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Home Log book for Paediatric assessment (6 months+)

Log book for Paediatric assessment (6 months+)

Logbook | Paediatric assessment (6 months+)

Candidate details

Contact Address
Contact Address
City
County
Post code

Supervisor details

Record of training

Clinical sessions

All of these sessions must be supervised by an appropriate staff member who meets all the requirements as required in the HTS regulations, and should be recorded in the table below. Additional sessions which do not meet the supervision requirements as outlined in the regulations cannot be counted towards the total number of minimum sessions for this module, and should not be include in this table.

Please note, these are sessions of approximately 3.5 hours, not individual patients.

Clinical sessions

Date

Supervisor
Supervision level
Direct / Indirect
Direct / Indirect
Direct / Indirect
Direct / Indirect
Direct / Indirect

Time spent on session

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Summary of HEI M level credits completed relevant to this module

Completion certificates award should be submitted with this portfolio insert when requesting examination.

Summary of HEI M level credits

Maximum file size: 73.4MB

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Tutorial Subjects

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Case Studies

Maximum file size: 73.4MB

Secondments

duration (in days) of the secondment

Maximum file size: 73.4MB

Maximum file size: 73.4MB

Clear
Signature only required if report not uploaded and signed already
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Placements

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Part A: Direct observation of clinical skills

Section

1. Planning for appointment to include preparation of clinical facilities & equipment, to include daily calibration checks of audiometers, tympanometers, soundfield equipment, Transient OAE and speech testing, and room set up

Section

(Staff name /date)
(Staff name/date)

Section

2. Independently and succinctly obtain a relevant case history about the child in a logical but flexible progression, and
a. Identify possible aetiological or contributing factors as they arise and spontaneously probe for more relevant information
b. Show sensitivity to the parent/carer’s concerns both in questioning and information giving
c. Record relevant information whilst maintaining a rapport with the parent/carer and being aware of their concerns
d. Involve the child as appropriate
e. Consider the appropriate timing and detail of history taking with the impact on the child's attention
f. Cover the main areas defined below, unless justifiably omitted
g. Reason for referral and parental concern (including determining the information needs of parents)
h. Description of child’s hearing behaviour
i. Results of previous hearing tests
j. ENT and general medical history
k. Speech and Language development
l. General development including behaviour and status of vision
m. Involvement of other professional agencies
n. School/nursery placement
o. Tinnitus
p. Pregnancy and birth history, neonatal and postnatal history and treatments
q. Family history of hearing impairment, speech and language delay or educational special needs or disorders/syndromes associated with hearing impairment. This may include exploration of potential consanguinity in parents 

Section

(Staff name /date)
(Staff name/date)

Section

3. Distraction testing to include: 
a. Test set-up 
b. Instructions to parents/carers 
c. Role of presenter 
d. Role of distractor 
e. Stimuli presentation, timing & measurement 
f. No sound trials 
g. Monitoring of visual cues 
h. Awareness of pitfalls 
i. Result recording 

Section

(Staff name /date)
(Staff name/date)

Section

4. Soundfield VRA to include:
a. Test set-up
b. Instructions to parents/carers
c. Role of distractor
d. Role of presenter to include conditioning techniques, timing of giving reward, monitoring of visual cues
e. Localisation checks / use of left and right speakers
f. Result recording  

Section

(Staff name /date)
(Staff name/date)

Section

5. Insert earphone VRA to include:
a. Visual inspection and insertion of earphones
b. Priority of testing 

Section

(Staff name /date)
(Staff name/date)

Section

6. Bone conduction VRA to include:
a. Positioning of bone vibrator
b. Priority of testing 

Section

(Staff name /date)
(Staff name/date)

Section

7. Speech discrimination testing appropriate to the age of the child to include:
a. Test set-up
b. Instructions to parents/carers
c. Test selection: Co-operative, toy/ picture and wordlists
d. Test techniques:
i. Ability to maximise child’s attention
ii. Check familiarity of vocabulary for toy based tests
iii. Stimulus presentation – live voice / recording, with and without lipreading
iv. Monitoring of signal presentation
v. Criterion for “pass” level
e. Result recording 

Section

(Staff name /date)
(Staff name/date)

Section

8. Performance testing to include:
a. Test set-up
b. Instructions to parents/carers
c. Conditioning strategy
d. Verification of response and determination of threshold/MRLs
e. Monitoring of visual cues
f. Measuring signal intensity
g. Result recording
h. Choice of game 

Section

(Staff name /date)
(Staff name/date)

Section

9. Play audiometry to include appropriate modifications to maximise information

Section

(Staff name /date)
(Staff name/date)

Section

10. Tympanometry to include positioning of the child 

Section

(Staff name /date)
(Staff name/date)

Section

11. Acoustic reflex testing  

Section

(Staff name /date)
(Staff name/date)

Section

12. Transient OAEs to include:
a. Placement of probe
b. Parameters and pass criterion
c. When to use and limitations 

Section

(Staff name /date)
(Staff name/date)

Section

13. Debrief to child / parents / carers to include:
a. Explaining results, implications for communication and proposed management using appropriate language
b. Responding to questions from parents/carers in an appropriate way, showing sensitivity and rephrasing /re-explaining as necessary to ensure understanding
c. Backing up information given with information materials for parent/child where possible
d. Using appropriate methods to break difficult news to parents /carers (using role play if situation does not arise in practice)
e. Involving child in debrief, as appropriate 

Section

(Staff name /date)
(Staff name/date)

Section

14. Keep appropriate clinical records: record findings and interventions delivered clearly, in a consistent format, all of which must be dated and named

Section

(Staff name /date)
(Staff name/date)

Section

15. Write reports on assessment sessions, recommended treatment plans and / or outcome of treatment as required, suitable for the intended audience, to include a range of professionals

Section

(Staff name /date)
(Staff name/date)

Part B - Periodic Appraisals of Competencies

6 - 27 months developmental age

Internal Assessor/External Assessor in Home Department/External Assessor On Secondment

Please leave blank if not applicable

Competency 1:

Prepare test facilities & equipment, to include daily calibration checks and room set up 
Competency 2:
Formulate assessment plans, liaising with the relevant professionals to co-ordinate assessments & care, as appropriate 
Competency 3:
Plan clinical approaches, using clinical reasoning strategies, evidence-based practice 
Competency 4:
Take a full and relevant history  
Competency 5:
Carry out testing in a safe and effective manner adapting as required to ensure testing is appropriate for the developmental age of the child, and information gained is maximised within the time available 
Competency 6:
Show creativity, initiative and originality of thinking in tackling and solving practical problems 
Competency 7:
Collate relevant information, interpret and make an informed decision concerning the diagnosis and management of individual cases 
Competency 8:
Ensure that parents / carers are part of the decision making with use of person centred care
Competency 9:
Ensure any concerns regarding safeguarding are recorded appropriately and are acted on, adhering to local protocol
Competency 10:
Keep parent/carers and patients fully informed during all aspects of the appointment, obtaining consent for procedures as appropriate
Competency 11:
Give clear information on results of hearing tests, advice and recommendation for follow-up actions/interventions to parents/carers and/or patients using appropriate language and communication strategies. This includes the ability to ‘share difficult news’ to parents/carers about hearing loss in infants and children
Competency 12:
Keep appropriate clinical records
Competency 13:
Write reports on test results and recommendations suitable for the intended audience, to include a range of professionals and parents/carers 

Competency 14:
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:
a. Relate their own practice to a supporting knowledge base – including reference to evidence-based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Critically appraise the context of individual assessments within national and local structures/processes for assessment and diagnosis of hearing impairment
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice 

0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements

Agreed to reassess inweeks
plus 3 Add table minus3 Delete

Part B - Periodic Appraisals of Competencies

27-42 months development age

Internal Assessor/External Assessor in Home Department/External Assessor On Secondment

Please leave blank if not applicable

Competency 1:

Prepare test facilities & equipment, to include daily calibration checks and room set up 
Competency 2:
Formulate assessment plans, liaising with the relevant professionals to co-ordinate assessments & care, as appropriate 
Competency 3:
Plan clinical approaches, using clinical reasoning strategies, evidence-based practice 
Competency 4:
Take a full and relevant history  
Competency 5:
Carry out testing in a safe and effective manner adapting as required to ensure testing is appropriate for the developmental age of the child, and information gained is maximised within the time available 
Competency 6:
Show creativity, initiative and originality of thinking in tackling and solving practical problems 
Competency 7:

Collate relevant information, interpret and make an informed decision concerning the diagnosis and management of individual cases 
Competency 8:
Ensure that parents / carers are part of the decision making with use of person centred care
Competency 9:
Ensure any concerns regarding safeguarding are recorded appropriately and are acted on, adhering to local protocol
Competency 10:
Keep parent/carers and patients fully informed during all aspects of the appointment, obtaining consent for procedures as appropriate
Competency 11:
Give clear information on results of hearing tests, advice and recommendation for follow-up actions/interventions to parents/carers and/or patients using appropriate language and communication strategies. This includes the ability to ‘share difficult news’ to parents/carers about hearing loss in infants and children
Competency 12:
Keep appropriate clinical records
Competency 13:
Write reports on test results and recommendations suitable for the intended audience, to include a range of professionals and parents/carers 

Competency 14:
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:
a. Relate their own practice to a supporting knowledge base – including reference to evidence-based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Critically appraise the context of individual assessments within national and local structures/processes for assessment and diagnosis of hearing impairment
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice 

0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements

Agreed to reassess inweeks
plus 3 Add table minus3 Delete

Part B - Periodic Appraisals of Competencies

>42 months developmental age

Internal Assessor/External Assessor in Home Department/External Assessor On Secondment

Please leave blank if not applicable

Competency 1:

Prepare test facilities & equipment, to include daily calibration checks and room set up 
Competency 2:
Formulate assessment plans, liaising with the relevant professionals to co-ordinate assessments & care, as appropriate 
Competency 3:
Plan clinical approaches, using clinical reasoning strategies, evidence-based practice 
Competency 4:
Take a full and relevant history  
Competency 5:
Carry out testing in a safe and effective manner adapting as required to ensure testing is appropriate for the developmental age of the child, and information gained is maximised within the time available 
Competency 6:
Show creativity, initiative and originality of thinking in tackling and solving practical problems 
Competency 7:

Collate relevant information, interpret and make an informed decision concerning the diagnosis and management of individual cases 
Competency 8:
Ensure that parents / carers are part of the decision making with use of person centred care
Competency 9:
Ensure any concerns regarding safeguarding are recorded appropriately and are acted on, adhering to local protocol
Competency 10:
Keep parent/carers and patients fully informed during all aspects of the appointment, obtaining consent for procedures as appropriate
Competency 11:
Give clear information on results of hearing tests, advice and recommendation for follow-up actions/interventions to parents/carers and/or patients using appropriate language and communication strategies. This includes the ability to ‘share difficult news’ to parents/carers about hearing loss in infants and children
Competency 12:
Keep appropriate clinical records
Competency 13:
Write reports on test results and recommendations suitable for the intended audience, to include a range of professionals and parents/carers 

Competency 14:
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:
a. Relate their own practice to a supporting knowledge base – including reference to evidence-based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Critically appraise the context of individual assessments within national and local structures/processes for assessment and diagnosis of hearing impairment
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice 

0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements

Agreed to reassess inweeks
plus 3 Add table minus3 Delete

Supervisor’s Final Report and Sign-off

I confirm that this candidates training has been completed as per the module specification. I would like an exam to be arranged.

Maximum file size: 73.4MB

Please tick if resit is required

Resit information

Area below only for use when applying to resit the practical examination.

I confirm that I am satisfied the candidate is now ready to resit exam

Save / submit

If you have completed this module and are ready to submit this logbook check the box below, otherwise you can save your progress and come back to this later.

Assessors

Approval action