Midpoint interview
Knowledge
Bertha’s knowledge regarding palliative care has increased; she knows the importance of assessing the patient for symptoms. Bertha has also developed an understanding of using syringe drivers and how to work out the required doses.
Bertha has visited many diabetic patients and knows type 1 and type 2 diabetes and the differences. Bertha knows the different types of insulin, including fast-acting, slow acting and mixed.
Bertha understands the importance of checking care plans to ensure the proper care is delivered to patients.
Skills
Bertha has been giving wound care, including good bandaging techniques. Bertha has been dressing pressure ulcers, leg ulcers and skin tears.
Bertha has been checking blood glucose levels and understands when and how to treat a hypo. Bertha has also been administering insulin to patients under supervision.
Bertha has also been dispensing and administering oral medications and checking the drug chart correctly.
Bertha has been with nurses, watching and learning about catheterising, building her knowledge preparing to be able to do female catheters herself.
Attitudes and values
Bertha is always on time for placement, wearing the correct uniform. Bertha is polite to patients and staff. Bertha knows the importance of treating patients with respect when in their homes.
Ongoing learning and development needs: The student will identify their learning and development needs for the remainder of the placement and negotiate with their Practice Assessor how these will be achieved.
Learning and development needs
To change a female catheter with support/supervision.
To handover patient care
To develop communication skills with patients, asking about pressure areas etc., to ensure holistic care.
How will these be achieved?
Lead care for a patient visit (e.g. a wound care visit) and hand the patient to the team at handover.
Visits with nurses for female catheter care and changes
Final interview
Knowledge
Bertha has visited multiple patients with diabetes and demonstrated knowledge regarding the types of diabetes (type 1 & 2) and the types of insulins used. Bertha has increased her knowledge of the risk of pressure ulcers by visiting patients with reduced mobility (due to conditions such as MS). Bertha has used the SSKIN bundle to assess the risk of pressure damage.
Bertha has watched male catheterisation and understands the reasons for catheterisation. Bertha has also seen female catheterisation and understands the process; now would like to do this as a skill.
Skills
Bertha has been doing a lot of observations (checking blood pressure, temperatures, pulse, respiratory rates and saturations), documenting these on the NEWS 2 charts. Bertha has been giving dalteparin sub-cut injections, and their confidence has increased. Bertha has also developed her communication skills, talking to and listening to patients well.
Attitudes and values
Bertha has shown a good, caring attitude whilst on this placement. Bertha has been respectful of being in patients’ homes. All care has been given with dignity and respect. Bertha has built good professional relationships with both the staff and patients on the placement.
Learning and Development Needs: To be agreed between the Practice Assessor and the student.
Practice Assessor to identify specific areas to take forward to the next placement.
To develop and implement catheterisation (female) skills.
To increase knowledge of medications (the side effects, reasons for use).
To continue developing in the confidence of her ability.