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Teachers Learning and Assessment
Teachers Learning and Assessment
Teachers Learning and Assessment
ON
1: General Information
1a Title: Competency assessment
1b Description: Assessment on neurovascular observations in the orthopedic patients
1c Target group: Nurses unfamiliar with orthopedic patients neurovascular observations
including but not limited to new staff, new graduates, and students in Orthopedic setting at
Canberra Hospital
1d Assessment Type: Mandatory
1e Assessment Period: Ongoing according to nurses rotation in the ward
1f Name of the assessor and contact details
Betsy Rajeev
Registered nurse level 2 year 4
Ward 5 A, Orthopedics, Canberra Hospital
Tel: 0449082581
betsyrajeev@act.gov.au
2: Content
2a Assessment description and learning outcomes
Background
Prevention is better than cure. Therefore, early prevention and even early detection of possible
complications can save lives of many especially if the nurses remain vigilant in documenting
neurovascular observations in orthopedic patients. This assessment design enable nurses working
within orthopedic setting at Canberra Hospital to increase their knowledge and understanding of
Neurovascular observations and to successfully perform the procedure in patients, pre and post
surgeries, post injury and application of cast or traction.
Learning Outcomes
On completion of this assessment, nurses will be able to:
1. Demonstrate a complex understanding of the key terms and concepts of Neurovascular
observations (NVObs) in Orthopedic Patients as outlined in the:
a. Handout on the related training session conducted in the ward
b. Self - directed learning package (SDLP) endorsed by ACT Health Staff
Development Unit (SDU) and its e-learning
c. Canberra Hospital, Standard Operating Procedure( SOP)
2. Apply this understanding to their nursing practice in performing neurovascular observations in
orthopedic patients.
3. Reflect critically on their own practice as an assessor of neurovascular observations in
orthopedic patients.
4. Implement the gained knowledge and skills in correctly assessing and documenting
neurovascular observations in orthopedic patients and identifying any deficits that require prompt
reporting to medical team
2b Competency Standards
The assessment design is intended for individuals who are accountable to practice according to
ANMC competency standards. The competency standards can be accessed from ANMC or
viewed at: http://www.anmc.org.au/ The final assessment is based on the individuals ability to
achieve ANMC competencies in conjunction with the performance level according to Bondy
Rating Scale (Faculty of Health-Bachelor of Nursing, 2014).
By the end of the assessment the participants will have developed skills and attributes in
1. Professional practice
The ability to undertake professional, legal and ethical responsibilities: demonstrating
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appropriate knowledge and skills, recognizing legislation affecting nursing practice and
protecting individuals rights.
2. Critical thinking and analysis
The ability to evaluate information in an insightful way, reflecting on practice contributing to
professional development of self and others.
3. Provision and Coordination of Care
The ability to coordinate, organise and provide nursing care through systematic implementation
of nursing process.
4. Collaborative and therapeutic health care practice
The ability to establish, maintains, and properly concludes professional relationships, and
collaborates with multidisciplinary team members to provide holistic nursing care.
Personal attributes
As staff, graduates and students new to orthopedic setting, participants will develop the qualities
of critical thinking and reflective practice.
2c Prerequisites
The participants will have to
1. Attend the training session conducted in the ward on Neurovascular Observations in
Orthopedic Patients according to ward training calendar.
2. Identify the standard operating procedure (SOP) on Neurovascular Observations in Orthopedic
Patients from the hospital intranet under Act health policies.
3. Complete ACT Health Staff development unit SDLP on Neurovascular Observations in
Orthopedic Patients and the e-learning available at https://training.health.act.gov.au/client view
4. Observe and if possible carry out Neurovascular Observations in patients on the ward under
supervision of a competent nurse at least twice prior to taking this assessment.
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3. Assessment Resources
1. Handout on the related training session conducted in the ward (provided at the session).
2. Related ACT Health Self directed learning package available from staff development unit or
the assessor.
3. Related SOP available from ACT Health intranet
4. Neurovascular Observation Sheet available from ward folder cupboard.
5 Patients confidential record.
6 Competency assessment tool (could be obtained from assessor prior to assessment or available
with assessment design)
4. Assessment
4a Assessment overview
Assessment
Due
date
of Weighting
Addresses
Related
learning
competency
item
assignments
1.Short answer
Flexible
40 %
outcome(s) standard(s)
1,2,3,4
1,2,3,4
Questionnaire
2.Return
to be negotiated
Flexible
to
be
50%
1,2.3,4
Demonstration
negotiated
3.Reflective
To be completed
activity
1,2,3,4
NOTE
10%
1,2,3,4
1,2,3,4
participant
placement
The participants must take part in all assessment items, so that a decision of competence can be
made. Participants have to achieve 100% accuracy in assessment item1 and 2 and a satisfactory
score of 50% or above in assessment items 3 to pass the assessments. The assessments is finally
coded against performance criteria checklist against ANMC competencies. The final decision will
be either competent or not yet competent. Participants showing a performance level of L1 in the
final assessment is therefore, deemed competent.
Weighing: 40%
Purpose
This assessment task requires you to explain your complex understanding of the key terms and
concepts of Neurovascular observations (NVObs) in Orthopedic Patients and reflect on own
practice as an observer of NVObs in orthopedic patients.
Task
1. Recall the knowledge and skills needed for the assessment of Neurovascular observations in
Orthopedic patients as outlined in the
a. Handout on the related training session conducted in the ward
b. Self - directed learning package and e-learning endorsed by ACT Health SDU
c. Canberra Hospital Standard Operating Procedure (SOP).
2. Answer 10 short answer questions to demonstrate your understanding of the key terms and
concepts and related skills in assessing NVObs in Orthopedic patients. utilizing your own
reflections during your supervised practice.
Criterion
Unsatisfactory Satisfactory
Demonstrate relevant knowledge and skills in Score
less Score of 10
than 10
performing NVObs in Orthopedic patients by
answering 10 short questions recalling information
from assessment resources and related supervised
practice (marking done by a peer colleague).
Final score (rounded to 100%)
Purpose:
This assessment task requires you to apply the theory of assessing NVObs in Orthopedic patients
to your nursing practice and carryout the procedure skillfully without supervision and to reflect
on your own practice.
Task
1. Apply the related theory in correctly assessing NVObs in Orthopedic patients using the
standard NVObs chart.
2.Implement the gained knowledge and skills in identifying any deficits in patients that require
prompt reporting to medical team and develop insight on own practice.
Marking Criteria
Criterion
Unsatisfactory Satisfactory
Demonstrate the pre-procedure, procedure
and post procedure aspects of assessing Score
Score of 10
Unsatisfactory
Satisfactory
supervised
and
Score above 5
assessed
rounded
to
100%
Performance Criteria
Participant name
Assessors name & Date
Work area
Designation
Assessors Signature in provided
Performance level
areas
L1 L2
L3
L4
L5
Not
observed
L1
L2
L3
L4
L5
Not
Observed
1. Professional practice
a. Practices in accordance with legislation affecting
progress
towards
expected
Participants Signature
Assessors Signature
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Item1: Assessment questionnaire should be submitted soon after the allotted time of its
completion on the negotiated date of assessment.
Item2: Completed NVObs chart should be submitted on the negotiated date of return
demonstration.
Item 3: Should be submitted using link in online site.
Apart from assessment item candidates should submit proof of completed self directed learning
package, elearning, proof of supervised practice and related assessment report by the registered
nurse who has supervised candidates return demonstration, prior to negotiated date of actual
assessment.
The participant should ensure the following information is provided with each assessment item:
AGS No or Student ID:
Assessment name:
4d Supplementary Assessment
In exceptional cases, participants including new graduates and new staff could undertake relevant
assessments after 3 months of their initial placement. However, nursing students have to liase
with their clinical facilitator to organise their placements accordingly so that assessment dates
could be negotiated with the assessor.
4e Academic Integrity
It is required that the participants undertaking the assessment should adhere to the ANMC Code
of Professional Conduct for Nurses and Code of Ethics for Nurses. More information is available
at:http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes- Guidelines.
aspx. Moreover, participants are entrusted to build on the work of others and it is important to
acknowledge use of others work as required. Practices such as disobeying in exam room,
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plagiarism, cheating, and falsification of data are not acceptable and participants will not be
allowed to continue in the assessment process.
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assessment. In addition, if you are planning to withdraw from the assessment tasks please discuss
with the assessor.
5d Required IT skills
It is expected that participants will have the minimum IT skills in using e-mails and accessing
ACT Health intranet and relevant websites as outlined earlier in sections 2b, 2c and 4e.
5e Costs Involved
Assessment materials including the questionnaire and relevant NVObs chart and the related
assessment process is free of cost. However, participants might need to meet the cost of
downloading or printing relevant ACT Health intranet or website information.
5f Contact details
It is the participants responsibility to update your contact details with the assessor so that any
changes could be promptly communicated.
6: Participant feedback
Participants are encouraged to complete a feedback form which will be provided to the
participant prior to the assessment which could be returned in hand to the assessor after the
assessment tasks or could be returned to the assessors email.
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ASSESSMENT PLAN
STEP 1- BEFORE THE ASSESSMENT DAY
1. Meet with the participant
Give information about assessment
a. Topic title- Neurovascular observations for orthopedic patients
b. Purpose of assessment - as part of completing checklist of procedures in ward.
c. Assessment benchmarks ANMC Competencies
d. Assessment principles and processes
2. Discuss with participant the assessment requirements.
a. Recognition of prior learning- Participants previous experience in performing N/V Obs in
orthopedic patients on the ward.
b. Whether participant have completed Staff development units self directed learning package
and e-learning on N/V Obs checking for orthopedic patients.
c. Need for the participant to review the handout from the session on N/V Ob checking on the
ward before taking part in the assessment.
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3. Discuss regarding assessment method/tools that will be used to collect evidence and time
line for collection of evidence.
a. Completing a questionnaire on N/V obs checking
Date: as negotiated
Time limit: 20 minutes
Participant is assessed by a peer who is competent in the procedure using answer key developed
by the assessor. Marks scored are recorded and feedback is encouraged.
b. Participant will be asked to demonstrate the procedure of checking N/V Obs according to
guidelines on an orthopedic patient on the ward either after completing the questionnaire or at a
negotiated time later.
Date: as negotiated
Time limit: Half an hour
Participant is assessed using an observation checklist and marks are recorded.
c.Final assessment is carried out by the assessor based on participants performance in assessment
item 1 and 2 and 3 against the ANMC competencies.
d. Clarify any questions the participant might have.
4. Discuss reasonable adjustments for special needs.
Special needs of candidate including language, literacy and numeracy if any are addressed such
as need for an interpreter/reader or change in assessment timings or methods.
5. Discuss resources required.
As described in assessment design 3
6. Discuss personnel required.
a. The assessor will nominate a peer (of the participant who is competent to perform NVObs) to
identify a patient on the ward on whom the procedure of N/V Obs can be performed.
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b. The participant need to inform the team nurses taking care of patient about the assessment
taking place before hand.
7. Discuss OH&S Issues.
a. Maintaining proper working height.
b. Safety of self and patient.
8. Explain
Participant will be competent in the assessment if the participant gain 100% marks in the short
answer questionnaire and return demonstration assessment showing a performance level of L1 in
the final assessment.
Participants can lodge an appeal against assessment decision in writing this will be reviewed by
appeals committee.
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b.Process of review of assessment- Review the assessment conducted and makes changes as
required.
ASSESSMENT TOOL
Topic covered
Neurovascular Observations In The Orthopedic Patients.
Competency standards- Australian Nursing and Midwifery Competency Standards
INSTRUCTIONS
For Participants
a. Participants must review the handout on the session on Neurovascular Observations (NVObs)
in Orthopedic patients conducted in the ward before undertaking the assessment.
b. Participants must have completed the ACT Health Staff Development Unit self directed
learning package and e-learning on (NVObs) on Orthopedic patients prior to this assessment.
c. Participants taking part in this assessment must have observed the procedure of NVObs on
patients on ward during their supervised practice and if possible perform the procedure under
supervision at least twice prior to this assessment.
d. Candidate should have taken the similar assessment with the competent nurse prior to taking
this assessment.
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e. This assessment includes 2 assessment items: Date and time of assessment as negotiated with
assessor.
Item 1: Answering 10 short answer questions
Total time required: 20minutes
(Peer or workcolleague of the participant marking completed questionnaire)
Item 2: Return demonstration of the procedure on a patient in the ward using NVObs chart
Total time required: Half an hour. (Assessment will be carried out using the observation
check list developed by the assessor).
NOTE: The participants must take part in both assessment items and later the reflective activity
so that a decision of competence can be made.
e. Participants please review the assessment guide provided at the bottom of the tool.
f. Participants have to achieve 100% in assessment items 1 and 2.
g. Participants with special needs should report to the assessor promptly so that alternatives can
be arranged like providing interpreter, reader etc.
h. Remember to put down your AGS no or student no. as requested in spaces provided.
For assessor.
Please refer to the assessor guide provided with.
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ASSESSMENT ITEM 1
SHORT ANSWER QUESTIONNAIRE
Topic covered: Neurovascular observations on orthopedic patients
Participant AGS No. or Student No.
Assessor Name
Location
Date
Please complete the 10 short answer questions in the space provided using blue/black pen.
Each question carries 1 mark. Total time 20 minutes
Mark
Ques. 1. State the purpose of checking N/V Obs in orthopedic patients?
Ques.2.What is the frequency and duration of checking N/VObs in a post operative orthopedic
patient?
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Ques.3. Identify three aspects that needed to be checked if vascular deficit is noted in any limb?
a.
b.
c.
Ques.4. What should you do if the dorsal pedis pulse is not felt while assessing lower limbs?
Ques.5. What does the change in skin colors, white and blue indicates when assessing skin colors
distal to injured limb?
Ques.6. State the fiveaspects in the vascular test of limbs that a clinician should assess when
performing NVObs in patients?
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Ques.8 What will you do if Neuro deficit detected when assessing the lower limb?
Ques.9.How will you perform peroneal test to assess the motor and sensory function of the lower
limbs?
Ques.10 Whom should be informed if any deficits are noted while checking NVObs in patients?
MARKING GUIDE
Total marks = 10
Unsatisfactory
Satisfactory
( Score of 10)
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I have discussed this assessment with my peer and I am satisfied with the conclusions:
Additional comments:
Participant Signature
Peers Signature
Date:
Date
ASSESSORS GUIDE
Topic covered: Neurovascular observations on orthopedic patients
Competency standard: Participant is assessed against ANMC competencies
Name of Assessor:
INSTRUCTIONS
1. Please refer to the instructions on the assessment tool.
2. Ensure that the participants with special needs are catered appropriately
3. Please refer to the details for each assessment item provided in section 4b and use the related
marking criteria for assessments. However, participants have to achieve a score of 100% in short
answer questionnaire and practical return demonstration which will be finally coded against
performance criteria checklist against ANMC competencies. The final decision will be either
competent or not yet competent.
4. Answers for the 10 short answer questions are provided below (Peer or work collegue to refer
to the answer key when marking completed questionnaire.
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5. Follow the observation checklist when assessing the return demonstration of the participant
using standard NVObs chart.
6. Ensure that the participants are well informed about appeals system in place, reassessment
needed if any.
7. Follow the assessment plan.
ASSESSMENT ITEM 2
(RETURN DEMONSTRATION)
OBSERVATION CHECKLIST
NEUROVASCULAR OBSERVATIONS INTHE ORTHOPEDIC PATIENTS
Participant AGS No/ Student No.
Assessor Name
Signature
Date
Location
Signature
Date
Correct technique of checking NVObs in Orthopedic patients is very important. Participants need
to obtain a satisfactory score of 10/10 in the return demonstration of the procedure.
How many times have you observed NVObs checking in the ward before?
How many times have you performed the procedure before, during your supervised practice?
Have you undergone similar assessment on the topic before?
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Yes
No
Mark
Pre-procedure
1. Able to locate NVObs chart in the ward
3. Provide privacy
Procedure
4. Able to denote the patients identity correctly in the chart
_
Yes
No
Mark
_
Post procedure
9. Conclude the therapeutic relationship
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Unsatisfactory
Satisfactory
(Score of 10)
ASSESSMENT ITEM 3
Briefly describe your experiences as an assessor of Neurovascular Observations in
orthopedic patients and how you will utilise your acquired knowledge and skills in detecting
potential neurovascular problems in patients with orthopedic injuries.
Please submit your responses following the online link .
Work area
Designation
Assessors Signature in provided area
Performance level
L1
L2
L3
L4
L5
Not
observed
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1. Professional practice
a. Practices in accordance with legislation affecting
nursing practice and health care
b. Practices within an ethical nursing framework
2. Critical thinking and analysis
a. Practices within an evidence based framework
b. Practice ongoing development of self & others
3. Provision and Coordination of Care
a. Conducts comprehensive nursing assessment
b Plans nursing care in consultation with individuals
and interdisciplinary health care team
Performance Level
L1
L2
L3
L4
L5
Not
Observed
progress
towards
expected
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Participants Signature
Date
Assessors Signature
Date
Assessor comments:
I have discussed this assessment with the assessor and I am satisfied with the conclusions.
Participants comments:
Participant Signature
Date:
Assessors Signature
Date
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Satisfactory
Needs
improvement
Unsatisfactory
Learning outcomes
met
Knowledge on the
topic
Skill in performing
procedure
Self reflection
Interaction with
work colleagues
Interaction with
other participants
Use of technology
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Thank you
Fair
Good
Do you think the assessment met the principles of assessment (valid, reliable, flexible and fair)?
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State the main things that you learned through this assessment process?
Canberra Hospital. (2015). Standard Operating Procedure Number TCH 11:010: Neurovascular
Observations for Orthopedic Patients. Retrieved from http://acthealth/c/Health Intranet
Canberra Hospital and Health Services, (2015). Policy DGD12-036: Work Health and Safety.
Retrieved from http://acthealth/c/Health Intranet
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Nursing and Midwifery Board of Australia. (2015). Codes and Guidelines. Retrieved from
Nursing and Midwifery Board of Australia: http://www.nursing midwifery board.
gov.au/Codes- Guidelines- Competencies
Nursing and Midwifery Board of Australia. (2015). Codes and Guidelines. Retrieved from
Nursing and Midwifery Board of Australia: http://www.nursing midwiferyboard.
gov.au/Codes-Guidelines-Statements/CodesGuidelines.aspx.
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