PETP Process Overview

CET: PETP Process Overview

CET Process Overview: Paramedic Entry to Practice Programme

WFA Clinical Education Team

CET: PETP Process Overview

Version Control This document has been peer reviewed and moderated. Changes to content must not be made without the approval of the Clinical Education and Training Manager – and a documented moderation process. All teaching packages should be reviewed biannually, or externally moderated.

Moderation

Version Control Date Details 29/03/2012 Draft for review

WFA Clinical Education Team

Authorised T Mushet

CET: PETP Process Overview Introduction This process overview outlines the back office requirements for the operation of the PETP programme.

It is important that there is a transparent document for the operation of this programme – this will ensure clear delineation of boundaries between various business units, uninterrupted service provision and good learning experiences for interns.

Programme Overview The PETP aims to prepare graduates – or near graduates for beginning practice at the ILS level. The specific learning outcomes follow below: ›Learning objectives On completion of the Paramedic Entry to Practice Programme (PETP) students will demonstrate the following competencies: •

Act in accordance with accepted standards of conduct and performance

•

Have the ability to make informed and considered decisions

•

Demonstrate professional autonomy and accountability

•

Demonstrates the knowledge and understanding required for practice as a Paramedic

•

Operate within a safe practice environment

•

Identify and assesses health and social care needs in the context of the environment

•

Formulate and delivers clinical practice to meet health and social care needs within the context of the environment

•

Deliver healthcare in a manner that recognises the value of partnership, consumer empowerment and acknowledges the importance of the Treaty of Waitangi

•

Critically evaluates the impact of, or response to Paramedic actions

More Information: W: http://caa.net.au/downloads/Standards_Report.pdf

WFA Clinical Education Team

CET: PETP Process Overview

Exclusions Recruitment criteria for the intern role and the selection process are out of the scope of this document.

Programme Timetable The PETP programme is broken into 4 stages: Stage

Timeline 1 2 3 4

0-6 Months 6-12 Months 12-18 Months 18-24 Months

Benners Stage Novice Advanced Beginner Competent Proficient

Theoretical Underpinnings The Paramedic Entry to Practice Programme is underpinned by the work of Patricia Benner (1984).

Benner developed the nursing theory entitled ‘from novice to expert’. The model proposed by Benner describes five different models of practice and skill acquisition; novice, advanced beginner, competent, proficient and expert.

Benner’s model suggests that progression through the levels of skills acquisition is marked by changes in four key aspects of skill performance: •

Movement from reliance on abstract principles and rules to use past, concrete experience

•

Shift from reliance on analytical thinking to intuition

•

The ability to extract salient points from situations (rather than seeing all information as equally important)

•

The passage from detached observer to engaged leader in clinical situations

WFA Clinical Education Team

CET: PETP Process Overview

Benners’ model allows for clinicians to be experts in one practice realm (e.g. ALS Paramedics working on a conventional ambulance) and novices in another context (e.g.

ALS Paramedics working in ECP roles).

Diagram 1: Benners Novice to Expert Paradigm

Diagram from http://ajcc.aacnjournals.org/content/13/6/448.full.pdf Key Points 1. PETP Interns are recruited on a fixed term contract for two years.

2. Interns will normally be recruited from the third year of the Whitireia BHsc degree, or from the third year of any other Australasian Council of Ambulance authorities (CAA) approved undergraduate degree.

3. Vocationally trained Paramedics who have BLS ATP can also be recruited into the PETP programme.

WFA Clinical Education Team

CET: PETP Process Overview

4. Interns are then placed with approved preceptors (who have completed internal training requirements for the role).

5. Interns will rotate through placements every 6 months.

6. Interns will need to complete the operational competencies outlined in the PETP operational competencies manual.

7. Interns will not normally be responded single crewed to EAS calls.

8. In limited cases interns can be considered for full time employment once they have completed 6 months of the PETP programme – provided that the intern has been compliant with operational competency requirements to date.

9. In most instances Interns will not be considered for permanent appointment until they have completed the programme, i.e. after 2 years as an intern – although this is subject to operational/rostering requirements.

10. On completion of the PETP programme (including all operational competencies) the participants are entitled to a programme completion interview with the EC and CET Managers.

11. Participants are also entitled to attend an assessment centre for full time employment on: -

Completion of all operational competencies.

Endorsement from EC and CET Managers after attending a completion interview.

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CET: PETP Process Overview

Responsibilities NB: It is important to acknowledge that these are bullet point responsibilities linked to key performance indicators. In most cases there will be a variety of ancillary tasks associated with each business unit – it is not practical to list all of these here.

Clinical Education Team (CET) • • • • • • • • • • • • •

Advise CEA to credit interns with 20 CE points per 6 months of mentoring provided operational competencies are met Induction plan compiled and monitored BLS FR ATP organised post assessment centre Clinical Induction Course provided (if necessary) Coordinate elective placements (stage 4) and training days (1 per stage) Deliver training days End of placement reviews completed Individual learning plans reviewed on a three monthly basis Line Managers updated on intern progress on a monthly basis Moodle activities coordinated Monthly clinical supervision and on road mentoring provided Priority1/ driving assessments completed within 1 month of joining roster Preceptor feedback forms tabulated and fed back to preceptors

Clinical Education Administrator (CEA) • • • • •

Credit interns with 20 CE points per 6 months of mentoring (provided operational competencies are met) Initiate new employee form Send training welcome pack Coordinate CET diaries Print certificates for graduates (yearly in November)

HR • • •

Coordinate recruitment process and assessment centres Complete new employee sign on form for CET so that induction plan can be completed.

Organise organisational induction (if necessary)

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CET: PETP Process Overview

Line Managers (LM) • • •

Assist RS to manage leave balances Provide day to day clinical support to interns and preceptors Review progress documentation

Preceptors • • • •

Actively seeking assistance for clinical supervision where necessary Completing progress reviews where necessary Preceptoring role as per WFA guidelines for clinical preceptors Sign off operational competencies where necessary

Rosters Specialist (RS) • • • • • • • • • •

Ensuring appropriate preceptor/ intern combinations (this includes ensuring that preceptors receive interns at all stages of the programme - e.g. not consistently stage 1 or stage 4 interns).

Equally it is also important to bear in mind that some preceptors have particular strengths with interns at various stages.

Communicating any roster changes and placement changes Coordinate elective placements (stage 4) and training days (1per stage) Liaise with BHsc clinical coordinator regularly to ensure deconfliction of rosters Roster BLS ATP assessments to ensure that these are completed within 2 months of joining roster Roster interns off for block courses Where possible Interns should rotate through Paraparaumu, Johnsonville and Porirua (so that day vehicles and day/night vehicles are experienced), and the Hutt Valley Interns rotate through both stations Where possible ensuring that Whitireia students are not placed on an intern vehicles – particularly stage 1 interns Work with line managers to monitor leave balances

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CET: PETP Process Overview

Authority to Practice PETP Interns obtain a BLS FR ATP through completion of a pre employment assessment centre – and some module medication modules.

Interns need to complete the BLS ATP assessment process within 2months of joining the operational roster - this is of course subject to this assessment being able to be rostered in an appropriate time period.

On completion of year 3 of the Whitireia BHsc programme interns can challenge for recognition of current competency (RCC) at ILS level.

Graduation Interns who have completed all of the requirements for the PETP programme will be formally recognised in the annual WFA prize giving (held annually in November).

Interns who have completed the PETP programme will be awarded a WFA certificate signifying that they have successfully completed the programme.

Driving Whitireia BHsc students have the opportunity to complete a WFA 32 hour driving course during scheduled term breaks (as fee paying students) – students who volunteer as event medics, or work as patient transfer officers will have this training provided free of charge as part of their induction to WFA. SDD have agreed that from June 2012 WFA will not recruit interns who do not have a driving qualification.

Interns need to attain a Priority 1 driving endorsement within 1 month of joining the operational roster.

Intern/Preceptor Mismatches Interns are expected to take personal responsibility for resolving issues within the intern/preceptor partnership (PPCS 4.1). However if this initial step is unsuccessful the CET will facilitate a meeting to try to resolve the issues. As a very last step a new Intern/Preceptor combination will be considered.

Reimbursement of Study Expenses Whitireia BHsc students who are employed as interns are eligible for reimbursement of 50% of their course fees. The wording below is from the current intern IEA:

WFA Clinical Education Team

CET: PETP Process Overview 1.

Study Leave

1.1.

You will be granted paid leave to attend any compulsory block courses and meet any practical experience requirements external to WFA. Study leave will be granted at the discretion of WFA and on terms mutually agreed provided not less than 4 weeks prior application is made.

1.2.

If you are enrolled in the Whitireia Polytechnic degree programme WFA will contribute towards course fees based on the value of fifty percent of the Scholarship course pro-rata from the commencement of this Agreement. This contribution will be reimbursed to you upon receipt of course payment from the Polytechnic and a signed Expenses Form.

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