Mentor Update

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Mentor Update 2009 Students documentation and
Essential Skills Clusters Assessments Extended
Version.

• Produced by
• David Kinnell, Lecturer.

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MENTOR UPDATE 2009.

• The purpose of annual updating is to
• ensure that mentors
• Have current knowledge of NMC approved
  programmes,
• Are able to discuss the implications of changes
  to NMC requirements.
• Have an opportunity to discuss issues related to
  mentoring, assessment of competence and fitness
  for safe and effective practice, (NMC, 2008).

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Working in partnership towards meeting the NMC
requirements.

• Other Universities that are involved in
  monitoring and developing changes
• The University of Derby,
• The University of Lincoln, and
• The Open University.
• The Mentor Preparation Advisory Group has
  representation from across the 3 Health
  Communities and works in partnership with the
  Practice Learning Committee.
• Also, Disability Liaison Officers have offered
  guidance disability equality training.

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Mentor Preparation Course 10 day Course, over
10 weeks

• Standard Mentor Training must be 10 days in all
  Schools of Nursing.
• 5 days theory based (1, 3, 5, 7, and 9) exploring
  the 8 domains and 26 outcomes of mentorship.
• 5 days Work Based Learning in order to collect
  Mentor Portfolio evidence (2, 4, 6, 8, and 10).
• B71 SPL Non-credited.
• B73 SPL 20 level 3 credits.
• All applicants must apply on line
• www.nottingham.ac.uk/nursing/lbr_applications

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Students Placement Documentation

• Assessment of Practice Record.
• Ongoing Achievement Record.
• Clinical Skills Book including Essential Skills
  Clusters Assessments.
• Student Portfolio.

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1) Assessment of Practice Document.

• This document contains either
• 40 Placement Outcomes C.F.P., or
• 62 Placement Proficiencies Branch,
• (NMC, 2004).
• White, Yellow and Pink copies have been removed
  
• now in the Ongoing Achievement Record as from
  October 2007 cohort.
• Encourage students to use a range of evidence to
  meet their achievements.

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2) Ongoing Achievement Record Continuity of
Practice Assessment Record

• From October 2007 all students have new practice
  based documentation that will continue throughout
  their training.
• There will be documentary evidence of any
  problems experienced in practice and the action
  plan implemented.
• The Sign-off Mentor as from April 2010 will have
  access to this in Semester 6 it will be
  monitored by the Students Personal Tutor
  throughout.
• A sample of this document will be randomly
  moderated at the end of each semester.

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Skills Escalator Pre-Registration Nursing
Courses,(Adapted from Bondy, 1983).

• Practice Level 4 (Minimum Level Semester 5 (L3)
  Semester 6 (L4)
• I have practiced independently meeting the
  standards of proficiency, seeking advice and
  support as appropriate and demonstrating
  knowledge, skills and attitudes appropriate to
  this Practice Level.
• Practice Level 3 (Minimum Level for End of Year
  Two).
• I have practiced with decreasing supervision to
  achieve the standards of proficiency, requiring
  occasional support and prompts in the development
  of appropriate knowledge, skills and attitudes.
• Practice Level 2 (Minimum Level for End of Year
  One
• I have practiced with assistance in the delivery
  of care to achieve my practice outcomes (CFP)
  standards of proficiency (Branch) demonstrating
  knowledge, skills and attitudes appropriate to
  this Practice Level.
• Practice Level 1 (Commencing Level for Common
  Foundation)
• I have practiced, with constant supervision, in
  the delivery of essential care to develop the
  knowledge, skills and attitudes required to
  achieve my practice outcomes.
• (Replaces Helper, Supervised / Participant and
  Assistant).

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3) Clinical Skills Book Essential Skills
Clusters, (September 2008).

• The E.S.C.s are intended to compliment the
  Nursing Standards (NMC, 2004).
• They are a set of national skills statements that
  are intended to support existing outcomes and
  proficiencies.
• 5 different aspects, 42 statements identifying
  what the patient / client can trust a newly
  registered nurse to do.
• They involve the process of calculation.
• The assessments undertaken in practice must be
  recorded by the mentor on the Essential Skills
  Assessment - Record of Achievement which is in
  the back of the students OAR Document.

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Essential Skills Clusters for Pre-registration
Nursing Programmes Annexe 2 to NMC Circular
07/2007

• The Essential Skills Clusters - 42 statements
• Care, Compassion and Communication (8
  statements),
• Organisational aspects of care (12 statements),
• Infection prevention and control (6 statements),
• Nutrition and fluid maintenance (6 statements),
• Medicines management (10 statements).

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Clinical Skills Book Essential Skills Clusters
C.F.P., (September 2008).

• The mentors must now accept responsibility for
  some of these summative assessment undertaken
• Hand hygiene maintained as O.S.C.E. in School
  Then
• --------------------------------------------------
  ----------------------------
• Measures Height, Weight and Body Mass Index,
• Monitors and records Fluid Balance,
• Monitors and records Dietary Intake C.F.P.
• These 3 will be assessed by the mentor in
  practice.
• --------------------------------------------------
  -------------------------
• Vital body sign assessment Temperature, Pulse
  rate, Respiratory rate and Blood pressure
  O.S.C.E. and
• Aseptic Technique simulation in School.

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Clinical Skills Book Essential Skills Clusters,
(September 2008).

• The Mentor will assess Branch related
  assessments
• Nutritional assessment,
• Hydration / Dehydration assessment,
• Enteral Feeding (child, adult, L.D.),
• Intravenous Infusion (Child, Adult),
• Medicine Administration for an individual or
  small group (4 patients / clients).
• --------------------------------------------------
  -------------
• Patient Group Direction Assessment in School.

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Essential Skills Clusters assessments.

• Mentor must
• Set date and time for summative assessment.
• Assess and verify all the stated assessment
  criteria.
• Record achievement in the Record of Achievement
  found at the back of the Ongoing Achievement
  Record.

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Mentor Nominated Student Award / Student Code of
Conduct.

• Mentor Nominated Student Award
• Mentor nominates a third year management student.
• Code of Conduct
• Given to all students at start of training
• Can be accessed on the mentor website.

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Mentor nominated student award practice award.

• Student should be in semester six. They must have
  worked alongside of you for 40 of their
  placement.
• In submitting your nomination consider
• How has the student impacted positively on their
  placement?
• How have they excelled in their nursing?
• Have they demonstrated service worthy of
  recognition?
• Has contribution elsewhere been recognised e.g.
  professional interest groups?
• What makes this person stand out from other
  students?
• Adhering to this criteria in no more than 200
  words say why the student should be nominated for
  a Practice Award for their cohort.

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Student Code of Conduct 2009.

• As a student you are expected to comply with both
  University and Nursing / Midwifery Council
  guidelines regarding conduct.
• This is particularly important for self
  regulation of the profession in protecting the
  public and society.

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Student Code of Conduct 2009.

• Attitudes and behaviour towards patients
• Demonstrate respect for patients, carers, family
  and significant others that encompasses, without
  prejudice, diversity of background and
  opportunity, language, culture and way of life.
• To develop appropriate professional relationships
  with patients, maintaining clear boundaries at
  all times.
• Always make clear to patients that you are a
  student and not a qualified nurse, and not give
  nursing advice or recommend treatment unless
  under supervision.
• Make sure the patient has agreed to your
  presence and involvement.
• Discontinue interaction if the patient indicates
  a wish to stop.
• Full Code of Conduct is available on mentor
  website.

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4) Student Portfolio.

• Students are responsible for maintaining their
  own Student Portfolio according to the guidance
  on the virtual portfolio tool.
• The portfolio is a collection of a range of
  evidence that must verify the achievements of the
  outcomes (C.F.P.) or proficiencies (Branch
  related).
• The Mentor must ensure that the student is
  collecting their evidence on a weekly basis, if
  possible, in order to maintain a continuous
  assessment approach.

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Supporting students who have a disability, (NMC,
2008, p.14).

• The NMC advises that all mentors should receive
  disability equality training.
• Programme providers should work in partnership to
  prepare placements areas for supporting students
  with disabilities and prepare students for the
  demands the placements will make of them.
• In particular, the learning environments in
  practice and academic settings should enable
  students to be confident that disclosure of
  their specific needs will not lead to
  discrimination.

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Supporting students who have a disability, (NMC,
2008).

• Consideration should be given to allocating time
  for mentors to meet the special needs of students
  with disabilities.
• The University of Nottingham Disability Policy
  Advisory Unit
• www.nottingham.ac.uk/disability for further
  information on what our students can expect and
  how the University of Nottingham meets the needs
  of our students.
• Please contact your local Disability Liaison
  Officer, School of Nursing for advice
• Fiona McCandless-Sugg (01623 465608) Mansfield
  only.

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Triennial Review starts 2010 includes

• To be maintained on the local register the
  individual must have evidence of having
• Mentored at least two students with due regard
  within the three year period.
• Participated in annual updating this will be
  recorded on your Triennial Review Documentation
  Sheet.
• Explored the validity and reliability of
  judgements made when assessing practice.
• Mapped ongoing development in their role against
  current NMC mentor standards linked into the
  NHS Knowledge and Skills Framework.

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Mentorship.

• Mentor database record of all mentors, initial
  mentor training and last update N.M.C.
  requirement.
• Do you know your status
• Contact Jennie Cobbold [phone] or
  jennie.cobbold_at_nottspct.nhs.uk
• Reference
• Nursing and Midwifery Council (NMC) (2008)
  Standards to support learning and assessment in
  practice NMC standards for mentors, practice
  teachers. London, NMC.

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Ongoing Mentor Support

• Visit the Mentor Website
• www.nottingham.ac.uk/nursing/mentors
• Mentor Preparation,
• Mentor Handbook,
• New Standards (including Mentor Bulletins),
• Mentor Update Information,
• Mentor Newsletters,
• Mentor Resources.

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Some of the main changes that started in
September 2007 Summary.

• Students Documentation in Practice.
• Ongoing Achievement Record Continuity of
  Practice Assessment Record (Initially known as
  the Student Passport started as from September
  2007).
• Clinical Skills Book including the Essential
  Skills Clusters (started September 2008).
• Triennial Review (Review your mentorship
  experience every 3 years to maintain your mentor
  status and currency).
• Any Questions?