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Review & Assessment Form Placement N (RAN)
Name of Student |
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Signature of Student |
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Name of Tutor |
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Signature of Tutor |
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Name of University and Course |
Leeds Beckett University MSc Clinical Nutrition |
Date |
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Completed Simulated Practice Placement |
Yes |
Health / Learning Needs |
Yes / No |
Food Hygiene Certificate |
Date: |
Information Governance Certificate |
Date: |
Aware if infection control & hand washing procedures: |
Date: |
Car owner and driver (insured for business use) |
Date: |
Additional Information (previously recorded on the LMS1 form)
Please provide any additional details you feel may be appropriate for the trainer(s) facilitating your placement e.g. previous work experience, interests within clinical nutrition and socially (please summarise in the space below) |
This review should be undertaken by the tutor with the student before commencing Placement N. Please use the attached form to summarise your findings, considering the following: is there evidence to demonstrate that all the pre-Placement N requirements have been addressed? If not, please identify the omissions below:
Areas of note/importance:-
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Prior to placement, the student in partnership with their Tutor should identify any strengths or areas for improvement and action points against each of the Learning Outcomes below.
At the end of the placement the student in partnership with their Supervisor should identify any strengths, areas for improvement and action points against each of the learning outcomes below.
Learning Outcomes
Learning outcome A- “Demonstrates knowledge acquisition in selected aspects of dietetic care and applies knowledge to inform decision making.” |
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Pre-placement Review: Strengths:
Areas for improvement:
Action points for Placement N:
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5 week/end of Placement Review (please delete as appropriate): Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome B- “Can communicate effectively and appropriately with services users and carers, supervisors, colleagues and other health professionals.” |
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Pre-placement Review: Strengths:
Areas for improvement:
Action points for Placement N:
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5 week / end of Placement Review (please delete as appropriate): Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome C- “Identify and assess nutritional needs, collecting adequate information necessary to formulate a comprehensive assessment in selected patients”. |
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Pre-placement Review: Strengths:
Areas for improvement:
Action points for Placement N:
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5 week / end of Placement Review (please delete as appropriate): Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome D “Formulate and implement an effective care plan and initiate appropriate review mechanisms in selected patients.” |
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Pre-placement Review:- Strengths:
Areas for improvement:
Action points for Placement N:-
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5 week / end of Placement Review (please delete as appropriate):- Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome E- “Contributes to the effectiveness of the dietetic team and inter-professional/interagency team working in liaison with your supervisor.” |
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Pre-placement Review:- Strengths:
Areas for improvement:
Action points for Placement N:-
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5 week / end of Placement Review (please delete as appropriate):- Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome F- “Can prioritise own work load and manage priorities to meet agreed deadlines effectively.” |
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Pre-placement Review:- Strengths:
Areas for improvement:
Action points for Placement N:-
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5 week / end of Placement Review (please delete as appropriate):- Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome G- “Demonstrates effective reflection on action and can discuss how experiences may change practice to benefit the service user.” |
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Pre-placement Review:- Strengths:
Areas for improvement:
Action points for Placement N:-
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5 week / end of Placement Review (please delete as appropriate):- Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Learning outcome H- “Demonstrates professionalism and self-awareness in the workplace and contributes to the development of oneself and peers.” |
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Pre-placement Review:- Strengths:
Areas for improvement:
Action points for Placement N:-
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5 week / end of Placement Review (please delete as appropriate):- Strengths:
Areas for improvement:
Action points for University
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Not Competent |
Working Towards Competence |
Competent
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Please use this space to note any other feedback on student performance |
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On final completion of the placement: This form has been reviewed and discussed by the Placement Supervisor and Student Dietitian:-
Signature of Student |
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Date |
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Signature of Supervisor |
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Date |
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Once complete please return this form by email to [email protected]
HSS Faculty Office\PLACEMENT UNIT\WEBSITE FOLDER\Dietetics\ht-dietetics-ran.doc
THE ENTRAPMENT OF THE FEMALE BODY IN BECKETT’S PLAYS
WAITING FOR GODOT (1954) SAMUEL BECKETT VLADIMIR THAT PASSED
Tags: assessment form, comprehensive assessment, review, assessment, beckett, university