Clinical Supervisor Timeline

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NP Competencies PDF

12-24 months pre NP Training (practicum)

  • What is a Mātanga tapuhi/ NP?

    There are 3 ‘scopes’ of nursing practice in Aotearoa NZ 

    1. Enrolled Nurse (EN).
    2. Registered Nurse (RN), the majority of nurses in Aotearoa. Only nurses in this scope can train to become NPs.
    3. Nurse Practitioner (NP)

    Nurse Practitioners (NPs) are expert clinical nurses who have completed Master’s education and advanced clinical training. They are registered in the Mātanga tapuhi/NP scope of practice. They assess, diagnose, order laboratory and radiologic diagnostic testing, develop treatment plans, and are authorised to prescribe medications.


    Nurse practitioners make diagnoses and differential diagnoses, and order and interpret diagnostic and laboratory tests. They prescribe medicines within their area of competence with the same authority as medical practitioners. Nurse practitioners may admit and discharge people from hospital and other health care services. They are involved in research, have leadership roles, and supervise and mentor other senior nurses.


    What is an NP https://www.pegasus.health.nz/presentation

  • What are the NP training options?

    1. University based Masters programmes 

    2. NPTP 


    These programmes with deliver the relevant papers and practicum to meet the Nursing Council of New Zealand requirements for registration as an Mātanga tapuhi/NP

  • How does an Mātanga tapuhi/ NP differ from a CNS?

    CNS are registered nurses (RN) and must adhere to the RN scope of practice, with or without prescribing. Registered nurse (nursingcouncil.org.nz)


    NPs are in the nurse practitioner scope which involves a different set of competencies including assess, diagnose, order laboratory and radiologic diagnostic testing, develop treatment plans, and are authorised to prescribe medications Nurse practitioner (nursingcouncil.org.nz)


What is my role as a clinical supervisor

How to get the best from your clinical supervisor(s)?

How to get the best from your clinical supervisor(s)?

  • How does being a clinical supervisor affect my own practice? Time? costs?
    • You will need to have a good understanding of the times when key assessments including viva voce, summative and formative are due, so you can be available.  It would be frustrating to find out you are on leave when your supervisee has a big assessment due. 
    • Check the academic timetable and link with the academic supervisors as well as the candidate.
    • Consider, is this something you are willing to take on if there is no funding to pay for their supervisory role. Discuss options for managing your caseload and supervisor role with service employer/manager.

6-12 months pre NP Training (practicum)

What if I'm approached and don't think the RN is ready?

(This applies to the NP practicum year or the beginning of the Masters programme.)

  • Be honest. Please discuss with the RN why you think they are clinically unready to start the NP practicum year. 
  • Review the NP competencies with the RN and provide specific feedback on areas for development to meet the competencies. Consider making a plan together on how you can provide opportunities to grow these areas and a realistic time frame to review
  • If you are not an NP, suggest that they spend some time with a practising NP to see the breadth and depth of NP practice. 
  • The commitment to support an RN through the NP practicum year is a substantial commitment of time and effort. If you are not able to provide this, it is best to be ‘up-front’ and acknowledge this. This allows the RN to seek out another mentor who may be able to support the them. 

 

As a final step, if required, discuss your concerns with the service manager/ employer and the organisational nurse leader. If possible, check in with academic mentors.

How did you find a clinical supervisor?

How did you know you would be ready to become an NP?

  • Check up on what you need to do and when

    Check the calendar (below)

  • Who will support me from the University?

    The academic supervisor, ensure you have all contact details available should you need to email or call.

  • What report writing and assessment will be required?

    Letters of support based on the practice domains and competencies

    Letter of support based on prescribing comptencies


    Check on the NCNZ site Nurse practitioner (nursingcouncil.org.nz) and / or the academic supervisor

Note this year will be spent with NPs in practice and networking; Linking with local NP networks

NCNZ Panel

How to prepare for NCNZ panel

Portfolio Prep

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NP Training (practicum) Year

Click on each month for what to expect and what is happening next

Each university process and timeframes may differ slightly so please check with your education provider.

Candidate

Check calendar NP training

Do you have all the access and space you need for academic work?


Do you have access to clinical practice and study space to  undertake the clinical and academic work?


Refer to NCNZ np competencies


Clinical Supervisor

Check calendar for NP training

Ensure release time and clinical supervision time clearly identified


Candidate

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Work with your manager on setting up your primary clinical placement 80 hrs


Be aware of potential stress


Start on clinical set-up/templates  e.g. Medtech etc.


Clinical Supervisor

Formative assessment in area of practice

Summative assessment

Signalling if on the right track


Candidate

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Continue work from Feb


Academic semester  1 begins


Clinical Supervisor

Formative assessment in area of practice

Summative assessment

Signalling if on the right track


Candidate

Summative assessment

Signalling if on the right track

Begin:

• clinical mentorship

• Academic assignments

Refer to NCNZ np competencies



Clinical Supervisor

Formative assessment in area of practice

Summative assessment

Signalling if on the right track


Candidate

OSCE

Summative assessments and OSCE.


These will signal if you are on the right track to progress.


You may have feelings of imposter phenomenon. Seek supervision to discuss this common experience


Clinical Supervisor

Support as required.

Candidate

Finish any outstanding academic work


Consider a short break


Clinical Supervisor

Encourage your supervisee to take a short break.

Candidate

Continue clinical practicum hours


Semester 2 begins


Coursework 


Clinical Supervisor

Continuing support for practicum.


Candidate

Consider imposter phenomenon

Portfolio development

Working more autonomously as an NP candidate


Refer to NCNZ np competencies


Clinical Supervisor

Prepare letters/ assessments for portfolio/cv

Candidate

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission

Portfolio prep begins


Clinical Supervisor

Oral presentation/ VIVA

Portfolio submission


Candidate

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission

Finalise academic work



Clinical Supervisor

Oral presentation/ VIVA

Portfolio submission

Candidate

Pressure to lead up to panel

Lead up to panel

Once your panel date is through, plan to take annual leave prior to panel, at least a couple of days to give you time to get ready.

You may want a day or two afterwards as well.


Clinical Supervisor

Encourage the candidate to take leave around the NP panel date


What are the Nursing Council NP panel looking for?

The Nursing Council Panel look for a NP candidate who shows evidence of clinical expertise, leadership and confidence to take up an autonomous clinical practice role at the novice NP level.   

The panel will want to see a comprehensive and systematic holistic assessment of patients, discuss a broad range of probable and differential diagnosis and robust diagnostic reasoning supported by a strong evidence base. 

The panel will also want a demonstration of  collaboration with consumers, whānau, and colleagues to develop, plan, implement, and evaluate therapeutic interventions when managing episodes of care.

Panel interview either December, late January or early February.

Candidate

Check calendar NPTP

Do you have all the access and space you need for academic work?


Clinical Supervisor

Check calendar for NPTP

Ensure release time and clinical supervision time clearly identified


Candidate

↑ Stress

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Clinical Supervisor

Formative assessment in area of practice

Summative assessment

Signalling if on the right track


Candidate

↑ Stress

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Clinical Supervisor

Formative assessment in area of practice

Summative assessment

Signalling if on the right track


Candidate

↑Stress

Summative assessment

Signalling if on the right track


Clinical Supervisor

Formative assessment in area of practice

Summative assessment 1 April

Signalling if on the right track


Candidate

↑↑Stress

OSCE 28 May 


Clinical Supervisor



Candidate

↑Stress

Consider imposter phenomenon

Portfolio development


Clinical Supervisor

Prepare letters/ assessments for portfolio/cv

Candidate

↑↑Stress

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission


Clinical Supervisor

Oral presentation/ VIVA

Portfolio submission 


Candidate

↑↑Stress

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission


Clinical Supervisor

Oral presentation/ VIVA

Portfolio submission 

Candidate

Pressure to lead up to panel


Clinical Supervisor

Encourage the candidate to take leave around the NP panel date


What are the Nursing Council NP panel looking for?

The Nursing Council Panel look for a NP candidate who shows evidence of clinical expertise, leadership and confidence to take up an autonomous clinical practice role at the novice NP level.   

The panel will want to see a comprehensive and systematic holistic assessment of patients, discuss a broad range of probable and differential diagnosis and robust diagnostic reasoning supported by a strong evidence base. 

The panel will also want a demonstration of  collaboration with consumers, whānau, and colleagues to develop, plan, implement, and evaluate therapeutic interventions when managing episodes of care.


First year as an NP: Consolidation and transition

Do I have an ongoing role?

  1. Remember imposter syndrome/ organisational socialisation in role transition.
  2. Try to maintain some form of regular catch up and support
  3. Case review discussion etc..
  4. If you can, at least for this consolidation year, be a mentor and available for clinical discussions.
  5. Try to check in regularly to make sure everything is going well. 


RN-NP Transition Imposter phenomenon post NP training year

Was it worth it? Post NP training year

Was it worth it? Post NP training year