Shifts Shift worked with Total Clinician / Mentor mentor / Hours Date Time Time Code Sign to Code supervisor? () Worked/ Started Finished Verify (for Nursing, Midwifery, Sick Dental Cert HE only) 1 ND Night Duty – 2 DO Day Off – 3 AL Annual – 4 S Sick – 5 A Absent – 6 U University / Theory – 7 P Placement – 8 9 Hours 10 Relate to 11 placements only and 12 should include the 13 time started and 14 finished. 15 16 Please note that you 17 must subtract your 18 meal break from the 19 total hours worked 20 column. 21 22 23 Hours per week 24 Nursing 37.5 Midwifery 3yr 35 25 Midwifery 78wk 37.5 26 Radiography 28 27 Physiotherapy 36 28 Occ Therapy 37.5 29 MSc Rehab 37.5 30 Dental 31 Student Signature Date ……………………………………………………………………………………. ……………………………………………………. Practice Mentor / Educator / Supervisor’s Signature Date ……………………………………………………. ……………………………………..................................................…………………............... The form should be signed by the student and countersigned by the Practice Mentor / Educator / Site Co-ordinator each month. In addition they will be checked by the Academic Mentor at the end of the tripartite meeting (nursing / midwifery) / at the end of the placement (OT) / at the final bipartite meeting (DR).
Date Shifts Total Hours Worked/ Sick Code Clinician / Mentor Sign to Verify Shift worked with mentor / supervisor? () (for Nursing, Midwifery, Dental Cert HE only) Code Time Started Time Finished 1 ND – Night Duty DO – Day Off AL – Annual S – Sick A – Absent U – University / Theory P – Placement Hours Relate to placements only and should include the time started and finished. Please note that you must subtract your meal break from the total hours worked column. Hours per week Nursing 37.5 Midwifery 3yr 35 Midwifery 78wk 37.5 Radiography 28 Physiotherapy 36 Occ Therapy 37.5 MSc Rehab 37.5 Dental 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Student Signature ……………………………………………………………………………………. Date ……………………………………………………. Practice Mentor / Educator / Supervisor’s Signature ……………………………………..................................................…………………............... Date ……………………………………………………. The form should be signed by the student and countersigned by the Practice Mentor / Educator / Site Co-ordinator each month. In addition they will be checked by the Academic Mentor at the end of the tripartite meeting (nursing / midwifery) / at the end of the placement (OT) / at the final bipartite meeting (DR).
BSc%20PP2%20placement%20workbook%2020oct2015.docx