Registered Nurses Clinical Competency Document



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0-12 month Deputy Sister Competency

Framework

Neonatal nurses

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Introduction

The purpose of this document is to provide a framework to support Registered Nurses in the transfer of theoretical knowledge into practice and provide an introduction to the skills and knowledge. This competency should be completed by Registered Nurses whose manager has deemed it relevant in order to perform their role for Ashford and St Peters NHS Foundation Trust.

The competency pack will form part of your professional development and will also be used as the basis for your Personal Development Review (PDR) as well as contribute to the PREP standard required by the NMC (June 2008).

Guidelines for Assessors

• The assessor must be a registered nurse who is clinically current and has been registered for 12 months

• Assessors can only be those who currently practice the skill being assessed

• Assessments must only be carried out for competencies that have been observed

• If the practitioner does not achieve the minimum standard at the formative stage, the assessor must write comments and action plan in the comments sheet.

This sheet must be completed in order to validate competence: (Copies of this sheet should be kept in the practitioners department file and given to CPE or mentor)

|In signing here you the Assessor are confirming you are satisfied | | |

|that the named practitioner has completed all assessments below to|Assessors Name |Signature |

|the agreed standard and is competent. |(BLOCK CAPITALS) | |

| | | |

|Personal, professional and people development |

|Health, safety and security |

|Service development |

|Quality |

|Equality, diversity and rights |

|Responsibility for patient care |

|Fluid, electrolyte, nutrition and elimination management |

|Neurological, development care and pain management |

|Respiratory & Cardiovascular management |

|Skin, hygiene & infection control management, personal, |

|professional and people develop |

|Temperature management |

|Palliative care, end of life care and Bereavement management |

|Investigations, tests and procedures |

‘You put the interests of people using or needing nursing or midwifery services first. You make their care and safety your main concern and make sure that their dignity is preserved and their needs are recognised, assessed and responded to. You make sure that those receiving care are treated with respect, that their rights are upheld and that any discriminatory attitudes and behaviours towards those receiving care are challenged’

To achieve this, you must:

• Prioritise people

• Practise effectively

• Preserve safety

• Promote professionalism and trust (NMC: The Code Jan 2015)

Signature of Practitioner: .........................................Print Name ...............................................Department…………………….Date…………………….

|0 – 12 | |Formative Assessment |Summative Assessment |

|Months |Personal, professional and people development | | |

|Competency Statement | | | |

| |The neonatal practitioner will assume responsibility for personal professional |Registered Nurse |Assessor |

| |development, demonstrating a commitment to lifelong learning and activities | | |

| |that enhance knowledge, skills, values and attitudes required for safe and | | |

| |effective neonatal nursing practice. | | |

|Competency Statement | | | |

| |The neonatal practitioner will assume responsibility for personal professional |Registered Nurse |Assessor |

| |development, demonstrating a commitment to lifelong learning and activities | | |

| |that enhance knowledge, skills, values and attitudes required for safe and | | |

| |effective neonatal nursing practice. | | |

|Competency Statement |The neonatal practitioner will utilise a range of policies, procedures and | | |

| |protocols that optimise a safe and secure environment that supports neonatal |Registered Nurse |Assessor |

| |practice | | |

|Competency Statement |The neonatal practitioner will utilise a range of policies, procedures and | | |

| |protocols that optimise a safe and secure environment that supports neonatal |Registered Nurse |Assessor |

| |practice | | |

|Competency Statement | | | |

| |The neonatal practitioner will demonstrate knowledge of effective |Registered Nurse |Assessor |

| |inter-professional working practices that respect and utilise the contribution | | |

| |of all members of the health care team. The neonatal practitioner will | | |

| |contribute effectively to planning and organisation of neonatal care services | | |

| |to maximise the provision of a high quality service to infants, parents, | | |

| |families and carers. | | |

|Competency Statement |The neonatal practitioner will demonstrate commitment to evidence-based | | |

| |practice, utilising research, quality standards and clinical audit tolls. The |Registered Nurse |Assessor |

| |neonatal practitioner will demonstrate a critical thinking approach to problem | | |

| |solving to enhance neonatal care. | | |

| | | | |

|Competency Statement | | | |

| |The neonatal practitioner will practice within a legal, professional and |Registered Nurse |Assessor |

| |ethnical framework that includes employer’s and local guidance, policies and | | |

| |procedures, ensuring that own actions support and promotes equality, diversity | | |

| |and rights. | | |

|Competency Statement |The neonatal practitioner will, within agreed parameters, apply knowledge, | | |

| |clinical judgement, and a range of skills to provide safe, effective care to |Registered Nurse |Assessor |

| |infants and their families. | | |

|Competency Statement | | | |

| |The neonatal practitioner will be equipped to provide skilled care to the |Registered Nurse |Assessor |

| |infant who has more complex fluid, electrolyte, nutrition and elimination | | |

| |support needs. | | |

|Competency Statement |The neonatal nurse recognises physiological and behavioural differences between| | |

| |stress, distress, discomfort, pain, convulsions and drug withdrawal. |Registered Nurse |Assessor |

|Competency Statement |The neonatal nurses assess and infant’s well-being reporting deviations from | | |

| |normal breathing and deviations from the normal pulse. |Registered Nurse |Assessor |

|Competency Statement |The neonatal nurses assess and infant’s wellbeing reporting deviations from | | |

| |normal breathing and deviations from the normal pulse. |Registered Nurse |Assessor |

|Competency Statement |The neonatal practitioner, complies with correct hygiene procedures, implements| | |

| |other infection prevention and control measures as per local policy. |Registered Nurse |Assessor |

|Competency Statement |The neonatal practitioner routinely manages infant’s temperature. | | |

| | |Registered Nurse |Assessor |

|Competency Statement | | | |

| |The Neonatal practitioner follows plan of care for the comfort of an infant and|Registered Nurse |Assessor |

| |family where palliative care is agreed. | | |

Competency Statement |The neonatal practitioner undertakes a defined range of investigations and procedures which are required by the infant.

|

Registered Nurse |

Assessor |Refer |

Date |

Registered Nurse |

Assessor |

Not Competent |

Date | |

14.0 |Recognise the significance of results and seeks appropriate management | | | | | | | | | |

14.1 |

Assists in the care of infants requiring high dependency and intensive care undergoing non-invasive and invasive investigations and procedures.

| | | | | | | | | |14.2 |

Assists in the care of infant’s requiring high dependency and intensive care undergoing blood sampling.

| | | | | | | | | |

14.3 |

Sets up arterial blood pressure transducer.

Measures arterial blood pressure.

| | | | | | | | | |14.4 |Cares for infant receiving exchange and partial exchange transfusion.

Administers drugs via IV route according to professional and local policies.

Assesses the therapeutic response.

Identifies side effects and acts appropriately within local guidelines.

| | | | | | | | | |

Year 1 Skills:

• Become competent in the admission of a baby to intensive care.

• Cope with and respond to an emergency/ difficult situation.

• General awareness of activity within the IC nursery.

• Recognition of colleagues workload and offer support.

• Manage and support staff within the High Dependency nursery.

• Mentor student nurses / midwives.

• Shadow care of the dying baby.

• Complete NLS course.

• MAST: complete local and Trust mandatory training.

• Infant with complex needs.

• The very preterm infant.

• The infant receiving Nitric oxide and cardiovascular support.

• The infant receiving High frequency oscillation ventilation.

• The infant receiving total body cooling.

• Manage the intensive care nursery.

• Shadow the sister-in-charge.

• Identify learning opportunities for self, peers, and students.

• Complete Mentorship for Practice Module

• Co-mentor a staff member undertaking Neonatal modules.

• Clinical Audits: Blood spot, hand hygiene.

References:

• Royal college of Nursing. 2014. (Career, education and competence framework for neonatal nursing in the Uk). London

• Trust Policies & Procedures (all available on the Intranet)

Wills, P. (2010) Resuscitation Policy Ashford & St Peter’s Hospitals NHS Foundation Trust

Wills, P. (2010) Do Not Attempt Resuscitation (DNAR) Policy Ashford & St Peter’s Hospital NHS Foundation Trust

Southey, S. (2010) Manual Handling Policy Ashford & St Peter’s Hospital NHS Foundation

Marfleet, B. (2008) Chaperoning Guidelines for Clinical Staff Ashford & St Peter’s Hospital NHS Foundation Trust

Cooke, K. (2010) Dress Code Policy Ashford & St Peter’s Hospitals NHS Foundation Trust

Human Resources Department (2008) Disciplinary Policy Ashford & St Peter’s Hospitals NHS Foundation Trust

Date Compiled: June 2015 (Maria Jose Beale) CPE / Sister NICU Ashford & St Peter’s Hospital NHS Foundation Trust

Review Date: June 2018

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Outcomes Met

Signature of staff member: __________________________

Signature of mentor: _______________________________

Date: ____________________________________________

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