Type in keyword below and hit enter
Search Become a member
Home Log book for Paediatric assessment (newborn)

Log book for Paediatric assessment (newborn)

Logbook | Paediatric assessment (newborn)

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

plus 3 Add row minus3 Delete row

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

plus 3 Add row minus3 Delete row

Tutorial Subjects

plus 3 Add row minus3 Delete row

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
plus 3 Add minus3 Remove

Placements

plus 3 Add row minus3 Delete row

Part A: Direct observation of clinical skills

Section

1. Preparation for appointment to include preparation of clinical facilities & equipment, to include daily calibration checks of tympanometers, OAE equipment and evoked response testing equipment, 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. Cover the main areas defined below, unless justifiably omitted
i. What understanding the parents have regarding results obtained so far e.g. newborn hearing screen, previous diagnostic appointments
ii. Pregnancy and birth history, neonatal and postnatal history and treatments (including serious illnesses, head injuries, presence of PVP shunts)
iii. Any relevant ENT history
iv. Family history of hearing impairment or disorders/syndromes associated with hearing impairment. This may include exploration of potential consanguinity in parents
v. Involvement of other professional agencies
vi. Establishing any new information since the last appointment, if appropriate

Section

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

Section

3. OAEs to include:
a. Placement of probe
b. Choice and type of emission
c. Parameters and pass criterion
d. Interpretation of results

Section

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

Section

4. Threshold auditory brainstem response testing using both air and bone conduction to include:
a. Transducer selection
b. Test parameters, and how these could be adapted to maximise results in the time available / conditions
c. Use of different stimuli e.g. click, tone-pip and chirps
d. Use of masking
e. Problem solving, in particular with regard to interference
f. Interpretation of results (including use of correction factors and patients with hearing losses as well as normal hearing)

Section

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

Section

5. Cochlear microphonics to include:
a. Test parameters
b. Interpretation of results

Section

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

Section

6. High frequency tympanometry to include:
a. positioning of the child
b. Interpretation of results 

Section

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

Section

7. Peer review of newborn assessment cases, to include:
a. Local external and internal peer review protocols
b. Criterion to assess against
c. Use of improvement indicators

Section

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

Section

8. 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

9. 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

10. 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

Clinical assessment of case with satisfactory hearing bilaterally

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  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 13:
Keep appropriate clinical records
Competency 14:
Write reports on test results and recommendations suitable for the intended audience, to include a range of professionals and parents/carers 
Competency 15:
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

Clinical assessment of case without satisfactory hearing bilaterally

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  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 13:
Keep appropriate clinical records
Competency 14:
Write reports on test results and recommendations suitable for the intended audience, to include a range of professionals and parents/carers 
Competency 15:
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

Peer review of discharge case

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

Please leave blank if not applicable

Competency 12:
Through peer review, critically appraise the interpretation of results and management outcomes made by other clinicians; identify indicators for improvement, and feedback as appropriate
Competency 15:
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

Peer review of non-discharge case

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

Please leave blank if not applicable

Competency 12:
Through peer review, critically appraise the interpretation of results and management outcomes made by other clinicians; identify indicators for improvement, and feedback as appropriate
Competency 15:
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