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The Competency-Based Preceptor Programme

EXAMINING THE EFFECTIVENESS OF A COMPETENCY BASED PRECEPTOR PROGRAMME FOR NEWLY QUALIFIED / EMPLOYED NURSES AND MIDWIVES FINAL REPORT Jan McClean Margaret C Smith July 2000 Available to read from John Carmichael, Tel Now part of the North Glasgow University Hospitals NHS Trust Nursing Strategy following a successful research project

In 1993 the UKCC recommended a period of Preceptorship, of approximately 4 months for all newly qualified AND newly appointed nurses and midwives In 1993 the UKCC recommended a period of Preceptorship, of approximately 4 months for all newly qualified AND newly appointed nurses and midwives. The purpose of support and guidance is to ensure that responsibilities are not placed too soon or inappropriately upon a newly registered or inexperienced practitioner Attention should focus on strengthening the practical clinical skills

Selection and Preparation of the Preceptor Plays a vital role in the success and quality of Preceptorship “assist professional colleagues, in the context of your own knowledge, experience and sphere of responsibility to develop their professional competence, and assist others in the care team to contribute safely and to a degree appropriate to their roles” UKCC 1992

Components of the C-BPP

Components of the C-BPP 1 Every ward is unique and the first step is to define its uniquenessClinical Speciality Patient Population Skill Mix Mode of Care Delivery Case Mix Philosophy and Values Ward Routine Specific skills required

Components of the C-BPP 1 This is your CRITICAL PATHWAY

Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Day Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Category COMPETENCY STATEMENT: WARD Day COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY Day Day Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD FOLLOW PRECEPTOR PERFORM WITH PRECEPTOR

Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Develops and fulfils the Staff Nurse Role – delivering nursing care to set Standards and co-ordinating and managing all patient related activities Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Orientation Schedule Physical Environment Routine Activities Emergency Procedures Specific Clinical Skills Documentation Off Ward Procedures and Visits Patient Education/ Resources Week Category COMPETENCY STATEMENT: WARD Week COMPETENCY-BASED PRECEPTOR PROGRAMME: EXAMPLE CRITICAL PATHWAY Week Week Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD Geography Equipment / Devices Communication Systems Personnel Nursing Teams Procedure Manuals Ward Routine Doctors Rounds Medication Rounds Multi-disciplinary Activities Handover Report CPR Fire Medical Emergencies Care Plans Case Notes Admission / Transfer / Discharge Peri-operative CSM Chart Role of Clerkess Operating Theatres / Recovery Pharmacy X-Ray Orthopaedic OPD DIRECT PRECEPTOR GUIDANCE INDIRECT PRECEPTOR GUIDANCE

Components of the C-BPP 2 List about 6 and write broad Competency Statements for them Work out and Document “Measurable” Performance Criteria Insert into Decide and Document Learning Strategies and Resources Describe the essential, that the novice Practitioner is expected to be able to perform Insert them into your specific, clinical skills Critical Pathway specific, clinical skills

LEARNING CONTRACTS Components of the C-BPP 2

Provide Nursing Care for the Patient with Diabetes Mellitus (DKA) Outline the pathophysiology of diabetic ketoacidosis State the biochemical changes State the action of Insulin Outline operational function of sliding scales Demonstrate ability to alter regime as per sliding scale Prepare correct documentation Assemble required equipment and prescribed therapeutic regime Demonstrate ability to manage fluid replacement giving sets and Infusion pump Calculate infusion rates as per guidelines Implement regime as per ward protocol and prescribed sliding scale Strategies Observation Demonstration Supervised Practice Guided Practice Discussion Resources Preceptor DKA Protocol Evaluation Pack Device Management Instruction Hospital Procedures and Guidelines Manual Discussion and Questioning Observed Outcome Self Assessment Provide total nursing care for at least 4 patients meeting all criteria Components of the C-BPP 2

Contact us if you wish any more information or would simply like to discuss the Programme with someone from the team The Competency-Based Preceptor Programme