Academic Feedback
- Placement 1
Please see the feedback above regarding the approach to Reflective Writing in this ePAD. You are often providing an adequate description of an event or episode but the reflective elements are less apparent. You may find it helpful to use a model like Gibbs/Johns/Barton to help you develop this aspect of your writing & practice. Please review your approach to reflective writing ahead of your next submission. Well Done on logging some nights & w/e shifts – this will help you meet NMC requirements. Well Done on logging feedback from peer & service user. I enjoyed reading their feedback – you clearly made an impact! Please ensure that you use the student’s university email when logging peer feedback in future submissions On this placement you have successfully completed ALL Proficiencies. On your next placement you will need to complete the following assessments:
- Episode of Care 1
- Episode of Care 2
- Medicines Management
- End of Part Approval
PA I would recommend that you adopt a strategic approach to part Specific Assessments for your next placement. Please all keep practising your proficiencies in your next placement to maintain your skills. There is good developmental feedback from PA highlighting your therapeutic presence and your development over the course of the placement. They also note that you have been able to pick up new skills and knowledge over the course of the placement. This shows that you have been able to use this placement effectively to develop your knowledge and skills. Well Done. PAD/OAR submission, marking and moderation process v2 JH December 2020 4 Unfortunately, you have only been able to log 117 hours which is under the minimum required hours for an assessed placement. This has resulted in an INCOMPLETE decision & you will need to complete another assessed placement over the summer.
Date: 19/11/21
- Insight Placement
Well Done on a constructive placement & congratulations on the feedback from your Practice Supervisor. You have not completed a placement evaluation. You have not completed a placement evaluation. This will need to be done as soon as possible when the placement documentation is open to you again. Please take care to ensure that you complete all elements of you practice documentation in future placements.
Date: 17/1/22
- Placement 2
Reflective writing needs some development to help you understand your own practice in terms of what you have got already that is working well & what you are not so good at that you need to work on. You have not adhered to 48 hrs/wk EU Working Time Directive over the duration of the placement – 55.15 hours on 5 consecutive days. This is not a good way to look after yourself or patients! 48 hours is the maximum number of hours allowed per week Limited opportunity for nights or w/e shifts logged on this placement. Please ensure that you log some on your next placement to ensure that you can meet NMC requirements. Although you have tried to some of your Part Specific Assessments during this challenging placement, you have not yet passed all of them. Please review the feedback above carefully so that you are clear on what the requirements are for the next placement: On your next placement you will need to complete the following assessments:
- Episode of Care 1
- Episode of Care 2
- Medicines Management
- End of Part Approval
PA I would recommend that you adopt a strategic approach to part Specific Assessments for your next placement – you will have a lot to do so it will be important to start the placement with a solid PAD/OAR submission, marking and moderation process v2 JH December 2020 4 understanding of what is required and how you plan to achieve it. This approach should enable you to complete your assessments. This has been a challenging placement due to issues that were beyond your control. You have clearly worked hard & learned a lot about dialysis. There is some excellent feedback from clinicians & service users who note your communication skills, teamwork & attitude to learning. Well Done – you should be proud of what you have achieved on this placement.
Date: 25/2/22
- Placement 3
This placement documentation is incomplete. At the time of submission, you had not provided the following essential pieces of documentation:
- Reflection on Professional Values
- Placement Evaluation
- End of Part Approval
Practice Assessor Part 2 assessments are also incomplete & the following elements have either not been completed or not been completed to a satisfactory standard:
- Episode of Care 2
- Medicines Management
I also note that you are under the required number of hours for this placement. Placement attendance is likely to have contributed to these incomplete assessments & is something to reflect on. This is all a bit of a shame as you have got some great feedback from clinicians, service users and your peers but you have not been able to utilise the learning opportunities offered by the placement area effectively.
- 9.8.22-noted that Reflection on Professional Value and Placement Evaluation and OAR PA sections have now been completed
- By 15.8.22 All outstanding elements had been completed MMc.
Date: 01/8/22
[embeddoc url=”https://eportfolios.roehampton.ac.uk/dubev2/files/2022/09/Academic-Feedback-2.docx” download=”all” viewer=”microsoft”]
Peer Feedback
Valerie is a great student, my experience working with her was excellent and she will make a great nurse in future. She was very supportive towards both staffs and the patients and she applies the nmc code to working sector where she remains professional and respect everyone, I look forward to keep in touch with her and I was glad to work with her.
Date 4/11/21
I was allocated to be at a Renal unit that involves Haemodialysis. This is dialysis unit that provides treatment to in patient and outside patients. I was assigned to be working with the matron of the ward as my Pa and sisters incharge on shifts as my Ps. This gave me a great opportunity to work with all the nurses one to one to help me gain understanding and knowledge about dialysis. It also allowed me to gain lots of patient feedback on my epad or in general help me understand dialysis. This means I had no competition with any student to get attention during my placement duration.
However not having peer feedback wasn’t helpful because I didn’t have feedback from a different prospect. Being on the shifts sometimes was daunting because I was the only student. The first 1 and half I was just observing the marton and nurses some patients where not keen yet to open up to talk to me because I was new. It made me feel very much alone on the ward during that period. But after been trained to use equipment, learning the pre, during and post dialysis sessions, I was able to partake on individual tasks to be part of the team.
I worked with Valerie for a few hours and assessed her caring for patients, she was an excellent communicator and attended to the patients needs with compassion and confidence. She is a great advocator for patients and performs A-E assessments effectively, Valerie is progressing everyday and is becoming a more competent nurse.
Date 28/08/22
[embeddoc url=”https://eportfolios.roehampton.ac.uk/dubev2/files/2022/09/Peer-Feedback-1.docx” download=”all” viewer=”microsoft”]
Professional Feedback
- Placement 1
Valerie continues to put herself forward to learn more and ask questions on what she doesn’t understand to improve her knowledge. She has managed to grasp the basics of the nurses duties on the shift and take the initiative to take responsibility to complete tasks on time when required. She is able to liase with other health professionals when necessary and understands the patients progress.
Valerie still excels in learning the kills fast and applying them when required according to the patients needs. She is able to access the medical devices and use them correctly and reporting findings of an investigation.
Valerie is punctual and always in her clean uniform. She able to to the five stages of hand hygiene and donning and doffing system. She always have a good attitude towards patients and the staff. She is always smiling and never complaints. Patients enjoy the days she works on the ward and is always able to showe empty and compassion towards them.
Valerie is an enthusiastic learner with much promise to success if she continues to read and practise. I would recommend her to strengthen her medication administration skills and to educate herself more on the different types of conditions so that she will be able to look after the progress of the patients.
Date 8/11/21
Insight Placement
Happy with Valerie’s progress during her placement here. Role Liaison Psychiatric Nurse (Drug & Alcohol Nurse). RN(MH) NMP. I am providing the additional feedback because I was Valerie’s Mentor
Keen to learn, good time keeping and good time keeping
Date 14/01/22
- Placement 2
Valerie has an understanding of dialysis patients routine and their treatment plan.
She knows how to line and prime the machine and the importance of setting the machine according to prescription.
She knows the different renal replacement therapies and I have also discussed with the difference between HDF and HD treatment.
She is able to do the observation and assessment for pre and post dialysis as part of their daily routine and able to enter vital signs in the chart.
Assisting to check the patients weights pre and post dialysis.
She is very enthusiastic and always willing to learn more about dialysis patients treatment plan and action.
I can confirmed that for her 6 weeks placement in renal unit she has gained lots of knowledge about the Kidneys disease and dialysis treatment.
Date 16/02/22
Valerie attending the online link lecturer tutorial today. She reports enjoying her experience on the dialysis day unit. She feels she has become part of team and has increased her knowledge and skills around managing renal patients and those requiring dialysis. We discussed aspects that she could do for her EOC and how to utilise a reflection model to help focus her thoughts. She reports she has managed to undertake her medicine management by following a patient and discussing with them about their medication and then discussing these medications with her PA. Due to being the other student on the placement area, peer feedback has been difficult. However, Valerie has written a reflection on the pros and cons of having feedback in relation to this placement, which is a very good use of the disadvantage presented to her.
Date 17/02/22
Valerie spent 4 weeks on the dialysis unit where she was able to directly observe and professionally discussed the various care given to patients during their dialysis treatment. Valerie was able to discuss the functions of the dialysis machines and the different types of treatment such as Haemidialysis, haemodiafiltration and ISO UF. She was able to observe and practice how to prepare and program the dialysis machine and how to strip and clean the machines after their use. The care of dialysis accesses such as Permcath, AV fistula and AV graft were discussed and implemented.
We also discussed the different functions of the normal kidney as well as dialysis principles and treatment.
Valerie was able to demonstrate that she is a fast learner and was able to assist the dialysis nurses to assess patients and deliver the care required.
Valerie was also able to assist the dialysis assistant to prepare the machines safely and effectively.
I have observed Valerie to be honest, caring, well mannered and willing to learn. She interacted well with patients and all staff. She asked relevant questions and was able to take part in many relevant discussions.
Once Valerie has received the appropriate training, she was keen and willing to step in wherever she was able to help. She has a quiet demeanor and was ready to assist patients and nurses at all times.
Medicine management during and post dialysis.
Complications of renal failure and dialysis treatment.
Anaemia management for patients with end stage renal failure (ESRF)
Electrolyte imbalances and the ranges for various electrolytes
Fluid management in ESRF.
Date 22/02/22
- Placement 3
The student establishes rapport well to patients. She is able to communicate well with the rest of the medical and non-medical team. She has initiative and very keen to learn.
Date 28/08/22
In terms of Knowledge, Valerie manage to learn and experience on how to prepare and administer IV medications and how it is being used for patients. She was able to learn the indication of giving IV medications and the difference from oral administration. Also, she learned how we look after patient’s having tracheostomy like, doing tracheostomy care, suctioning and administering nebulizers. She also learned how does RIG tube works in terms of nutrition for the patient and how they are used in giving medications and enteral feeds to the patient. Valerie manage to apply what she had learned in the University on how to do physical assessments to patients and how to properly document it to the CRS. She was able to successfully apply drug calculations when doing drug rounds in the ward together with his/her practice assessors. Lastly, she manage to interpret NEWS scoring when taking observations to patients and how to learn when to escalate deteriorating patients. Overall, I can say that Valerie was able to gain a lot of knowledge in terms of nursing compared to her 1st day in the ward and we were able to attain all her goals that we have discussed in her initial interview.
In terms of skills, Valerie manage to practice on how to prepare and administer IV medications, how to give Enteral feed and oral medications through RIG tube, learn how to look after patients with tracheotomy, how to do different assessments and how to document them in the CRS, e.g Nursing Notes, Observations, Pain monitoring, VIP scoring, Body map diagram, MUST, Waterlow and RIG care. She laso learned how to apply drug calculations while doing drug rounds and giving medications to patients in the ward together with his/her practice supervisors. She improved her skills in how to take vital signs from the patients and how to interpret the values and escalate the abnormal values to the senior nursing staff and doctor’s. In terms of skills, Valerie gained a lot of experience in performing different nursing skills which improved her confidence and skills on how to this nursing procedures that she can apply when she become a Band 5 nurse. Lastly, I can say that we have managed to attain all the goals that we have agreed on in her initial interview and add so more skills throughout her placement here in Hamble Ward.
In terms of attitude in values, I can say that Valerie always work with the professional boundaries of a NMC nurse and always try to apply the NMC code of conduct when looking after patients and working with the different members of the staff in the hospital. She always has an initiative to learn and tried to help out in the ward as much as possible. Also, she does not forget to inform her practice assessor if she cannot attend her shift and always come in time for her shift. Lastly, I can say that all the good qualities she had shown during her 1st day here in the ward has not change until her last day here in Hamble ward.
To practice more in giving and preparing IV medications
To practice Drug calculations while doing medication drug rounds
To practice and apply on what she had learned in the ward in terms of assessments and how to properly document it.
To continue all the good qualities she had shown in the ward like, always willing to learn and ask questions to widen her knowledge, always willing to help other members of the staff that is looking after the patients in the ward. Lastly, to improve her clinical eye and how to interpret vital signs to determine deteriorating patients and escalate to senior members of the staff.
Date 31/08/22
[embeddoc url=”https://eportfolios.roehampton.ac.uk/dubev2/files/2022/09/Professional-Feedback-2.docx” download=”all” viewer=”microsoft”]
Service User Feedback
She took very good care of me. I was very happy that I felt very cared for, listened to and respected. What also made me happy was that she made time to talk to me and understood how I felt.
Did very well with her attitude always smiling to patients. There is nothing the student nurse could have done differently, she was perfect.
Date 24/10/21
Student demonstrated good empathy when attending to my needs. Nothing could have been done differently from student nurse. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Polite and efficient. Nothing could have been done differently from student nurse. I was happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Always greet me and makes me feel special. No been angel. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Understood the way I felt and listened to me. Nothing could have been done differently from student nurse. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Very attentive, respectful and helpful, showed a natural instinct of care. When first started she wasn’t very proactive then she picked up, maybe asking more questions and engage more with patients. I was very happy that I felt cared for, listened to, talked to and showed me respect. But I wasn’t sure if she understood how l felt.
Date 17/02/22
Valerie has a caring and natural way about her. She was on the ball and picked up routines I hop she goes far in her career. Absolutely nothing! She’s great! . I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
The student nurse did everything everything well. Nothing could have been done differently from student nurse. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Very professional. Nothing could have been done differently from student nurse. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Date 18/02/22
Being caring and paying attention. Don’t know what could have done differently from student nurse. I was very happy that I was listened to, talked to and showed me respect. I was happy that I was cared for and understood the way I felt.
Valerie is very caring and nothing was to much trouble for her. She was always very cheerful with very good communication skills and showed a lot of empathy. Valerie was always aware of how I was feeling and acted accordingly, she was always very patient when carrying out any care to a very high standard. I feel that the care I received at all times from Valerie was exemplary and I don’t feel that there was anything that could / should have been done differently. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Everything was done good by the student nurse. Nothing could have been done differently from student nurse. I was very happy that I felt cared for, listened to, understood how I felt, talked to and showed me respect.
Date 14/07/22
[embeddoc url=”https://eportfolios.roehampton.ac.uk/dubev2/files/2022/09/Service-User-Feedback-1.docx” download=”all” viewer=”microsoft”]