Accomplished Enrolled Nurse Level Guidelines
ACKNOWLEDGMENTS
We acknowledge the following in the development of the PDRP Guidelines:
National Framework for Nursing Professional Development & Recognition Programmes & Designated role Titles (December 2005). Report to the National Nurses Organisations from the National Professional Development and Recognition Programmes Working Party
Professional Development and Recognition Programme (PDRP) Evidential Requirements Working Party Report (November, 2009). Report developed through joint sponsorship of Nurse Executives of New Zealand and New Zealand Nurses’ Organisation (NZNO).
Their assistance is sincerely appreciated.
· The PDRP EN Accomplished Guidelines is current at the time of printing, and is subject to regular review. It is bound by the constraints of Nursing Council of New Zealand (NCNZ) and NZNO with regard to legislative or employment changes.· All efforts will be made to publicise significant changes, however any concerns or issues may be raised with the PDRP Advisory Committee.
Table of Contents
NATIONAL FRAMEWORK DESCRIPTORS FOR ENROLLED NURSE 4
PDRP APPLICATION FORM ACCOMPLISHED LEVEL 5
PERSONAL DECLARATION 6
CHECKLIST FOR PDRP APPLICATION ACCOMPLISHED LEVEL 7
EVIDENCE ACCOMPLISHED NURSING COMPETENCIES - ENROLLED NURSE 9
NATIONAL FRAMEWORK DESCRIPTORS FOR ENROLLED NURSE[1]Enrolled nurse scope of practice
Enrolled nurses practise under the direction and delegation of a registered nurse or nurse practitioner to deliver nursing care and health education across the life span to health consumers in community, residential or hospital settings. Enrolled nurses contribute to nursing assessments, care planning, implementation and evaluation of care for health consumers and/or families/whanau. The registered nurse maintains overall responsibility for the plan of care. Enrolled nurses assist health consumers with the activities of daily living, observe changes in health consumers’ conditions and report these to the registered nurse, administer medicines and undertake other nursing care responsibilities appropriate to their assessed competence. In acute settings, enrolled nurses must work in a team with a registered nurse who is responsible for directing and delegating nursing interventions. In some settings, enrolled nurses may coordinate a team of health care assistants under the direction and delegation of a registered nurse. In some settings, enrolled nurses may work under the direction and delegation of a registered health practitioner*. In these situations the enrolled nurse must have registered nurse supervision and must not assume overall responsibility for nursing assessment or care planning. Enrolled nurses are accountable for their nursing actions and practise competently in accordance with legislation, to their level of knowledge and experience. They work in partnership with health consumers,
families/whanau and multidisciplinary teams.
* A person who is registered under the Health Practitioners Competence Assurance Act
e.g. midwife, medical practitioner, occupational therapist.
The Accomplished Enrolled Nurse:
§ Develops partnerships with clients that implement Te Tiriti o Waitangi in a manner which the clients determine is culturally safe
§ Demonstrates advancing knowledge and skills in a specific clinical area within the EN scope
§ Contributes to the management of changing workloads
§ Gains support and respect of the health care team through sharing of knowledge and making a demonstrated positive contribution
§ Undertakes an additional responsibility within a clinical/quality team, e.g. resource nurse, health and safety representative, etc.
§ Actively promotes understanding of legal and ethical issues
§ Contributes to quality improvements and change in practice initiative
§ Acts as a role model and contributes to leadership activities.
PDRP APPLICATION FORMEN ACCOMPLISHED LEVEL
Applicant (please print)
First Name Surname
Employee number
Nursing Council Registration Number
Work area
Ward / Dept, Location / Hospital / Division
Telephone contact
Work (Internal Extension) Home / Cell-phone
Email contact
If transferring from another PDRP
Name of PDRP Programme & DHB / organisation
Date of last assessment (if applicable)
□ I have completed the checklist form in the guidelines
□ I have notified my Line Manager of my intent to apply for PDRP, before submitting my Portfolio
Name
□ I have met with PDRP Resource Person prior to submitting my portfolio
Name Area Signature
Signature of Applicant
Date
PERSONAL DECLARATION
To be signed no more than 2 weeks prior to submission.
1. I declare that I have assessed myself against the competencies for the Enrolled Nurse scope of practice (Nursing Council of New Zealand May 2012) and I meet the required standard of competence.
2. I declare that I have maintained the NCNZ requirements related to practice hours, professional development hours and standards of practice.
3. I declare that the personal portfolio I have presented as evidence contains my own work, or, where I have submitted joint work, I have fairly and accurately described my personal contribution.
4. I declare that the submitted evidence relates to current practice situations, which have occurred in the previous three years, and relate to my current scope of practice.
5. I understand that my portfolio may be audited for purposes of authentication.
6. I understand that my portfolio may be subject to internal moderation by the PDRP Facilitator or an external moderator, i.e. other South Island DHB PDRP assessors.
7. I understand that none of my work will be used for other purposes unless it has my specific consent. I understand, however, if during the assessment process an assessor identifies any issues of potentially unsafe or concerning practice, they will discuss this with the Nurse Coordinator-PDRP in the first instance and the issue may be followed up further.
I attest that I am not currently under Performance Management or being investigated by Nursing Council of New Zealand for any reason.
By signing I declare the information I have given is true and correct.
Applicant Signature: / Date:All documents enclosed are verified as photocopies of originals.
I support / do not support (circle one) the nurse’s application for Accomplished Level.
Manager* Signature: / Date:Print Name / Designation:
* May be nominated other by the Line Manager e.g. NE, CNS, NC
EN Accomplished Level PDRP Guidelines July 2012 endorsed by Regional Committee
4
CHECKLIST FOR PDRP APPLICATIONACCOMPLISHED LEVEL /
1. / Hours of practice
Hours worked* validated by Nurse Manager
*Minimum of 450 hours nursing practice in previous three years
2. / Annual Practicing Certificate
Current copy
3. / Performance Appraisal / Review (Must be within the last 12 months)
a) Measured against NCNZ competencies
b) Line manager is a registered nurse and
c) Includes a Self Assessment
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at accomplished level of practice
Each competency has been commented upon
OR
Performance Appraisal / Review (Must be within the last 12 months)
a) Is not measured against the NCNZ competencies or
b) Line manager is not a registered nurse then also provide the following:
Peer review by a registered nurse
Measured according to NCNZ competencies
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at accomplished level of practice
Self assessment verified by a registered nurse
Measured according to NCNZ competencies
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at accomplished level of practice
4. / Professional Development and competencies
*Minimum of 60 hours over last three years, including organisational mandatory (e.g. CPR, Fire training)/essential requirements. E.g. training and competency database printout and certificates if not listed on printout
Reflection on PD
Must include an overall statement of learning including 3 key activities attended within the last 3 years. You need to explain what you did, what you learned and how each activity affirmed or influenced your practice. Validation by someone who can verify your attendance, certificate or organisational education record
Reflection Tools are available on the PDRP internet site
5. / Current CV
Nursing employment, education history and overview of current role
6. / Verification that application discussed with CNM or equivalent senior nurse (if line manager is not a nurse)
Nurse must have a professional relationship with a senior nurse. The senior nurse’s support may also be noted on the application, e.g. on performance appraisal
7. / Consent form completed and placed in portfolio
Accomplished Level of Practice Requirements
Evidence of achievement of the specific Accomplished requirements / indicators may be evidenced in standard requirements, e.g. performance appraisal. If so, NO ADDITIONAL evidence is required.
If it is not, then separate statements validated by line manager should be provided of the following:
8. / Evidence that demonstrates participation in quality improvement and the change process
See Quality Templates on Internet
9. / Evidence showing engagement and influence in professional activities
10. / Evidence showing in depth understanding of patient care and care co-ordination as within scope of practice, and the ability to identify changes in patient health status and action this appropriately
Accomplished Level Practice Discussion Meeting / All initial submissions will include an Accomplished Level Practice Discussion with your assessors.
All resubmissions (every 3 years) applicants may request a meeting with their assessors, although this is not a requirement. Please notify our office should you wish to have this arranged.
EN Accomplished Level PDRP Guidelines July 2012 endorsed by Regional Committee
4
EVIDENCE ACCOMPLISHED NURSING COMPETENCIES - ENROLLED NURSENAME: AREA:
Introduction· This section outlines suitable forms of evidence used in the assessment of Nursing Council’s (2012) Competencies for the Enrolled Nurse Scope of Practice. As a legal requirement of practice, you must demonstrate competency to the Nursing Council of New Zealand in order to receive your Annual Practising Certificate.
· Some templates have been developed to assist you in this process (also refer to Internet site under PDRP).
Instructions
· All documentation within your portfolio should be appropriately numbered.
N. B. Please remember the privacy of others and ensure that there are no identifying names or NHI numbers in case studies, documentation or exemplars. Patient notes, nursing care plans and referrals are not to be included as evidence.
· One piece of evidence may apply to several competencies (remember to include its number in each relevant competency domain).
· Column B has been developed as possible suggested forms of evidence you may wish to utilise. However, please do include any other evidence you consider to be relevant.
· Please complete Column C with the appropriate examples. Please indicate which evidence you are submitting.
· Please use Column D to reference your assessor to the appropriate page in your Portfolio.
· Please include TWO STAPLED COPIES (these can be photocopies) of the completed competencies form. Completed
· Please complete the competencies electronically or in INK
It is your responsibility to ensure that you have supplied adequate and appropriate examples and evidence of your practice, however, please see a PDRP Resource person for assistance prior to submitting your portfolio.
Domain 1: Professional Responsibility
Competency 1.1 Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements.
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Accepts responsibility and actively promotes the standards of the professional, ethical, relevant legislated requirements that underpin EN / NA practice, through the sharing of information with peers
q Role models Nursing Council and organisational standards to guide nursing practice, ensuring consistent standards of care for the client, assisting and supporting others with this.
q Actively promotes and reflects upon ethical principles/ codes to ethical situations/examples within area of practice
q Is confident in raising ethical issues related to practice in discussion with other health team members
q Provides and actively promotes evidence that practice consistently meets professional standards, scope of practice and relevant legislation and speciality best practice standards / · Case study, reflection or presentation demonstrating professionalism and ethical principles within own practice and the active promotion of these standards through the sharing of information with peers.
· Performance appraisal (PA), self assessment or peer review supports professionalism and how the EN actively promotes the application of professional standards, scope of practice, relevant legislated requirements and specialty best practice standards.
Domain 1: Professional Responsibility
Competency 1.2 Demonstrates the ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice.
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Identifies or describes the development of partnerships with patients that implement the Treaty of Waitangi
q Demonstrates and promotes understanding of the Treaty of Waitangi and its relevance to the health of Maori
q Role models the application of Treaty of Waitangi principles in nursing practice, assisting others with this
q Acts as a role model in the application of the principles of the Treaty of Waitangi / Te Tiriti o Waitangi to nursing practice
q Assists others to integrate processes appropriate for Māori. For example whānau hui, karakia, whakawhanaungatanga / · Reflection / case study or education presented demonstrating knowledge and role modelling on the development of partnerships that implement the Treaty.
· PA, self assessment or peer review shows evidence of application and integration of processes appropriate for Maori and how the EN role models this to others.
Domain 1: Professional Responsibility