Information and Appendices
THE LOCAL REGISTER
A Quality Assurance measure required by the NMC is the maintenance of a 'Local Register' of Mentors. All Nursing and Midwifery practitioners who are qualified to Mentor students should have their names entered on a register of mentors kept by the managers of the placement area. See Mentor Handbook 2011 - Mentors| for definitions of Mentors and Sign-Off Mentors and details of NMC requirements for the continued inclusion of these on the local register.
Mentors and Practice Teachers should make a point of ensuring that their entry on the register is accurate and kept up-to-date.
CONTACT INFORMATION
SCHOOL OF NURSING and MIDWIFERY
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Head of School - Carol Smith
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Divisions
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Pre-Registration Nursing
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Practice Learning and Midwifery
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Head of Division: Bob Payne
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Head of Division: Jane Day
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Course
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Course Leader
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Course
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Course Leader
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Foundation Studies Programme
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Heather Macloughlin
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CertHE/FD Health Administration
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Rachel Heathershaw
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BSc Adult Nursing
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Soo Wapling/ Jenny Braithwaite / Alison Hasselder
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CertHE/FD Health Care Practice
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Julie MacLeod / Paul Driscoll
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DipHE Adult Nursing
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Pre-Registration Midwifery
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Fiona Judge
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Children's Nursing
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Karen Hayward
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PGC/PGD/MA Education for Health and Social care Professionals
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Nickey Rooke
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Mental Health Nursing
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Rick Ellis
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BSc (Hons) Midwifery practice
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Sam Chenery-Morris
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Return to Practice
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Jo Walsh
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BSc (Hons) Health and Wellbeing
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Catherine Theodosius / Michael Kelleher
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DipHE Mental Health Nursing (shortened programme for RN's)
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Rick Ellis
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CertHE/FD Continuing Care
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Paul Driscoll / Julie MacLeod
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DipHE Children's Nursing (shortened programme for RN's)
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Karen Hayward
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CertHE/FD Public Health Practice
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Paul Driscoll / Julie MacLeod
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CertHE/FD Health Sciences
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Mark Hulse
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BSc (Hons) Midwifery (shortened programme for RN's)
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Haz Hughes
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PGC/PGD/MA Clinical Effectiveness
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Heather Passmore
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PGC/PGD/MA Leadership and Service Innovation
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Brian Pereira / Rachel Heathershaw
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Interprofessional Learning Programme
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Ruth Strudwick
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CENTRE ADMINISTRATORS/FACULTY OFFICES FOR LOCAL SITES
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West Suffolk Hospital, Bury St Edmunds
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Rachel Nouch
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01284 713397
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The Drake Centre, Great Yarmouth
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Anthea Ryan
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01493 334200
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PREPARATION FOR MENTORSHIP (POST-REGISTRATION STUDIES)
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Course Leader
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Rachel Heathershaw
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01473 338436
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NHS PARTNERS - Clinical Practice Facilitators
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The Ipswich Hospital, Heath Road
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Kate Vine, Vicki Nunn, Rachel Clark
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01473 707320
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West Suffolk Hospital, Bury St Edmunds
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Ian Coe, Phillipa Sharp
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01284 712750
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James Paget University Hospitals, Great Yarmouth
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Helen Ashby, Karen Read
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01493 452452
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APPENDICES
NMC. Outcomes to be achieved for entry to the branch programme. (2004)
Domain - Professional/ethical practice.
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1. Manage oneself, one's practice, and that of others, in accordance with The NMC code of professional conduct, performance and ethics, recognising one's own abilities and limitations.
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Discuss in an informed manner, the implications of professional regulation for nursing practice
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Demonstrate a basic knowledge of professional regulation and self-regulation
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Recognise and acknowledge the limitations of one's own abilities
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Recognise situations that require referral to a Registered Practitioner
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Demonstrate an awareness of the NMC code of professional conduct: standards for conduct, performance and ethics.
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Commit to the principle that the primary purpose of the Registered Nurse is to protect and serve society
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Accept responsibility for one's own actions and decisions
2. Practice in accordance with an Ethical and Legal framework which ensures the primacy of patient and client interest and well-being and respects confidentiality.
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Demonstrate an awareness of, and apply ethical principles to nursing practice.
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Demonstrate respect for patient and client confidentiality
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Identify ethical issues in day to day practice
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Demonstrate an awareness of legislation relevant to nursing practice.
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Identify key issues in relevant legislation relating to mental health, children, data protection, manual handling, and health and safety, etc.
3. Practice in a fair and anti-discriminatory way, acknowledging the differences in beliefs and cultural practices of individuals or groups
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Demonstrate the importance of promoting equity in patient and client care by contributing to nursing care in a fair and anti-discriminatory way.
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Demonstrate fairness and sensitivity when responding to patients, clients and groups from diverse circumstances.
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Recognise the needs of patients and clients whose lives are affected by disability, however manifest.
Domain - Care delivery
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4. Engage in, Develop and disengage from therapeutic relationships through the use of appropriate communication and interpersonal skills.
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Discuss methods of, barriers to and the boundaries of, effective communication and interpersonal relationships.
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Recognise the effect of one's own values in interactions with patients and clients and their carers, families and friends.
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Utilise appropriate communication skills with patients and clients.
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Acknowledge the boundaries of a professional caring relationship
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Demonstrate sensitivity when interacting with and providing information to patients and clients.
5. Create and utilise opportunities to promote the health and well-being of patients, clients and groups.
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Contribute to enhancing the health and social well being of patients and clients by understanding how, under the supervision of a registered practitioner, to:
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Contribute to the assessment of health needs
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Identify opportunities for health promotion
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Identify networks of health and social care services.
6. Undertake and document a comprehensive, systematic and accurate nursing assessment of the physical, psychological, social and spiritual needs of patients, clients and communities.
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Contribute to the development and documentation of nursing assessments by participating in comprehensive and systematic nursing assessment of the physical, psychological, social and spiritual needs of patients and clients.
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Be aware of assessment strategies to guide the collection of data for assessing patients and clients and use assessment tools under guidance.
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Discuss the prioritisation of care needs.
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Be aware of the need to reassess patients and clients as to their needs for nursing care.
7. Formulate and document a plan of nursing care, where possible, in partnership with patients, clients, their carers and family and friends, within a framework of informed consent.
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Contribute to the planning of nursing care, involving patients and clients and, where possible, their carers; demonstrating an understanding of helping patients and clients to make informed decisions.
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Identify care needs based on the assessment of a patient or client.
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Participate in the negotiation and agreement of the care plan with the patient or client and with their carer, family or friends, as appropriate, under the supervision of a registered nurse.
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Inform patients and clients about intended nursing actions, respecting their right to participate in decisions about their care.
8. Based on the best available evidence, apply knowledge and an appropriate repertoire of skills indicative of safe and effective nursing practice.
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Contribute to the implementation of a programme of nursing care, designed and supervised by registered practitioners.
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Undertake activities that are consistent with the care plan and within the limits of one's own abilities.
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Demonstrate evidence of a developing knowledge base which underpins safe and effective nursing practice.
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Assess and discuss research and other evidence in nursing and related disciplines.
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Identify examples of the use of evidence in planned nursing interventions.
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Demonstrate a range of essential nursing skills, under the supervision of a Registered Nurse, to meet individuals' needs, which include:
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maintaining dignity, privacy and confidentiality,
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effective communication and observational skills, including listening and taking physiological measurements,
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safety and health, including moving and handling and infection control,
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effective first aid and emergency procedures,
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administration of medicines,
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emotional physical and personal care, including meeting the need for comfort, nutrition and personal hygiene.
9. Provide a rationale for the nursing care delivered which takes account of social, cultural, spiritual, legal, political and economic influences.
10. Evaluate and document the outcomes of nursing and other interventions
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Contribute to the evaluation of the appropriateness of nursing care delivered.
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Demonstrate an awareness of the need to assess regularly a patient's or client's response to nursing interventions.
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Provide for a supervising registered practitioner, evaluative commentary and information on nursing care based on personal observations and actions.
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Contribute to the documentation of the outcomes of nursing interventions.
11. Demonstrate sound clinical judgement across a range of differing professional and care delivery contexts.
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Recognise situations in which agreed plans of nursing care no longer appear appropriate and refer these to an appropriate accountable practitioner.
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Demonstrate the ability to discuss and accept care decisions.
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Accurately record observations made and communicate these to the relevant members of the health and social care team.
Domain - Care management
12. Contribute to public protection by creating and maintaining a safe environment of care through the use of quality assurance and risk management strategies.
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Contribute to the identification of actual and potential risks to patients, clients and their carers, to oneself and to others, and participate in measures to promote and ensure health and safety.
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Understand and implement health and safety principles and policies.
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Recognise and report situations that are potentially unsafe for patients, clients, oneself and others.
13. Demonstrate knowledge of effective inter-professional working practices which respect and utilise the contributions of members of the health and social care team.
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Demonstrate an understanding of the role of others by participating in inter-professional working practice.
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Identify the roles of the members of the health and social care team.
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Work within the health and social care team to maintain and enhance integrated care.
14. Delegate duties to others, as appropriate, ensuring that they are supervised and monitored.
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No requirement prior to entry to branch
15. Demonstrate key skills
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Demonstrate literacy, numeracy and computer skills needed to record, enter, store, retrieve and organise data essential for care delivery.
Domain - Personal/professional development
16. Demonstrate a commitment to the need for continuing professional development and personal supervision activities in order to enhance knowledge, skills, values and attitudes needed for safe and effective nursing practice.
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Demonstrate responsibility for one's own learning through the development of a portfolio of practice and recognise when further learning is required.
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Identify specific learning needs and objectives.
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Begin to engage with, and interpret, the evidence base which underpins nursing practice.
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Acknowledge the importance of seeking supervision to develop safe and effective nursing practice.
NMC. – Standards of proficiency for entry to the Register
Domain - Ethical practice
A. Manage self, one's practice, and that of others, in accordance with The NMC code of professional conduct: standards for conduct, performance and ethics, recognising one's own abilities and limitations.
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Practice in accordance with The NMC code of professional conduct: standards for conduct, performance and ethics.
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Use professional standards of practice to self-assess performance
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Consult with a registered nurse when nursing care requires expertise beyond one's own current scope of competence
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Consult other healthcare professionals when individual or group needs fall outside the scope of nursing practice
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Identify unsafe practice and respond appropriately to ensure a safe outcome
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Manage the delivery of care services within the sphere of one's own accountability
B. Practise in accordance with an ethical and legal framework that ensures the primacy of patient and client interest and well-being and respects confidentiality.
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Demonstrate knowledge of legislation and health and social policy relevant to nursing practice
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Ensure the confidentiality and security of written and verbal information acquired in a professional capacity
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Demonstrate knowledge of contemporary ethical issues and their impact on nursing and healthcare
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Manage the complexities arising from ethical and legal dilemmas
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Act appropriately when seeking access to caring for patients and clients in their own homes
C. Practise in a fair and anti-discriminatory way, acknowledging the difference in beliefs and cultural practices of individuals or groups.
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Maintain, support and acknowledge the rights of individuals or groups in the healthcare setting
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Act to ensure that the rights of individuals and groups are not compromised
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Respect the values, customs and beliefs of individuals and groups
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Provide care which demonstrates sensitivity to the diversity of patients and clients
Domain - Care delivery
D. Engage in, develop and disengage from therapeutic relationships through the use of appropriate communication and interpersonal skills.
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Utilise a range of effective and appropriate communication and engagement skills
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Maintain and, where appropriate, disengage from professional caring relationships that focus on meeting the patient's or client's needs within professional therapeutic boundaries
E. Create and utilise opportunities to promote the health and well being of patients, clients and groups.
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Consult with patients, clients and groups to identify their need and desire for health promotion advice
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Provide relevant and current health information to patients, clients and groups in a form which facilitates their understanding and acknowledges choice/individual preference
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Provide support and education in the development and/or maintenance of independent living skills
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Seek specialist/expert advice as appropriate
F. Undertake and document a comprehensive, systematic and accurate nursing assessment of the physical, psychological, social and spiritual needs of patients, clients and communities.
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Select valid and reliable assessment tools for the required purpose
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Systematically collect data regarding the health and functional status of individuals, clients and communities through appropriate interaction, observation and measurement
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Analyse and interpret data accurately to inform nursing care and take appropriate action
G. Formulate and document a plan of nursing care, where possible, in partnership with patients, clients, their carers and family and friends, within a framework of informed consent.
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Establish priorities for care based on individual or group needs
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Develop and document a care plan to achieve optimal health, habilitation and rehabilitation based on assessment and current nursing knowledge
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Identify expected outcomes, including a timeframe for achievement and/or review in consultation with patients, clients, their carers and family and friends and with members of the health and social care team
H. Based on best available evidence, apply knowledge and an appropriate repertoire of skills indicative of safe and effective nursing practice.
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Ensure that current research findings and other evidence are incorporated in practice
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Identify relevant changes in practice or new information and disseminate it to colleagues
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Contribute to the application of a range of interventions which support and optimise the health and well-being of patients and clients
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Demonstrate the safe application of skills required to meet the needs of patients and clients within the current sphere of practice
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Identify and respond to patients' and clients' continuing learning and care needs
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Engage with, and evaluate, the evidence base that underpins safe nursing practice
I. Provide a rationale for the nursing care delivered which takes account of social, cultural, spiritual, legal, political and economic influences.
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Identify, collect and evaluate information to justify the effective utilisation of resources to achieve planned outcomes of nursing care
J. Evaluate and document the outcomes of nursing and other interventions.
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Collaborate with patients and clients and, when appropriate, additional carers to review and monitor the progress of individuals or groups towards planned outcomes
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Analyse and revise expected outcomes, nursing interventions and priorities in accordance with changes in the individuals condition, needs or circumstances
K. Demonstrate sound clinical judgement across a range of differing professional and care delivery contexts.
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Use evidence-based knowledge from nursing and related disciplines to select and individualise nursing interventions
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Demonstrate the ability to transfer skills and knowledge to a variety of circumstances and settings
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Recognise the need for adaptation and adapt nursing practice to meet varying and unpredictable circumstances
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Ensure that practice does not compromise the nurse's duty of care to individuals or the safety of the public
Domain - Care management
L. Contribute to public protection by creating and maintaining a safe environment of care through the use of quality assurance and risk management strategies.
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Apply relevant principles to ensure the safe administration of therapeutic substances
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Use appropriate risk assessment tools to identify actual and potential risks
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Identify environmental hazards and eliminate and/or prevent where possible
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Communicate safety concerns to a relevant authority
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Manage risk to provide care which best meets the needs and interests of patients, clients and the public
M. Demonstrate knowledge of effective inter-professional working practices which respect and utilise the contributions of members of the health and social care team.
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Establish and maintain collaborative working relationships with members of the health and social care team and others
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Participate with members of the health and social care team in decision-making concerning patients and clients
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Review and evaluate care with members of the health and social care team and others
N. Delegate duties to others, as appropriate, ensuring that they are supervised and monitored.
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Take into account the role and competence of staff when delegating work
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Maintain one's own accountability and responsibility when delegating aspects of care to others
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Demonstrate the ability to co-ordinate the delivery of nursing and health care
O. Demonstrate key skills:
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Literacy – interpret and present information in a comprehensible manner
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Numeracy - accurately interpret numerical data and their significance for the safe delivery of care
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Information technology and management – interpret and utilise data and technology, taking account of legal, ethical and safety considerations, in the delivery and enhancement of care
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Problem solving – demonstrate sound clinical decision-making which can be justified even when made on the basis of limited information
Domain - Personal/professional development
P. Demonstrate a commitment to the need for continuing professional development and personal supervision activities in order to enhance knowledge, skills, values and attitudes needed for safe and effective nursing practice.
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Identify one's own professional development needs by engaging in activities such as reflection in, and on, practice and lifelong learning
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Develop a personal development plan which takes into account personal, professional and organisational needs
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Share experiences with colleagues and patients and clients in order to identify the additional knowledge and skills needed to manage unfamiliar or professionally challenging situations
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Take action to meet any identified knowledge and skills deficit likely to affect the delivery of care within the current sphere of practice
Q. Enhance the professional development and safe practice of others through peer support, leadership, supervision and teaching.
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Contribute to creating a climate conducive to learning
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Contribute to the learning experiences and development of others by facilitating the mutual sharing of knowledge and experience
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Demonstrate effective leadership in the establishment and maintenance of safe nursing practice
NMC standards of proficiency for Midwifery:
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Communicate effectively with women and their families throughout the preconception, antenatal, intrapartum and postnatal periods
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Diagnose pregnancy, assess and monitor women holistically throughout there-conception, antenatal, intrapartum and postnatal periods through the use of a range of assessment methods, and reach valid, reliable and comprehensive conclusions
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Determine and provide programmes of care and support for women
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Provide seamless care and interventions in partnership with women and other care providers during the antenatal period
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Refer women who would benefit from the skills and knowledge of other individuals
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Care for, monitor and support women during labour; monitor the condition of the fetus and support spontaneous births
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Undertake appropriate emergency procedures to meet the health needs of women and babies
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Examine and care for babies immediately following birth
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Work in partnership with women and other care providers during the postnatal period to provide seamless care and interventions
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Examine and care for babies with specific health or social needs and refer to other professionals or agencies as appropriate
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Care for and monitor women during the puerperium, offering the necessary evidence-based advice and support regarding the baby and self-care
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Select, acquire and administer safely, a range of permitted drugs consistent with legislation, applying knowledge and skills to the situation that pertains at the time
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Complete, store and retain records of practice
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Monitor and evaluate the effectiveness of programmes of care and modify them to improve the outcomes for women, babies and their families
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Contribute to enhancing the health and social wellbeing of individuals and their communities
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Practise in accordance with The NMC code of professional conduct: standards for conduct, performance and ethics (the Code), within the limitations of the individual's own competence, knowledge and sphere of professional practice, consistent with the legislation relating to midwifery practice
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Practise in a way which respects, promotes and supports individuals' rights, interests, preferences, beliefs and cultures
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Practise in accordance with relevant legislation
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Maintain confidentiality of information
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Work collaboratively with other practitioners and agencies
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Manage and prioritise competing demands
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Support the creation and maintenance of environments that promote the health, safety and wellbeing of women, babies and others
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Contribute to the development and evaluation of guidelines and policies and make recommendations for change in the interests of women, babies and their families
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Review, develop and enhance the midwife's own knowledge, skills and fitness to practise
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Demonstrate effective working across professional boundaries and develop professional networks
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Apply relevant knowledge to the midwife's own practice in structured ways which are capable of evaluation
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Inform and develop the midwife's own practice and the practice of others through using the best available evidence and reflecting on practice
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Manage and develop care utilising the most appropriate information technology (IT) systems
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Contribute to the audit of practice to review and optimise the care of women, babies and their families.
N.B. Nothing in this mentor handbook should be taken as altering or over-ruling any current or future statement of policy made by the NMC. While given in good faith, the information relating to NMC positions or expectations contained in this handbook is for your guidance only and is amended by official publications of our regulatory body and changes to statute.
REFERENCES and FURTHER READING
Department of Health (1999) Making a Difference: Strengthening the nursing, midwifery and health visiting contribution to health and healthcare, DoH, London.
English National Board/Department of Health, (2001a) Placements in Focus: Guidance for education in practice for health care professions, ENB, London.
English National Board/Department of Health, (2001b) Preparation of Mentors and Teachers: A new framework of guidance, ENB, London.
Nursing and Midwifery Council (2004) Standards of Proficiency for Pre-Registration Midwifery Education, NMC, London.
Nursing and Midwifery Council (2004) Standards of Proficiency for Pre-Registration Nursing Education, NMC, London.
Nursing and Midwifery Council (2008) Standards to support learning and assessment in practice (2nd Ed), NMC, London.
United Kingdom Central Council (1999) Fitness for practice: The UKCC commission for nursing and midwifery education, UKCC, London.
United Kingdom Central Council (2001) Fitness for practice and purpose: The report of the UKCC's post-commission development group, UKCC, London.
Go back to Mentor Handbook 2011 Index|