UTA a ke) New England University of New England School of Health Professional Entry Nursing Courses CLINICAL RECORD BOOK HSNS373 Transitioning to Practice 1 STUDENT NAME: STUDENT CONTACT TELEPHONE: STUDENT ID NUMBER: HOSPITAL/HEALTH AGENCY: 1 St. GEORGE ITAL | PRECEPTOR/FACILITATOR/ La: ara : a CLINICAL PARTNER: | neh CWindunay | I PRECEPTOR CONTACT TELEPHONE: | (~) 4 9 ACSIZF4 LOCATION (eg: town name): KOGARAH | WARD/UNIT: | 3 TH a PLACEMENT DATES: FROM 07/0 /20T0 92/10 /2. Bar miore information, additional copies of documents or questions related to your Clinical Record Book please contact the Clinical School staff. |YOUR CLINICAL RECORD BOOK pS Your Clinical Record Books have been designed to provide a record of your clinical placement experience, This record will provide you with guidance for your clinical development. ou ate personally responsible for your Clinical Record Book and you are required to follow the following instructions Show your clinical book to your Clinical Partner/Facilitator when you commence your clinical placement to discuss your requirements for the placements. * Keep this Clinical Record Book with you at all times during your clinical placements. * Keep it clear from food and drinks Do not use white out/ correction fluid or tape under ANY circumstances * Whilst on Clinical placement if no one is available to complete your clinical placement booklet, contact the Clinical Coordinator and they will negotiate with the agency for a report to be completed and forwarded to this university. CHECK LIST ] DO THIS NOW Q write your name, contact telephone number and student number on the front cover of this book. Q Complete your goals for this placement in your Clinical Record Book DO THIS EVERY DAY Q_ Complete your Daily Attendance Time Sheet and have your Clinical Partner/Facilitator sign it. DO THIS BEFORE YOU LEAVE THE PLACEMENT. Q_ Make sure your Clinical Partner/Facilitator has signed your Procedures Check List for procedures performed during this placement. Qa Ensure your Clinical Partner/Facilitator has completed and signed your final assessment (NCAS). Q1_ Review your Personal Goals set for this placement; date those you have achieved. Ask your Clinical Partner/Facilitator to help you identify goals fi your next placement (if applicable). per AT THE CONCLUSION OF THIS PLACEMENT C1 submit your completed cli al record book into the Moodle site. 1 You MUST keep your original clinical record be Raipurnose™ }ook as it may be called on sain ConSzarneCONTACT INFORMATION | The Clinical Office Clinical Placement Asistants Tania Robb Kellie Lockyer Alisa Kennedy Contact detail Phone: 6773 4388 Email nursingplacements@une.edu.au Clinical Placement Manager: Jillian Fitzgerald Contact details: Phone: 6773 4388 Email fcpwil_coord@une.edu.au Students are reminded to contact the Cli via the ASkUNE system. cal Office Staff If we are unable to answer your call please leave your name, brief description of message, contact details and time you called and we will return your call as soon as possible. Clinical Coordinator - Academic: Zach Byfield Contact details: Email: fcpnursing_academic@une.edu.au Mobile: 0407 414 577Seamed Canseareoe x syboro bere hepa] — ~sipefy soio pra sobuyra 40200 ost "Tost P| erbragrae Ty dare duu] gro hewqolmar Comreywiouk — bauon Cavan Mi pre wutled ay Aad) per xp Sayer bo] vornas en eee ob] v9 TINE modu op] Webra ows vq) vo yung] D. “Moy PLouyop spared fo gas hemorep & Sul os ies a0 bahpywop, po] woh rad ba yoyroe otk bain yop wee raed ony a Ley |uaie lod fuwp fy] wo yeas eothuy oy] 2 atts doo uw “ered au pajpuaga i) Aybapina® pe pao Kyoug we 2y2\bwco ps0]. prmdbonow omy safodl por wisefrad a Fanca| vod ry % eG uo oH esyvoud gh] Me }]HE mwa aL =a past ae afi 4 009, brup pean we pallohyemmmpe vay myo }o pues payne we neff | MHA 39 a 4) 97 PAP ewrpew 40! reyimpur avy bu punbak Grup mt rember av Anais] Hoos, Grup burp hg] Moyo oy pubystmpan OL ee Produ ob gannnatgo Aw analyze eney | yey anoud 01 BulOb | We MOH a2uapiad A) wea] 0} BuIO6 | We MoH ABarenS 31 wea] 02 UEM | Op AYA urea] 01 1UeM | OP YAK leuoney yeop Seamed CansearnerCLINICAL PLACEMENT ATTENDANCE RECORD eae = Be a otal | Fatilitator/ preceptor Date | Start | Finish | Hours | yame, signature, and | ‘ Designati ‘Day Monday 07 foa/0 | 13) 22.00 Tuesday 8 hindues Buna (F me Meee eet eee ic) 20. 0 "1 Os ey 09 Jao | wo |< aarp. Ola O& feet hh fosfal ipo [ s0s0 | g Koirelad dG ~ turday ‘Sunday + Monday 24 }o9/20] 1330 | ano | ¥ Mhedumpr Lainda Tuesday afosf | 1330 | aroe | 8 Wun Lairahy WA Wednesday [93 08/2] 143» | 92.00 3 a lanan KK], Thursday fpulosfe| in3e | s200 |g Slane cult Le pele 133° [ayo 178 Chingy Lavoe Q | Monday Tuesday Wednesday 4 Thursday laliglzd_ 133d 200 Friday OZ hold 1330] 2200] Saturday Sundayby ae ia 93 Peal ZI & Yesdseq| pue NpUOD Bf TBUISSaESE oATIEIeTOPSOAyo1a TUSUISSSSSE ISH SIC TUBUSSOSSR Bale BINSSOLE TUBUSEaSse led srISuaysIaWIOD sa 4 Bujuuess PPR Troddins 0 uolsinoid pue uedsayy) aun $50.9e waned atp Jo UoIssIMipY Zous!ajwNoHD ASteM PUB IyBIEM TYbIEY Jo BuNeIdVerUI/BUIp10391/BuIssessy | $99 Jo Gunaidsaiu/Bujp10391/Buissessv "199 J6 Sunesdveiu1/Buips0De1/Buissessy quewssasse yrfeay [EUEW, UBUISSaSSE [e9150|0IN QUBUSSOSSE [eIBIaASOINOSNWY quausssasse jeulwopay UBUISSESSE 2EIDIED quausssasse AloweidSoy ‘Aiorsiy yareay 30 voN>31103 JeAopueY fe>IUILD peo] wanted seudosdde ue GuiGeuey ae t Bsr uaned/ivayp e 40 2789 ain BuiBeuEW. 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Scammedih ConSzarner‘ie> ayes Aiesnaina/iuajedwio> A\yesrayn> Bujwonons feabuAseydosen | Tap Taye APOd 30-238 woddns aii 315°a ‘a7ey amneqred zapun wosied ay JO O72) ‘osiad pasnUOTAGOSOUN UAT 3490 BED SanbjuIpay Bujpuey Tene ayes BUST SUBNET jo Buruon|soc pUe BUNT TAM" BUNSISSY ‘GaeD ware oinssead him BUNSISSY Spe a Jo 957 UE AGOU WAM BUASTSSY | sv ‘78 PUOIS spaau uOneuTUNS [eseUeB YIM Bul (Sapouuo> "sjeulin “sued paq Buna] eu pue a1e> 11ey "BuIAeys "BIE Wi TeoniMogHIp GuIMO|TEMS IAM siUEned BuIpA|DXs) speeu feUONUING GM Swuaned Bunsissy suey waned (034/19N) 24m Bulpaay & jo wauiebeuew/jenowes/uonsasu| 4} ue jo aduEuarUIeWi/jenoWe1/uonsesU| (bi8 ‘Gupped ‘uonebun Suipniouy spunom xejdwo> + Buisse.q AG ‘(Siuaulssasse aieudosdde Buipn pul) e1e> punom 3dif9/59)d835/s@anINs JO TeAOWSY DAT Ue yO TeADWTERT (GeNs punlom "sa2seF NSD NSA) WeUDads & jo UOIDa||OD ‘SAIUYDaT Yano] UON SRdasy SilIdS piny Apoq pur poolg SuieueW sdieys yo jesodsiq aua!BAy puey, ‘(Gdd Sulpnjpui) suonneda.d jeuonippe/psepurrs SeamedthConScamer(uojsryuy 10 snjoq) snOUBAEHUI + ‘snoaUPINDgNs/Je|NISMUIEAUL eseuenuy 321N90/2250, Ba/Ad Tewrepsuen/jenidoy pee -RISTESPST JO -S3SOP THISTUMUBE PUE STEED Waa) eA RUY Pa ONUOD TuaHed Jo WSUSBETEUT BuyOBUS Pus UST Spiny SHOvBAeHUT jo WeWeBeUeW BuIOBUS puP USAF: He Gergen Ke etoe est felsi TOSS HT = ‘VORRSTUTTTIOS WATT AAT 10> Seamed ih CanseareStude ) AA 4 KAL Student Name: | SUSWMA TANDU KAR a ‘Student ID: 930193825 Course Name / Code: | }isNS 373 Year Level: Clinical Setting / Ward: | 5 30 Placement Dates: ese Assessment type / date: | Foran UC = 1 Expected behaviours and practices not performed : peer behaviour ‘nd practices performed below the acceptable/satisfactory standard ee ‘haviours and practices performed at a satisfactory/pass standard = Expected behaviours and practices performed at a proficient standard 5 = Expected behaviours and practices performed at an excellent standard N/A=notassessed **Note: a rating 1 &/or 2 indicates that the STANDARD has NOT been achieved. OHO cull) UO SIGNATURE: ai Assessment item Circle one number 1. Thinks critically and analyses nursing practice Z ‘+__Complies and practices according to relevant legislation and local policy 21a 5 LNA, SF SaaS 2 [WA Cas ie Fae me eon ath aS ganaToressmoemee |. 12 |a P74 | MA Beit sulin a ere a, TE acy let ola ae = ais i cE zap als twa 2._ Engages in therapeutic and professional relationships Se re ote Tna nati REATIn refeseTa Roun saa Teas NA cae aeea a ee aaron [ita |a lbs [wa 5 '* Participates as an active member of the healthcare team to achieve optimum health outcomes 2 [3 iG) s | Na Soe a west ball aye iw ee Se "© Demonstrates commitment to life-long learning of self and others. 23) 415 | NA "« _ Reflects on practice and responds to feedback for continuing professional development (4) s | NA = Hele on Oe a Son eS eS oasaaen ||, Fal vs | wa ee a pa omer SR NY paca TF Paved s 1m So Ee anon aaa tone ol Seats twa Sec names oe C = Completes comprehensive and systematic assessments using appropriate and available sources z [a ee [NA Se ee eR esti “E_Develops plan for nursing ¥ = ‘the patient/client assessment 2 4} | N/A . a Ee sete /health care team to achieve expected 2 s | Nw & Provides safe, appropriate and responsive quay nursing practice "© Delivers safe and effective care within their scope of practice to meet outcomes: 2 a4 4 5 [N/A Provides effective supervision and delegates care safely within thei role and scope of practice 2YeLs LNA ‘* Recognise and responds to practice that may be below expected ‘organisational, legal or af 4 a NA ) re calle i Eee camara re "* Monitors progress toward expected goals and health outcomes 2 Tay 4] s [Na heer nabs reine ncoooTmDOMTEN TT, Vy «| | an GLOBAL RATING SCALE - in your opinion as an assessor of student performance, rlati etre br practice the overall performance ofthis student inthe clinical unit was: pa a Lee epee | cooa DN Pec) ADDITIONAL PAPERWORK: YES (_NO Saws ‘summative a nt Passed: (YES) NO SeamedthConScamerz.. pouprort tis passe? ee \ndolued tins wn oes Aun, Core ok a (£~ nave Wed ef nitrate SBS efecwve Sole Skis - — 2. What: strategies can the student use to advance their learning in future placements? 2 Hauwg Ke te review pahet docamerehon | invest Such aS patasioqy Crd wa 9) Gen aS j es ; ee Nace mcd uot pat = ec cis ode rondo, Usirg SBAE Serta: L Be i enmurged to be not Vigo with Mlecia Cubs Psltces On as we Cf PPE: Ke Usé avadalle teouces Pp (eee uf Mfywotin Two CipP Gud PElicy gndelwres ON COMMENTS: UGwora “G entowsaged to Cucte tine td Fead up on Pahet’s mates CoTaaSe Cont ars Heo nko. pach age dar me te oy! 2d ‘STUDENT COMMENTS: . — 3 coy 1s 9 cue word, w T gob *® Sine " expose soil diffeenk pe (ores qnd earned venous Aliseose Condition glong wk ib mavagert - Signature: Sean ate:__18 |p al 2 Scoring rules: « GrcleN/A (not assessed) ONLY f the student has not had an opportunity to demonstrate the behaviour « Ifanitemis not assessed it is not scored and the total ANSAT score is adjusted for the missed item ‘¢ Gircle ONLY ONE number for each item «© ifascore falls between numbers on the scale the higher number wil be used to calculate a total + Evaluate the student's performance against the MINIMUM practice level expected for their level of education Seamed CansearnerUCR nO Por] students] TIOTYS 82 2 HONS 37 Year Lev tee e LS South Placement Date lealZo- ot ip Ww Assessment type / dat Lar Aahye Sade: “1 = Expected behaviours and practices not performed j ae 2 = Expected behaviours and practices performed below the acceptable/satsfactory standard ‘pected behaviours and practices performed ata satisfactory/pass standard ‘4 Expected behaviours and practices performed at a proficient standard 'xpected behaviours and practices performed at an excellent standard N/A=not assessed ___**Note: arating 1 &/or 2 indicates that the STANDARD has NOT been achieved ‘Assessment item 4. Thinks critically and analyses nursing practice Circle one number + Complies and practices according to relevant legislation and local policy Uses an ethical framework to guide decision making and practice i] 2,345 [NA * Demonstrates respect for individual and cultural (including Aboriginal and Torres Strait Islander) preference and differences t[2 [3 |(Ts [Na 1] 2 [3 [Gps | wa Sources and critically evaluates relevant literature and research evidence to deliver quality practice ‘+ _ Maintains the use of clear and accurate documentation 2._Engages in therapeutic and professional relationships + _Communicates effectively to maintain personal and professional boundaries é 1]2]31@)s| na z 3 5 [WA 5 is NA *_Soleborates withthe health care team and others to share knowledge that promates peson- |. | | g €) WA + Participates as an active member of the healthcare team to achieve optimum health outcomes 1[2 (5 wa ‘+ Demonstrates respect for a person's rights and wishes and advocates on their behalf. 1[2 N/A 3._Maintains the capability for practice + Demonstrates commitment to life-long learning of self and others [2s 5 [NA + Reflects on practice and responds to feedback for continuing professional development [2 bs 5 NA * Demonstrates skis in health education to enable people to make decisions and take acon about | . | > 6 ara their health + Recognises and responds appropriately when own or others capabiity for practice S impaired [1 | 2 3 [WA + Demonstrates accountability for decisions and actions appropriate to their role a [iz [si LNA “4. Comprehensively conducts assessments $ Completes comprehensive and systematic assessments using appropriate and avaliable sources [1 | 2 [3 S [WA + Accurately analyses and interprets assessment data to inform practices a[2 ts Ea UN ‘5. Develops a plan for nursing ‘+ _Collaboratively constructs a plan informed by the patient/chent assessment if2 3 [NA + Pans carein partnership with ndvdualy/ significant others/heath care teamto achieve peced | | a, outcomes j 6._Provides safe, appropriate and responsive quality nursing practice ‘+ Delivers safe and effective care within their scope of practice to meet outcomes 12 [3] 4 [yn ‘+ Provides effective supervision and delegates care safely within thei role and scope of practice | 1 | 2 a1 [NA ‘Recognise and responds to practice that may be below expected organisational, legal or 1] 2 Peps | va regulatory standards F 7._ Evaluates outcomes to inform nursing practice ‘+ Monitors progress toward expected goals and health outcomes ‘+ Modifies plan according to evaluation of goals and outcomes in consultation with the health care ‘team and others TBS 1/2 Nas |na performance of this student in the clinical unit was: Unsatisfactory [_] imited (_] Satisfactory] GLOBAL RATING SCALE - in your opinion as an assessor of student performance, relative to their stage of practive, the overall txcelent(-] DISCUSSED: No ADDITIONAL PAPERWORK: YES NO. DATE: ou “complete this section ONLY if thisis a NAME: 1 ie) SIGNATURE: summative Passed: NO SecamedthConScamerGs) ANSAT ~ Australian Nursing Standards Assessment Too! What has the student done well throughout this placement? Ww fahent Cone tout. a le Wad gl8o student Use to advance: their leaning in future placements? L Cntrrug 9 Crp and den we OS addeessi Se ments? a A Oe >< Werrendars os ak tus Cord Mave derranSthated intel Bil coi cpiars PALE Conmunicahorn Chile» Sushma hug Ren my) ad aCnvelat a \ sola er cey quite a oe eae ee ANC tp Cease ee paren 5 Waly 4 pe ¢ L USe eal ea Ke Awe, Wher | en eee wuss Cre a Sie evelo pr purselt pribess ivr turin a OW pe lens reeds a} ru ST PEUSEE COMMENTS: we doe Suchra. le Yor We w See ie Je ae 3 ts [20 ons a ood epeuence during ns qlesenocl oa died fn unicaron lll, do Mies awd, | ti Cation, palwoloagy report, me wl ey ci yo apes 6 thaw rar force Bote ue On jesped Scoring rules Sr cacie N/A not assessed) ONLY ithe student has not had an opportunity to demonstrate the behaviour «= ifanitemis not assessed it snot scored and the total ANSAT score is adjusted for the missed item + Circle ONLY ONE number for each item 1 fa score falls between numbers on the scale the higher number wil be used to calculate a total 1 Evaluate the student's performance against the MINIMUM practice level expected for ther level of education. Seamed Cansearner MA “