CLINICAL SKILLS MAP
University of Sheffield School of Nursing and Midwifery: Nursing Associate Foundation Degree
The School Of
Nursing
And
Midwifery.
Nursing Associate: Foundation Degree
NURU150
CLINICAL SKILLS PASSPORT
Trainee DetailsNAME:
COHORT:
I understand that this booklet may be reviewed by my supervisor, the programme leader, my personal tutor, the link lecturer, the learning environment manager, the external examiner and all subsequent supervisors.
Signature of Trainee / Date
CLINICAL SKILLS PRE ASSESSMENT REVIEW
This booklet can be completed by the trainee and a reviewer as an initial assessment of competence. This level of competence should not be completed beyond level 3 and should be completed in red.
NAME OF REVIEWER / POSITION OF REVIEWER / SIGNATURE AND DATECLINICAL SKILLS MAP REVIEW
This booklet should be reviewed and signed by the supervisor along with the assessment of practice record at the end of each placement.
UNIT / NAME OF SUPERVISOR / SIGNATURE AND DATE1
2
3
4
CONFIRMATION OF MANDATORY TRAINING
SESSION / DATE OF LAST UPDATE / CONFIRMED BYFIRE
MOVING AND HANDLING
BASIC LIFE SUPPORT
INFORMATION GOVERNANCE
INFECTION CONTROL
BREAKAWAY TECHNIQUES
Where appropriate
Guidelines on the use of this document
This document is designed to help you direct your learning in relation to your clinical skills development and assist you in keeping a record of your progress throughout the programme. It is a compulsory part of the summative assessment of practice documentation and should be used to provide additional evidence at your progress reviews at the intermediate and final interview of each practice learning experience. You will not be given one of these for each placement and you are not expected to achieve all skills in each placement. It is a developmental document which you should review with your supervisor at the end of each placement.
It lists the core skills expected to be achieved by all trainees during the programme that may not be included in the assessment of practice record. The list of skills is not exhaustive; in recognition of this fact, a section is included for you to add any skills unique to your personal learning experiences. This is not an independent document and should be used as part of a holistic approach to care and assessment and should cover a variety of patients and situations.
You should initial and date the first column when you have been instructed in or studied the theoretical underpinnings of the skill. Initial and date the other columns when:
· You have observed the procedure in the practice setting - Level 1
· You have participated in the skill under direct supervision - Level 2
· You have performed the skill on a number of occasions and required minimal supervision - Level 3
· You can perform the skill safely and competently, giving the rationale for your actions - Level 4
· You have taught the skill to others - Level 5
PLEASE BEAR IN MIND THAT APPROPRIATE LEVELS OF SUPPORT ARE REQUIRED FROM A PEPARED SUPERVISOR FOR EACH UNIT WHEN USING THIS DOCUMENT.
UNIT 1 and 2: DIRECT OBSERVATION/GUIDANCE
UNIT 3 and 4: INDIRECT OBSERVATION/REMOTE SUPERVISION
It is expected that, when performing each skill, as you develop you will be expected to exhibit not only the skill element but also that you have a sound knowledge base and understand the underlying principles, making reference to national and local policies as appropriate.
Your supervisor should not sign the stages off as this is a self-review document. They should initial the intermediate and final interviews on the practice assessment documents and also page 2 of this document to indicate that they have reviewed your self-assessment with you.
Your personal tutor will also review this supplementary evidence with you when you submit your portfolio at the end of each unit.
BREATHING
SKILL / Instructed/ Studied / 1 / 2 / 3 / 4 / 5Assess individual ability to breath normally
Monitor and record respiratory rate
Monitor and record peak flow
Maintain patency of airway
Position and assist clients experiencing difficulty breathing
Sputum
Monitor and record expectorant
Disposal of sputum secretions
Obtain sputum specimen
Maintain safe administration of oxygen as prescribed via:
Mask
Nasal cannulae
Humidifier
Tracheostomy
Use of airway adjuncts:
A:
B:
C:
D:
Support and intervention
Assist clients receiving nebuliser therapy
Assist clients in performing exercises to improve respiration
Assess, plan, implement and evaluate care for a range of clients who are breathless
Provide psychological support to the breathless client
MOBILITY
Assess task, load and environment
Safely assess and move inanimate objects
Safely assess and assist patients into the following positions:
Upright
Recumbent
Semi-recumbent
Lateral
Semi-prone
Prone
Side to side
Positioning/moving clients who have had a joint replacement
Safely assess and move a range of clients from:
Chair to chair
Bed to chair
Chair to bed
Up the bed
Up in the chair
Cot
Trolley to bed
Safely assess requirement for and use moving & handling aids:
Please list:
1
2
3
4
5
6
7
8
9
MOBILITY (continued)
Skin integrity
Assess risk of pressure sore development
Assess need for and use of appropriate pressure relieving devices:
Please list:
1
2
3
4
5
Assess the skin integrity of a range of clients using acknowledged assessment tools
Select appropriate dressings for clients with disordered skin integrity
Musculo-skeletal
Advise and support clients in the prevent deformity in clients with compromised mobility
Provide continuity of care for clients receiving physiotherapy
Falls prevention
Perform risk assessment for mobility and falls
Respond appropriately when a patient falls
Assisting with mobility
Assist the patient with mobility who requires walking aids
Please list:
1
2
3
4
Venous stasis
Assess risk of DVT
Administer anti-coagulants
Use of non-invasive preventative strategies
Apply anti-embolic stockings
Care of the extremity
Apply pressure bandages/tubigrip
Apply slings/triangular bandages
Care for clients who have a splint/plaster cast
Accurately assess an individual’s pain using appropriate tools
Utilise a range of strategies to effectively relieve clients’ pain
Evaluate the effectiveness of pain relief strategies
PERSONAL CLEANSING & DRESSING
Make a bed/ which is:
Unoccupied
Occupied
Changing a sheet underneath a patient:
Top to bottom
Side to side
Dispose of linen which is:
Uncontaminated
Contaminated
Personal hygiene
Assist individuals requiring a:
Shower
General bath
Bed bath/towel bath
Wash
Assist individuals to maintain their oral hygiene
Administer eye care
Perform/assist with facial shaving
Care of hair:
Washing in bed
Dealing with infestation
Dressing
Assist individuals to select appropriate clothing
Assist a variety of individuals to dress
Provide psychological support to the client requiring assistance with cleansing and dressing
Assess, plan, implement and evaluate care for a range of clients who are unable to cleanse or dress independently
Care of individuals’ clothing and personal belongings
MAINTAINING A SAFE ENVIRONMENT
Infection control
Prevent cross infection by effective:
Hand washing
Use of gloves
Use of plastic aprons
Safe disposal of equipment
Adheres to local and national policies relation to:
CoSHH
Disinfection policies
Disposal of infected materials
Isolation/barrier nursing procedures
Dealing with blood and body fluids
Assessing and swabbing clients for
identification of infective organisms
The deteriorating patient
Monitor pulse:
Radial
Carotid
Apex
Femoral
Monitor and record Blood Pressure using:
A sphygmomanometer
An electronic device
Monitor and record oxygen saturation
Monitor and record blood glucose level in accordance with local policy
Monitor and record neuro-vascular observations
Recognise the significance of laboratory results and respond accordingly
Monitor, record and recognise the significance of neurological observations:
TPR and B/P
General orientation
Pupil reaction
Motor activity
Level of consciousness
Glasgow coma score
Wound care
Perform a simple dressing using aseptic technique
Obtain a wound swab
Removal of sutures/clips
Care for and change (if appropriate) wound drains
Removal of drains:
Wound
Other
MAINTAINING A SAFE ENVIRONMENT (continued)
SKILL / Instructed/ Studied / 1 / 2 / 3 / 4 / 5Respond in the event of an actual or suspected emergency
Please list:
1
2
3
4
Management of anaphylaxis
Blood and blood products
Care of clients requiring the infusion of blood/blood products:
Obtaining and storing blood/blood products
Care of a patient receiving blood/blood products
Peri- operative/investigation care
Preparation and care of clients requiring:
General anaesthesia
Local anaesthesia
Regional anaesthesia
Safely care for a variety of clients in the post operative period
Safely care for a variety of clients undergoing investigations/procedures
Please list:
1
2
3
4
5
6
EATING and DRINKING
Nutrition and hydration
Assist clients in selecting appropriate meals/fluids
Assist clients with feeding
Assist clients with drinking
Feed dependant clients
Feed clients with difficulty swallowing
Ordering of special dietary needs for clients including supplements
Adjuncts
Care of clients requiring insertion and maintenance of a naso-gastric tube
Care and maintenance of clients requiring an intravenous infusion
Care and maintenance of clients requiring a subcutaneous infusion
Care of individuals with a:
Syringe driver
Intravenous pump
Central venous line
Care of clients requiring parenteral feeding
Feeding by and care of enteral tube:
Jejunostomy
Percutaneous Endoscopic Tube (PET)
Monitoring
Assess individuals’ nutritional status
Monitor and record nutritional intake
Monitor and record fluid balance
COMMUNICATING
Communication with patients/carers/relatives
Interview:
Clients
Relatives
Significant others
Communicate sensitively and effectively with clients who have a:
Hearing difficulty
Speaking difficulty
Language difficulty
Comprehension difficulty
Respond appropriately to requests for information from:
Clients
Relatives
Significant others
Inter-professional communication
Give and receive reports of clients’ condition:
Orally
Through documentation
Electronically
By telephone
Respond appropriately to requests for information from:
Other members of the multi-disciplinary and multi-agency team
External agencies
DYING
Communication with patients, relatives and significant others
Communicate sensitively with dying patients
Communicate sensitively with relatives of dying patients
Communicate sensitively with the bereaved
Inter-professional communication
MacMillan nurse
Hospice team
Voluntary sector
Clinical nurse specialists
Care delivery
Assess, plan, implement and evaluate care for a range of clients who are dying, recognising and respecting their individual beliefs and values
Perform last offices
Support
Provide psychological support for clients whom you know to be dying and their significant others
Refer patients to support agencies
Provide psychological support to the recently bereaved
Refer relatives to support agencies
ELIMINATING
Assess individuals’ ability to eliminate effectively
Assist clients to use:
Bedpan
Urinal
Toilet
Commode
Bowel care
Monitor and record bowel actions
Administer an enema
Administer a suppository
Care for a client with a stoma:
Changing bag
Care of skin
Bladder Care
Monitor and record urinary output
Perform routine urinalysis
Catheterisation and care
Catheterisation (as Trust policy permits):
Male
Female
Empty a catheter bag
Care for an indwelling catheter
Change a catheter bag
Nausea and vomiting
Monitor and record vomit/gastric aspirate
Monitoring
Monitor and record vomit/gastric aspirate
Obtain specimen of urine/faeces/vomit for laboratory examination
Continence
Assess need for and use appropriately continence aids
Refer clients to Continence Nurse Specialist
MAINTAINING BODY TEMPERATURE
Monitor and Record the temperature of:
Infant
Child
Adult
Recognise environmental influences on maintaining body temperature
Adapt environment accordingly
Strategies utilised:
1
2
3
4
Utilise a range of strategies designed to reduce a client’s body temperature
1
2
3
4
5
Utilise a range of strategies designed to increase a client’s body temperature
1
2
3
4
5
SLEEP and REST
Assessment
Assess individuals’ needs related to sleep and rest
Monitor and record individuals’ sleep and rest patterns
Assist individuals to achieve a balance between activity and rest
Interventions
Use a variety of interventions designed to promote clients’ comfort and sleep:
Assess, plan, implement and evaluate care for a range of clients who have difficulty resting/sleeping
Minimise environmental factors which might influence an individual’s ability to sleep and rest
Provide psychological support to the client who has difficulty sleeping and/or resting
Pain
Accurately assess an individual’s pain using appropriate tools
Utilise a range of strategies to effectively relieve clients’ pain
Evaluate the effectiveness of pain relief strategies
ADDITIONAL SKILLS NEGOTIATED BY PRIMARY SUPERVISOR/MANAGER
2