SPECIALIST PRACTICE IN SCPHN INCLUDING V100 - 2018/9

Module code: NURM188

Module Overview

This module integrates theory learned in this module and all core programme modules and enables students to develop skills in practice using the appropriate evidence base. Students are supported in practice by a Practice Teacher and where appropriate a mentor to progress to a stage of competency in all domains of SCPHN practice. The V100 content is incorporated within this module and therefore students will achieve the Community Nurse Prescribing qualification on successful completion of the module and additional assessments.

On successful completion of all aspects of the module and the SCPHN programme, the University will inform the NMC that the student is eligible to register their qualification, including the V100. This must be done within 5 years from the identified start of the programme. If there is a need for interrupt, the student’s acquired knowledge and skills need to remain valid in order to allow them to achieve the proficiencies set by the NMC, so where necessary, some or all, of the prescribing preparation and assessment may need to be repeated. Registrants are not able to prescribe until the V100 qualification has been recorded on the NMC register.

Module provider

School of Health Sciences

Module Leader

JONES F Ms (Health Sci.)

Number of Credits: 15

ECTS Credits: 7.5

Framework: FHEQ Level 7

JACs code: B700

Module cap (Maximum number of students): N/A

Module Availability

Year long

Prerequisites / Co-requisites

Students must be currently undertaking an SCPHN programme. Students must be sponsored by an Organisation who will provide a practice placement with an allocated Practice Teacher and where appropriate a Mentor to support and assess the student in practice

Module content

To be informed by High Impact Areas in SCPHN Fields of Practice and BFI themes .

Indicative content includes:

• Child and young person development from birth to 19 years

• Healthy eating and exercise • Breast feeding

• Mental health

• Minor illness management

• Medicines management

• Accident prevention in the 0-19 age range

• School readiness

• Transition to adulthood

• Supporting families with disability and complex needs

• Sexual health

• Enuresis

• Sleep

• Behaviour management

• Preparation for consolidated practice and pre-ceptorship

• Clinical decision making

Health Visiting High Impact Areas For 2016-17

• Transition to parenthood and early weeks

• Maternal mental health

• Breast feeding initiation and duration

• Healthy weight, healthy nutrition ( including exercise)

• Managing minor illness and reducing hospital attendance and admission

• Health, welbeing and development of the child aged 2/ readiness for school

School Nursing High Impact Areas for 2016-17

• Resilience and emotional well being

• Keeping safe: managing risk and reducing harm

• Improving lifestyles

• Maximising learning and achievement

• Supporting complex and additional health and wellbeing needs

• Seamless transition and preparation for adulthood

Baby Friendly Inititaive Themes (UNICEF 2016)

1. Have an understanding of breast feeding

2. Enable mothers to breast feed

3. Support close and loving relationships

4. Be able to manage the challenges

5. Promote positive communication

UNICEF (2016) Guidance for universities in implementing the Baby Friendly Initiative standards

V100 content:

• Consultation, decision making and therapy, including referral

• Influences on and psychology of prescribing

• Prescribing in a team context

• Clinical pharmacology, including the effects of co-morbidity

• Evidence based practice and clinical governance in relation to nurse prescribing

• Legal, policy and ethical aspects

• Personal accountability and responsibility

• Prescribing in the public health context

Assessment pattern

Assessment type Unit of assessment Weighting
Coursework Assignment 100
Pass/Fail competencies Observed Structured Practice Assessment Pass/Fail
Pass/Fail competencies Portfolio to include log of 18 hours of prescribing activity and prescriptions x2 Pass/Fail
Examination Additional qualification V100 calculation paper (100% pass mark) Pass/Fail
Examination Additional qualification V100 mcq paper (80% pass mark) Pass/Fail
Pass/Fail competencies Medicines Management Reflective Discussion Pass/Fail

Alternative Assessment

None

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate the integration of evidence based theory with the acquisition of practice skills. In the portfolio, students will identify the strengths, challenges, opportunities and barriers (SCOB) to their learning at three key points in their learning journey. This will enable them to set their learning objectives, agree a plan for achieving them with their Practice Teacher (PT) and evaluate their progress.

The summative assessment for this module consists of 4 parts :

1. An assignment in which the student will write a reflective account which critically analyses the clinical decision making used in a client assessment 3,000 words

2. The Observed Structured Practice Assessment signed as a pass by the PT The OSPA and assignment will be submitted Via Surrey Learn and a copy sent to the PT

3. A Portfolio of evidence which demonstrates the achievement of SCPHN domains specific to the student’s pathway. The evidence in the portfolio should contextualise the student’s learning and demonstrate their application of knowledge and skills to their pathway of professional practice. Assessment in practice is measured against the Standards of Proficiency for SCPHN (NMC 2004) and the Standards of Proficiency for Nurse and Midwife Prescribers (NMC 2006)

Portfolio content includes

• A log of practice hours for a minimum of 63 practice days which clearly denotes

a) 5 days alternative practice and 10 additional days of public health hours (A day in practice is calculated as 7.5 hours )

b) 18 hours of nurse prescribing activity • Achievement of all domains of practice at a competent level signed by PT

• Confirmation that student is ready to progress to consolidated practice signed by PT

• Teaching plan, delivery and evaluation by student and PT • 3x SCOB analysis

• Learning agreements and evaluation of them by PT

• Medicines management reflective account of an observed prescribing activity discussed with and signed by PT

• 2 prescriptions for items prescribable by a nurse prescriber

• Public health experience notes

• Alternative practice journal

• Windshield survey

4. V100 Examination An online examination lasting an hour and a half consisting of two parts:

• Part A: V100 calculation paper (100% pass mark) Pass/Fail

• Part B: V100 mcq paper (80% pass mark) Pass/Fail

Formative assessment and feedback Student progress will be reviewed at tripartite meetings in practice between the student, Practice Teacher and University Specialist Practice Teacher. Each student will receive a minimum of 3 visits at strategic points in the programme. Students will develop their portfolio of evidence and complete a SCOB and reflection of their progress to be discussed at each visit. Practice Teachers will review the student’s practice on a regular basis and raise any concerns with the student and their tutor at an early stage.

If there is either evidence of unsafe practice or any breach of confidentiality, it will result in an automatic referral for the assessment of this module Failure to answer correctly any question which may result in direct harm to a patient / client will result in referral of V100 ( NMC 2006:27)

Module aims

  • This module aims to enable health visiting and school nursing students to develop evidence based practice and achieve competency in all 4 domains of the standards of proficiency for Specialist Community Public Health Nurses to meet the entry requirements for part 3 of the NMC register.
    Domain 1- Search for Health Needs
    Principle: Surveillance and assessment of the population’s health and wellbeing
    Domain 2 – Stimulation of awareness of health needs
    Principles : Collaborative working for health and wellbeing
    Working with and for communities to improve health and wellbeing
    Domain 3- Influence on policies affecting health
    Principles ; Developing health programmes and services, reducing inequalities
    Policy and strategy development and implementation to improve health and wellbeing
    Research and development to improve health and wellbeing
    Domain 4 – Facilitation of health enhancing activities
    Principles : Promoting and protecting the population’s health and wellbeing
    Developing quality and risk management within an evaluative culture
    Strategic leadership for health and wellbeing

    Integrating the V100 outcomes and competencies within this module will help to equip eligible SCPHNs with the principles of prescribing to enable them to be safe, effective and cost-effective prescribers, in a primary care setting
    It will also enable students to understand the principles of good prescribing, the law relating to prescribing, accountability in prescribing and the pharmacokinetics and pharmacodynamics of drugs that are listed in the Nurse Prescribers Formulary.



Learning outcomes

Attributes Developed
001 Critically evaluate service provision for children aged 0-19 years and critique the importance of engagement with the whole family KP
002 Use and analyse a range of tools to assess need holistically and use clinical decision making skills to decide on the level of service provision in partnership with clients CP
003 Deliver the Healthy Child Programme to children and families within the 4 levels of service model of Community, Universal, Unviversal Plus and Universal Partnership Plus PT
004 Focus service provision on current high impact areas identified by Public Health England CP
005 Have an appreciation of the UNICEF Baby Friendly Initiative Standards and the SCPHN role in delivering them
006 Systematically evaluate the importance of partnership, integration, communication and inter-professional working to identify and minimise risk KCP
007 Critically appriase their own and others skills in leadership and demonstrate an ethical approach in leadership activities KPT
008 Deliver high quality client care utilising professional judgement and clinical decision making skills within acceptable ethical and legal paramete PT
009 Demonstrate knowledge of medicine management and prescribing principles in the context of SCPHN practice and meet the NMC standards of proficiency for nurse prescribers and midwives KCPT
010 Critically analyse and contribute to strategies designed to promote wellbeing, improve health and prevent disease in individuals, groups and communities KCP
011 V100 Outcome - Assess and consult with patients / clients and parents / carers KP
012 V100 Outcome - Undertake a thorough history, including medication history and current medication (including over-the-counter, alternative and complementary health therapies) to inform diagnosis KCP
013 V100 Outcome - Understand and apply the relevant legislation to the practice of nurse / midwife prescribing KCP
014 V100 Outcome - Critically appraise, use sources of information / advice and decision support systems in prescribing practice CPT
015 V100 Outcome - Understand the influences that can impact on prescribing practice KP
016 V100 Outcome - Demonstrate an understanding of the ethical dimensions of prescribing CPT
017 V100 Outcome - Understand and apply knowledge of drug actions in prescribing practice KCP
018 V100 Outcome - Demonstrate an understanding of the roles and relationships of others involved in prescribing, supplying and administering medicines PT
019 V100 Outcome - Prescribe safely, appropriately and cost effectively CP
020 V100 Outcome - Practise within a framework of professional accountability and responsibility PT
021 V100 Outcome - accurately completes and routinely checks calculations relevant to prescribing and practical dosing relevant to patient group/field of practice CP

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Overall student workload

Independent Study Hours: 90

Lecture Hours: 60

Methods of Teaching / Learning

The learning and teaching strategy is designed to bring together all elements of learning in University and practice settings to ensure that students are adequately prepared for their role as an SCPHN. They will build on their existing professional skills to achieve the knowledge and skills required to enter part 3 of the NMC register Where appropriate students will be taught in their specific pathway groups or together for common core elements of the module.

UNICEF ( 2016) Learning outcomes will be integrated into the module in accordance with the recommendations received during the accreditation process.

The learning and teaching methods include:

Lectures, seminars ,workshops, discussions, case studies, presentations from specialist practitioners in University Observation, participation and demonstration of skills, professional conversation and reflection, clinical supervision, contribution to inter-professional forums in practice.

Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list

Reading list for SPECIALIST PRACTICE IN SCPHN INCLUDING V100 : http://aspire.surrey.ac.uk/modules/nurm188

Other information

This module is core for Specialist Community Public Health Nursing (Health Visiting and School Nursing) and will require students to pass every unit of academic and practice assessment.

This module also has practice hours as an essential element.

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2018/9 academic year.