Ensure that the Orientation Checklist is completed on the first day of placement (see: Orientation Checklist Form, page 10). The former learning objective can be done in a library or at home using the Internet, while the latter focuses on a piece of equipment rather than the client. The ability to develop an NCP requires in-depth knowledge of the patient, the reason for admission, the main health complaints/concerns, the goals to be pursued, the selection of appropriate nursing interventions and strategies to evaluate the effectiveness of the interventions.
NCPs will be tailored to the level the student is at and even the name and format may change slightly ie. while students are expected to do most of the writing outside of clinical practice, it is necessary to interview patients and have access to patient records to obtain the required data. The actual writing of the assignment should be done after the end of the work day.
Assessment of students' clinical competence is the responsibility of the CTA, although it is recognized that preceptors play a key role in this activity. This assessment process will be completed in two phases, but relies heavily on preceptors providing ongoing feedback throughout the clinical experience period. This occurs primarily verbally with CTA, although we encourage preceptors to be present and where possible contribute to the discussion.
This is the summative written assessment completed by the CTA at the end of the clinical experience with input from the preceptor.
Exemplar of Individualised Learning Outcome (Yr Two BN)
No part may be reproduced, transmitted, transcribed, stored in a non-retrievable system or translated into any language, in any or by any means, electronic, mechanical, optical, chemical, manual or otherwise, without prior permission of Massey University in Wellington, PO Box 756, Wellington.
ILO: I will competently administer medication via IM/SC injection Criteria: (this is what I have to achieve/demonstrate)
Self evaluation: _________________________________________________________________
CTA’s comment: ________________________________________________________________
13 Competency-based Assessment 100 Level
Professional responsibility
Professional responsibility (cont.)
Management of nursing care
This domain contains competencies related to client assessment and managing client care, which is responsive to clients' needs, and which is supported by nursing knowledge and evidence based research
Management of nursing care (cont.)
Interpersonal relationships
This domain contains competencies related to interpersonal and therapeutic communication with clients, other nursing staff and interprofessional communication and documentation
Interprofessional health care & quality improvement
This domain contains competencies to demonstrate that, as a member of the health care team, the nurse evaluates the effectiveness of care and promotes a nursing perspective within the interprofessional activities of the team
Recognises and values the roles and skills of all members of the
19 Competency-based Assessment 200 Level
This domain contains competencies related to client assessment and managing client care that is responsive to client needs and supported by nursing knowledge and evidence-based research. Works in close collaboration with clients and agency/CTA staff when planning care and demonstrates an understanding of the client's right to make informed decisions. At an introductory level, it demonstrates an understanding of the processes and environments that support healing and healing.
Administer medications in accordance with agency policies and under the direct supervision of temporary staff/CTA. Ensures that the client has sufficient explanation of the effects, consequences of the proposed nursing care options. Provides clients with appropriate information about intended nursing care to protect their rights and enable informed decision-making.
Begins to consider the client's willingness to participate in health education. With guidance, makes appropriate professional judgment regarding the extent to which the client is capable of participating in decisions related to his/her care. At an introductory level, discusses ethical issues related to health care/nursing practice, (for example: informed consent, privacy, refusal of treatment and formal and informal client rights).
Seeks clarification from relevant members of the care team about the person's request to change and/or refuse care.
This area contains competencies related to interpersonal and therapeutic communication with residents, other nursing staff, and interprofessional communication and documentation. Ensures that clients receive and understand information regarding their health care so that they can make informed choices. Performs nursing care in a way that enables independence, self-respect and safety of the patient and understanding of therapeutic and partnership principles.
Discussions regarding clients are limited to settings, learning situations, and relevant members of the health care team including CTA. This area contains competencies to demonstrate that, as a member of the health care team, the nurse evaluates the effectiveness of care and promotes a nursing perspective within the interprofessional activities of the team.
26 Competency-based Assessment 300 Level
Incorporates therapeutic use of self- and psychotherapeutic communication skills as a foundation for nursing care for clients with mental health needs. Provides nursing care that ensures that clients receive and understand relevant and up-to-date information about their healthcare that contributes to informed choice. Discussions about clients are limited to settings, learning situations and/or relevant members of the healthcare team.
Collaborates and participates with colleagues and members of the care team to facilitate and coordinate care. Develops a discharge plan and aftercare in consultation with the client and the employees of the agency. Under guidance, makes appropriate formal referrals to other members of the care team and other health-related sectors for clients who require consultation.
Recognizes and appreciates the roles and skills of all members of the health care team in providing care. Collaborates, consults, and provides accurate information to the client and other health professionals regarding prescribed interventions or treatments.
33 Final Pre-Graduate Competency-based Assessment
Understands responsibility for directing, monitoring, and evaluating nursing care provided by nursing assistants, staff nurses, and others. Seeks advice from a senior nurse when unsure about the role and competence of nurses, registered nurses and others in delegating work. Makes appropriate decisions in assigning care, delegating activities, and directing registered nurses, orderlies, and others.
Recognizes and manages risks to provide care that best meets the needs and interests of clients and the public. Recognizes the impact of nursing culture on client care and strives to protect client well-being within that culture. Assists the client in obtaining appropriate support and representation from those who understand the client's culture, needs and preferences.
Consults with members of cultural and other groups at the client's request and approval. Reflects on own practice and values that influence nursing based on client's age, ethnicity, culture, beliefs, gender, sexual orientation and/or disability.
This domain contains competencies related to client assessment and managing client care, which is responsive to clients' needs, and which is supported by nursing knowledge and evidence-based research
This domain contains competencies related to interpersonal and therapeutic communication with clients, other nursing staff and interprofessional communication and documentation
40 This assessment has been discussed with the student: YES / NO
