Author: kerryb1

DEU
Transition to Practice Bachelor of Nursing Students

Aim: To enable students to prepare for the transition from student to Registered Nurse scope of practice

Weekly Progression Guidelines:
(guide only )
End of first week
Locate emergency procedures within the unit
Start to develop short and long term goals/objectives written with strategies for their achievement.
Have an understanding of the routines and protocols within area.
Finish the week able to demonstrate establishing a rapport with clients.
Provide a framework suitable for assessing each client .
Interpret patient documentation and have a beginning knowledge of the terminology within clinical setting.
Be safe with all aspects of client care including the administration of all medications.
Have an established relationship with CLN and preceptors and ask appropriate questions.
Keep preceptor informed about patients in a safe and timely manner.
Identify and discuss the indictors for demonstration of competencies on the formative and summative assessment form.
End of second week
Increase the client load and show safe collection of comprehensive data for each client
Demonstrate appropriate client assessment skills, ability to identify client needs, link disease processes to relevant pathophysiology, plan interventions and identify expected client outcomes.
Identify and use evidence to support clinical decisions.
Use initiative and be self directed with routine cares.
Ask appropriate questions that reflect a developing knowledge base and which show critical thinking.
Notify preceptor about any changes in client condition.
Demonstrate understanding of client data and care.
Document care in client notes accurately and fully.
Develop therapeutic relationships with clients as appropriate.
Negotiate and confirm with preceptor, and document the indictors for demonstration of competencies on the summative assessment form. These indicators are to be used for formative assessment also.

End of third week
Increase the client load (as appropriate) to the agency to a light R/N load.
Show an understanding of the clients health issue/s in the context of their lives.
Demonstrate effective time management.
Participate in maintaining the environment.
Identify client discharge needs and work with a discharge plan.
Communicate regarding client needs with members of the inter-disciplinary health team.
Become more independent within the student role while remaining safe.
Continue to keep preceptor informed of any changes in patient condition.
End of fourth week
Carry a light to moderate client load.
Become further integrated as part of the team.
Show initiative and continue to move to independence within student role.
Demonstrate a full understanding of client information.
Accurately demonstrate appropriate patient assessment skills, including interview and physical examination skills.
From the client assessment data accurately demonstrate the ability to identify client needs, link disease processes to relevant pathophysiology, plan interventions and identify expected client outcomes.
Articulate how clinical decisions are made and consider alternatives, utilising evidence.
FORMATIVE ASSESSMENT (End of fourth or fifth week.)
End of fifth week—ongoing
Be able to:
Carry a moderate client load.
Function at the level of a student close to registration.
Be a functioning member of the interdisciplinary health team.
Demonstrate critical thinking skills consistently.
Articulate own philosophy of nursing with clinical lecturer.
SUMMATIVE ASSESSMENT (Eighth week - or up to tenth week if necessary)
Be able to:
Discuss written examples of your evidence of practice at summative assessment
Meet all competencies on the clinical assessment form at the “independent” (within student role) level.
Clinical assessment form signed and dated for the last week of clinical placement

KEY DEU MESSAGES FOR ALL STAFF WORKING
ALONGSIDE STUDENTS
All staff in the DEU work with the students and share the
responsibilities of socialisation & teaching of the students.
Students will seek your feedback on their practice, please be honest with them.
All staff need to openly communicate with the CLN (Clinical Liaison Nurse) & ALN (Academic Liaison Nurse) on how the students are going.
CLN’s/ALN’s are responsible for completing all student assessments, hence why providing your ongoing student feedback is so important!
Staff should encourage peer teaching between students.
You are an amazing resource for the students, enjoy working with them!
Key Contacts:
CLN’s:
ALN:

For further information go to the DEU website
http://www.cdhb.health.nz/Hospitals-Services/Health-Professionals/DEU/Pages/default.aspx

17/03/2016