Internship – Stage 4

School of Nursing, Midwifery & Health SystemsUCD

Internship

Integral part of programme

Need to be “Competent”

Award of the BSc (Hons) degree

Registration with An Bord Altranais

Internship Employee and student; 2 students replace 1

RN

Paid 80% of SN pt 1 for 36 weeks

ANNUAL LEAVE – each hospital HR Policies and HSE guidelines

Sick leave - 8 weeks sick pay but clinical hrs must be completed

Attendance – regulations 100% attendance on all clinical placements

Any absences must be made up at the end of Stage 4 BEFORE either the degree is awarded or ABA registration is possible.

Unsuccessful – repeat the duration of module – any time owing is in addition to this

Employee & Student – adhere to local and statutory regulations (HSE circular) & UCD student rules and regulations (Student Handbook) and An Bord Altranais (Standards and Requirements Document).

Cannot graduate or register until all clinical time is made up

Reflective Practice

8 days - partnership - UCD SNMHS/partner hospitals

Check dates clinical partner site

Most days venue - clinical partner site (except March)

Identify scenarios

Supports

Hospital Preceptor/CNM

CPC

Practice dev co-ordinator

UCD/SNMHS e-mail Personal tutor Clinical assessment –Phil/Frances U/G Gabrielle Student advisor ChaplainCollege Counsellor

Clinical Placement Usually, but not always, the Hospitals like to inform you of your internship

allocations themselves during on-site orientation. *Internship Allocations will only appear in ARC if the hospital requests this

General, Psychiatry and Midwifery - Jan –Sept 2011 (36 weeks)

Children‟s & General – Jan 2011 – End April 2011 (supernumerary) May 2011 – January 2012 (Internship x 36

weeks)

Clinical assessment – Pass/Fail (GPA neutral)

Stress and anxiety

Clinical Placements Begin Monday 3rd/4th January 2011

Hospital orientation – programme specific

Ward allocation – rotate

Present DoCAT/MidCAT to personal tutors for review:

General – 18th or 20th or26th or 27th April and 14th Sept 2011

Psychiatry and Midwifery students – 26th & 27th Apr and 14th Sept 2011

Children’s & General - Supernumerary OLCHC & SVUH 21st April 2011; OLCHC &

MMUH 26th April 2011

Internship - OLCHC, SVUH & MMUH 6th Sept or Wed 7th Sept 2011; Provisionally 10th January 2012

Portfolio of Evidence

Your record of attainment throughout the four years

If you lose your Portfolio you have no record of your attainments!!!

Replacement - €30 DoCAT/MidCAT

€10 Skills book

Domains of Competence: An Bord Altranais assumptions Competence is NOT purely concerned with skills

„competent nurse possess many attributes‟ practical and technical skills, communication and interpersonal skills, organisational and managerial skills, evidence based practice, reflective thinking and problem solving abilities

Competence is not static

Competence must therefore be maintained

(An Bord Altranais 2005)

Domains of Competence Five Domains:

1. Professional/Ethical practice2. Holistic Approaches to Care and the Integration of Knowledge3. Interpersonal Relationships4. Organisation and Management of Care5. Personal and Professional Development

All five domains represent the exit criteria for registration

Further sub-divided into performance criteria and indicators

Clinical Assessment StrategyEnd of Stage FourRequirements & Standards (ABA)

Start of Programme

Stage One

Stage Two

Stage Three

Stage Four

Domains of Competency Assessment Tools (DoCAT/MidCAT)

General (5 DoCAT) 3 levels

Level 1 – 1a (7/52) 1b (7/52)

Level 2 – 2a (7/52) 2b (7/52)

Level 3 – 2c (8/52)

Children’s & General (3 DoCAT each discipline)

Level 1 (DoCAT 1A) (5/52)

Level 2 (DoCAT 2A (5/52) & 2B (6/52)

Midwifery (6 MidCAT)

Level 3 – Antenatal, Delivery & Postnatal

Level 4 – Antenatal, Delivery & Postnatal

Psychiatry (5 DoCAT) 1a (7/52) 1b (7/52)

2a (7/52) 2b (7/52)

2c (8/52)

5 placement x 6 weeks [excluding AL]

General

5 Domains Level 1A, 1B, 2A, 2B,

2C DoCAT

7 Weeks (no. of weeks depends on when AL occurs, given differently in each hospital and can even be different per student so no standard no. of weeks)

3 meetings

Skills list

Level 2C DoCAT 8 Weeks (no. of weeks depends on when

AL occurs, given differently in each hospital and can even be different per student so no standard no. of weeks)

Management Exp

Psychiatry –Progression

5 DoCAT 1A, 1B, 2A, 2B, 2C –Same as General BSc Students.

= 5 placements x 6 weeks of clinical in each (excluding Annual Leave).

Children‟s Progression

Level 1

DoCAT 1A (5/52)

5 Domains

3 meetings

Skills list

Level 2

DoCAT 2A (5/52)

As for 1A

DoCAT 2B (6/52)

5 Domains

Management experience

Midwifery Progression

Level 3

no weeks – 5 to 6 wks per DoCAT/Placement(minimum of 5 wks).

Antenatal

Delivery

Postnatal

Level 4

no weeks - 5 to 6 wks per DoCAT/Placement(minimum of 5 wks)

Antenatal

Delivery

Postnatal

Skills List Contains a list of clinical skills

Process of skill attainment divided into four levels

Must reach competence level in all skills by end of Stage 4

Must be available at all times whilst on clinical placement

DoCAT/MidCAT Outcomes Reminder sent Pass (P) = achieved all standards +/- time Incomplete (I) = standard not signed off [due to insufficient

time in clinical area] No Grade (NG) = failure to present doc to personal tutor

with no ext circumstances Ext circumstances ( IX) – form completed, evidence

included, decided by committee (refer to new policy) Always go to Clinical Allocations immediately after seeing

Personal Tutor at DoCAT Presentation time if any absencehas occurred OR if any standard other than Pass has been received.

Unsuccessful clinical assessment

3 meetings – Intermediate meeting NB Indicators of areas where improvements can

be made Final meeting – student, CPC, preceptor PT (academic advisory & action plan) Repeat clinical placement before moving to

next level (different on each programme) Protocols - blackboard in Dec „10

Registration process Registration with the Nursing Board cannot occur until the following process is complete:

Final DoCAT/MidCAT are signed off Outstanding time is made up and/or supplemental DoCAT/MidCAT

completed Timesheets evidencing outstanding time has been made up are submitted to

the Allocations Office here in the School. The College Exam Board has ratified the results The Partner Hospitals meet with the School to permit each student to go

forward for registration. The Students SIS is reading as “degree complete” i.e. that the student can see

from their exam results screen that ALL credits for the degree have been awarded.

The School Clinical Allocations Office will notify the students details of when to collect their An Bord Altranais Application for Registration Form (already signed by Head of School).

Student then brings the form to their own Director of Nursing to sign Then sends the form to An Bord Altranais for registration.

Questions?