
Demonstrates he ability to create an appropriate sterile field using relevant equipmentDemonstrates the wearing of appropriate PPE when carrying out interventions MINOR INJURIES & ILLNESSSelect appropriate equipment and performs wound cleaning and irrigationDemonstrates closure of a wound using steri-strips
Demonstrates closure of a wound using tissue adhesive
Demonstrates closure of a wound using staples
Demonstrates and applies compression bandaging
Demonstrates and applies wool and crepe bandaging
Demonstrates appropriate management of a catheter
Selects and uses appropriate equipment to examine the ENT systemDemonstrates the use of Snellen chart to test visual acuity
Demonstrates the use of ophthalmoscope to perform fundoscopy
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