Practice Placement Educational Audit –

Independent/Supplementary Nurse Prescribing

2018-19

NHS Trust / Organisation responsible for
practice placement:
Address:
Contact Person:
Telephone Number:
Student Name:
Date of Audit:
Date of Previous Audit (if any):
Staff Conducting Evaluation:
To be completed by line manager and / or designated medical practitioner as appropriate / Audit to be completed prior to commencing course
This section is to be completed only if different from application form.
Name of Designated Medical Practitioner (PLEASE PRINT)
Please tick: / GP  / Consultant  / Specialist Registrar  / Clinical Assistant  / Other 
Speciality:
Work Address:
Postcode: / Telephone Number:
Eligibility Criteria for becoming a Designated Medical Practitioner (DMP)
Are you a registered medical practitioner who:
(i) / Has normally had a least 3 years recent clinical experience for a group of patients/clients in the relevant field of practice.
YES  / NO 
and are you:
(ii) / (a)Within a GP practice and is either vocationally trained or is in possession of a certificate of equivalentexperience from the Joint Committee of Post-graduate Training in General Practice Certificate (JCPTGP)
YES  / NO 
Or
(b)Is a specialist registrar, clinical assistant or a consultant within a NHS Trust or other NHS employer
YES  / NO 
and have you:
(iii) / Support of the employing organisation or GP practice to act as the DMP who will provide supervision, support and opportunities to develop competence in prescribing practice
YES  / NO 
and have you:
(iv) / Some experience or training in teaching and or supervising in practice
YES  / NO 
Please identify regular learning opportunities or other experiences that will be available to learners e.g. ward rounds, clinics, procedures, consultations.
Is there an up-to-date Health & Safety Policy (including risk assessment) available? / Yes / No
Is the placement area the student’s usual place of work? / Yes / No
Please provide an explanation and evidence where possible for the following:
1.1 / Is there a plan for learning opportunities that are appropriate to the student/learner’s level? / Yes / No
(programme learning outcomes are identified in the competency framework document)
1.2 / Are you aware that this student will need to be directly observed by their designated medical practitioner (DMP) and must work alongside them for a minimum of 45 hours to achieve the learning outcomes? / Yes / No
The DMP has agreed to verify a minimum of 78 hours of clinical practice time for nurses (NMC standard 7 p16), 90 hours for Podiatrists / Physiotherapists (HCPC).
1.3 / Will students be actively encouraged to network / liaise with other multi/agency prescribing professionals to support their learning and enhance patient / client care? / Yes / No
Identify which
1.4 / Are there physical learning resources (including access to IT) available to support teaching and learning activities? / Yes / No
i.e. DOH template CMP’s or hospital or FP10 prescriptions, Current BNF
High quality practice and learning
1.5 / Is care provision base on relevant research-based and evidence-based findings where available? / Yes / No
State the evidence seen of its use in practice i.e. NICE, NSF guidance etc.
1.6 / Will students be given the opportunity to feedback to their DMP re their placement experience? / Yes / No
Supervision, education and assessment of students
1.7 / The DMP to student ratio should not exceed one supervisor to three students, please state current student numbers for the identified supervisor.
1.8 / Has the designated medical practitioner attended a briefing session within the last 12 months? / Yes / No
1.9 / Are there strategies in place to support designated medical practitioners in managing the student/learner performance and progression whilst on placement (includes poor performance and non-attainment of competence)? / Yes / No
2.0 / Are staff within the placement area aware of the University links and support available for students and DMP’s in placements? / Yes / No
E.g. Module leaders and module tutors (NMC requirement pg8).
2.1 / Is the designated medical practitioner aware of their role in maintaining accurate records to support and justify their decisions related to student competency/proficiency? / Yes / No
i.e. Competency document
Action Plan related to outstanding placement issues if appropriate or identified
Is this area suitable for use as a placement area?
Auditor’s signature(s): / Clinician / student signatures:
Date: / Date:

Please ensure the audit form is signed by all auditors and clinicians.

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