Title Page
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Mentoring date
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Name of the observed person
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ID Number of the person observed
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Mentors name
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Location
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Service name
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Start time of mentoring
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End time of mentoring
Vehicle management
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Did they complete a safety check of their vehicle before the start of the day
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Did they complete a full audit of equipment for their role
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Did they report "missing/defective" equipment
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Did they take action to replace essential items of equipment
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Is the vehicle clean and ready for the day
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Did they address any cleaning issues appropriately
Communication Skills
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Communication with service users: Demonstrate effective, adaptive and empathic communication with service users and minimise barriers to communication. Ensure to act in a way that is sensitive to the personal believes and preferences of the individual.
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Comments on Communication Skills
Health and Safety
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Undertook Dynamic Risk Assessments
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Risks managed?
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Used Safe Systems of Work?
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Followed legislation and guidance appropriately? Inc reporting and escalating AINM
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Comments on Health and Safety
Effective Client Care
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Consent gained?
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Provided Patient Centered care?
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Safeguarding concerns identified?
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Safeguarding concerns managed appropriately?
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Patients escalated appropriately?
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Identified any Red Flags
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Recognises any patient deterioration
Information gathering
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Was suitable and sufficient information gained about the patient at the point of pick up
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Was suitable and sufficient information about the patient provided at the point of drop off/handover
Comments on patient care
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Vehicle use and driving
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Were there any issues with their standard of driving
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Did they report issues appropriately
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Vehicle made ready for transport?
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Were the patient safe to transport, wearing seat belts etc
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Comments on Vehicle use and driving
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Any media for Vehicle use and driving?
Patient handling
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Patient moving and assisting
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Did they perform a DRA for each patient, gathering pertinent patient specific information prior to any activity
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Consent gained for all moves
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Safe appropriate use of equipment?
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Did they consider the range of equipment available and identify the safest method of activity
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Did they escalate any challenges or concerns found in the DRA
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Effective team work and communication?
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Any comments on Patient handling?
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Any media for Patient handling?
Other capabilities
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Worked well in a team?
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Acted with Equality, Diversity, and Inclusion?
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Legible and accurate record keeping?
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Worked within Scope of Practice?
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Uses resources appropriately?
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Where issues escalated to line managers appropriately, missing equipment, general concerns
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Comments for other capabilities
Development plan
- Development area
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What is the Specific goal for the mentee?
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How will we Measure if the goal is met?
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How will the mentee achieve the development goal?
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How will the development actions be relevant to the role and responsibilities?
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What are the suggested Timescales for the development?
Summary
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Were any critical risks identified during the observation?
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Is it safe for the person to remain operational?
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Has the person been informed they are no longer operational?
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Any comments on informing the person?
Declaration
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I have conducted this observation inline with BRC policy and procedure
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Please sign