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BSc (HONS) PARAMEDIC PRACTICE

PRACTICE ASSESSMENT DOCUMENT

SEPTEMBER 2015

Name:

CONTENTS

Page STUDENT & ACADEMIC ZONE STAFF DETAILS 1 1 PRACTICE PLACEMENTS OVERVIEW 2 2 AUTHORISED SIGNATORIES 4 3 STAFF CONTACT DETAILS AND ZONE ACADEMICS 5 4 PLACEMENT OVERVIEW 5 4.1 Location and Selection of Placements 6 4.2 Preparation for Practice Placements 6 4.3 Allocation of Placements 7

4.4 Your Responsibilities on Placement 7 4.5 Paramedic Placements: Home Station 8

4.6 Non-paramedic Placements: Host Trust 8 4.7 Elective Placement 8 4.8 Practice Placement Support 9 5 PLACEMENT CO-ORDINATION 9 5.1 Zoned Academics 9 5.2 Practice Mentors /Non-paramedic Supervisors 9 6 PLACEMENT POLICIES AND PROCEDURES 10 6.1 Reporting Sickness and Absence 10 6.2 Disclosure and Barring Service Check (DBS) 10

6.3 Confidentiality and Informed Consent 10 6.4 Fitness to Practice 10 6.5 Whistleblowing/Placement Concerns 11 7 PRACTICE PLACEMENT ASSESSMENT 11

7.1 Practice Assessment Document 11 7.2 Practice Assessment Review: Initial/Midpoint Assessment 11 7.3 Practice Assessment: Paramedic Placements 12 7.4 Practice Assessment: Non-paramedic Placements 12 7.5 Practice Assessment: Skills Log 12 7.6 Practice Placement Hours Requirements 13

8 DRUG ADMINISTRATION & COMPETENCE 14

YEAR 1 Placement Induction 16 Non-paramedic Practice Placement: Caring 17 Non-paramedic Practice Placement: Patient Assessment 19 Initial Practice Mentor Meeting Record 21 Midpoint Formative Assessment 22 Paramedic Practice Placement Assessment 23 Placement Hours Record 31 YEAR 2 Placement Induction Areas 37 Non-paramedic Practice Placement: Critical Care 38 Non-paramedic Practice Placement: Mental Health 39 Non-paramedic Practice Placement: Paediatric Care 42 Initial Practice Mentor Meeting Record 44 Midpoint Formative Assessment 45 Paramedic Practice Placement Assessment 46 Placement Hours Record 54 YEAR 3 Placement Induction Areas 60 Non-paramedic Practice Placement: Community Care 61 Non-paramedic Practice Placement: Elective Area 64 Initial Practice Mentor Meeting Record 66 Midpoint Formative Assessment 67 Paramedic Practice Placement Assessment 68 Placement Hours Record 74

Practice Skills Competency Record 82 DISCLAIMER The information contained in this guide is, as far as possible, accurate and up to date at the time of printing. The express permission of Teesside University must be obtained to reproduce any, or all of this publication, other than for personal use or for those purposes permitted by law.

C:\Users\Mark\Downloads\Practice Assessment Document.docx

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STUDENT & ACADEMIC ZONE STAFF DETAILS This document remains the property of the University and you should keep it safe and carry with you at all times during placement periods. It is a continuous record of all practice competencies and skills developed across the whole of your programme.

You are required at the end of each placement phase to meet with your Module Leader to review your on-going feedback from all practice

placements STUDENT DETAILS – PLEASE PRINT AND COMPLETE BOXES BELOW:

Name of Student (Please PRINT)

Signature of Student

Student Number

Cohort

Personal Academic

Paramedic Zone

Non-paramedic Zone


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1 PRACTICE PLACEMENTS OVERVIEW The purpose of this handbook is to provide you with information about how placements are managed, organised and co-ordinated for your BSc (Hons) Paramedic Practice programme. It will enable you to get the most out of each placement and guide you towards the successful completion of practice placements and competencies. In the following pages you will find details of practice competencies, skills, learning outcomes and objectives for all of your placements across the whole programme. You should keep this document safe so that you, your Practice Mentor and University staff can refer to it throughout your three years of study. It is a working document and must be handed in at the end of each practice year for summative assessment. The practical application of skills learned in the theory modules and the ability to understand the complexities of practice situations is an integral part of your learning experience. You are expected to attend and complete all placements and meet all of the learning outcomes, practice competencies and skills assessments. Placements are essential to the programme and you must be prepared to travel, often at a distance to a variety of placement areas at your own expense. Paramedic placements: you will normally be placed at a single station referred to as your ‘home station’ for your paramedic placements. You will be based at your ‘home’ station for a practice year and normally move to another ‘home’ station in subsequent years and be allocated a new Practice Mentor. Non-paramedic placements: you will normally be placed in a ‘home trust’ for all of your non-paramedic placements during the entire three-year programme. In each year of your programme you should expect to spend five weeks in wards/departments and other areas in your ‘home trust’. You are normally allocated to someone who will supervise your practice in individual placement areas within your ‘home trust’. First Year Placements: Theme The theme of the first year placements is to develop your knowledge and skills to enable you to safely assess, identify and manage service users with life threatening conditions and manage their care during transportation to an appropriate care facility. You will develop an-awareness of the importance of professionalism, care and compassion. The skills needed for fundamental care are introduced during your first placement and will ensure that you have exposure to the fundamental care skills that are required of all healthcare professionals and will be developed further in all subsequent placement areas. Second Year Placements: Theme During the second year placements you will continue to develop your emergency care skills. In addition you will perform more detailed service user assessment and focus on the management of service users presenting with non-critical illness or injury within an increasing scope of practice. You will begin to identify


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when the transfer of care to a specialist centre or referral to another professional is appropriate for your service user. You will therefore be placed in areas of care that manage acute and chronic conditions and traumatic injuries. Third Year Placements: Theme The theme of the third year is to develop your autonomous practice and skills for managing minor injuries/illness and unscheduled/urgent care. You will learn to safely see/treat and discharge service users and give advice on self-management/care. Where you are unable to manage service users within your own scope of practice you will be able to safely recognise and refer your service user to the most appropriate provider of care. You will enhance your management skills and may have some exposure to managing care in special circumstances such as Hazard Area Response Team (HART). Within the third year you will have an elective placement. You can elect (subject to availability and approval) to return to a previously attended area of practice or a different area but with a specific focus on how paramedics could make an impact on that area of practice. You will be expected to keep a running record of all of the placement hours you have attended and submit this as evidence. When you have successfully completed all aspects of the academic programme, met your practice competencies and skills you will be eligible to apply for registration as a paramedic with the Health and Care Professions Council (HCPC). I hope that you will find the programme rewarding, interesting and challenging and the programme team look forward to teaching and learning with you over the next three years. Good luck!

Mark Nevins Mark Nevins Programme Leader – BSc (Hons) Paramedic School of Health & Social Care Centuria Building – HS2.16 01642 738 242 [email protected]

mailto:[email protected]


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2 AUTHORISED SIGNATORIES Signatures of Practice Mentors and Supervising Clinicians are to be recorded here for verification/cross-checking purposes. YEAR 1 – PLACEMENT MENTORS/SUPERVISORS

Signature PRINT name clearly Designation/Registration Number

YEAR 2 – PLACEMENT MENTOR & SUPERVISOR


YEAR 3 – PLACEMENT MENTOR & SUPERVISOR



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3 STAFF CONTACT DETAILS AND ZONED ACADEMICS University Main Campus Address School of Health & Social Care Teesside University Centuria Building Middlesbrough TS1 3BA Staff Contact Details

NAME ROOM NO & TEL NO EMAIL

Programme Leader

Mark Nevins Senior Lecturer

HS2.16 01642 738242

[email protected]

Programme Team

Marion Richardson Senior Lecturer

H2.31 01642 738 507

[email protected]

Matthew Capsey Senior Lecturer

H2.31 01642 384154

[email protected]

Gary Vale Senior Lecturer

HS2.16 01642 384077

[email protected]

Chris Jones Senior Lecturer

HS2.16 01642 342539

[email protected]

Chris Moat Senior Lecturer

H2.31 01642 384119

[email protected]

Academic Zone Tutors

Ambulance Zone Tutor

North East Ambulance: North Chris Moat

North East Ambulance Service: Central TBC

North East Ambulance Service: South Chris Jones

Yorkshire Ambulance Service: North & East Matt Capsey

Yorkshire Ambulance Service: South & West Gary Vale

Non-Ambulance Zones

Great North Air Ambulance Mark Nevins

Gateshead Hospitals / GP Practices Mark Nevins

Northumberland, Tyne & Wear Mental Health TBC

St Oswalds/Marie Curie Hospice/RVI Palliative Care TBC

County Durham & Darlington Chris Jones

North Tees & Hartlepool Gary Vale

South Tees Matt Capsey

Tees Esk & Wear Valley Marion Richardson

Twitter @TeesParamedic Facebook: Teesside Paramedic Team







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4 PLACEMENT OVERVIEW The paramedic programme is designed to integrate practice experience and learning with theory modules. You are expected to use your experiences in practice to enhance your understanding of the theory modules and to be able to demonstrate the ability to identify and apply the theory underpinning practice. Practice placements are organised in a variety of settings with a strong focus on Paramedic placements to ensure that you have a good understanding of the role of the paramedic. Integration of theory and practice modules is paramount throughout the programme and we achieve this by:

Working closely with our partners to ensure the programme content is relevant and reflects current practice.

Involving practice colleagues in teaching and assessing practical skills.

University staff visiting practice.

The learning outcomes from theory modules relating directly to the aims and objectives of practice.

Using knowledge, skills and attitudes gained in practice as a basis for theory learning in future modules. 4.1 Location and Selection of Placements

You are required to undertake a range of placements that will equip you with a broad base of experience. The following are some examples of the areas you may be placed:

Paramedic services

NHS and private hospitals

Paediatric care

Emergency departments/admissions units

Critical care areas

GP practices/walk-in centres/specialist practitioners

Mental health units

Fundamental care areas (nursing home/ward areas)

The placements are selected according to the stage and outcomes of your programme. You will be expected to attend all placements in all locations and should be prepared to travel, sometimes at a distance, to your placement area and be prepared to work days, nights, weekends and bank holidays.


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4.2 Preparation for Practice Placements You will attend a briefing to discuss the competencies/objectives to be achieved prior to each placement phase and a further workshop on completion to review and share your experiences. You are expected to meet with the Module Leader at the end of each placement phase to review your progress and practice hours. You will complete a Corporate Trust Induction and a local induction with your Practice Mentor/Supervisor which will provide you with essential health/safety and other information that you need to know about your placement area before you commence your placement. You MUST attend a Corporate Trust Induction prior to attending your first placement. Specific skills that you must demonstrate competency in each year of your programme are contained in the Skills Log. You must demonstrate competence in those skills as you progress through the programme and will be assessed in practice each year. The whole programme will embed competence, compassion, caring, courage, communication and commitment (6 Cs) for service user care as a key theme demonstrating your aptitude to be a professional throughout all modules and practice placements. Professional development occurs throughout the programme and you are encouraged to take responsibility for your own learning and to develop an awareness of your own strengths and needs. Emphasis is placed on the integration of theoretical and practice experience within the context of professional development. 4.3 Allocation of Placements Placements are critical to ensure that you are exposed to practice and provide opportunities to make the links between the theoretical components and the practice components of your programme. You should expect to be in practice for 20 weeks of each year of your programme. You must demonstrate a minimum of 750 hours of practice learning in each year. Placement allocation will be provided for you through our placements management system which can be accessed by clicking this link: http://sohsc.tees.ac.uk/ 4.4 Your Responsibilities on Placement

Complete the local workplace induction.

Adhere to all workplace policies and procedures.

Act in a professional manner at all times.

Identify your learning needs and negotiate objectives

http://sohsc.tees.ac.uk/


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Ensure that you wear your uniform and appropriate PPE.

Monitor ARC and the programme support site regularly At the end of each phase of placement you must:

Make an appointment to see your Personal Academic to review your progress.

4.5 Paramedic Placements: Home Station

You will be allocated to a specific trust where you will normally be based for the duration of your programme. You will be allocated a home station in each year of your practice placements. You will normally be based at single location for the duration of all of your paramedic placements in that particular year. You will have a named practice who you will work with and follow their shift pattern whilst on placement. The home station will change in each year and you will be allocated a different home station and Practice Mentor for Years 2 and Year 3. This will broaden your experience and exposure to a range of diverse environments in which paramedics work. Only your named Practice Mentor(s) can complete your assessment and confirm that you have met your practice competencies. There may be occasions when you will not work with your named Practice Mentor (because of holidays etc) but you can expect where they are not available you will work with another paramedic who will support you with your learning. 4.6 Non-paramedic Placements: Home Trust

You will be allocated to a specific ‘home trust’ where you will normally be based for all of your non-paramedic placements for the duration of your programme. Non-paramedic placements are designed to enable you to gain experience of specific areas of care pertinent to your sage of learning and practice. You must attend those placements and complete your objectives while you are there. There may be some objectives that you are unable to achieve in one practice placement; these can be carried forward to the next placement. You will be allocated to a supervising clinician who will work with you to provide opportunities to meet your learning objectives and provide you with some feedback on your performance. The feedback they provide will form part of the evidence your Practice Mentor uses to complete your summative assessment at the end of your practice year. 4.7 Elective Placement

In Year 3 you may choose from a range of options to return to a previous placement (paramedic or non-paramedic) in another part of the UK or an international or individually negotiated placement (such as working in a commercial environment) subject to meeting the University’s agreed processes and approval. There may be some unique features that you may wish to experience or demonstrate but this placement experience


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should be focussed on helping you make the transition between student and qualified practitioner. Further details of the elective placement and placement areas will be discussed in Year 3.

4.8 Practice Placement Support Each member of the academic team has responsibility for a zoned area within the paramedic practice areas. The Zoned Academic works closely with our partners and may visit or contact you while you are on placement. The Zoned Academic is the link between your zoned area and the University. Should you be struggling to achieve the required level of competence or there are any issues within that practice area they will work with your Practice Mentor/Supervisor to devise an action plan to resolve any issues. While on placement you are the responsibility of your Practice Mentor. You should raise any concerns/issues initially with your Practice Mentor/Supervising Clinician or where you feel you are unable for whatever reason, your Zoned Academic. You may also have cause for concern regarding some of the things you may see or be involved with in practice. For guidance on how to report such incidences please see Section 6.

5 PLACEMENT CO-ORDINATION

5.1 Zoned Academics

The Zoned Academic is responsible for all students on placement within their geographical area. For information on those specific areas please see the contact details on page five of this document. 5.2 Practice Mentors/Non-paramedic Supervisors

Practice Mentors/Non-paramedic Supervisors have the day-to-day responsibility for facilitating your learning in practice. They will normally have completed or be working towards a recognised Mentorship or teaching qualification and/or attended a preparatory workshop.

The Practice Mentor/Supervisor role includes:

Ensuring you are inducted into the placement area

Supporting you with objectives and practice learning outcomes.

Providing feedback on performance

Paramedic Mentors: completing initial, midpoint summative assessments

Non-paramedic Supervisors: completing non-paramedic placement feedback

Identifying areas of good practice

Suggest areas for development in the future.


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6 PLACEMENT POLICIES AND PROCEDURES

6.1 Reporting Sickness and Absence The University has a duty to ensure that all students are fit and able to undertake practice placements. If you have had an illness or injury in the weeks before a placement you may be required to provide evidence that you are fit to undertake the practice placement. You must inform the Zoned Academic, your Practice Mentor (and/or follow your home organisations sickness procedures) and Student Records (01642 384586) on your first day of sickness. You must also report that you are fit to return to work. Copies of fit notes must be submitted to the University. It is your responsibility to ensure that you are fit to work whilst on placement. 6.2 Disclosure and Barring (DBS) Service – DBS Checks You are required to inform the Programme Leader immediately should you be convicted or cautioned for any offence and/or your DBS status changes at any point during the programme. 6.3 Confidentiality and Informed Consent Confidentiality and informed consent are essential in the health and social care setting, as maintaining confidentiality and gaining consent, promotes trust and individual choice for each client/service user. You must gain informed consent for all service user episodes including assessment, treatment and management. If you wish to use any information relating to a specific service user in your written work, you must gain witnessed verbal consent and complete the relevant documentation. This must be submitted with the assignment. You must also inform service users that you are a student and give them the opportunity to decline being assessed and/or cared for by you. This is their fundamental right as a service user. 6.4 Fitness to Practise

The University has a duty to protect the public by ensuring that each student is fit to practise at the level at which s/he is studying. Assessment of your fitness to practise, and your compliance with professional codes of conduct is an integral part of this professional programme. The HCPC may have additional and specific requirements in relation to fitness to practise, which must be met. Your Fitness to Practise may be challenged when you fail to demonstrate appropriate standards of behaviour, either at University, on practice placement, or at other times and may be deemed to be professionally unsuitable and unfit to practise. In these


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circumstances, a student will be considered under the current University’s Fitness to Practise Regulations. If you have any concerns regarding your fitness to practise you should contact your Personal Academic. Further details of the University’s Fitness to Practise regulations can be found on the Student e-directory. 6.5 Whistleblowing/Placement Concerns Raising concerns about practice, standards of care, quality and safeguarding service users is a primary function of all healthcare professionals. If you see or become involved in something that you feel is inappropriate then you have a duty to report this. This applies to all practice areas and all practitioners, regardless of whether they are professionally registered or not (such as Health Care Assistants and other Support Staff) in all settings and in all areas. If you have such concerns you should bring this to the attention of your Practice Mentor/Supervising Clinician but in those cases where you feel unable for whatever reason you should contact your Zoned Academic as soon as possible and complete the ‘Placement Concern’ form which is available on the Student Intranet/e-directory.

7 PRACTICE PLACEMENT ASSESSMENT

7.1 Practice Assessment Document

The knowledge, skills and attitudes gained in each placement are cumulative. The competency assessments are based on the Health and Care Professions Council (HCPC), Standards of Proficiency for Paramedics (SOPs). Practice placements in both paramedic and non-paramedic areas are directly linked to your theoretical learning and are both formatively and summatively assessed. The practice experience demands your active involvement, with the expectation that you will progressively take more responsibility for your learning throughout the programme. You must successfully complete your placements before progression to the next. Non-paramedic placements are a strong feature of this programme and the feedback you receive from your supervising clinician is used by your Practice Mentors to contribute to your overall summative assessment at the end of each practice year. You must successfully complete all placements and achieve all summative competencies and skills for each practice year before progressing to the next. 7.2 Practice Assessment – Initial & Midpoint Reviews Within the first week of meeting your Practice Mentor you should complete the initial meeting and agree a plan of how you are going to meet your practice competencies and skills over the whole practice placement


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period. This will be formatively reviewed at the midpoint of each placement year. This allows you and your Practice Mentor to discuss your progress and highlight any areas of good practice or areas that require further development. Feedback from your non-paramedic placements will be used by your Practice Mentor to contribute to your midpoint assessment. 7.3 Practice Assessment – Paramedic Placements In each stage of your programme your Practice Mentor summatively assesses your competencies and skills. Feedback from your non-Paramedic placements will be used by your Practice Mentor to contribute to your summative assessment. This is normally completed in the last week of your placement year each year. 7.4 Practice Assessment – Non-paramedic Placements Your non-paramedic placements have formative learning objectives which you are expected to work towards during your non-paramedic placement. Your supervisor in those areas will negotiate a learning contract with you to support you to meet your practice objectives. They are expected to provide you with some feedback on your objectives at the end of the placement which will be used by your Practice Mentor during their summative assessment. All non-paramedic placements MUST be completed in order to fulfil the requirements of your practice assessment as the feedback is used to make a summative assessment at the end of your practice year. 7.5 Practice Assessment: Skills Log

Your skills log is a continuous record of the skills that you have demonstrated as you progress through your programme. Once you have passed your simulated assessment an academic member of staff will sign and date the ‘Ready for Practice’ section of the skills log. This means that you can practice ANY skill that has been deemed to be ‘Ready for Practice’ in the clinical area. Skills that require summative assessment are clearly indicated in your skills assessment log shaded in grey. If you do not demonstrate competence by the end of the practice year then you will be deemed to have referred in practice and your Practice Mentor will detail their reasons for non-competence in their feedback. If you have not been able to practice certain skills due to a lack of opportunity then you will be asked to demonstrate those skills to an academic in a simulated environment at the end of each year. This will be recorded as ‘SIM’ in your practice assessment document Only your Practice Mentor can sign to confirm whether you are able to demonstrate the achievement of the practice competencies detailed in the Practice Assessment document they cannot be assessed by any other


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clinician. If you refer in practice or in your summative skills session, you may be offered a re-assessment at the discretion of the Progression & Award Board. If you do not demonstrate competence following a re-assessment then you will be discontinued from the programme. 7.6 Practice Placement Hours Record You are expected to work the same hours and shift pattern as your Mentors and this will vary from area to area. You should be prepared to work a mixture of shifts which include 8, 12 and 13-hour days depending on the practice placement area and your Practice Mentor/Supervising Clinician. This will include early mornings, late evenings, night shift, weekend work and working during public holidays. You must record your actual hours worked on placement using the placement hour’s record, including any extra time that you worked because your shift ended at a later time than expected. This is a continuous record of the hours worked across the three years and is a requirement of the programme. At the end of each shift you must ensure that your Practice Mentor/Supervisor signs to confirm hours worked. It is your responsibility to ensure that the ‘placement hours record’ is filled in correctly, signed and dated. At the end of the programme all practice hours need to be correctly totalled for validation purposes. You must demonstrate 750 hours of practice in each year of your programme. The minimum numbers in each placement area are detailed below. Year 1

Year 2

Y

ear 3 8 DRUG ADMINISTRATION & COMPETENCE The Medicines and Healthcare products Regulatory Agency (MHRA), (2008) advise that only HCPC-registered paramedics can administer certain medicines on their own initiative for immediate, necessary treatment of sick and injured

Placement Area Duration Hours

Care Placement 2 Weeks 75 hrs

History Taking 3 Weeks 112.5 hrs

Paramedic Phase 15 Weeks 562.5 hrs

Total Hours 750 hours Placement Area Duration Hours

Critical Care 2 Weeks 75 hrs

Paediatric Care 1 Weeks 37.5 hrs

Mental Health 2 Weeks 75 hrs


Total Hours 750 hours

Placement Area Duration Hours

Minor Injuries 5 Weeks 187.5 hrs


Elective 4 Weeks 150 hrs

Total Hours 750 hours


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persons and provide a list of prescription-only medicines under the paramedic exemption list (please see their website for further details). https://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency

https://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency

https://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency


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YEAR 1


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PLACEMENT INDUCTION AREAS – YEAR 1

The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor. Please check off the items below when they have been completed and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.

Placement Area Home Station

P1: Care Area

P2: Service User

Assessment

Key staff & roles

Toilets/changing facilities

Location of staff area

Facilities for eating/drinking

Dress code (non-paramedic) ONLY

Specific work area overview

Communication – making/receiving calls – use of radio/MDT

Postal arrangements

Car parking & charges (if applicable)

Health & Safety

Emergency procedures

Safety policy

Location of first aid box

Fire procedure

Accident reporting and location of accident book

COSHH regulations

Display screen equipment regulations/procedures

Manual handling procedures

Protective clothing arrangements

Instruction on equipment participant will be using (list equipment):

Others (please state)

Whistleblowing

Lone working


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NON-PARAMEDIC PRACTICE PLACEMENT: CARING

LEARNING OUTCOMES:

Demonstrate the 6 Cs in the practice area.

Demonstrate the ability to assist service users with personal hygiene.

Demonstrate the ability to assist service users with personal care.

Demonstrate the ability to assist service users with nutrition and hydration.

Demonstrate the ability to communicate effectively with service users and their carers/significant others.

Demonstrate the ability to work as part of a team.

Describe and discuss how to safeguard vulnerable service users.

Maintain the service user’s dignity and respects their values and beliefs.

Demonstrate an awareness of how to report and challenge where dignity, equality and diversity have an impact on the safety or effectiveness of delivering care.

LEARNING PLAN: (to be negotiated between supervising clinician/student)

Name of Supervising Clinician …………………………………………………… Placement Area …………………………………………………………………… Summary of Absences (if any) ……………………………………………………


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Feedback Comments (Supervising Clinician)

Areas of strength where the student has demonstrated good practice/understanding.

Areas for development which may need to be addressed in subsequent placements.

At least one development point that the student can take forward to their next placement.

Feedback Comments (Student)

Signature (Supervisor) ……………………….………. Date ……………………… Signature (Student) …………………………………… Date ……………………..


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NON-PARAMEDIC PRACTICE PLACEMENT: PATIENT ASSESSMENT

LEARNING OUTCOMES: CORE VALUES

Demonstrate the 6 Cs.

Demonstrate the ability to communicate effectively.


Be aware of responsibilities/process for raising concerns about vulnerable patient/child protection issues.

Able to maintain the service user’s dignity and respects their values and beliefs and cultural diversity.

PLACEMENT-SPECIFIC

Demonstrate the ability to take a service user history.

Demonstrate the ability to record appropriate observations.

Able to discuss the relevance of observations and their use in relation to assessment.

Able to record contemporaneous and appropriate, relevant (written and electronic) notes.

Observe and participate in handover(s) of care from or to another healthcare professional where appropriate.

Is able to demonstrate an ability to prioritise care/interventions.

Demonstrate the ability to obtain informed consent.


Name of Supervising Clinician ……………………………………………………… Placement Area ………………………………………………………………………… Summary of Absences (if any) ………………………………………………………


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Signature (Supervisor) …………..……………………….… Date……………………. Signature (Student) …………………………………………. Date…………………….


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INITIAL PRACTICE MENTOR MEETING RECORD: YEAR 1

This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the

Paramedic phase of your practice placements.

Summary of initial meeting/discussion:

Identified areas for professional development:

Identified areas for practice skills development:

Any other identified personal/other support needs:

Action Plan for ongoing development:

Signature of Practice Mentor ……………………………… Date …………………. Signature of Student ……………………………………….. Date ………………….


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MIDPOINT FORMATIVE ASSESSMENT: YEAR 1

This form is to be used to record the formative midpoint assessment. If a Mentor or student has concerns that they may not meet the learning

outcomes/professional requirements and summative assessment for the placement this should be discussed with the Zoned Academic.

Summary of practice:

Identified areas for professional development:

Identified areas for practice skills development:

Any other identified/personal support needs:

Action Plan for on-going development:

Signature of Practice Mentor ………………………… Date ……………………….. Signature of Student …………………….................... Date ………………………….


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PARAMEDIC PRACTICE PLACEMENT ASSESSMENT 1

Name of Practice Mentor Home Station Summary of Absences (if any)

Practice Mentors and students are referred to the HCPC Standards of Proficiency for Paramedics (2014). Please tick the appropriate box below to indicate whether the student has achieved the required competencies for this practice placement:

Standards of Proficiency PASS REFER The reasoning behind any practice referral should be documented clearly by the Practice Mentor below.

Practice Mentor Summary: Student Comments: Practice Mentor ………………………………….. Date ………………… Signature: Student: ……………………………… Date …………………


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STANDARDS OF PROFICIENCY Autonomy and Accountability

Unable to demonstrate an ability to practice safely and effectively within their scope of practice

|---------------------------|

Able to demonstrate the ability to practice safely and effectively within their scope of practice

Comments:

Unable to describe the legal and ethical boundaries of their profession

|---------------------------|

Able to describe the legal and ethical boundaries of their profession

Comments:

Unable to demonstrate high standards of personal and professional conduct

|-------------------------------|

Able to demonstrate high standards of personal and professional conduct

Comments:


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Unable to demonstrate an ability to act autonomously and exercise professional judgement

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Able to demonstrate the ability to act autonomously and exercise professional judgement

Comments:

Professional Relationships & Diversity

Is unable to demonstrate the ability to practice in a non-discriminatory manner and is unable to recognise the importance of culture, equality and diversity on practice.

|---------------------------|

Able to demonstrate the ability to practice in a non-discriminatory manner and is aware of the impact of culture, equality and diversity on practice.

Comments:

Unable to demonstrate effective and appropriate communication skills and maintain confidentiality

|---------------------------|

Able to demonstrate effective and appropriate communication skills/maintain confidentiality

Comments:


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Unable to demonstrate the ability to work appropriately and in partnership with service users, other professionals and support staff

|---------------------------|

Able to demonstrate the ability to work appropriately and in partnership with service users, other professionals and support staff

Comments:

Recording Keeping, Information Governance & Quality Assurance

Unable to demonstrate the ability to record and maintain appropriate records

|---------------------------|

Able to demonstrate the ability to record and maintain appropriate records

Comments:

Unable to demonstrate the ability to discuss / gain informed consent from service users

|---------------------------|

Able to demonstrate the ability to discuss / gain informed consent from service users

Comments:


28 ©TU-SOHSC (2015)

Unable to demonstrate the ability to reflect on and review practice

|---------------------------|

Able to demonstrate the ability to reflect on and review practice

Comments:

Unable to demonstrate the ability to discuss how to quality assure the care that they deliver.

|---------------------------|

Able to demonstrate the ability to discuss how to quality assure the care that they deliver.

Comments:


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Formulation of Assessment & Delivery Plans

Unable to demonstrate the ability to utilise the key concepts of their profession and knowledge base to assess patients

|---------------------------|

Able to demonstrate the ability to utilise key concepts of their profession/knowledge base to assess patients

Comments:

Unable to demonstrate the ability to engage with the evidence based practice process to inform their decisions.

|---------------------------|

Able to demonstrate the ability to engage with the evidence based practice to inform their decisions.

Comments:

Unable to draw from their knowledge and skills base to formulate and implement a management plan for service users

|---------------------------|

Able to demonstrate the ability to use their knowledge/ skills base to formulate and implement a management plan for service users

Comments:


30 ©TU-SOHSC (2015)

Unable to demonstrate the ability to form an differential diagnosis

|---------------------------|

Able to describe and demonstrate the ability to form a differential diagnosis

Comments:

Knowledge, Understanding and Skills

Unable to describe the interventions needed to meet the clinical needs of patients

|---------------------------|

Able to describe appropriate interventions to meet the clinical needs of patients

Comments:

Unable to demonstrate competence in the clinical skills that are appropriate to their stage of learning

|---------------------------|

Able to demonstrate competence in the clinical skills that are appropriate to their stage of learning

Comments:


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Unable to demonstrate the ability to maintain a safe practice environment and sterile fields

|---------------------------|

Able to demonstrate the ability to maintain a safe practice environment /sterile fields

Comments:


32 ©TU-SOHSC (2015)

PLACEMENT HOURS RECORD – YEAR 1 This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively. Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty. INDUCTION / ONE DAY FLY OUT / OTHER (PLEASE STATE)

Date Hours Signature Designation Notes

Paramedic Induction

Non-paramedic Induction

GNAAS One Day Fly Out

Other (State Reason)

Total

FUNDAMENTAL CARE: 75 HOURS MINIMUM / NO MAXIMUM

Date Hours Signature Designation

Total


33 ©TU-SOHSC (2015)

SERVICE USER ASSESSMENT: 112.50 HOURS MINIMUM / NO MAXIMUM


Total


34 ©TU-SOHSC (2015)

PARAMEDIC: 562.50 MINIMUM / NO MAXIMUM


Carried Forward


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Carried Forward from Previous Page

Carried Forward


36 ©TU-SOHSC (2015)


Total for Year 1


37 ©TU-SOHSC (2015)

YEAR 2


38 ©TU-SOHSC (2015)


The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor. Please check off the items below when they occur and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.


P1: Critical Care

P2: Paediatric

P3: Mental Health

Key staff & roles






Communication – making/receiving calls - radio/MDT

Postal arrangements


Health & Safety


Safety policy

Location of first aid box

First Aid procedure

Fire procedure


COSHH regulations





Others (please state)

Whistleblowing

Lone working


39 ©TU-SOHSC (2015)

NON-PARAMEDIC PRACTICE PLACEMENT: CRITICAL CARE





Is aware of responsibilities/process for raising concerns about vulnerable patient/child protection issues.

Maintains the service user’s dignity and respects their values and beliefs and cultural diversity.

PLACEMENT-SPECIFIC

Discuss (where appropriate demonstrate) how to manage a service users airway using appropriate clinical skills.

Demonstrates the ability to record and interpret observations (ETCO2, SPO2, Pulse, Respirations etc.) in the critically ill/high dependency service user

Discuss and/or take appropriate corrective actions.

Discuss the equipment required to manage a patient with critical care/high dependency needs and give a rationale for its use.

Is able to demonstrate aseptic technique and maintain a sterile field. Demonstrate an ability to assist/support the care of the critically ill/high dependency service user.


Name of Supervising Clinician ……………………………………………………….. Placement Area ………………………………………………………………………… Summary of Absences (if any) ………………………………………………………


40 ©TU-SOHSC (2015)






Signature (Supervisor) ………….………….….…………… Date……………….. Signature (Student) ……………………..…………..……….. Date……………….


41 ©TU-SOHSC (2015)

NON-PARAMEDIC PRACTICE PLACEMENT: MENTAL HEALTH





Aware of responsibilities/process for raising concerns about vulnerable patient/child protection issues.

Able to maintain the service user’s dignity and respects their values and beliefs and cultural diversity.

PLACEMENT-SPECIFIC

Discuss the impact of Mental Health/Capacity Acts on the assessment, management and delivery of care for service users.

Able to identify and discuss the key issues for caring for service users with acute/chronic mental health issues.

Able to identify/discuss key interventions/medications and their use in the practice area

Able to identify/discuss the use of Community/Outreach and drug/alcohol Services

Able to describe/discuss the suicide/self-harm risk assessment processes.



Name of Supervising Clinician ……………………………………………………… Placement Area ……………………………………………………………………… Summary of Absences (if any) ………………………………………………………


42 ©TU-SOHSC (2015)





Signature (Supervisor)………………………..…….………Date………………… Signature (Student) …..…………………………..………...Date………………...


43 ©TU-SOHSC (2015)

NON-PARAMEDIC PRACTICE PLACEMENT: PAEDIATRIC CARE





Awareness of responsibilities/process for raising concerns about vulnerable patient/child protection issues.

Maintain the service user’s dignity and respects their values and beliefs and cultural diversity.

Communicate effectively with parents/carers/significant others PLACEMENT-SPECIFIC

Describe how to ‘spot the sick child’

Describe and identify ‘red flags’ in critical/acute illness.

Describe how to assess competence and gain consent.

Identify key medications/interventions for acute/chronic illness

Demonstrate the ability to communicate effectively with children and parents.

Awareness of the key aspects of caring for children and their families.

Discuss the use of play to assist with caring for children and families.



Name of Supervising Clinician ……………………………………………………… Placement Area ………………………………………………………………………… Summary of Absences (if any) ………………………………………………………


44 ©TU-SOHSC (2015)





Signature (Supervising Clinician)… ………………………… Date ……………… Signature (Student)………………………………..…………... Date……………….



45 ©TU-SOHSC (2015)

This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the

Paramedic phase of your practice placements.

Summary of initial meeting/discussions

Identified areas for professional development

Identified areas for practice skills development

Any other Identified / personal support needs

Action Plan for on-going development

Signature of Practice Mentor ……,,,,,,,,,,,……… Date …………………. Signature of Student ……………………………. Date ………………….



46 ©TU-SOHSC (2015)

This form is to be used to record the formative midpoint assessment. If a

Mentor or student has concerns that they may not meet the learning outcomes/professional requirements and summative assessment for the

placement this should be discussed with the Zoned Academic.

Summary of practice



Any other Identified / personal support needs


Signature of Practice Mentor …………………… Date ……………………….. Signature of Student …………………………….. Date ………………………….



47 ©TU-SOHSC (2015)


Practice Mentors and students are referred to the HCPC Standards of Proficiency for Paramedics (2014).


Practice Mentor Summary: Student Comments: Practice Mentor………….. ……………………….. Date ………………… Student: …………………………………………… Date …………………


48 ©TU-SOHSC (2015)

STANDARDS OF PROFICIENCY Autonomy and Accountability

Unable to recognised the limits of their scope of practice and does not recognise the need to refer to an appropriate clinician

|---------------------------|

Recognises their limits of scope of practice and refers to an appropriate clinician where appropriate

Comments:

Unable to explore how the legal and ethical boundaries of their profession impact on their decisions for practice

|---------------------------|

Able to explore how the legal and ethical boundaries of their profession impact on their decisions for practice

Comments:


49 ©TU-SOHSC (2015)


|-------------------------------|


Comments:

Unable to critically analyse their decisions to act autonomously and exercise professional judgement

|-------------------------------|

Able to critically analyse their decisions to act autonomously and exercise professional judgement

Comments:


50 ©TU-SOHSC (2015)


Unable to demonstrate the ability to practice in a non-discriminatory manner and is unable to recognise the impact of culture, equality and diversity on practice

|---------------------------|

Demonstrates the ability to practice in a non-discriminatory manner recognising the impact of culture, equality and diversity on practice.

Comments:

Unable to critically analyse effective communication skills while maintaining confidentiality.

|---------------------------|

Able to critically analyse effective communication skills / while maintaining confidentiality

Comments:


51 ©TU-SOHSC (2015)

Unable to demonstrate the ability to work in partnership with service users, other professionals and support staff

|---------------------------|

Demonstrates the ability to work in partnership with service users, other professionals and support staff

Comments:

Record Keeping, Information Governance & Quality Assurance

Unable to critically discuss the reasons for maintaining appropriate records

|---------------------------|

Able to critically discuss the reasons for maintaining appropriate records

Comments:

Unable to critically discuss informed consent and data protection/information governance on practice.

|---------------------------|

Able to critically discuss informed consent and data protection/ information governance on practice

Comments:


52 ©TU-SOHSC (2015)

Unable to critically reflect and review their practice

|---------------------------|

Is able to critically reflect and review their practice

Comments:

Unable to critically analyse their performance and discuss and appropriate process

|---------------------------|

Able to critically analyse their performance and discuss an appropriate review process.

Comments:


Unable to critically analyse and justify their assessment of services users using appropriate models/tools

|---------------------------|

Able to critically analyse and justify their assessment of service users using appropriate models/tools

Comments:

Unable to critically analyse and Able to critically


53 ©TU-SOHSC (2015)

justify the quality and strength of evidence they have used to inform their decisions

|---------------------------|

analyse and justify the quality and strength of evidence they have used to inform their decisions.

Comments:

Unable to justify and critically analyse their management plan for service users

|---------------------------|

Able to Justify and critically analyse their management plan for service users

Comments:

Unable to critically analyse and justify their differential diagnosis

|---------------------------|

Able to critically analyse and justify their differential diagnosis

Comments:



54 ©TU-SOHSC (2015)

Unable to justify the interventions they have selected to meet the clinical needs of patients

|---------------------------|

Able to Justify the interventions they have selected to meet the clinical needs of patients

Comments:


|---------------------------|


Comments:

Unable to critically analyse the reasons for maintaining a safe practice environment and the creation of appropriate sterile fields

|---------------------------|

Able to critically analyse the reasons for maintaining a safe practice environment creation of sterile fields

Comments:


55 ©TU-SOHSC (2015)

PLACEMENT HOURS RECORD – YEAR 2 This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively. Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty. CRITICAL CARE: 75 HOURS MINIMUM / NO MAXIMUM


Total


56 ©TU-SOHSC (2015)

PAEDIATRIC CARE: 37.50 HOURS MINIMUM / NO MAXIMUM


Total

MENTAL HEALTH CARE: 75 HOURS MINIMUM / NO MAXIMUM


Total


57 ©TU-SOHSC (2015)



Carried Forward


58 ©TU-SOHSC (2015)


Sub Total


59 ©TU-SOHSC (2015)


Total for Year 2

C:\Users\Mark\Downloads\Practice Assessment Document.docx 60

YEAR 3



The following items should be included in your induction into the placement area preferably on your first day. Please sign/date where they have been completed together with your Mentor/Supervisor. Please check off the items below when they occur and inform your Zoned Academic if any items are not covered within one week of the start of your placement. This list is not exhaustive and other topics may be covered, which you may note if you wish.


P1: Minor Inj/Ill

P2: Elective Area

Key staff & roles






Communication – making/receiving calls – radio/MDT

Postal arrangements


Health & Safety


Location of First Aid box

First Aid procedure

Fire procedure


COSHH regulations





Others (Please state)

Whistleblowing

Lone working

Safety procedures


NON-PARAMEDIC PRACTICE PLACEMENT: COMMUNITY CARE







PLACEMENT-SPECIFIC

Demonstrate the ability to take an appropriate clinical history and systematic examination of the relevant body system.

Interpret clinical findings offering a differential diagnosis.

Utilise appropriate clinical tests (such as urinalysis, blood tests) and discuss their findings in the formulation of their differential diagnosis.

Formulate an appropriate treatment plan referring to appropriate clinical tools and best evidence/trust/department guidelines

Demonstrate appropriate wound care techniques (irrigation, cleaning) where applicable.

Select appropriate closure methods and apply appropriate closure methods and dressings where applicable.

Recognise the need for x-ray, prophylactic antibiotics, tetanus prophylaxis or HIV/Hep B risk assessment if required and refers to a senior clinician as appropriate.

Evaluate the treatment/advice and provides appropriate follow up advice where appropriate.

Name of Supervising Clinician ……………………………………………………… Placement Area ………………………………………………………………………. Summary of Absences (if any) …………………………………………………………









Signature (Supervising Clinician) ………………….…… Date…………………… Signature (Student) ……………………………….……... Date…………………....


NON-PARAMEDIC PRACTICE PLACEMENT: ELECTIVE AREA


Demonstrates the 6 Cs.





PLEASE HAND-WRITE YOUR NEGOTIATED OBJECTIVES BELOW


Name of Supervising Clinician ………………………………………………………………… Placement Area …………………………………………………………………………………. Organisation ……………………………………………………………………………………... Summary of Absences (if any) …………………………………………………………………





At least one development point that the student can take forward to their next placement


Signature (Supervising Clinician) ………………..………… Date ……...…………… Signature (Student) ………………………………………….. Date …………….…….



This form is to be used to record the initial meeting with you and your Practice Mentor. It should outline how you will progress through the Paramedic phase

of your practice placements.

Summary of initial meeting/discussions:



Identified additional / personal support needs

Action Plan for ongoing development

Practice Mentor ………………………………………… Date …………………. Student ……………………………………………….…. Date ………………….



This form is to be used to record the formative midpoint assessment. If a Mentor or student has concerns that they may not meet the learning

outcomes/professional requirements and summative assessment for the placement this should be discussed with the Zoned Academic.

Summary of practice



Identified additional / personal support needs


Practice Mentor ……………………………… Date ……………………….. Student ……………………………………….. Date ………………………….




Practice Mentors and students are referred to the HCPC Standards of Conduct, Performance and Ethics for Students; Standards of Proficiency for Paramedics (2014).


Practice Mentor Summary: Student Comments: Practice Mentor……………….: ……………………….. Date ………………… Student: ………………………………………………… Date …………………


STANDARDS OF PROFICIENCY

Unable to critically evaluate the role of the Paramedic and the legal and ethical boundaries of their profession

|---------------------------|

Able to critically evaluate the role of the Paramedic and the legal and ethical boundaries of their profession

Comments:


|-------------------------------|


Comments:

Unable to demonstrate the ability to be autonomous, confident or competent when exercising professional judgement

|-------------------------------|

Able to exercise autonomy, confidence and competence when exercising professional judgement

Comments:


Autonomy and Accountability

Unable to demonstrate an ability to practice autonomously or recognise the limits and scope of their practice

|---------------------------|

Able to demonstrate the ability to practice autonomously recognising the limits and scope of their practice

Comments:


Unable to demonstrate an ability to work ethically in a non-discriminatory context and does not demonstrate the value of equality and diversity in practice

|---------------------------|

Demonstrates ability to work ethically and in a non-discriminatory context valuing equality and diversity in practice,

Comments:

Unable to demonstrate the ability to communicate effectively or adapt their communication style in context

|---------------------------|

Communicates fluently and effectively using a range of styles appropriate to the context

Comments:


Unable to demonstrate the ability to work autonomously in partnership with service users, other professionals and support staff

|---------------------------|

Demonstrates the ability to work autonomously in partnership with service users, other professionals and support staff

Comments:

Record Keeping, Information Governance & Quality Assurance

Unable to demonstrate the ability to accurately record and maintain contemporaneous records within the context of their practice and current legislation/policy/law

|---------------------------|

Demonstrates the ability to accurately record and maintain contemporaneous records within the context of their practice and current legislation/policy/law

Comments:

Unable to demonstrate autonomous practice in gaining informed consent, assessing capacity, information governance and data protection issues.

|---------------------------|

Demonstrate autonomous practice in gaining informed consent, assessing capacity, information governance/ data protection issues

Comments:


Unable to critically reflect and evaluate practice

|---------------------------|

Is able to critically reflect and evaluate their practice

Comments:

Unable to synthesise, appraise and critically evaluate the quality of care they have delivered

|---------------------------|

Able to synthesise, appraise and critically evaluate the quality of care they have delivered.

Comments:


Unable to critically evaluate and review the effectiveness of their assessment of service users

|---------------------------|

Able to critically evaluate and review the effectiveness of their assessment of service users

Comments:


Unable to demonstrate a comprehensive and detailed knowledge of the quality of the evidence to inform their decisions

|---------------------------|

Able to demonstrate a comprehensive understanding and detailed knowledge of the quality of the evidence to inform their decisions.

Comments:

Unable to synthesise, evaluate or appraise their management plan for service users.

|---------------------------|

Able to synthesise, evaluate and appraise their management plan for service users

Comments:

Unable to utilise skills and knowledge to appraise, evaluate and justify differential diagnosis of patients

|---------------------------|

Able to draw from their knowledge and skills to appraise, evaluate and justify their differential diagnosis of patients

Comments:



Able to justify and evaluate the effectiveness of the interventions they have selected to meet the clinical needs of patients

|---------------------------|

Able to Justify and evaluate the effectiveness of the interventions they have selected to meet the clinical needs of patients

Comments:


|---------------------------|


Comments:

Unable to demonstrate a comprehensive and detailed knowledge for maintaining safe environments and the creation and control of sterile fields

|---------------------------|

Demonstrates a comprehensive and detailed knowledge maintaining a safe practice environment and control of sterile fields

Comments:


PLACEMENT HOURS RECORD – Year 3 This must be signed by your Practice Mentor/Supervising Clinician at the end of each period of work/shift. It cannot be completed retrospectively. Practice Mentors/Supervisors – please note Start/Finish times and note where any student left early/was absent from duty. COMMUNITY CARE: 187.50 HOURS MINIMUM / NO MAXIMUM


Carried Forward



Carried Forward

Total


ELECTIVE: 150 HOURS MINIMUM / NO MAXIMUM


Carried Forward


Total




Sub Total



Sub Total



Total for Year 3


Skills


Year 1 – Key Competencies

Competence Status Academic Staff Signature (PRINT/Sign/Date)

Adult BLS with AED

OSCE Completed

Paediatric BLS

OSCE Completed


Key Skill/Competence Status

Academic Staff Signature (PRINT/Sign/Date)

Management of cardiac arrest and peri-arrest arrhythmias (Adult)

Simulated Session Completed

Management of cardiac arrest and peri-arrest arrhythmias (Child)

Simulated Session Completed


Key Skill/Competence Status Academic Staff Signature (PRINT/Sign/Date)

Management of cardiac arrest and peri-arrest arrhythmias (Adult)

Evidence of Achievement Submitted

Management of cardiac arrest and peri-arrest arrhythmias (Child)

Evidence of Achievement Submitted


These are ESSENTIAL skills that MUST be demonstrated in each Practice Year All of the skills listed below require summative assessment. If you have not been able to practice certain skills* due to a lack of opportunity then you will be assessed on those skills in a simulated environment at the end of each year. This will be recorded as ‘SIM’ in your practice assessment document Please note that the demonstration of competence can be made in practice, through discussion and simulation.

Ready for Practice

Year 1 Year 2 Year 3

FUNDAMENTAL OBSERVATIONS

Example: 1-1-13

GV

Yes 1-2-13 GV

Identify key sites and use appropriate equipment to record a temperature

Identify pulse sites – carotid/radial/femoral/ brachial – and record rate, rhythm and quality

Record respirations

Record a manual blood pressure using appropriate equipment

Record an automatic blood pressure using appropriate equipment

Perform capillary refill time test centrally and peripherally

Use pulse oximetry to record SpO2

Use capnography device to record end tidal CO2


Apply ECG electrodes in appropriate sites to record monitor cardiovascular activity

Apply ECG electrodes appropriately and record 12 Lead ECGs

Measure and record level of consciousness using AVPU

Measure and record level of consciousness using GCS

Measure and record Blood Glucose

Measure and record pupillary responses

Measure and record urinalysis test

Measure and record serum lactate

AIRWAY MANAGEMENT

Demonstrate Head Tilt/Chin Lift, Jaw thrust and modified manual airway techniques

Operate suction machinery and select appropriate suction catheter(s)

Correctly size and insert Oro-pharyngeal airways

Correctly size and insert naso-pharyngeal airways justifying selection of device

Correctly size and insert supraglottic airway devices justifying selection of device

Discuss how to/size and insert endo-tracheal airway devices noting appropriate landmarks


Discuss how to/select equipment and perform a needle cricothyroidotomy

Discuss how to/select equipment and perform a needle thoracocentesis

Demonstrate effective manual ventilation using Bag-Valve-Mask

Operate ventilator and select appropriate settings for use

Demonstrate/discuss how to remove foreign body using airway management equipment

Identifies landmarks for auscultation of chest and breath sounds and assesses respiratory function

Demonstrates correct technique for percussion of the chest in a respiratory examination

Demonstrates correct palpation technique of the chest in a respiratory examination

CARDIOVASCULAR

Identifies landmarks for heart sounds

Demonstrates competence in selection and insertion of intra-venous vascular access devices (no flushing of device)

Demonstrates competence in selection and insertion of intra-osseous access device (no flushing of device)

Selects and applies an appropriate dressing to arrest haemorrhage

Management of cardiac arrest (If the student does not have the opportunity to demonstrate management of cardiac arrest in practice they will be assessed by academic tutors using simulation at the end of the academic year)


Demonstrates CPR in line with current UK (adult) resuscitation guidelines

Demonstrates CPR in line with current UK (adult) resuscitation guidelines

Demonstrates safe defibrillation in line with current UK resuscitation guidelines

Demonstrates effective management of an adult cardiac arrest including airway management, iv access and identification of relevant drug therapy (student is not to administer any drugs this must be done by registered paramedic)

Demonstrates effective management of a paediatric cardiac arrest including airway management, iv access and identification of relevant drug therapy (student is not to administer any drugs this must be done by registered paramedic)


Ready for Practice

Year 1 Year 2 Year 3

MANAGEMENT OF TRAUMA

Select and apply cat-tourniquet device to an appropriate wound

Select and apply haemostatic dressing

Demonstrate the ability to apply appropriate haemorrhage control dressings

Demonstrate the appropriate packaging of a service user

Select and apply appropriate dressings to manage a service user who presents with burns

Select and apply pelvic immobilisation devices

Select and apply traction splinting devices

Demonstrate competence in appropriate management of suspected cervical injury

Demonstrate competence In immobilising fractures

Demonstrate competence in extrication using appropriate equipment

DRUG PREPARATION

Demonstrates preparation of pre-filled drug devices for administration


Demonstrates performance of appropriate safety checks – drug, dose, date, damage

Demonstrates preparation of equipment required to administer drugs

INFECTION CONTROL

Demonstrates he ability to create an appropriate sterile field using relevant equipment

Demonstrates the wearing of appropriate PPE when carrying out interventions

MINOR INJURIES & ILLNESS

Select appropriate equipment and performs wound cleaning and irrigation

Demonstrates closure of a wound using steri-strips

Demonstrates closure of a wound using tissue adhesive

Demonstrates closure of a wound using staples

Demonstrates and applies compression bandaging

Demonstrates and applies wool and crepe bandaging

Demonstrates appropriate management of a catheter

Selects and uses appropriate equipment to examine the ENT system

Demonstrates the use of Snellen chart to test visual acuity


Demonstrates the use of ophthalmoscope to perform fundoscopy


Documents

BSc (HONS) PARAMEDIC PRACTICE PRACTICE ASSESSMENT DOCUMENT … · C:\Users\Mark\Downloads\Practice Assessment Document.docx 3 ©TU-SOHSC (2015) 1 PRACTICE PLACEMENTS OVERVIEW The