Appendix F - Competency Statement

Competency Statement:
The Participant has demonstrated a satisfactory standard of competence in promoting continence in school age children.
The Participant:
  • Will currently be Bands 4, 5, 6 or 7 of the School Nursing Team within the Children’s Division of Southern Health
  • The assessed risk if competence is not reached is LOW/MODERATE
  • This is an assessed competency for;
  • All newly qualified staff
  • All staff holding their first post within Southern Health and will be assessed by a linemanager holding this competency.
  • All other staff will be able to self-assess (to include PDR and peer review)

Performance Criteria / Evaluation Method/
Evidence / Achieved/ not achieved / Date / Assessor
The Participant will be able to:
Demonstrate the ability to maintain high standards when promoting continence in school age children.
Demonstrate skills in identifying and managing childhood continence issues. / Observation, questioning, evaluation of plan
Use skills and professional judgement to consider when a child or young person needs referring to a secondary service. / Reflection, observation, questioning
Sensitively engage with the child/ young person, parent/ carer in a clinical relationship / Reflection, observation, questioning
Work in partnership with children, young people, families and other professionals when assessing and planning the care of a child/young person with continence needs. / Reflection, observation, questioning, evaluation of plan
Demonstrate knowledge and expertise regarding child and family vulnerability factors at all contacts. / Reflection, observation, questioning, evaluation of plan, evidence of training
Account for responsibilities in
practice regarding record keeping as setout by standards of Nursing and Midwifery Council [NMC], & local & nationalpolicies. Aware of particular issuesregarding security and confidentiality. / Observation,questioning,audit of record, reflection

Appendix F - Assessment Tool

Performance Criteria / Intended answer/outcome
The Participant will be able to demonstrate the ability to maintain high standards when promoting continence in school age children.
Demonstrate skills in identifying and managing childhood continence issues. /
  • Knowledge and understanding of the anatomy and physiology of the bowel and bladder.
  • Knowledge of normal child development and ages when children attain bladder and bowel control during the day and night.
  • Knowledge of neurological or physical conditions which may delay or prevent a child gaining continence.
  • Knowledge and understanding of basic behavioural strategies to help with constipation and soiling.
  • Knowledge and understanding of basic behavioural strategies to help with day and night wetting.

Use skills and professional judgement to consider when a child or young person needs referring to a secondary service. /
  • Work within own capabilities. Able to appropriately liaise with peers or other health professionals if there is uncertainty as to the child or young person’s management.
  • Appropriately refers children or young people, who on assessment may have constipation, to a medical practitioner [i.e. GP or Paediatrician].
  • Refers children and young people to GP/paediatrician if they are showing symptoms of an overactive bladder and not responding to behavioural strategies.
  • Appropriately refers children or young people to secondary Enuresis clinic if available and meets referral criteria.
  • Ability to consider when a child may need referral to Tier 1 or Tier 2 Child and Adolescent Mental Health Service [CAMHS]

Sensitively engage with the child/ young person,parent/ carer in clinical relationship. /
  • Demonstrates sensitivity when dealing with children and young people with continence issues.
  • Use of appropriate language to suit the level of understanding of the individual child and family.
  • Able to gain consent to sensitively liaise with Schools or other professionals as appropriate.
  • Awareness of confidentiality when sharing information with third parties.
  • Complies with the Trust’s Lone Working Policy

Work in partnership with children, young people, families and other professionals when assessing and planning the care of a child/young person with continence needs. /
  • Offers appropriate supportive health information to the family.
  • Knowledge of support networks for children, young people and families.
  • Demonstrates ability to design care plans for home and/or school in partnership with the child/young person, family and school.

Demonstrate knowledge and expertise regarding child and family vulnerability factors at all contacts. /
  • Knowledge of potential risk factors for harm and neglect of children and young people.
  • Recognise and report situations where there might be a need for protection.
  • Knowledge of local safeguarding procedures and Trust Safeguarding Children policies.
  • Evidence of accessing Safeguarding training appropriate for role.

Account for responsibilities in
practice regarding record keeping as set out by standards of Nursing and Midwifery Council [NMC], & local & national policies. Aware of particular issues regarding security and confidentiality /
  • Follows The Trust’sInformation Assurance – Record keeping policy
  • Complies with The Trust’s Standard Operating Procedure for RIO Electronic Patient records [2015].
  • Record keeping in clinical record is factual and contemporaneous.

Assessor statement
Sign:
Date: / Self - assessment statement
Sign:
Date:
Action if competency not demonstrated by participant during assessment:
  • Date for reassessment
  • Any training/CPD requirements
  • Action plan
Sign:
Date: / Action if competency not demonstrated by participant during self-assessment:
  • Date for reassessment
  • Any training/CPD requirements
  • Action plan
Sign:
Date: