Appendix - Study Material for Desklib

This document contains a collection of appendices related to Desklib, an online library for study material. The appendices include forms, reports, and checklists related to placements, learning contracts, supervisor evaluations, and more. The study material is relevant for students studying health and social care.

Appendix

TABLE OF CONTENT
TABLE OF CONTENT................................................................................................................2
APPENDIX-1..............................................................................................................................3
Initial interest form......................................................................................................................3
APPENDIX -2.............................................................................................................................4
Placement proposal form.............................................................................................................4
APPENDIX-3..............................................................................................................................5
Learning Contract........................................................................................................................5
APPENDIX 4...............................................................................................................................9
SUPERVISOR’S REPORT.........................................................................................................9
APPENDIX 5.............................................................................................................................11
PORTFOLIO LIST OF CONTENTS/CHECKLIST.................................................................11
APPENDIX 6.............................................................................................................................17
PLAGIARISM & COLLUSION...............................................................................................17
APPENDIX 7.............................................................................................................................18
CONFIDENTIALITY FORM...................................................................................................18
APPENDIX -8...........................................................................................................................19
AUDIT OF PRACTICE PLACEMENT...................................................................................19
APPENDIX 9.............................................................................................................................22
Placement Hours Log Sheet.......................................................................................................22
APPENDIX -10.........................................................................................................................23
RISK ASSESSMENT................................................................................................................24
CONCLUSION..............................................................................................................................26
REFERENCES..............................................................................................................................26

APPENDIX-1
Initial interest form
Warrington hospitals is recognized as placement organizations for health facility opened in the
year 1873. The firm is managed by the Warrington and Halton hospital NHS foundation trust. the
location of firm is Cheshire, London having telephone number- 01925635911 and email id-
[e-mail].
The firm is accepting the placement after June 2020 in order to get into the skilful,
knowledgeable and highly qualified individual to work within organizations and providing
efficient level of health services in perfect manner. du to situation of pandemic. There is need
for more qualitative staff in health services to individuals.
Brief overview of progress in organisation
In the starting stage I have contribute to the smaller section of work to support the different
section as to sharpen my skills. Basically, I work as on the small children tasking upon the full
charge. slowly and slowly I get their progress in the working and managing the work in mor
perfect manner. I have problem understand he prevailing issues. there was various progress of
myself in Warrington hospitals in term of activities need to be undertaken and goals to be
achieved.
Would line manager be willing to act as practice supervisor
The line manager has to take the responsibility as manager tends to b diverse level of individuals
with implementation of different policies prepared by top management. this will be helpful in
birdieing the gaps. This is also helpful in taking work togetherness different level of management
along with having the common goals an achievement. This will be helpful in learning new skills,
knowledge and capabilities.
Signed:
Student_ Date:
Module Leader: Date:

APPENDIX -2
Placement proposal form
Proposed placement details
Work: I worked as junior nursing assistants in old age hospital as the emergency service
provider different families who are working in the industrials sector. I have worked as
managing their children in absence of both working parents .
Emergency contact: VCX
Agency/Organisation Name: Warrington hospital
Address: Warrington in Cheshire, England
Tel no: 01925635911
Email Id: - [e-mail].
Practice supervisor within agency: ASD
Position in the organisation: General Healthcare Practitioner
Briefly description of placement activity I would like to undertake, reason for
choosing and propose time
I will be very much greatly admirable to get placement into the privilege Warrington
hospitals. Previously I have been selected to their various places and provided them with
excellent services. I will to join the organization by October 21 2021. I would like to work
more into the intensive care units with COVID patients. it will be motivated me to make
my career in health care organisation
Previous experienced
I have experienced as health care taker in old age responsible for taking care of children in
the absence of working parents. It has the proper way experience in handling the people
more managed ways. I have provided proper guidance in nurturing proper communication
and motivation to the patient which is helpful in recovery in perfect manner.

APPENDIX-3
Learning Contract
Student Name: XYZ
PLACEMENT ORGANISATION: Warrington Hospital
PRACTICE SUPERVISOR: ASD
CONTACT TEL NO: [phone]
POSITION IN ORGANISATION: General Healthcare Practitioner
PLACEMENT COMMENCEMENT DATE: 20/09/2020
COMPLETION DATE: 20/12/2020
PLACEMENT DAYS & TIMES (Total 60 Hours)
(including any negotiated holidays)
The date and will be negated in relation to the 12 houses o the work done on daily basis. for 5
days a week. this will be up to 60 hours weeks. this will be prescribed the organisational
culture and structure of the business organisation.

SECTION 2
LEARNING OBJECTIVES
My Learning Objectives for this module are:
Part A: Knowledge
I will be able to demonstrate a knowledge of:
 the changing role of the professional working within a variety of Health
settings,
 initiatives in collaboration with service users which reflect evidence based
practice identified through the literature,
 how legal and ethical issues are addressed in the workplace
 the role of the professional within services catering for health and social
support
 the changing role of the professional working within a variety of Health
settings,
Part B: Skills/Abilities
I will be able to demonstrate effective use of the following skills/abilities:
 written and oral communication
 time management
 working with others
 working independently
 critical reflection and evaluation of own learning

 reviewing and challenging policies supporting quality care of
problematic substance users,
In addition I will be able to demonstrate effective use of the following
skills/abilities (optional):
SECTION 3
To help me achieve the learning objectives listed in Section 2 and complete the
written report (around a negotiated aspect of professional practice ), I agree to
undertake the following tasks during my placement (examples could be: organising
group work, working with individual service users, updating information,
conducting a research study, compiling a report, assisting in the organisation of an
event). I also agree to undertake any additional, reasonable duties negotiated
separately during the placement period.

SECTION 4
RESOURCES NEEDED BY STUDENT:
For example, appropriate clothing for the work, note taking materials,
access to a computer.
SECTION 5
Signature of student………………………………
XYZ…………………………………
Signature of supervisor……………
ASD………………………………………………. Signature of Module
leader……………………………………………………….

APPENDIX 4
SUPERVISOR’S REPORT
Placement Supervisor’s Report
To be completed by the Practice Supervisor when the student has
completed the placement.
I can confirm that Student named XYZ have completed the placement procedure
in Warrington hospital as healthcare assistance.
(name of student who has completed the placement)
*has/has not completed the tasks agreed in Section 3 of this Learning
Contract and therefore has:
At the same time have completed all the task that are mentioned in learning
contract thus it have passed the placements procedure in Warrington
hospital.
*passed the placement
*failed the placement
(*please delete as appropriate)
A fail means that the student has, despite every opportunity, failed to
demonstrate competence to a sufficient level

ADDITIONAL COMMENTS
(please include your reasons for making the above evaluation and any other
observations you may wish to make)
Evaluation is necessary to find key skills that are present and need to be improved
further to get success in professional career and wish to further observation areas
that need to be enhanced so that individual can perform task in better manner.
Name of Practice Supervisor……………
ASD……………………………………………………………..
Signature of Practice Supervisor
..………………………………ASD…………………………
Date- 5-September 2020
…………………………………………..

APPENDIX 5
Placement SSC310
PORTFOLIO LIST OF CONTENTS/CHECKLIST
Students will be expected to submit their projects including the Portfolio via turnitin and
JIRA in THREE parts
Tick if present (᷀V)
Part 1- Learning
Contract
(Portfolio)
Part 2- Reflective Account Part 3-
Evaluation/Written
Report
Initial interest form
(✓)
Placement Proposal
form (✓ )
Learning Contract (✓)
Risk Assessment form
( ✓)
Confidentiality
form(✓ )
Supervisor’s Report
(✓)
Placement audit
(Evidence of competence
in practice, linked to
learning outcomes) (✓)
Placement hours log
(list of observations, visits,
meetings and other
Introduction ( )✓
A reflective Personal
Profile/Placement Journal/Diary
(Approx 1,500 words on the
profile plus additional material
in support) Include work
undertaken during placement
(There must be evidence of
your competence in practice,
linked to your learning
outcomes ( ✓)
Critical analysis of your
experiences and performance
within the organization in relation
to the development of your skills,
knowledge and understanding
(✓ )
Use of appropriate theoretical
concepts including reference to
models of reflection (Gibbs)
Brief description of the
organisation placement
(✓ )
A critical evaluation of
the placement
organisation including its
activities (✓ )
Written evaluation of
organisation or research
project (approx.. 2000
word) include case study
notes (✓ )
Any work placement
records ( ✓)
Bibliography/Reference
(✓)

learning opportunities) and experiential learning (Kolb)
Include References

Your portfolio will be assessed against the specific learning
outcomes:
Specifically the learning outcomes for the module are as follows:
Knowledge:
K1. Demonstrate clear knowledge of the relevance which subject specific study
has within a particular area of work environment
K2. An awareness of analysis, organising material and writing skills
Skills
S1. The ability to carry out a small-scale organisational evaluation and or research
S2. Identified and evaluated those transferable skills you would like to develop
I confirm that all of the above are included in this portfolio (V)
Yes
Module Tutor Signature:___________________________ Date: ________________

Student:________________XYZ_____________________ Date:__________9-9-
20________
Practice Supervisor:__ ___ASD_____________________
Date:_____________10-9-20__

PORTFOLIO - LIST OF CONTENTS/CHECKLIST
PORTFOLIO - LIST OF CONTENTS/CHECKLIST
Tick if present
1. Introduction ( ✓)
2. Supervisor’s report ( ✓)
3. Learning Contract ( ✓)
4. Reflective personal account/placement journal/diary ( )
5. Brief description of placement (✓ )
6. List of observations, visits, meetings and other learning opportunities (✓ )
7. Work undertaken during placement ( ✓)

8. Evidence of competence in practice, linked to learning outcomes ( ✓)
9. Referencing of evidence to theory ( )
10. Written evaluation of organization or research project ( ✓)
I confirm that all of the above are included in this portfolio ( ) Module
Tutor Signature:__________________ Date:__________
Student Signature: XYZ Date:
15-9-20
Practice Supervisor: ASD Date: 15-9-2020

APPENDIX 6
PLAGIARISM & COLLUSION
Students must submit/complete work that is their own. Plagiarism is presenting the
thoughts, ideas and words of another person, as if they were your own. Collusion may
occur when students’ projects are very similar (and in some cases, identical) to that of
another fellow student. This also amounts to plagiarism. Plagiarism is taken very
seriously within the University. Students are strongly recommended to consult the
University's Policy on plagiarism before undertaking their projects. The link below
will take you to them:
I have submit all my work done by myself with help of articles and books.
If you are still unsure about plagiarism, please speak to the module leader.

APPENDIX 7
CONFIDENTIALITY FORM
Students signature………XYZ… Date 10-9-
20……………….
I, …………………………XYZ…………………………understand
the importance of maintaining confidentiality and gaining informed
consent. I also understand that any written work that fails to
maintain the anonymity of individuals and agencies will be referred.
I have undertaken the above to the best of my knowledge.

APPENDIX -8
AUDIT OF PRACTICE PLACEMENT
BSc Health & Social Care Top-Up
Audit of Practice Placement
Date of completion
Placement:
18-9-2020
Name: XYZ
Placement address:
Warrington in
Cheshire, England.
Telephone:
[phone]
Email: [e-mail]
Contact person for placement:
ABC
Role: Health care Assitance
Professional Qualifications:
2 year associated Degree in
medical assistance.
Mentor Role:
The major roles in provide
the support and guidance
regarding the work procedure
happening in the organization
Full time/part/time: Full Time

If part time who else will act as contact person for the student?
Telephone number: Fax No:
E-mail address
Service user group:
Type of placement: Emergency and temporary care placements
Max no of students: 5
Placement hours/shifts (in line with module requirements):
10 hours for 5 weeks.
Does student need a car? Yes
Specific considerations: e.g. security/safety/remoteness
Transport links: public transport
Dress code: White
Resources available for the student: Books, journals to make the training to the
students. the patient with of age have the need to look better health care .
Are there any specific documentation, web sites or texts that you would like
students to read before beginning or during the placement?
There is no need to have specific documentations but it is important for the student
to have the specific knowledge regarding the use of internet nd different official
websites to have appropriate practicing.
Please briefly indicate how you can provide the student with opportunities to meet
the placement module learning outcomes which are:
Knowledge:

K1.Demonstrate clear knowledge of the relevance which subject specific
study has within a particular area of work environment-------
Yes, ABC have proper healthcare knowledge as been certified as medical
assistant.
K2. An awareness of analysis, organising material and writing skills ----
Yes, I have better oral and written communication to accomplish the task in
efficient manner.
Skills:
S1. The ability to carry out a small-scale organisational evaluation and or research
Yes
S2. Identified and evaluated those transferable skills you would like to develop
I would like to have team development skill , motivation, analytical skills along with
reverse presentation skill to be successful in profession carer
Thank you

APPENDIX 9
Placement Hours Log Sheet
Students are required to complete a form to log the placement hours
undertaken on a four weekly basis from the start of placement. The form
should be returned to Ruphina Obare contact details below.
Please complete the following details so that we have a record of your “hours
completed” as you progress through your placement.
Name XYZ
Placement
Agency
Warrington hospital
Mobile [phone] Uni
E-mail [e-mail].
Placement Information – 60 hours
Your placement start date:
Sun Mon Tues Wed Thurs Fri S
a
Wk 1 w/c OFF 9:00- 8:00 9:00-
8:00
9:00-
8:00
9:00-
8:00
9:00- 8:00 OFF
Wk 2 w/c OFF 9:00- 8:00 9:00-
8:00
9:00-
8:00
9:00-
8:00
9:00- 8:00 OFF
Wk 3 w/c
OFF 9:00- 8:00 9:00-
8:00
9:00-
8:00
9:00-
8:00
9:00- 8:00 OFF
Wk 4 w/c
OFF 9:00- 8:00 9:00-
8:00
9:00-
8:00
9:00-
8:00
9:00- 8:00 OFF
Practice Supervisor Signature:__________ASD___ Date:______15-9-
20____

APPENDIX -10

RISK ASSESSMENT
UNIVERSITY PLACEMENT – RISK ASSESSMENT
ORGANISATION/SERVICE: Warrington Hospital
PLACEMENT SUPERVISOR: ASD
LOCATION OF PLACEMENT: Official Premises of
Warrington Hospitals
NATURE OF WORK EXPERIENCE: Several years in
healthcare sector
NAME OF STUDENT:
PROGRAMME OF
STUDY:
OTHER INFORMATION:
Main Tasks/ Activity Main Risk to Health &
Safety
Actions / Control to
eliminate or reduce the risks
(inclu. Training and PPE)
Analysing illness and
problems of patients visually
and detailing them to identify
and assess what kind of
treatment is required by
patients
In this if the risk or treatment
is not identified and assessed,
this can create serious
consequences for patients and
for healthcare workers as well.
This is because wrong
assessment would lead to
wrong treatment, which can
cause problems and significant
negative consequences for the
patients in terms of their
safety and this can also cause
problems for practitioners and
can affect their career as
practitioners.
In order to eliminate risk it is
important that firstly problem
or illness of the patient is
properly assessed by giving
them adequate attention and
listening and understanding
what patients explains about
their injury or illness.
Avoiding multitasking is also
important as practitioner will
be able to perform more
qualitative analysis of patient.
It is important for leading
towards what treatment is
being required by patients.
This reduces possibility of
wrong action and also reduces
and control associated risk
with the treatment.
Monitoring blood pressure and Monitoring blood pressure is This is important that

administration of general
injection etc.
basic medical diagnosis that
practitioners are required to
and administration of injection
that are to be injected to
patients are also role in
general healthcare
practitioners. It is important
that they are effectively
managed because negligence
while performing this can
cause severe health issues for
patients and possibilities of
endangering career of
practitioner is also associated
with this negligence.
Negligence in monitoring
injection can cause life-
threatening risk for safety of
patient.
practitioners involved in
carrying out such tasks are
experienced. This is also
important that they are aware
of all kind of injections and
what effect that they can have
on life of patient if not
managed properly. This
education also can control
risk. This also requires that
health practitioners are given
practical training for
administering and undertaking
such tasks.
Details of prohibited tasks or
restricted areas
Entering into ICU (intensive care unit) without proper
sanitization
Additional comments

CONCLUSION
REFERENCES
Books and Journals