Milestone map
Milestone map
3 milestones
Document 5 supervised clinical procedure observations
2–4 weeks (observation block)
Under direct clinical supervision, observe 5 clinical procedures relevant to your training programme (e.g. venepuncture, blood pressure measurement, wound dressing, medication administration, or equivalent for your allied health discipline). For each observation, write a structured log: procedure type, brief description of what occurred (patient anonymised), what the supervisor checked before and after the procedure, and what safety steps you observed. Logs are observational records only — you perform no procedures at this stage.
Proof required
Submit 5 observation logs and written confirmation from your clinical supervisor that these observations occurred. Supervisor must be a registered healthcare professional. All patient information must be fully anonymised.
What gets checked
- Each log describes a specific, named procedure — 'I observed some clinical work' is not a log entry.
- Safety steps and pre/post checks are described for each procedure — not assumed to be obvious.
- Patient information is fully anonymised — no names, dates of birth, or identifying combinations.
Common mistakes
- Combining multiple observations into one log — each procedure requires its own log.
- Omitting the safety steps section — this is a core learning objective of observation logs.
- Supervisor confirmation from a healthcare assistant rather than a registered professional.
Resources
Foundationstart here
Depthgo deeper
What a verifier looks for
- Confirm supervisor is registered — ask for their registration number or credential in the confirmation letter.
- Check all logs for patient identifiers — reject if any are present.
- Ask the student what the most important safety check was in the procedure they found most complex.
Perform 5 supervised procedures with documented supervisor assessment
4–8 weeks (supervised practice block)
Under direct one-to-one supervision from a registered healthcare professional, perform 5 clinical procedures (which may be the same or different procedure types depending on your training programme requirements). For each, the supervisor completes a brief competency assessment (procedure performed correctly / requires further supervised practice / not yet safe to proceed). Your documentation records the procedure, the patient outcome, and the supervisor's assessment. You perform procedures only when your supervisor deems it safe for you to do so — all decisions about patient suitability remain with the registered professional.
Proof required
Submit 5 procedure documentation records, each signed by the supervising registered professional with their assessment of your performance. Patient information fully anonymised. Supervisor credentials must appear on each signed record.
What gets checked
- Each record is signed by the supervising registered professional — not countersigned by a peer.
- Supervisor assessment is specific per procedure — 'satisfactory' is not sufficient; it should note what was performed well and any areas for improvement.
- Documentation notes any adverse events or near-misses honestly — a portfolio with no complications recorded suggests selective documentation.
Common mistakes
- Performing procedures without direct one-to-one supervision — this violates the safety standard and the proof requirement.
- Supervisor assessments that are uniformly positive without developmental feedback — real assessments identify areas for improvement.
- Omitting near-misses or complications from documentation — selective recording undermines the portfolio's integrity.
Resources
Foundationstart here
Depthgo deeper
What a verifier looks for
- Verify supervisor credentials on every record — a portfolio with 5 different supervisors all with the same vague credential is a red flag.
- Confirm that at least one record contains developmental feedback, not just a pass assessment.
- Ask whether any adverse events or complications occurred — the student should be able to answer honestly; evasion is a concern.
Complete procedures portfolio with signed competency record
8–16 weeks total (full supervised procedural training block)
Compile the full portfolio: 5 observation logs, 5 supervised procedure records, a signed competency record from your training programme supervisor (or programme lead) confirming satisfactory completion of this procedural module, and a self-assessment against your profession's competency framework identifying three areas for continued development. The portfolio confirms your learning under direct supervision — it does not certify independent clinical competency.
Proof required
Submit the full portfolio and a signed competency record from the programme supervisor or lead confirming satisfactory completion of the supervised procedure block. The competency record must include the supervisor's registration credentials and the date range of supervision.
What gets checked
- Competency record is from the programme supervisor, not just the individual session supervisors — it confirms the full block, not a single session.
- Self-assessment areas for development are specific and honest — if all three are minor refinements, the portfolio is not reflecting genuine developmental gaps.
- Portfolio includes all 10 documents (5 observation logs + 5 procedure records) — not a summary.
Common mistakes
- Competency record from a peer student rather than a programme supervisor.
- Self-assessment that claims full competence in all areas rather than identifying development areas.
- Portfolio that summarises rather than includes the full documents.
Resources
Foundationstart here
What a verifier looks for
- Check the competency record is from the programme supervisor or lead, not just a session supervisor — confirm this by asking who signed the record.
- Ask the student to name their three development areas and give an example of what continued practice would look like for each.
- Verify the date range on the competency record matches the observation and procedure log dates.
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