2014-VP4-ZON-EN

Stichting Consortium Beroepsonderwijs Zorg & Welzijn

(qualification files 2011, 2012, 2013 or 2014)

Intermediate vocational education training – Nurse, level 4

CREBO (Central Register of Vocational Courses) number ……………………… (complete as appropriate)

Cohort ......... (complete as appropriate)

Exam 1 Providing basic care (2014-vp-4-e1)

 Work process 1.2 Provides personal care and observes and monitors health and well-being

As part of Key task 1

 Work process 1.4 Supervises a person who requires care

As part of Key task 1

Examinee

Student number:

Name:

Evaluation

Evaluation of work process 1.2

good

satisfactory

unsatisfactory

Evaluation of work process 1.4

good

satisfactory

unsatisfactory

Exam completed:

yes no

Re-examination: yes no

(tick where appropriate)

The evaluation has been established by

Name:

Signature:

Function:

Institution:

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Training: nurse 2014-vp-4-e1

Date:

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Colophon

This is a publication of Stichting Consortium Beroepsonderwijs

Care & Well-being Manager I. Rabelink

Intermediate vocational education – Nurse development team R. van der Hoek (Development Team Leader) F. Koster-Holtman I. Kolen L. Wesseling M. Polman P. Mertens-Debats

Editorial board A. Brink M. Brok

Design Opmaak

© 2014

All rights reserved. No part of this publication may be reproduced, stored in a computer database or made public in any form or in any manner, whether electronically, mechanically, by photocopy, recording or any other way, without prior consent by Stichting Consortium Beroepsonderwijs.

Account

Stichting Consortium Beroepsonderwijs has received permission from all of its known copyright holders to use the texts and pictures included in this publication.

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Training: nurse 2014-vp-4-e1

www.consortiumbo.nl

[Article number on the front page of the inner section]

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Contents

* ‘She’ also refers to ‘he’ and vice versa. * ‘A person who requires care’ also refers to: a patient, a client, a disabled person or a child. * ‘Nursing care plan’ also refers to care plan, care life plan or supervision plan.

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Exam 1 Providing basic care (2014-vp-4-e1)

This exam concerns the following work processes from key task 1 Providing care and supervision in the nursing process.

Key task number

Work process number

Work process title

Competencies

1

1.2

Provides personal care and observes and monitors health and well-being

F Acting ethically and honestly J Formulating and reporting K Applying occupational expertise R Focusing on the needs and expectations of the ‘client’ V Dealing with pressure and setbacks C Supervising D Showing attention and understanding R Focusing on the needs and

1

1.4

Supervises a patient

expectations of the ‘client’

Description of this exam This exam is taken in a highly complex care situation.

You independently support the patient in personal care, such as eating and drinking, using the toilet and mobility and you monitor vital functions. Adapt to the capabilities and experiences of the patient. You observe and identify changes, interpret the information obtained and report this in the nursing file. You consult experts if required, make agreements about the policy used and carry out or initiate this. You are responsible for the patient’s safety. Collect information for the evaluation and discuss it with those involved. Enter modifications in the nursing care plan after

consultation.

Periodically, and if possible by the end of the health care delivery procedure, evaluate the effects of the health care delivery on the patient’s state of health and well-being.

In situations in which it occurs, write a (final) evaluation for the dismissal or transfer to another ward/care setting. Keep the nursing file up to date.

The degree of difficulty Context

Direction

Responsibility

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carrying out the care and supervision cycle

complex

independent

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Work process 1.2 Provides personal care and observes and monitors health and well-being

Assignment You support patients in personal care and observe their health and well-being. Monitor the vital

functions. Take into account the wishes of the patients and their next of kin.

Result You have carried out monitoring and support in personal care and terminal care as required in a professional manner. You have taken into account the circumstances of the patient and those involved.

Supporting documents Provide the following supporting documents:

 A fully completed assessment form substantiated by the examiner

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Exam 1

Providing basic care

(2014-vp-4-e1) Training Nurse, level 4

Assessment form of work process 1.2 Provides personal care and observes and monitors health and well-being

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Behaviour assessment The examinee:  provides personal care to (a) patient(s) with highly complex care issues  provides relevant information in an adequate manner using the observations  acts in accordance with the ethical criteria of the institution and the professional code  ensures that the support remains in keeping with the agreements in the nursing file  ensures that the support remains in keeping with the wishes of the patient and his/her next of kin  monitors changes in the state of health and well-being  reports in the nursing file according to the guidelines of the institution Foundation of the assessment of the work process with examples relating to the evaluation criteria.

Examiner’s name: (written in full in block letters ) …………………………………………

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Training: nurse 2014-vp-4-e1

Function: Institution: □ Practical Vocational Training □ Training

Signature:

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Training: nurse 2014-vp-4-e1

Examiner’s name: (written in full in block letters ) …………………………………………

Function:

Institution: □ Practical Vocational Training □ Training

Signature:

Total amount of points WP 1.2 add up only if there are no unsatisfactory marks

..

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation Good: ≥ 12 points Satisfactory: All criteria have been evaluated as satisfactory or better Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Evaluation of work process 1.2 Provides personal care and observes and monitors health and well- being (tick where appropriate)

 This work process has been evaluated as good

 This work process has been evaluated as satisfactory

 This work process has been evaluated as unsatisfactory

Examinee’s name: (written in full in block letters ) …………………………………………

Signature (seen):…………………………………………

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Work process 1.4 Supervises a client

Assignment For this assignment, select a client with multiple issues in the area of self-help skills in the psychosocial and/or social area. Explore the issues of this client using theory. Involve:  the nature and causes of this client’s disorder or disability  the consequences of this disorder or disability for the way of living and the experience of the client in maintaining autonomy  the suitable supervision you will provide. Write a supervision plan in which you explain the following topics:  the component or components of personal care or psychosocial and social functioning to which your supervision is directed  the objective of the supervision  the manner in which you take into account the physical and mental well-being of the client  how you maintain and/or develop the client’s functional autonomy through this supervision  how you take into account the coping ability of the caregivers and next of kin  the specific advice you provide to reinforce the coping ability of the caregivers and next of kin.

Supervise the client according to the supervision plan you have formulated. Evaluate your supervision with the client, caregivers and next of kin.

Result The client’s self-help skills have been encouraged where possible, as a result of which he has an optimal degree of functional autonomy. You have supported the client and next of kin in a suitable manner.

Supporting documents Provide the following supporting documents: 

A fully completed assessment form substantiated by the examiner  An elucidated supervision plan for the self-help skills in the psychosocial and social area.

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Exam 1

Providing basic care

(2014-vp-4-e1) Training

Nurse, level 4

Assessment form of work process 1.4 Supervises a client

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Supporting document: A elucidated supervision plan for the self-help skills in the psychosocial and social area. The examinee:  describes the objective of the supervision of self-help skills in the psychosocial and social area  describes the way in which she takes into account the physical and mental well-being of the client  describes the objective of the supervision

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 describes how she maintains and/or develops the functional autonomy of the client with this supervision  indicates the way in which she takes into account the coping ability of the caregivers and next of kin  describes the advice she has provided the caregivers and next of kin with to reinforce their coping ability

Behaviour assessment

The examinee:

 ensures a relationship with the client as a foundation for the supervision  encourages the client to carry out actions and activities independently as much as possible  encourages a positive attitude and confidence in the client’s personal capabilities  shows engagement in the physical and mental well-being of the client  treats the client with respect and patience  discusses the expectations and wishes of the client and next of kin  advises the next of kin and caregivers to take their coping ability into account  provides specific advice to the next of kin and caregivers concerning the reinforcement of their coping ability  evaluates whether the client and next of kin are satisfied with the supervision provided Foundation of the assessment of the work process with examples relating to the evaluation criteria.

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training

Signature:

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training

Signature:

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Total amount of points WP 1.4 add up only if there are no unsatisfactory marks

..

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation Good: ≥ 24 points Satisfactory: All criteria have been evaluated as satisfactory or better Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Assessment form of work process 1.4 Supervises a client (tick where appropriate)

 This work process has been evaluated as good

 This work process has been evaluated as satisfactory

 This work process has been evaluated as unsatisfactory

Examinee’s name: ……………………………………….. (written in full in block letters)

Signature (seen):

…………………………………………

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Training: nurse 2014-vp-4-e1

Stichting Consortium Beroepsonderwijs Zorg & Welzijn (qualification files 2011, 2012, 2013 or 2014)

Intermediate vocational education training – Nurse, level 4

CREBO (Central Register of Vocational Courses) number ……………………… (complete as appropriate)

Cohort ......... (complete as appropriate)

Exam 2 Supervising a patient / group of patients (2014-vp-4-e2)

 Work process 1.5 Supervises a group of patients (with the exception of general health care and home care) As part of Key task 1  Work process 1.7 Deals with crisis situations and unforeseen situations As part of Key task 1  Work process 1.7 Provides support in living and running a home As part of Key task 1 level 3

Examinee Student number:

Name:

Evaluation

Evaluation of work process 1.5

good

satisfactory

unsatisfactory

Evaluation of work process 1.7

good

satisfactory

unsatisfactory

Evaluation of work process 1.7 (level 3)

good

satisfactory

unsatisfactory

Exam completed:

yes no

Re-examination: yes no

(tick where appropriate)

The evaluation has been established by

Name:

Signature:

Function:

Institution:

Date:

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Stichting Consortium Beroepsonderwijs Z&W series 2014

Training: nurse 2014-vp-4-e2

Colophon

This is a publication of Stichting Consortium Beroepsonderwijs

Care & Well-being Manager I. Rabelink

Intermediate vocational education – Nurse development team R. van der Hoek (Development Team Leader) F. Koster-Holtman I. Kolen L. Wesseling M. Polman P. Mertens-Debats

Editorial board A. Brink M. Brok

Design Opmaak

© 2014

All rights reserved. No part of this publication may be reproduced, stored in a computer database or made public in any form or in any manner, whether electronically, mechanically, by photocopy, recording or any other way, without prior consent by Stichting Consortium Beroepsonderwijs.

Account Stichting Consortium Beroepsonderwijs has received permission from all of its known copyright holders to use the texts and pictures included in this publication.

www.consortiumbo.nl

[Article number on the front page of the inner section]

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Contents

* ‘She’ also refers to ‘he’ and vice versa. * ‘A person who requires care’ also refers to: a patient, a woman giving birth, a client or a resident. * ’Nursing care plan’ also refers to care life plan, individual support plan, care plan or supervision plan.

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Training: nurse 2014-vp-4-e2

Exam 2 Supervising a patient / group of patients

This exam concerns the following work processes from key task 1 Providing care and supervision in the nursing process.

Key task number

Work process number

Work process title

Competencies

1

1.5

Supervises a group of patients*

C Supervising D Showing attention and understanding

E Collaborating and consulting T Following instructions and procedures V Dealing with pressure and setbacks L Deploying proper materials and resources R Focusing on the needs and

1

1.7

Deals with crisis situations and unforeseen situations

1

1.7 (level 3)

Provides support in living and running a home

expectations of the ‘client’ T Following instructions and procedures

(* this work process is not examined in the hospital and home care sectors.)

Description of this exam This exam is taken in a highly complex care situation.

The nurse monitors, supervises and encourages the patient in maintaining psychosocial and social self-help skills. You encourage the client to direct his/her life and to maintain his/her identity and fulfilment of life as much as possible. You also counsel the client in dealing with and handling the consequences brought about by the handicap, disability, therapy or treatment. Provide guidance in psychosocial and social function, in maintaining and reinforcing the social network and entering into and maintaining contacts. Create the most optimal living and home environment possible for a group and include the next of kin and/or volunteers as required. Promote the most optimal group climate possible. Observe the group processes and behaviour of the clients. Help the client to obtain insight into his/her behaviour and the effect of this behaviour on others in the group. Mediate or intervene in the case of conflicts. Discuss this in the group if required. The objective is that the group of clients feels they are being treated appropriately, as per their personal needs and requirements and the client retains an optimal extent of autonomy.

The degree of difficulty Context

Direction

Responsibility

carrying out the care and supervision cycle

complex

independent

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Work process 1.5 Supervises a group of clients

Assignment Select a situation that affects/disrupts the group climate, or which causes the climate to be under pressure. Create a plan of action to normalise the group climate. The interventions chosen are determined by the situation, care setting and target group, and the capabilities and competency of the clients. Work according to

the regulations and instructions of the institution. Provide a clarification on your plan of action. Involve:  the situation  the group dynamics  substantiation of your choice of interventions 

the involvement of the physical aspects and mental well-being of the clients  the provision of an insight into the behaviour of the clients and the effects on the group  the manner in which the caregiver(s), next of kin and/or volunteer(s) were involved in the creation of an optimum social climate.

Carry out your plan of action to normalise the group climate.

Result The group of clients feels treated in a suitable manner, which is geared to the individual’s as well as the group’s needs and wishes.

Supporting documents Provide the following supporting documents: 

A fully completed assessment form substantiated by the examiner  An elucidated plan of action to normalise the group climate

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Exam 2

Supervising a patient / group of patients

(2014-vp-4-e2 ) Training

Nurse, level 4

Assessment form of work process 1.5 Supervises a group of clients

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Supporting document: An elucidated plan of action to normalise the group climate

The examinee:

 describes the situation that affects/disrupts the group climate, or which causes the climate to be under pressure  describes the group dynamics  describes the interventions she carries out to create the most optimal living environment and residential environment possible for the clients within the group  describes how she takes into account the physical aspects of the clients  describes how she takes into account the mental well-being of the clients  describes how she provides the clients involved in this situation with an insight into the behaviour and its effects on the group members  describes the way in which she involves the caregiver(s), next of kin and/or volunteer(s) in creating an optimum social climate The examinee:  encourages the group of clients to develop maximally, taking into account their capabilities, in the social area by discussing the behaviour of and with the clients and others involved  creates an environment in which clients are encouraged to explore the boundaries of their capabilities by asking the opinions of individual group members and providing positive feedback  has an understanding for each individual’s attitude and opinions  encourages those involved to collaborate in the decided interventions that normalise the group climate  shows concern for the physical and mental well-being of the group members Foundation of the assessment of the work process with examples relating to the evaluation criteria. Behaviour assessment

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Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training

Signature:

Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training

Signature:

Total amount of points WP 1.5 add up only if there are no unsatisfactory marks

..

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation

Good:

≥ 19 points

Satisfactory:

All criteria have been evaluated as satisfactory or better

Unsatisfactory:

One or more criteria have been evaluated as unsatisfactory

Evaluation of work process 1.5 Supervises a group of clients (tick where appropriate)

 This work process has been evaluated as good  This work process has been evaluated as satisfactory  This work process has been evaluated as unsatisfactory

Examinee’s name:

………………………………………..

(written in full in block letters)

Signature (seen):

…………………………………………

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Work process 1.7 Deals with crisis situations and unforeseen situations

Assignment 1 Take action in an unforeseen or crisis situation: direct colleagues and call in assistance from experts in good time. A situation like this may occur in the somatic area or in the behavioural area. Assignment 2 Describe the quality of your actions by discussing the choices you have made with colleagues in a manner that is customary in the institution. Involve the procedures and legislation that applied in this situation. Discuss how you dealt with your feelings and the possible alternatives for your behaviour. Provide a written account of this discussion. Result You have dealt with a crisis situation or unforeseen situation in a professional manner. You have adhered to applicable procedures and regulations.

Supporting documents Provide the following supporting documents: -

A fully completed assessment form substantiated by the examiner - A written account of the discussion with colleagues in which you account for your choices

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Exam 2

Supervising a patient / group of patients

(2014-vp-4-e2 ) Training

Nurse, level 4

Assessment form of work process 1.7 Deals with crisis situations and unforeseen situations

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Behaviour assessment

The examinee:  directs colleagues in this situation  calls in help from experts in good time to ensure that the client is treated immediately and adequately  acts according to agreements in the nursing care plan  acts according to the guidelines of the institution  acts according to legal guidelines that apply to the situation  acts professionally by staying focused on the job and the things that need to be done in the case of an unforeseen or crisis situation  acts effectively by setting boundaries and providing alternatives in the event of any unforeseen or crisis situation Supporting document: A written account of the discussion with colleagues in which you account for your choices The examinee:  describes the quality of her actions in relation to laws and regulations  describes the quality of her actions in relation to the procedures that apply in the institution  describes how she dealt with her own feelings in the situation concerned Foundation of the assessment of the work process with examples relating to the evaluation criteria.

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Stichting Consortium Beroepsonderwijs Z&W series 2014

Training: nurse 2014-vp-4-e2

Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training Signature:

Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training Signature:

Total amount of points WP 1.7 add up only if there are no unsatisfactory marks

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation Good: ≥ 16 points Satisfactory: All criteria have been evaluated as satisfactory or better Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Evaluation of work process 1.7 Deals with crisis situations and unforeseen situations (tick where appropriate)

 This work process has been evaluated as good  This work process has been evaluated as satisfactory  This work process has been evaluated as unsatisfactory

Examinee’s name: (written in full in block letters)

………………………………………..

Signature (seen):

…………………………………………

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Training: nurse 2014-vp-4-e2

Work process 1.7 Provides support in living and running a home (level 3)

Assignment Supervise a client in running a home. Create a plan of action to support the domestic task.

Provide an explanation in the plan of action. Involve:  the way in which you anticipated the requirements and wishes of the client  your choice for the resources and materials  how you worked according to the care plan  how you apply the organisation’s rules and procedures in the execution of the domestic support  the evaluation of your support Carry out the domestic task for which you have created the plan . Result According to his/her requirement and wish, the client has received support with the proper resources and materials.

Evidence Provide the following items of evidence: 

A fully completed assessment form substantiated by the examiner  An elucidated plan of action for the support in running a home

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Exam 2

Supervising a patient / group of patients

(2014-vp-4-e2 ) Nurse in individual healthcare training, level 3

Assessment form of work process 1.7 Provides support in living and running a home

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Evidence: An elucidated plan of action for the support in running a home

The examinee:  describes the support the client receives in the domestic task  describes the way in which she takes into account the client’s requirements, wishes and habits  describes the cleaning products and materials she uses to support the domestic task selected  describes the applicable protocols regarding hygiene, safety, working conditions, environment, quality assurance, ergonomic and cost-conscious working  describes the agreement made concerning this within the organisation  describes how she evaluates the support of the domestic task with the client The examinee:  supports the client in running a home in accordance with the agreements with the manager and organisation  selects the proper cleaning products and materials and uses them sparingly and cost- consciously  uses the resources and materials according to their function  makes sure that the resources and materials are maintained in accordance with the regulations that apply in the institution  carries out the domestic task in conformity with the organisation’s agreements  complies with the agreements from the care life plan  takes into account the client’s requirements, wishes and habits  evaluates the support with the client Behaviour assessment

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Foundations of the assessment of the work process with examples relating to the performance criteria.

Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training

Signature:

Examiner’s name : (written in full in block letters ) …………………………………………

Function : Institution : □ Practical Vocational Training □ Training

Signature:

..

Total amount of points WP 1.7

add up only if there are no unsatisfactory marks

Standardisation

Good:

≥ 22 points

Satisfactory:

All criteria have been evaluated as satisfactory or better

Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Evaluation of work process 1.7 Providing support in living and running a home (tick where appropriate)

 This work process has been evaluated as good  This work process has been evaluated as satisfactory  This work process has been evaluated as unsatisfactory

Examinee’s name:

………………………………………..

(written in full in block letters)

Signature (seen):

…………………………………………

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Stichting Consortium Beroepsonderwijs Z&W series 2014

Training: nurse 2014-vp-4-e2

Stichting Consortium Beroepsonderwijs Zorg & Welzijn (qualification files 2011, 2012, 2013 or 2014)

Intermediate vocational education training – Nurse, level 4

CREBO (Central Register of Vocational Courses) number ……………………… (complete as appropriate)

Cohort ......... (complete as appropriate)

Exam 3 Nursing in complex situations (2014-vp-4-e3)

 Work process 1.1 Formulates a nursing diagnosis and nursing care plan

As part of Key task 1

 Work process 1.3 Carries out nursing technical procedures

As part of key task 1

 Work process 1.6 Provides information, advice and instruction

As part of Key task 1

 Work process 1.8 Coordinates health care delivery As part of Key task 1  Work process 1.9 Evaluates health care delivery As part of Key task 1

Examinee

Student number:

Name:

Evaluation Evaluation of work process 1.1 Evaluation of work process 1.3

good

satisfactory

unsatisfactory

good

satisfactory

unsatisfactory

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Evaluation of work process 1.6 Evaluation of work process 1.8 Evaluation of work process 1.9

good

satisfactory

unsatisfactory

good

satisfactory

unsatisfactory

good

satisfactory

unsatisfactory

Exam completed:

yes no

Re-examination: yes no

tick where appropriate

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

The evaluation has been established by

Name:

Signature:

Function:

Institution:

Date:

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Colophon

This is a publication of Stichting Consortium Beroepsonderwijs

Care & Well-being Manager I. Rabelink

Intermediate vocational training – Nurse development team R. van der Hoek (Development Team Leader) F. Koster-Holtman I. Kolen L. Wesseling M. Polman P. Mertens-Debats

Editorial board A. Brink M. Brok

Design Opmaak

© 2014

4

Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

All rights reserved. No part of this publication may be reproduced, stored in a computer database or made public in any form or in any manner, whether electronically, mechanically, by photocopy, recording or any other way, without prior consent by Stichting Consortium Beroepsonderwijs.

Account Stichting Consortium Beroepsonderwijs has received permission from all of its known copyright holders to use the texts and pictures included in this publication.

www.consortiumbo.nl

[Article number on the front page of the inner section] Contents

* ‘She’ also refers to ‘he’ and vice versa. * ‘A person who requires care’ also refers to: a patient, a client or a resident. * ’Nursing care plan’ also refers to care life plan, individual support plan, care plan or supervision plan.

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Exam 3 Nursing in complex situations

This exam concerns the following work processes from key task 1 Providing care and supervision in the nursing process.

Key task number

Work process number

Work process title

Competencies

A Deciding and initiating activities D Showing attention and understanding H Persuading and influencing J Formulating and reporting K Applying occupational expertise M Analysing K Applying occupational expertise L Deploying materials and resources T Following instructions and procedures I Presenting L Deploying materials and resources B Directing E Collaborating and consulting Q Planning and organising

1

1.1

Formulates a nursing diagnosis and nursing care plan

1

1.3

Carries out nursing technical activities

1

1.6

Provides information, advice and instruction

1

1.8

Coordinates health care delivery

1

1.9

Evaluates the health care delivery D Showing attention and understanding J Formulating and reporting M Analysing

Description of this exam Your exam is taken in a highly complex care situation.

The nurse carries out nursing technical procedures in a competent and professional manner in accordance with the applicable protocols, laws and regulations and the guidelines of the organisation. The nursing technical procedures also include reserved and high-risk procedures. The patient with highly complex care issues is supported and means and resources are deployed efficiently in the execution of the nursing technical procedures.

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

The nurse provides clear and understandable information, advice and instructions, taking into account the opportunities of the target group, in the execution of her tasks to the patient(s), next of kin and/or caregivers.

The degree of difficulty Context

Direction

Responsibility

complex

independent

carrying out the care and supervision cycle

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Work process 1.1 Formulates the nursing diagnosis and the nursing care plan

Assignment 1 Formulate a nursing care plan for a patient with highly complex issues. Formulate the plan according to the institution guidelines, and state the objectives, activities and evaluation questions. Discuss the plan with your colleagues and the patient and his next of kin or representatives and adjust the plan based on this information as required. Insert a report of this discussion in your supporting documents. Assignment 2 Create an accountability report. Substantiate the choices you have made in the consultation. Make use of the theory concerning options, disorders, disabilities and clinical pictures. Take into account the individual situation of the patient and his next of kin. Submit a case for this patient in order to support your substantiation and state:  the course of life  the state of health  the options, disorder, handicap and/or disability and, if applicable, the clinical picture  the patient’s social network  the nursing diagnosis. Have this case signed by your work supervisor for authenticity. Result As a nurse in mental health care, you have formulated the nursing care plan based on anamnesis information and the nursing diagnosis, and discussed it with the patient and those involved. You have obtained assent.

Supporting documents Provide the following supporting documents: 

A fully completed assessment form substantiated by the examiner

 The nursing care plan you have formulated and discussed and the report of the discussion.  The accountability report with a case of the patient signed by your work supervisor

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Exam 3 Nursing in complex situations (2014-vp-4-e3)

Training Nurse, level 4

Assessment form of work process 1.1 Formulates the nursing diagnosis and the nursing care plan

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Supporting document: The nursing care plan you have formulated and discussed and the report of the discussion The examinee:  formulates the objectives in the nursing care plan correctly, in an understandable manner and according to the institution guidelines  formulates the activities and interventions in the nursing care plan correctly, in an understandable manner and according to the institution guidelines  formulates the evaluation questions in the nursing care plan correctly, in an understandable manner and according to the institution guidelines  clarifies in the report that she has discussed the plan in a correct manner with those involved and asked for assent.  has applied the institution guidelines when formulating the nursing care plan Supporting document: The accountability report, supported by a case signed by the work supervisor. The examinee:  has correctly described the course of life, the state of health, the options, the disorder, the handicap and/or the disability and, if applicable, the clinical picture, the patient’s social network and the nursing diagnosis in the case signed by the work supervisor

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

 describes how she has involved the patient and his next of kin or representatives in the formulation of the nursing care plan and how the plan was adjusted based on this information  describes how she has taken into account the social circumstances, wishes and care requirements of the patient and his next of kin or representatives in the formulation of the nursing care plan  describes how she has acted according to the guidelines of the institution  using the case, describes how the course of life, the state of health, the options, the disorder, the handicap and/or disability and, if applicable, the clinical picture, the patient’s social network and the nursing diagnosis have been included in the nursing care plan  correctly analyses the information collected  describes how she made decisions independently in order to deploy the correct interventions. Foundation of the assessment of the work process with examples relating to the evaluation criteria.

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training

Signature:

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training Signature:

Total amount of points WP 1.1 add up only if there are no unsatisfactory marks

..

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation Good: ≥ 19 points Satisfactory: All criteria have been evaluated as satisfactory or better Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Assessment form of work process 1.1 Formulates the nursing diagnosis and the nursing care plan (tick where appropriate)

 This work process has been evaluated as good

 This work process has been evaluated as satisfactory

 This work process has been evaluated as unsatisfactory

Examinee’s name: (written in full in block letters ) …………………………………………

Signature (seen):

…………………………………………

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Work process 1.3 Carries out nursing technical procedures

Assignment 1 You carry out the nursing technical procedures and reserved nursing technical procedures (see appendix) according to protocol and existing legislation and you assist the patient as part of this. Make sure every one of your procedures are evaluated. Use a training checklist to keep everything updated, the procedures you master and for which you are thus competent. If you can prove that (certain) nursing technical skills are not or rarely carried out in practical vocational training, execute these in a simulated setting. Have yourself evaluated using a random check to assess whether you have a thorough command of the work process. The following condition applies: you must demonstrate using the checklist that you are competent. Make agreements with your assessor.

Assignment 2 Write a report about the nursing technical and reserved procedure(s) you have carried out.

This report elaborates: 

the clinical picture of the patient

 the necessity of the nursing technical action(s) with regard to the clinical picture  the relevant laws concerning the nursing technical and/or reserved procedure(s) that has (have) been carried out  the manner in which you have safely and responsibly carried out the procedures with the patient. Result You have carried out the nursing technical procedures in a competent and professional manner, in accordance with the applicable protocols, laws and regulations and the guidelines of the organisation.

Supporting documents

Submit the following supporting documents: 

A fully completed assessment form substantiated by the examiner  An accountability report of the nursing technical procedure(s) that has (have) been carried out and the materials and resources used

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Exam 3 Nursing in complex situations (2014-vp-4-e3)

Training Nurse, level 4

Assessment form of work process 1.3 Carries out nursing technical procedures

Examinee’s name:

Cohort:

Date:

Good (2)

Satisfactory (1)

Unsatisfactory (0)

Evaluation criteria

Behaviour assessment

The examinee:

 informs the patient about the nursing technical procedure

 coaches the patient during the nursing technical procedure

 acts according to the prescribed protocols and working procedures with respect to the action(s) to be carried out within the institution  selects the proper materials and resources for the nursing technical procedures to be carried out  makes efficient use of the required materials and resources for the execution of the nursing technical procedure(s)

 calculates rapidly and accurately

 works hygienically according to the guidelines of the institution

 works ergonomically according to the guidelines of the institution

 takes into account the environment according to the guidelines of the institution

 works safely according to the guidelines of the institution

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Supporting document: An accountability report of the nursing technical procedure(s) that has (have) been carried out and the materials and resources used

The examinee:

 using the clinical picture, describes the necessity of the nursing technical procedure(s) that has (have) been carried out for the patient  describes the legal guidelines (Individual Health Care Professions Act, Psychiatric Hospitals (Compulsory Admission) Act, Medical Treatment Contracts Act, Privacy Protection Act, working conditions and Exceptional Medical Expenses Act) that apply to the procedure(s) carried out  describes how she has worked in conformity with the prescribed procedures in the organisation  describes the way in which she has deployed the materials and resources efficiently in the execution of the procedure(s)

 indicates the specific observations she has carried out in the procedure(s) carried out

 indicates the data she has reported after carrying out the procedure(s)

Foundation of the assessment of the work process with examples relating to the evaluation criteria.

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training

Signature:

Examiner’s name: (written in full in block letters ) …………………………………………

Function: Institution: □ Practical Vocational Training □ Training

Signature:

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Total amount of points WP 1.3 add up only if there are no unsatisfactory marks

..

Cutting score All of the evaluation criteria have been evaluated as satisfactory or better. Standardisation Good: ≥ 25 points Satisfactory: All criteria have been evaluated as satisfactory or better Unsatisfactory: One or more criteria have been evaluated as unsatisfactory Evaluation of work process 1.3 Carries out nursing technical procedures (tick where appropriate)

 This work process has been evaluated as good

 This work process has been evaluated as satisfactory

 This work process has been evaluated as unsatisfactory

Examinee’s name: ……………………………………….. (written in full in block letters)

Signature (seen):

…………………………………………

Work process 1.6 Provides information, advice and instruction

Assignment 1 Within the execution of your tasks, you provide patients with highly complex issues, next of kin and/or caregivers with clear and understandable information, advice and instructions. You provide information and advice for the benefit of maintaining or increasing self-reliance, focused on the options for dealing with an illness or impairments. Focus on the options and impairments of the patient. Create a plan on how you will provide the information or advice. Provide the information according to the plan. Assignment 2 Create an instruction plan for a group of patients, caregivers and/or next of kin. (A group can also be taken to mean a family or relatives.) The instruction may deal with:  an instruction about teaching a nursing technical procedure  an instruction about the use of an aid  or an instruction of the examinee’s choice.

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3

Instruct a group of patients, caregivers and/or next of kin in accordance with the formulated instruction plan. Submit this instruction plan with a substantiation of how you provided the instruction.

Result You have provided the client or target group with clear and understandable information, advice and instruction adapted to the client or target group.

Supporting documents Submit the following supporting documents: 

A fully completed assessment form substantiated by the examiner  An instruction plan with substantiation

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Consortium vocational training Z&W series 2014 Training: Nurse 2014-vp-4-e3