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Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
This booklet contains: • The RCN National Curriculum and Competency Framework for Emergency Nursing • WhippsCrossspecificcompetencies
Name: .........................................................................................................
NHSBarts HealthNHS Trust
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
This booklet contains: • The RCN National Curriculum and Competency Framework for Emergency Nursing • WhippsCrossspecificcompetencies
ii
Whilst every care has been taken in the preparation of this reference work neither the Authors nor Publisher can accept any liability for claims or losses arising from the information herein contained.
This material has been compiled, collated and printed by BOE Publishing Ltd in conjunction with Barts Health NHS Trust. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of Barts Health NHS Trust and BOE Publishing Ltd.
First published March 2019
Produced and sponsored by BOE Publishing Limited – All rights reserved
WHAT IS THIS PACK FOR?
This pack is intended to provide you with clear milestones for your first year as a nurse in Whipps Cross University Hospital Emergency Department.
You will be assigned to both the preceptorship program (if newly qualified) and to an A&E team for support and training. Whipps Cross offers a variety of learning and professional development opportunities for you to take advantage of in your time here.
Included in this pack are competencies for you to be signed off by yourself, the senior nursing staff, your team leader and the PDN team to ensure you get the most out of your emergency experience in Whipps Cross Hospital.
Whipps Cross Hospital
iii
CONTENTS
SECTION 1 - GENERAL INFORMATIONWhipps Cross Hospital ........................................................................................................................1 - 1
Emergency Department Management Structure .............................................................................1 - 2
Our Department is Like One Big Sorting Office ..............................................................................1 - 3
Patient Flow Within the Emergency Department .............................................................................1 - 4
Route Planning - Nursing in ED WXH .............................................................................................1 - 5
Frequently Asked Questions ...............................................................................................................1 - 6
Expectations of Our Team ...................................................................................................................1 - 7
SBAR - Situation, Background, Assessment, Recommendation ....................................................1 - 11
SECTION 2 - LEARNING CHECKLISTS12 Month Estimated Basic Study Plan ...............................................................................................2 - 1
6 Month Estimated Basic Study Plan for Barts Health Rotation ....................................................2 - 1
Level 1 Milestones ...............................................................................................................................2 - 2
Team Days Attend During the One Year Period ..............................................................................2 - 2
3 Week Induction Plan and Management Plan .................................................................................2 - 3
Specific Day by Day/Month by Month Sign-Offs .............................................................................2 - 4
Days 1–2 .........................................................................................................................................2 - 4
Days 3–16 .......................................................................................................................................2 - 5
Months 1–4 .....................................................................................................................................2 - 7
Months 4–8 .....................................................................................................................................2 - 9
Months 8–12 ...................................................................................................................................2 - 10
Month 12 + ....................................................................................................................................2 - 11
SECTION 3 - ROYAL COLLEGE OF NURSING (RCN) CURRICULUM AND COMPETENCY FRAMEWORK FOR EMERGENCY NURSING (LEVEL 1)1 INTRODUCTION .........................................................................................................................3 - 5
Preceptorship and induction .........................................................................................................3 - 5
Glossary of nursing roles ...............................................................................................................3 - 6
Emergency nurse development pathway .....................................................................................3 - 7
Foundation practice – Working to Level 1 competencies ..........................................................3 - 8
Emergency nurses – Working to Level 2 competencies .............................................................3 - 8
Emergency nurse development – Beyond Level 2 ......................................................................3 - 8
The competence framework .........................................................................................................3 - 9
Good nursing practice ...........................................................................................................3 - 10
Cross-cutting themes .............................................................................................................3 - 11
Emergency care clinical domains .........................................................................................3 - 12
Competence assessment ...............................................................................................................3 - 13
The role of the clinical supervisor/assessor/mentor ...................................................................3 - 14
iv
2 LEVEL 1 COMPETENCIES
Good nursing practice Level 1 .....................................................................................................3 - 15
GNP1 – Professional behaviour ............................................................................................3 - 16
GNP2 – Team working ...........................................................................................................3 - 17
GNP3 – Communication .......................................................................................................3 - 18
GNP4 – Leadership and management .................................................................................3 - 19
GNP5 – Education .................................................................................................................3 - 20
GNP6 – Evidence-based practice .........................................................................................3 - 21
GNP7 – Legal and ethical dilemmas and decision making ................................................3 - 22
GNP8 – Service evaluation and improvement ....................................................................3 - 23
Cross-cutting themes Level 1 ......................................................................................................3 - 24
CCT1 – Patient assessment ..................................................................................................3 - 25
CCT2 – Pain assessment and management .........................................................................3 - 27
CCT3 – Medicines management ..........................................................................................3 - 28
CCT4 – Moving and handling ...............................................................................................3 - 30
CCT5 – Infection prevention and control............................................................................3 - 31
CCT6 – Safeguarding children and adults ...........................................................................3 - 32
CCT7 – Documentation and record keeping ......................................................................3 - 34
CCT8 – Preventing and controlling violence and aggression ............................................3 - 35
Clinical domains Level 1 ..............................................................................................................3 - 36
CD1 – Caring for acutely ill adults .......................................................................................3 - 36
CD2 – Caring for adults requiring resuscitation .................................................................3 - 52
CD3 – Caring for adults with minor illness or injury ..........................................................3 - 62
CD4 – Caring for children and young people .....................................................................3 - 70
CD5 – Caring for people with mental health needs ...........................................................3 - 82
CD6 – Caring for older people .............................................................................................3 - 87
CD7 – Emergency planning and disaster management ......................................................3 - 93
SECTION 4 - NMTNG: NURSING AND AHP TRAUMA COMPETENCIES IN THE ED – ADULT LEVEL 1 – APRIL 20161. Introduction ...................................................................................................................................4 - 2
2. Using this Document .....................................................................................................................4 - 2
3. Overview of the educational and competency standard ............................................................4 - 3
4. Educational and competency standard structure, Levels 1 – 3 .................................................4 - 4
The competencies:
Section 1: Organisational aspects .......................................................................................................4 - 5
Section 2: Clinical and technical skills ................................................................................................4 - 6
2A - Preparation and Reception ..................................................................................................4 - 6
Whipps Cross Hospital
v
2B - Primary survey: <C>ABCDE .............................................................................................4 - 7
2Bi - Catastrophic haemorrhage ...........................................................................................4 - 7
2Bii - Airway and c-spine control .........................................................................................4 - 8
2Biii - Breathing and Ventilation ..........................................................................................4 - 9
2Biv - Circulation and Haemorrhage Control .....................................................................4 - 10
2Bv - Disability .......................................................................................................................4 - 11
2Bvi - Exposure and Temperature Control ..........................................................................4 - 11
2C - Pain assessment and management .......................................................................................4 - 11
2D - Special circumstances: ..........................................................................................................4 - 12
2Di - The elderly trauma patient ..........................................................................................4 - 12
2Dii - The pregnant trauma patient .....................................................................................4 - 12
2Diii - The burns trauma patient ..........................................................................................4 - 13
2Div - The bariatric trauma patient .....................................................................................4 - 13
2Dv - The confused, agitated & aggressive trauma patient ...............................................4 - 14
2Dvi - The spinal cord injured patient .................................................................................4 - 14
2Dvii - The trauma patient with communication difficulties .............................................4 - 15
2Dviii - Care of the death of a trauma patient ....................................................................4 - 15
2DiX - Tissue and organ donation .......................................................................................4 - 16
2E - Secondary survey ...................................................................................................................4 - 16
2F - Transfer ...................................................................................................................................4 - 17
2Fi - Transfer within the Hospital .........................................................................................4 - 17
2Fii - Secondary transfer (out of hospital) ..........................................................................4 - 18
Section 3: Non-technical skills ............................................................................................................4 - 19
Action plan ............................................................................................................................................4 - 20
SECTION 5 - WXH SPECIFIC COMPETENCIESLevel 1 Nurse Should be Competent or Have Attended Training for All of the Following .........5 - 1
Checklist of Training (Quick Reference) ...........................................................................................5 - 2
Medications Competency ..................................................................................................................5 - 3
Dressings Competency .......................................................................................................................5 - 4
Wound Closure Competency ............................................................................................................5 - 5
Suturing Competency ........................................................................................................................5 - 6
Cannulation Venepuncture - Guide for Assessors ............................................................................5 - 7
Cannulation Venepuncture Competency ...........................................................................................5 - 8
Blood Culture Sampling Competency ...............................................................................................5 - 10
Plaster of Paris Competency ..............................................................................................................5 - 12
Continuous Positive Airway Pressure (CPAP) Competency ............................................................5 - 14
Bilevel Non-Invasive Ventilation Competency ..................................................................................5 - 15
Naso-Gastric Tube (NGT) Competency ............................................................................................5 - 16
Blood Components Collection Training and Competency Assessment ..........................................5 - 18
Patient Group Direction Competency ...............................................................................................5 - 22
vi
Male Catheterisation Competency ...................................................................................................5 - 23
Male Catheterisation Competency ...................................................................................................5 - 24
Laerdal Suction Unit (LSU) Competency .........................................................................................5 - 26
Ranger 245 Blood/Fluid Warmer Competency ................................................................................5 - 28
Baxter Colleague Infusion Pump Competency .................................................................................5 - 30
FK Injectomat/SP Infusion Pump Competency ................................................................................5 - 32
FK Volumat/VP Infusion Pump Competency ...................................................................................5 - 34
Lifepak 20 Defibrillator Competency ................................................................................................5 - 36
LUCAS Competency ...........................................................................................................................5 - 37
Mortara ECG Competency .................................................................................................................5 - 38
Bair Hugger 775 Competency .............................................................................................................5 - 40
Level 1 Rapid Infuser ..........................................................................................................................5 - 42
Welch Allyn 1500 Patient Monitor Competency ...............................................................................5 - 44
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Section 1General Information
Whipps Cross Hospital
Section 1 - 1
WHIPPS CROSS HOSPITALEstablished in 1894 and renamed to Whipps Cross hospital in 1917, this hospital found its origins providing care for servicemen wounded in the war. Whipps has continued a strong tradition of high-quality care since then and had a newly refurbished A&E department in the wake of the 2012 Olympics.
The hospital merged to form a combined Trust with St Bart’s hospital, Royal London hospital, and Newham University hospital under the umbrella of Barts Health NHS Trust, the largest NHS Trust in the country providing specialised trauma, cardiology, and renal services.
WELCOME TO OUR EMERGENCY DEPARTMENT!We have an OUTSTANDING vision for our ED!
Welcome to WXH ED! Great to have you on-board. We are delighted you have chosen to work with us and we are looking forward to developing you on our route pathways.
This programme has been designed to help you to become an ED Nurse with the full complement of skills and experiences needed to support patients with a wide range of ED problems.
If throughout the programme you are struggling, your Practice Development Nurses (PDNs) and Band 6s and 7s will support you and guide you until you are both competent and confident.
After completing this booklet there are many more developmental opportunities that you could choose to further enhance your career, from university courses to promotional opportunities.
During this period of learning about ED, you will be allocated to a team with a Band 7 team leader both this person and the PDNs will monitor and support you through this period and if you have any concerns about anything else, please speak to your Band 7.
Looking forward to having you as part of the team and a big welcome!
Alice Green & Fiona McCreesh
Matrons
General Information
Section 1 - 2
EMERGENCY DEPARTMENT MANAGEMENT STRUCTURE
Clark Richardson
Service Manager
Emergency and Acute Medicine
Alice Green
Matron
Emergency Medicine
Fiona McCreesh
Matron
Emergency Medicine
Service Manager
Admin & Clerical
Receptionists
SERCOPorters
Matrons
PDNs Team Leaders
Sisters/Charge Nurses
Staff Nurse
HCAs
Housekeepers
Emergency Nurse Practioners
Trainee ENPs
Advanced Clinical Practioners
Trainee ACPs
The structure within the department is that your immediate line manager is your team leader who will meet with you regularly and should be your first point of contact. However, you are ultimately accountable to the matrons.
Whipps Cross Hospital
Section 1 - 3
OUR DEPARTMENT IS LIKE ONE BIG SORTING OFFICEWe stabilise patients, reduce their pain, make them comfortable, find out what is wrong with them and then… sort them off into areas of the hospital or back into the community.
As Registered Nurses in our department, your role is to:
z See, assess, triage, implement care, keep people comfortable and safe, manage acute illness, treat people with a wide range of medical illness and injury
z Give people holistic and balanced care
z Support one another. We are one TEAM! #TEAMED
z Escalate all your concerns to Doctors, Nurses, Safeguarding, CNS’s and other relevant bodies.
ON
E WA
Y TR
AFFIC
Whipps Cross HospitalSite map and wayfinding system
Chest Clinic
MainEntrance
Plane Tree
HOSPITAL ROAD
HOSPITAL ROAD
X-Ray
ICU
Acorn Unit
Byron
OutpatientsReception
Children’sOutpatients
MargaretCentre
ConnaughtDay Hospital
MRI
SocialWorkersUnit
SocialWorkers
LearningCentre
Emergency Assessment Unit The
Retreat& QuietArea GP and
Outpatient X-Ray
ContinenceAdvisory Service
To James Lane
BoardRoom
Pre
Op
erat
ive
Ass
essm
ent
Un
it
WoodlandsDay Unit
RenalUnit
1st FloorPoplar Ward
Ou
tpat
ien
tsA
& B
Restaurant
MedicalPhotography CT
Mat
ern
ity
BACK ROAD
BUS ROUTE BUS ROUTE
BUS ROUTE
NO
AC
CES
STo WhippsCross Road
To James Lane
Tom
swo
od
Un
itA&E
Drop Off
A&E Bus Drop Off
1st FloorRowan Ward
2nd FloorSage Ward
1st FloorPrimrose Ward
1st FloorTherapies
2nd Floor Syringa Ward
1st FloorDepartment of Sexual Health
2nd Floor Sycamore Ward
Just LearningNursery
BRIDGE
Eye TreatmentCentre
BUS
ROU
TE
BUS
ROU
TE
GRO
UN
D F
LOO
R
FIRS
T FL
OO
R
12 141311107 865431 2
Med
ical
Ed
uca
tio
n C
entr
e
9
1
2
3
4
Key to Symbols:
Male, female & disabled toilets
Lift
Stairs
Teabar (or drinks vending machine)
Restaurant
Payphone
Help Desk
Bike Park
Pay & Display Car Park
Car Park for Disabled People
Bus Stop
Bus Route
Entrance
Shop
EmergencyMedicalCentre
= Temporarily closed
Accident &Emergency
Accident &EmergencyEntrance
EUCCSorbusHouse
HDU
EGU
AMBULANCES ONLY
AMBULANCES ONLY
NO
AC
CES
S
NO ACCESS
ON
E WA
Y TR
AFFIC
Whipps Cross HospitalSite map and wayfinding system
Chest Clinic
MainEntrance
Plane Tree
HOSPITAL ROAD
HOSPITAL ROAD
X-Ray
ICU
Acorn Unit
Byron
OutpatientsReception
Children’sOutpatients
MargaretCentre
ConnaughtDay Hospital
MRI
SocialWorkersUnit
SocialWorkers
LearningCentre
Emergency Assessment Unit The
Retreat& QuietArea GP and
Outpatient X-Ray
ContinenceAdvisory Service
To James Lane
BoardRoom
Pre
Op
erat
ive
Ass
essm
ent
Un
it
WoodlandsDay Unit
RenalUnit
1st FloorPoplar Ward
Ou
tpat
ien
tsA
& B
Restaurant
MedicalPhotography CT
Mat
ern
ity
BACK ROAD
BUS ROUTE BUS ROUTE
BUS ROUTE
NO
AC
CES
S
To WhippsCross Road
To James Lane
Tom
swo
od
Un
it
A&E Drop Off
A&E Bus Drop Off
1st FloorRowan Ward
2nd FloorSage Ward
1st FloorPrimrose Ward
1st FloorTherapies
2nd Floor Syringa Ward
1st FloorDepartment of Sexual Health
2nd Floor Sycamore Ward
Just LearningNursery
BRIDGE
Eye TreatmentCentre
BUS
ROU
TE
BUS
ROU
TE
GRO
UN
D F
LOO
R
FIRS
T FL
OO
R
12 141311107 865431 2
Med
ical
Ed
uca
tio
n C
entr
e
9
1
2
3
4
Key to Symbols:
Male, female & disabled toilets
Lift
Stairs
Teabar (or drinks vending machine)
Restaurant
Payphone
Help Desk
Bike Park
Pay & Display Car Park
Car Park for Disabled People
Bus Stop
Bus Route
Entrance
Shop
EmergencyMedicalCentre
= Temporarily closed
Accident &Emergency
Accident &EmergencyEntrance
EUCCSorbusHouse
HDU
EGU
AMBULANCES ONLY
AMBULANCES ONLY
NO
AC
CES
S
NO ACCESS
General Information
Section 1 - 4
PATIENT FLOW WITHIN THE EMERGENCY DEPARTMENTThis diagram shows the percentages of people that present and by which route and ultimately their end destination.
Whipps Cross Hospital
Section 1 - 5
ROUTE PLANNING - NURSING IN ED WXH
Leadership Pathway Clinical Pathway
Matron
Senior Sister/Charge Nurse
Sister/Charge Nurse
Staff Nurse
Nursing Associate
Health Care Assistant
Support with university placement onto a Trainee Nursing Associate programme to further your skills
Care Certificate
On-going support continues with clinical innovation and excellence.
Degree in Nursing
Sister/Charge Nurse
Post Graduate Training
Emergency Nurse Prac
Master’s Degree
Trainee ACP
Advanced Clinical Prac
Staff Nurse
Level 1 ED
Nursing (RCN)
6-18Months
Operational Management Training
Level 2 ED
Nursing (RCN)
6-12Months
Level 1 Trauma
12 Months
Team/Shop Floor Management
Post Grad Leadership Training
Team Lead
Departmental Manager of the Shift
Master’s Degree
Operational/Large Staff Management
Lead Nurse
Champion of Innovation Lead
Nurse Consultant/Lead Head/Associate/Director
Level 2 ED Nursing (RCN)
Level 2 Trauma
12 Months
Level 1 ED
Nursing (RCN)
6-18Months
Level 2 ED
Nursing (RCN)
6-12Months
Level 1 Trauma
12 Months
Level 2 Trauma
12 Months
Level 2 Trauma
General Information
Section 1 - 6
FREQUENTLY ASKED QUESTIONSQuestion Answer
Policies All on the intranet, please familiarise yourself with:
z Study Leave Policy
z Sickness Absence Policy
z Performance and Capability Policy
Protocols Protocols, pathways and local policies help to shape how we run this complex department. They can be found on the blue light icon or via the S:Drive.
\\swxnas01.fhtworld.local\shared\Emergency Department WX\Clinical & Shop Floor - Open This for Up To Date Guidelines\Homepage\Departmental Home Page.htm
Study Leave You are entitled to a minimum of 5 Study Days a year for Team Days.
Anything over this is at the discretion of your team leader, the PDN team and/or the Matrons.
When you first start, you will go on a plethora of study days to ensure you are fully skilled to complete your role. This is managed under the performance capability and you will be measured against this via the milestones set out in this document. Failure to complete study days without reasonable justification to the Matron will mean a failure to perform to the role required as an ED Nurse. Therefore, we take study days and education very seriously.
The basic rules for study is:
z Request your own study leave as soon as you know the dates.
z Turn up early to study (lateness means you don’t complete, the unit gets charged, you get unpaid unauthorised leave, and you need to complete again in own time, so don’t run the risk).
z If you are sick or have an extenuating circumstance why you can’t attend study, then you need to ring the Matron or Nurse in Charge and email the PDNs and Team Leader
Sickness Policy You are required to ring the Nurse in Charge or Matron as soon as you know you are going to be sick. This gives us chance to fill the shift.
You will be monitored on your sickness/absence/lateness and this is followed up by the sickness absence policy. This policy ensures we are adequately supporting you.
Sickness cannot be helped but you will be expected to have a return to work sickness meeting so that we can ensure, as a department, we are doing all we can to support you and ensure you are getting the right help for your sickness needs.
Shifts/Roster 4 Requests a Month.
3 Swaps a Month (Must be to same skill level or above).
Can only swap with authority of team leader.
To escalate all roster concerns to team leader at first instance.
Emergency Leave to be granted by Matrons only.
Try to book annual leave quickly to not be disappointed and wait for this to be approved before booking anything!
Uniform Issuing Each member of staff will be issued with 3 sets of uniforms it is your responsibility to take care of them, if they become damaged for whatever reason we reserve the right to issue a £10 levy for replacement uniforms.
Whipps Cross Hospital
Section 1 - 7
EXPECTATIONS OF OUR TEAM
STUDY AND PRACTICE DEVELOPMENTM
atro
nsB
and
7 Te
am L
eade
rsB
and
6 Le
ader
sB
and
5sPD
Ns
Supp
ort P
DN
sC
ompl
ete
initi
al I
PR w
ith
Staf
f Mem
ber
with
in 1
M
onth
of s
tart
.
To e
nsur
e th
at B
and
5s
are
activ
ely
sign
ing
off
com
pete
ncy
pack
s da
ily.
To e
nsur
e yo
u co
mpl
ete
com
pete
ncie
s da
ily.
PDN
s to
ove
r-se
e w
hole
w
orkf
orce
dev
elop
men
t.
Mon
thly
1-1
s w
ith B
and
7 an
d go
ove
r th
e da
taba
se
with
them
. Hav
e pl
ans
in
plac
e fo
r al
l sta
ff a
nd th
eir
deve
lopm
ent.
Upd
ate
Dat
abas
e w
hen
com
pete
ncie
s ha
ve b
een
sign
ed o
ff.
To e
nsur
e th
at y
our
prov
idin
g tr
aini
ng to
Ban
d 5s
/2s
daily
.
To e
nsur
e th
at y
our
trai
ning
rec
ords
are
pla
ced
back
in y
our
files
dai
ly a
nd
are
not t
aken
hom
e.
PDN
s to
man
age
exte
rnal
co
urse
s, te
am d
ays,
tr
aini
ng a
nd p
rovi
de s
hop
floor
com
pete
ncy
trai
ning
an
d si
gn o
ffs.
To e
nsur
e al
l tra
inin
g an
d m
anag
emen
t ski
lls a
re
up to
dat
e. T
o pa
rtak
e in
tr
aini
ng a
nd d
evel
opm
ent
at a
ll le
vels
.
Lia
ise
with
PD
Ns
abou
t su
ppor
t mec
hani
sms
and
extr
a de
velo
pmen
t to
stru
gglin
g st
aff.
To e
nsur
e th
at y
ou a
re
com
plet
ing
Lev
el 2
/Tra
inin
g w
ork
so th
at y
ou b
ecom
e co
mpe
tent
and
rem
ain
up-
to-d
ate
with
trai
ning
.
To e
nsur
e th
at y
ou d
on’t
lose
you
r doc
umen
tatio
n,
in d
oing
this,
you
are
at r
isk
of fa
lling
beh
ind
and
havi
ng
perf
orm
ance
conc
erns
raise
d.
Man
age
stud
ent N
urse
, m
ento
rshi
p
Mat
ron
is 4
0% C
linic
al
Shop
Flo
or L
eade
rshi
p an
d 60
% A
dmin
istr
ativ
e.
Eve
ry s
hift
sho
uld
be
sign
ing
off c
ompe
tenc
ies
of s
taff
.
To e
nsur
e yo
u co
mpl
ete
Stat
& M
and
trai
ning
ye
arly
.
To e
nsur
e th
at y
ou a
tten
d al
l Stu
dy L
eave
day
s.PD
N is
60%
Dev
elop
men
t, 20
% C
linic
al C
over
, 20
% C
linic
al G
uide
line
Dev
elop
men
t.
Ban
d 7s
nee
d to
hav
e to
tal a
war
enes
s of
eac
h of
th
eir
staf
fs m
ilest
ones
and
de
velo
pmen
ts.
To e
nsur
e yo
u co
mpl
ete
Stat
& M
and
trai
ning
ye
arly
.
If s
taff
are
not
mee
ting
mile
ston
es, t
his
need
s to
esc
alat
ed to
PD
Ns
&
Res
pect
ive
Mat
ron.
A p
lan
need
s to
be
put i
n pl
ace.
To e
nsur
e yo
u co
mpl
ete
Stat
&
Man
d tr
aini
ng y
early
.
To e
nsur
e yo
u su
ppor
t in
deve
lopm
ent b
y de
liver
y of
trai
ning
.
General Information
Section 1 - 8
DUTY STANDARDS (MINIMUM STANDARDS EXPECTED)C
linic
al M
atro
nN
urse
in C
harg
eB
and
6/7
Are
a Le
ader
sB
and
5sH
CA
sH
K
Aim
of
Shif
t
Ove
rsee
s an
d su
ppor
ts th
e ov
eral
l de
part
men
t in
area
s lik
e:
Safe
ty
Qua
lity
Patie
nt C
are
Ris
ks
Flo
w
Perf
orm
ance
Key
Ind
icat
ors
Staf
f Wel
l-Bei
ng
Aud
iting
Rep
rese
ntin
g th
e de
part
men
t at
ope
ratio
nal
mee
tings
.
Will
ens
ure
that
ea
ch a
rea
is w
orki
ng
optim
ally
with
NIC
.
Com
plet
e al
l che
cks
in th
e m
orni
ng.
Mai
ntai
n th
e hi
ghes
t lev
els
of
envi
ronm
enta
l car
e,
ensu
re a
ll N
urse
s ar
e w
orki
ng o
ptim
ally
an
d ar
e w
ell r
este
d an
d su
ppor
ted,
pr
ompt
ing
them
to
ensu
re a
ll st
anda
rds
are
met
. Ens
ure
that
sta
ff a
re
depl
oyed
to a
reas
th
at m
eet t
he n
eeds
of
the
envi
ronm
ent
base
d on
ski
ll an
d co
mpe
tenc
e.
Act
as
the
mos
t ad
vanc
ed a
nd s
kille
d pe
rson
on
shift
, en
suri
ng th
at p
atie
nt
care
is o
utst
andi
ng
and
the
depa
rtm
ent
is fl
owin
g.
Ens
ure
depa
rtm
enta
l ar
eas
are
run
effe
ctiv
ely,
us
ing
the
trig
ger
syst
em
to e
scal
ate
conc
erns
an
d m
anag
e su
rges
ap
prop
riat
ely.
Off
er th
e m
ost e
ffec
tive
lead
ersh
ip, p
lann
ing
and
mak
ing
dyna
mic
ris
k as
sess
men
ts a
nd h
avin
g cl
ear
plan
s fo
r th
ese
as
the
shift
dev
elop
s.
To e
nsur
e th
at a
ll pa
tient
s re
ceiv
e tim
ely,
eff
ectiv
e,
safe
car
e. T
hat
patie
nts
are
asse
ssed
, tre
ated
, an
d im
plem
enta
tion
of c
are
is c
ompl
eted
. To
doc
umen
t all
actio
ns o
n C
RS
and
To e
nsur
e al
l fu
ndam
enta
l st
anda
rds
of
care
are
bei
ng
met
. Hyd
ratio
n,
nutr
ition
, pai
n m
anag
emen
t, in
fect
ion
cont
rol,
man
agem
ent o
f ill
ness
and
com
fort
an
d sa
fety
.
To e
scal
ate
conc
erns
.
To a
ssis
t with
flow
ou
t of d
epar
tmen
t
To e
nsur
e th
at
all p
atie
nts
are
com
fort
able
and
are
pr
ovid
ed w
ith th
e ri
ght c
are.
Ens
urin
g th
ey e
scal
ate
conc
erns
.
To e
nsur
e th
at c
are
roun
ding
’s a
re d
one
ever
y 2
hour
s.
To h
elp
mai
ntai
n th
e en
viro
nmen
t an
d st
ock
cont
rol.
To a
ssis
t with
flow
ou
t of d
epar
tmen
t.
To e
nsur
e th
e st
ock,
st
ore
room
s an
d cl
inic
al a
reas
are
fit
for
purp
ose.
To e
nsur
e al
l sto
ck
is p
rese
nt a
nd
acco
unte
d fo
r.
To e
nsur
e an
y br
oken
equ
ipm
ent i
s lo
gged
.
All
sta
ff n
eed
to m
aint
ain
the
envi
ronm
ent,
keep
ing
area
s cl
ean,
sto
cked
and
saf
e.
Whipps Cross Hospital
Section 1 - 9
Stud
y &
Sk
ill-
Mix
Ens
ures
that
dai
ly
we
are
allo
catin
g to
ens
ure
staf
f are
w
orki
ng o
ptim
ally
an
d le
arni
ng n
ew
skill
s.
Ens
ures
dai
ly
com
pete
ncy
sign
off
s ar
e be
ing
perf
orm
ed.
Trai
n B
and
6s
to ta
ke c
harg
e in
the
mor
ning
, sh
owin
g th
em a
ll ar
eas
of c
heck
lists
, m
anag
emen
t, da
taba
ses,
mee
tings
et
c.
Sign
off
Lev
el
2 bo
okle
ts/
com
pete
ncie
s.
To e
nsur
e th
at a
ll bo
okle
ts a
re p
lace
d ba
ck in
the
Sist
ers
offic
e at
end
of s
hift
.
Ens
ure
they
are
get
ting
thei
r L
evel
2 B
ookl
et
sign
ed o
ff. T
o no
t los
e th
is d
ocum
enta
tion
and
to e
nsur
e it
is b
ack
in th
e fil
ing
cabi
net a
t end
of
shift
.
Sign
off
Lev
el 1
C
ompe
tenc
ies.
Sho
uld
be
sign
ing
at le
ast 5
off
per
sh
ift.
To e
nsur
e th
at
book
lets
and
/or
com
pete
ncie
s ar
e ta
ken
to th
e sh
op fl
oor
and
com
pete
ncie
s ar
e si
gned
off
in r
eal
time.
To e
nsur
e bo
okle
ts
go b
ack
to th
e Si
ster
s of
fice
in th
e fil
ing
cabi
net a
t the
en
d of
shi
ft.
To n
ot lo
se th
is
docu
men
tatio
n.
Doi
ng s
o m
ay r
esul
t in
a c
apab
ility
.
To h
elp
trai
n ne
w
staf
f (in
clud
ing
Nur
ses)
in a
ll ar
eas.
To b
e in
clud
ed
in tr
aini
ng a
nd
deve
lopm
ent o
n th
e sh
op fl
oor.
To h
elp
trai
n ne
w
staf
f (in
clud
ing
Nur
ses)
in a
ll ar
eas.
To b
e in
clud
ed
in tr
aini
ng a
nd
deve
lopm
ent o
n th
e sh
op fl
oor.
Du
rin
g Q
ui
et
Peri
ods
Will
sup
port
NIC
w
ith s
taff
ing
and
adm
inis
trat
ive
task
s th
at s
uppo
rt th
e da
y to
day
func
tiona
lity
of th
e de
part
men
t.
Com
plet
e 1-
1s w
ith
staf
f.
Ens
ure
they
are
w
orki
ng to
mee
t ob
ject
ives
.
Che
ck a
nd r
espo
nd
to e
mai
ls.
Dev
elop
are
as a
nd
cham
pion
idea
s of
ch
ange
.
Man
age
2 ba
nd 5
s,
ensu
re c
onve
rsat
ions
an
d 1-
1s a
re lo
gged
with
B
and
7s v
ia e
mai
l.
Che
ck e
mai
ls.
Dev
elop
are
as a
nd
cham
pion
idea
s of
ch
ange
.
Cle
an a
reas
, re-
stoc
k an
d as
sist
with
B
and
6s/7
s.
Cle
an a
reas
, re-
stoc
k an
d as
sist
with
B
and
5s/6
s/7s
.
Ass
ist w
ith C
are
Rou
ndin
g.
General Information
Section 1 - 10
PERSONAL AND PROFESSIONAL DEVELOPMENT
Matrons Band 7 Team Leaders Band 6 Leaders Band 5sMonthly 1-1s with Band 7s
To complete new starter, first 6 months and yearly IPRs with all staff.
To ensure that they are the champions of freedom to speak.
To meet with your team leader once a year (as a minimum).
Monthly 1-1s with staff members who required intensive support of all grades.
To place objectives and outcomes on one sheet and place this within the database so we can monitor this progress.
To support the Band 5s and 2s in managing day to day work, ensuring that their ideas are listened to and action is taken to ensure they are met.
To ensure that you are meeting your objectives and if not, that you escalate these.
IPRs yearly (or when needed).
If staff are not performing, to have structured supervisions with staff and inform the respective Matron.
To challenge and escalate all levels poor practice.
To ensure that you provide feedback of areas we could improve.
Management of study to ensure our Band 7s have the best courses and offers given to them for improvement.
If staff continue to under-perform, Band 7s will need to commence an informal Action Plan (informing the Matron in monthly 1-1s)
To meet with your Team Leaders a minimum of once a year.
To participate in the team ethos of our department.
Work with wider hospital team to ensure that all opportunities are presented to the ED team.
To check emails daily. To ensure that you are meeting objectives set in these reviews.
To check emails weekly for updates.
To check emails daily.
Whipps Cross Hospital
Section 1 - 11
SBAR - SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATIONThis is a tool that is used across every discipline within the NHS. It enables staff to have a clear structure when escalating or handing over to colleagues to continue a patient’s treatment.
Familiarise yourself with the following graphic it will help you to structure your handover and give a clear and concise message to the recipient about why you are escalating to the relevant team.
Situation:I am (name), (X) nurse on ward (X)I am calling about (patient X)I am calling because I am concerned that... (e.g. BP is low/high, pulse is XX, temperature is XX, Early Warning Score is XX)
Background:Patient (X) was admitted on (XX date) with... (e.g. MI/chest infection)They have had (X operation/procedure/investigation)Patient (X)’s condition has changed in the last (XX mins)Their last set of obs were (XX)Patient (X)’s normal condition is...(e.g. alert/drowsy/confused, pain free)
Assessment:I think the problem is (XXX)And I have...(e.g. given O2/analgesia, stopped the infusion)ORI am not sure what the problem is but patient (X) is deterioratingORI don’t know what’s wrong but I am really worried
Recommendation:I need you to...Come to see the patient in the next (XX mins)ANDIs there anything I need to do in the mean time?(e.g. stop the fluid/repeat the obs)
Ask receiver to repeat key information to ensure understanding
The SBAR tool originated from the US Navy and was adapted for use in healthcare byDr M Leonard and colleagues from Kaiser Permanente, Colorado, USA
SBAR
General Information
Section 1 - 12
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Section 2Learning Checklists
Whipps Cross Hospital
Section 2 - 1
12 MONTH ESTIMATED BASIC STUDY PLAN(Initial when complete)
Months 1 2 3 4 5 6 7 8 9 10 11 12Trust Induction
Clinical Induction
E-Learning
BLS
Manual Handling
Oral Meds
Bloods/Cannula/Cultures
IV Meds
ILS
Majors/CDU Competencies
EA/IA Competencies
Triage
Plaster Course
Resus Competencies
6 MONTH ESTIMATED BASIC STUDY PLAN FOR BARTS HEALTH ROTATION
Months 1 2 3 4 5 6Trust Induction
Clinical Induction
E-Learning
BLS
Manual Handling
Bloods/Cannula
Oral Meds
IV Meds
ILS
TILS
Majors/CDU
EA/IA
Resus After 1 Year – You may go into Paeds ED to complete your RCN Competencies.
Level 1 Trauma TILS
Level 1 Trauma NIV
Learning Checklists
Section 2 - 2
LEVEL 1 MILESTONES(May vary depending on skill & competence)
Month 1 Month 2 Month 3 Month 4 Month 5 Month 6Trust
Stat & Mand Oral Drugs Blood
Fridge/Barcode
IV Meds Course
IV Meds Competencies
Bloods/Cannulation/Blood Cultures
Immediate Life Support
Bloods/Cannulation/Blood Cultures Competencies
EA/IA Competencies
EA/IA
Majors/CDU Allocation EA IA
Month 7 Month 8 Month 9 Month 10 Month 11 Month 12Triage Course Triage
CompetenciesTriage Competencies
POP/Minor Injuries
Trauma Immediate Life Support
Non-Invasive Ventilation
EA IA Minors Resus
Yearly Updates (Minimum):Stat & Mand
Immediate Life Support
Trauma Immediate Life Support
Safeguarding Level 2
TEAM DAYS ATTEND DURING THE ONE YEAR PERIOD
Months 1 2 3 4 5 6 7 8 9 10 11 12Team 1
I P R s D u e Dates
N o Te a m Days
Team 2
Team 3
Team 4
Team 5
Team 6 - Paeds
Team 7 - Paeds
Team 8 - Paeds
Team Day TopicDay A Major Incidents
Day B Clinical Day
Day C TILS
Day D Stat & Mand & Hot Topics
Whipps Cross Hospital
Section 2 - 3
3 WEEK INDUCTION PLAN AND MANAGEMENT PLANWeek 1 Initial2 Days Induction z Co-operate
z Clinical
1 Day Day with PDNs z ID and name badge
z Uniform
z Barts Health Network access
z Create PDN File/Matron File
z PDN new starter presentation
z Bar code
z Level 1 book/competencies
1 Day Majors Cubicles Allocated to work with an experienced nurse in majors cubicles by PDN or NIC
1 Day EA
4 hours
Purpose of EA
RAG Scoring
Initial work ups
IA
4 hours
Purpose of IA
RAG Scoring
Work Ups & Continual Care in IA
Week 2 Initial1 Day Majors Cubicles Purpose of Majors
Paperwork and Assurances
Drugs
Care and Communication
Environment
Board Nurse
1 Day 1 hours Streaming Understand importance of streaming
2 hours Paeds How to do a safeguarding referral
2 hour in Minors Role of the nurse in minors
2.5 hours Resus Purpose of Resus
RAG Scoring
To re-stock and check bays
To review resus stores with experience nurse regarding different equipment
1 Day 4 hours CDU Purpose of CDU
4 hours Majors Cubicles Work with a nurse and look after 2 cubicles under their supervision
1 Day E-Learning Stat&mand
CRS
1 Day Majors Cubicles
Meet with PDN’s
z Assess progress
z Finalise any outstanding issues
z Go through competencies
z Final Day in Majors, look after allocated cubicles
Week 3Outstanding Learning/Skills
Commence Competencies
z During your induction make contact with your team leader and arrange a meeting with them
z Annual Leave Requested for 20 days
Learning Checklists
Section 2 - 4
SPECIFIC DAY BY DAY/MONTH BY MONTH SIGN-OFFS
DAYS 1–2 z Trust wide induction program
Corporate induction Date: .......................................................................
Clinical Induction Date: ...........................................................................
Includes 0.5 day Basic Life Support Training, 0.5 day Manual Handling Training
Own Initials Team Leader
Whipps Cross Hospital
Section 2 - 5
DAYS 3–16
You will attend work Monday-Friday 8am-4pm for supernumerary work experience building up to being ready for starting work at the end of the two week period.
During this time your responsibilities are as follows;
To meet with your Team Leader who should allocate you a buddy nurse, however if you are uncertain who this is then please contact your PDNs
Team & Team Leaders Name: ......................................................................
Ensure you have had experience in each of the 9 following areas. Ensure that you follow your orientation plan and have had this signed by the senior nurse in charge daily so that they allocated correctly.
Own Initials Team Leader
Own Initials
z Ambulance Arrivals (Emergency Assessment) (4 Hours)
h Re-Stock a Cubicle
h Learn about RAG Scores
h Learn about initial work up
z CDU (1 Hour)
h Paperwork & Phone Numbers
z Initial Assessment (4 Hours)
h Triage Basics
h Care in IA
z Injuries/Minors (1 Hour)
z Majors (6 Hours)
h Paperwork
h Infection Control
h Drugs
h Transfers
z Paediatrics (1 Hour)
z Streaming (1 Hour)
z Resus (4 Hours)
h Re-Stock a Bay
h Check Resus Store Cupboard with PDN
Learning Checklists
Section 2 - 6
Area Competency Your InitialsAmbulance Arrivals (EA)
Understand the type of patient sent to Ambulance Arrivals areaUnderstand role of EA lead nurseBe familiar with expectations of Band 5 nurse in EA area
CDU Become familiar with CDU admission criteria. These can be found on the intranet.
Click the red “Emergency Department WX” icon à CDU à Clinical Pathways
Initial Assessment (IA) Understand the type of patient sent to IA areaUnderstand role of IA lead nurseBe familiar with expectations of Band 5 nurse in IA area
Injuries/Minors Work with Injuries Triage nurse to gain insight into roleSpend time with Emergency Nurse PractitionerGain awareness of environment and know how to Stock and Replenish
Majors Clearly understand role of Band 5 providing care to 4 allocated patients in Majors areaUnderstand local policies and practices for time of overcrowding. Discuss with Board nurse or colleagues if unsure.Learn environmental safety check and ensure clean environment. See cleaning schedule on wall in bays. It is YOUR responsibility to clean area between patients.
Paediatrics Understand how to raise CYF guarding concern re: children and how to enter details onto a safeguarding spreadsheet.
Open Shared Drive S: à WX ED Safeguarding Children’s spreadsheet à ED MDT Spreadsheet
*Note: this will also be a relevant skill to nurses caring for adults with safeguarding concerns who have access to children*Be aware of admission criteria for paediatric CDU.
Click on the red “Emergency Department WX” icon à Paeds CDU à clinical pathways
Pods Gain awareness of streaming pathways accessible on intranet.
Click on the red “Emergency Department WX” icon à Clinical guidelines.
Or these pathways can be found in a hard copy folder in the PodResus Become familiar with location for emergency equipment and
where to source additional stock.Be able to fully check and stock a Resus bay. Checklist in a folder in each bay.Participate in direct care of a patient
Eensure you have signed off all of the competencies for your first two supernumerary weeks in ED shown in the table above Own Initials
Whipps Cross Hospital
Section 2 - 7
MONTHS 1–4
Commence Trust Preceptorship Program (for newly qualified nurses)
If you have not been booked on this then please contact the PDN team.
Don’t forget to request the leave via the PDNs/Band 7s/Matrons
Meet with your team leader at 2 months for a formative review of your progress so far.
Pass oral Drug Administration Competencies
Book onto IV Medication Course
Ensure you have access to all necessary electronic resources. Contact emails provided for whom to be in touch with if you have not yet got access.
z NHS.net email
z WX Emergency Department icon & Access to shared S: drive
z Health Roster
Own Initials Team Leader
Own Initials Team Leader
Own Initials Team Leader
Own Initials Team Leader
Learning Checklists
Section 2 - 8
Ensure you have submitted requests for at least 20 of your 27 days of annual leave for the course of the year.
You run the risk of not being able to take all of your owed leave if you do not submit your requests well in advance
Ensure you have submitted one Datix report
Intranet à “I want to” à Report an Incident (Datix)
Ensure you know how to find out what the Significant Incidents of the department have been.
Red “Emergency Department WX” icon à SI reports
Meet with your team leader at 4 months for a Summative review of your progress so far.
Own Initials
Own Initials Team Leader
Own Initials
Own Initials Team Leader
Whipps Cross Hospital
Section 2 - 9
MONTHS 4–8
Submit request for Immediate Life Support (ILS) course.
This is run in the Trust. It is free unless you do not turn up to your booked course.
Book by contacting the PDNs.
Complete directly observed assessment by Senior Nurse in patient AàG assessment in EA or IA and document examination on Cerner patient notes.
Meet with your team leader at 6 months for a Formative review of your progress so far.
Meet with your team leader at 8 months for a Formative review of your progress so far.
Own Initials
Own Initials Team Leader
Own Initials Team Leader
Own Initials Team Leader
Learning Checklists
Section 2 - 10
MONTHS 8–12
Complete Triage course, you should be allocated to this If not then please contact the PDNS.
Once you have attended the course ensure you have been signed off for your
Triage competencies you have 3 months from attending the course to do this.
Attend the Trusts Plaster of Paris course and achieve competences
You have 3 months to achieve this.
Meet with your team leader at 12 months for a Summative review of your
progression so far. Own Initials Team Leader
Own Initials Team Leader
Own Initials Team Leader
Own Initials Team Leader
Whipps Cross Hospital
Section 2 - 11
MONTH 12 +
Completion of A&E course Programme.
Capital Nurse is paid for by the department but you must ensure you discuss it with the PDN team first to ensure funding is arranged.
Complete end of year Appraisal with Team Leader.
Complete forward looking personal education and professional development plan Own Initials Team Leader
Own Initials Team Leader
Own Initials
Learning Checklists
Section 2 - 12
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Section 3National Curriculum and Competency Framework
Emergency Nursing (Level 1)
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Whipps Cross Hospital
Section 3 - 1
Nat
iona
l Cur
ricu
lum
and
Co
mp
eten
cy F
ram
ewo
rkE
mer
gen
cy N
ursi
ng (
Leve
l 1)
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Em
erg
ency
Car
e A
sso
ciat
ion
June
20
17
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 2
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
RCN
Leg
al D
iscl
aim
er
This
pub
licat
ion
cont
ains
info
rmat
ion,
adv
ice
and
guid
ance
to
help
mem
bers
of t
he R
CN
. It
is in
tend
ed fo
r us
e w
ithin
the
UK
but
rea
ders
are
adv
ised
tha
t pr
actic
es m
ay v
ary
in e
ach
coun
try
and
outs
ide
the
UK
.
The
info
rmat
ion
in t
his
book
let
has
been
com
pile
d fr
om p
rofe
ssio
nal s
ourc
es, b
ut it
s ac
cura
cy is
not
gu
aran
teed
. Whi
lst
ever
y eff
ort
has
been
mad
e to
ens
ure
the
RC
N p
rovi
des
accu
rate
and
exp
ert
info
rmat
ion
and
guid
ance
, it
is im
poss
ible
to
pred
ict
all t
he c
ircum
stan
ces
in w
hich
it m
ay b
e us
ed. A
ccor
ding
ly, t
he R
CN
sh
all n
ot b
e lia
ble
to a
ny p
erso
n or
ent
ity
with
res
pect
to
any
loss
or
dam
age
caus
ed o
r al
lege
d to
be
caus
ed
dire
ctly
or
indi
rect
ly b
y w
hat
is c
onta
ined
in o
r le
ft o
ut o
f thi
s w
ebsi
te in
form
atio
n an
d gu
idan
ce.
Publ
ishe
d by
the
Roy
al C
olle
ge o
f Nur
sing
, 20
Cav
endi
sh S
quar
e, L
ondo
n W
1G 0
RN
© 2
017
Roy
al C
olle
ge o
f Nur
sing
. All
righ
ts r
eser
ved.
No
part
of t
his
publ
icat
ion
may
be
repr
oduc
ed, s
tore
d in
a
retr
ieva
l sys
tem
, or
tran
smit
ted
in a
ny fo
rm o
r by
any
mea
ns e
lect
roni
c, m
echa
nica
l, ph
otoc
opyi
ng,
reco
rdin
g or
oth
erw
ise,
with
out
prio
r pe
rmis
sion
of t
he P
ublis
hers
. Thi
s pu
blic
atio
n m
ay n
ot b
e le
nt, r
esol
d,
hire
d ou
t or
oth
erw
ise
disp
osed
of b
y w
ays
of t
rade
in a
ny fo
rm o
f bin
ding
or
cove
r ot
her
than
tha
t in
whi
ch it
is
pub
lishe
d, w
ithou
t th
e pr
ior
cons
ent
of t
he P
ublis
hers
.
Ack
now
led
gem
ents
This
Roy
al C
olle
ge o
f Nur
sing
(R
CN
) cu
rric
ulum
and
com
pete
ncy
fram
ewor
k fo
r em
erge
ncy
nu
rsin
g w
as p
rodu
ced
by a
wor
king
par
ty o
f em
erge
ncy
nurs
ing
repr
esen
tativ
es fr
om a
cros
s
the
Uni
ted
Kin
gdom
. Spe
cial
tha
nks
go to
the
indi
vidu
als
who
gav
e th
eir
time
and
expe
rtis
e to
m
ake
this
pos
sibl
e.
Wo
rkin
g p
arty
mem
ber
sJa
net
Youd
C
hair,
RC
N E
mer
genc
y C
are
Ass
ocia
tion
(EC
A),
Emer
genc
y N
urse
Con
sult
ant,
Cal
derd
ale
and
Hud
ders
field
NH
S Fo
unda
tion
Trus
t
Bru
ce A
rmst
rong
OB
E C
onsu
ltan
t N
urse
in E
mer
genc
y C
are,
Ham
pshi
re H
ospi
tals
NH
S Fo
unda
tion
Trus
t, H
amps
hire
and
Isle
of W
ight
Air
Am
bula
nce
Jasm
in C
lark
A
dvan
ced
Nur
se P
ract
ition
er, R
oyal
Infir
mar
y Ed
inbu
rgh
Ann
a C
ross
ley
Roy
al C
olle
ge o
f Nur
sing
(R
CN
) Pr
ofes
sion
al L
ead
for
Acu
te, E
mer
genc
y an
d C
ritic
al
Car
e
Roi
sin
Dev
lin
ECA
Com
mit
tee
Mem
ber,
Lead
Nur
se fo
r Em
erge
ncy
Dep
artm
ents
, Sou
th E
aste
rn
Hea
lth a
nd S
ocia
l Car
e Tr
ust,
Nor
ther
n Ir
elan
d
Ow
en H
amm
ett
ECA
Com
mit
tee
Mem
ber,
Trai
nee
Spec
ialis
t Pr
actit
ione
r –
Crit
ical
Car
e, S
outh
W
este
rn A
mbu
lanc
e Se
rvic
e N
HS
Foun
datio
n Tr
ust
Jack
y Pr
ice
ECA
Com
mit
tee
Mem
ber,
Prin
cipa
l Lec
ture
r U
nive
rsit
y of
Her
tfor
dshi
re
Kev
in R
anda
ll Le
ad N
urse
/AN
P Em
erge
ncy
Dep
artm
ent,
Bri
dgen
d, A
bert
awe
Bro
Mor
gann
wg
Uni
vers
ity
Hea
lth B
oard
Mic
helle
Rud
d Em
erge
ncy
Nur
se C
onsu
ltan
t, Li
ncol
nshi
re H
ospi
tals
Man
dy R
umle
y-B
us
ECA
Com
mit
tee
Mem
ber,
Con
sult
ant
Nur
se, E
mer
genc
y C
are
Impr
ovem
ent
Prog
ram
me
Sim
on S
tand
en
AN
P/M
atro
n, U
nive
rsit
y H
ospi
tals
Lei
cest
er/P
aram
edic
Con
sult
ant,
York
shire
A
mbu
lanc
e Se
rvic
e
Dr
Ann
e W
ellin
g Em
erge
ncy
Nur
se C
onsu
ltan
t, Po
rtsm
outh
, Cha
ir W
esse
x Em
erge
ncy
Car
e C
olla
bora
tion
Jill
Win
dle
RC
N F
ello
w, L
ectu
rer
Prac
titio
ner,
Salfo
rd U
nive
rsit
y/Sa
lford
Roy
al N
HS
Fo
unda
tion
Trus
t
In a
dditi
on t
o in
divi
dual
wor
k, t
he d
evel
opm
ent
of t
his
fram
ewor
k w
ould
not
hav
e be
en p
ossi
ble
with
out
the
prec
edin
g w
ork
shar
ed o
r pu
blis
hed
by v
ario
us o
rgan
isat
ions
; in
part
icul
ar t
he W
esse
x Em
erge
ncy
Car
e C
olla
bora
tion,
the
Fac
ulty
of E
mer
genc
y N
ursi
ng a
nd t
he In
terc
olle
giat
e B
oard
for
Trai
ning
in P
re-H
ospi
tal
Emer
genc
y M
edic
ine
(IB
TPH
EM).
AC
KN
OW
LED
GEM
ENTS
Whipps Cross Hospital
Section 3 - 3
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
FOR
EWO
RD
Fo
rew
ord
O
ver
20 m
illio
n pa
tient
s ac
cess
em
erge
ncy
and
urge
nt c
are
in t
he N
HS
each
yea
r in
a r
ange
of
sett
ings
and
ser
vice
s. C
entr
al to
eac
h of
the
se s
ervi
ces
are
the
nurs
ing
team
s w
orki
ng a
long
side
ot
her
prof
essi
onal
col
leag
ues
to e
nsur
e th
at t
hese
pat
ient
s an
d th
eir
fam
ilies
rec
eive
wor
ld-c
lass
ca
re. T
he in
crea
sing
dem
ands
and
cha
lleng
es o
n th
e N
HS
emer
genc
y ca
re s
yste
m h
ave
seen
it
evol
ve s
igni
fican
tly in
the
last
tw
enty
yea
rs in
the
Uni
ted
Kin
gdom
. Tec
hnol
ogic
al a
nd c
linic
al
adva
nces
, cou
pled
with
the
intr
oduc
tion
of in
tegr
ated
em
erge
ncy
care
net
wor
ks, i
nvol
ving
maj
or
trau
ma
cent
res,
and
oth
er c
entr
es o
f exc
elle
nce,
with
em
erge
ncy
depa
rtm
ents
and
urg
ent
care
ce
ntre
s, e
nsur
e pa
tient
s ca
n ex
pect
to r
ecei
ve q
ualit
y an
d co
mpa
ssio
nate
car
e re
spon
sive
to
thei
r ne
eds.
Alo
ngsi
de t
hese
clin
ical
and
ser
vice
dev
elop
men
ts, e
mer
genc
y nu
rsin
g ha
s al
so p
rogr
esse
d, b
oth
in te
rms
of it
s ab
ility
to im
prov
e ou
tcom
es fo
r pa
tient
s an
d th
eir
fam
ilies
, and
to e
nric
h th
e pr
ofes
sion
of n
ursi
ng it
self,
thr
ough
evi
denc
e-ba
se a
nd r
ole
deve
lopm
ent.
Ther
e is
now
an
incr
easi
ng d
iver
sity
of n
ursi
ng r
oles
req
uire
d in
em
erge
ncy
care
set
tings
, dem
andi
ng s
peci
alis
t an
d ad
vanc
ed s
kills
and
kno
wle
dge.
Eac
h br
ings
a s
igni
fican
t co
ntrib
utio
n to
the
mul
ti-pr
ofes
sion
al te
am in
the
mod
ern
emer
genc
y ca
re e
nviro
nmen
t.
This
fram
ewor
k, d
evel
oped
by
lead
ing
emer
genc
y nu
rsin
g ex
pert
s, is
foun
ded
on n
ursi
ng
philo
soph
y an
d de
tails
the
dep
th a
nd b
read
th o
f kno
wle
dge
and
skill
s re
quire
d of
em
erge
ncy
nurs
es.
It o
ffer
s lo
ng o
verd
ue c
larit
y on
the
nom
encl
atur
e of
nur
sing
rol
es in
em
erge
ncy
care
se
ttin
gs a
nd p
rovi
des
a cl
ear
care
er s
truc
ture
for
thos
e w
ishi
ng to
adv
ance
in t
he s
peci
alis
m. I
t w
ill fa
cilit
ate
cons
iste
ncy
and
cont
inui
ty o
f edu
catio
nal p
repa
ratio
n of
em
erge
ncy
nurs
ing
team
s,
as w
ell a
s fu
ture
wor
kfor
ce p
lann
ing,
and
will
be
an e
xtre
mel
y va
luab
le r
esou
rce
for
both
in
divi
dual
nur
ses
and
orga
nisa
tions
.
Rut
h M
ay
Exec
utiv
e D
irect
or o
f Nur
sing
N
HS
Impr
ovem
ent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 4
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
CO
NTE
NTS
Co
nten
ts1
Intr
od
ucti
on
5
P
rece
pto
rshi
p a
nd
ind
uct
ion
5
G
loss
ary
of
nur
sing
ro
les
6
E
mer
gen
cy n
urse
dev
elo
pm
ent
pat
hway
7
F
oun
dat
ion
pra
ctic
e –
Wo
rkin
g t
o L
evel
1 c
om
pet
enci
es
8
E
mer
gen
cy n
urse
s –
Wo
rkin
g t
o L
evel
2 c
om
pet
enci
es
8
E
mer
gen
cy n
urse
dev
elo
pm
ent
– B
eyo
nd
Lev
el 2
8
T
he
com
pet
ence
fra
mew
ork
9
Go
od
nu
rsin
g p
ract
ice
10
Cro
ss-c
utt
ing
th
emes
11
Em
erg
ency
car
e cl
inic
al d
om
ain
s 12
C
om
pet
ence
ass
essm
ent
13
T
he
role
of
the
clin
ical
sup
ervi
sor/
asse
sso
r/m
ento
r 14
2 Le
vel 1
co
mp
eten
cies
:
G
oo
d n
ursi
ng p
ract
ice
Leve
l 1
15
GN
P1
– P
rofe
ssio
nal
beh
avio
ur
16
GN
P2
– Te
am w
ork
ing
17
GN
P3
– C
om
mu
nic
atio
n 18
GN
P4
– L
ead
ersh
ip a
nd
man
agem
ent
19
GN
P5
– E
du
cati
on
20
GN
P6
– E
vid
ence
-bas
ed p
ract
ice
21
GN
P7
– Le
gal
an
d e
thic
al d
ilem
mas
an
d d
ecis
ion
mak
ing
2
2
GN
P8
– S
ervi
ce e
valu
atio
n an
d im
pro
vem
ent
23
C
ross
-cut
ting
the
mes
Lev
el 1
24
CC
T1
– P
atie
nt a
sses
smen
t 25
CC
T2
– P
ain
asse
ssm
ent
and
man
agem
ent
27
CC
T3
– M
edic
ines
man
agem
ent
28
CC
T4 –
Mo
vin
g a
nd
han
dlin
g
30
CC
T5
– In
fect
ion
pre
vent
ion
and
co
ntro
l 3
1
CC
T6
– S
afeg
uar
din
g c
hild
ren
and
ad
ult
s 32
CC
T7
– D
ocu
men
tati
on
and
rec
ord
kee
pin
g
34
CC
T8
– P
reve
ntin
g a
nd
co
ntro
llin
g v
iole
nce
an
d a
gg
ress
ion
35
C
linic
al d
om
ains
Lev
el 1
36
CD
1 –
Car
ing
fo
r ac
ute
ly il
l ad
ult
s 3
6
CD
2 –
Car
ing
fo
r ad
ult
s re
qu
irin
g r
esu
scit
atio
n 52
CD
3 –
Car
ing
fo
r ad
ult
s w
ith
min
or
illn
ess
or
inju
ry
62
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
ou
ng
peo
ple
70
CD
5 –
Car
ing
fo
r p
eop
le w
ith
men
tal h
ealt
h n
eed
s 8
2
CD
6 –
Car
ing
fo
r o
lder
peo
ple
8
7
CD
7 –
Em
erg
ency
pla
nn
ing
an
d d
isas
ter
man
agem
ent
93
Whipps Cross Hospital
Section 3 - 5
INTR
OD
UC
TIO
N5
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
1. In
tro
duc
tio
nTh
is fr
amew
ork
was
pro
duce
d in
res
pons
e to
a d
eman
d fr
om R
CN
Em
erge
ncy
Car
e A
ssoc
iatio
n m
embe
rs fo
r cl
arit
y in
the
com
pete
ncie
s ex
pect
ed o
f nur
ses
wor
king
in e
mer
genc
y ca
re s
ettin
gs
acro
ss t
he U
K. W
hils
t it
s de
velo
pmen
t fo
cuse
d on
the
nee
ds o
f nur
ses
wor
king
in e
mer
genc
y de
part
men
ts (
EDs)
, the
fram
ewor
k w
ill a
lso
be a
pplic
able
to n
urse
s w
orki
ng in
a w
ide
rang
e of
ur
gent
and
em
erge
ncy
care
set
tings
and
als
o ot
her
heal
th c
are
prof
essi
onal
s w
ho a
re r
equi
red
to
care
for
patie
nts
in e
mer
genc
y ca
re s
ettin
gs. T
he a
im is
to e
ncou
rage
pro
fess
iona
l dev
elop
men
t, le
ader
ship
ski
lls, a
nd c
aree
r pr
ogre
ssio
n in
em
erge
ncy
nurs
ing;
pro
mot
ing
high
qua
lity
patie
nt
care
and
a c
ultu
re t
hat
supp
orts
rec
ruitm
ent
and
rete
ntio
n of
em
erge
ncy
nurs
es. T
he fr
amew
ork
is d
esig
ned
to s
uppo
rt n
urse
s fr
om n
ewly
qua
lified
or
new
to t
he s
peci
alty
(fo
unda
tion
staff
nu
rse)
thr
ough
to m
ore
expe
rienc
ed e
mer
genc
y nu
rses
wor
king
with
pat
ient
s of
all
ages
.
Nur
ses
wor
king
in e
mer
genc
y ca
re s
ettin
gs t
hat
rece
ive
trau
ma
shou
ld a
lso
follo
w t
he t
raum
a co
mpe
tenc
y fr
amew
ork
deve
lope
d by
the
Nat
iona
l Maj
or T
raum
a N
ursi
ng G
roup
. The
se
com
pete
ncie
s ca
n be
foun
d at
: ww
w.tq
uins
.nhs
.uk/
?men
u=re
sour
ces
Com
pete
ncie
s fo
r ad
vanc
ed c
linic
al p
ract
ition
ers
in e
mer
genc
y ca
re h
ave
been
dev
elop
ed b
y th
e R
oyal
Col
lege
of E
mer
genc
y M
edic
ine
(RC
EM)
and
Hea
lth E
duca
tion
Engl
and
(HEE
). Th
ese
have
be
en e
ndor
sed
by t
he R
CN
and
are
ava
ilabl
e at
: ww
w.rc
em.a
c.uk
/RC
EM/E
xam
s_Tr
aini
ng/
Emer
genc
y_C
are_
AC
P/R
CEM
/Exa
ms_
Trai
ning
/Em
erge
ncy_
Car
e_A
CP/
Emer
genc
y_C
are_
AC
P.as
px?h
key=
824
4cca
f-e8
5a-4
b1e-
8f8d
-152
484
810
137
Pre
cep
tors
hip
All
nurs
es jo
inin
g th
e N
MC
reg
iste
r ha
ve d
emon
stra
ted
thei
r ab
ility
to u
nder
take
a w
ide
rang
e of
co
re n
ursi
ng s
kills
with
com
pete
nce.
Thi
s fr
amew
ork
reco
gnis
es t
he a
cqui
sitio
n of
the
se s
kills
and
se
eks
to b
uild
spe
cific
com
pete
nce
in e
mer
genc
y nu
rsin
g. T
he g
uida
nce
prov
ided
in t
he
Prec
epto
rshi
p fr
amew
ork
for n
ewly
regi
ster
ed n
urse
s, m
idw
ives
and
alli
ed h
ealth
pro
fess
ions
(D
H,
200
9), s
houl
d ac
t as
a u
sefu
l res
ourc
e.
Ind
ucti
on
A p
erio
d of
str
uctu
red
supp
ort
is v
ital f
or a
ll nu
rses
who
are
new
to t
he e
mer
genc
y ca
re
envi
ronm
ent.
For
nurs
es w
ho h
ave
clin
ical
exp
erie
nce
else
whe
re, t
heir
tran
sitio
n in
to e
mer
genc
y ca
re m
ay b
e le
ss c
halle
ngin
g, a
nd t
heir
prog
ress
in a
chie
ving
the
com
pete
ncie
s m
ay b
e ac
cele
rate
d in
com
paris
on to
tha
t of
the
new
ly q
ualifi
ed n
urse
.
The
emer
genc
y ca
re e
nviro
nmen
t is
str
essf
ul a
nd c
halle
ngin
g an
d fo
r em
erge
ncy
nurs
es to
de
velo
p an
d w
ork
effec
tivel
y, t
hey
need
to m
aint
ain
pers
onal
wel
lbei
ng. T
o de
velo
p re
silie
nce,
em
erge
ncy
nurs
es s
houl
d fe
el s
uppo
rted
in e
xplo
ring
thei
r ex
perie
nces
, to
enab
le r
eflec
tion
and
lear
ning
. The
nee
d fo
r em
otio
nal s
uppo
rt a
t an
y st
age
in a
n em
erge
ncy
nurs
e’s
care
er s
houl
d ne
ver
be u
nder
estim
ated
.
Ref
eren
ces
Dep
artm
ent
of H
ealth
(20
09)
Pre
cept
orsh
ip fr
amew
ork
for n
ewly
regi
ster
ed n
urse
s, m
idw
ives
and
al
lied
heal
th p
rofe
ssio
ns. L
ondo
n: D
H.
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 6
INTR
OD
UC
TIO
N6
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Glo
ssar
y o
f nu
rsin
g r
ole
s in
the
em
erg
ency
ca
re s
etti
ngFo
und
atio
n st
aff n
urse
: A r
egis
tere
d nu
rse
who
is e
ither
new
ly q
ualifi
ed o
r ne
w to
em
erge
ncy
nurs
ing;
has
not
yet
acq
uire
d th
e co
mpe
tenc
ies
of a
n em
erge
ncy
nurs
e. T
hese
nur
ses
requ
ire
supe
rvis
ion
in p
ract
ice,
ran
ging
from
dire
ct s
uper
visi
on in
the
ir in
itial
wee
ks, t
o in
dire
ct
supe
rvis
ion
as t
hey
near
the
acc
ompl
ishm
ent
of a
n em
erge
ncy
nurs
e. T
hey
shou
ld b
e w
orki
ng to
co
mpl
ete
the
Leve
l 1 c
ompe
tenc
ies.
Typ
ical
ly, t
hey
wou
ld b
e B
and
5.
Em
erg
ency
nur
se: A
reg
iste
red
nurs
e w
ho h
as c
ompl
eted
pre
cept
orsh
ip a
nd h
as a
chie
ved
th
e Le
vel 1
com
pete
ncie
s. T
hey
can
wor
k w
ith in
divi
dual
pat
ient
s or
gro
ups
of p
atie
nts
with
out
dire
ct s
uper
visi
on in
the
em
erge
ncy
care
set
ting.
Thi
s in
clud
es in
itial
ass
essm
ent
and
the
prov
isio
n of
tre
atm
ent
(but
not
dia
gnos
is)
for
patie
nts.
In E
Ds,
thi
s is
like
ly to
incl
ude
wor
king
with
pa
tient
s in
the
res
usci
tatio
n ro
om, t
hose
with
maj
or il
lnes
s or
inju
ry a
nd t
hose
with
min
or
pres
enta
tions
. The
y sh
ould
be
wor
king
to c
ompl
ete
the
Leve
l 2 c
ompe
tenc
ies.
Typ
ical
ly, t
hey
wou
ld b
e B
and
5 or
6.
Em
erg
ency
cha
rge
nurs
e: A
n em
erge
ncy
nurs
e w
ho h
as c
ompl
eted
leve
l 2 c
ompe
tenc
ies,
is a
cl
inic
al e
xper
t an
d pr
oact
ivel
y de
velo
ps t
hem
selv
es a
nd o
ther
s. T
hey
lead
and
sup
ervi
se t
he
clin
ical
wor
k of
oth
ers
and
can
man
age
the
emer
genc
y ca
re s
ettin
g as
a w
hole
; man
agin
g pa
tient
flo
w a
nd d
eleg
atin
g ca
re a
ccor
ding
ly. I
n ED
s th
ey s
houl
d w
ork
in c
lose
par
tner
ship
with
the
em
erge
ncy
med
icin
e co
nsul
tant
to e
nsur
e sa
fety
of p
atie
nts
and
best
use
of r
esou
rces
. The
y sh
ould
focu
s on
mor
e in
-dep
th le
ader
ship
, edu
catio
nal a
nd/o
r re
sear
ch c
ompe
tenc
ies,
whi
ch a
re
beyo
nd t
he s
cope
of t
his
fram
ewor
k. T
ypic
ally
, the
y w
ould
be
seni
or B
and
6 or
7.
Em
erg
ency
nur
se p
ract
itio
ner
(EN
P):
A r
egis
tere
d nu
rse
who
has
und
erta
ken
spec
ific
addi
tiona
l tra
inin
g in
ord
er to
ass
ess,
dia
gnos
e an
d pr
escr
ibe
trea
tmen
t fo
r pa
tient
s w
ho p
rese
nt
with
min
or in
jurie
s an
d or
illn
ess.
The
rol
e of
em
erge
ncy
nurs
e pr
actit
ione
r is
sub
ject
to lo
cal
varia
tion
in e
duca
tion
and
prac
tice
prov
isio
n, t
here
fore
thi
s fr
amew
ork
does
not
pro
vide
the
co
mpe
tenc
ies
requ
ired
for
this
rol
e. T
ypic
ally
, the
y w
ould
be
Ban
d 6
or 7
.
Ad
vanc
ed c
linic
al p
ract
itio
ner
(AC
P):
An
emer
genc
y nu
rse
or o
ther
reg
iste
red
allie
d he
alth
pr
ofes
sion
al w
ho h
as u
nder
gone
mas
ters
leve
l edu
catio
n in
exa
min
atio
n, d
iagn
osis
and
tre
atm
ent
and
can
prov
ide
a cl
inic
al c
onsu
ltatio
n fo
r an
y pa
tient
pre
sent
ing
to e
mer
genc
y ca
re. T
hey
shou
ld
be w
orki
ng to
the
Roy
al C
olle
ge o
f Em
erge
ncy
Med
icin
e/H
ealth
Edu
catio
n En
glan
d em
erge
ncy
care
AC
P co
mpe
tenc
y st
anda
rds.
Typ
ical
ly, t
hey
wou
ld b
e B
and
8a o
r 8b
.
Pra
ctic
e ed
ucat
or:
Thi
s is
an
emer
genc
y nu
rse
havi
ng c
ompl
eted
Lev
el 2
com
pete
ncie
s w
ho
faci
litat
es e
duca
tiona
l opp
ortu
nitie
s in
the
em
erge
ncy
care
set
ting.
The
y pr
ovid
e su
perv
isio
n in
pr
actic
e, d
eliv
er t
rain
ing
sess
ions
and
ass
essm
ent
of c
ompe
tenc
ies.
The
y of
ten
teac
h on
nat
iona
lly
reco
gnis
ed c
ours
es (
for
exam
ple,
adv
ance
d lif
e su
ppor
t). T
hey
shou
ld b
e w
orki
ng to
war
ds
educ
atio
n-sp
ecifi
c co
mpe
tenc
ies
and/
or q
ualifi
catio
ns. T
ypic
ally
, the
y ar
e B
and
6 or
7 d
epen
ding
on
the
lead
ersh
ip r
espo
nsib
ilitie
s of
the
rol
e.
Pra
ctic
e d
evel
op
men
t le
ad: T
his
is a
n em
erge
ncy
nurs
e ha
ving
com
plet
ed L
evel
2
com
pete
ncie
s w
ho le
ads
the
educ
atio
n st
rate
gy fo
r th
e em
erge
ncy
care
set
ting.
The
y w
ill p
rovi
de
supe
rvis
ion
in p
ract
ice
and
deliv
er s
ome
trai
ning
ses
sion
s, w
hils
t es
tabl
ishi
ng t
he t
rain
ing
requ
irem
ents
in t
he s
ettin
g to
ens
ure
the
nece
ssar
y w
orkf
orce
ski
ll m
ix. T
hey
will
link
the
ed
ucat
ion
stra
tegy
for
the
emer
genc
y ca
re s
ettin
g w
ith t
he o
vera
ll st
rate
gy fo
r ed
ucat
ion
in t
he
orga
nisa
tion.
The
y w
ill w
ork
clos
ely
with
the
lead
nur
se m
anag
er, t
he m
edic
al c
linic
al d
irect
or a
nd
othe
r ed
ucat
ion
prov
ider
s, in
clud
ing
high
er e
duca
tion
inst
itute
s (H
EIs)
. The
y w
ill t
ypic
ally
be
Ban
d 7
or 8
a.
Lead
nur
se m
anag
er: T
his
is a
n em
erge
ncy
nurs
e ha
ving
com
plet
ed L
evel
2 c
ompe
tenc
ies
who
is
res
pons
ible
for
the
day-
to-d
ay o
pera
tiona
l man
agem
ent
of t
he e
mer
genc
y ca
re s
ettin
g,
incl
udin
g w
orkf
orce
man
agem
ent
and
impl
emen
tatio
n of
loca
l pol
icy
and
clin
ical
gui
delin
es.
Typi
cally
, Ban
d 7
or 8
a.
Mat
ron:
Thi
s is
an
emer
genc
y nu
rse
havi
ng c
ompl
eted
Lev
el 2
com
pete
ncie
s w
ho is
res
pons
ible
fo
r qu
alit
y as
sura
nce
and
qual
ity
impr
ovem
ent
in t
he e
mer
genc
y ca
re s
ettin
g; in
clud
ing
resp
ondi
ng to
pat
ient
feed
back
and
ens
urin
g cl
inic
al in
cide
nts
are
inve
stig
ated
and
any
re
com
men
datio
ns a
ctio
ned.
Typ
ical
ly, B
and
8a.
Em
erg
ency
nur
se c
ons
ulta
nt: A
clin
ical
exp
ert
in e
mer
genc
y nu
rsin
g w
ith r
espo
nsib
ility
for
emer
genc
y ca
re le
ader
ship
; inc
ludi
ng s
trat
egic
dev
elop
men
t of
pol
icy
and
prac
tice,
res
earc
h,
educ
atio
n an
d ad
vanc
ed c
linic
al p
ract
ice.
Typ
ical
ly, B
and
8b o
r 8c
.
Whipps Cross Hospital
Section 3 - 7
INTR
OD
UC
TIO
N7
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Em
erg
ency
nur
se d
evel
op
men
t p
athw
ayA
cle
arly
defi
ned
deve
lopm
ent
path
way
ena
bles
nur
ses
to id
entif
y th
eir
posi
tion
on a
car
eer
jour
ney,
con
side
r fu
ture
opt
ions
and
pla
n th
e st
eps
requ
ired
to a
chie
ve t
heir
care
er a
ims.
Figu
re 1
map
s th
e pr
ofes
sion
al d
evel
opm
ent
path
way
s in
to m
anag
emen
t, ed
ucat
ion
or c
linic
al
spec
ialis
t ro
les
for
emer
genc
y nu
rses
. Defi
ning
sta
ges
with
in t
he p
athw
ay n
ot o
nly
faci
litat
es
care
er p
rogr
essi
on, b
ut m
ay a
lso
info
rm w
orkf
orce
dev
elop
men
t.
Fig
ure
1: C
aree
r d
evel
op
men
t p
athw
ay o
verv
iew
Car
eer
dev
elo
pm
ent
pat
hway
ove
rvie
w
New
ly q
ualifi
ed n
urse
(Fo
und
atio
n st
aff
nurs
e B
and
5)
Wo
rkin
g t
o L
evel
1
New
to
sp
ecia
lty
nurs
e
(Fo
und
atio
n st
aff
nurs
e B
and
5)
Wo
rkin
g t
o L
evel
1
Em
erg
ency
nur
se
(Ban
d 5
)
(Wo
rkin
g t
o L
evel
2)
Ad
vanc
ing
clin
ical
pra
ctic
e p
athw
ay
Ed
ucat
ion
pat
hway
Man
agem
ent
pat
hway
EN
P
Ban
d 6
Pra
ctic
e
educ
ato
r B
and
6
Sen
ior
pra
ctic
e ed
ucat
or
Ban
d 7
Lead
pra
ctic
e d
evel
op
men
t B
and
8a
Sis
ter/
char
ge
nurs
e B
and
6
Sen
ior
sist
er/l
ead
nu
rse
man
ager
B
and
7
Mat
ron
B
and
8a
EN
P
Ban
d 7
T-A
CP
B
and
7A
CP
B
and
8a
Em
erg
ency
nu
rse
cons
ulta
nt
Ban
d 8
b+
Sen
ior
nurs
ing
m
anag
er
(DH
oN
/Ho
N)
Ban
d 8
b+
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 8
INTR
OD
UC
TIO
N8
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Foun
dat
ion
pra
ctic
e –
Wo
rkin
g t
o L
evel
1
com
pet
enci
esTh
e ne
wly
qua
lified
nur
se r
equi
res
at le
ast
12 m
onth
s to
con
solid
ate
thei
r nu
rse
trai
ning
in
addi
tion
to d
evel
opin
g th
e co
mpe
tenc
ies
to b
e an
em
erge
ncy
nurs
e. In
tota
l, it
may
tak
e th
em u
p to
tw
o ye
ars
to b
ecom
e an
em
erge
ncy
nurs
e.
Nur
ses
new
to t
he e
mer
genc
y ca
re e
nviro
nmen
t, bu
t w
ith p
revi
ous
nurs
ing
expe
rienc
e, s
houl
d ai
m to
com
plet
e th
eir
Foun
datio
n Le
vel 1
com
pete
ncie
s w
ithin
12 m
onth
s. T
hey
may
ach
ieve
the
m
soon
er if
the
ir pr
evio
us e
xper
ienc
e is
in a
n ac
ute
or c
ritic
al c
are
envi
ronm
ent.
Dev
elo
pm
enta
l mile
sto
nes
of
foun
dat
ion
staff
nur
se
Thr
ee m
ont
hs
• B
e fa
mili
ar w
ith t
he e
nviro
nmen
t an
d w
ork
as a
mem
ber
of t
he te
am c
arin
g fo
r pa
tient
s un
der
supe
rvis
ion
of a
n em
erge
ncy
nurs
e.
• U
nder
stan
d op
erat
iona
l and
pat
ient
pro
cess
es in
the
var
ious
are
as o
f the
env
ironm
ent.
• St
art
to d
evel
op g
ood
nurs
ing
prac
tice
and
com
pete
ncie
s of
cro
ss-c
uttin
g th
emes
at
Leve
l 1.
• R
ecog
nise
ow
n lim
itatio
ns, s
eeki
ng h
elp
and
advi
ce w
hen
need
ed.
Six
mo
nths
• Fu
nctio
n as
a m
embe
r of
the
team
in v
ario
us a
reas
of t
he s
ettin
g, t
akin
g re
spon
sibi
lity
for
plan
ning
, im
plem
entin
g an
d ev
alua
ting
indi
vidu
al p
atie
nt c
are.
• A
chie
ve fu
rthe
r go
od n
ursi
ng p
ract
ice,
cro
ss-c
uttin
g th
emes
and
spe
cific
com
pete
ncie
s of
the
cl
inic
al p
ract
ice
dom
ains
at
Leve
l 1.
12 m
ont
hs (
up t
o t
wo
yea
rs f
or
new
ly q
ualifi
ed)
• M
anag
e al
loca
ted
patie
nts
in v
ario
us s
ettin
gs. I
n th
e em
erge
ncy
depa
rtm
ent,
this
is li
kely
to
incl
ude
maj
ors,
min
ors
and
resu
s.
• Sa
fely
und
erta
ke t
he in
itial
ass
essm
ent
of p
atie
nts
and
tria
ge a
ppro
pria
tely
.
• C
ompl
ete
good
nur
sing
pra
ctic
e, c
ross
-cut
ting
them
es a
nd s
peci
fic c
ompe
tenc
ies
of c
linic
al
prac
tice
dom
ains
at
Leve
l 1.
• M
ento
r st
uden
t nu
rses
and
act
as
a gu
ide
to le
ss e
xper
ienc
ed s
taff
.
Em
erg
ency
nur
ses
– W
ork
ing
to
Lev
el 2
co
mp
eten
cies
Thes
e nu
rses
sho
uld
form
the
larg
est
nurs
ing
grou
p in
the
em
erge
ncy
care
set
ting.
Pro
vide
d th
ey
have
had
a s
truc
ture
d fo
unda
tion
perio
d, w
ith a
ppro
pria
te e
duca
tion
and
supe
rvis
ion,
the
y sh
ould
be
abl
e to
car
e fo
r pa
tient
s in
all
area
s of
the
env
ironm
ent
with
out
dire
ct s
uper
visi
on. T
hese
nu
rses
will
hav
e su
cces
sful
ly c
ompl
eted
the
Fou
ndat
ion
prac
tice
Leve
l 1 c
ompe
tenc
ies
and
be
wor
king
to c
ompl
ete
the
Leve
l 2 c
ompe
tenc
ies.
Dev
elo
pm
enta
l mile
sto
nes
of
emer
gen
cy n
urse
s ar
e lik
ely
to in
clud
e:
• ab
ility
to le
ad t
he p
rovi
sion
of e
vide
nce-
base
d ho
listic
car
e fo
r gr
oups
of p
atie
nts,
from
initi
al
asse
ssm
ent
to d
isch
arge
or
adm
issi
on
• te
achi
ng a
nd s
uper
visi
ng le
ss e
xper
ienc
ed s
taff
and
stu
dent
s
• de
velo
ping
in-d
epth
kno
wle
dge
abou
t spe
cific
are
as o
f int
eres
t and
eff
ectiv
ely
com
mun
icat
ing
this
to c
olle
ague
s, fo
r ex
ampl
e, li
nk n
urse
rol
e
• ad
vanc
ing
clin
ical
ski
lls a
nd k
now
ledg
e, d
evel
opin
g te
achi
ng a
nd a
sses
sing
ski
lls, a
nd
deve
lopi
ng le
ader
ship
qua
litie
s.
Em
erg
ency
nur
se d
evel
op
men
t –
Bey
ond
Le
vel 2
It is
impo
rtan
t to
rec
ogni
se t
hat
deve
lopi
ng c
ompe
tenc
e as
an
emer
genc
y nu
rse
is t
he
fund
amen
tal p
latf
orm
on
whi
ch a
ll do
mai
ns e
volv
e. D
epen
ding
on
the
aspi
ratio
ns a
nd c
hose
n ca
reer
dire
ctio
n, p
ract
ice
beyo
nd t
hat
of a
n em
erge
ncy
nurs
e m
ay fo
llow
a s
peci
fic p
athw
ay o
r cr
osso
ver
betw
een
dom
ains
(see
Fig
ure
1):
• op
erat
iona
l man
agem
ent
(em
erge
ncy
sist
er/c
harg
e nu
rse/
mat
ron)
• ed
ucat
ion
spec
ialis
t (p
ract
ice
educ
ator
/lea
d fo
r pr
actic
e de
velo
pmen
t)
• cl
inic
al s
peci
alis
t (e
mer
genc
y nu
rse
prac
titio
ner/
adva
nced
nur
se p
ract
ition
er).
Com
pete
ncie
s fo
r th
ese
path
way
s ar
e ou
tsid
e th
e sc
ope
of t
his
docu
men
t.
Whipps Cross Hospital
Section 3 - 9
INTR
OD
UC
TIO
N9
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
The
com
pet
ency
fra
mew
ork
The
natio
nal c
urric
ulum
and
com
pete
ncy
fram
ewor
k fo
r em
erge
ncy
nurs
ing
is
dem
onst
rate
d in
Fig
ure
2.
• G
ood
nurs
ing
prac
tice
(GN
P) –
cen
tre
(cor
e).
• C
ross
-cut
ting
them
es (C
CT)
– in
ner
whe
el.
• C
linic
al d
omai
ns (C
D)
– ou
ter
whe
el.
Thes
e se
ctio
ns a
ppea
r in
bot
h Le
vel 1
and
Lev
el 2
com
pete
ncy
sets
.
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Fig
ure
2: T
he c
om
pet
ency
fra
mew
ork
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 10
INTR
OD
UC
TIO
N10
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Go
od
nur
sing
pra
ctic
eG
ood
nurs
ing
prac
tice
(GN
P) fo
rms
the
basi
s of
all
nurs
ing
care
and
is
cent
ral t
o th
e N
MC
Cod
e. T
he b
ehav
iour
s ou
tline
d in
GN
P sh
ould
be
appl
ied
whe
n ap
proa
chin
g th
e ot
her
com
pete
ncie
s w
ithin
the
fr
amew
ork.
The
dom
ains
of G
NP
cove
r co
mpe
tenc
ies
in:
• G
NP
1 – P
rofe
ssio
nal b
ehav
iour
• G
NP2
– T
eam
wor
king
• G
NP3
– C
omm
unic
atio
n
• G
NP4
– L
eade
rshi
p an
d m
anag
emen
t
• G
NP5
– E
duca
tion
• G
NP6
– E
vide
nce-
base
d pr
actic
e
• G
NP7
– L
egal
and
eth
ical
dile
mm
as a
nd d
ecis
ion
mak
ing
• G
NP8
– S
ervi
ce e
valu
atio
n an
d im
prov
emen
t.G
oo
dnu
rsin
gp
ract
ice
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Fig
ure
3: G
oo
d n
ursi
ng p
ract
ice
Whipps Cross Hospital
Section 3 - 11
INTR
OD
UC
TIO
N11
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Cro
ss-c
utti
ng t
hem
es
Thes
e ge
neric
the
mes
app
ly to
pat
ient
s in
any
em
erge
ncy
care
set
ting
irres
pect
ive
of t
heir
pres
entin
g co
mpl
aint
. The
cro
ss-c
uttin
g th
emes
(C
CT)
in F
igur
e 4
are
grou
ped
into
com
pete
ncie
s re
latin
g to
:
• C
CT1
– P
atie
nt a
sses
smen
t
• C
CT2
– P
ain
asse
ssm
ent
and
man
agem
ent
• C
CT3
– M
edic
ines
man
agem
ent
• C
CT4
– M
ovin
g an
d ha
ndlin
g
• C
CT5
– In
fect
ion
prev
entio
n an
d co
ntro
l
• C
CT6
– S
afeg
uard
ing
child
ren
and
adul
ts
• C
CT7
– D
ocum
enta
tion
and
reco
rd k
eepi
ng
• C
CT8
– P
reve
ntin
g an
d co
ntro
lling
vio
lenc
e an
d ag
gres
sion
.
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Fig
ure
4: C
ross
-cut
ting
the
mes
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 12
INTR
OD
UC
TIO
N12
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Em
erg
ency
car
e cl
inic
al d
om
ains
Th
e cl
inic
al d
omai
ns (C
D)
in F
igur
e 5
spec
ify t
he c
ompe
tenc
ies
requ
ired
to c
are
for
emer
genc
y pa
tient
s ac
ross
the
life
span
. The
re a
re
seve
n cl
inic
al d
omai
ns:
• C
D1 –
Car
ing
for
acut
ely
ill a
dult
s
• C
D2
– C
arin
g fo
r ad
ults
req
uirin
g re
susc
itatio
n
• C
D3
– C
arin
g fo
r ad
ults
with
min
or in
jury
and
illn
ess
• C
D4
– C
arin
g fo
r ch
ildre
n an
d yo
ung
peop
le
• C
D5
– C
arin
g fo
r pe
ople
with
men
tal h
ealth
nee
ds
• C
D6
– C
arin
g fo
r ol
der
peop
le
• C
D7
– Em
erge
ncy
plan
ning
and
dis
aste
r m
anag
emen
t.
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Fig
ure
5: E
mer
gen
cy c
are
clin
ical
do
mai
ns
Whipps Cross Hospital
Section 3 - 13
INTR
OD
UC
TIO
N13
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
Co
mp
eten
ce a
sses
smen
tTh
e co
mpe
tenc
ies
in t
his
fram
ewor
k ar
e pr
esen
ted
in t
wo
leve
ls. T
his
publ
icat
ion
cove
rs
com
pete
ncie
s Le
vel 1
and
pub
licat
ion
00
5 92
3 co
vers
com
pete
ncie
s Le
vel 2
.
• Le
vel 1
com
pete
ncie
s ar
e in
tend
ed fo
r th
e fo
unda
tion
staf
f nur
se to
com
plet
e.
• Le
vel 2
com
pete
ncie
s ar
e in
tend
ed fo
r th
e em
erge
ncy
nurs
e to
com
plet
e.
It is
rec
ogni
sed
that
prio
r to
the
intr
oduc
tion
of t
his
fram
ewor
k, m
any
nurs
es w
ill h
ave
wor
ked
in
emer
genc
y ca
re fo
r m
any
year
s. It
wou
ld b
e re
ason
able
for
them
to g
o st
raig
ht to
Lev
el 2
co
mpe
tenc
ies
rath
er t
han
star
t w
ith L
evel
1. F
or t
his
reas
on, m
any
of t
he L
evel
1 co
mpe
tenc
ies
are
dupl
icat
ed in
Lev
el 2
whe
re t
hey
are
still
req
uire
d of
a L
evel
2 e
mer
genc
y nu
rse.
For
tho
se w
ho
have
com
plet
ed le
vel 1
, som
e ev
iden
ce w
ill b
e tr
ansf
erab
le to
the
Lev
el 2
fram
ewor
k, w
here
the
co
mpe
tenc
ies
rem
ain
the
sam
e. H
owev
er, t
he m
ajor
ity
will
req
uire
dem
onst
ratio
n of
a h
ighe
r le
vel
of a
chie
vem
ent
with
in t
he t
axon
omy
as d
escr
ibed
opp
osite
.
Com
pete
ncie
s sh
ould
be
asse
ssed
usi
ng B
enne
r’s s
tage
s of
clin
ical
com
pete
nce
(Fig
ure
6). T
his
taxo
nom
y is
wid
ely
know
n an
d th
e de
finiti
ons
are
easy
to a
pply
.
Fig
ure
6: B
enne
r’s
stag
es o
f cl
inic
al c
om
pet
ence
Co
de
Nov
ice
to e
xper
t co
ntin
uum
Des
crip
tio
n
NN
ovic
e or
beg
inne
rN
o ex
perie
nce
in t
he s
ituat
ion
in w
hich
the
y ar
e ex
pect
ed to
per
form
and
de
pend
on
rule
s to
gui
de t
heir
actio
ns. L
acks
con
fiden
ce to
dem
onst
rate
sa
fe p
ract
ice
and
requ
ires
cont
inua
l ver
bal a
nd p
hysi
cal c
ues.
AB
Adv
ance
d be
ginn
erD
emon
stra
tes
mar
gina
lly a
ccep
tabl
e pe
rfor
man
ce b
ecau
se t
he n
urse
has
ha
d pr
ior
expe
rienc
e in
act
ual s
ituat
ions
. Oft
en n
eeds
hel
p se
ttin
g pr
iorit
ies
and
cann
ot re
liabl
y so
rt o
ut w
hat
is m
ost
impo
rtan
t in
com
plex
si
tuat
ions
and
will
requ
ire h
elp
to p
riorit
ise.
CC
ompe
tent
Dem
onst
rate
s effi
cien
cy, i
s co
-ord
inat
ed a
nd h
as c
onfid
ence
in t
heir
actio
ns. A
ble
to p
lan
and
dete
rmin
e w
hich
asp
ects
of a
situ
atio
n ar
e im
port
ant
and
whi
ch c
an b
e ig
nore
d or
del
ayed
. Thi
s pr
actit
ione
r la
cks
the
spee
d an
d fle
xibi
lity
of a
pro
ficie
nt p
ract
ition
er b
ut t
hey
show
an
abili
ty to
cop
e w
ith a
nd m
anag
e co
ntin
genc
ies
of p
ract
ice.
PPr
ofici
ent
Som
eone
who
per
ceiv
es t
he s
ituat
ion
as a
who
le ra
ther
tha
n in
par
ts.
They
hav
e a
holis
tic u
nder
stan
ding
of c
linic
al s
ituat
ions
whi
ch m
akes
for
quic
k an
d m
ore
accu
rate
dec
isio
n m
akin
g. T
hey
cons
ider
few
er o
ptio
ns
and
quic
kly
hone
in o
n ac
cura
te is
sues
of t
he p
robl
em.
EEx
pert
No
long
er re
lies
on r
ules
, gui
delin
es, e
tc. t
o ra
pidl
y un
ders
tand
the
pr
oble
m. W
ith a
n ex
tens
ive
back
grou
nd o
f exp
erie
nce
dem
onst
rate
s an
in
tuiti
ve g
rasp
of c
ompl
ex s
ituat
ions
. The
y fo
cus
on t
he a
ccur
ate
regi
on
of t
he p
robl
em w
ithou
t fir
st c
onsi
derin
g fr
uitle
ss p
ossi
bilit
ies.
Ben
ner P
(19
84)
From
nov
ice
to e
xper
t: Ex
celle
nce
and
pow
er in
clin
ical
nur
sing
pra
ctic
e. M
enlo
Pa
rk: A
ddis
on-W
esle
y.
Each
com
pete
ncy
star
ts w
ith a
sel
f-as
sess
men
t th
at h
elps
to id
entif
y in
divi
dual
lear
ning
nee
ds.
• N
ovic
e (N
): I
have
som
e aw
aren
ess
but
little
kno
wle
dge
or s
kill
in t
his
com
pete
ncy.
• A
dvan
ced
begi
nner
(A
B):
I ha
ve b
asic
kno
wle
dge
or s
kill
in t
his
com
pete
ncy
and
need
su
perv
isio
n.
• C
ompe
tent
(C):
I ha
ve t
he k
now
ledg
e an
d sk
ills
rele
vant
for
the
com
pete
ncy
and
coul
d co
mpl
ete
with
out
supe
rvis
ion.
• Pr
ofic
ient
(P)
: I a
m e
xper
ienc
ed in
the
kno
wle
dge
and
skill
s re
leva
nt fo
r th
e co
mpe
tenc
y an
d co
uld
supe
rvis
e or
teac
h ot
hers
.
• Ex
pert
(E)
: I a
m le
adin
g de
velo
pmen
ts in
thi
s co
mpe
tenc
y.
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 14
INTR
OD
UC
TIO
N14
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
|
Intr
oduc
tion
|
L
evel
1 c
ompe
tenc
ies
For
each
com
pete
ncy,
min
imum
ach
ieve
men
t cr
iteria
are
set
for
succ
essf
ul c
ompl
etio
n. H
owev
er,
this
sho
uld
be r
egar
ded
as a
min
imum
and
not
stifl
e th
ose
who
wis
h to
pro
gres
s be
yond
thi
s, fo
r w
hich
the
y sh
ould
be
give
n re
cogn
ition
. Whi
lst
som
e co
mpe
tenc
ies
will
be
uniq
ue to
eac
h le
vel,
othe
rs h
ave
iden
tical
wor
ding
in L
evel
s 1 a
nd 2
, but
the
min
imum
ach
ieve
men
t cr
iteria
diff
er. F
or
exam
ple,
at
Leve
l 1 ‘A
dvan
ced
begi
nner
’ may
be
requ
ired,
whi
lst
at L
evel
2 ‘P
rofic
ienc
y’ m
ay b
e re
quire
d.
The
role
of
the
clin
ical
sup
ervi
sor/
asse
sso
r/m
ento
rA
foun
datio
n st
aff n
urse
sho
uld
have
an
emer
genc
y nu
rse
as a
sup
ervi
sor
(hav
ing
com
plet
ed
Leve
l 1 a
s a
min
imum
). Th
e su
perv
isor
sho
uld
have
und
ergo
ne s
peci
fic t
rain
ing
in s
uper
visi
on a
nd
asse
ssm
ent
of o
ther
s an
d, t
ypic
ally
, wou
ld b
e a
seni
or e
mer
genc
y nu
rse,
em
erge
ncy
char
ge n
urse
or
pra
ctic
e ed
ucat
or. F
or e
mer
genc
y nu
rses
, a s
uper
viso
r sh
ould
be
beyo
nd L
evel
2. T
ypic
ally
, th
ey w
ould
be
an e
mer
genc
y ch
arge
nur
se o
r pr
actic
e ed
ucat
or.
It is
rec
ogni
sed
that
whe
n an
em
erge
ncy
care
set
ting
star
ts to
use
thi
s cu
rric
ulum
, the
re m
ay
be in
suffi
cien
t nu
rses
tha
t ha
ve a
chie
ved
Leve
l 1 a
nd 2
com
pete
ncie
s to
sup
ervi
se t
he
deve
lopm
ent
of fo
unda
tion
staff
nur
ses
and
emer
genc
y nu
rses
. Unt
il su
ch a
tim
e, a
pra
gmat
ic
appr
oach
sho
uld
be a
pplie
d an
d se
nior
nur
ses
shou
ld b
e al
low
ed to
sup
ervi
se o
ther
s co
mm
ensu
rate
with
the
ir cu
rren
t ro
le.
Whi
lst
self-
asse
ssm
ent
help
s to
dire
ct le
arni
ng, s
uppo
rt d
evel
opm
ent
and
prov
ides
a b
asel
ine
for
subs
eque
nt a
sses
smen
t, ob
ject
ive
form
al a
sses
smen
t of
com
pete
nce
shou
ld b
e un
dert
aken
for
qual
ity
assu
ranc
e pu
rpos
es a
nd s
houl
d in
clud
e in
divi
dual
pro
fess
iona
l fee
dbac
k. A
sses
smen
t sh
ould
be
base
d on
obj
ectiv
e ev
iden
ce. D
ue to
the
div
erse
nat
ure
of t
he c
ompe
tenc
ies,
no
one
type
of e
vide
nce
can
mee
t al
l the
sta
tem
ents
. It
is im
port
ant
that
a v
arie
ty o
f evi
denc
e ty
pes
are
used
to d
emon
stra
te t
he k
now
ledg
e, s
kills
and
beh
avio
urs
requ
ired.
Evi
denc
e m
ay in
clud
e, b
ut
wou
ld n
ot b
e lim
ited
to:
• di
rect
obs
erva
tion
of p
ract
ice
(DO
PS)
• ca
se-b
ased
dis
cuss
ion
(CB
D)
• si
mul
atio
n (S
)
• re
flect
ive
repo
rt (
RR
)
• qu
estio
n an
d an
swer
(Q
&A
)
• an
onym
ised
clin
ical
cas
e no
tes
(CC
N)
• fe
edba
ck fr
om c
olle
ague
s an
d/or
pat
ient
s (F
)
• na
tiona
lly r
ecog
nise
d co
urse
s (R
C).
It w
ould
be
acce
ptab
le to
put
the
se a
bbre
viat
ed c
odes
in t
he e
vide
nce
colu
mn
of t
he c
ompe
tenc
y fr
amew
ork
to d
emon
stra
te t
he t
ype
of e
vide
nce
that
has
bee
n ge
nera
ted.
Reg
ular
rev
iew
s ar
e es
sent
ial t
o hi
ghlig
ht a
nd r
esol
ve a
ny d
ifficu
lties
in a
chie
ving
or
mai
ntai
ning
com
pete
nce.
The
y al
so p
rovi
de s
uppo
rt fo
r in
divi
dual
s, h
elpi
ng t
hem
to r
each
the
ir po
tent
ial w
ithou
t be
ing
rest
ricte
d by
tra
ditio
nal t
ime-
boun
d pr
ogre
ssio
n lim
its.
It w
ould
be
over
whe
lmin
g fo
r an
yone
to t
ry to
add
ress
all
the
com
pete
ncie
s si
mul
tane
ousl
y; it
is
reco
mm
ende
d th
at r
ealis
tic d
evel
opm
enta
l goa
ls a
re s
et a
t ea
ch o
ne-t
o-on
e m
eetin
g an
d re
view
ed in
a t
imel
y m
anne
r. It
may
be
help
ful t
o pu
t th
e da
te o
f the
nex
t m
eetin
g in
the
‘e
xpec
ted
achi
evem
ent
date
’ col
umn
of t
hose
com
pete
ncie
s w
hich
sho
uld
be p
riorit
ised
, lea
ving
bl
ank
thos
e co
mpe
tenc
ies
whi
ch w
ill b
e do
ne a
t a
futu
re d
ate.
Dur
ing
the
first
yea
r of
em
ploy
men
t in
the
em
erge
ncy
care
set
ting,
it w
ould
be
real
istic
to m
eet
with
a m
ento
r/as
sess
or a
fter
the
firs
t m
onth
, the
n at
thr
ee m
onth
ly in
terv
als
with
an
appr
aisa
l at
the
end
of t
he fi
rst
year
. In
year
tw
o, it
wou
ld b
e re
alis
tic to
mee
t at
six
-mon
thly
inte
rval
s, w
ith
annu
al a
ppra
isal
s an
d de
velo
pmen
t pl
anni
ng t
here
afte
r.
At
each
mee
ting,
the
re s
houl
d be
an
agre
emen
t on
whi
ch s
peci
fic c
ompe
tenc
ies
have
bee
n ac
hiev
ed o
r m
aint
aine
d an
d w
hich
nee
d to
be
prog
ress
ed b
efor
e th
e ne
xt m
eetin
g. It
may
be
deci
ded
that
som
e co
mpe
tenc
ies
are
not
appl
icab
le to
the
em
erge
ncy
care
env
ironm
ent
in w
hich
th
e in
divi
dual
is w
orki
ng. I
n th
is c
ase
‘N/A
’ sho
uld
be m
arke
d ag
ains
t th
em. T
his
will
allo
w t
he
indi
vidu
al to
use
the
ir co
mpe
tenc
y fr
amew
ork
as a
pas
spor
t sh
ould
the
y m
ove
to a
noth
er
emer
genc
y ca
re w
orkp
lace
and
con
tinue
the
ir de
velo
pmen
t.
Whipps Cross Hospital
Section 3 - 15
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
15C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Go
od
nur
sing
pra
ctic
e (G
NP
) Le
vel 1
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 16
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
16C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P1
– P
rofe
ssio
nal b
ehav
iour
– L
evel
1D
emon
stra
te t
he k
now
ledg
e, s
kills
and
beh
avio
ur to
pro
ject
a h
igh
stan
dard
of p
rofe
ssio
nal n
ursi
ng
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 1.1
.1 (L
1)U
nder
stan
d th
e N
MC
Cod
e an
d its
app
licat
ion
with
in c
linic
al
prac
tice
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 1.2
.1 (L
1)C
ontr
ibut
e to
ow
n pe
rson
al
appr
aisa
l pro
cess
, pre
parin
g do
cum
ents
and
refle
ctin
g on
pr
actic
e
N, A
B, C
, P, E
Com
pete
nt
GN
P 1.2
.2 (
L1)
Iden
tify
own
deve
lopm
enta
l ne
eds
N, A
B, C
, P, E
Com
pete
nt
GN
P 1.2
.3 (
L1)
Alte
r pa
ce o
f wor
k ac
cord
ing
to
urge
ncy
of t
he c
linic
al s
ituat
ion
or d
eman
ds o
f the
em
erge
ncy
care
set
ting
N, A
B, C
, P, E
Com
pete
nt
Beha
viou
rSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 1.3
.1 (L
1)A
ckno
wle
dge
limita
tions
in
know
ledg
e, s
kills
and
beh
avio
urN
, AB
, C, P
, EC
ompe
tent
GN
P 1.3
.2 (
L1)
Dem
onst
rate
a p
ositi
ve a
ttitu
de
to le
arni
ng a
nd t
he d
evel
opm
ent
of s
elf a
nd o
ther
s
N, A
B, C
, P, E
Com
pete
nt
GN
P 1.3
.3 (
L1)
Prom
ote
mul
ti-pr
ofes
sion
al te
am
wor
king
N
, AB
, C, P
, EC
ompe
tent
GN
P 1.3
.4 (
L1)
Bui
ld a
pro
fess
iona
l rel
atio
nshi
p w
ith s
tude
nts
and/
or o
ther
pr
ofes
sion
als
on a
ttac
hmen
t
N, A
B, C
, P, E
Com
pete
nt
GN
P 1.3
.5 (
L1)
Act
as
a ro
le m
odel
to o
ther
s;
proj
ectin
g a
prof
essi
onal
imag
e at
all
times
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 17
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
17C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P2
– Te
am w
ork
ing
– L
evel
1C
ontr
ibut
e to
eff
ectiv
e te
am w
orki
ng
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 2.
1.1 (
L1)
Und
erst
and
the
conc
epts
re
latin
g to
hum
an fa
ctor
s an
d te
am re
sour
ce m
anag
emen
t; si
tuat
iona
l aw
aren
ess
and
erro
r th
eory
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 2.
2.1 (
L1)
Iden
tify
stre
ss a
nd o
r st
ress
ful
situ
atio
ns fo
r se
lfN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 2.
2.2
(L1)
Iden
tify
stre
ss a
nd o
r st
ress
ful
situ
atio
ns fo
r ot
hers
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 2.
2.3
(L1)
Iden
tify
indi
vidu
al c
opin
g m
echa
nism
s fo
r de
alin
g w
ith
stre
ss
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 2.
2.4
(L1)
Dem
onst
rate
the
abi
lity
to w
ork
effec
tivel
y in
a te
amN
, AB
, C, P
, EC
ompe
tent
GN
P 2.
2.5
(L1)
Dem
onst
rate
the
abi
lity
to le
ad a
sm
all t
eam
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 18
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
18C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P3
– C
om
mun
icat
ion
– Le
vel 1
Ensu
re e
ffec
tive
com
mun
icat
ion
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for a
chie
vem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 3.
1.1 (
L1)
Und
erst
and
fact
ors
that
influ
ence
co
mm
unic
atio
n an
d co
mm
on b
arrie
rs
to e
ffec
tive
com
mun
icat
ion
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
1.2 (
L1)
Dis
cuss
str
ateg
ies
avai
labl
e to
aid
co
mm
unic
atio
n fo
r in
divi
dual
s w
ho
have
sen
sory
impa
irmen
t
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
1.3 (
L1)
Dis
cuss
str
ateg
ies
avai
labl
e to
aid
co
mm
unic
atio
n w
ith in
divi
dual
s w
ho
spea
k la
ngua
ges
othe
r th
an E
nglis
h
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
1.4 (
L1)
Des
crib
e an
d ev
alua
te to
ols
and
stra
tegi
es a
vaila
ble
to im
prov
e th
e qu
ality
of c
omm
unic
atio
n be
twee
n he
alth
pro
fess
iona
ls
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for a
chie
vem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 3.
2.1 (
L1)
Dem
onst
rate
eff
ectiv
e co
mm
unic
atio
n w
ith c
olle
ague
s bo
th
inte
rnal
and
ext
erna
l to
the
emer
genc
y ca
re s
ettin
g
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
2.2
(L1)
Dem
onst
rate
eff
ectiv
e co
mm
unic
atio
n w
ith p
artn
er a
genc
ies
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 3.
2.3
(L1)
Dem
onst
rate
eff
ectiv
e co
mm
unic
atio
n w
ith p
atie
nts
of a
ll ag
es a
nd t
heir
fam
ilies
/car
ers/
thos
e im
port
ant
to t
he p
atie
nt, i
nclu
ding
re
gula
r up
date
s on
car
e pl
ans
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
2.4
(L1)
Faci
litat
e us
e of
inte
rpre
ting
serv
ices
in
line
with
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
GN
P 3.
4.5
(L1)
Com
mun
icat
e eff
ectiv
ely
with
in
divi
dual
s w
ith a
udio
and
/or
visu
al
impa
irmen
t
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 19
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
19C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P4
– L
ead
ersh
ip a
nd m
anag
emen
t –
Leve
l 1Le
ad a
nd m
anag
e th
e pr
ovis
ion
of e
mer
genc
y nu
rsin
g ca
re to
indi
vidu
als
or s
mal
l gro
ups
of p
atie
nts
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 4.
1.1 (
L1)
Dis
cuss
the
use
of l
ocal
and
na
tiona
l qua
lity
indi
cato
rs o
f em
erge
ncy
care
N, A
B, C
, P, E
Com
pete
nt
GN
P 4.
1.2 (
L1)
Dis
cuss
the
orie
s of
lead
ersh
ipN
, AB
, C, P
, EA
dvan
ced
begi
nner
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 4.
2.1 (
L1)
Res
pond
app
ropr
iate
ly to
pat
ient
sa
tisfa
ctio
n co
ncer
ns a
nd
com
plai
nts
N, A
B, C
, P, E
Com
pete
nt
GN
P 4.
2.2
(L1)
Man
age
own
time
effec
tivel
y,
dem
onst
ratin
g sk
ill in
prio
ritis
ing
wor
kloa
d
N, A
B, C
, P, E
Com
pete
nt
GN
P 4.
2.3
(L1)
Dem
onst
rate
abi
lity
to m
anag
e th
e ca
re o
f sm
all g
roup
s of
pa
tient
s w
ithin
one
are
a of
the
ca
re s
ettin
g
N, A
B, C
, P, E
Com
pete
nt
GN
P 4.
2.4
(L1)
Dem
onst
rate
the
abi
lity
to
antic
ipat
e th
e pa
tient
’s t
raje
ctor
y th
roug
h th
e ca
re s
ettin
g
N, A
B, C
, P, E
Com
pete
nt
GN
P 4.
2.5
(L1)
Iden
tify
and
esca
late
con
cern
s re
latin
g to
pat
ient
saf
ety
acco
rdin
g to
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 20
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
20
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P5
– E
duc
atio
n –
Leve
l 1Su
ppor
t th
e de
liver
y of
edu
catio
n, t
rain
ing
and
men
tors
hip
with
in t
he e
mer
genc
y ca
re s
ettin
g
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 5.
1.1 (
L1)
Und
erst
and
the
theo
ries
that
un
derp
in c
linic
al e
duca
tion
and
men
tors
hip,
incl
udin
g le
arni
ng
styl
e th
eorie
s
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 5.
1.2 (
L1)
Dis
cuss
pat
ient
edu
catio
n st
rate
gies
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 5.
2.1 (
L1)
Sele
ct a
nd im
plem
ent
stra
tegi
es
to fa
cilit
ate
patie
nt e
duca
tion
N, A
B, C
, P, E
Com
pete
nt
GN
P 5.
2.2
(L1)
Dem
onst
rate
ski
ll at
teac
hing
ot
hers
, mod
ifyin
g ap
proa
ch in
re
spon
se to
lear
ning
sty
le
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 21
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
21
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P6
– E
vid
ence
-bas
ed p
ract
ice
– Le
vel 1
Ensu
re s
afe
and
effec
tive
care
thr
ough
app
licat
ion
of e
vide
nce-
base
d pr
actic
e
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 6.
1.1 (
L1)
Und
erst
and
the
theo
ry o
f ev
iden
ce-b
ased
pra
ctic
eN
, AB
, C, P
, EC
ompe
tent
GN
P 6.
1.2 (
L1)
Des
crib
e ho
w e
vide
nce
can
be
iden
tified
and
acc
esse
dN
, AB
, C, P
, EC
ompe
tent
GN
P 6.
1.3 (
L1)
Des
crib
e ho
w e
vide
nce
shou
ld
be re
view
ed a
nd e
valu
ated
N, A
B, C
, P, E
Com
pete
nt
GN
P 6.
1.4 (
L1)
Und
erst
and
the
loca
l pro
cess
for
chan
ging
pra
ctic
e ba
sed
on b
est
evid
ence
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 6.
1.5 (
L1)
Und
erst
and
the
prin
cipl
es to
be
cons
ider
ed w
hen
indi
vidu
al c
are
requ
ires
devi
atio
n fr
om s
tand
ard
prac
tice
guid
elin
es
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 6.
1.6 (
L1)
Und
erst
and
the
prin
cipl
es o
f the
au
dit
proc
ess
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 6.
2.1 (
L1)
Dem
onst
rate
abi
lity
to c
ritic
ally
ap
prai
se li
tera
ture
from
pr
ofes
sion
al a
nd o
r ac
adem
ic
sour
ces
N, A
B, C
, P, E
Com
pete
nt
GN
P 6.
2.2
(L1)
Dem
onst
rate
abi
lity
to m
ake
a ju
dgem
ent
abou
t th
e ap
plic
abili
ty o
f a s
tudy
to t
he
clin
ical
env
ironm
ent
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 6.
2.3
(L1)
Con
trib
ute
to d
evel
opin
g ev
iden
ce-b
ased
pat
ient
pr
otoc
ols
and
guid
elin
es
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 6.
2.4
(L1)
Con
trib
ute
to t
he a
udit
proc
ess
with
in t
he c
linic
al s
ettin
gN
, AB
, C, P
, EN
ovic
e
GN
P 6.
2.5
(L1)
Iden
tify
topi
cs fo
r au
dit
and/
or
rese
arch
N, A
B, C
, P, E
Nov
ice
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 22
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
22
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P7
– Le
gal
and
eth
ical
dile
mm
as a
nd d
ecis
ion
mak
ing
– L
evel
1En
sure
pra
ctic
e is
foun
ded
on le
gal f
ram
ewor
ks a
nd e
thic
al p
rinci
ples
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for a
chie
vem
ent
Expe
cted
dat
e of
ach
ieve
men
tEv
iden
ce s
ubm
itted
Dat
e of
co
mpl
etio
nLe
vel
achi
eved
Men
tor s
ign-
off
(prin
t and
sig
n)
GN
P 7.
1.1 (
L1)
Dem
onst
rate
und
erst
andi
ng o
f the
lega
l and
eth
ical
fr
amew
orks
rela
ted
to c
onse
nt fo
r al
l age
gro
ups
N, A
B, C
, P, E
Com
pete
nt
GN
P 7.
1.2 (
L1)
Dem
onst
rate
und
erst
andi
ng o
f the
lega
l and
eth
ical
fr
amew
orks
rela
ted
to c
onfid
entia
lity
for
all a
ge g
roup
sN
, AB
, C, P
, EC
ompe
tent
GN
P 7.
1.3 (
L1)
Des
crib
e th
e pr
inci
ples
of t
he E
qual
ity A
ct (
or e
quiv
alen
t in
co
untr
y of
pra
ctic
e) a
nd t
he im
plic
atio
ns fo
r pr
actic
eN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 7.
1.4 (
L1)
Des
crib
e th
e pr
inci
ples
of t
he M
enta
l Cap
acity
Act
, inc
ludi
ng
the
Dep
rivat
ion
of L
iber
ty S
afeg
uard
s an
d th
e im
plic
atio
ns
for
prac
tice
(or
equi
vale
nt in
cou
ntry
of p
ract
ice)
N, A
B, C
, P, E
Com
pete
nt
GN
P 7.
1.5 (
L1)
Des
crib
e th
e pr
inci
ples
of t
he C
hild
ren
Act
(in
cou
ntry
of
prac
tice)
, and
the
loca
l im
plic
atio
nsN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 7.
1.6 (
L1)
Dem
onst
rate
und
erst
andi
ng o
f the
Men
tal H
ealth
Act
(in
co
untr
y of
pra
ctic
e) a
nd t
he lo
cal i
mpl
icat
ions
N
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 7.
1.7 (
L1)
Refl
ect
anal
ytic
ally
on
ethi
cal,
mor
al a
nd le
gal d
ilem
mas
w
ithin
clin
ical
pra
ctic
eN
, AB
, C, P
, EA
dvan
ced
begi
nner
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for a
chie
vem
ent
Expe
cted
dat
e of
ach
ieve
men
tEv
iden
ce s
ubm
itted
Dat
e of
co
mpl
etio
nLe
vel
achi
eved
Men
tor s
ign-
off
(prin
t and
sig
n)
GN
P 7.
2.1 (
L1)
Dem
onst
rate
the
abi
lity
to u
nder
take
and
doc
umen
t an
as
sess
men
t of
men
tal c
apac
ity
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 7.
2.2
(L1)
Dem
onst
rate
ski
ll in
app
lyin
g th
e pr
inci
ples
of t
he M
enta
l C
apac
ity A
ct (
acco
rdin
g to
cou
ntry
of p
ract
ice)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 7.
2.3
(L1)
Dem
onst
rate
abi
lity
to id
entif
y w
hen
ther
e is
a re
quire
men
t to
bre
ach
confi
dent
ialit
yN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 7.
2.4
(L1)
Dem
onst
rate
abi
lity
to g
ain
law
ful c
onse
nt fo
r tr
eatm
ent
in
the
emer
genc
y ca
re s
ettin
gN
, AB
, C, P
, EC
ompe
tent
GN
P 7.
2.5
(L1)
Rec
ogni
se s
ituat
ions
whe
re it
is n
eces
sary
to p
rovi
de
trea
tmen
t w
ithou
t co
nsen
t an
d im
plem
ent
the
proc
ess
to
ensu
re t
his
is la
wfu
l
N, A
B, C
, P, E
Com
pete
nt
GN
P 7.
2.6
(L1)
Dem
onst
rate
abi
lity
to in
itiat
e pr
ocee
ding
s to
est
ablis
h D
epriv
atio
n of
Lib
erty
saf
egua
rds
(or
equi
vale
nt in
cou
ntry
of
pra
ctic
e)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 7.
2.7
(L1)
Dem
onst
rate
abi
lity
to id
entif
y w
hen
lega
l adv
ice
is re
quire
d an
d es
cala
te to
sen
ior
clin
icia
n N
, AB
, C, P
, EA
dvan
ced
begi
nner
Whipps Cross Hospital
Section 3 - 23
GO
OD
NU
RSI
NG
PR
AC
TIC
E (G
NP)
LEV
EL 1
23
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
Co
re s
kills
: Go
od
nur
sing
pra
ctic
e (G
NP
) –
Leve
l 1
GN
P8
– Se
rvic
e ev
alua
tio
n an
d im
pro
vem
ent
– Le
vel 1
Con
trib
ute
to s
ervi
ce e
valu
atio
n an
d im
prov
emen
t in
itiat
ives
Know
ledg
eSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 8.
1.1 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
pol
icie
s w
hich
influ
ence
co
st-e
ffec
tive,
hig
h qu
ality
car
e
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 8.
1.2 (
L1)
Und
erst
and
how
qua
lity
is
mea
sure
d in
the
car
e se
ttin
gN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 8.
1.3 (
L1)
Und
erst
and
loca
l pro
cess
es fo
r se
rvic
e ev
alua
tion
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 8.
1.4 (
L1)
Und
erst
and
loca
l ser
vice
im
prov
emen
t pr
oces
ses
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (ci
rcle
as
app
ropr
iate
)M
inim
um s
tand
ard
for
achi
evem
ent
Expe
cted
dat
e of
ac
hiev
emen
tEv
iden
ce s
ubm
itted
Dat
e of
com
plet
ion
Leve
l ach
ieve
dM
ento
r sig
n-off
(p
rint a
nd s
ign)
GN
P 8.
2.1 (
L1)
Enga
ge w
ith p
atie
nts/
care
rs to
in
form
ser
vice
dev
elop
men
tN
, AB
, C, P
, EA
dvan
ced
begi
nner
GN
P 8.
2.2
(L1)
Com
mun
icat
e id
eas
for
serv
ice
impr
ovem
ent
usin
g lo
cal
gove
rnan
ce fr
amew
orks
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
GN
P 8.
2.3
(L1)
Con
trib
ute
to s
ervi
ce
impr
ovem
ent
proj
ects
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 24
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 25
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T1 –
Pat
ient
ass
essm
ent
– Le
vel 1
Hol
istic
ally
and
sys
tem
atic
ally
, ass
ess
patie
nts
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
1.1.1
(L1)
Und
erst
and
the
valu
e of
pre
-hos
pita
l car
e in
form
atio
nN
, AB
, C, P
, EC
ompe
tent
CCT
1.1.2
(L1
)U
nder
stan
d th
e fa
ctor
s th
at a
ffec
t co
mm
unic
atio
n or
act
as
a co
mm
unic
atio
n ba
rrie
r, an
d st
rate
gies
tha
t m
ay b
e us
ed to
ov
erco
me
them
(C
ross
-ref
eren
ce to
GN
P3)
N, A
B, C
, P, E
Com
pete
nt
CCT
1.1.3
(L1
)U
nder
stan
d th
e im
port
ance
of o
btai
ning
a c
ompr
ehen
sive
clin
ical
an
d so
cial
his
tory
in o
rder
to p
lan
appr
opria
te p
erso
n-ce
ntre
d ca
re
N, A
B, C
, P, E
Com
pete
nt
CCT
1.1.4
(L1
)U
nder
stan
d th
e el
emen
ts u
nder
pinn
ing
the
stru
ctur
ed a
ppro
ach
to p
atie
nt a
sses
smen
t (A
irway
, Bre
athi
ng, C
ircul
atio
n, D
isab
ility
, Ex
posu
re)
N, A
B, C
, P, E
Com
pete
nt
CCT
1.1.5
(L1
)D
iscu
ss t
he u
se o
f clin
ical
ass
essm
ent
tool
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
1.1.6
(L1
)U
nder
stan
d th
e sy
stem
in p
lace
to p
riorit
ise
a pa
tient
acc
ordi
ng
to c
linic
al n
eed
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
1.2.1
(L1)
Effec
tivel
y re
ceiv
e ha
ndov
er fr
om p
re-h
ospi
tal p
erso
nnel
and
do
cum
ent
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CCT
1.2.2
(L1
)U
se a
str
uctu
red
appr
oach
to g
athe
r an
d do
cum
ent
the
clin
ical
hi
stor
yN
, AB
, C, P
, EC
ompe
tent
CCT
1.2.3
(L1
)Eff
ectiv
ely
dete
rmin
e pa
tient
prio
rity
base
d on
ass
essm
ent
(tria
ge)
N, A
B, C
, P, E
Com
pete
nt
CCT
1.2.4
(L1
)D
irect
/mov
e pa
tient
s to
app
ropr
iate
are
as, t
eam
s an
d se
rvic
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
1.2.5
(L1
)U
se a
str
uctu
red
A-E
app
roac
h to
und
erta
ke p
atie
nt a
sses
smen
tN
, AB
, C, P
, EC
ompe
tent
CCT
1.2.6
(L1
)Sa
fely
and
acc
urat
ely
reco
rd c
linic
al o
bser
vatio
ns in
clud
ing:
• re
spira
tion
• ox
ygen
sat
urat
ions
• he
art
rate
(m
anua
l)
• bl
ood
pres
sure
• te
mpe
ratu
re
• Pe
ak e
xpira
tory
flow
rate
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 26
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CCT
1.2.7
(L1
)U
se t
he N
atio
nal E
arly
War
ning
Sco
re (
or lo
cal v
aria
nt)
and
act
as
per
guid
elin
es d
epen
ding
on
scor
eN
, AB
, C, P
, EC
ompe
tent
CCT
1.2.8
(L1
)Sa
fely
and
acc
urat
ely
cond
uct
the
follo
win
g in
vest
igat
ions
:
• EC
G m
onito
ring
• ca
pilla
ry b
lood
glu
cose
• ur
inal
ysis
• pr
egna
ncy
test
ing
N, A
B, C
, P, E
Com
pete
nt
CCT
1.2.9
(L1
)Sa
fely
and
eff
ectiv
ely
cond
uct
cann
ulat
ion
and
veni
punc
ture
in
acco
rdan
ce w
ith lo
cal g
uide
lines
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 27
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T2 –
Pai
n as
sess
men
t an
d m
anag
emen
t –
Leve
l 1Pr
ovid
e ho
listic
car
e fo
r pa
tient
s w
ith p
ain
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
2.1.1
(L1
)U
nder
stan
d th
e ph
ysio
logy
of p
ain
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
2.1.2
(L1
)U
nder
stan
d th
e pr
inci
ples
of p
ain
man
agem
ent
N, A
B, C
, P, E
Com
pete
nt
CCT
2.1.3
(L1
)D
iscu
ss t
he to
ols
avai
labl
e to
ass
ess
and
obje
ctiv
ely
mea
sure
pai
n in
adu
lts (
for
child
ren
see
CD
4.2
- L
evel
1)N
, AB
, C, P
, EC
ompe
tent
CCT
2.1.4
(L1
)D
iscu
ss h
ow p
ain
asse
ssm
ent
rela
tes
to t
riage
prio
rity
N, A
B, C
, P, E
Com
pete
nt
CCT
2.1.5
(L1
)D
iscu
ss t
he p
harm
acol
ogic
al a
nd n
on-p
harm
acol
ogic
al s
trat
egie
s fo
r m
anag
ing
pain
N
, AB
, C, P
, EC
ompe
tent
CCT
2.1.6
(L1
)U
nder
stan
d lo
cally
agr
eed
Patie
nt G
roup
Dire
ctio
ns (
PGD
s) fo
r nu
rse-
led
anal
gesi
a (w
here
rele
vant
)N
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
2.2.
1 (L1
)U
se p
ain
asse
ssm
ent
tool
s to
obj
ectiv
ely
asse
ss p
ain
N, A
B, C
, P, E
Com
pete
nt
CCT
2.2.
2 (L
1)A
pply
app
ropr
iate
non
-pha
rmac
olog
ic s
trat
egie
s fo
r th
e m
anag
emen
t of
pai
n (i
.e. s
plin
ting,
pos
ition
ing,
dre
ssin
gs)
N, A
B, C
, P, E
Com
pete
nt
CCT
2.2.
3 (L
1)A
dmin
iste
r pr
escr
ibed
ana
lges
ia v
ia a
var
iety
of r
oute
sN
, AB
, C, P
, EC
ompe
tent
CCT
2.2.
4 (L
1)If
usin
g PG
Ds:
sel
ect
appr
opria
te d
rug
and
rout
e fo
r eff
ectiv
e pa
in
man
agem
ent
usin
g sy
stem
atic
and
ste
p-w
ise
appr
oach
N, A
B, C
, P, E
Com
pete
nt
CCT
2.2.
5 (L
1)U
se E
nton
ox s
afel
y an
d ap
prop
riate
lyN
, AB
, C, P
, EC
ompe
tent
CCT
2.2.
6 (L
1)Ev
alua
te t
he e
ffec
tiven
ess
of a
nalg
esia
at
appr
opria
te t
imes
fo
llow
ing
adm
inis
trat
ion
and
esca
late
app
ropr
iate
ly w
here
pai
n re
mai
ns u
nman
aged
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 28
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T3 –
Med
icin
es m
anag
emen
t –
Leve
l 1St
ore,
adm
inis
ter
and
disp
ose
of m
edic
atio
ns s
afel
y an
d eff
ectiv
ely
in li
ne w
ith N
MC
sta
ndar
ds a
nd lo
cal p
olic
y
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
3.1.1
(L1
)U
nder
stan
d th
e N
MC
sta
ndar
ds fo
r m
edic
ines
man
agem
ent
and
thei
r lo
cal a
pplic
atio
n N
, AB
, C, P
, EC
ompe
tent
CCT
3.1.2
(L1
)U
nder
stan
d lo
cally
agr
eed
polic
ies,
pro
cedu
res
and
guid
elin
es
rela
ting
to t
he s
tora
ge, a
dmin
istr
atio
n, d
ispo
sal a
nd re
cord
ing
of
med
icin
es
N, A
B, C
, P, E
Com
pete
nt
CCT
3.1.3
(L1
)D
escr
ibe
how
to fi
nd a
dditi
onal
info
rmat
ion
abou
t m
edic
ines
(e.
g.
Brit
ish
Nat
iona
l For
mul
ary)
N, A
B, C
, P, E
Com
pete
nt
CCT
3.1.4
(L1
)U
nder
stan
d th
e im
mun
isat
ion
sche
dule
and
its
impo
rtan
ce
N, A
B, C
, P, E
Com
pete
nt
CCT
3.1.5
(L1
)U
nder
stan
d dr
ug e
rror
or
near
mis
s re
port
ing
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
3.2.
1 (L1
)Fo
llow
loca
l pol
icie
s on
dru
g ad
min
istr
atio
n an
d th
e N
MC
gu
idel
ines
for
the
adm
inis
trat
ion
of m
edic
ines
N, A
B, C
, P, E
Com
pete
nt
CCT
3.2.
2 (L
1)St
ore
med
icat
ion
safe
lyN
, AB
, C, P
, EC
ompe
tent
CCT
3.2.
3 (L
1)Se
lect
app
ropr
iate
equ
ipm
ent
and
safe
ly a
dmin
iste
r m
edic
atio
ns
as p
resc
ribed
via
:
• or
al
• in
trav
enou
s
• in
tram
uscu
lar
• su
bcut
aneo
us
• in
hale
d
• re
ctal
• bu
ccal
• to
pica
l
• op
htha
lmic
• au
ral
N, A
B, C
, P, E
Com
pete
nt
CCT
3.2.
4 (L
1)A
dmin
iste
r co
ntro
lled
drug
s as
per
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
CCT
3.2.
5 (L
1)R
ecog
nise
and
tak
e ap
prop
riate
act
ion
whe
n a
patie
nt
expe
rienc
es a
dver
se d
rug
reac
tions
, alle
rgic
reac
tions
or
anap
hyla
xis
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 29
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
12
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CCT
3.2.
6 (L
1)D
ocum
ent
and
com
mun
icat
e ap
prop
riate
ly w
hen
patie
nts
refu
se
med
icat
ions
N, A
B, C
, P, E
Com
pete
nt
CCT
3.2.
7 (L
1)A
dmin
iste
r m
edic
atio
ns u
sing
PG
Ds
as p
er lo
cal p
olic
yN
, AB
, C, P
, EC
ompe
tent
CCT
3.2.
8 (L
1)R
epor
t m
edic
ine-
rela
ted
adve
rse
inci
dent
s or
‘nea
r-m
iss’
eve
nts
N, A
B, C
, P, E
Com
pete
nt
CCT
3.2.
9 (L
1)En
sure
ade
quat
e in
form
atio
n fo
r pa
tient
s ab
out
med
icat
ion
prio
r to
dis
char
geN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 30
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T4 –
Mov
ing
and
han
dlin
g –
Lev
el 1
Ensu
re s
afe
mov
ing
and
hand
ling
of p
atie
nts
and
equi
pmen
t in
the
em
erge
ncy
care
set
ting
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
4.1.1
(L1
)U
nder
stan
d th
e pr
inci
ples
of s
afe
mov
ing
and
hand
ling
N, A
B, C
, P, E
Com
pete
nt
CCT
4.1.2
(L1
)D
iscu
ss t
he to
ols
avai
labl
e to
aid
the
ass
essm
ent
of m
ovin
g an
d ha
ndlin
g ta
sks
N, A
B, C
, P, E
Com
pete
nt
CCT
4.1.3
(L1
)U
nder
stan
d th
e eq
uipm
ent
avai
labl
e w
ithin
the
loca
l org
anis
atio
n,
incl
udin
g its
ben
efits
and
lim
itatio
nsN
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
4.2.
1 (L1
)A
dher
e to
loca
l hea
lth a
nd s
afet
y gu
idan
ce w
hen
mov
ing
equi
pmen
t an
d re
sour
ces,
suc
h as
con
sum
able
sN
, AB
, C, P
, EC
ompe
tent
CCT
4.2.
2 (L
1)A
sses
s an
d pl
an p
atie
nt m
ovin
g an
d ha
ndlin
g ne
eds
N, A
B, C
, P, E
Com
pete
nt
CCT
4.2.
3 (L
1)Sa
fely
use
loca
lly a
vaila
ble
mov
ing
and
hand
ling
aids
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 31
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T5 –
Infe
ctio
n p
reve
ntio
n an
d c
ont
rol –
Lev
el 1
Car
e fo
r pa
tient
s w
ith d
ue re
gard
to in
fect
ion
prev
entio
n an
d co
ntro
l prin
cipl
es
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
5.1.1
(L1
)U
nder
stan
d th
e ro
le o
f the
infe
ctio
n pr
even
tion
and
cont
rol (
IPC
) te
am
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
5.1.2
(L1
)D
iscu
ss t
he lo
cal I
PC p
olic
ies
and
iden
tify
IPC
reso
urce
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
5.1.3
(L1
)U
nder
stan
d th
e im
port
ance
of t
he h
and
hygi
ene
polic
y an
d th
e co
rrec
t us
e of
Per
sona
l Pro
tect
ive
Equi
pmen
t (P
PE)
N, A
B, C
, P, E
Com
pete
nt
CCT
5.1.4
(L1
)Ex
plai
n na
tiona
l, re
gion
al a
nd lo
cal i
nitia
tives
/tar
get/
data
in
rela
tion
to in
fect
ion
prev
entio
n an
d co
ntro
l (IP
C)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
5.1.5
(L1
)D
escr
ibe
the
‘cha
in o
f inf
ectio
n’ a
nd g
ive
exam
ples
of h
ow it
can
be
bro
ken
N, A
B, C
, P, E
Com
pete
nt
CCT
5.1.6
(L1
)U
nder
stan
d an
timic
robi
al re
sist
ance
and
the
nur
se’s
role
in
antib
iotic
saf
egua
rdin
gN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
5.1.7
(L1
)H
ave
awar
enes
s of
com
mun
icab
le d
isea
ses
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
5.1.8
(L1
)D
iscu
ss t
he lo
cal p
ande
mic
infe
ctio
n pl
an a
nd m
ajor
inci
dent
pla
n re
late
d to
infe
ctio
n co
ntro
l (se
e C
D 7
.1)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
5.1.9
(L1
)U
nder
stan
d im
plem
enta
tion
of t
he d
epar
tmen
t is
olat
ion
plan
and
as
soci
ated
impl
icat
ions
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
5.1.1
0 (
L1)
Und
erst
and
whe
n an
d ho
w to
dec
onta
min
ate
equi
pmen
t an
d de
part
men
t ar
eas
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
5.2.
1 (L1
)A
pply
the
isol
atio
n, w
aste
, lin
en, s
tand
ard
prec
autio
ns a
nd s
harp
s po
licie
sN
, AB
, C, P
, EC
ompe
tent
CCT
5.2.
2 (L
1)A
pply
and
rem
ove
PPE
safe
lyN
, AB
, C, P
, EC
ompe
tent
CCT
5.2.
3 (L
1)D
econ
tam
inat
e ha
nds
effec
tivel
yN
, AB
, C, P
, EC
ompe
tent
CCT
5.2.
4 (L
1)D
emon
stra
te t
he u
se o
f ase
ptic
tech
niqu
e. i.
e. A
sept
ic N
on-T
ouch
Te
chni
que
(AN
TT)
N, A
B, C
, P, E
Com
pete
nt
CCT
5.2.
5 (L
1)Eff
ectiv
ely
com
mun
icat
e, w
ith o
ther
hea
lth c
are
prov
ider
s, t
he
infe
ctio
n st
atus
of p
atie
nts
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 32
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T6 –
Saf
egua
rdin
g c
hild
ren
and
ad
ults
– L
evel
1Pr
otec
t th
e sa
fety
of c
hild
ren
and
adul
ts
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
6.1.1
(L1
)U
nder
stan
d lo
cal g
uide
lines
and
pol
icie
s on
saf
egua
rdin
g ad
ults
an
d ch
ildre
n an
d ho
w to
acc
ess
supp
ort
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.2
(L1
)Id
entif
y th
e na
med
nur
se fo
r sa
fegu
ardi
ng a
dults
and
chi
ldre
n an
d un
ders
tand
the
ir ro
leN
, AB
, C, P
, EC
ompe
tent
CCT
6.1.3
(L1
)U
nder
stan
d th
e ne
eds
of p
erso
ns w
ho a
re s
usce
ptib
le to
abu
se,
eith
er t
hrou
gh m
enta
l dis
abili
ty, p
hysi
cal d
isab
ility
or
at r
isk
from
se
lf or
car
er
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.4
(L1
)U
nder
stan
d th
e pr
inci
ples
of t
he M
enta
l Cap
acity
Act
(or
eq
uiva
lent
in c
ount
ry o
f pra
ctic
e) a
nd it
s im
plem
enta
tion.
(A
lso
see
GN
P 7)
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.5
(L1
)U
nder
stan
d th
e pr
inci
ples
and
lega
l im
plic
atio
ns fo
r D
epriv
atio
n of
Li
bert
y Sa
fegu
ards
(D
OLS
) or
cap
acity
legi
slat
ion
in c
ount
ry o
f pr
actic
e. (
Als
o se
e G
NP
7)
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.6
(L1
)D
iscu
ss t
he s
igns
and
sym
ptom
s of
abu
se:
• ph
ysic
al
• em
otio
nal
• se
xual
(in
clud
ing
expl
oita
tion)
• fe
mal
e ge
nita
l mut
ilatio
n
• ne
glec
t
• do
mes
tic a
buse
• ho
nour
-bas
ed v
iole
nce
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.7
(L1
)D
iscu
ss in
form
atio
n sh
arin
g in
ord
er to
ade
quat
ely
safe
guar
d ch
ildre
n or
adu
ltsN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
6.1.8
(L1
)U
nder
stan
d th
e ro
le o
f saf
egua
rdin
g a
patie
nt’s
dep
ende
nts
N, A
B, C
, P, E
Com
pete
nt
CCT
6.1.9
(L1
)D
iscu
ss t
he c
halle
nges
of c
arin
g fo
r a
pers
on/f
amily
suff
erin
g fr
om
dom
estic
abu
seN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
6.1.1
0 (
L1)
Rec
ogni
se lo
cal p
roce
sses
for
refe
rral
to e
xter
nal a
genc
ies
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 33
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
6.2.
1 (L1
)Id
entif
y ch
ildre
n or
par
ents
in n
eed
of s
ocia
l sup
port
and
initi
ate
appr
opria
te a
ctio
nN
, AB
, C, P
, EC
ompe
tent
CCT
6.2.
2 (L
1)R
espo
nd a
ppro
pria
tely
to s
ituat
ions
whi
ch n
eces
sita
te im
med
iate
ac
tion
to s
afeg
uard
chi
ldre
n or
adu
ltsN
, AB
, C, P
, EC
ompe
tent
CCT
6.2.
3 (L
1)A
cces
s an
d im
plem
ent
the
loca
l pol
icy
for
safe
guar
ding
chi
ldre
n an
d ad
ults
N, A
B, C
, P, E
Com
pete
nt
CCT
6.2.
4 (L
1)A
cces
s su
ppor
t an
d ad
vice
in c
ondu
ctin
g sa
fegu
ardi
ng
inte
rven
tions
N, A
B, C
, P, E
Com
pete
nt
CCT
6.2.
5 (L
1)U
nder
take
a r
isk
asse
ssm
ent
and
initi
ate
a lo
cal m
ulti-
agen
cy
dom
estic
abu
se re
ferr
alN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
6.2.
6 (L
1)Id
entif
y ap
prop
riate
reso
urce
s av
aila
ble
for
pers
ons
who
are
at
risk
of a
buse
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
6.2.
7 (L
1)C
ompl
ete
safe
guar
ding
tra
inin
g le
vel c
omm
ensu
rate
with
loca
l po
licy
N, A
B, C
, P, E
Com
pete
nt
CCT
6.2.
8 (L
1)En
gage
in s
afeg
uard
ing
supe
rvis
ion
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 34
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T7 –
Do
cum
enta
tio
n an
d r
eco
rd k
eep
ing
– L
evel
1Eff
ectiv
ely
docu
men
t ca
re in
line
with
NM
C s
tand
ards
for
reco
rd k
eepi
ng
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
7.1.1
(L1
)U
nder
stan
d th
e N
MC
sta
ndar
ds a
nd lo
cal p
olic
y fo
r do
cum
enta
tion
and
reco
rd k
eepi
ngN
, AB
, C, P
, EC
ompe
tent
CCT
7.1.2
(L1
)D
iscu
ss p
atie
nt c
onfid
entia
lity
and
the
safe
keep
ing
of p
atie
nt-
iden
tifiab
le d
ata
incl
udin
g ap
plic
atio
n of
the
Dat
a Pr
otec
tion
Act
19
98 (
or e
quiv
alen
t in
cou
ntry
of p
ract
ice)
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEv
iden
ce s
ubm
itted
Dat
e of
co
mpl
etio
nLe
vel
achi
eved
Men
tor s
ign-
off
(prin
t and
sig
n)
CCT
7.2.
1 (L1
)C
ompl
ete
all d
ocum
enta
tion
accu
rate
ly a
nd le
gibl
y in
acc
orda
nce
with
nat
iona
l and
loca
l gui
delin
esN
, AB
, C, P
, EC
ompe
tent
CCT
7.2.
2 (L
1)En
sure
tha
t pa
tient
-ide
ntifi
able
reco
rds
rem
ain
secu
reN
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 35
CR
OSS
-CU
TTIN
G T
HEM
ES (
CC
T) L
EVEL
13
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Cro
ss-c
utti
ng t
hem
es (
CC
T) L
evel
1
CC
T8 –
Pre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d a
gg
ress
ion
– Le
vel 1
Ensu
re s
afet
y of
sta
ff a
nd p
atie
nts
whe
n in
divi
dual
s di
spla
y vi
olen
t an
d/or
agg
ress
ive
beha
viou
r
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CCT
8.1.1
(L1
)D
emon
stra
te a
n un
ders
tand
ing
of c
linic
al c
ondi
tions
tha
t in
crea
se
the
risk
of v
iole
nce
and
aggr
essi
on o
r ag
itatio
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
8.1.2
(L1
)U
nder
stan
d th
e po
tent
ial t
rigge
rs fo
r vi
olen
t an
d ag
gres
sive
be
havi
our
N, A
B, C
, P, E
Com
pete
nt
CCT
8.1.3
(L1
)Id
entif
y an
d di
scus
s th
e w
arni
ng a
nd d
ange
r si
gns
of a
ggre
ssiv
e an
d vi
olen
t be
havi
our
N, A
B, C
, P, E
Com
pete
nt
CCT
8.1.4
(L1
)U
nder
stan
d th
e lo
cal p
olic
y on
rest
rain
t, bo
th p
hysi
cal a
nd
chem
ical
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
8.1.5
(L1
)U
nder
stan
d th
e lo
cal p
olic
y fo
r in
volv
emen
t of
sec
urity
and
pol
ice
serv
ices
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
8.1.6
(L1
)D
escr
ibe
the
use
of s
afe
brea
kaw
ay te
chni
ques
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEv
iden
ce s
ubm
itted
Dat
e of
co
mpl
etio
nLe
vel
achi
eved
Men
tor s
ign-
off
(prin
t and
sig
n)
CCT
8.2.
1 (L1
)R
ecog
nise
sig
ns o
f inc
reas
ing
emot
ion
or a
gita
tion
and
use
appr
opria
te d
e-es
cala
tion
tech
niqu
es in
the
man
agem
ent
of
viol
ence
and
agg
ress
ion
N, A
B, C
, P, E
Com
pete
nt
CCT
8.2.
2 (L
1)U
se s
afe
brea
kaw
ay te
chni
ques
to m
aint
ain
own
safe
tyN
, AB
, C, P
, EC
ompe
tent
CCT
8.2.
3 (L
1)En
sure
any
rest
rictiv
e pr
actic
e pr
oced
ures
are
impl
emen
ted
safe
ly,
effec
tivel
y an
d ba
sed
on a
n ap
prop
riate
ass
essm
ent
of r
isk,
with
m
inim
um fo
rce
nece
ssar
y an
d ap
prop
riate
mon
itorin
g du
ring
the
rest
rain
t
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
8.2.
4 (L
1)C
onta
ct s
uppo
rt s
ervi
ces
to a
ssis
t w
ith e
piso
des
of v
iole
nce
and
aggr
essi
on a
s pe
r lo
cal p
olic
yN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
8.2.
5 (L
1)Sa
fely
and
eff
ectiv
ely
assi
st w
ith ra
pid
tran
quili
satio
n an
d un
dert
ake
appr
opria
te n
ursi
ng c
are
of t
he s
edat
ed p
atie
ntN
, AB
, C, P
, EA
dvan
ced
begi
nner
CCT
8.2.
6 (L
1)U
se lo
cal r
isk
man
agem
ent
syst
em to
repo
rt e
piso
des
of v
iole
nce
and
aggr
essi
on o
r ra
ise
conc
erns
abo
ut is
sues
rela
ting
to s
taff
or
patie
nt s
afet
y
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CCT
8.2.
7 (L
1)R
ecog
nise
the
impl
icat
ions
for
the
men
tal w
ellb
eing
of a
ll pe
ople
in
volv
ed fo
llow
ing
an e
piso
de o
f vio
lenc
e or
agg
ress
ion
and
seek
ap
prop
riate
sup
port
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 36
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
13
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
acut
ely
ill a
dul
ts
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 37
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
13
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.1
– A
dul
ts w
ith
pro
ble
ms
affec
ting
the
res
pir
ato
ry s
yste
m –
Lev
el 1
Car
e fo
r pa
tient
s w
ith a
irway
and
/or
resp
irato
ry s
yste
m c
ompr
omis
e. A
lso
see
Nat
iona
l Maj
or T
raum
a N
ursi
ng C
ompe
tenc
ies
leve
l 1 fo
r tr
aum
a-sp
ecifi
c re
spira
tory
com
pete
ncie
s:
http
s://
ww
w.tq
uins
.nhs
.uk/
?men
u=re
sour
ces
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 1.1.
1 (L1
)U
nder
stan
d th
e no
rmal
ana
tom
y an
d ph
ysio
logy
of t
he re
spira
tory
sy
stem
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.1.
2 (L
1)U
nder
stan
d th
e pr
inci
ples
(an
d to
ols
used
) of
resp
irato
ry fu
nctio
n as
sess
men
t N
, AB
, C, P
, EC
ompe
tent
CD
1 1.1.
3 (L
1)U
nder
stan
d th
e co
nditi
ons
asso
ciat
ed w
ith a
ctua
l or
pote
ntia
l ob
stru
ctio
n of
the
upp
er a
irway
and
the
ass
ocia
ted
sign
s an
d ai
rway
noi
ses
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.1.
4 (L
1)D
iscu
ss t
he fe
atur
es a
nd c
linic
al p
rese
ntat
ion
of p
atie
nts
with
:
• ac
ute
brea
thle
ssne
ss
• ty
pe 1
resp
irato
ry fa
ilure
• ty
pe 2
resp
irato
ry fa
ilure
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.1.
5 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y as
soci
ated
with
the
illn
esse
s of
:
• pu
lmon
ary
embo
lism
(PE
)
• re
spira
tory
tra
ct in
fect
ion
and
pneu
mon
ia
• as
thm
a
• CO
PD
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.1.
6 (L
1)U
nder
stan
d th
e lo
cal a
nd n
atio
nal g
uide
lines
for
oxyg
en t
hera
pyN
, AB
, C, P
, EC
ompe
tent
CD
1 1.1.
7 (L
1)D
iscu
ss m
etho
ds o
f del
iver
ing
oxyg
en t
hera
py fo
r su
ppor
ting
vent
ilatio
nN
, AB
, C, P
, EC
ompe
tent
CD
1 1.1.
8 (L
1)D
escr
ibe
the
path
ophy
siol
ogy
of a
pne
umot
hora
x an
d te
nsio
n pn
eum
otho
rax,
and
des
crib
e th
e pr
inci
ples
and
pos
sibl
e co
mpl
icat
ions
of t
reat
men
t
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 1.1.
9 (L
1)U
nder
stan
d th
e si
gns
and
sym
ptom
s of
resp
irato
ry d
istr
ess
and
the
loca
l esc
alat
ion
proc
esse
s to
ens
ure
appr
opria
te c
linic
al
supp
ort
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 38
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
13
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 1.2
.1 (L
1)A
s pa
rt o
f a s
truc
ture
d A
-E a
sses
smen
t, as
sess
and
reco
rd:
• ac
tual
or
pote
ntia
l airw
ay o
bstr
uctio
n
• re
spira
tory
rate
, dep
th a
nd p
atte
rn
• ox
ygen
sat
urat
ions
, hav
ing
awar
enes
s of
situ
atio
ns w
hich
aff
ect
relia
bilit
y of
read
ings
• pe
ak e
xpira
tory
flow
rate
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.2
.2 (
L1)
Rec
ogni
se a
nd re
spon
d ap
prop
riate
ly to
:
• st
ridor
• ex
pira
tory
whe
eze
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.2
.3 (
L1)
Del
iver
oxy
gen
ther
apy
usin
g a
rang
e of
dev
ices
:
• na
sal c
annu
lae
• va
riabl
e flo
w m
asks
• hi
gh-c
once
ntra
tion
mas
ks
• tr
ache
osto
my
mas
ks
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.2
.4 (
L1)
Del
iver
inha
led
med
icat
ion
via:
• m
eter
ed d
ose
inha
ler
(with
and
with
out
spac
er d
evic
e)
• ne
bulis
er d
evic
e
N, A
B, C
, P, E
Com
pete
nt
CD
1 1.2
.5 (
L1)
Prep
are
equi
pmen
t an
d su
ppor
t a
patie
nt u
nder
goin
g ch
est
aspi
ratio
n or
che
st d
rain
inse
rtio
n fo
r a
pneu
mot
hora
xN
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 39
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
13
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.2
– A
dul
ts w
ith
pro
ble
ms
affec
ting
the
car
dio
vasc
ular
sys
tem
– L
evel
1Eff
ectiv
ely
care
for
patie
nts
with
car
diov
ascu
lar
prob
lem
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 2.1.
1 (L1
)U
nder
stan
d th
e no
rmal
ana
tom
y an
d ph
ysio
logy
of t
he
card
iova
scul
ar s
yste
m
N, A
B, C
, P, E
Com
pete
nt
CD
1 2.1.
2 (L
1)U
nder
stan
d ca
rdia
c co
nduc
tion,
the
car
diac
cyc
le a
nd t
he fe
atur
es
of t
he n
orm
al E
CGN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 2.1.
3 (L
1)D
iscu
ss t
he a
dvan
ced
life
supp
ort
(ALS
) al
gorit
hms
for
man
agin
g ab
norm
al c
ardi
ac r
hyth
ms
asso
ciat
ed w
ith s
igni
fican
t pa
tient
ca
rdio
vasc
ular
com
prom
ise
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 2.1.
4 (L
1)U
nder
stan
d EC
G c
hang
es a
ssoc
iate
d w
ith a
cute
cor
onar
y sy
ndro
mes
(A
CS)
and
/or
myo
card
ial i
nfar
ctio
n, a
nd a
ppro
pria
te
esca
latio
n pa
thw
ays
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 2.1.
5 (L
1)D
iscu
ss t
he p
atho
phys
iolo
gy o
f:
• pe
ricar
ditis
• pu
lmon
ary
embo
lism
• pn
eum
otho
rax
• pl
eurit
ic p
ain
• m
uscu
losk
elet
al c
hest
pai
n
• is
chae
mic
lim
b pa
in
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 2.1.
6 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y of
sic
kle
cell
anae
mia
and
tr
eatm
ent
for
sick
le c
ell c
risis
in re
latio
n to
car
diov
ascu
lar
prob
lem
s
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 2.2
.1 (L
1)U
nder
take
a s
truc
ture
d ap
proa
ch to
the
ass
essm
ent
of p
atie
nts
pres
entin
g w
ith c
hest
pai
n an
d de
term
ine
prio
rity
of c
are
N, A
B, C
, P, E
Com
pete
nt
CD
1 2.2
.2 (
L1)
Cor
rect
ly p
erfo
rm 12
lead
ECG
and
tro
uble
shoo
t w
here
reco
rdin
gs
are
of p
oor
qual
ity (
such
as
arte
fact
, wan
derin
g ba
selin
e, e
tc.)
N, A
B, C
, P, E
Com
pete
nt
CD
1 2.2
.3 (
L1)
Prov
ide
effec
tive
care
to p
atie
nts
in a
cute
hea
rt fa
ilure
, inc
ludi
ng
adm
inis
trat
ion
of p
resc
ribed
med
icat
ion,
mon
itorin
g of
clin
ical
co
nditi
on a
nd p
rovi
sion
of p
sych
olog
ical
sup
port
N, A
B, C
, P, E
Com
pete
nt
CD
1 2.2
.5 (
L1)
Prep
are
equi
pmen
t an
d as
sist
with
car
e of
pat
ient
s re
quiri
ng:
• sy
nchr
onis
ed c
ardi
over
sion
• tr
ansc
utan
eous
pac
ing
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 40
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.3
Neu
rolo
gic
al s
yste
m –
Lev
el 1
Effec
tivel
y ca
re fo
r pa
tient
s w
ith n
euro
logi
cal p
robl
ems
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 3.1.
1 (L1
)U
nder
stan
d ba
sic
anat
omy
and
phys
iolo
gy o
f the
cen
tral
ner
vous
sy
stem
incl
udin
g:
• pr
inci
pal b
rain
are
as a
nd t
heir
func
tion
• se
nsor
y an
d m
otor
pat
hway
s
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 3.1.
2 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y as
soci
ated
with
the
follo
win
g m
edic
al c
ondi
tions
:
• st
roke
• in
trac
rani
al h
aem
orrh
age
(sub
arac
hnoi
d ha
emor
rhag
e,
extr
adur
al h
aem
orrh
age,
sub
dura
l hae
mor
rhag
e)
• ep
ileps
y
• Pa
rkin
son’
s di
seas
e
• G
uilla
in–B
arré
syn
drom
e
• M
yast
heni
a gr
avis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 3.1.
3 (L
1)U
nder
stan
d na
tiona
l gui
delin
es fo
r:
• st
roke
• he
ad in
jury
• Pa
rkin
son’
s di
seas
e
• ba
ck p
ain
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 3.1.
4 (L
1)D
iscu
ss t
he s
igns
of c
ondi
tions
requ
iring
em
erge
ncy
inte
rven
tion:
• ra
ised
intr
acra
nial
pre
ssur
e
• ca
uda-
equi
na
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 3.2
.1 (L
1)R
ecog
nise
and
act
app
ropr
iate
ly w
hen
mec
hani
sm o
f inj
ury
or
hist
ory
of p
rese
ntin
g co
mpl
aint
may
sug
gest
acu
te n
euro
logi
cal
insu
lt
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 41
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 3.2
.2 (
L1)
Und
erta
ke a
neu
rolo
gica
l ass
essm
ent
to in
clud
e:
• as
sess
men
t of
con
scio
us le
vel u
sing
‘ale
rt, v
oice
, pai
n,
unre
spon
sive
’ sca
le(A
VPU
)
• ba
sic
asse
ssm
ent
of s
ensa
tion,
mot
or p
ower
and
tone
• G
lasg
ow C
oma
Scor
e
• as
sess
men
t of
pup
illar
y si
ze a
nd re
actio
n
N, A
B, C
, P, E
Com
pete
nt
CD
1 3.2
.3 (
L1)
App
ly lo
cal a
nd n
atio
nal c
linic
al g
uide
lines
in t
he c
are
of
• st
roke
• in
trac
rani
al h
aem
orrh
age
• se
izur
es
• al
tere
d le
vels
of c
onsc
ious
ness
N, A
B, C
, P, E
Com
pete
nt
CD
1 3.2
.4 (
L1)
Prov
ide
safe
and
eff
ectiv
e ca
re o
f the
agi
tate
d an
d/or
com
bativ
e pa
tient
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 42
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.4
- G
astr
oin
test
inal
sys
tem
– L
evel
1Eff
ectiv
ely
care
for
patie
nts
with
abd
omin
al p
ain
and/
or g
astr
oint
estin
al p
robl
ems
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 4.1.
1 (L1
)U
nder
stan
d th
e an
atom
y an
d ph
ysio
logy
of t
he g
astr
oint
estin
al
(GI)
sys
tem
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.1.
2 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y as
soci
ated
with
the
follo
win
g em
erge
ncy
pres
enta
tions
:
• G
I ble
edin
g
• in
tra-
abdo
min
al s
epsi
s, in
clud
ing
panc
reat
itis
• ac
ute
gast
roen
terit
is
• ab
dom
inal
aor
tic a
neur
ism
• is
chae
mic
bow
el
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.1.
3 (L
1)D
iscu
ss s
peci
fic in
form
atio
n re
quire
d w
hen
asse
ssin
g pa
tient
s w
ith
acut
e ga
stro
inte
stin
al s
ympt
oms
and/
or a
bdom
inal
pai
n in
ord
er
to d
eter
min
e cl
inic
al p
riorit
y
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.1.
4 (L
1)U
nder
stan
d lo
cal c
linic
al g
uide
lines
per
tain
ing
to c
omm
on
gast
roin
test
inal
em
erge
ncy
pres
enta
tions
(e.
g. G
I ble
edin
g)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 4.1.
5 (L
1)U
nder
stan
d th
e ra
tiona
le fo
r in
sert
ion
of n
asog
astr
ic t
ube
in t
his
grou
p of
pat
ient
s an
d lo
cal g
uide
lines
/pol
icy
for
tube
pla
cem
ent
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 4.1.
6 (L
1)D
escr
ibe
the
inve
stig
atio
ns c
omm
only
und
erta
ken
in p
atie
nts
with
ab
dom
inal
pai
n or
gas
troi
ntes
tinal
pre
sent
atio
nsN
, AB
, C, P
, EA
dvan
ced
begi
nner
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 4.2
.1 (L
1)D
emon
stra
te in
itial
ass
essm
ent
and
prio
ritis
atio
n of
pat
ient
s pr
esen
ting
with
abd
omin
al p
ain,
initi
atin
g ap
prop
riate
pai
n re
lief
and
inve
stig
atio
ns to
aid
furt
her
clin
ical
ass
essm
ent
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.2
.2 (
L1)
Rec
ogni
se a
nd re
port
‘red
flag
’ sig
ns a
nd s
ympt
oms
of:
• vo
miti
ng a
nd/o
r pe
r re
ctum
loss
of f
rank
or
occu
lt bl
ood
• fa
ecal
vom
iting
• rig
id/d
iste
nded
abd
omen
• ab
dom
inal
bru
isin
g
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 4.2
.3 (
L1)
Prov
ide
care
with
resp
ect
to d
igni
ty a
nd p
rivac
y fo
r pa
tient
s w
ith
diar
rhoe
a an
d or
vom
iting
; hav
ing
awar
enes
s of
ski
n in
tegr
ity
prob
lem
s in
pat
ient
s w
ith d
iarr
hoea
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 43
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 4.2
.4 (
L1)
Dem
onst
rate
the
abi
lity
to s
afel
y an
d eff
ectiv
ely
inse
rt a
wid
e bo
re
naso
gast
ric t
ube
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.2
.5 (
L1)
Rec
ogni
se a
nd lo
cate
the
equ
ipm
ent
used
to c
ontr
ol v
aric
eal
blee
ding
N
, AB
, C, P
, EC
ompe
tent
CD
1 4.2
.6 (
L1)
Rec
ogni
se p
atie
nts
who
may
pos
e an
infe
ctio
n co
ntro
l ris
k an
d im
plem
ent
isol
atio
n pr
oced
ures
(e.
g. t
hose
with
dia
rrho
ea a
nd o
r vo
miti
ng)
N, A
B, C
, P, E
Com
pete
nt
CD
1 4.2
.7 (
L1)
Und
erta
ke c
olle
ctio
n of
sto
ol s
ampl
es a
nd s
end
for
appr
opria
te
inve
stig
atio
nsN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 44
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.5
– R
enal
sys
tem
– L
evel
1Eff
ectiv
ely
care
for
patie
nts
with
rena
l pro
blem
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 5.1.
1 (L1
)U
nder
stan
d th
e an
atom
y an
d ph
ysio
logy
of t
he k
idne
ys a
nd re
nal
trac
tN
, AB
, C, P
, EC
ompe
tent
CD
1 5.1.
2 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y as
soci
ated
with
the
com
mon
re
nal p
rese
ntat
ions
:
• Py
elon
ephr
itis
• re
nal c
olic
• ur
ine
rete
ntio
n an
d ha
emat
uria
• tr
aum
a to
the
kid
ney
and/
or re
nal t
ract
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 5.1.
3 (L
1)D
iscu
ss t
he p
atho
phys
iolo
gy a
ssoc
iate
d w
ith t
he fo
llow
ing
pres
enta
tions
and
the
ir re
latio
nshi
p to
the
rena
l sys
tem
:
• hy
per/
hypo
kale
mia
• hy
per/
hypo
natr
emia
• hy
pom
agne
sem
ia
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 5.1.
4 (L
1)U
nder
stan
d th
e pr
esen
ting
sign
s an
d sy
mpt
oms
and
path
ophy
siol
ogy
asso
ciat
ed w
ith:
• A
KI –
acu
te k
idne
y in
jury
• C
KD
– c
hron
ic k
idne
y di
seas
e
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 5.1.
5 (L
1)R
ecog
nise
the
nor
mal
val
ues
for
urea
and
ele
ctro
lyte
s an
d un
ders
tand
the
sig
nific
ance
of d
eran
gem
ent
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 5.1.
6 (L
1)U
nder
stan
d th
e lo
cal a
nd n
atio
nal g
uide
lines
(in
clud
ing
NIC
E gu
idel
ines
) in
rela
tion
to A
KI a
nd C
KD
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 5.2
.1 (L
1)Im
plem
ent
safe
and
eff
ectiv
e ca
re in
pat
ient
s w
ith:
• ac
ute
kidn
ey in
jury
• ch
roni
c ki
dney
dis
ease
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 5.2
.2 (
L1)
Inse
rt u
reth
ral c
athe
ters
in fe
mal
e pa
tient
s in
line
with
loca
lly
agre
ed p
olic
ies
and
proc
edur
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 5.2
.3 (
L1)
Inse
rt u
reth
ral c
athe
ters
in m
ale
patie
nts
in li
ne w
ith lo
cally
agr
eed
polic
ies
and
proc
edur
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 5.2
.4 (
L1)
Mon
itor
urin
e ou
tput
and
flui
d in
take
and
esc
alat
e co
ncer
ns
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 45
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.6
– E
ndo
crin
e sy
stem
– L
evel
1Eff
ectiv
ely
care
for
patie
nts
with
end
ocrin
e pr
oble
ms
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 6.1.
1 (L1
)U
nder
stan
d th
e an
atom
y an
d ph
ysio
logy
ass
ocia
ted
with
the
en
docr
ine
syst
emN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 6.1.
2 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y as
soci
ated
with
con
ditio
ns
affec
ting
the
endo
crin
e sy
stem
, in
part
icul
ar:
• pa
ncre
as –
dia
bete
s an
d gl
ycae
mic
em
erge
ncie
s
• th
yroi
d –
thyr
otox
icos
is a
nd h
ypot
hyro
idis
m
• pi
tuita
ry –
dia
bete
s in
sipi
dus
• ad
rena
l – A
ddis
on’s
dis
ease
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 6.1.
3 (L
1)D
escr
ibe
the
sign
s an
d sy
mpt
oms
of t
he fo
llow
ing
pres
enta
tions
:
• hy
perg
lyca
emia
• di
abet
ic k
etoa
cido
sis
(DK
A)
• hy
pogl
ycae
mia
• A
ddis
onia
n C
risis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 6.1.
4 (L
1)U
nder
stan
d th
e lo
cal g
uide
lines
to m
anag
e en
docr
ine
emer
genc
y pr
esen
tatio
nsN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 6.1.
5 (L
1)U
nder
stan
d th
e no
rmal
refe
renc
e ra
nges
for
bloo
d gl
ucos
e, b
lood
pH
, lac
tate
and
blo
od g
ases
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 6.2
.1 (L
1)R
ecog
nise
‘red
flag
’ end
ocrin
e pr
esen
tatio
ns a
nd e
scal
ate
conc
erns
to a
n ap
prop
riate
clin
icia
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 6.2
.2 (
L1)
Prov
ide
safe
and
eff
ectiv
e as
sess
men
t of
pat
ient
s pr
esen
ting
with
ac
tual
or
pote
ntia
l pro
blem
s aff
ectin
g th
e en
docr
ine
syst
em,
incl
udin
g th
e ab
ility
to u
nder
take
the
follo
win
g in
vest
igat
ions
:
• ca
pilla
ry b
lood
glu
cose
mon
itorin
g
• ca
pilla
ry b
lood
ket
one
mon
itorin
g
• ur
inal
ysis
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 46
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 6.2
.3 (
L1)
Prov
ide
safe
and
eff
ectiv
e ca
re to
pat
ient
s w
ith e
ndoc
rine
emer
genc
ies,
in p
artic
ular
the
man
agem
ent
of:
• hy
perg
lyca
emia
• D
KA
• hy
pogl
ycae
mia
• A
ddis
on’s
Cris
is
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 47
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.7
– R
epro
duc
tive
sys
tem
– L
evel
1Eff
ectiv
ely
care
for
patie
nts
with
repr
oduc
tive
syst
em p
robl
ems
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 7.1.
1 (L1
)U
nder
stan
d th
e no
rmal
ana
tom
y an
d ph
ysio
logy
of t
he m
ale
and
fem
ale
repr
oduc
tive
syst
em
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.1.
2 (L
1)U
nder
stan
d th
e as
sess
men
t an
d m
anag
emen
t of
vag
inal
and
rect
al
fore
ign
bodi
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 7.1.
3 (L
1)U
nder
stan
d th
e em
otio
nal a
nd p
hysi
cal c
are
of w
omen
and
men
w
ho p
rese
nt w
ith in
jurie
s as
a re
sult
of s
exua
l ass
ault
or ra
peN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 7.1.
4 (L
1)D
iscu
ss t
he s
igns
, sym
ptom
s an
d pr
esen
tatio
n of
sex
ually
tr
ansm
itted
infe
ctio
ns (
STIs
), t
heir
man
agem
ent
and
the
info
rmat
ion
and
refe
rral
reso
urce
s av
aila
ble
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
5 (L
1)D
escr
ibe
the
heal
th p
rom
otio
n an
d sc
reen
ing
avai
labl
e fo
r re
prod
uctiv
e he
alth
sur
veill
ance
for
men
and
wom
en in
clud
ing:
• br
east
and
test
icul
ar s
elf-
exam
inat
ion
• vu
lval
hea
lth
• ce
rvic
al s
mea
rs
• hu
man
pap
illom
a vi
rus
(HPV
) va
ccin
atio
n
• m
amm
ogra
phy
• pr
osta
te a
sses
smen
t an
d ex
amin
atio
n
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Fem
ale-
spec
ific
com
pete
ncy
know
ledg
e
CD
1 7.1.
6 (L
1)U
nder
stan
d re
prod
uctiv
e de
velo
pmen
t an
d m
atur
ity, t
he
men
stru
al c
ycle
and
the
feat
ures
of n
orm
al m
enop
ausa
l cha
nges
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
7 (L
1)D
escr
ibe
the
prim
ary
sym
ptom
s of
pot
entia
l can
cer
diag
nosi
s N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 7.1.
8 (L
1)D
iscu
ss t
he s
peci
fic a
sses
smen
t re
late
d to
fem
ale
repr
oduc
tive
syst
em p
rese
ntat
ions
to d
eter
min
e cl
inic
al p
riorit
yN
, AB
, C, P
, EC
ompe
tent
CD
1 7.1.
9 (L
1)U
nder
stan
d th
e as
sess
men
t, tr
eatm
ent
optio
ns, h
ealth
adv
ice
and
sexu
al h
ealth
pro
mot
ion
for
wom
en re
ques
ting
emer
genc
y co
ntra
cept
ion
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
10 (
L1)
Dis
cuss
the
lega
l and
pro
fess
iona
l res
pons
ibili
ties
of t
he
emer
genc
y nu
rse
in re
latio
n to
fem
ale
geni
tal m
utila
tion
(FG
M)
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 48
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Preg
nanc
y-sp
ecifi
c co
mpe
tenc
y kn
owle
dge
CD
1 7.1.
11 (
L1)
Und
erst
and
the
sign
ifica
nce
of e
stab
lishi
ng p
regn
ancy
in t
he
emer
genc
y ca
re s
ettin
g an
d th
e po
tent
ial f
or fa
lse
nega
tives
bas
ed
on h
orm
onal
irre
gula
ritie
s
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.1.
12 (
L1)
Des
crib
e th
e de
velo
pmen
t of
the
foet
us w
ithin
the
firs
t 16
wee
ks
and
the
rela
ted
heal
th g
uida
nce
in e
arly
pre
gnan
cyN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 7.1.
13 (
L1)
Und
erst
and
the
sign
s an
d sy
mpt
oms
and
man
agem
ent
of
hype
rem
esis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
14 (
L1)
Und
erst
and
the
loca
l gui
danc
e re
latin
g to
:
• m
isca
rria
ge
• ec
topi
c pr
egna
ncy
• em
erge
ncy
deliv
ery
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
15 (
L1)
Des
crib
e lo
cal p
olic
y fo
r in
vest
igat
ing
and/
or d
ispo
sing
of
prod
ucts
of c
once
ptio
n in
the
em
erge
ncy
care
set
ting
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
16 (
L1)
Und
erst
and
the
phys
ical
and
em
otio
nal i
mpa
ct o
f ear
ly
mis
carr
iage
and
ect
opic
pre
gnan
cy a
nd t
he im
port
ance
of
empa
thy,
sup
port
and
spe
cific
ser
vice
s an
d co
unse
lling
ava
ilabl
e
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.1.
17 (
L1)
Und
erst
and
the
asse
ssm
ent
and
man
agem
ent
of w
omen
pr
esen
ting
with
com
plic
atio
ns p
ost
term
inat
ion
of p
regn
ancy
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
18 (
L1)
Und
erst
and
com
mon
com
plic
atio
ns w
hich
aris
e in
the
thi
rd
trim
este
r of
pre
gnan
cy (
e.g.
pre
-ecl
amps
ia, g
esta
tiona
l dia
bete
s)N
, AB
, C, P
, EA
dvan
ced
begi
nner
Gyn
aeco
logi
cal c
ondi
tions
CD
1 7.1.
19 (
L1)
Und
erst
and
the
feat
ures
and
man
agem
ent
of:
• to
rsio
n or
rup
ture
of o
varia
n cy
sts
• sa
lpin
gitis
• pe
lvic
infla
mm
ator
y di
sord
ers
• dy
smen
orrh
oea
• IV
F as
soci
ated
con
ditio
ns (
ovar
ian
hype
rstim
ulat
ion)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 7.1.
20 (
L1)
Und
erst
and
the
feat
ures
and
man
agem
ent
of a
bnor
mal
vag
inal
bl
eedi
ng fr
om:
• tr
aum
a
• po
st-c
oita
l
• po
st-m
enop
ausa
l
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 49
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
14
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Mal
e-sp
ecifi
c co
mpe
tenc
y kn
owle
dge
CD
1 7.1.
21 (
L1)
Und
erst
and
repr
oduc
tive
deve
lopm
ent
and
sexu
al m
atur
ityN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 7.1.
22 (
L1)
Des
crib
e th
e sp
ecifi
c as
sess
men
t re
late
d to
the
mal
e re
prod
uctiv
e sy
stem
to d
eter
min
e cl
inic
al p
riorit
yN
, AB
, C, P
, EC
ompe
tent
CD
1 7.1.
23 (
L1)
Und
erst
and
the
sign
s an
d sy
mpt
oms
and
man
agem
ent
of:
• to
rsio
n of
the
test
es
• hy
droc
ele
• ep
idid
ymo-
orch
itis
• pe
nile
tra
uma
• pe
nile
frac
ture
• ba
lani
tis
• pa
raph
ymos
is
• pr
iapr
ism
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 7.2
.1 (L
1)U
nder
take
a s
truc
ture
d ap
proa
ch to
the
initi
al a
sses
smen
t of
w
omen
pre
sent
ing
with
pro
blem
s as
soci
ated
with
pre
gnan
cy a
nd
prio
ritis
e ap
prop
riate
ly (
tria
ge)
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.2
.2 (
L1)
Und
erta
ke a
str
uctu
red
appr
oach
to t
he in
itial
ass
essm
ent
of
wom
en p
rese
ntin
g w
ith g
ynae
colo
gica
l sym
ptom
s an
d pr
iorit
ise
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.2
.3 (
L1)
Prep
are
equi
pmen
t an
d su
ppor
t w
omen
und
ergo
ing
vagi
nal
exam
inat
ion
and
ensu
re t
he p
rese
nce
of a
fem
ale
chap
eron
eN
, AB
, C, P
, EC
ompe
tent
CD
1 7.2
.4 (
L1)
Iden
tify
loca
tion
and
prep
are
equi
pmen
t re
quire
d in
the
eve
nt o
f ha
emor
rhag
ic s
hock
resu
lting
from
vag
inal
ble
edin
gN
, AB
, C, P
, EC
ompe
tent
CD
1 7.2
.5 (
L1)
Und
erta
ke a
str
uctu
red
appr
oach
to t
he in
itial
ass
essm
ent
of m
en
pres
entin
g w
ith re
prod
uctiv
e/ge
nita
l ass
ocia
ted
sym
ptom
s an
d pr
iorit
ise
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.2
.6 (
L1)
Prep
are
equi
pmen
t an
d su
ppor
t m
en u
nder
goin
g ex
amin
atio
n of
th
e re
prod
uctiv
e sy
stem
, and
ens
ure
the
pres
ence
of a
mal
e ch
aper
one
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.2
.7 (
L1)
Dem
onst
rate
com
pass
ion
and
empa
thy
whe
n co
mm
unic
atin
g w
ith
patie
nts,
and
tho
se im
port
ant
to t
hem
, who
may
be
expe
rienc
ing
the
loss
of a
pre
gnan
cy o
r ne
ws
of a
n un
expe
cted
pre
gnan
cy
N, A
B, C
, P, E
Com
pete
nt
CD
1 7.2
.8 (
L1)
Dem
onst
rate
a n
on-j
udge
men
tal a
ppro
ach
to is
sues
of s
exua
l ha
rm, i
nclu
ding
FG
M, a
ssau
lt, ra
pe a
nd s
exua
lly t
rans
mitt
ed
infe
ctio
n
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 50
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 –
Car
ing
fo
r ac
utel
y ill
ad
ults
– L
evel
1
CD
1.8
– Ill
ness
aff
ecti
ng t
he m
uscu
losk
elet
al s
yste
m –
Lev
el 1
(a
lso
see
the
Nat
iona
l Maj
or
Trau
ma
Nur
sing
Gro
up c
om
pet
enci
es L
evel
1, w
hich
can
be
foun
d a
t: w
ww
.tq
uins
.nhs
.uk/
?men
u=re
sour
ces)
Effec
tivel
y ca
re fo
r pa
tient
s w
ith m
ajor
mus
culo
skel
etal
pro
blem
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 8.1.
1 (L1
)U
nder
stan
d th
e an
atom
y an
d ph
ysio
logy
of t
he m
uscu
losk
elet
al
syst
emN
, AB
, C, P
, EC
ompe
tent
CD
1 8.1.
2 (L
1)U
nder
stan
d th
e im
med
iate
man
agem
ent
of c
atas
trop
hic
haem
orrh
age
asso
ciat
ed w
ith m
uscu
losk
elet
al in
jurie
sN
, AB
, C, P
, EC
ompe
tent
CD
1 8.1.
3 (L
1)D
escr
ibe
the
sign
s an
d sy
mpt
oms
of li
fe o
r lim
b-th
reat
enin
g m
uscu
losk
elet
al in
jurie
sN
, AB
, C, P
, EC
ompe
tent
CD
1 8.1.
4 (L
1)D
escr
ibe
the
initi
al a
sses
smen
t of
maj
or m
uscu
losk
elet
al p
robl
ems,
in
clud
ing
the
rele
vanc
e of
mec
hani
sm o
f inj
ury
N, A
B, C
, P, E
Com
pete
nt
CD
1 8.1.
5 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y of
maj
or m
uscu
losk
elet
al
prob
lem
s in
clud
ing:
• m
ajor
frac
ture
s –
pelv
is, h
ip a
nd lo
ng b
ones
• sp
inal
inju
ry
• ca
uda-
equi
na
• m
ajor
join
t di
sloc
atio
n
N, A
B, C
, P, E
Com
pete
nt
CD
1 8.1.
6 (L
1)U
nder
stan
d th
e lo
cal a
nd n
atio
nal g
uide
lines
for
the
asse
ssm
ent
and
man
agem
ent
of m
ajor
mus
culo
skel
etal
pro
blem
s (e
.g. l
ocal
tr
aum
a ne
twor
k gu
idel
ines
)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 8.1.
7 (L
1)U
nder
stan
d th
e as
sess
men
t an
d tr
eatm
ent
of v
enou
s th
rom
boem
bolis
m (
VTE
)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 8.1.
8 (L
1)D
escr
ibe
loca
l pol
icy
on V
TE p
reve
ntio
n in
pat
ient
s w
ith
imm
obili
sed
limbs
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
1 8.2
.1 (L
1)U
nder
take
a s
truc
ture
d in
itial
ass
essm
ent
of p
atie
nts
with
m
uscu
losk
elet
al p
robl
ems
and
prio
ritis
e ca
re a
ppro
pria
tely
(tr
iage
)N
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 51
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
1 8.2
.2 (
L1)
Prov
ide
safe
and
eff
ectiv
e ca
re fo
r pa
tient
s w
ith:
• m
ajor
pel
vic
inju
ry
• fr
actu
red
neck
of f
emur
• fr
actu
red
fem
oral
sha
ft
• m
ajor
join
t di
sloc
atio
n
• sp
inal
inju
ry
N, A
B, C
, P, E
Com
pete
nt
CD
1 8.2
.3 (
L1)
Iden
tify
the
need
for
emer
genc
y m
anip
ulat
ions
of f
ract
ures
and
di
sloc
atio
ns t
hat
pose
a t
hrea
t to
neu
rova
scul
ar s
uppl
y or
ski
n in
tegr
ity, a
nd e
scal
ate
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
1 8.2
.4 (
L1)
App
ly a
rang
e of
spl
ints
to s
uppo
rt m
ajor
frac
ture
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 8.2
.5 (
L1)
App
ly fe
mor
al t
ract
ion
splin
ts
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
1 8.2
.6 (
L1)
App
ly a
pel
vic
splin
t N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
1 8.2
.7 (
L1)
Iden
tify
the
need
for,
and
dem
onst
rate
saf
e sp
inal
imm
obili
satio
n of
pat
ient
s N
, AB
, C, P
, EA
dvan
ced
begi
nner
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 52
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
adul
ts r
equi
ring
re
susc
itat
ion
For
nurs
es c
arin
g f
or
trau
ma
pat
ient
s p
leas
e al
so s
ee t
he N
atio
nal
Maj
or
Trau
ma
Nur
sing
Gro
up c
om
pet
enci
es, a
vaila
ble
at:
w
ww
.tq
uins
.nhs
.uk/
?men
u=re
sour
ces
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 53
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.1
– A
nap
hyla
xis
– Le
vel 1
Car
e ap
prop
riate
ly fo
r pa
tient
s su
ffer
ing
anap
hyla
xis
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 1.1
.1 (L
1)U
nder
stan
d th
e pa
thop
hysi
olog
y of
ana
phyl
axis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 1.1
.2 (
L1)
Und
erst
and
the
clin
ical
sig
ns a
nd s
ympt
oms
diff
eren
tiatin
g be
twee
n al
lerg
ic re
actio
n an
d an
aphy
laxi
sN
, AB
, C, P
, EC
ompe
tent
CD
2 1.1
.3 (
L1)
Dis
cuss
the
com
mon
cau
ses
of a
naph
ylax
isN
, AB
, C, P
, EC
ompe
tent
CD
2 1.1
.4 (
L1)
Des
crib
e ho
w to
sum
mon
em
erge
ncy
assi
stan
ce to
sup
port
im
med
iate
em
erge
ncy
care
N, A
B, C
, P, E
Com
pete
nt
CD
2 1.1
.5 (
L1)
Und
erst
and
the
natio
nal a
nd lo
cal g
uide
lines
for
the
emer
genc
y m
anag
emen
t of
ana
phyl
axis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 1.1
.6 (
L1)
Und
erst
and
the
impo
rtan
ce o
f inv
estig
atio
ns in
pat
ient
s w
ith
anap
hyla
xis
(e.g
. ven
ous
bloo
d ga
s, la
ctat
e, m
ast
cell
tryp
tase
)N
, AB
, C, P
, EA
dvan
ced
begi
nner
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 1.2
.1 (L
1)R
ecog
nise
sig
ns o
f ana
phyl
axis
(br
onch
ospa
sm, h
ypot
ensi
on,
angi
o-oe
dem
a) a
nd s
umm
on a
ppro
pria
te c
linic
al s
uppo
rtN
, AB
, C, P
, EC
ompe
tent
CD
2 1.2
.2 (
L1)
Initi
ate
emer
genc
y re
susc
itatio
n –
oxyg
en a
nd IM
adr
enal
ine
N, A
B, C
, P, E
Com
pete
nt
CD
2 1.2
.3 (
L1)
Ensu
re t
imel
y IV
acc
ess,
IV fl
uids
, ant
ihis
tam
ine
and
ster
oids
(in
ac
cord
ance
with
nat
iona
l gui
danc
e an
d lo
cally
agr
eed
proc
edur
es)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 1.2
.4 (
L1)
Esta
blis
h ap
prop
riate
phy
siol
ogic
al m
onito
ring
N, A
B, C
, P, E
Com
pete
nt
CD
2 1.2
.5 (
L1)
Ensu
re t
he p
atie
nt is
pla
ced
in a
n ap
prop
riate
clin
ical
are
a, c
apab
le
of s
uppo
rtin
g th
eir
phys
iolo
gica
l nee
ds a
nd le
vel o
f obs
erva
tion
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 54
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.2
– C
ard
iore
spir
ato
ry a
rres
t –
Leve
l 1Id
entif
y pa
tient
s in
resp
irato
ry o
r ca
rdio
resp
irato
ry a
rres
t an
d in
stig
ate
life
supp
ort
proc
edur
es in
acc
orda
nce
with
the
UK
Res
usci
tatio
n C
ounc
il gu
idel
ines
(20
15),
ava
ilabl
e at
: w
ww
.resu
s.or
g.uk
/res
usci
tatio
n-gu
idel
ines
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 2.
1.1 (
L1)
Und
erst
and
the
caus
es o
f car
diac
arr
est,
incl
udin
g sp
ecia
l situ
atio
ns
(e.g
. ove
rdos
e, h
ypot
herm
ia)
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
1.2 (
L1)
Und
erst
and
the
UK
Res
usci
tatio
n C
ounc
il gu
idel
ines
for
in-h
ospi
tal
resu
scita
tion
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
1.3 (
L1)
Und
erst
and
the
indi
catio
ns a
nd d
eliv
ery
met
hods
of d
rugs
use
d w
ithin
the
adv
ance
d lif
e su
ppor
t (A
LS)
algo
rithm
N
, AB
, C, P
, EC
ompe
tent
CD
2 2.
1.4 (
L1)
Des
crib
e th
e sa
fe u
se o
f em
erge
ncy
resu
scita
tion
equi
pmen
t N
, AB
, C, P
, EC
ompe
tent
CD
2 2.
1.5 (
L1)
Dis
cuss
the
maj
or re
vers
ible
cau
ses
of c
ardi
ores
pira
tory
arr
est
and
thei
r tr
eatm
ent
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 2.
1.6 (
L1)
Und
erst
and
the
deci
sion
-mak
ing
proc
ess
rela
ting
to c
ontin
uatio
n or
te
rmin
atio
n of
resu
scita
tion,
and
the
act
ions
to b
e ta
ken
in t
he e
vent
of
uns
ucce
ssfu
l res
usci
tatio
n
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 2.
1.7 (
L1)
Und
erst
and
proc
edur
es re
latin
g to
org
an a
nd t
issu
e do
natio
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 2.
2.1 (
L1)
Rap
idly
ass
ess
the
colla
psed
pat
ient
, ado
ptin
g a
stru
ctur
ed a
ppro
ach
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.2
(L1)
Rec
ogni
se c
ritic
al il
lnes
s an
d su
mm
on a
ppro
pria
te c
linic
al s
uppo
rt to
in
stig
ate
early
man
agem
ent
(pre
vent
ion
of c
ardi
ores
pira
tory
arr
est)
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.3
(L1)
Perf
orm
bas
ic li
fe s
uppo
rt in
acc
orda
nce
with
the
Res
usci
tatio
n C
ounc
il U
K g
uide
lines
– e
ffec
tive
ches
t co
mpr
essi
ons,
bas
ic a
irway
m
anag
emen
t an
d ba
g-va
lve-
mas
k ve
ntila
tion
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.4
(L1)
Inte
rmed
iate
Life
Sup
port
(or
equ
ival
ent)
pro
vide
r st
atus
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.5
(L1)
Prep
are
and
adm
inis
ter
resu
scita
tion
drug
s as
per
inst
ruct
ions
of t
he
team
lead
erN
, AB
, C, P
, EC
ompe
tent
CD
2 2.
2.6
(L1)
Perf
orm
saf
ely
and
effec
tivel
y as
par
t of
the
resu
scita
tion
team
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.7
(L1)
Esta
blis
h m
onito
ring
and
perf
orm
or
faci
litat
e in
vest
igat
ions
follo
win
g th
e re
turn
of s
pont
aneo
us c
ardi
ac o
utpu
t (a
lso
see
CD
2.6)
N, A
B, C
, P, E
Com
pete
nt
CD
2 2.
2.8
(L1)
Prov
ide
appr
opria
te e
mot
iona
l sup
port
dur
ing
the
proc
ess
of
brea
king
bad
new
s; d
emon
stra
te s
ensi
tivity
and
em
path
yN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 2.
2.9
(L1)
Car
e fo
r th
e de
ceas
ed p
atie
nt in
acc
orda
nce
with
loca
l gui
delin
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
Whipps Cross Hospital
Section 3 - 55
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.3
– M
anag
ing
sep
sis
– Le
vel 1
Prov
ide
appr
opria
te c
are
for
patie
nts
with
sep
sis
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 3.
1.1 (
L1)
Und
erst
and
the
pote
ntia
l cau
ses
of s
epsi
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 3.
1.2 (
L1)
Und
erst
and
the
path
ophy
siol
ogy
of s
epsi
s, in
clud
ing
its id
entif
ying
cl
inic
al fe
atur
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 3.
1.3 (
L1)
Des
crib
e th
e si
gnifi
canc
e of
pat
ient
inve
stig
atio
ns s
uch
as: l
acta
te
leve
ls a
nd w
hite
cel
l cou
ntN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 3.
1.4 (
L1)
Und
erst
and
loca
lly a
gree
d gu
idel
ines
and
doc
umen
tatio
n re
latin
g to
sep
sis
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 3.
2.1 (
L1)
Iden
tify
patie
nts
with
sig
ns o
f sep
sis
and
repo
rt to
sen
ior
clin
icia
n N
, AB
, C, P
, EC
ompe
tent
CD
2 3.
2.2
(L1)
Inst
igat
e ph
ysio
logi
cal m
onito
ring,
reco
rd b
asel
ine
obse
rvat
ions
an
d ac
cura
tely
cal
cula
te e
arly
war
ning
sco
re a
nd a
ssig
n pa
tient
pr
iorit
y (t
riage
)
N, A
B, C
, P, E
Com
pete
nt
CD
2 3.
2.3
(L1)
Initi
ate
oxyg
en t
hera
py t
itrat
ed to
oxy
gen
satu
ratio
ns a
nd in
ac
cord
ance
with
agr
eed
guid
elin
esN
, AB
, C, P
, EC
ompe
tent
CD
2 3.
2.4
(L1)
Esta
blis
h IV
acc
ess
and
obta
in a
ppro
pria
te b
lood
sam
ples
, in
clud
ing
veno
us b
lood
cul
ture
s –
in li
ne w
ith lo
cally
agr
eed
proc
edur
es
N, A
B, C
, P, E
Com
pete
nt
CD
2 3.
2.5
(L1)
Adm
inis
ter
intr
aven
ous
fluid
and
ant
ibio
tics
as p
resc
ribed
and
in
acco
rdan
ce w
ith g
uide
lines
and
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
CD
2 3.
2.6
(L1)
Eval
uate
resu
lts o
f nea
r pa
tient
test
s an
d es
cala
te a
bnor
mal
resu
lts
appr
opria
tely
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 3.
2.7
(L1)
Mai
ntai
n ac
cura
te fl
uid
bala
nce
mon
itorin
gN
, AB
, C, P
, EC
ompe
tent
CD
2 3.
2.8
(L1)
Mai
ntai
n cl
ose
obse
rvat
ion
of p
atie
nt’s
con
ditio
n, li
aisi
ng w
ith
criti
cal c
are
supp
ort
as re
quire
d in
line
with
loca
l gui
delin
es a
nd
proc
edur
es
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 56
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.4
– T
he s
hock
ed p
atie
nt –
Lev
el 1
Prov
ide
appr
opria
te c
are
for
patie
nts
with
‘sho
ck’ s
tate
s. A
lso
see
CD
2.1 A
naph
ylax
is, C
D2.
3 Se
psis
and
the
Nat
iona
l Maj
or T
raum
a G
roup
com
pete
ncie
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 4.
1.1 (
L1)
Defi
ne ‘s
hock
’ and
dis
cuss
the
pat
hoph
ysio
logy
and
pre
sent
ing
sign
s an
d sy
mpt
oms
resu
lting
from
:
• hy
povo
lem
ic s
hock
• ca
rdio
geni
c sh
ock
• se
ptic
sho
ck
• an
aphy
lact
ic s
hock
• ne
urog
enic
sho
ck
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 4.
1.2 (
L1)
Und
erst
and
the
prog
ress
ion
of s
hock
and
the
resu
lting
m
anife
stat
ion
of s
igns
, sym
ptom
s an
d bl
ood
valu
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 4.
1.3 (
L1)
Und
erst
and
the
man
agem
ent
of t
he d
iffer
ent
form
s of
sho
ck li
sted
ab
ove
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 4.
1.4 (
L1)
Des
crib
e m
etho
ds to
min
imis
e ex
tern
al b
leed
ing
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 4.
2.1 (
L1)
Iden
tify
and
repo
rt e
vide
nce
of c
atas
trop
hic
haem
orrh
age
N, A
B, C
, P, E
Com
pete
nt
CD
2 4.
2.2
(L1)
Inst
igat
e ph
ysio
logi
cal m
onito
ring,
reco
rd b
asel
ine
obse
rvat
ions
an
d ac
cura
tely
cal
cula
te e
arly
war
ning
sco
re a
nd a
ssig
n pa
tient
pr
iorit
y (t
riage
)
N, A
B, C
, P, E
Com
pete
nt
CD
2 4.
2.3
(L1)
Initi
ate
oxyg
en t
hera
py in
acc
orda
nce
with
loca
l and
nat
iona
l gu
idan
ceN
, AB
, C, P
, EC
ompe
tent
CD
2 4.
2.4
(L1)
Esta
blis
h IV
acc
ess
and
obta
in a
ppro
pria
te b
lood
sam
ples
, in
line
with
loca
lly a
gree
d pr
oced
ures
N, A
B, C
, P, E
Com
pete
nt
CD
2 4.
2.5
(L1)
Initi
ate
intr
aven
ous
fluid
s an
d/or
tra
nsfu
sion
of b
lood
pro
duct
s as
pr
escr
ibed
and
in a
ccor
danc
e w
ith g
uide
lines
and
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
CD
2 4.
2.6
(L1)
Eval
uate
blo
od re
sults
and
com
mun
icat
e ab
norm
al re
sults
ap
prop
riate
lyN
, AB
, C, P
, EC
ompe
tent
CD
2 4.
2.7
(L1)
Mai
ntai
ns a
ccur
ate
fluid
bal
ance
mon
itorin
gN
, AB
, C, P
, EC
ompe
tent
CD
2 4.
2.8
(L1)
Eval
uate
eff
ect
of in
terv
entio
ns a
nd c
omm
unic
ate
timel
y to
re
spon
sibl
e cl
inic
ian.
Esc
alat
e de
terio
ratio
n as
per
loca
l gui
delin
esN
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 57
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.5
– Th
e un
cons
cio
us p
atie
nt –
Lev
el 1
Prov
ide
holis
tic c
are
for
patie
nts
pres
entin
g w
ith re
duce
d le
vel o
f con
scio
usne
ss
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 5.
1.1 (
L1)
Dis
cuss
the
pot
entia
l cau
ses
of u
ncon
scio
usne
ssN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 5.
1.2 (
L1)
Des
crib
e th
e sy
stem
atic
ass
essm
ent
of p
atie
nts
with
alte
red
leve
ls
of c
onsc
ious
ness
N, A
B, C
, P, E
Com
pete
nt
CD
2 5.
1.3 (
L1)
Und
erst
and
the
term
s ‘A
VPU
’ and
des
crib
e th
e G
lasg
ow C
oma
Scor
e (G
CS)
N
, AB
, C, P
, EC
ompe
tent
CD
2 5.
1.4 (
L1)
Des
crib
e th
e in
vest
igat
ions
requ
ired
to e
stab
lish
caus
e an
d po
ssib
le t
reat
men
t fo
r pa
tient
s w
ith a
ltere
d le
vels
of
cons
ciou
snes
s
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 5.
1.5 (
L1)
Des
crib
e m
etho
ds o
f obt
aini
ng in
form
atio
n on
rele
vant
med
ical
hi
stor
y in
unc
onsc
ious
pat
ient
s (e
.g. m
edic
ale
rts,
tele
phon
e)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 5.
1.6 (
L1)
Und
erst
and
the
loca
l pat
hway
s to
spe
cial
ist
serv
ices
for
patie
nts
with
bra
in in
jury
(e.
g. c
ereb
ral h
aem
orrh
age
or s
trok
e)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 5.
1.7 (
L1)
Und
erst
and
the
need
for
com
preh
ensi
ve n
ursi
ng c
are
to m
eet
hydr
atio
n, h
ygie
ne (
oral
, eye
and
gen
eral
), m
obili
ty a
nd
com
mun
icat
ion
need
s in
pat
ient
s un
able
to d
o so
the
mse
lves
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 5.
2.1 (
L1)
Rec
ogni
se p
atie
nts
who
are
una
ble
to m
aint
ain
thei
r ow
n ai
rway
an
d im
plem
ent
the
follo
win
g ba
sic
airw
ay s
kills
:
• po
sitio
ning
– c
hin
lift/
head
tilt
and
/or
jaw
thr
ust
• us
e of
oro
phar
ynge
al a
irway
s (O
PA)
• us
e of
nas
opha
ryng
eal a
irway
(N
PA)
• su
ctio
ning
of t
he o
roph
aryn
x
N, A
B, C
, P, E
Com
pete
nt
CD
2 5.
2.2
(L1)
Esca
late
pro
mpt
ly a
nd e
ffec
tivel
y co
ncer
ns a
bout
any
pat
ient
with
th
e in
abili
ty to
pro
tect
or
mai
ntai
n th
eir
airw
ay, o
r w
here
the
re is
de
rang
emen
t or
det
erio
ratio
n of
phy
siol
ogic
al p
aram
eter
s
N, A
B, C
, P, E
Com
pete
nt
CD
2 5.
2.3
(L1)
Dem
onst
rate
the
abi
lity
to u
nder
take
a s
truc
ture
d in
itial
as
sess
men
t of
a p
atie
nt w
ith a
ltere
d co
nsci
ous
leve
l, an
d pr
iorit
ise
care
app
ropr
iate
ly (
tria
ge)
N, A
B, C
, P, E
Com
pete
nt
CD
2 5.
2.4
(L1)
Esta
blis
h ap
prop
riate
phy
siol
ogic
al m
onito
ring
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 58
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 5.
2.5
(L1)
Dem
onst
rate
eff
ectiv
e pa
tient
pos
ition
ing,
hav
ing
due
rega
rd fo
r pr
essu
re a
rea
mon
itorin
gN
, AB
, C, P
, EC
ompe
tent
CD
2 5.
2.6
(L1)
Con
duct
eye
and
mou
th c
are
once
initi
al a
sses
smen
t an
d ev
alua
tion
has
been
com
plet
edN
, AB
, C, P
, EC
ompe
tent
CD
2 5.
2.7
(L1)
Ensu
re h
ygie
ne n
eeds
are
met
with
due
rega
rd fo
r pr
ivac
y an
d di
gnity
N, A
B, C
, P, E
Com
pete
nt
CD
2 5.
2.8
(L1)
Take
ste
ps to
est
ablis
h id
entit
y of
pat
ient
s an
d co
ntac
t si
gnifi
cant
ot
hers
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 59
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
15
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.6
– E
mer
gen
cy a
irw
ay a
nd v
enti
lati
on
man
agem
ent
– Le
vel 1
Prov
ide
holis
tic c
are
for
patie
nts
requ
iring
em
erge
ncy
airw
ay in
terv
entio
n an
d/or
ven
tilat
ion
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 6.
1.1 (
L1)
Und
erst
and
the
prin
cipl
es o
f bag
-val
ve-m
ask
vent
ilatio
n N
, AB
, C, P
, EC
ompe
tent
CD
2 6.
1.2 (
L1)
Des
crib
e em
erge
ncy
airw
ay m
anag
emen
t an
d th
e pr
inci
ples
of
rapi
d se
quen
ce in
duct
ion
(RSI
)N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 6.
1.3 (
L1)
Und
erst
and
the
guid
elin
es fo
r m
inim
um s
tand
ards
of m
onito
ring
of p
hysi
olog
ical
par
amet
ers
for
vent
ilate
d pa
tient
s an
d th
e lo
cal
equi
pmen
t us
ed
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.4 (
L1)
Des
crib
e th
e st
anda
rd o
pera
ting
proc
edur
es a
nd g
uide
lines
re
latin
g to
em
erge
ncy
airw
ay m
anag
emen
t an
d th
e ro
les
of e
ach
team
mem
ber
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.5 (
L1)
Und
erst
and
end-
tidal
CO
2 m
onito
ring
(ETC
O2)
and
the
nor
mal
va
lues
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.6 (
L1)
Und
erst
and
norm
al b
lood
gas
val
ues
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.7 (
L1)
Und
erst
and
how
blo
od g
as v
alue
s ch
ange
due
to in
adeq
uate
ve
ntila
tion
and/
or in
adeq
uate
per
fusi
onN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 6.
1.8 (
L1)
Dis
cuss
the
use
of m
echa
nica
l ven
tilat
or; i
dent
ifyin
g lo
catio
n,
asso
ciat
ed e
quip
men
t (e
.g. t
ubin
g, fi
lters
) an
d pr
inci
ples
of
func
tioni
ng
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.9 (
L1)
Und
erst
and
the
sign
s of
a p
atie
nt w
ho is
und
er-s
edat
ed a
nd/o
r re
quire
s fu
rthe
r pa
raly
sis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.10
(L1
)D
iscu
ss t
he p
roce
ss o
f end
otra
chea
l suc
tioni
ng a
nd a
ssoc
iate
d co
mpl
icat
ions
N, A
B, C
, P, E
Com
pete
nt
CD
2 6.
1.11 (
L1)
Und
erst
and
the
feat
ures
of p
atie
nts
pred
icte
d to
be
diffi
cult
to
intu
bate
and
/or
bag-
valv
e-m
ask
vent
ilate
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
1.12
(L1)
Des
crib
e th
e lo
catio
n an
d co
mpo
nent
s of
‘diffi
cult
airw
ay’
equi
pmen
tN
, AB
, C, P
, EC
ompe
tent
CD
2 6.
1.13
(L1)
Des
crib
e th
e lo
catio
n an
d co
mpo
nent
s of
‘sur
gica
l airw
ay’
equi
pmen
tN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 60
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 6.
2.1 (
L1)
Esta
blis
h ph
ysio
logi
cal m
onito
ring
and
prep
are
ETC
02
equi
pmen
tN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 6.
2.2
(L1)
Prep
are
the
drug
s pr
escr
ibed
for
RSI
in a
ccor
danc
e w
ith lo
cal
guid
elin
es a
nd p
roce
dure
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 6.
2.3
(L1)
Prep
are
equi
pmen
t fo
r in
tuba
tion
in d
iscu
ssio
n w
ith t
he c
linic
ian
who
will
intu
bate
the
pat
ient
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
2.4
(L1)
Prep
are
the
vent
ilato
r fo
r us
e an
d eff
ectiv
ely
unde
rtak
e a
func
tiona
l che
ck a
ccor
ding
to a
gree
d pr
oced
ures
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
2.5
(L1)
Effec
tivel
y m
onito
r th
e pa
tient
’s p
hysi
olog
ical
par
amet
ers
post
-int
ubat
ion
and
vent
ilatio
n an
d es
cala
te c
once
rns
appr
opria
tely
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 6.
2.6
(L1)
Dem
onst
rate
the
cor
rect
pro
cedu
re fo
r th
e pr
epar
atio
n of
pr
escr
ibed
mai
nten
ance
dru
gs fo
r on
-goi
ng a
naes
thes
ia a
nd
para
lysi
s
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 61
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
2 –
Car
ing
fo
r ad
ults
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1
CD
2.7
– Th
e p
atie
nt r
equi
ring
inva
sive
mo
nito
ring
(ce
ntra
l ven
ous
acc
ess
and
art
eria
l lin
es)
– Le
vel 1
Prov
ide
holis
tic c
are
for
patie
nts
requ
iring
inva
sive
mon
itorin
g us
ing
cent
ral v
enou
s ac
cess
and
/or
arte
rial l
ines
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 8.
1.1 (
L1)
Dem
onst
rate
und
erst
andi
ng o
f the
indi
catio
ns a
nd ra
tiona
l for
the
pl
acem
ent
of c
entr
al v
enou
s ca
thet
ers
or a
rter
ial c
athe
ters
, and
th
e po
tent
ial r
isks
and
com
plic
atio
ns o
f ins
ertio
n
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
1.2 (
L1)
Und
erst
and
loca
l pol
icie
s an
d gu
idel
ines
for
the
plac
emen
t an
d us
e of
cen
tral
ven
ous
acce
ss a
nd a
rter
ial l
ines
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
1.3 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
equ
ipm
ent
nece
ssar
y fo
r th
e in
sert
ion
of c
entr
al v
enou
s an
d ar
teria
l cat
hete
rs, a
nd t
he t
ypes
of
lines
com
mon
ly in
sert
ed
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
1.4 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
com
mon
site
s fo
r in
sert
ion
and
the
proc
edur
e fo
r in
sert
ion
of c
entr
al v
enou
s an
d ar
teria
l ca
thet
ers
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
1.5 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
pre
ssur
e tr
ansd
ucer
equ
ipm
ent
and
the
confi
gura
tion
of t
he m
ulti-
mod
ality
mon
itor
to fa
cilit
ate
reco
rdin
g, a
nd m
onito
ring
of C
VP
and
arte
rial p
ress
ures
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
1.6 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
ris
ks a
nd c
ompl
icat
ions
as
soci
ated
with
cen
tral
ven
ous
acce
ss a
nd a
rter
ial l
ines
, and
the
ir in
sert
ion
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
2 8.
2.1 (
L1)
Cor
rect
ly a
ssem
ble
the
equi
pmen
t ne
cess
ary
for
cent
ral v
enou
s or
ar
teria
l cat
hete
r in
sert
ion
and
prep
are
the
proc
edur
e tr
olle
y w
hils
t m
aint
aini
ng a
sept
ic te
chni
que
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
2.2
(L1)
Whe
re p
ossi
ble,
ens
ure
the
patie
nt is
fully
info
rmed
of t
he
prop
osed
pro
cedu
re a
nd p
rovi
de p
sych
olog
ical
sup
port
N, A
B, C
, P, E
Com
pete
nt
CD
2 8.
2.3
(L1)
Cor
rect
ly a
ssis
t w
ith t
he in
sert
ion
proc
edur
e an
d as
sem
ble
tran
sduc
er e
quip
men
t, en
surin
g lin
es a
re la
belle
d co
rrec
tlyN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
2 8.
2.4
(L1)
Dem
onst
rate
cor
rect
con
nect
ion
to p
atie
nt a
nd c
onfig
urat
ion
of
CV
P m
onito
ring,
incl
udin
g co
nfigu
ratio
n of
the
mul
ti-m
odal
ity
mon
itor
and
abili
ty to
‘zer
o’ t
he li
ne
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
2.5
(L1)
Cor
rect
ly d
ocum
ent
care
rela
ting
to c
entr
al v
enou
s ac
cess
and
/or
arte
rial l
ines
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
2 8.
2.6
(L1)
Esca
late
app
ropr
iate
ly in
resp
onse
to li
ne c
ompl
icat
ions
or
emer
genc
ies
– ta
ke a
ppro
pria
te im
med
iate
act
ion
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 62
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
adul
ts w
ith
min
or
inju
ry
or
illne
ss
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 63
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 –
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
or
illne
ss –
Lev
el 1
CD
3.1
– Li
mb
inju
ries
– L
evel
1Pr
ovid
e ho
listic
car
e fo
r pa
tient
s pr
esen
ting
with
upp
er a
nd lo
wer
lim
b in
jurie
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 1.1
.1 (L
1)D
escr
ibe
the
basi
c an
atom
y of
the
upp
er a
nd lo
wer
lim
bN
, AB
, C, P
, EC
ompe
tent
CD
3 1.1
.2 (
L1)
Des
crib
e th
e te
rm ‘m
echa
nism
of i
njur
y’ a
nd t
he s
igni
fican
ce o
f th
is w
hen
asse
ssin
g pa
tient
sN
, AB
, C, P
, EC
ompe
tent
CD
3 1.1
.3 (
L1)
Des
crib
e th
e re
d fla
g si
gns
and
sym
ptom
s as
soci
ated
with
inju
ries
that
repr
esen
t a
poss
ible
ris
k to
life
or
limb
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.4 (
L1)
Des
crib
e ve
nous
thr
omob
oem
bolis
m (
VTE
) ris
k as
sess
men
t an
d w
hen
this
is in
dica
ted
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.5 (
L1)
Des
crib
e th
e ris
ks a
nd c
ompl
icat
ions
ass
ocia
ted
with
lim
b im
mob
ilisa
tion
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.6 (
L1)
Des
crib
e tr
eatm
ents
ava
ilabl
e fo
r m
anag
ing
uppe
r an
d lo
wer
lim
b in
jurie
s, in
clud
ing
thei
r in
dica
tions
and
com
plic
atio
ns
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.7 (
L1)
Und
erst
and
the
advi
ce n
eede
d by
a li
mb-
imm
obili
sed
patie
ntN
, AB
, C, P
, EC
ompe
tent
CD
3 1.1
.8 (
L1)
Und
erst
and
how
sig
nific
ant
syst
emic
illn
ess
may
pre
sent
as
an
appa
rent
min
or in
jury
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 1.2
.1 (L
1)A
sses
s pa
tient
s w
ith u
pper
and
low
er li
mb
inju
ries
and
prio
ritis
e ca
re a
ppro
pria
tely
(tr
iage
)N
, AB
, C, P
, EC
ompe
tent
CD
3 1.1
.2 (
L1)
Dem
onst
rate
abi
lity
to c
arry
out
and
doc
umen
t ne
urov
ascu
lar
obse
rvat
ions
on
limbs
dis
tal t
o in
jury
site
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.3 (
L1)
Use
cor
rect
tech
niqu
e fo
r re
mov
al o
f rin
gsN
, AB
, C, P
, EC
ompe
tent
CD
3 1.1
.4 (
L1)
Rec
ogni
se p
atie
nts
who
requ
ire m
ore
deta
iled
syst
emic
med
ical
as
sess
men
t be
yond
ass
essm
ent
of t
he in
jury
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.5 (
L1)
Rec
ogni
se p
atie
nts
with
sig
ns a
nd s
ympt
oms
of fr
actu
re to
the
ne
ck o
r fe
mur
(N
OF)
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 64
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 1.1
.6 (
L1)
Dem
onst
rate
the
cor
rect
app
licat
ion
and
prov
isio
n of
app
ropr
iate
ad
vice
follo
win
g:
• br
oad-
arm
slin
g
• hi
gh-a
rm s
ling
• co
llar
and
cuff
• w
rist
splin
t
• ne
ighb
our
stra
ppin
g
• th
umb
spic
a (o
r th
umb
imm
obili
satio
n sp
lint)
• M
alle
t/Zi
mm
er s
plin
ts
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.7 (
L1)
Dem
onst
rate
the
cor
rect
app
licat
ion
to lo
wer
lim
bs o
f:
• w
ool a
nd c
repe
ban
dage
• kn
ee s
plin
t
• an
kle
splin
t
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.8 (
L1)
App
ly u
pper
and
low
er li
mb
cast
s (P
last
er o
f Par
is o
r lo
cally
use
d eq
uiva
lent
), fo
llow
ing
loca
lly a
gree
d pr
oced
ures
and
ado
ptin
g na
tiona
l bes
t pr
actic
e
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.9 (
L1)
Giv
e ap
prop
riate
adv
ice
follo
win
g ap
plic
atio
n of
a c
ast
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.10 (
L1)
Und
erta
ke a
VTE
ris
k as
sess
men
t N
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
3 1.1
.11 (
L1)
Prov
ide
patie
nts
with
cor
rect
ly s
ized
, app
ropr
iate
wal
king
aid
s (e
.g. c
rutc
hes,
Zim
mer
fram
e, w
alki
ng s
tick)
and
inst
ruct
ions
, en
surin
g th
ey c
an u
se t
he d
evic
e sa
fely
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.12 (
L1)
Prov
ide
appr
opria
te d
isch
arge
adv
ice
to p
atie
nts
follo
win
g lo
wer
lim
b in
jurie
s. F
or e
xam
ple:
• sp
rain
s to
kne
e an
d an
kle
• fr
actu
res
to t
ibia
/fibu
la a
nd b
ones
of t
he a
nkle
and
foot
N, A
B, C
, P, E
Com
pete
nt
CD
3 1.1
.13 (
L1)
Ensu
re o
utpa
tient
follo
w u
p (i
n ac
cord
ance
with
loca
lly a
gree
d gu
idel
ines
and
pro
cedu
res)
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 65
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 –
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
or
illne
ss –
Lev
el 1
CD
3.2
– H
ead
and
nec
k –
Leve
l 1Pr
ovid
e ho
listic
car
e fo
r pa
tient
s pr
esen
ting
with
oph
thal
mic
, max
illof
acia
l, or
ear
, nos
e an
d th
roat
(EN
T) p
robl
ems
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 2.
1.1 (
L1)
Des
crib
e th
e no
rmal
ana
tom
y an
d ph
ysio
logy
of t
he e
yeN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
3 2.
1.2 (
L1)
Des
crib
e th
e no
rmal
ana
tom
y an
d ph
ysio
logy
of t
he e
ar, n
ose
and
thro
atN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
3 2.
1.3 (
L1)
Des
crib
e th
e m
echa
nism
of i
njur
y as
soci
ated
with
:
• fo
reig
n bo
dy to
the
eye
• ab
rasi
on to
cor
nea
• ch
emic
al e
ye in
jury
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.4 (
L1)
Des
crib
e th
e m
echa
nism
of i
njur
y as
soci
ated
with
per
fora
ted
tym
pani
c m
embr
ane
(tra
umat
ic)
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.5 (
L1)
Des
crib
e th
e m
echa
nism
of i
njur
y as
soci
ated
with
faci
al fr
actu
res
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.6 (
L1)
Des
crib
e th
e re
d fla
g si
gns
or s
ympt
oms
and
imm
edia
te t
reat
men
t of
an
eye
thre
aten
ing
emer
genc
yN
, AB
, C, P
, EC
ompe
tent
CD
3 2.
1.7 (
L1)
Des
crib
e th
e re
d fla
g si
gns
or s
ympt
oms
of a
n EN
T em
erge
ncy
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.8 (
L1)
Des
crib
e th
e as
sess
men
t pr
oces
s fo
r pa
tient
s w
ith o
phth
alm
ic
pres
enta
tions
, inc
ludi
ng:
• as
sess
ing
visu
al a
cuity
• ra
tiona
le fo
r m
easu
ring
eye
pH
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.9 (
L1)
Und
erst
and
the
asse
ssm
ent
proc
ess
for
patie
nts
with
EN
T pr
esen
tatio
nsN
, AB
, C, P
, EC
ompe
tent
CD
3 2.
1.10
(L1
)D
escr
ibe
loca
l pro
cess
es fo
r ob
tain
ing
opht
halm
ic, E
NT
and
max
illof
acia
l spe
cial
ist
refe
rral
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
1.11 (
L1)
Und
erst
and
how
sys
tem
ic il
lnes
ses
may
man
ifest
in e
ye o
r EN
T sy
mpt
oms
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 2.
2.1 (
L1)
Initi
ally
ass
ess
and
prio
ritis
e pa
tient
s pr
esen
ting
with
an
eye
prob
lem
(in
clud
ing
the
asse
ssm
ent
of v
isua
l acu
ity)
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
2.2
(L1)
Initi
ally
ass
ess
and
prio
ritis
e pa
tient
s pr
esen
ting
with
an
ENT
prob
lem
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
2.3
(L1)
Initi
ally
ass
ess
and
prio
ritis
e pa
tient
s pr
esen
ting
with
faci
al in
jurie
sN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 66
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 2.
2.4
(L1)
Mea
sure
and
reco
rd e
ye p
H
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
2.5
(L1)
Und
erta
ke e
ffec
tive
eye
irrig
atio
n N
, AB
, C, P
, EC
ompe
tent
CD
3 2.
2.6
(L1)
Adm
inis
ter
eye
med
icat
ions
N
, AB
, C, P
, EC
ompe
tent
CD
3 2.
2.7
(L1)
Prov
ide
first
aid
ste
ps to
man
age
an e
pist
axis
N, A
B, C
, P, E
Com
pete
nt
CD
3 2.
2.8
(L1)
Ass
ist
with
a re
ferr
al to
oth
er s
peci
altie
s or
hea
lth p
rofe
ssio
nals
in
line
with
loca
lly a
gree
d pa
thw
ays
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Whipps Cross Hospital
Section 3 - 67
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 –
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
or
illne
ss –
Lev
el 1
CD
3.3
– B
ack
pro
ble
ms
– Le
vel 1
Prov
ide
holis
tic c
are
to p
atie
nts
pres
entin
g w
ith b
ack
prob
lem
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 3.
1.1 (
L1)
Des
crib
e th
e no
rmal
ana
tom
y of
the
bac
k an
d sp
ine
N, A
B, C
, P, E
Adv
ance
d B
egin
ner
CD
3 3.
1.2 (
L1)
Des
crib
e th
e re
d fla
gs in
dica
ting
spin
al p
atho
logy
N, A
B, C
, P, E
Com
pete
nt
CD
3 3.
1.3 (
L1)
Des
crib
e th
e lo
cal g
uide
lines
for
spin
e im
mob
ilisa
tion
N, A
B, C
, P, E
Com
pete
nt
CD
3 3.
1.4 (
L1)
Und
erst
and
the
psyc
holo
gica
l and
soc
ial i
mpl
icat
ion
for
patie
nts
with
acu
te a
nd c
hron
ic b
ack
pain
N, A
B, C
, P, E
Com
pete
nt
CD
3 3.
1.5 (
L1)
Und
erst
and
how
pat
holo
gy o
f oth
er s
yste
ms
may
resu
lt in
the
ex
perie
nce
of b
ack
pain
(e.
g. p
neum
onia
, abd
omin
al a
ortic
an
eury
sm)
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 3.
2.1 (
L1)
Ass
ess
patie
nts
pres
entin
g w
ith a
cute
bac
k pr
oble
ms
and
prio
ritis
e ap
prop
riate
lyN
, AB
, C, P
, EC
ompe
tent
CD
3 3.
2.2
(L1)
Iden
tify
any
new
neu
rolo
gica
l defi
cit
and
repo
rt c
once
rns
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
3 3.
2.3
(L1)
Iden
tify
patie
nts
with
bac
k pa
in s
ympt
oms
who
may
requ
ire
urge
nt c
linic
al a
sses
smen
t of
oth
er b
ody
syst
ems
and
repo
rt
conc
erns
app
ropr
iate
ly
N, A
B, C
, P, E
Com
pete
nt
CD
3 3.
2.4
(L1)
Faci
litat
e ap
prop
riate
pai
n m
anag
emen
t (s
ee C
CT2
)N
, AB
, C, P
, EC
ompe
tent
CD
3 3.
2.5
(L1)
Prov
ide
appr
opria
te d
isch
arge
adv
ice
to p
atie
nts
with
m
uscu
losk
elet
al b
ack
pain
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 68
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 –
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
or
illne
ss –
Lev
el 1
CD
3.4
– W
oun
ds
and
bur
ns –
Lev
el 1
Prov
ide
holis
tic c
are
to p
atie
nts
pres
entin
g w
ith m
inor
wou
nds
and
burn
s (f
or m
ajor
bur
ns re
fer
to t
he N
atio
nal M
ajor
Tra
uma
Nur
sing
Gro
up c
ompe
tenc
ies)
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 4.
1.1 (
L1)
Des
crib
e th
e no
rmal
ana
tom
y of
the
ski
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
3 4.
1.2 (
L1)
Des
crib
e m
echa
nism
s of
inju
ry t
hat
may
resu
lt in
wou
nds
and/
or
burn
sN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
1.3 (
L1)
Und
erst
and
the
term
inol
ogy
asso
ciat
ed w
ith w
ound
s an
d bu
rns
incl
udin
g:
• la
cera
tion
• in
cisi
on
• gr
aze
• sc
ald
• fu
ll th
ickn
ess
• pa
rtia
l thi
ckne
ss
• su
perfi
cial
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
1.4 (
L1)
Des
crib
e w
ound
and
bur
n as
sess
men
t in
clud
ing
red
flags
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
1.5 (
L1)
Und
erst
and
how
see
min
gly
smal
l wou
nds
or b
urns
may
hav
e se
rious
con
sequ
ence
s du
e to
ana
tom
ical
site
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
1.6 (
L1)
Und
erst
and
the
norm
al w
ound
and
bur
n he
alin
g pr
oces
ses
and
the
fact
ors
that
may
aff
ect
this
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
1.7 (
L1)
Des
crib
e th
e pr
oper
ties
of d
ress
ings
use
d to
faci
litat
e w
ound
and
bu
rn h
ealin
gN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
1.8 (
L1)
Des
crib
e re
cogn
ised
imm
edia
te a
nd d
elay
ed c
ompl
icat
ions
aris
ing
from
wou
nds
and
burn
sN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
1.9 (
L1)
Des
crib
e th
e lo
cal g
uide
lines
rela
ting
to w
ound
and
bur
n m
anag
emen
tN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
1.10
(L1
)U
nder
stan
d ho
w t
he p
rese
nce
of w
ound
s, b
urns
or
othe
r m
inor
in
jurie
s m
ay g
ive
rise
to s
afeg
uard
ing
conc
erns
(se
e C
TT6)
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
3 4.
2.1 (
L1)
Dem
onst
rate
the
initi
al a
sses
smen
t of
pat
ient
s w
ith w
ound
s an
d bu
rns
and
prio
ritis
e ap
prop
riate
ly (
tria
ge)
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
2.2
(L1)
Initi
ate
first
aid
tre
atm
ent
of w
ound
s an
d bu
rns
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 69
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
16
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
3 4.
2.3
(L1)
Und
erta
ke w
ound
cle
anin
g fo
llow
ing
loca
l gui
delin
esN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
2.4
(L1)
Follo
win
g lo
cal p
olic
y, c
lean
and
clo
se a
n un
com
plic
ated
wou
nd
with
:
• tis
sue
adhe
sive
• st
eri s
trip
s
• st
aple
s
• su
ture
s
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
2.5
(L1)
Dem
onst
rate
abi
lity
to d
e-ro
of b
liste
rs a
ccor
ding
to lo
cal
guid
elin
esN
, AB
, C, P
, EC
ompe
tent
CD
3 4.
2.6
(L1)
App
ly p
resc
ribed
dre
ssin
gs to
wou
nds
and
burn
s (a
s pe
r lo
cal
guid
elin
es)
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
2.7
(L1)
Rec
ogni
se w
hen
a w
ound
or
burn
requ
ires
mor
e de
taile
d cl
inic
al
expl
orat
ion/
asse
ssm
ent
and
repo
rt c
once
rns
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
3 4.
2.8
(L1)
Prov
ide
appr
opria
te w
ound
car
e ad
vice
, inc
ludi
ng w
hen
to s
eek
urge
nt c
linic
al a
tten
tion
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 70
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
child
ren
and
yo
ung
peo
ple
The
Go
od
Nur
sing
Pra
ctic
e an
d C
ross
-Cut
ting
The
me
co
mp
eten
cies
ap
ply
eq
ually
to
nur
ses
cari
ng f
or
adul
ts a
nd
child
ren.
How
ever
, nur
ses
cari
ng f
or
child
ren
and
yo
ung
peo
ple
m
ust
pri
ori
tise
co
mp
leti
on
of
CC
T6 c
om
pet
enci
es o
n sa
feg
uard
ing
ch
ildre
n an
d a
dul
ts.
For
nurs
es c
arin
g f
or
child
ren
follo
win
g m
ajo
r tr
aum
a, p
leas
e al
so
see
the
Nat
iona
l Maj
or
Trau
ma
Nur
sing
Gro
up C
om
pet
enci
es
avai
lab
le a
t: w
ww
.tq
uins
.nhs
.uk/
?men
u=re
sour
ces
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 71
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.1
– A
sses
sing
chi
ldre
n an
d y
oun
g p
eop
le –
Lev
el 1
Hol
istic
ally
and
sys
tem
atic
ally
ass
ess
child
ren
and
youn
g pe
ople
thr
ough
the
age
spe
ctru
m
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 1.1
.1 (L
1)D
escr
ibe
the
maj
or d
iffer
ence
s in
ana
tom
y an
d ph
ysio
logy
be
twee
n ad
ults
and
chi
ldre
n N
, AB
, C, P
, EC
ompe
tent
CD
4 1.1
.2 (
L1)
Und
erst
and
how
ana
tom
ical
and
phy
siol
ogic
al d
iffer
ence
s im
pact
on
illn
ess
and
inju
ry m
anife
stat
ions
N
, AB
, C, P
, EC
ompe
tent
CD
4 1.1
.3 (
L1)
Des
crib
e no
rmal
mot
or, c
ogni
tive
and
emot
iona
l dev
elop
men
t of
ch
ildre
n fr
om b
irth
thro
ugh
to a
dulth
ood
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.1
.4 (
L1)
Des
crib
e ho
w a
nato
mic
al, p
hysi
olog
ical
and
psy
chol
ogic
al
diff
eren
ces
impa
ct o
n nu
rsin
g as
sess
men
tN
, AB
, C, P
, EC
ompe
tent
CD
4 1.1
.5 (
L1)
Des
crib
e th
e no
rmal
par
amet
ers
of w
eigh
t of
chi
ldre
n of
var
ious
ag
es, a
nd u
nder
stan
d re
cogn
ised
form
ulae
to e
stim
ate
wei
ght
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.1
.6 (
L1)
Expl
ain
how
nor
mal
val
ues
of h
eart
rate
, res
pira
tory
rate
, blo
od
pres
sure
and
urin
e ou
tput
var
y w
ith a
geN
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 1.2
.1 (L
1)D
emon
stra
te a
sys
tem
atic
met
hod
of a
sses
sing
chi
ldre
n an
d yo
ung
peop
le fo
llow
ing
a st
ruct
ured
A-E
(ai
rway
, bre
athi
ng, c
ircul
atio
n,
disa
bilit
y an
d ex
posu
re)
appr
oach
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.2
.2 (
L1)
Iden
tify
child
ren
who
are
acu
tely
unw
ell o
r se
rious
ly in
jure
d an
d es
cala
te c
once
rns
appr
opria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.2
.3 (
L1)
Initi
ally
ass
ess
and
prio
ritis
e ch
ildre
n ac
cura
tely
(tr
iage
)N
, AB
, C, P
, EC
ompe
tent
CD
4 1.2
.4 (
L1)
Dem
onst
rate
the
abi
lity
to a
sses
s ch
ildre
n in
a c
alm
and
age
-ap
prop
riate
man
ner
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 72
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 1.2
.5 (
L1)
For
child
ren
of a
ll ag
es, a
ppro
pria
tely
mea
sure
and
reco
rd t
he
follo
win
g ph
ysio
logi
cal o
bser
vatio
ns a
nd in
vest
igat
ion:
• re
spira
tory
rate
• ox
ygen
sat
urat
ions
• he
art
rate
• bl
ood
pres
sure
• ca
pilla
ry re
fill t
ime
(CR
T)
• G
lasg
ow C
oma
Scor
e (G
CS)
• bl
ood
gluc
ose
mea
sure
men
t (B
M)
• te
mpe
ratu
re
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.2
.6 (
L1)
Cor
rect
ly c
alcu
late
and
doc
umen
t th
e lo
cally
use
d pa
edia
tric
ear
ly
war
ning
sco
reN
, AB
, C, P
, EC
ompe
tent
CD
4 1.2
.7 (
L1)
Dem
onst
rate
app
ropr
iate
urin
e co
llect
ion
tech
niqu
es in
all
ages
of
child
ren
N, A
B, C
, P, E
Com
pete
nt
CD
4 1.2
.8 (
L1)
Dem
onst
rate
app
ropr
iate
mea
sure
men
t of
wei
ght
of b
abie
s an
d ch
ildre
nN
, AB
, C, P
, EC
ompe
tent
CD
4 1.2
.9 (
L1)
Dem
onst
rate
eff
ectiv
e co
mm
unic
atio
n an
d in
tera
ctio
n st
rate
gies
to
faci
litat
e as
sess
men
tN
, AB
, C, P
, EC
ompe
tent
CD
4 1.2
.10 (
L1)
Enga
ge w
ith p
aren
ts a
nd c
arer
s to
gat
her
pert
inen
t in
form
atio
n to
en
hanc
e as
sess
men
tN
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 73
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.2
– A
sses
smen
t an
d m
anag
emen
t o
f p
ain
in c
hild
ren
(inc
lud
ing
med
icin
es m
anag
emen
t) –
Lev
el 1
Safe
ly a
sses
s an
d m
anag
e pa
in in
chi
ldre
n
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 2.
1.1 (
L1)
Und
erst
and
loca
l pai
n m
anag
emen
t gu
idel
ines
for
child
ren
N, A
B, C
, P, E
Com
pete
nt
CD
4 2.
1.2 (
L1)
Dis
cuss
how
pai
n as
sess
men
t re
late
s to
tria
ge p
riorit
yN
, AB
, C, P
, EC
ompe
tent
CD
4 2.
1.3 (
L1)
Dis
cuss
the
prin
cipl
es o
f ana
lges
ia s
elec
tion
base
d on
pai
n as
sess
men
tN
, AB
, C, P
, EC
ompe
tent
CD
4 2.
1.4 (
L1)
Dis
cuss
the
fact
ors
affec
ting
adm
inis
trat
ion
of m
edic
ines
to
child
ren
and
youn
g pe
ople
N, A
B, C
, P, E
Com
pete
nt
CD
4 2.
1.5 (
L1)
Des
crib
e ho
w to
find
add
ition
al in
form
atio
n ab
out
med
icin
es fo
r ch
ildre
nN
, AB
, C, P
, EC
ompe
tent
CD
4 2.
1.6 (
L1)
Des
crib
e no
n-ph
arm
acol
ogic
al p
ain
man
agem
ent
stra
tegi
esN
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 2.
2.1 (
L1)
Dem
onst
rate
a s
yste
mat
ic m
etho
d of
pai
n as
sess
men
t of
chi
ldre
n an
d yo
ung
peop
le u
sing
app
ropr
iate
tool
sN
, AB
, C, P
, EC
ompe
tent
CD
4 2.
2.2
(L1)
Dem
onst
rate
non
-pha
rmac
olog
ical
met
hods
of p
ain
man
agem
ent
for
child
ren
N, A
B, C
, P, E
Com
pete
nt
CD
4 2.
2.3
(L1)
Dem
onst
rate
wei
ght-
base
d dr
ug c
alcu
latio
ns fo
r ch
ildre
nN
, AB
, C, P
, EC
ompe
tent
CD
4 2.
2.4
(L1)
Whe
re a
vaila
ble
loca
lly, u
se P
GD
s ap
prop
riate
ly to
adm
inis
ter
timel
y an
alge
sia
to c
hild
ren
N, A
B, C
, P, E
Com
pete
nt
CD
4 2.
2.5
(L1)
Dem
onst
rate
eff
ectiv
e st
rate
gies
for
safe
adm
inis
trat
ion
of
anal
gesi
a to
chi
ldre
n vi
a a
varie
ty o
f rou
tes:
• or
al
• re
ctal
• in
tran
asal
• in
hale
d
• in
trav
enou
s
• to
pica
l
N, A
B, C
, P, E
Com
pete
nt
CD
4 2.
2.6
(L1)
Dem
onst
rate
eva
luat
ion
of p
ain
afte
r in
terv
entio
ns a
nd re
spon
d ap
prop
riate
lyN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 74
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
174
CO
MP
ET
EN
CIE
S: N
AT
ION
AL
CU
RR
ICU
LUM
AN
D C
OM
PE
TE
NC
Y F
RA
ME
WO
RK
FO
R E
ME
RG
EN
CY
NU
RS
ING
(LE
VE
L 1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.3
– C
hild
ren
req
uiri
ng r
esus
cita
tio
n –
Leve
l 1C
are
holis
tical
ly fo
r ch
ildre
n re
quiri
ng re
susc
itatio
n
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 3.
1.1 (
L1)
Des
crib
e th
e si
gns
and
sym
ptom
s of
the
chi
ld w
ith im
pend
ing
or
actu
al re
spira
tory
failu
re o
r ci
rcul
ator
y co
mpr
omis
e N
, AB
, C, P
, EC
ompe
tent
CD
4 3.
1.2 (
L1)
Des
crib
e th
e em
erge
ncy
trea
tmen
t fo
r:
• ai
rway
obs
truc
tion
• an
aphy
laxi
s
• re
spira
tory
failu
re
• ci
rcul
ator
y co
mpr
omis
e in
clud
ing
hypo
vola
emic
sho
ck
• se
psis
• th
e fit
ting
child
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
1.3 (
L1)
Des
crib
e th
e ba
sic
life
supp
ort
guid
elin
es fo
r ne
onat
es, i
nfan
ts a
nd
child
ren
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
1.4 (
L1)
Und
erst
and
adva
nced
life
sup
port
gui
delin
es fo
r in
fant
s an
d ch
ildre
n in
car
diac
arr
est
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
4 3.
1.5 (
L1)
Des
crib
e th
e ro
les
of t
he p
aedi
atric
resu
scita
tion
team
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
1.6 (
L1)
Des
crib
e si
gns
of p
ossi
ble
emot
iona
l dis
tres
s in
sel
f and
/or
colle
ague
s w
hen
carin
g fo
r a
criti
cally
ill o
r in
jure
d ch
ild a
nd k
now
ho
w to
acc
ess
supp
ort
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 3.
2.1 (
L1)
Iden
tify
resp
irato
ry fa
ilure
, circ
ulat
ory
com
prom
ise
and
card
iac
arre
st in
chi
ldre
n an
d re
spon
d ap
prop
riate
lyN
, AB
, C, P
, EC
ompe
tent
CD
4 3.
2.2
(L1)
Rec
ogni
se a
fitt
ing
child
and
sum
mon
s ap
prop
riate
hel
p an
d in
stig
ate
imm
edia
te a
irway
man
agem
ent
if ne
eded
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
2.3
(L1)
Perf
orm
bas
ic li
fe s
uppo
rt in
neo
nate
s, in
fant
s an
d ch
ildre
n sa
fely
an
d eff
ectiv
ely
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
2.4
(L1)
Func
tion
as a
mem
ber
of t
he re
susc
itatio
n te
amN
, AB
, C, P
, EC
ompe
tent
CD
4 3.
2.5
(L1)
Dem
onst
rate
pro
vide
r st
atus
of P
aedi
atric
Inte
rmed
iate
Life
Su
ppor
t (o
r eq
uiva
lent
)N
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 75
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 3.
2.6
(L1)
Loca
te e
quip
men
t an
d im
plem
ent
age-
appr
opria
te e
mer
genc
y ai
rway
man
agem
ent,
to in
clud
e th
e fo
llow
ing:
• m
anua
l man
oeuv
res
• in
sert
ion
of o
roph
aryn
geal
airw
ay
• in
sert
ion
of n
asop
hary
ngea
l airw
ay
• us
e of
oro
phar
ynge
al s
uctio
ning
• ox
ygen
sat
urat
ion
mon
itorin
g
• ox
ygen
the
rapy
• ne
bulis
er t
hera
py
• tw
o-pe
rson
bag
-val
ve-m
ask
vent
ilatio
n
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
2.7
(L1)
Loca
te e
quip
men
t an
d im
plem
ent
emer
genc
y ci
rcul
ator
y su
ppor
t, to
incl
ude
the
follo
win
g:
• pr
epar
atio
n of
equ
ipm
ent
for
intr
aven
ous
or in
trao
sseo
us
cann
ulat
ion
• ab
ility
to c
alcu
late
wei
ght-
base
d flu
id b
olus
es
• ad
min
istr
atio
n of
pre
scrib
ed m
edic
atio
ns, i
nclu
ding
flui
d th
erap
y
N, A
B, C
, P, E
Com
pete
nt
CD
4 3.
2.8
(L1)
Dem
onst
rate
aw
aren
ess
of o
wn
emot
ions
whe
n ca
ring
for
child
ren
and
fam
ilies
and
see
k su
ppor
t w
hen
need
edN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 76
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.4
– C
arin
g f
or
acut
ely
ill c
hild
ren
– Le
vel 1
Car
e ho
listic
ally
for
child
ren
and
youn
g pe
ople
pre
sent
ing
with
acu
te il
lnes
s
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 4.
1.1 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
pat
hoph
ysio
logy
and
as
soci
ated
sig
ns a
nd s
ympt
oms
of c
omm
on re
spira
tory
illn
esse
s in
ch
ildre
n. F
or e
xam
ple:
• br
onch
iolit
is
• cr
oup
• as
thm
a
• pn
eum
onia
N, A
B, C
, P, E
Com
pete
nt
CD
4 4.
1.2 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
pat
hoph
ysio
logy
and
as
soci
ated
sig
ns a
nd s
ympt
oms
of c
omm
on g
astr
oint
estin
al
pres
enta
tions
in c
hild
ren.
For
exa
mpl
e:
• ga
stro
ente
ritis
• co
nstip
atio
n
• sw
allo
wed
fore
ign
body
• ap
pend
iciti
s
N, A
B, C
, P, E
Com
pete
nt
CD
4 4.
1.3 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
pat
hoph
ysio
logy
and
as
soci
ated
sig
ns a
nd s
ympt
oms
of c
omm
on n
euro
logi
cal
pres
enta
tions
in c
hild
ren.
For
exa
mpl
e:
• he
ad in
jury
• fe
brile
con
vuls
ions
• ep
ileps
y
N, A
B, C
, P, E
Com
pete
nt
CD
4 4.
1.4 (
L1)
Dem
onst
rate
an
unde
rsta
ndin
g of
the
pat
hoph
ysio
logy
and
as
soci
ated
sig
ns a
nd s
ympt
oms
of c
omm
on e
ndoc
rine
pres
enta
tions
in c
hild
ren.
For
exa
mpl
e:
• di
abet
es, i
nclu
ding
DK
A
• hy
pogl
ycae
mia
N, A
B, C
, P, E
Com
pete
nt
CD
4 4.
1.5 (
L1)
Des
crib
e th
e as
sess
men
t an
d ca
re o
f a c
hild
with
feve
r of
unk
now
n or
igin
with
refe
renc
e to
nat
iona
l and
loca
l gui
delin
esN
, AB
, C, P
, EC
ompe
tent
CD
4 4.
1.6 (
L1)
Des
crib
e w
hen
a ch
ild m
ay n
eed
nurs
ing
in a
n en
viro
nmen
t aw
ay
from
oth
er p
atie
nts
due
to re
duce
d im
mun
ityN
, AB
, C, P
, EC
ompe
tent
CD
4 4.
1.7 (
L1)
Des
crib
e w
hen
a ch
ild m
ay n
eed
nurs
ing
in a
n en
viro
nmen
t aw
ay
from
oth
er p
atie
nts
to p
reve
nt s
prea
d of
infe
ctio
nN
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 77
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 4.
2.1 (
L1)
Impl
emen
t cl
inic
al c
are
(fol
low
ing
loca
l and
nat
iona
l gui
danc
e) fo
r in
fant
s, c
hild
ren
and
adol
esce
nts
pres
entin
g w
ith:
• re
spira
tory
pro
blem
s
• ga
stro
inte
stin
al p
robl
ems
• EN
T pr
oble
ms
• ne
urol
ogic
al p
robl
ems
• en
docr
ine
prob
lem
s
• in
fect
ious
dis
ease
s
N, A
B, C
, P, E
Com
pete
nt
CD
4 4.
2.2
(L1)
Giv
e ap
prop
riate
dis
char
ge a
dvic
e to
car
ers
of c
hild
ren
who
hav
e pr
esen
ted
with
illn
ess,
incl
udin
g ‘s
afet
y-ne
ttin
g’ o
f whe
n to
retu
rnN
, AB
, C, P
, EC
ompe
tent
CD
4 4.
2.3
(L1)
Dem
onst
rate
abi
lity
to a
sses
s an
d ca
re fo
r ch
ildre
n w
ith fe
ver
of
unkn
own
orig
in. I
nclu
ding
:
• re
gula
r re
cord
ing
of v
ital s
igns
and
ear
ly w
arni
ng s
core
ca
lcul
atio
ns w
ith a
ppro
pria
te e
scal
atio
n of
con
cern
s
• as
sess
men
t fo
r si
gns
of m
enin
gism
, deh
ydra
tion
or s
epsi
s
• co
nduc
ting
urin
alys
is w
ith in
terp
reta
tion
of re
sults
• en
surin
g ad
equa
te fl
uid
inta
ke
• ad
here
nce
to lo
cal a
nti-
pyre
tic in
terv
entio
ns
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 78
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.5
– C
hild
ren
wit
h m
ino
r in
juri
es a
nd li
mb
pro
ble
ms
– Le
vel 1
Car
e ho
listic
ally
for
child
ren
and
youn
g pe
ople
pre
sent
ing
with
min
or in
jurie
s an
d lim
b pr
oble
ms
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 5.
1.1 (
L1)
Und
erst
and
the
sign
s, s
ympt
oms
and
path
ophy
siol
ogy
of c
omm
on
uppe
r lim
b pr
esen
tatio
ns in
chi
ldre
n. F
or e
xam
ple:
• pu
lled
elbo
w
• up
per
limb
frac
ture
s (i
nclu
ding
the
cla
vicl
e)
• up
per
limb
spra
in
• in
jurie
s to
the
han
d an
d di
gits
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.2 (
L1)
Und
erst
and
the
sign
s, s
ympt
oms
and
path
ophy
siol
ogy
of c
omm
on
low
er li
mb
pres
enta
tions
in c
hild
ren.
For
exa
mpl
e:
• th
e lim
ping
chi
ld
• lo
wer
lim
b fr
actu
res
• lo
wer
lim
b sp
rain
s
• in
jurie
s to
the
foot
and
toes
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.3 (
L1)
Des
crib
e th
e si
gns
and
sym
ptom
s of
bra
in in
jury
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.4 (
L1)
Und
erst
and
the
path
ophy
siol
ogy
of w
ound
s an
d bu
rns
in c
hild
ren,
sp
ecifi
cally
in re
latio
n to
the
are
a an
d de
pth
of in
jury
, and
the
in
volv
emen
t of
ass
ocia
ted
stru
ctur
es
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.5 (
L1)
Und
erst
and
the
prin
cipl
es o
f wou
nd a
nd b
urn
asse
ssm
ent
and
desc
ribe
sign
s re
quiri
ng im
med
iate
esc
alat
ion
and
inte
rven
tion
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.6 (
L1)
Des
crib
e th
e w
ound
and
bur
n he
alin
g pr
oces
ses
and
the
fact
ors
that
may
aff
ect
thes
e in
chi
ldre
nN
, AB
, C, P
, EC
ompe
tent
CD
4 5.
1.7 (
L1)
Des
crib
e lo
cal,
regi
onal
and
nat
iona
l gui
delin
es re
latin
g to
wou
nd
and
burn
ass
essm
ent
and
man
agem
ent
in c
hild
ren,
incl
udin
g cr
iteria
for
refe
rral
to te
rtia
ry s
ervi
ces
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
1.8 (
L1)
Und
erst
and
how
the
pre
senc
e of
min
or in
jurie
s m
ay g
ive
rise
to
safe
guar
ding
con
cern
s (s
ee C
CT6
)N
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 5.
2.1 (
L1)
Perf
orm
and
doc
umen
t ne
urov
ascu
lar
obse
rvat
ions
on
limbs
dis
tal
to in
jury
site
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.2
(L1)
Initi
ate
imm
edia
te fi
rst
aid
to w
ound
s/bu
rns
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 79
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
17
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 5.
2.3
(L1)
Splin
t up
per
and
low
er li
mbs
in c
hild
ren,
sel
ectin
g ap
prop
riate
eq
uipm
ent
for
anat
omic
al a
rea
and
size
of c
hild
, inc
ludi
ng u
se o
f Pl
aste
r of
Par
is c
asts
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.4
(L1)
Acc
urat
ely
asse
ss t
he s
ize
of a
bur
n or
wou
nd in
a c
hild
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.5
(L1)
Sele
ct a
nd a
pply
app
ropr
iate
dre
ssin
gs fo
r w
ound
s an
d bu
rns
in
child
ren
follo
win
g lo
cal g
uide
lines
and
pol
icie
sN
, AB
, C, P
, EC
ompe
tent
CD
4 5.
2.6
(L1)
Rec
ogni
se s
igns
or
sym
ptom
s of
bra
in in
jury
whe
n ch
ildre
n pr
esen
t fo
llow
ing
a se
emin
gly
min
or h
ead
inju
ry, a
nd re
port
co
ncer
ns a
ppro
pria
tely
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.7
(L1)
Dem
onst
rate
abi
lity
to s
elec
t an
d ap
ply
appr
opria
te w
ound
clo
sure
te
chni
ques
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.8
(L1)
Prov
ide
appr
opria
te d
isch
arge
adv
ice
to c
hild
ren
and
thei
r fa
mili
es
follo
win
g tr
eatm
ent
for
a w
ound
or
burn
, inc
ludi
ng w
hen
to s
eek
urge
nt c
linic
al a
tten
tion
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.9
(L1)
Prov
ide
appr
opria
te d
isch
arge
adv
ice
to c
hild
ren
and
thei
r fa
mili
es
follo
win
g tr
eatm
ent
of a
lim
b in
jury
, inc
ludi
ng w
hen
to s
eek
urge
nt
clin
ical
att
entio
n
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.10
(L1
)Pr
ovid
e ap
prop
riate
dis
char
ge a
dvic
e to
chi
ldre
n an
d th
eir
fam
ilies
fo
llow
ing
trea
tmen
t of
a h
ead
inju
ry, i
nclu
ding
whe
n to
see
k ur
gent
clin
ical
att
entio
n
N, A
B, C
, P, E
Com
pete
nt
CD
4 5.
2.11
(L1
)C
omm
unic
ate
appr
opria
te s
afet
y/he
alth
pro
mot
iona
l adv
ice
to
child
ren
and
thei
r fa
mili
esN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 80
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 –
Car
ing
fo
r ch
ildre
n an
d y
oun
g p
eop
le –
Lev
el 1
CD
4.6
– P
sych
olo
gic
al a
nd m
enta
l hea
lth
asp
ects
of
care
of
child
ren
– Le
vel 1
(al
so s
ee C
D5.
1)Pr
ovid
e sa
fe p
sych
olog
ical
and
men
tal h
ealth
car
e fo
r ch
ildre
n an
d yo
ung
peop
le
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 6.
1.1 (
L1)
Dis
cuss
the
role
of p
lay
in re
latio
n to
nor
mal
dev
elop
men
tN
, AB
, C, P
, EC
ompe
tent
CD
4 6.
1.2 (
L1)
Dis
cuss
the
role
of p
lay
in t
he a
sses
smen
t an
d m
anag
emen
t of
ch
ildre
n pr
esen
ting
to h
ospi
tal
N, A
B, C
, P, E
Com
pete
nt
CD
4 6.
1.3 (
L1)
Des
crib
e fa
ctor
s th
at m
ay c
ontr
ibut
e to
fear
in c
hild
ren
of v
ario
us
deve
lopm
enta
l sta
ges
N, A
B, C
, P, E
Com
pete
nt
CD
4 6.
1.4 (
L1)
Und
erst
and
the
beha
viou
ral a
nd p
sych
olog
ical
sym
ptom
s th
at
may
be
expe
rienc
ed b
y ch
ildre
n w
ith m
enta
l hea
lth is
sues
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
4 6.
1.5 (
L1)
Und
erst
and
the
com
mon
men
tal h
ealth
pro
blem
s aff
ectin
g ch
ildre
n an
d yo
ung
peop
le in
clud
ing:
• de
pres
sion
• an
xiet
y
• su
icid
e id
eatio
n
• se
lf-ha
rm
• ea
ting
diso
rder
s
• ps
ycho
sis
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
4 6.
1.6 (
L1)
Und
erst
and
the
prin
cipl
es o
f a s
uici
de/s
elf-
harm
ris
k as
sess
men
t w
ith a
you
ng p
erso
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
4 6.
1.7 (
L1)
Des
crib
e lo
cal C
hild
and
Ado
lesc
ent
Men
tal H
ealth
Ser
vice
s (C
AM
HS)
for
youn
g pe
ople
N, A
B, C
, P, E
Com
pete
nt
CD
4 6.
1.8 (
L1)
Dis
cuss
the
use
of t
he M
enta
l Hea
lth A
ct w
ith c
hild
ren
and
youn
g pe
ople
(or
cou
ntry
equ
ival
ent)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
4 6.
1.9 (
L1)
Des
crib
e lo
cal a
lcoh
ol a
nd s
ubst
ance
mis
use
serv
ices
for
child
ren
and
youn
g pe
ople
N, A
B, C
, P, E
Com
pete
nt
CD
4 6.
1.10
(L1
)R
ecog
nise
the
ass
ocia
tion
betw
een
men
tal h
ealth
pro
blem
s in
ch
ildre
n an
d po
tent
ial s
afeg
uard
ing
issu
es (
see
CCT6
)N
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
4 6.
2.1 (
L1)
Dem
onst
rate
the
app
ropr
iate
use
of d
istr
actio
n m
etho
ds in
ch
ildre
n of
var
ious
dev
elop
men
tal s
tage
sN
, AB
, C, P
, EC
ompe
tent
CD
4 6.
2.2
(L1)
Dem
onst
rate
the
use
of p
lay
as p
art
of t
he a
sses
smen
t an
d m
anag
emen
t of
chi
ldre
n pr
esen
ting
with
illn
ess
or in
jury
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 81
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
4 6.
2.3
(L1)
Dem
onst
rate
eff
ectiv
e co
mm
unic
atio
n an
d in
tera
ctio
n st
rate
gies
w
ith b
oth
child
ren
and
thei
r fa
mili
esN
, AB
, C, P
, EC
ompe
tent
CD
4 6.
2.4
(L1)
Iden
tify
youn
g pe
ople
who
pre
sent
with
a h
igh
risk
of h
arm
to s
elf
or o
ther
s an
d es
cala
te to
sen
ior
clin
icia
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
4 6.
2.5
(L1)
Dem
onst
rate
com
pass
ion
and
empa
thy
for
youn
g pe
ople
and
the
ir fa
mili
es w
ho p
rese
nt w
ith m
enta
l hea
lth c
once
rns
N, A
B, C
, P, E
Com
pete
nt
CD
4 6.
2.6
(L1)
Mak
e ap
prop
riate
refe
rral
s to
loca
l alc
ohol
and
sub
stan
ce m
isus
e se
rvic
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
4 6.
2.7
(L1)
Liai
se w
ith lo
cal C
AM
Hs
as p
er lo
cal g
uide
lines
whe
n ap
prop
riate
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
4 6.
2.8
(L1)
Inst
igat
e sa
fegu
ardi
ng in
terv
entio
ns a
s pe
r lo
cal p
olic
y fo
r ch
ildre
n w
ith m
enta
l hea
lth a
nd/o
r su
bsta
nce
mis
use
prob
lem
sN
, AB
, C, P
, EC
ompe
tent
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 82
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
peo
ple
wit
h m
enta
l he
alth
nee
ds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Whipps Cross Hospital
Section 3 - 83
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
5 –
Car
ing
fo
r p
eop
le w
ith
men
tal h
ealt
h ne
eds
– Le
vel 1
CD
5.1
– A
sses
sing
ad
ults
wit
h m
enta
l hea
lth
pro
ble
ms
– Le
vel 1
(fo
r ch
ildre
n an
d y
oun
g p
eop
le s
ee C
D4
.6)
Hol
istic
ally
and
sys
tem
atic
ally
ass
ess
adul
ts w
ith m
enta
l hea
lth p
robl
ems
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 1.1
.1 (L
1)D
iscu
ss fa
ctor
s th
at in
fluen
ce m
enta
l hea
lth a
nd p
sych
olog
ical
w
ellb
eing
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.2 (
L1)
Und
erst
and
the
beha
viou
ral a
nd p
sych
olog
ical
sym
ptom
s th
at
may
be
expe
rienc
ed b
y pa
tient
s w
ith m
enta
l hea
lth is
sues
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.3 (
L1)
Dis
cuss
how
men
tal h
ealth
pro
blem
s m
ay im
pact
on
the
indi
vidu
al’s
abi
lity
to c
omm
unic
ate
effec
tivel
y an
d ho
w t
his
may
im
pair
men
tal c
apac
ity
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.4 (
L1)
Des
crib
e as
sess
men
t fr
amew
orks
and
tool
s us
ed to
sup
port
em
erge
ncy
men
tal h
ealth
ass
essm
ent
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.5 (
L1)
Des
crib
e th
e si
gns
and
sym
ptom
s of
the
com
mon
men
tal i
llnes
ses,
in
clud
ing:
• de
pres
sion
• an
xiet
y
• ea
ting
diso
rder
s
• bi
pola
r di
sord
er
• sc
hizo
phre
nia
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.6 (
L1)
Und
erst
and
the
sign
s or
sym
ptom
s of
men
tal i
llnes
s th
at re
quire
im
med
iate
or
urge
nt in
terv
entio
nN
, AB
, C, P
, EC
ompe
tent
CD
5 1.1
.7 (
L1)
Dis
cuss
the
cor
rela
tion
betw
een
men
tal h
ealth
con
ditio
ns a
nd
phys
iolo
gica
l con
ditio
ns, a
ppre
ciat
ing
how
one
may
man
ifest
as
the
othe
r
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 1.1
.8 (
L1)
Und
erst
and
the
use
of t
he M
enta
l Hea
lth A
ct (
or le
gisl
atio
n in
co
untr
y of
pra
ctic
e) in
the
em
erge
ncy
care
set
ting
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 1.1
.9 (
L1)
Und
erst
and
how
em
otio
nal d
istr
ess
may
resu
lt in
ver
bal a
nd/o
r ph
ysic
al v
iole
nce.
Des
crib
e pr
inci
ples
of d
e-es
cala
tion
and
safe
tyN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
5 1.1
.10 (
L1)
Und
erst
and
how
men
tal i
llnes
s m
ay im
pair
a pa
tient
’s a
bilit
y to
sa
fegu
ard
them
selv
esN
, AB
, C, P
, EC
ompe
tent
CD
5 1.1
.11 (
L1)
Und
erst
and
how
acu
te m
enta
l illn
ess
may
impa
ir th
e ab
ility
of
patie
nts
to c
are
adeq
uate
ly fo
r de
pend
ents
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.1
.12 (
L1)
Des
crib
e lo
cal p
olic
y fo
r re
port
ing
and
esca
latin
g co
ncer
ns o
f a
‘mis
sing
/abs
cond
ed p
atie
nt’
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 84
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 1.2
.1 (L
1)U
se a
str
uctu
red
appr
oach
to in
itial
ly a
sses
s an
d pr
iorit
ise
patie
nts
pres
entin
g w
ith a
cute
men
tal h
ealth
pro
blem
s (t
riage
). U
se a
lo
cally
agr
eed
asse
ssm
ent
tool
(s),
tak
ing
appr
opria
te s
teps
to
mai
ntai
n sa
fety
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.2
.2 (
L1)
Eval
uate
pat
ient
beh
avio
ur in
rela
tions
hip
to a
ctua
l and
/or
pote
ntia
l ris
k of
har
m to
sel
f or
othe
rs a
nd t
ake
actio
n to
miti
gate
th
e ris
k
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 1.2
.3 (
L1)
Rec
ogni
se w
hen
a pa
tient
pre
sent
ing
with
a p
hysi
cal i
llnes
s m
ay
be e
xper
ienc
ing
sym
ptom
s of
a m
enta
l illn
ess
and
repo
rt
appr
opria
tely
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 1.2
.4 (
L1)
Rec
ogni
se w
hen
a pa
tient
pre
sent
ing
with
a m
enta
l hea
lth
prob
lem
may
be
expe
rienc
ing
sym
ptom
s of
a p
hysi
cal i
llnes
s an
d re
port
app
ropr
iate
ly
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 1.2
.5 (
L1)
Use
eff
ectiv
e st
rate
gies
, inc
ludi
ng t
he in
clus
ion
or w
ithdr
awal
of
sign
ifica
nt o
ther
s, to
cal
m h
ighl
y em
otio
nal s
ituat
ions
N, A
B, C
, P, E
Com
pete
nt
CD
5 1.2
.6 (
L1)
Act
in li
ne w
ith lo
cal p
olic
y to
saf
egua
rd p
atie
nts
with
men
tal
illne
ssN
, AB
, C, P
, EC
ompe
tent
CD
5 1.2
.7 (
L1)
Act
in li
ne w
ith lo
cal p
olic
y to
saf
egua
rd d
epen
dent
s of
pat
ient
s w
ith im
paire
d ab
ility
to d
o so
the
mse
lves
N
, AB
, C, P
, EC
ompe
tent
Whipps Cross Hospital
Section 3 - 85
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
5C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
5 –
Car
ing
fo
r p
eop
le w
ith
men
tal h
ealt
h ne
eds
– Le
vel 1
CD
5.2
– Se
lf-h
arm
– L
evel
1C
are
holis
tical
ly fo
r pa
tient
s pr
esen
ting
with
sel
f-ha
rm
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 2.
1.1 (
L1)
Dis
cuss
nat
iona
l gui
danc
e on
man
agem
ent
of s
elf-
harm
pat
ient
s an
d im
plic
atio
ns fo
r lo
cal p
ract
ice
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 2.
1.2 (
L1)
Und
erst
and
the
phys
ical
man
agem
ent
of s
elf-
pois
onin
g an
d se
lf-in
jury
N, A
B, C
, P, E
Com
pete
nt
CD
5 2.
1.3 (
L1)
Dis
cuss
the
issu
es s
urro
undi
ng re
peat
ed a
tten
danc
e fo
r se
lf-ha
rmN
, AB
, C, P
, EC
ompe
tent
CD
5 2.
1.4 (
L1)
Und
erst
and
the
nurs
ing
care
requ
ired
for
a pa
tient
with
dru
g to
xici
tyN
, AB
, C, P
, EC
ompe
tent
CD
5 2.
1.5 (
L1)
Dis
cuss
the
nee
d fo
r a
timel
y m
enta
l hea
lth a
sses
smen
tN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
5 2.
1.6 (
L1)
Und
erst
and
loca
l pro
cess
es a
nd p
athw
ays
for
ensu
ring
patie
nts
with
sel
f-ha
rm re
ceiv
e fo
rmal
psy
cho-
soci
al a
sses
smen
tN
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 2.
2.1 (
L1)
Enga
ge w
ith e
mpa
thy
and
dign
ity to
pat
ient
s w
ho h
ave
se
lf-ha
rmed
(an
d th
eir
fam
ilies
) N
, AB
, C, P
, EC
ompe
tent
CD
5 2.
2.2
(L1)
Use
a s
truc
ture
d ap
proa
ch to
initi
ally
ass
ess
patie
nts
who
pre
sent
fo
llow
ing
self-
harm
, and
ass
ign
appr
opria
te p
riorit
y us
ing
a lo
cally
ap
prov
ed s
yste
m
N, A
B, C
, P, E
Com
pete
nt
CD
5 2.
2.3
(L1)
Inst
igat
e fir
st a
id fo
r si
gnifi
cant
inju
ries
N, A
B, C
, P, E
Com
pete
nt
CD
5 2.
2.4
(L1)
Ensu
re s
enio
r cl
inic
ians
are
ale
rted
to p
atie
nts
requ
iring
imm
edia
te
trea
tmen
t fo
r in
jury
or
self-
pois
onin
gN
, AB
, C, P
, EC
ompe
tent
CD
5 2.
2.5
(L1)
Use
loca
lly a
ppro
ved
path
way
s an
d gu
idel
ines
whe
n ca
ring
for
patie
nts
with
sel
f-ha
rm, i
nclu
ding
loca
l mis
sing
per
son
guid
ance
N, A
B, C
, P, E
Com
pete
nt
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 86
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
6C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
5 –
Car
ing
fo
r p
eop
le w
ith
men
tal h
ealt
h ne
eds
– Le
vel 1
CD
5.3
– P
atie
nts
wit
h al
coho
l pro
ble
ms
– Le
vel 1
Car
e ho
listic
ally
for
patie
nts
pres
entin
g w
ith p
robl
ems
rela
ting
to a
lcoh
ol o
r su
bsta
nce
mis
use
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 3.
1.1 (
L1)
Und
erst
and
the
impa
ct o
f alc
ohol
or
subs
tanc
e m
isus
e on
bot
h ph
ysic
al a
nd m
enta
l hea
lthN
, AB
, C, P
, EC
ompe
tent
CD
5 3.
1.2 (
L1)
Und
erst
and
the
med
ical
con
ditio
ns t
hat
may
man
ifest
as
into
xica
tion
N, A
B, C
, P, E
Com
pete
nt
CD
5 3.
1.3 (
L1)
Und
erst
and
how
alc
ohol
or
subs
tanc
e m
isus
e m
ay a
ffec
t m
enta
l ca
paci
ty a
nd t
he im
plic
atio
ns o
n nu
rsin
g ca
reN
, AB
, C, P
, EC
ompe
tent
CD
5 3.
1.4 (
L1)
Des
crib
e th
e si
gns
and
sym
ptom
s of
acu
te a
lcoh
ol w
ithdr
awal
and
un
ders
tand
the
em
erge
ncy
man
agem
ent
N, A
B, C
, P, E
Com
pete
nt
CD
5 3.
1.5 (
L1)
Des
crib
e lo
cal a
lcoh
ol a
nd s
ubst
ance
mis
use
serv
ices
and
the
ir re
ferr
al p
roce
sses
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
5 3.
2.1 (
L1)
Use
a s
truc
ture
d ap
proa
ch to
ass
ess
and
man
age
patie
nts
pres
entin
g w
ith a
lcoh
ol o
r su
bsta
nce
with
draw
al s
ympt
oms
N, A
B, C
, P, E
Com
pete
nt
CD
5 3.
2.2
(L1)
Use
a s
truc
ture
d ap
proa
ch to
ass
ess
and
man
age
patie
nts
pres
entin
g w
ith a
cute
alc
ohol
or
subs
tanc
e in
toxi
catio
nN
, AB
, C, P
, EC
ompe
tent
CD
5 3.
2.3
(L1)
Use
loca
lly a
ppro
ved
asse
ssm
ent
tool
s an
d pa
thw
ays
for
alco
hol
depe
nden
ce, a
lcoh
ol in
toxi
catio
n an
d al
coho
l with
draw
al
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
5 3.
2.4
(L1)
Prov
ide
effec
tive
clin
ical
car
e to
pat
ient
s w
ith a
lcoh
ol o
r su
bsta
nce
depe
nden
ce, i
ntox
icat
ion
or w
ithdr
awal
N, A
B, C
, P, E
Com
pete
nt
CD
5 3.
2.5
(L1)
Mak
e ap
prop
riate
refe
rral
s to
loca
l alc
ohol
and
sub
stan
ce m
isus
e se
rvic
esN
, AB
, C, P
, EA
dvan
ced
begi
nner
Whipps Cross Hospital
Section 3 - 87
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
7C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
C
arin
g f
or
old
er p
eop
le
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 88
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
8C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
6 –
Car
ing
fo
r o
lder
peo
ple
– L
evel
1
CD
6.1
– A
sses
sing
old
er p
eop
le –
Lev
el 1
Hol
istic
ally
and
sys
tem
atic
ally
ass
ess
the
need
s of
the
old
er p
erso
n
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 1.1
.1 (L
1)U
nder
stan
d th
e an
atom
ical
and
phy
siol
ogic
al c
hang
es in
the
old
er
adul
t N
, AB
, C, P
, EC
ompe
tent
CD
6 1.1
.2 (
L1)
Und
erst
and
frai
lty a
nd it
s im
pact
on
olde
r ad
ults
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.1
.3 (
L1)
Und
erst
and
the
impa
ct o
f psy
chol
ogic
al a
nd/o
r so
cial
influ
ence
s on
the
old
er a
dult
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.1
.4 (
L1)
Und
erst
and
how
the
age
ing
proc
ess
impa
cts
on t
he b
ody’
s ab
ility
to
com
pens
ate
for
illne
ss a
nd in
jury
N
, AB
, C, P
, EC
ompe
tent
CD
6 1.1
.5 (
L1)
Und
erst
and
how
the
age
ing
proc
ess
influ
ence
s ph
arm
acol
ogy
in
olde
r ad
ults
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 1.1
.6 (
L1)
Und
erst
and
the
impa
ct o
f pol
ypha
rmac
y in
old
er a
dults
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 1.1
.7 (
L1)
Dis
cuss
qua
lity
stan
dard
s to
be
follo
wed
whe
n ca
ring
for
olde
r pe
ople
in t
he e
mer
genc
y ca
re s
ettin
g (e
.g. S
ilver
Boo
k)N
, AB
, C, P
, EC
ompe
tent
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 1.2
.1 (L
1)C
ondu
ct a
sys
tem
atic
initi
al a
sses
smen
t of
the
old
er p
erso
n an
d pr
iorit
ise
care
app
ropr
iate
ly (
tria
ge)
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.2
.2 (
L1)
Rec
ogni
se a
nd re
spon
d ap
prop
riate
ly to
the
follo
win
g co
mm
on
cond
ition
s in
an
olde
r ad
ult:
• Se
psis
• de
liriu
m
• po
stur
al h
ypot
ensi
on
• de
hydr
atio
n
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.2
.3 (
L1)
Con
duct
a fa
lls r
isk
asse
ssm
ent
and
docu
men
t su
bseq
uent
nur
sing
ca
re p
lan
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.2
.4 (
L1)
Con
duct
a p
ress
ure
area
ris
k as
sess
men
t an
d do
cum
ent
a su
bseq
uent
nur
sing
car
e pl
anN
, AB
, C, P
, EC
ompe
tent
CD
6 1.2
.5 (
L1)
Ass
ess
cont
inen
ce a
nd p
lan
appr
opria
te c
are
N, A
B, C
, P, E
Com
pete
nt
CD
6 1.2
.6 (
L1)
Ass
ess
nutr
ition
al a
nd fl
uid
requ
irem
ents
and
pro
vide
app
ropr
iate
as
sist
ance
whe
re n
eede
dN
, AB
, C, P
, EC
ompe
tent
CD
6 1.2
.7 (
L1)
Dem
onst
rate
abi
lity
to a
sses
s th
e ol
der
adul
t fo
r fr
ailty
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 89
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
18
9C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
6 –
Car
ing
fo
r o
lder
peo
ple
– L
evel
1
CD
6.2
– P
sych
olo
gic
al a
nd s
oci
al c
are
of
old
er a
dul
ts –
Lev
el 1
Ensu
re t
he p
rovi
sion
of h
olis
tic p
sych
olog
ical
and
soc
ial c
are
for
olde
r pe
ople
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 2.
1.1 (
L1)
Und
erst
and
the
appl
icat
ion
of t
he M
enta
l Cap
acity
Act
, inc
ludi
ng
the
role
of t
he In
depe
nden
t M
enta
l Cap
acity
Adv
ocat
e (o
r eq
uiva
lent
in c
ount
ry o
f pra
ctic
e) (
also
see
GN
P7)
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
1.2 (
L1)
Und
erst
and
the
Prin
cipl
es o
f Dep
rivat
ion
of L
iber
ty S
afeg
uard
s (D
oLS)
or
the
equi
vale
nt in
cou
ntry
of p
ract
ice
(als
o se
e G
NP7
)N
, AB
, C, P
, EC
ompe
tent
CD
6 2.
1.3 (
L1)
Und
erst
and
safe
guar
ding
prin
cipl
es o
f adu
lts s
peci
fic to
the
old
er
pers
on (
also
see
CC
T6)
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
1.4 (
L1)
Und
erst
and
how
dem
entia
aff
ects
phy
siol
ogic
al, p
sych
olog
ical
and
so
cial
wel
lbei
ng in
pat
ient
s an
d th
eir
fam
ilies
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
1.5 (
L1)
Des
crib
e lo
cal s
uppo
rt s
ervi
ces
for
peop
le w
ith d
emen
tia a
nd
thos
e im
port
ant
to t
hem
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 2.
1.6 (
L1)
Und
erst
and
the
lega
l prin
cipl
es w
hen
som
eone
has
a L
astin
g Po
wer
of A
ttor
ney
(or
coun
try
equi
vale
nt)
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 2.
1.7 (
L1)
Dis
cuss
why
it is
impo
rtan
t to
hav
e di
scus
sion
s w
hich
may
be
dist
ress
ing
and/
or li
fe-c
hang
ing.
For
exa
mpl
e:
• en
d of
life
car
e
• D
NA
CPR
• ab
ility
to li
ve in
depe
nden
tly
• ne
glec
t an
d ab
use
• ab
ility
to d
rive
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 2.
1.8 (
L1)
Des
crib
e th
e po
ssib
le c
ause
s of
acu
te c
onfu
sion
in t
he o
lder
pe
rson
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 2.
2.1 (
L1)
Con
duct
and
doc
umen
t a
men
tal c
apac
ity a
sses
smen
t re
leva
nt to
im
med
iate
nur
sing
car
e re
late
d de
cisi
ons
(e.g
. con
sent
to h
avin
g hy
gien
e ne
eds
met
)
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
2.2
(L1)
Prom
ote
dign
ity w
hen
carin
g fo
r ol
der
adul
ts
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
2.3
(L1)
Iden
tify
sign
s an
d sy
mpt
oms
of p
oten
tial u
ndia
gnos
ed d
emen
tia
and
esca
late
with
in o
wn
heal
th c
are
sett
ing
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 90
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
19
0C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
6 2.
2.4
(L1)
Iden
tify
whe
n ex
istin
g su
ppor
t se
rvic
es (
incl
udin
g un
paid
car
ers)
ar
e un
able
to m
eet
the
need
s of
an
olde
r pe
rson
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 2.
2.5
(L1)
Iden
tify
the
need
for,
and
inst
igat
e, a
soc
ial s
ervi
ces
refe
rral
for
an
olde
r pe
rson
as
appr
opria
te
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 2.
2.6
(L1)
Ass
ess
the
olde
r pe
rson
for
negl
ect
and/
or s
elf-
harm
and
act
as
per
loca
l saf
egua
rdin
g ad
ult
guid
ance
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
2.7
(L1)
Sele
ct a
nd u
se a
ppro
pria
te d
istr
actio
n te
chni
ques
for
olde
r pe
ople
w
ho m
ay b
e ag
itate
d or
dis
tres
sed
N, A
B, C
, P, E
Com
pete
nt
CD
6 2.
2.8
(L1)
Com
mun
icat
e eff
ectiv
ely
with
pat
ient
s w
ho h
ave
sens
ory
impa
irmen
t (a
lso
see
GN
P3)
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 91
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
19
1C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
6 –
Car
ing
fo
r o
lder
peo
ple
– L
evel
1
CD
6.3
– C
riti
cally
ill o
lder
peo
ple
– L
evel
1C
are
holis
tical
ly fo
r cr
itica
lly il
l old
er p
eopl
e (a
lso
see
CD
1 and
CD
2 in
add
ition
to t
he N
atio
nal M
ajor
Tra
uma
Nur
sing
Gro
up c
ompe
tenc
ies)
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 3.
1.1 (
L1)
Und
erst
and
how
alte
red
phys
iolo
gy m
ay m
ask
criti
cal i
llnes
s in
the
ol
der
pers
onN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
6 3.
1.2 (
L1)
Des
crib
e ho
w m
echa
nism
of i
njur
y an
d fr
ailty
rela
te to
act
ual o
r po
tent
ial i
njur
y pa
tter
ns in
the
old
er a
dult
(i.e
. see
min
gly
min
or
mec
hani
sm o
f inj
ury
may
resu
lt in
sig
nific
ant
trau
ma)
N, A
B, C
, P, E
Com
pete
nt
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 3.
2.1 (
L1)
Rec
ogni
se t
he s
igns
of d
eter
iora
tion
in t
he o
lder
per
son
and
esca
late
app
ropr
iate
lyN
, AB
, C, P
, EC
ompe
tent
CD
6 3.
2.2
(L1)
Eval
uate
phy
siol
ogic
al d
ata
with
refe
renc
e to
med
icat
ion
and
co-m
orbi
ditie
s N
, AB
, C, P
, EA
dvan
ced
begi
nner
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 92
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
19
2C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
6 –
Car
ing
fo
r o
lder
peo
ple
– L
evel
1
CD
6.4
– E
nd o
f lif
e ca
re –
Lev
el 1
Prov
ide
dign
ified
hol
istic
end
of l
ife c
are
for
patie
nts
and
thos
e im
port
ant
to t
hem
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 4.
1.1 (
L1)
Des
crib
e th
e pr
inci
ples
of d
ecis
ion
mak
ing
in e
nd o
f life
car
e pl
anni
ngN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
6 4.
1.2 (
L1)
Dis
cuss
the
cha
lleng
es o
f pro
vidi
ng b
oth
antic
ipat
ed e
nd o
f life
ca
re a
nd u
nexp
ecte
d/tr
aum
atic
end
of l
ife c
are
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 4.
1.3 (
L1)
Und
erst
and
loca
l, re
gion
al a
nd n
atio
nal g
uide
lines
and
pro
cedu
res
rela
ting
to e
nd o
f life
car
eN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
6 4.
1.4 (
L1)
Des
crib
e th
e le
gal f
ram
ewor
k ar
ound
adv
ance
d di
rect
ives
in t
he
coun
try
of p
ract
ice
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 4.
1.5 (
L1)
Und
erst
and
the
need
to c
onsi
der
the
pers
on’s
wis
hes
arou
nd
orga
n do
natio
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
6 4.
1.6 (
L1)
Dis
cuss
the
pol
icie
s an
d pr
oced
ures
rela
ting
to t
rans
fer
of t
he
dece
ased
per
son
to t
he m
ortu
ary
and
mee
ting
cultu
ral a
nd
relig
ious
bel
iefs
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
6 4.
2.1 (
L1)
Res
pect
the
wis
hes
of p
eopl
e an
d th
ose
impo
rtan
t to
the
m
rega
rdin
g en
d of
life
car
eN
, AB
, C, P
, EC
ompe
tent
CD
6 4.
2.2
(L1)
Supp
ort
the
care
rs a
nd fa
mili
es o
f pat
ient
s w
ho a
re a
t th
e en
d of
th
eir
life
and
sign
post
the
m to
rele
vant
ber
eave
men
t se
rvic
esN
, AB
, C, P
, EC
ompe
tent
CD
6 4.
2.3
(L1)
Ensu
re c
onte
mpo
rane
ous
docu
men
tatio
n of
dis
cuss
ions
and
in
form
atio
n pr
ovid
ed to
the
pat
ient
and
tho
se im
port
ant
to t
hem
N, A
B, C
, P, E
Com
pete
nt
CD
6 4.
2.4
(L1)
Prov
ide
an a
ppro
pria
te e
nviro
nmen
t fo
r th
e pe
rson
at
the
end
of
life,
mai
ntai
ning
priv
acy,
dig
nity
, mee
ting
spiri
tual
and
cul
tura
l ne
eds
N, A
B, C
, P, E
Com
pete
nt
CD
6 4.
2.5
(L1)
Dis
cuss
with
peo
ple
impo
rtan
t to
the
per
son,
the
ir w
ishe
s re
gard
ing
orga
n do
natio
n an
d co
ntac
t re
leva
nt p
erso
ns to
fa
cilit
ate
this
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
6 4.
2.6
(L1)
Follo
w lo
cal p
roce
dure
s fo
r sa
fe t
rans
fer
of t
he d
ecea
sed
pers
on
to t
he m
ortu
ary
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 93
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
19
3C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
Leve
l 1 c
om
pet
enci
es
Clin
ical
do
mai
ns (
CD
) Le
vel 1
E
mer
gen
cy p
lann
ing
and
dis
aste
r m
anag
emen
t
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 94
CLI
NIC
AL
DO
MA
INS
(CD
) LE
VEL
19
4C
OM
PE
TE
NC
IES
: NA
TIO
NA
L C
UR
RIC
ULU
M A
ND
CO
MP
ET
EN
CY
FR
AM
EW
OR
K F
OR
EM
ER
GE
NC
Y N
UR
SIN
G (
LEV
EL
1)
Con
tent
s
CD
7 –
Em
erg
ency
pla
nnin
g a
nd d
isas
ter
man
agem
ent
– Le
vel 1
CD
7.1
– E
mer
gen
cy p
lann
ing
and
dis
aste
r m
anag
emen
t –
Leve
l 1C
ontr
ibut
e eff
ectiv
ely
to t
he im
plem
enta
tion
of t
he o
rgan
isat
iona
l pla
n in
the
eve
nt o
f a m
ajor
inci
dent
Know
ledg
eSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
7 1.1
.1 (L
1)D
efine
the
term
maj
or in
cide
ntN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
7 1.1
.2 (
L1)
Und
erst
and
the
loca
l maj
or in
cide
nt p
lan
and
how
to a
cces
s it
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
7 1.1
.3 (
L1)
Und
erst
and
tria
ge in
the
con
text
of a
maj
or in
cide
ntN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
7 1.1
.4 (
L1)
Und
erst
and
the
purp
ose
and
loca
tion
of lo
cal s
urvi
vor
rece
ptio
n ce
ntre
sN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
7 1.1
.5 (
L1)
Und
erst
and
the
role
of o
ther
em
erge
ncy
serv
ices
as
part
of t
he
maj
or in
cide
nt p
lan
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
7 1.1
.6 (
L1)
Und
erst
and
com
mun
icat
ion
stra
tegi
es u
sed
durin
g a
maj
or
inci
dent
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
7 1.1
.7 (
L1)
Und
erst
and
the
use
of e
quip
men
t sp
ecifi
c to
maj
or in
cide
nt
man
agem
ent
and
how
to a
cces
s it
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
7 1.1
.8 (
L1)
Und
erst
and
how
to a
cces
s an
d us
e m
ajor
inci
dent
doc
umen
tatio
nN
, AB
, C, P
, EA
dvan
ced
begi
nner
CD
7 1.1
.9 (
L1)
Und
erst
and
the
prin
cipl
es o
f a C
BR
N (
chem
ical
, bio
logi
cal,
radi
olog
ical
, nuc
lear
) in
cide
nt a
nd s
peci
fic m
anag
emen
t of
the
se
even
ts
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
CD
7 1.1
.10 (
L1)
Und
erst
and
the
prin
cipl
es a
nd in
dica
tions
for
deco
ntam
inat
ion,
in
clud
ing
use
of e
quip
men
t an
d pe
rson
nel
N, A
B, C
, P, E
Adv
ance
d be
ginn
er
Skill
sSe
lf-as
sess
men
t (c
ircle
as
appr
opria
te)
Min
imum
sta
ndar
d fo
r ach
ieve
men
tEx
pect
ed d
ate
of a
chie
vem
ent
Evid
ence
sub
mitt
edD
ate
of
com
plet
ion
Leve
l ac
hiev
edM
ento
r sig
n-off
(p
rint a
nd s
ign)
CD
7 1.2
.1 (L
1)D
emon
stra
te a
bilit
y to
saf
ely
appl
y an
d re
mov
e pe
rson
al
prot
ectiv
e eq
uipm
ent
requ
ired
in re
spon
se to
the
spe
cific
inci
dent
N, A
B, C
, P, E
Com
pete
nt
CD
7 1.2
.2 (
L1)
Effec
tivel
y re
spon
d to
inst
ruct
ions
to u
nder
take
spe
cific
tas
ks a
s pa
rt o
f the
team
for
the
dura
tion
of t
he in
cide
ntN
, AB
, C, P
, EC
ompe
tent
CD
7 1.2
.3 (
L1)
Esca
late
con
cern
s if
aske
d to
und
erta
ke t
asks
bey
ond
pers
onal
co
mpe
tenc
eN
, AB
, C, P
, EC
ompe
tent
CD
7 1.2
.4 (
L1)
Iden
tify
and
repo
rt s
ituat
ions
whi
ch m
ay in
dica
te s
erio
us r
isk
to
safe
ty o
f sta
ff o
r pa
tient
sN
, AB
, C, P
, EC
ompe
tent
CD
7 1.2
.5 (
L1)
Und
erta
ke m
ajor
inci
dent
tra
inin
g as
per
loca
l pol
icy
N, A
B, C
, P, E
Com
pete
nt
Whipps Cross Hospital
Section 3 - 95
Th
e R
CN
rep
rese
nts
nu
rses
an
d n
urs
ing
, pro
mo
tes
exce
llen
ce in
pra
ctic
e an
d s
hap
es h
ealt
h p
olic
ies
June
20
17
Rev
iew
dat
e: J
une
2019
R
CN
On
line
ww
w.r
cn.o
rg.u
k
RC
N D
irec
t w
ww
.rcn
.org
.uk/
dir
ect
03
45
772
610
0
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blis
hed
by
the
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aven
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code
: 00
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3
The
Roy
al C
olle
ge o
f Nur
sing
wou
ld li
ke t
o th
ank
NH
S Im
prov
emen
t fo
r it
s su
ppor
t in
the
pro
duct
ion
of t
his
publ
icat
ion.
Go
od
nurs
ing
pra
ctic
e
Pai
nas
sess
men
tan
dm
anag
emen
t
Med
icin
esm
anag
emen
tSa
feg
uard
ing
child
ren
and
ad
ults
Mo
ving
an
d
hand
ling
Pat
ient
asse
ssm
ent
Infe
ctio
np
reve
ntio
nan
dco
ntro
l
Do
cum
enta
tio
nan
d r
eco
rdke
epin
gPre
vent
ing
and
co
ntro
lling
vio
lenc
e an
d
ag
gre
ssio
n
Car
ing
fo
r ch
ildre
n an
d
youn
g p
eop
le
Car
ing
fo
r ac
utel
y ill
ad
ults
Car
ing
fo
r ad
ults
req
uiri
ng
resu
scit
atio
n
Car
ing
fo
r ad
ults
wit
h m
ino
r in
jury
an
d il
lnes
s
Car
ing
fo
ro
lder
peo
ple
Em
erg
ency
pla
nnin
g a
ndd
isas
ter
man
agem
ent
Car
ing
fo
rp
eop
le w
ith
men
tal h
ealt
hne
eds
National Curriculum and Competency Framework Emergency Nursing (Level 1)
Section 3 - 96
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Section 4NMTNG: Nursing and AHP Trauma
Competencies in the ED Adult Level 1 - April 2016
Whipps Cross Hospital
Section 4 - 1
Nam
e:
Date
com
men
ced:
Natio
nal M
ajor
Tra
uma
Nurs
ing
Grou
p
Nurs
ing
and
Allie
d He
alth
Pro
fess
iona
lsTr
aum
a Co
mpe
tenc
ies i
n th
e Em
erge
ncy
Depa
rtm
ent
Adul
t Lev
el 1
April
201
6
Com
pete
ncy
sign
off r
ecor
d
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 2
NMTN
G - A
dult
Leve
l 1 -
com
pete
ncy
sign
off r
ecor
d 1.
Intr
oduc
tion:
The
nurs
ing
and
AHP
trau
ma
com
pete
ncie
s in
the
Emer
genc
y De
part
men
t pro
vide
a n
atio
nal t
empl
ate
of co
mpe
tenc
e in
the
care
of t
he a
dult
and
paed
iatr
ic m
ajor
trau
ma
patie
nt. S
ince
the
publ
icatio
n of
the
NHS
Engl
and,
‘Nat
iona
l Pee
r Rev
iew
Pro
gram
me:
Maj
or T
raum
a M
easu
res’
in 2
014
it is
clear
that
, whi
lst th
e m
easu
res e
stab
lishe
d th
e pr
incip
le o
f ens
urin
g pr
ovisi
on o
f a tr
aum
a tr
aine
d nu
rse
24/7
in th
e Em
erge
ncy
Depa
rtm
ent,
mor
e w
ork w
as re
quire
d to
dev
elop
a th
orou
gh ‘t
raum
a m
easu
re’ d
etai
ling
the
educ
atio
nal a
nd co
mpe
tenc
y st
anda
rds f
rom
juni
or n
urse
/AHP
righ
t th
roug
h to
the
Adva
nced
Clin
ical P
ract
ition
er (A
CP).
The
NMTN
G br
ough
t tog
ethe
r rep
rese
ntat
ion
from
17
maj
or tr
aum
a ne
twor
ks, S
cotla
nd, N
orth
ern
Irela
nd, W
ales
and
the
UK A
rmed
For
ces.
The
grou
p ai
ms t
o re
pres
ent a
nd d
evel
op n
atio
nal s
tand
ards
for t
raum
a nu
rsin
g fro
m th
e po
int o
f inj
ury
thro
ugh
to re
habil
itatio
n. T
he co
mpe
tenc
ies d
raw
upo
n w
ork a
lread
y und
erta
ken
by in
divid
ual
Trus
ts, p
rofe
ssio
nal o
rgan
isatio
ns a
nd g
roup
s to
who
m w
e th
ank f
or sh
arin
g th
eir w
ork.
How
ever
, the
re w
as a
reco
gniti
on a
nd d
esire
to p
ull t
oget
her a
sing
le, n
atio
nal,
set o
f com
pete
ncie
s the
reby
cr
eatin
g an
d es
tabl
ishin
g a
shar
ed st
anda
rd o
f com
pete
nce
in p
ract
ice. W
ith th
e w
ealth
of k
now
ledg
e an
d ex
perie
nce
in th
e gr
oup,
the
NMTN
G w
ere
able
to d
evel
op a
n ed
ucat
ion
and
com
pete
ncy
stan
dard
for t
raum
a ca
re in
the
Emer
genc
y De
part
men
t of w
hich
thes
e co
mpe
tenc
ies f
orm
a p
art.
2. U
sing
this
docu
men
t:Th
is sig
n of
f rec
ord
is in
tend
ed to
be
used
alo
ngsid
e th
e NM
TNG
com
pete
ncie
s. It
is re
cogn
ised
that
prin
ting
off m
aint
aini
ng th
ese
larg
e do
cum
ents
is im
prac
tical
and
so th
is do
cum
ent i
s int
ende
d to
ac
t as a
reco
rd o
f ach
ieve
men
t and
/or t
o in
dica
te w
here
furt
her l
earn
ing
and
prac
tice
is re
quire
d.
Self-
asse
ssm
ent:
This
is a
key c
ompo
nent
of t
he co
mpe
tenc
ies w
here
the
nurs
e/AH
P is
activ
ely
enco
urag
ed to
self-
asse
ss a
nd re
flect
on
thei
r pra
ctice
, kno
wle
dge
and
skills
in re
latio
n to
eac
h co
mpe
tenc
y. T
he
nurs
e/AH
P sh
ould
use
this
sect
ion
to re
cord
as a
nd w
hen
they
feel
they
are
read
y to
be
asse
ssed
in a
par
ticul
ar co
mpe
tenc
y. It
is a
lso im
port
ant t
o re
cord
her
e w
hat e
vide
nce
is ap
plica
ble,
for
exam
ple
cour
ses a
tten
ded.
Asse
ssor
reco
rd o
f ach
ieve
men
t:Th
e as
sess
or re
cord
s whe
n th
e co
mpe
tenc
y ha
s bee
n ac
hiev
ed. T
his d
ocum
ent i
s int
ende
d as
a re
cord
of a
chie
vem
ent i
n co
mpe
tenc
e on
ly th
eref
ore
a gr
adin
g sy
stem
or f
orm
ativ
e/su
mm
ative
as
sess
men
t pro
cess
has
not
bee
n in
clude
d. H
owev
er, t
he N
MTN
G re
cogn
ise th
at in
divi
dual
dep
artm
ents
/net
wor
ks m
ay w
ish to
em
ploy
thei
r ow
n st
ruct
ured
met
hods
for p
ract
ice d
evel
opm
ent
tow
ards
com
pete
ncy
achi
evem
ent.
Whe
re a
com
pete
ncy
has n
ot y
et b
een
achi
eved
ple
ase
utili
se th
e ac
tion
plan
reco
rd a
t the
end
of t
he d
ocum
ent.
Whipps Cross Hospital
Section 4 - 3
Leve
lCo
mpe
tenc
y st
anda
rdLe
vel 1
Leve
l 2In
add
ition
to le
vel 1
:
Leve
l 3In
add
ition
to le
vel 2
:
Asse
ssed
as c
ompe
tent
in a
ll do
mai
ns o
f the
NM
TNG
com
pete
ncy
fram
ewor
k at l
evel
2.
Whe
n un
dert
aken
as a
full p
rovid
er o
nly.
OrEduc
atio
nal s
tand
ard
Has a
tten
ded
a tr
aum
a ed
ucat
iona
l pro
gram
me,
such
as:
·
Tr
aum
a Im
med
iate
Life
Sup
port
(TIL
S)
·
AT
LS o
bser
ver
Over
view
of t
he e
duca
tiona
l and
com
pete
ncy
stan
dard
:
Asse
ssed
as c
ompe
tent
in a
ll do
mai
ns o
f the
NM
TNG
com
pete
ncy
fram
ewor
k at l
evel
1.
Succ
essf
ul co
mpl
etio
n of
a b
espo
ke tr
aum
a co
urse
whi
ch h
as b
een
asse
ssed
as c
ompl
iant
, by
peer
re
view
, in
mee
ting
the
NMTN
G cu
rricu
lum
and
ass
essm
ent c
riter
ia.
Leve
ls 1
- 3 a
dult
and
paed
iatr
ic ed
ucat
iona
l and
com
pete
ncy
stan
dard
s
·
ET
C nu
rse/
AHP
obse
rver
·
In
-hou
se tr
aum
a ed
ucat
ion
prog
ram
me
In a
dditi
on to
leve
l 1:
Succ
essf
ul co
mpl
etio
n of
a re
cogn
ised
trau
ma
cour
se:
·
Ad
vanc
ed T
raum
a Nu
rsin
g Co
urse
(ATN
C)
·
Tr
aum
a Nu
rsin
g Co
re C
ours
e (T
NCC)
·
Eu
rope
an T
raum
a Co
urse
(ETC
)
In a
dditi
on to
leve
l 2:
Adva
nced
Clin
ical P
ract
ition
er (A
CP):
Mas
ters
leve
l edu
catio
n in
adv
ance
d pr
actic
e to
at l
east
PGD
ip le
vel
Succ
essf
ul co
mpl
etio
n of
and
cred
entia
ling
by th
e Ro
yal C
olle
ge o
f Em
erge
ncy M
edici
ne -
Emer
genc
y Ca
re A
dvan
ced
Clin
ical P
ract
ition
er C
urric
ulum
and
As
sess
men
t.
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 4
3. E
duca
tiona
l and
com
pete
ncy
stan
dard
stru
ctur
e, Le
vels
1 –
3:
Whe
n de
velo
ping
the
com
pete
ncie
s the
NM
TNG
wer
e co
gnisa
nt th
at b
andi
ng v
arie
d ac
ross
the
coun
try
and
does
not
nec
essa
rily
relat
e to
exp
erie
nce
or co
mpe
tenc
e in
pra
ctice
. Thu
s the
leve
ls w
ere
deve
lope
d sim
ply
as le
vel 1
, 2 a
nd 3
. Whi
lst b
ands
cann
ot b
e ap
plie
d to
the
leve
ls di
rect
ly w
e ca
n pr
ovid
e gu
idan
ce o
n w
hat l
evel
of e
xper
ienc
e in
em
erge
ncy
care
is e
xpec
ted
at e
ach
leve
l. Th
is ap
plie
s to
both
adu
lt an
d pa
edia
tric
prac
tice.
•
Leve
l 1:
Leve
l 1 co
mpe
tenc
e ac
hiev
ed w
ithin
12
mon
ths o
f com
men
cing
wor
k in
an E
mer
genc
y De
part
men
t. Th
is is
in a
dditi
on to
the
12 m
onth
pre
cept
orsh
ip p
erio
d.
Leve
l 1 n
urse
s/AH
Ps w
ould
be
expe
cted
to b
e ab
le p
rovi
de e
vide
nce
base
d an
d ho
listic
care
for t
he m
ajor
trau
ma
patie
nt a
s par
t of t
he tr
aum
a te
am.
• Le
vel 2
:Le
vel 2
com
pete
nce
achi
eved
with
in 3
6 m
onth
s of c
omm
encin
g w
ork i
n an
Em
erge
ncy
Depa
rtm
ent.
Leve
l 2 n
urse
s/AH
Ps w
ould
be
expe
cted
to b
e ab
le p
rovi
de e
vide
nce
base
d an
d ho
listic
care
for t
he m
ajor
trau
ma
patie
nt a
s par
t of t
he tr
aum
a te
am. I
n ad
ditio
n th
ey w
ill b
e ab
le to
lead
team
s and
co-
ordi
nate
the
care
of t
he m
ajor
trau
ma
patie
nt w
orkin
g al
ongs
ide
the
trau
ma
team
lead
er.
• Le
vel 3
:Le
vel 3
com
pete
nce
is ac
hiev
ed b
y su
cces
sful
com
plet
ion
of th
e ‘E
mer
genc
y Ca
re A
dvan
ced
Clin
ical P
ract
ition
er C
urric
ulum
and
Ass
essm
ent’
(RCE
M. H
EE. R
CN. 2
015)
and
cred
entia
ling
by th
e Ro
yal
Colle
ge o
f Em
erge
ncy M
edici
ne. T
he n
urse
/AHP
wou
ld n
orm
ally
hav
e at
leas
t 5 y
ears
of e
mer
genc
y ca
re e
xper
ienc
e pr
ior t
o co
mm
encin
g AC
P tr
aini
ng.
The
ACP
role
out
line:
i.
ACPs
are
abl
e to
look
afte
r pat
ient
s with
a w
ide
rang
e of
pat
holo
gies
from
the
life-
thre
aten
ing
to th
e se
lf-lim
iting
.ii.
The
y are
abl
e to
iden
tify
the
criti
cally
ill a
nd in
jure
d, p
rovi
ding
safe
and
effe
ctiv
e im
med
iate
care
.iii
. The
y hav
e ex
pert
ise in
resu
scita
tion
and
skille
d in
the
prac
tical
pro
cedu
res n
eede
d.iv
. The
y es
tabl
ish th
e di
agno
sis a
nd d
iffer
entia
l dia
gnos
is ra
pidl
y, a
nd in
itiat
e or p
lan
for d
efin
itive
care
.v.
The
y wor
k with
all t
he in
-pat
ient
spec
ialti
es a
s wel
l as p
rimar
y car
e an
d pr
e-ho
spita
l ser
vices
.vi
. The
y are
abl
e to
corr
ectly
iden
tify
who
nee
ds a
dmiss
ion
and
who
can
be sa
fely
sent
hom
e.RC
EM, H
EE, R
CN (2
015,
pag
e 4)
Whipps Cross Hospital
Section 4 - 5
Orga
nisa
tiona
l asp
ects
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
nLo
cal T
raum
a Ne
twor
k sys
tem
and
the
cent
ralis
atio
n of
trau
ma
serv
ices.
Crite
ria fo
r act
ivat
ion
of th
e tr
aum
a te
am w
ithin
ow
n de
part
men
t with
re
spec
t to:
- Phy
siolo
gica
l sig
ns- I
njur
ies s
usta
ined
- Mec
hani
sm- S
pecia
l circ
umst
ance
s
Loca
l gui
delin
es a
nd st
anda
rd o
pera
ting
proc
edur
es (S
OPs)
Natio
nal g
uida
nce
and
stan
dard
s
Sect
ion
1: O
rgan
isatio
nal a
spec
ts:
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 6
2A -
Prep
arat
ion
and
Rece
ptio
nSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Pre-
aler
t and
Esc
alat
ion
Prep
are
the
resu
scita
tion
bay t
o re
ceiv
e a
trau
ma
patie
nt
Imm
edia
te m
anag
emen
t of t
he p
atie
nt,
pre-
hosp
ital a
nd e
mer
genc
y ser
vices
st
aff o
n ar
rival
Man
agem
ent i
n:
- Gre
etin
g fa
mily
mem
bers
, car
ers o
r fri
ends
on
arriv
al to
the
depa
rtm
ent
Prim
ary a
nd se
cond
ary
trau
ma
asse
ssm
ent p
rincip
les
Sect
ion
2: C
linica
l and
tech
nica
l ski
lls:
Whipps Cross Hospital
Section 4 - 7
2B -
Prim
ary
surv
ey: <
C>AB
CDE
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
n2B
i – C
atas
trop
hic h
aem
orrh
age
The
imm
edia
te m
anag
emen
t of
cata
stro
phic
haem
orrh
age
Sim
ple
dres
sings
Haem
osta
tic a
gent
s
Tour
niqu
ets
Pelvi
c bin
der
Fem
oral
splin
t
Activ
atio
n of
MHP
TXA
Rapi
d tr
ansf
user
/war
mer
Antic
oagu
lant
reve
rsal
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 8
2Bii
– Ai
rway
and
c-sp
ine
cont
rol
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
nCl
inica
l ass
essm
ent a
nd m
anag
emen
t of
airw
ayDe
mon
stra
te h
ow to
ass
ess t
he a
irway
in
the
trau
ma
patie
nt
Clea
ring
the
airw
ay
Oxyg
en d
elive
ry
Chin
lift
Jaw
thru
st
Oral
airw
ay
Naso
phar
ynge
al a
irway
Rapi
d se
quen
ce in
duct
ion
(RSI
) and
ca
re o
f the
intu
bate
d an
d ve
ntila
ted
trau
ma
patie
nt
Surg
ical c
ricot
hyro
idot
omy
Need
le je
t ins
uffla
tion
Whipps Cross Hospital
Section 4 - 9
Safe
spin
al im
mob
ilisa
tion
and
man
agem
ent
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
n
Dem
onst
rate
s saf
e sp
inal
im
mob
ilisa
tion
and
slidi
ng te
chni
ques
as
par
t of t
he tr
aum
a te
am
2Biii
– B
reat
hing
and
Ven
tilat
ion
Clin
ical a
sses
smen
t and
man
agem
ent
of b
reat
hing
and
vent
ilatio
n
Brea
thin
g as
sess
men
t
Use
of B
VM
Use
of p
ulse
oxim
etry
Need
le d
ecom
pres
sion
Thor
acos
tom
y
Ches
t dra
ins
Open
pne
umot
hora
x
Use
of C
O2 m
onito
ring
Thor
acot
omy
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 10
2Biv
– C
ircul
atio
n an
d Ha
emor
rhag
e Co
ntro
lSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Clin
ical a
sses
smen
t and
man
agem
ent
of c
ircul
atio
n an
d ha
emor
rhag
e co
ntro
l Ci
rcul
ator
y as
sess
men
t
5 pr
incip
le si
tes
Desc
ribe
and
reco
gnise
shoc
k
eFAS
T
Circ
ulat
ory
man
agem
ent -
acc
ess
IV IO Circ
ulat
ory
man
agem
ent –
flui
d re
susc
itatio
n
Circ
ulat
ory
man
agem
ent –
ha
emor
rhag
e co
ntro
l
Circ
ulat
ory
man
agem
ent –
mon
itorin
g an
d ca
re
Whipps Cross Hospital
Section 4 - 11
2Bv –
Disa
bilit
y Se
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Clin
ical a
sses
smen
t and
man
agem
ent
of d
isabi
lity i
n th
e tr
aum
a pa
tient
Disa
bilit
y ass
essm
ent
Disa
bilit
y man
agem
ent a
nd ca
re
2Bvi
– E
xpos
ure
and
Tem
pera
ture
Co
ntro
lCl
inica
l ass
essm
ent a
nd m
anag
emen
t of
exp
osur
e an
d te
mpe
ratu
re co
ntro
l
Expo
sure
ass
essm
ent
Expo
sure
– te
mpe
ratu
re m
anag
emen
t
2C –
Pai
n as
sess
men
t and
m
anag
emen
tCl
inica
l ass
essm
ent a
nd m
anag
emen
t of
pai
n Pa
in a
sses
smen
t
Pain
man
agem
ent
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 12
2D –
Spec
ial c
ircum
stan
ces
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
n
2Di –
The
eld
erly
trau
ma
patie
nt
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f an
elde
rly tr
aum
a pa
tient
Com
orbi
ditie
s and
pol
ypha
rmac
y
Phys
iolo
gy
C-sp
ine
mod
ifica
tions
2Dii
– Th
e pr
egna
nt tr
aum
a pa
tient
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f the
pre
gnan
t tra
uma
patie
nt
Phys
iolo
gy
IVC
com
pres
sion
Peri-
mor
tem
C-s
ectio
n
Whipps Cross Hospital
Section 4 - 13
2Diii
– T
he b
urns
trau
ma
patie
ntSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f the
bur
ns tr
aum
a pa
tient
Loca
l bur
ns ce
ntre
s
Loca
l pol
icies
Size
est
imat
ion
Equi
pmen
t
Effe
cts o
n AB
CDE
Pain
relie
f
2Div
– T
he b
aria
tric
trau
ma
patie
nt
Pote
ntia
l effe
cts o
n AB
C
Max
load
of a
trol
ley
Safe
tran
sfer
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 14
2Dv –
The
conf
used
, agi
tate
d &
ag
gres
sive
trau
ma
patie
ntSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f the
conf
used
, agi
tate
d an
d ag
gres
sive
trau
ma
patie
nt
Caus
es
Seda
tion
C-sp
ine
mod
ifica
tions
Secu
rity
and
polic
e
2Dvi
– T
he sp
inal
cord
inju
red
patie
nt
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f the
spin
al co
rd in
jure
d pa
tient
Tem
pera
ture
regu
latio
n
Auto
nom
ic dy
sref
lexia
Mas
k sig
ns a
nd sy
mpt
oms
Whipps Cross Hospital
Section 4 - 15
2Dvi
i – T
he tr
aum
a pa
tient
with
co
mm
unica
tion
diffi
culti
esSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Can
outli
ne th
e ke
y con
sider
atio
ns in
th
e ca
re o
f a tr
aum
a pa
tient
with
co
mm
unica
tion
diffi
culti
es
Tech
niqu
es to
facil
itate
com
mun
icatio
n
2Dvi
ii - C
are
of th
e de
ath
of a
trau
ma
patie
ntCa
re o
f the
dec
ease
d tr
aum
a pa
tient
Care
of t
he b
erea
ved
Own
emot
iona
l nee
ds
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 16
2DiX
– T
issue
and
org
an d
onat
ion
Self
Asse
ssm
ent
Not y
et a
chie
ved
- see
act
ion
plan
Asse
ssor
- Pr
int n
ame,
dat
e an
d sig
n
Dem
onst
rate
s aw
aren
ess o
f the
key
cons
ider
atio
ns in
resp
ect t
o or
gan
and
tissu
e do
natio
n
Awar
enes
s of n
atio
nal d
ocum
ents
• Ti
mel
y ide
ntifi
catio
n an
d Re
ferr
al o
f Po
tent
ial O
rgan
Don
ors-
NHS
Bloo
d an
d Tr
ansp
lant
(201
2)
• Ap
proa
chin
g th
e fa
mili
es o
f pot
entia
l or
gan
dono
rs –
NHS
blo
od a
nd
Tran
spla
nt (M
arch
201
3)
• Ta
king
Orga
n Tr
ansp
lant
atio
n to
20
20: A
UK
stra
tegy
– D
OH &
NHS
Bl
ood
and
tran
spla
nt (A
pril
2013
)
2E –
Seco
ndar
y su
rvey
The
seco
ndar
y su
rvey
Whipps Cross Hospital
Section 4 - 17
2F –
Tra
nsfe
rSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
2Fi –
Tra
nsfe
r with
in th
e Ho
spita
l
Act a
s par
t of a
team
in th
e sa
fe
tran
sfer
of t
he tr
aum
a pa
tient
Prin
ciple
s of s
afe
tran
sfer
Equi
pmen
t
Hand
over
Docu
men
tatio
n
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 18
2Fii
– Se
cond
ary
tran
sfer
(out
of
hosp
ital)
Act a
s par
t of a
team
in th
e sa
fe
tran
sfer
of t
he tr
aum
a pa
tient
Seco
ndar
y tr
ansf
er p
roto
cols
Seco
ndar
y tr
ansf
er p
olicy
and
pr
oced
ure
Equi
pmen
t
Pers
onne
l
Hand
over
Docu
men
tatio
n
Whipps Cross Hospital
Section 4 - 19
Non-
tech
nica
l ski
llsSe
lf As
sess
men
t No
t yet
ach
ieve
d - s
ee a
ctio
n pl
anAs
sess
or -
Prin
t nam
e, d
ate
and
sign
Abili
ty to
per
form
app
ropr
iate
ly w
ithin
th
e Tr
aum
a Te
am, m
aint
aini
ng a
di
stin
ct ro
le
Wor
ks e
ffect
ivel
y as
a te
am m
embe
r, in
cludi
ng a
ppro
pria
te co
mm
unica
tion
stra
tegi
es
Relie
ve p
sych
olog
ical s
tres
s in
the
trau
ma
patie
nt, f
amily
, car
ers,
frien
ds
and
staf
f
Situ
atio
nal a
war
enes
s dur
ing
a tr
aum
a te
am re
susc
itatio
n
Ethi
cal,
lega
l and
pro
fess
iona
l im
plica
tions
of t
raum
a
Sect
ion
3: N
on-te
chni
cal s
kills
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 20
Com
pete
ncy
nam
e/nu
mbe
rAc
tion
plan
Actio
n pl
anPl
ease
reco
rd th
e co
mpe
tenc
y nu
mbe
r and
nam
e, su
ch a
s 2Di
ii –
The
burn
s tra
uma
patie
nt, a
nd th
e sp
ecifi
c are
a w
hich
is a
ddre
ssed
. Pla
ns sh
ould
be
base
d on
SM
ART
obje
ctiv
es:
Spec
ific,
Mea
sura
ble,
Ach
ieva
ble,
Rea
listic
and
Tim
e-bo
und.
Whipps Cross Hospital
Section 4 - 21
Com
pete
ncy
nam
e/nu
mbe
rAc
tion
plan
NMTNG: Nursing and AHP trauma competencies in the ED – Adult level 1 – April 2016
Section 4 - 22
Com
pete
ncy
nam
e/nu
mbe
rAc
tion
plan
Level 1 Emergency DepartmentNursing Competencies Whipps Cross Hospital
Section 5WXH Specific Competencies
Whipps Cross Hospital
Section 5 - 1
Competency Mentor signature Date Comment
Complete a Datix
CRS Training
How to do safeguarding and vulnerable adult referral
Attended ILS/PILS
Safeguarding Level 3
EGU referral
Point of care training and barcode
Blood fridge
TILS
SIREN
REACT
Rhythm recognition
Male catheterisations
LEVEL 1 NURSE SHOULD BE COMPETENT OR HAVE ATTENDED TRAINING FOR ALL OF THE FOLLOWING
Whipps Cross Hospital Specific Competencies
Section 5 - 2
CHECKLIST OF TRAINING (QUICK REFERENCE)
Page Training/competency Completion date
Comments
5 - 3 Medications Competency
5 - 4 Dressings Competency
5 - 5 Wound Closure Competency
5 - 6 Suturing Competency
5 - 8 Cannulation Venepuncture Competency
5 - 10 Blood Culture Sampling Competency
5 - 12 Plaster of Paris Competency
5 - 14 Continuous Positive Airway Pressure (CPAP) Competency
5 - 15 Bilevel Non-Invasive Ventilation Competency
5 - 16 Naso-Gastric Tube (NGT) Competency
5 - 18 Blood Components CollectionTraining and Competency Assessment
5 - 22 Patient Group Direction Competency
5 - 23 Male Catheterisation Competency
5 - 26 Laerdal Suction Unit (LSU) Competency
5 - 28 Ranger 245 Blood/Fluid Warmer Competency
5 - 30 Baxter Colleague Infusion Pump Competency
5 - 32 FK Injectomat/SP Infusion Pump Competency
5 - 34 FK Volumat/VP Infusion Pump Competency
5 - 36 Lifepak 20 Defibrillator Competency
5 - 37 LUCAS Competency
5 - 38 Mortara ECG Competency
5 - 40 Bair Hugger 775 Competency
5 - 42 Level 1 Rapid Infuser
5 - 44 Welch Allyn 1500 Patient Monitor Competency
Whipps Cross Hospital
Section 5 - 3
MEDICATIONS COMPETENCY
RECORD OF COMPETENCE
Named Nurse: .....................................................................................................................................................
Has successfully completed the Trusts oral and intravenous medication competencies. The medication competencies have been seen by myself and signed off as competent and a copy put in their personal file.
Practice Development Nurse signature: ...........................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
Medication Date competency
given
Date competency
finished
PDN signature & comments
Oral Medications
Intravenous Medications
Whipps Cross Hospital Specific Competencies
Section 5 - 4
DRESSINGS COMPETENCY
RECORD OF COMPETENCE
Assessor Signature: ..............................................................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
Type of Closure Date Assessor signature & comments
Finger dressing
Finger dressing
Burn dressing
Burn dressing
Other dressing
Other dressing
Whipps Cross Hospital
Section 5 - 5
WOUND CLOSURE COMPETENCY
RECORD OF COMPETENCE
Assessor Signature: ..............................................................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
Type of Closure Date Assessor signature & comments
Glue
Glue
Glue
Steristrip
Steristrip
Steristrip
Whipps Cross Hospital Specific Competencies
Section 5 - 6
SUTURING COMPETENCY The candidate has demonstrated the following:
z An ability to assess the wound in relation to the structures involved
z Has selected the appropriate materials and equipment for wound closure and ensured appropriate conditions
z Has infiltrated the wound appropriately with an appropriate anaesthetic agent
z Has explored the wound adequately, thoroughly cleansed and removed any debris
z Has closed the wound using safe and effective technique
z Has provided the patient with appropriate information and advice for wound care and follow up, ensured tetanus status
Date Assessor Comments
Whipps Cross Hospital
Section 5 - 7
CANNULATION VENEPUNCTURE - GUIDE FOR ASSESSORS
Competency Indicator Best PracticeClean hands appropriately before and after procedure
z Uses 6 stage hand washing technique and dries hand thoroughly before gathering equipment
z Decontaminates hands with alcohol gel if they become contaminated during procedure
z Washes hands at end of procedure as gloves cause hands to sweat encouraging bacteria proliferation
Collects appropriate equipment
z Practitioner should have all equipment needed with them and not have to run back for something they have forgotten
z They should have sharps bin with them
Appropriate explanation to patient, informed consent gained
z Introduce self to patient
z Explain why the patient needs bloods or a cannula
z Ask the patient if they understand and are happy for them to commence
Prepares environment appropriately
z Makes sure there is adequate lighting
z Make sure the patient is comfortable
z Make sure the patient’s privacy and dignity is maintained throughout procedure
Encourage venous filling using appropriate technique
z The tourniquet should be 10 cm above the proposed site
z The practitioner should NOT smack or tap the patients arm
Cleans skin appropriately z Should clean skin with alcohol for 30 seconds
z Allows skin to dry
z Must not touched the area after it has been cleaned
Inserts blood taking device observing the first and second flashback
z Insert cannula/needle at 15 degree angle
z Immediately lowers cannula/needle to patient’s skin as soon as first flashback is seen
z Advances cannula 1–2 mm before withdrawing the stylet to observe second flashback
z Applies digital pressure and removes stylet
z Applies cap to end of cannulaDisposes of sharp and other waste according to trust policy
z Dispose of the needle immediately do not put on the tray and throw away later
Appropriately secures the cannula with dressing
z If blood leaked on to the skin this should be cleaned before a dressing is applied
Checks Cannulas patency z Cannula should be flushed with 5 ml of 0.9% saline in a 10 ml syringe
z If using octopus should be locked under positive pressure
Date and time of insertion documented
z Cannula insertion date and time documented on dressing
z Cannula date, time and location of insertion documented in the notes
Whipps Cross Hospital Specific Competencies
Section 5 - 8
CANNULATION VENEPUNCTURE COMPETENCY
FORMAL ASSESSMENT
Name: ...................................................................................................................................................................
CANNULATION
1. Date: ............................................................................
I certify that the above named competently and unaided sited a peripheral intravenous cannula in line with the criteria specified in the trust policy
Signed: ........................................................... Name & Title: ...........................................................................
2. Date: ............................................................................
I certify that the above named competently and unaided sited a peripheral intravenous cannula in line with the criteria specified in the trust policy
Signed: ........................................................... Name & Title: ...........................................................................
VENAPUNCTURE
1. Date: ............................................................................
I certify that the above named competently & unaided performed a venepuncture in line with the criteria specified in the trust policy
Signed: ........................................................... Name & Title: ...........................................................................
2. Date: ............................................................................
I certify that the above named competently & unaided performed a venepuncture in line with the criteria specified in the trust policy
Signed: ........................................................... Name & Title: ...........................................................................
Whipps Cross Hospital
Section 5 - 9
FINAL ASSESSMENTNurse to be assessed by Practice Development Nurse for final sign off, this can be either venepuncture or cannulation.
Date: ............................................................................
I certify that the above named has competed 2 cannulations & 2 venepunctures under supervision as signed for above.
I have witnessed the final cannulation or venepuncture which has been done in line with the criteria specified in the trust policy.
Signed: ........................................................................................................ Practice Development Nurse
SELF DECLARATION I can conform I have achieved this competency and am willing to perform cannulation in line with Trust Policy.
I am aware of my professional and legal responsibilities and understand that I must perform at least three peripheral intravenous cannulations or venepunctures per month. Should my level of proficiency or competency fall, I shall seek retraining.
Signature: ............................................................................................................................................................
Date: ....................................................................................................................................................................
Whipps Cross Hospital Specific Competencies
Section 5 - 10
BLOOD CULTURE SAMPLING COMPETENCY
Equipment and patient preparation Met Not met
Articulates correctly all the equipment necessary to take blood culture sample
Articulates knowledge why each piece of equipment is required and rationale for use
Provides explanation to the patient why the test is required and is able to prepare the patient for the procedure
Hand Hygiene & Personal Protective Equipment Met Not met
Selects appropriate method of hand decontamination for this procedure
Selects and utilises appropriate items of personal protective equipment
Blood Collection Procedure Met Not met
Articulates the procedure and product used to identify a suitable vein
Demonstrates cleaning of skin with appropriate product and shows awareness regarding actions that can contaminate skin after cleaning
Articulates what amount of blood is required for each bottle and provides rationale why this should be done aseptically
Articulates how to decontaminate blood culture bottle tops prior to inoculation and shows awareness of correct product required for this process
Articulates and understands rationale for the order that culture bottles should be inoculated
Demonstrates compliance in ensuring the correct disposal of clinical waste, sharps and protective equipment after use
Whipps Cross Hospital
Section 5 - 11
Assessor Signature: ..............................................................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
Sample Processing, storage and Documentation Met Not met
Demonstrates awareness how to generate relevant diagnostic test request via CRS
Articulates how to request appropriate diagnostic test if there is a system failure
Shows awareness regarding placement of test label so not to obscure or remove barcode on sample bottle
Complies with trust documentation policy by recording in patient’s healthcare records the time the sample has been sent
Whipps Cross Hospital Specific Competencies
Section 5 - 12
PLASTER OF PARIS COMPETENCY
Below Elbow Above Elbow Below Knee Above Knee ScaphoidCorrect patient/ Correct limbExplained procedureCorrect limb positionCorrect application of stocking Correct application of paddingCut and applies plaster slab correctly 6/8 layersCheck correct limb position is maintained Applies wet and dry bandage correctlySecures bandage correctly# clinic appointment givenWritten and verbal instructions given Check if patient needs OT/Physio follow upDocumented on CRSComplete plaster bookClean plaster room/trolleyAssessor signature/date
Whipps Cross Hospital
Section 5 - 13
I can confirm that ...............................................................................................................................................
has completed the Whipps Cross Emergency Department Plaster of Paris course and competencies and has been signed off for the above backslabs and a copy has been placed in the individuals file.
Practice Development Nurse signature: ...........................................................................................................
Print Name: .........................................................................................................................................................
Date: ....................................................................................................................................................................
SELF DECLARATION I can conform I have achieved this competency and am willing tom perform the application of plaster casts in line with Trust Policy.
I am aware of my professional and legal responsibilities and understand that I must perform plaster of Paris application regularly . Should my level of proficiency or competency fall, I shall seek retraining.
Signature: .............................................................................................................................................................
Date: ....................................................................................................................................................................
Whipps Cross Hospital Specific Competencies
Section 5 - 14
Assessor Signature: ..............................................................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) COMPETENCY
COMPETENCY STATEMENT Provides safe and effective care for a patient requiring Continuous Airway Pressure (CPAP)
Met Not met
Demonstrates an understanding of the principles of CPAP therapy
Identify the clinical indications for CPAP therapy
Identifies the absolute and relative clinical contraindications to CPAP therapy
Identifies pre-conditions which must be fulfilled prior to commencement of CPAP
Identifies indications for discontinuation of CPAP
Discuss potential complications of CPAP therapy
Identifies clinical interventions to prevent and treat the above
Describes the equipment required for the implementation of CPAP
Able to set up the equipment
Demonstrates the ability to initiate CPAP therapy and secure face mask
Identifies observations and checks that need to be carried out when patient on CPAP
Discusses procedure of administration of nebulised drug therapy to a patient undergoing CPAP
Describes procedure for administration of oral fluids and nutrition whilst patient receiving CPAP
Demonstrates ability to troubleshoot for patients receiving CPAP
Document all relevant information in patients record
Whipps Cross Hospital
Section 5 - 15
Assessor Signature: ..............................................................................................................................................
Print Name: .........................................................................................................................................................
Designation: ........................................................................................................................................................
Date: ....................................................................................................................................................................
BILEVEL NON-INVASIVE VENTILATION COMPETENCY
COMPETENCY STATEMENT Provides safe and effective care for a patient requiring Bilevel Non-Invasive Ventilation
Met Not met
Demonstrates an understanding of the principles of Bilevel therapy
Identify the clinical indications for Bilevel therapy
Identifies the absolute and relative clinical contraindications to Bilevel therapy
Identifies pre-conditions which must be fulfilled prior to commencement of Bilevel therapy
Identifies indications for discontinuation of Bilevel therapy
Discuss potential complications of Bilevel therapy
Identifies clinical interventions to prevent and treat the above
Describes the equipment required for the implementation of Bilevel therapy
Able to set up the equipment
Demonstrates the ability to initiate Bilevel therapy and secure face mask
Identifies observations and checks that need to be carried out when patient on Bilevel therapy
Discusses procedure of administration of nebulised drug therapy to a patient undergoing Bilevel therapy
Describes procedure for administration of oral fluids and nutrition whilst patient receiving Bilevel therapy
Demonstrates ability to troubleshoot for patients receiving Bilevel therapy
Document all relevant information in patients record
Whipps Cross Hospital Specific Competencies
Section 5 - 16
NASO-GASTRIC TUBE (NGT) COMPETENCY
Competency Achieved Yes/No
Assessor Sign & date
Learner Sign & date
Comments
Demonstrates an understanding of a NGTIdentifies conditions that require insertion of NGTDescribes the anatomical position of NGTDemonstrates how to access the NGT policy and can discuss relevant NPSA guidelinesArticulates contra-indications for NGTDescribes the different NGT available in the Trust. Discusses advantages of tubes and identifies when they are required to be changedDemonstrates safe nursing care of a NGTIdentifies when subsequent testing (ie, after initial insertion) of a NGT is requiredArticulates correct documentation for subsequent pH and length of NGT to nostrilArticulates actions to be taken if pH is 5.5 or aboveArticulates actions to be taken if nil aspirate available on subsequent testing of NGTIdentifies actions to be taken if a child with a NGT:
z Demonstrates increased work of breathing
z Has increased oxygen requirement
z Vomits
z Coughs
Whipps Cross Hospital
Section 5 - 17
Date: ....................................................................................................................................................................
Name of Assessor: ...................................................................................................................................................
Designation of Assessor: ........................................................................................................................................
Signature: ................................................................................................................................................................
Competency Achieved Yes/No
Assessor Sign & date
Learner Sign & date
Comments
Demonstrates the safe passing of a NGTIdentifies which staff member can pass a NGT and when it is not advisable to pass a NGTArticulates the risks involved with passing a NGTPrepares all equipment for passing of a NGTDemonstrates correct and safe insertion of a NGT following Trust guidelinesIdentifies the position of a NGT if it has been miss-placed and presenting signsArticulates the correct pH to confirm NGT is correctly placed and demonstrates the correct procedure for checking the pH of a NGTArticulates correct documentation on initial insertion of a NGTArticulates actions to be taken if unable to gain an aspirate on initial insertion
Whipps Cross Hospital Specific Competencies
Section 5 - 18
BLOOD COMPONENTS COLLECTION TRAINING AND COMPETENCY ASSESSMENT
This framework is for assessing the candidate’s ability in collecting blood components for transfusion. Candidates should be assessed after they have received training in this skill. Training is provided by means of a local workbook and assessment (porters) and e-learning or face to face training for all other staff.
This workforce competence is linked to the Knowledge and Skills Framework dimensions developed by Skills for Health and based on the recommendations from the National Patient Safety Agency (NPSA) and National Blood Transfusion Committee (NBTC).
The competency assessment is designed as a one-off practical assessment. The practical assessment need not be repeated if there is on-going satisfactory performance but should be repeated if there is a period of greater than one year out of a workplace where regular blood collection is taking place or the member of staff is involved in an incident regarding Blood collection.
HOW TO USE THIS COMPETENCY ASSESSMENT z This assessment should be completed whilst observing the candidate collecting blood components
for transfusion in a simulated environment.
z The assessor should allow the candidate time to read through the assessment criteria prior to the assessment
z All assessment criteria must be completed
z The assessment should be undertaken within one working day
z For Porters: The candidate is to complete the competency assessment after completion of the assessment documentation at the end of the local workbook provided (the assessment is required on a 2-yearly basis)
z For all other staff: The candidate is to complete the competency assessment after completion of Blood Transfusion statutory and mandatory training.
z It is the assessor’s responsibility to ensure that the competency and training assessment are completed, and copies are returned to the Transfusion Practitioners and Ward Managers/ Practice Development Nurses as proof of assessment.
z The ID badges to access the blood fridge will only be activated for the staff members who have successfully completed their training and collection competency. A scanned copy of the completed collection competency with the barcode number MUST be sent to the transfusion practitioner at NUH (Nidhi Sharma) & WXH (Josephine McCullagh) for the ID badge to be activated.
Please note completion of this assessment document is subject to periodic quality control checks.
Whipps Cross Hospital
Section 5 - 19
BLOOD COMPONENTS COLLECTION TRAINING AND COMPETENCY ASSESSMENT
Name of Collector: .............................................................................................................................................
Job title: ...............................................................................................................................................................
Contact details: ...................................................................................................................................................
Date of assessment: ............................................................................................................................................
ID Barcode number: ..........................................................................................................................................
Name of Assessor: ..............................................................................................................................................
Job title: ...............................................................................................................................................................
Core competency Achieved initial and date
Notes for assessors
1. Blood transfusion collection document
Did the member of staff understand the data that should be written on the blood transfusion collection document by describing that it should contain:
a) The patient’s full name?
b) Date of birth?
c) Hospital or other identification number?4. Using BloodTrack System
Did the member of staff:
a) Understand the purpose of BloodTrack system
b) Understand how BloodTrack monitors blood movement and maintains cold chain
3) BloodTrack Enquiry
Was the member of staff:
a) Able to access BloodTrack Enquiry software
b) Able to print a pickup slip4. Taking crossmatched units out of blood fridge
Did the member of staff:
a) Identify themselves using ID badge (Barcode Scanner, holographic sticker)
b) Use Pickup Slip or add patients details on the kiosk from the collection form
c) Scan crossmatched unit (if collecting from kiosk) or collect unit form the lab staff (if collecting from lab)
d) Understand error messages in the kiosk
Whipps Cross Hospital Specific Competencies
Section 5 - 20
Core competency Achieved initial and date
Notes for assessors
5. Matching the information on the blood component to the minimum data set information on the blood collection slip (ie, patient documentation, pick up slip)
Did the member of staff correctly check:
a) The patient’s full name?
a) Date of birth?
a) Hospital number?6. Documentation
Did the member of staff correctly document the removal of blood from the fridge by:
a) Recording the date and time blood is removed from the fridge?
a) Writing their signature and contact information?
a) Where an electronic tracking system is in place, demonstrating that they know how to maintain a secure ID throughout and showing this by scanning in and out correctly
7. Returning unit to the fridge
Did the member of staff:
a) Identify themselves using ID badge (Barcode)
a) Scan unit of blood
a) Place blood in correct compartment in blood fridge
a) Understand error messages
a) Aware of cold chain rule
a) Documenting in the blood register if returning to the blood bank
8. Removing emergency units/flying squad blood
Did the member of staff:
a) Understand the minimum requirement to access emergency units (MRN/Emergency number)
a) Know when it is appropriate to remove more than one unit for the same patient (Major Haemorrhage)
a) Know what is required for filling-in and returning emergency unit traceability tags
a) Documentation required
Whipps Cross Hospital
Section 5 - 21
Core competency Achieved initial and date
Notes for assessors
9. Transportation and handover of blood products
Did the member of staff:
a) Transport the blood product immediately to the clinical area?
a) Transport the blood product in the appropriate bag?
a) Not leave the blood unattended at any point?
a) Hand the blood product over to an appropriate member of staff immediately?
a) Ensure that receipt of the blood was recorded?
All of the above must be achieved to pass the assessment
TRAINING & COMPETENCYDate: .....................................................................................................................................................................
Date: .....................................................................................................................................................................
PASS o REFERRAL o
Reason for referral: ............................................................................................................................................
Barcode number provided: ................................................................................................................................
Whipps Cross Hospital Specific Competencies
Section 5 - 22
PATIENT GROUP DIRECTION COMPETENCY
Attended 1 hour PGD teaching lecture? (compulsory)
Date of lecture:
Have you completed the PGD Test Paper? (compulsory)
Date:
Drug Date Assessor (Print & sign) Competent (Y/N)
PGD’s that you have been signed off as competent to use:
Whipps Cross Hospital
Section 5 - 23
MALE CATHETERISATION COMPETENCY
URINARY CATHETER MANAGEMENT IN ED STEP 1 Perform a bladder scan to ascertain urinary retention or incomplete bladder emptying before urinary catheterisation.
Indications for urinary catheterisation (HOUDINI)
z Haematuria (gross)
z Obstruction
z Urological surgery
z Damaged skin - sacral/perineal wound
z Intake and Output (hourly monitoring)
z Neurogenic bladder - patients with spinal cord injury/lesion
z Immobilisation - unstable fracture
NB:If none of the above indication is met, please do not catheterise the patient
Ideal catheter size Adult: Male – 12 to 14. (Suprapubic – 16 to 18 for both sexes)
STEP 2 z Use aseptic technique during the procedure
z Insert catheter stickers into healthcare record
z Document the indication and residual volume obtained - these are very important for after care on the ward/clinic/community
z Secure catheter with catheter securement device
z Date urine drainage bag
STEP 3 z Refer patient to community nursing team and/or TWOC clinic, should they be discharged from ED
It is not just a catheter, unnecessary catheters cause harm.
HELP US SAY GOODBYE TO SEPSIS CAUSED BY E. COLI
Whipps Cross Hospital Specific Competencies
Section 5 - 24
MALE CATHETERISATION COMPETENCY Skill: Male Catheterisation
Aim: To demonstrate Safe and Efficient Practice in Passing a Urethral Catheter using Aseptic Technique
Standard Yes/ No
Comment
Provides appropriate rationale for the catheterisation being undertaken
Demonstrates appropriate knowledge of the normal male lower urinary tract anatomy and physiology
Explains the procedure to the patient, obtains consent and offers chaperone
Ensures privacy and maintains dignity of the patient
Performs hand hygiene and puts on disposable apron
Positions patient and ensures patient can maintain the position
Understands the importance of correct catheter selection (including non-latex catheters for those with sensitivity/allergy)
Checks and selects appropriate equipment:
z Disposable plastic apron
z Sterile gloves x 2 pairs (including non-latex gloves for patients or staff with sensitivity/allergy)
z Alcohol based hand rub
z Sterile catheterisation pack
z Appropriate catheter with pre-filled syringe
z Sterile anaesthetic lubricating gel/lignociane gel 2% (instillagel 11 ml)Sachet 0.9% sodium chloride
z Drainage bag
z Clinical waste disposal bagPerforms hand hygiene and puts on disposable apron
Opens the Catheter Pack and supplementary Packs Using Aseptic Technique
Decontaminates hand, puts on sterile gloves, cleans the urethral meatus with normal saline and drapes the patient with sterile towel.
Instil the instillagel slowly into the urethra (wait 3–5 min). Warn the patient slight stinging may be experienced. Change gloves using alcohol gel in between.Position the receiver to catch the urine. Inserts the tip of the catheter into urethral orifice, without contaminating it up to its bifurcation point.
Whipps Cross Hospital
Section 5 - 25
Standard Yes/ No
Comment
Steady the catheter in place and inflate the balloon with 10 ml of sterile water
Attaches the catheter to the drainage bag
Ensures that the foreskin is replaced back over the glans, the patient is comfortable and dry post procedure and observe for any complications
Disposes of all equipment used according to infection control policy. Dipsticks the urine and washes hands post procedure. Sends a CSU for MC&S if indicated.Documents and observes for the following:
z Consent
z Volume drained/colour/ odour
z Reason for catheterisation
z Date and Time of Catheterisation
z Date of change
z Any complications
NB: Use the Invasive and Removal Device Form
Put the sticker in the medical notesOverall Comment:
Date: ....................................................................................................................................................................
Name of Assessor: ...................................................................................................................................................
Designation of Assessor: ........................................................................................................................................
Signature: ................................................................................................................................................................
Whipps Cross Hospital Specific Competencies
Section 5 - 26
LAERDAL SUCTION UNIT (LSU) COMPETENCY
Performance Criteria Attained DatePreparation1. State the cautions and warnings to be aware of when using the unit
2. Describe the intended use of the Laerdal suction unit
3. Explain the purpose of the buttons and indicators on the user interface
4. Explain the Automatic Power-save Function (see user manual)
5. Describe the different parts of the unit
6. Explain what needs to be checked before use
7. Explain why it is important to operate and transport the unit in an upright position
Operation1. Describe how to operate the unit
2. Describe how to empty the canister - when should this be done?
3. Describe how to assemble the Serres bag suction system
4. Describe what needs to be done after using the unit
Maintenance1. Explain how to clean the cabinet and parts
2. Explain how to disinfect reusable parts
3. Describe how to charge the battery and how often
4. Describe how to check the battery quality
5. Explain how to run and evaluate the device test
6. Explain what to do if there is a fault with the unit
Whipps Cross Hospital
Section 5 - 27
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Whipps Cross Hospital Specific Competencies
Section 5 - 28
Performance Criteria Attained Date Signature of AssessorCorrectly prepare the patient and equipment1. Explain the procedure to the patient
2. Clamp Ranger to IV pole - must be at or below patient height
Powering up the Ranger unit1. Switch power on
2. Explain the purpose of the self test
3. Describe the function of the temperature read out
Insert/prime/remove cassette1. Insert cassette the correct way
2. Demonstrate ability to prime the cassette correctly
3. Demonstrate how to remove cassette showing how to clamp off flow
Cleaning1. Describe how to clean the unit safely
2. Demonstrate rear of unit showing how to use cleaning tool
5. Alarms
1. Explain the safety alarms and features of the unit
RANGER 245 BLOOD/FLUID WARMER COMPETENCY
Whipps Cross Hospital
Section 5 - 29
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Whipps Cross Hospital Specific Competencies
Section 5 - 30
Performance Criteria Attained DateSetting up1. State the clinical application for the Baxter Colleague infusion pump
2. Identify the correct giving set for the Baxter Colleague
3. Describe the safety features on the giving set
4. Identify the following features on the rear of the pump and their use:
h Volume and contrast control
h USB stick
h Panel lock out button5. Show how to attach the pole clamp to a drip stand
6. Demonstrate how to remove pole clamp for cleaning
7. Identify the following features on the front of the pump:
h Display screen
h Hard keys
h Soft keys
h Numeric keypad
h Pump Head ModuleOperation1. Start the infusion & identify two features that show the pump is
infusing2. Show how to stop the infusion
3. Demonstrate how to change the rate
Alarms/Alerts - identify the following alarms/alerts and state the corrective action1. Upstream occlusion
2. Downstream occlusion
3. Air in line
4. Temperature Too Low or Too High
5. Tube misloaded
6. KVO mode
7. Battery (including why screen may turn yellow or red)
BAXTER COLLEAGUE INFUSION PUMP COMPETENCY
Whipps Cross Hospital
Section 5 - 31
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained DateInfusion Complete and Manual Tube Release1. Describe what to do when infusion is complete
2. Explain why you should always close the roller clamp before removing the giving set
3. Show how to operate the manual tube release and explain when you would use this
Maintenance1. Explain what you need to clean the pump with
2. Explain why it is important to keep the pump charged
3. Explain what to do if a failure code shows on the screen
Whipps Cross Hospital Specific Competencies
Section 5 - 32
FK INJECTOMAT/SP INFUSION PUMP COMPETENCY
Performance Criteria Attained DateSafety checks1. State the clinical application for the Injectomat/SP pump
2. Explain the safety checks and precautions to be taken prior to use
3. Identify appropriate equipment needed for use with the pump
Controls and indicators/set-up and operation1. State the functions of all the soft keys and indicators on the front
display panel2. Assemble two pumps and lock them together
3. Install the pump on a pole or rail
4. Load the pump into a docking station (if required)
5. Demonstrate the correct insertion and positioning of the syringe
6. Initiate and commence a prescribed infusion
7. Select chosen drug name from the Vigilant Drug Library option
8. Set a specified volume to be infused
9. Set a volume to be infused over time
10. Explain information on front display panel whilst infusing
11. Explain what the orange and green indicators are for
12. Demonstrate how to clear volume infused
13. Demonstrate how to check the pressure level and the use of the DPS option
14. Demonstrate how to alter the flow rate during the infusion
15. Access the event log and show recent events
16. Demonstrate the use of the keyboard lock and night mode
17. Show the value of the volume infused and how to clear it
18. Explain KVO and state the standard KVO rate
19. Demonstrate how to programme a pause in the infusion
20. Demonstrate the bolus function
21. Show how to check the battery life in the menu
22. Stop the infusion, turn the pump off and discuss the correct cleaning and storage procedures
Whipps Cross Hospital
Section 5 - 33
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained DateAlarms - identify the following alarms and state the corrective action:1. Syringe holder alarm
2. Syringe plunger alarm
3. Occlusion alarm
4. Low battery
5. End of infusion pre-alarm
SP Infusion Pump - key differences1. Understand the reason the pump asks ‘Same Infusion?’ when switched on
2. Know the differences on the front screen
3. Know the difference in the alarms
4. Understand the differences in the Pause function
5. Understand the differences in the Bolus function
Whipps Cross Hospital Specific Competencies
Section 5 - 34
FK VOLUMAT/VP INFUSION PUMP COMPETENCY
Performance Criteria Attained DateSafety checks1. State the clinical application for the Volumat/VP infusion pump
2. Explain the safety checks and precautions to be taken prior to use
3. Identify appropriate equipment needed for use with the pump
Controls and indicators/set-up and operation1. State the functions of all the soft keys and indicators on the
front display panel2. Assemble two pumps and lock them together
3. Load the pump into a docking station (if required)
4. Install the pump on a pole or rail
5. Demonstrate the installation of a dedicated giving set
6. Explain the safety features on the giving set
7. Initiate and commence a prescribed infusion
8. Select chosen drug name from the Vigilant Drug Library option
9. Explain how to select a drug not included in the Vigilant Drug Library
10. Set a specified volume to be infused
11. Set a volume to be infused over time
12. Explain information on front display panel whilst infusing
13. Explain what the orange and green indicators are for
14. Demonstrate how to clear volume infused
15. Demonstrate how to check the pressure level and the use of the DPS option
16. Demonstrate how to alter the flow rate during the infusion
17. Access the event log and show recent events
18. Demonstrate the use of the keyboard lock and night mode
19. Explain KVO and state the standard KVO rate
20. Demonstrate how to programme a pause in the infusion
21. Demonstrate the bolus function
22. Show how to check the battery life in the menu
Whipps Cross Hospital
Section 5 - 35
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained Date23. Explain the ramp up/down and sequential features (if
required)24. Stop the infusion, turn the pump off and discuss the correct
cleaning and storage proceduresAlarms - identify the following alarms and state the corrective action1. Install set
2. Door open
3. Air alarm and ‘see Air Bubble’
4. OCS failed (Occlusivity check)
5. End of infusion pre alarm and end of infusion alarm
6. Pressure increase DPS
7. Occlusion pre alarm
8. Downstream and upstream occlusions
9. Battery pre alarm and empty battery
10. Technical error and action to be taken
VP Infusion Pump - key differences1. Understand the reason the pump asks ‘Same Infusion?’
when switched on2. Know the differences on the front screen
3. Know the difference in the alarms
4. Understand the differences in the Pause function
5. Understand the differences in the Bolus function
6. Understand the ‘Change Drug?’ option in the menu
Whipps Cross Hospital Specific Competencies
Section 5 - 36
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained Date1. Demonstrates ability to power on equipment and awareness of buttons
for operation2. Aware of use of therapy cable and monitoring leads, and select
appropriate lead for monitoring on equipment3. Able to describe how to select energy level and safety administer shock
4. Able to demonstrate method of daily check
5. Demonstrates an understanding of use of pacing mode and synchronised energy deliver
6. Able to identify risks associated with therapy
7. Able to identify alarm indicators, potential causes, and actions to be taken to correct problems
8. Aware of procedure for management of faulty equipment
LIFEPAK 20 DEFIBRILLATOR COMPETENCY
Whipps Cross Hospital
Section 5 - 37
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained Date1. Demonstrates yellow board to go under patient
2. Demonstrates understanding of why to attach to wall oxygen supply
3. Demonstrates ability to attach clips to yellow board
4. Demonstrates ability to adjust cardio pump to patient’s chest height
5. Demonstrates ability to “lock in” position
6. Demonstrates ability to turn on
7. Demonstrates how to safety dissemble
LUCAS COMPETENCY
Whipps Cross Hospital Specific Competencies
Section 5 - 38
Performance Criteria Attained DateCorrectly prepare the equipment
1. Demonstrates ability to request ECG on CRS
Preparing the patient
1. Explain the procedure to the patient and gain verbal consent
2. Demonstrate ability to correctly attach the ECG leads to the patient
Powering up the Mortara ECG
1. Switch power on including WAM
2. Able to locate correct patient on the machine
3. Demonstrates ability to submit the ECG to CRS
4. Able to locate the ECG on CRS
5. Ensure Registrar or above signs off ECG as being seen (either electronically or physically)
Cleaning
1. Describe how to clean the unit safely after each patient
MORTARA ECG COMPETENCY
Whipps Cross Hospital
Section 5 - 39
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Whipps Cross Hospital Specific Competencies
Section 5 - 40
Performance Criteria Attained DateCorrectly set up the equipment
1. Explain available mounting options and safely position the warming unit, using one of these options
Bair Hugger 775 features
1. Describe the features of the warming unit hose and explain how to correctly connect it to a Bair Hugger Blanket or Bair Paws Gown, ensuring a snug fit
2. Describe the function and use of the following warming unit controls: temperature settings, fan speeds, standby mode, temperature mode timer and the total hours of use indicator
3. Describe what the three indicator lights represent and explain the Temp in Range indicator
Fault conditions
1. Explain what happens to the warming unit in an over temperature condition and what action should be taken
2. Describe what happens to the warming unit in a fault condition and what action should be taken
Set up and operation
1. Demonstrate how to set up and operate the warming unit, with a Bair Hugger blanket
2. Describe how to use a Bair Hugger blanket and why
3. Describe how to safely position the warming unit hose, when in use
4. How frequently should the patient’s temperature be monitored?
5. How should you not use a Bair Hugger warming unit and why?
6. Describe what to do on completion of therapy, how to store and clean unit and dispose of consumables
BAIR HUGGER 775 COMPETENCY
Whipps Cross Hospital
Section 5 - 41
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Whipps Cross Hospital Specific Competencies
Section 5 - 42
LEVEL 1 RAPID INFUSER
Competency Statement: On completion of this assessment the participant will be able to demonstrate competence and both clinical and theoretical knowledge regarding the safety aspects and practical use of the Belmont rapid infuser.
Performance Criteria Attained Date Signature of AssessorHas watched Level 1 training video:
Q d r i v e / A & E / A & E N u r s e / Te a c h i n g &Education/Device Training
1. Setting up
a) Check the water level inside the level 1 is full
b) Check all giving set luer connectors are tight and line clamps are closed. Then spike fluid bags
c) Demonstrate loading the number coded giving set, whilst the machine is switched off
d) Locate the on/off switch, turn machine on
e) Ensure 2 x green lights are on to ensure machine is ready
f) Open all connectors and clamps, prime the line with fluids
g) After prime is completed, clamp the lowest connector
h) Inspect patient line for air
i) Demonstrates how to hang fluid bags in pressure chambers and turn pressure on, (+) position
j) Can articulate which fluids are suitable to use with the Level 1
k) Connect to patient if ready to infuse
2. Infusing
a) Demonstrate how to increase and decrease volume (with roller clamp)
b) Demonstrate how to stop infusion
c) Can articulate the need for wide bore cannulas
d) Understands that only one bag to be open at a time
Whipps Cross Hospital
Section 5 - 43
Performance Criteria Attained Date Signature of Assessor3. Troubleshooting list actions to solve the follow problems
a) Air detected
b) Check fluid bag is not caught in the door chamber
c) Awareness of having to monitor fluid flow
d) Demonstrate how to fill water in the Level 1
e) What to do if pump is faulty
4. Cleaning Method
a) Turn off machine and appropriately removes emptied IV bag from chambers. Appropriately removes the giving set
b) Disconnect power cable and clean following Trust Infection Control Policy
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Whipps Cross Hospital Specific Competencies
Section 5 - 44
Signature of Assessor: …………........................................................…………………………………………
Name: ……………………………….….................................................................................……….…………
Date: ……………………………….….................................................................................………..…………
Signature of Participant: ……….......................................................………………………………………….
Name: …………………................................................................................…………….………….…………
Date: ....................................................................................................................................................................
Competency verified Yes More training required
Performance Criteria Attained Date1. Able to turn on monitor and knows how to put on standby mode
2. Able to input patient details
3. Knows how to print off observations
4. Able to demonstrate how to print ECG
5. Can demonstrate how to set alarm parameters
6. Can state what P1 & P2 are used for
7. Able to activate P1, P2 & ETCO2
8. Able to deactivate P1, P2 & ETCO2
9. Can set up NIBP for 15 minute intervals
WELCH ALLYN 1500 PATIENT MONITOR COMPETENCY
