Download BSc (Hons) Nursing (Mental Health)

Faculty of Health and Human Sciences
SCHOOL of NURSING and MIDWIFERY
Ongoing Achievement Record (OAR)
BSc (Hons) Nursing programme:
MENTAL HEALTH NURSING Year 3
Student Name:…………………………..……………..
Personal Tutor:………………………………………………….
Student Registration No:………………………………
Tutor Contact Telephone No:…………………………………
Tutor Contact E-mail Address:……….……………….………
I consent to the sharing of information within this OAR and the e-portfolio with academic and clinical staff.
Signed: ……………………………………..
Date: ………………………
THIS DOCUMENT MUST BE AVAILABLE FOR ALL PLACEMENTS THROUGHOUT THE DURATION OF THE PROGRAMME.
THIS OAR MUST BE KEPT INTACT AND NOT DISMANTLED.
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Students undertaking programmes delivered by the Faculty of Health and Human Sciences are reminded
that any alteration to University documentation, including practice portfolios, involving forgery/falsification
of a mentor’s comments or signature/initialling or use of typing correction fluid will be investigated. This
investigation could lead to disciplinary action, which may lead to you being unable to achieve professional
registration.
If you require any part of this publication in larger print, or an alternative format, please contact Programme
Administration at the campus where you enrolled on the programme:
Plymouth: 01752 586954 or 01752 586959
Truro:
01872 256450
If this document is found, please return to:
Programme Administration
Plymouth University
Faculty of Health and Human Sciences
Level 4 Rolle Building
Drake Circus
Plymouth PL6 8AA
If you are experiencing any problems in placement please contact a member of the PDT team in the first
instance
http://www1.plymouth.ac.uk/placements/poppi/newhealth/Documents/140814%20PDT%20Academic%20Con
tact%20List.pdf
If you have a disability Please speak to your tutor and contact Disability Assist Services http://www.plymouth.ac.uk/disability
The University is very supportive of students with disabilities, and year on year we are making adjustments to assist students with
special needs. It may be of value to put in support to assist you – but unless we know what your needs are, we cannot guarantee that
that will be the case.
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BSc (Hons) Nursing Year 3 2016 – Mental Health
CONTENTS
Section 1: Introduction to the Ongoing Achievement Record
4
Nursing and Midwifery Council (NMC) Requirements
Practice Assessment
5
Guidelines for Practice Assessment
7
Expectations of Students in Placement
9
Expectations of Mentors in Placement
10
Section 2: Year Three
13
Year 3: MHN303 Practice (2)
Grading Guidance
Domain 1 for Year Three
Domain 2 for Year Three
Domain 3 for Year Three
Domain 4 for Year Three
Formative Assessment Placement One
Formative Assessment Placement Two
Summative Assessment Placement One
Summative Assessment Placement Two
16
17
20
23
26
29
31
32
34
Service User Report Form
39
Optional Placements
43
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Section 1: Introduction to the Ongoing Achievement Record
BSc (Hons) Nursing Programme: Mental Health Nursing
The Ongoing Achievement Record (OAR) is a record of your achievement in practice throughout your period of pre-registration nursing
education. The OAR is the assessed practice element of the Skills and Practice modules within each year of the programme. It must be
fully completed by you, your mentors and personal tutors ready to be submitted to the Assessment Award Board at the end of each
year. At the end of Year 3 it will contribute as evidence towards achievement of the NMC requirements for registration. In order to
facilitate effective communication regarding your development in practice it is imperative that you ensure its safe keeping and you
are advised to photocopy and keep a copy of the summative assessment and Personal Tutor form for each year.
The OAR for the BSc (Hons) Nursing programme enables you to demonstrate continuity and progression throughout the programme.
The OAR includes the following elements:
Mandatory Training
Placement Induction
The Programme requires all students to
undertake mandatory training in a number of
areas each year.
This will usually be provided by Plymouth
University at the start of each academic year.
Your attendance will be recorded on your POW
record. It is your responsibility to ensure you
have recorded attendance, failure to do so may
prevent you progressing into placement
Mandatory Requirements
 Moving and Handling
 Fire Prevention (every 2 years)
 Basic Life Support
 Safeguarding Vulnerable People
 Safeguarding Children
 Mental Capacity Act
 Equity and Diversity
When commencing placement it is a requirement that you complete the appropriate
Placement Provider induction within the stipulated timeframe. This ensures you are
familiar with policies and procedures relevant to your placement.
Induction may take the form of an on-line package or require personal attendance
you are encouraged to undertake this activity at the earliest opportunity before you
start your placement.
Policies and procedures relating to practice can be downloaded from POPPI
http://www1.plymouth.ac.uk/placements/poppi/newhealth/Pages/policies.aspx
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Nursing and Midwifery Council (NMC) Requirements
During your placement, you will be supported and assessed by mentors. You must work a minimum of 40% of your time with a
mentor under direct or indirect supervision, and an additional protected hour a week should be timetabled for you and your sign-off
mentor to discuss your progress in your final period before assessment (final placement Year 3).

You must meet the progression point criteria to move from one part of the programme to the next (NMC 2010).

A mentor is a nurse who has completed specific preparation in assessing students and is responsible for ongoing supervision
and assessment in practice settings. Other registered professionals who have been suitably prepared can supervise and
contribute to the assessment of nursing students.

A sign-off mentor is a mentor who has met additional criteria, is registered in the field of practice that the student intends to
enter and makes a final judgement of competence and proficiency during the final placement of Year 3.

If you have not achieved all module components by the Extended Resit Board, held 12 weeks after the end of year
Award Board, you will need to repeat the outstanding modules and you will be unable to progress into Year 2 or 3.
Practice Assessment
Assessment of practice in the pre-registration nursing programmes is through continuous monitoring of progress. You should gradually
move towards a point of practising at a level of proficiency, competence and accuracy under supervision. Formative and summative
assessment by your mentor must be documented at set points in the programme.
Your assessment will be based on domains of practice on which you will be assessed in every placement. These domains are listed
below;
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Professional values
Communication and interpersonal skills
Nursing practice and decision-making
Leadership, management and team working
Completion of the OAR is assessed entirely in the practice placement. The OAR comprises the assessment requirements for each
domain with suggested guidance to aid achievement of the Standards for Pre-Registration Nurses (NMC 2010) as well as Quality
Assurance Agency Nursing Benchmark statements (QAA, 2001). The statements used in the domain boxes reflect the NMC
competencies that every nursing student must acquire before applying to be registered with the NMC.
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BSc (Hons) Nursing Year 3 2016 – Mental Health
The purpose of the OAR is to enable you to demonstrate that you have met the Nursing and Midwifery Council (NMC) progression
points and Standards of Competence for Pre-Registration Nursing Education (NMC 2010). During the three years of your programme
you will work in a variety of practice placements thus ensuring a breadth of experience.
Progression Point 1 (end of Year 1)
Progression Point 2 (end of Year 2)

Safety and safeguarding people of all
ages, their carers and their families
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Professional values and expected
attitudes and behaviours towards
people, their carers and their families

Works more independently, with less
direct supervision, in a safe and
increasingly confident manner.
Demonstrates potential to work
autonomously, making the most of
opportunities to extend knowledge,
skills and practice.
Point of Registration

Meets all standards of competence
for entry to the NMC Register
The OAR must be submitted on the stated hand-in date; therefore you should ensure that all documentation is complete. All
practice assessments must be signed by your mentor at the end of each practice placement. If this is not possible for any reason then
they must be signed within 3 weeks following completion of the placement, after which time the mentor is permitted to decline to
sign them.
E-Portfolio
The e-portfolio will be assessed by your mentor therefore, you will be expected to share relevant evidence identified in the e-portfolio
with them. You will be required to demonstrate that you are developing your skills and knowledge in relation to the assessed domain. If
your mentor is unable to share your e-portfolio electronically then you must download copies of your evidence for your mentor to review.
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Guidelines for Practice Assessment

Preparation for placement – before each placement you are required to undertake preparatory work which includes evidence of
the following elements of study;
 Common service user difficulties seen in the placement
 A Biopsychosocial understanding of these difficulties’
 Key elements of nursing care related to recovery orientated collaborative management of service users in
the placement
 Assessment tools and treatment modalities commonly used in the placement
 Common medications and treatments used in the placement (refer to BNF online)
 Action to be taken when escalating concerns or reporting incidents

Development plan – this must be commenced by you and your mentor, ideally within the first week of the placement. This will
enable you to identify what you hope to achieve in that placement. The development plan should be reviewed throughout the
placement to assess your progress.

Formative assessment of practice - is an essential part of the assessment process that supports your development. The
formative assessment is an opportunity for you and your mentor to review progress, strengths and weaknesses, and to plan how
to maintain your strengths and improve your weaknesses. The formative assessment enables you to undertake a selfassessment and to review the evidence gathered to support your achievements to date.

Action plan – if there are concerns raised during the formative assessment, the action plan should be completed to help you
focus on improving key elements of your practice.

Summative assessment timing – your summative assessment cannot be undertaken until you have gained at least 20 days or
150 hours experience on your placement. It is recommended that you should be summatively assessed towards the end of your
placement. Any concerns identified after summative assessment should be raised immediately with your personal tutor.
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BSc (Hons) Nursing Year 3 2016 – Mental Health

Evidence – to demonstrate achievement of a domain you must provide evidence to your mentor. A minimum requirement for
each domain is Direct Observation and Reflection. Your reflection should be no more than 750 words, referenced and should
relate to a further form of evidence such as Questioning or Statements from Others. So, in total, your domain assessment should
be supported with 3 forms of evidence.
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Direct Observation (DO)
Questioning, oral or written (Q)
Reports/Statements from Others (RO/SO)
Simulation (S)
Evidence of Products of your Work (EW)
Reflection (R)
Service User Report (SU)
Wider Patient Engagement Activity (WP)

Summative assessment of practice – is undertaken in a planned meeting when you and your mentor identify whether you
have successfully achieved the required level of performance for all the domains. You are required to achieve ALL domains as
specified within each year. When the summative assessment of practice documentation is completed, signed by you and your
mentor, and submitted to Programme Administration by the required submission date, your personal tutor will review your OAR
and it will then be returned to you.

Non achievement - if you do not provide sufficient appropriate evidence or you have been assessed as not competent you will
not pass the module. You may then need to be reassessed following a decision by the Award Assessment Board.

It is YOUR responsibility to check that all the necessary assessed domains have been fully completed and correctly
signed by the mentor. FAILURE TO DO SO MAY RESULT IN YOUR WORK BEING REFERRED
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Expectations of Students in Placement
While you are in placement you are expected to;

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Have undertaken the preparatory work before you start the placement
Work 40% of your time under direct or indirect supervision by a mentor
Work the shifts that the rest of the nursing team work i.e. 24 hour, 7 day if appropriate
Not normally work any more than 75 hours per fortnight (i.e. the equivalent of 37.5 hours per week).
Attend the hand over meetings at the beginning and end of the shifts
Not normally work more than two weekends in any four week period or more than 14 night shifts during the
programme. Where this is difficult, an alternative may be negotiated between student and mentor and personal tutor
 Agree a development plan with your mentor within the first week of your placement
 Agree the type of evidence that you intend to present to your mentor for each Domain
 Identify and complete wider patient activity
 Obtain completed written reports from a service user/patient /carer during each year of your nursing programme within
some clinical placements (see Appendix Service User Report Form)
Year One – at least one report
Year Two – at least two reports
Year Three – at least two reports, one of which is undertaken in the final sign-off placement.

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Agree a date for your formative assessment with your mentor
Following your formative assessment agree a date for your summative assessment with your mentor
Show your mentor your OAR and any evidence that they request to see
Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Expectations of Mentors in Placement
While you mentor students you are expected to;
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Be aware of the Expectations of Students in Placement (see previous page)
Ensure your student is directly or indirectly supervised by a mentor for at least 40% of their time in placement
Ensure that the student is rostered to work the same shifts as the rest of the nursing team
Agree a development plan with your student within the first week of their placement
Agree the type of evidence that you expect the student to present for each Domain
Support the student in undertaking wider patient activity and if your student requires it, recommend an appropriate patient/service
user/carer who would be willing and able to provide your student with constructive written feedback related to;
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appropriate communication skills
provision of caring and compassionate nursing care
demonstration of dignity and respect at all times
involvement of patient / service user / carer / advocate in decisions of care
provision of information about care
Agree a date for your student’s formative assessment with you
Following their formative assessment agree a date for their summative assessment with you
Review your student’s OAR and any evidence that they present to you
Ensure that you have recorded the type of evidence seen and the mark you wish to award in the relevant section
Ensure that you sign the student’s OAR in the relevant places
Communicate any concerns or incidents to your PDT Lead/personal tutor as soon as possible
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BSc (Hons) Nursing Year 3 2016 – Mental Health
SIGNATURE RECORD
For all whose signatures appear elsewhere in the portfolio
I consent to share my Ongoing Achievement Record and electronic portfolio with my mentors, sign-off mentors, other
supervising practice staff and academic staff at their request, to enable my fitness for practice to be assessed.
(NMC 2007d)
Name of student
…………………………………………………
Signature
Date/s
…………………………………………
Placement
Name of
signatory
Role (i.e.:
mentor/sign-off
mentor/ serviceuser)
Date
………………………….
Signature
Signature Initials
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BSc (Hons) Nursing Year 3 2016 – Mental Health
SIGNATURE RECORD (cont)
For all whose signatures appear elsewhere in the portfolio
Date/s
Placement
Name of
signatory
Role (i.e.:
mentor/sign-off
mentor/ serviceuser)
Signature
Signature Initials
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Year 3: Practice for Mental Health Nursing
Assessment of Domains MHN303 Practice (2)
A minimum of 3 forms of evidence are required for each domain; one must be Direct Observation, and one Reflection of no
more than 750 words (with references and related to a third form of evidence).

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


Direct Observation (DO)
Questioning, oral or written (Q)
Reports/Statements from Others (RO/SO)
Simulation (S)
Evidence of Products of your Work (EW)
Reflection (R)
Service User Report (SU)
Wider Patient Engagement Activity (WP)
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Grading of Practice

To effectively achieve equal weighting of marks between theory and practice, practice will be graded and contribute to the overall
degree classification for the student at the end of the programme. Grading practice rewards students who demonstrate a high
standard of competence and achievement in clinical practice; and who demonstrate integration of management and leadership
skills in their clinical placement settings.

Students are assessed in the all 4 domains in each placement area. The mentor will indicate the level of achievement the
student has met for each domain. The level of achievement awarded, from 0 to 100%, should reflect the skills, knowledge and
values pertinent to the stage of the student’s programme and the student should demonstrate these both in the practice area
and with the evidence collated in their e-portfolio. Only grades identified in the banding should be used (e.g. 52% or 55% or
58%).

A minimum grade of 40% must be gained for each domain for a pass to be achieved.
If the student is given a score of less than 40% (referral grade) for any domain then an Action Plan will be negotiated between
the student, mentor with the personal tutor/Placement Lead support and guidance on how to develop this domain further for
resubmission. The student may work on any referred domains during their last practice placement in each year of the
programme. However cannot be submitted until the date advised by the Award Board and any resubmitted domains will be
capped at a grade of 40% for BSc (Hons) level. Under University Regulations the student is only allowed two summative
attempts at practice.

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BSc (Hons) Nursing Year 3 2016 – Mental Health
Placement Referral
Normally student s have 2 attempts at practice
Re-assessment can be undertaken in following placements or if at end of year in
an additional period following the Award Board.
Any referred domains
Re-assessed marks
Final Placement Referral
Reassessment will be classed as a second and final attempt unless supported with
valid extenuating circumstances
The mark awarded for the re-assessed domains lead to the practice element being
capped at 40%
Final placement referral will be subject to decision at the Award Assessment Board
and further practice time will need to be undertaken following the Award Board
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Guidance for Grading Practice
Level of
performance
Grade
Frequently fails to
meet
expectations in
performance
Sometimes
meets
expectations
in
performance.
Meets
expectations
in
performance
Sometimes
exceeds
expectations
in
performance
Frequently
exceeds
expectations in
performance
Sometimes
excellent/
outstanding
performance
Consistently
outstanding
performance
Clear failure
To achieve a
pass
Failure to
achieve a
pass
Satisfactory
pass
Good
pass
Very good
pass
Excellent
pass
Outstanding
Pass
32/35/38%
42/45/48%
52/55/58%
62/65/68
72/76/80/84%
0 – 29%
Guidance
for grading
Limited and
inappropriate
links between
theory and
practice. Unsafe
or ineffective
practice
demonstrated
86/90/95/100%
Poor
Safe practice Consistently
understanding demonstrated safe practice
of practice
with some
demonstrated
issues.
reference to
with some
Evidence of
evidencereference to
unsafe
based
evidencepractice
underpinning
based
rationale
Safe and
evidence-based
practice
consistently
demonstrated.
Incorporates
evidence of
consistently
safe and best
standards of
practice
Incorporates
evidence of
consistently
safe and
highest
standards of
practice.
Outstanding
comprehension
of contemporary
issues.
Excellent
application of
recent research
to practice.
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 1: Professional Values
Indicative Guidance
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Practise with confidence according to The Code: Standards of conduct, performance and ethics for nurses and midwives (NMC,
2015 Standards of conduct, performance and ethics for nurses and midwives (NMC, 2015), and within other recognised ethical and
legal frameworks
Understand current legislation and its application to all service users, paying particular attention to the protection of vulnerable
people, including those with complex needs.
Practise in a holistic, non-judgmental, caring and sensitive manner, challenging inequality and discrimination where necessary
Support and promote the health, wellbeing, rights and dignity of all people including groups, communities and populations where this
is appropriate
Understand the roles and responsibilities of relevant health and social care professionals, and work in collaboration to meet
patient/clients care needs
Practise independently, under supervision, recognising the limits of their competence and knowledge seeking advice where
necessary
Use therapeutic principles to engage, maintain and, where appropriate, disengage from professional relationships, always respecting
professional boundaries.
Demonstrate self-awareness and the ability to recognise how their own values, principles and assumptions may affect their
communication and practice
When relevant the student must also:

Identify and complete wider patient activity and patient report evidence
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 1 Mandatory Development Plan Placement 1
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 1 Mandatory Development Plan Placement 2
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 2 : Communication and Interpersonal Skills
Indicative Guidance
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Use a range of interpersonal and communication skills and technologies to support collaborative person-centred care and
enhance quality and safety
Promote the concept, knowledge and practice of recovery focused care with people struggling with physical or mental health
difficulties
Recognise when people are anxious or in distress and respond effectively, using therapeutic principles, to promote their
wellbeing, support personal safety and resolve conflict
Take every opportunity to encourage health-promoting behaviour through education, information sharing, role modelling and
effective communication
Maintain accurate, clear and complete records
Respect individual rights to confidentiality and keep information secure in accordance with the law and relevant ethical and
regulatory frameworks
When relevant the student must also:
 Identify and complete wider patient activity and patient report evidence
Please complete the relevant sections of the mandatory development plan on the following page
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 2 Mandatory Development Plan Placement 1
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 2 Mandatory Development Plan Placement 2
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 3: Nursing Practice and Decision Making
Indicative Guidance
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Undertake nursing activities and treatments safely and effectively using up-to-date knowledge and evidence to collaboratively
assess, plan, deliver and evaluate care
Recognise when the complexity of clinical decisions requires specialist knowledge and expertise, and consult or refer accordingly
Undertake comprehensive, systematic nursing assessment in partnership with service users and others and starts appropriate
and timely management of those who are acutely ill, at risk of clinical deterioration, or require emergency care.
Works towards independent practice in the delivery of collaborative evidence based care
Be competent in administering and monitoring medication
Practise safely within local and national guidelines and policies and be aware of how to report concerns when local and national
guidelines and policies are not followed
Identify and take effective measures to prevent and control infection in accordance with local and national policy
The student makes accurate assessments using measures and or documentation, interprets results and acts appropriately on
findings.
Be proactive in enabling people to make choices about their healthcare needs
Recognise when an individual is at risk and work within local policies and guidelines to protect them from harm and abuse
Demonstrate shared decision-making by collaboratively evaluating care alongside service users
Demonstrate leadership in delivery of care
When relevant to the placement the student must also:

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Demonstrate effective medicines management
Monitor patients / clients receiving intravenous fluids and document progress against prescription and markers of hydration.
Where no opportunities exist in practice then complete by simulation / test (this can be done at University).
Recognise and respond to the changing needs of patients, families and carers during severe mental illness
 When relevant the student must also:
Please complete the relevant sections of the mandatory development plan on the following page
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 3 Mandatory Development Plan Placement 1
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 3 Mandatory Development Plan Placement 2
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 4: Leadership, Management and Team Working
Indicative Guidance
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Identify priorities and manage time and resources effectively to ensure the quality of care delivered to service users
Be able to demonstrate the ability to facilitate learning in others
Be able to work independently as well as in a team.
Be able to lead, coordinate and delegate care safely
Be able to work effectively across professional and agency boundaries
Promote continuity when care is transferred to another service or person
Work in partnership, with both service users and other healthcare professionals and agencies, to manage risk, promote
health, wellbeing and choice.
Maintain a portfolio demonstrating personal and professional development
When relevant the student must also:

Identify and complete wider patient activity and patient report evidence
Please complete the relevant sections of the mandatory development plan on the following page
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 4 Mandatory Development Plan Placement 1
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Domain 4 Mandatory Development Plan Placement 2
Confirmed by Mentor:
Placement:
Dates from:
to:
How I will achieve the Domain
Additional Placement Objectives
How I will achieve them
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Formative Assessment Placement One
Agreed Date for Formative assessment:
Student’s Self-assessment
Student Comments
Score
0 – 100%
Professional Values
Communication and Interpersonal Skills
Nursing Practice and Decision Making
Leadership, Management and Team Working
Student signature; .............................................................
Mentor’s Assessment
Date: .............................
Mentor Comments
Score
0 – 100%
Professional Values
Communication and Interpersonal Skills
Nursing Practice and Decision Making
Leadership, Management and Team Working
Agreed date for summative assessment
Mentor signature: ……………………........................
Date: ...........................
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Action Plan
Please record any actions that need to be taken in response to improvements required following the
formative assessment.
.
Date
Issue/Concern
Action Required
Re-evaluation Date
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Formative Assessment Placement Two
Agreed Date for Formative assessment:
Student’s Self-assessment
Student Comments
Score
0 – 100%
Professional Values
Communication and Interpersonal Skills
Nursing Practice and Decision Making
Leadership, Management and Team Working
Student signature : .............................................................
Mentor’s Assessment
Date: .............................
Mentor Comments
Score
0 – 100%
Professional Values
Communication and Interpersonal Skills
Nursing Practice and Decision Making
Leadership, Management and Team Working
Agreed date for Summative Assessment
Mentor signature: ……………………........................
Date: ...........................
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Summative Assessment Placement One
Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see assessment tool).
Assessment
Evidence
Forms of Evidence
Evidence
Evidence
Grade
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Domain 1: Professional Values
Domain 2: Communication and Interpersonal Skills
Domain 3: Nursing Practice and Decision Making
Evidence
Domain 4: Leadership, Management and Team
Working
Student Declaration: I (name)
hereby confirm
that I have uploaded to my e-portfolio the relevant evidence that has been
presented to my mentor for each domain.
I confirm that I have uploaded _____ Service User reports to my e-portfolio
and they have been presented to my mentor
Student signature:
Mentor Name:
PASS / REFER
Total percentage for
Placement
(Add scores and
divide by 4)
(Please circle, if refer
state which domain)
Date:
Night Duty/Twilight
shifts worked:
Personal Tutor
signature:
Mentor Signature:
Mentor Qualification:
Date:
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Placement One
Student Comments:
Signature:
Date:
Mentor Comments:
Signature:
Date:
Personal Tutor Comments (including record of Wider Patient Engagement (WPE) activity)
Signature:
Date:
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Summative Assessment Placement Two
Mentor to indicate forms of evidence and grade student’s level of competence 0 -100% (see assessment tool).
Assessment
Evidence
Forms of Evidence
Evidence
Evidence
Grade
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Evidence
Domain 1: Professional Values
Domain 2: Communication and Interpersonal Skills
Domain 3: Nursing Practice and Decision Making
Evidence
Domain 4: Leadership, Management and Team
Working
Student Declaration: I (name)
hereby confirm
that I have uploaded to my e-portfolio the relevant evidence that has been
presented to my mentor for each domain.
I confirm that I have uploaded _____ Service User reports to my e-portfolio
and they have been presented to my mentor
Student signature:
Mentor Name:
PASS / REFER
Total percentage for
Placement
(Add scores and
divide by 4)
(Please circle, if refer
state which domain)
Date:
Night Duty/Twilight
shifts worked:
Personal Tutor
signature:
Mentor Signature:
Mentor Qualification:
Date:
34
BSc (Hons) Nursing Year 3 2016 – Mental Health
Placement Two
Student Comments:
Signature:
Date:
Mentor/Sign Off Mentor Comments:
Signature:
Date:
Mentor/Sign Off Mentor:
I confirm that ………………………………………(student Name) has met the defined NMC Standards of Proficiency (NMC,
2010) for their profession and is capable of safe and effective practice
Signature:
Date:
Student Signature :
Date:
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Year 3 Personal Tutor Summary First Attempt
All Domains Achieved
Yes / No
(delete as appropriate)
If no, state Domains to be reassessed
Overall Grade
European Union Directives
Completed
Yes / No
Student progression
SOM confirms eligibility for registration
Yes / No
If no, state reasons
Personal Tutor signature:
Personal Tutor Comments (including record of Wider Patient Engagement
(WPE) activity)
Date:
36
BSc (Hons) Nursing Year 3 2016 – Mental Health
Action Plan
Please record any actions that need to be taken in planning for resubmission second attempt.
Date
Issue/Concern
Action Required
Re-evaluation Date
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BSc (Hons) Nursing Year 3 2016 – Mental Health
Year 3 Resubmission Second Attempt
Domain/s reassessed
Grade for each
Mentor Comment :
Mentor/Sign Off Mentor
I confirm that ………………………………………(students Name) has met the defined NMC Standards of
Proficiency (NMC, 2010) for their profession and is capable of safe and effective practice
Signature:
Date:
Student Signature :
Date :
Student is eligible for registration Yes / No
Overall Grade
Personal Tutor Signature:
Date:
38
BSc (Hons) Nursing Year 3 2016 – Mental Health
SERVICE USER / PATIENT / CARER REPORT DURING THE CLINICAL PLACEMENT
STUDENT
You are required to gain written feedback from a service user / patient / carer during each year of your nursing programme. Your mentor
will advise you and make the relevant recommendations.
MENTOR GUIDANCE
Student nurses are required during placement to gain written feedback from a patient/ service user / carer under the following
specific categories. The placement mentor will need to select and recommend an appropriate patient / service user / carer who
would able and willing to participate in providing the student with constructive written feedback under each of the categories
below.
 Appropriate communication skills
 Provision of caring and compassionate nursing care
 Demonstration of dignity and respect at all times
 Involvement of patient / service user / carer / advocate in decisions of care
 Provision of information about care

MINIMUM REQUIREMENTS
Year One – at least one placement Year Two – at least two placements Year Three – two placements, one of which is the final
placement.
NB: The term ‘carer’ includes a relative of a patient, parent of a child patient and also a significant individual who may be a patient
advocate.
I can confirm that student nurse ……………………………………… undertook supervised clinical practice with the service user / carer /
patient named below and that the service user / carer / patient has consented to participate and complete this form.
Mentor Name and Signature……………………………………
Date…………………… Year of Programme………………………
Student Nurse Signature …………………………………………
Placement……………………………………………………………
Service User/ Patient / Carer Signature or Mentor can provide a PP Signature…………………………………………………………..
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BSc (Hons) Nursing Year 3 2016 – Mental Health
SERVICE USER / PATIENT / CARER REPORT DURING PLACEMENT
STUDENT NURSE……………………………………………
Thank you for agreeing to help us assess one of our nursing students. We would like you to let us know about your experience of the
student named above by answering the questions in the box below. Please provide additional comments / examples.

How did the student nurse identify his / her self and their role?

Did the student nurse communicate with you in a manner that you found appropriate and relevant? ( Examples might relate
to; putting you at ease, conveying warmth and kindness and giving you their full attention)

Did you feel that you were treated with dignity and respect at all times? – Please provide an example(s)

Did the student nurse involve you in decisions about your care and treatment? – Please provide an example(s)

How did the student nurse provide information about your care?

Were your family members / carers acknowledged and included in your care / care decisions? Please provide an example(s)
Please circle the description below in terms of the student nurse’s ability to relate to patients and carers as a future
health professional (please circle below)
Outstanding
Excellent
Very Good
Satisfactory
Unsatisfactory
40
BSc (Hons) Nursing Year 3 2016 – Mental Health
SERVICE USER / PATIENT / CARER REPORT DURING THE CLINICAL PLACEMENT
STUDENT
You are required to gain written feedback from a service user / patient / carer during each year of your nursing programme. Your mentor
will advise you and make the relevant recommendations.
MENTOR GUIDANCE
Student nurses are required during placement to gain written feedback from a patient/ service user / carer under the following
specific categories. The placement mentor will need to select and recommend an appropriate patient / service user / carer who
would able and willing to participate in providing the student with constructive written feedback under each of the categories
below.





Appropriate communication skills
Provision of caring and compassionate nursing care
Demonstration of dignity and respect at all times
Involvement of patient / service user / carer / advocate in decisions of care
Provision of information about care
MINIMUM REQUIREMENTS
Year One – at least one placement Year Two – at least two placements Year Three – two placements, one of which is the final
placement.
NB: The term ‘carer’ includes a relative of a patient, parent of a child patient and also a significant individual who may be a patient
advocate.
I can confirm that student nurse ……………………………………… undertook supervised clinical practice with the service user / carer /
patient named below and that the service user / carer / patient has consented to participate and complete this form.
Mentor Name and Signature………………………………
Student Nurse Signature …………………………………………
Date…………………… Year of Programme………………………
Placement……………………………………………………………
Service User/ Patient / Carer Signature or Mentor can provide a PP Signature…………………………………………………………..
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BSc (Hons) Nursing Year 3 2016 – Mental Health
SERVICE USER / PATIENT / CARER REPORT DURING PLACEMENT
STUDENT NURSE……………………………………………
Thank you for agreeing to help us assess one of our nursing students. We would like you to let us know about your experience of the
student named above by answering the questions in the box below. Please provide additional comments / examples.

How did the student nurse identify his / her self and their role?

Did the student nurse communicate with you in a manner that you found appropriate and relevant? ( Examples might relate
to; putting you at ease, conveying warmth and kindness and giving you their full attention)

Did you feel that you were treated with dignity and respect at all times? – Please provide an example(s)

Did the student nurse involve you in decisions about your care and treatment? – Please provide an example(s)

How did the student nurse provide information about your care?

Were your family members / carers acknowledged and included in your care / care decisions? Please provide an example(s)
Please circle the description below in terms of the student nurse’s ability to relate to patients and carers as a future health
professional (please circle below)
Outstanding
Excellent
Very Good
Satisfactory
Unsatisfactory
42
BSc (Hons) Nursing Year 3 2016 – Mental Health
OPTIONAL PLACEMENT
An optional placement can be arranged to enable nursing students studying with Plymouth University to gain practice experience in
other healthcare provider settings either inside or outside of the South West region. An optional placement is an exciting opportunity for
students to plan and organise a short period of learning in an area either not available locally or in an area where employment has been
sought. Please refer to the guidance on POPPI for information regarding optional placements.
Please ensure you meet the timelines required to ensure an optional placement is available.
The following forms are for completion during your optional placement only.
43
BSc (Hons) Nursing Year 3 2016 – Mental Health
The Development Plan is a mandatory formative assessment of practice
DEVELOPMENT PLAN OPTIONAL PLACMENT
Mentor Name
Placement area:
Date
Learning objectives for the placement
(Please identify how you intend to
commence the transition from student to
staff nurse)
Dates:
Learning resources available
From:
To:
Evidence in e-portfolio to demonstrate
achievement
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BSc (Hons) Nursing Year 3 2016 – Mental Health
ASSESSMENT OPTIONAL PLACEMENT
Mentor’s assessment of student’s progress to date:
(Please provide a commentary with regards to the student’s ability during the placement)
I confirm that.................................................................... (Student name) has maintained their level of professional behaviour whilst on
this optional placement
Mentor Signature........................................................... Date: .................................
Student’s comment:
(Please provide evidence to demonstrate how the optional placement has contributed to your personal and professional development)
Student Signature.......................................................... Date: .................................
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BSc (Hons) Nursing Year 3 2016 – Mental Health