Pre-Registration Nursing

Key People:

  • Clinical Skills Coach/Practice Placement Facilitator:

    Lisa Tritton

Programme Overview

1st Year

Will be allocated 1-2 patients only
  • Responsible (under strict supervision) for meeting 'holistic' needs of allocated patients
  • Assist with meeting nutritional needs of patients
  • Perform manual observations
  • Attend ward rounds and medication rounds for allocated patients
  • Familiarise self with ward documentation
  • Begin to liaise with members of the Multi-disciplinary team
  • Observe patient assessments and begin to carry out under supervision
  • Learn about medical conditions common to placement area
  • Attend study sessions
  • Accompany appropriate specialist nurses
  • Observe clinical procedures and undertake where appropriate

2nd Year

In addition to Year 1
  • Will be allocated 3-4 patients only
  • Responsible (under strict supervision) for meeting 'holistic' needs of allocated patients
  • Attend ward rounds and medication rounds for all patients
  • Understand the ward structure
  • Begin to learn management skills
  • Begin to learn groups of commonly used drugs
  • Liaise with members of the MDT
  • Carry out patient assessments and care plans under supervision
  • Complete patient referrals
  • Develop a greater knowledge on medical conditions common to placement area
  • Hand over allocated patients and each shift change
  • Undertake clinical procedures under strict supervision

3rd Year

In addition to Year 1 and 2
  • Must be allocated a 'team' of patients and staff, relevant to placement area
  • At the beginning of 3rd year will be allocated 5-6 patients
  • At mid-placement point be allocated a team of patients
  • Towards end of 3rd year (Management Placement) Ward Management will be encouraged - Not to be carried out until week 12 of final placement
  • Carry out formal and informal teaching sessions to Junior Students and ward staff
  • Become more autonomous - requiring less supervision on a day to day basis

All Student Nurses must observe and/or participate in the administration of medicines during their programme of education. All relevant policies and guidelines such as the Trust's medicine administration and controlled drug procedures, should be discussed at the beginning of each placement experience with the Supervisor/Practice Assessor.

With direct supervision of the registered practitioner, the student should follow the 6 rights of administration (right person, right drug, right dose, right route, right time, and right documentation) by:

  • Identifying the correct patient
  • Selecting the prescribed medicine
  • Calculating the required dose
  • Identifying the correct timing of the prescribed medicine
  • Preparing and administering the medicine
  • Recording the administration appropriately
  • Challenging incorrect documentation
The student must demonstrate an understanding of the 5 rights of their own knowledge base (action, side effects and contraindications, patient education and right to refuse) by:
  • Identifying the reason for prescribing, supplying and administering the medicine
  • Understanding the action of the medicine
  • Having an awareness of possible adverse effects and contraindications
  • The ability to recognise adverse effects and contraindications
  • Checking medication on discharge, in completing the nursing discharge checklist, with the patient and families (with the support of a registered practitioner)

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