代写Nursing-and-Midwifery-Board---Standard---National-compe

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  • 代写Nursing-and-Midwifery-Board---Standard---National-competency-
    National competency standards
    for the registered nurse
    Introduction
    National competency standards for registered nurses were
    first adopted by the Australian Nursing and Midwifery Council
    (ANMC) in the early 1990s. The ANMC was a peak national
    and midwifery organisation established in 1992 to develop a
    national approach to nursing and midwifery regulation. The
    ANMC worked in conjunction with the state and territory
    nursing and midwifery authorities (NMRAs) to produce national
    standards – an integral component of the regulatory framework
    – to help nurses and midwives deliver safe and competent care.
    The ANMC officially became the Australian Nursing and
    Midwifery Accreditation Council (ANMAC) on 24 November
    2010. The name change reflected ANMC’s appointment as
    the independent accrediting authority for the nursing and
    midwifery professions under the new National Registration and
    Accreditation Scheme (the National Scheme) that came into
    effect on 1 July 2010 (18 October 2010 in Western Australia).
    With the onset of the National Scheme, the Nursing
    and Midwifery Board of Australia (National Board), took
    responsibility for the regulation of nurses and midwives in
    Australia, thus taking ownership of the national competency
    standards for registered nurses.
    Since creation, these national competency standards have
    undergone periodic review and revision, which included
    extensive consultation with nurses around Australia. This
    helped to make sure the competency standards remained
    contemporary and congruent with legislative requirements.
    The resulting standards, while different in some areas
    from the previous competency standards, remain broad
    and principle-based so that they are sufficiently dynamic
    for practising nurses and the nurse regulators to use as a
    benchmark to assess competence to practise in a range of
    settings.
    What are the standards used for?
    The national competency standards for the registered
    nurse are the core competency standards by which your
    performance is assessed to obtain and retain your registration
    as a registered nurse in Australia.
    As a registered nurse, these core competency standards
    provide you with the framework for assessing your
    competence, and are used by the National Board to assess
    competence as part of the annual renewal of registration, to
    assess nurses:
    • educated overseas seeking to work in Australia
    • returning to work after breaks in service, or
    • involved in professional conduct matters.
    The National Board may also apply the competency standards
    in order to communicate to consumers the standards that they
    can expect from nurses.
    Universities also use the standards when developing
    nursing curricula, and to assess student and new graduate
    performance.
    These are YOUR standards — developed using the best
    possible evidence, and using information and feedback
    provided by nurses in a variety of settings. Included also
    are the principles of assessment to help you understand
    how these standards may be used to assess performance.
    We believe you will find them user-friendly and easy to
    understand.
    Description of the registered
    nurse on entry to practice
    The registered nurse demonstrates competence in the
    provision of nursing care as specified by registration
    requirements, National Board standards and codes,
    educational preparation, relevant legislation and context
    of care. The registered nurse practises independently and
    interdependently, assuming accountability and responsibility
    for their own actions and delegation of care to enrolled
    nurses and health care workers. Delegation takes into
    consideration the education and training of enrolled nurses
    and health care workers and the context of care.
    The registered nurse provides evidence-based nursing care to
    people of all ages and cultural groups, including individuals,
    families and communities. The role of the registered nurse
    includes promotion and maintenance of health and prevention
    of illness for individuals with physical or mental illness,
    disabilities and/or rehabilitation needs, as well as alleviation
    of pain and suffering at the end stage of life.
    The registered nurse assesses, plans, implements and
    evaluates nursing care in collaboration with individuals and
    the multidisciplinary health care team so as to achieve goals
    and health outcomes. The registered nurse recognises that
    ethnicity, culture, gender, spiritual values, sexuality, age,
    disability and economic and social factors have an impact
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    National competency standards for the registered nurse
    on an individual’s responses to, and beliefs about, health and
    illness, and plans and modifies nursing care appropriately.
    The registered nurse provides care in a range of settings that
    may include acute, community, residential and extended care
    settings, homes, educational institutions or other work settings
    and modifies practice according to the model/s of care delivery.
    The registered nurse takes a leadership role in the coordination
    of nursing and health care within and across different care
    contexts to facilitate optimal health outcomes. This includes
    appropriate referral to, and consultation with, other relevant
    health professionals, service providers, and community and
    support services.
    The registered nurse contributes to quality health care
    through lifelong learning and professional development of
    herself/himself and others, research data generation, clinical
    supervision and development of policy and clinical practice
    guidelines. The registered nurse develops their professional
    practice in accordance with the health needs of the population/
    society and changing patterns of disease and illness.
    Domains
    The competencies which make up the National Board National
    competency standards for the registered nurse are organised into
    domains.
    Professional practice
    This relates to the professional, legal and ethical
    responsibilities which require demonstration of a satisfactory
    knowledge base, accountability for practice, functioning in
    accordance with legislation affecting nursing and health care,
    and the protection of individual and group rights.
    Critical thinking and analysis
    This relates to self-appraisal, professional development and
    the value of evidence and research for practice. Reflecting on
    practice, feelings and beliefs and the consequences of these
    for individuals/groups is an important professional benchmark.
    Provision and coordination of care
    This domain relates to the coordination, organisation and
    provision of nursing care that includes the assessment of
    individuals /groups, planning, implementation and evaluation
    of care.
    Collaborative and therapeutic practice
    This relates to establishing, sustaining and concluding
    professional relationships with individuals/groups. This
    also contains those competencies that relate to nurses
    understanding their contribution to the interdisciplinary health
    care team.
    National competency standards for
    the registered nurse
    Professional practice
    Relates to the professional, legal and ethical responsibilities
    which require demonstration of a satisfactory knowledge base,
    accountability for practice, functioning in accordance with
    legislation affecting nursing and health care, and the protection of
    individual and group rights.
    1. Practises in accordance with legislation affecting nursing
    practice and health care
    1.1 Complies with relevant legislation and common law:
    • identifies legislation governing nursing practice
    • describes nursing practice within the requirements
    of common law
    • describes and adheres to legal requirements for
    medications
    • identifies legal implications of nursing interventions
    • actions demonstrate awareness of legal
    implications of nursing practice
    • identifies and explains effects of legislation on the
    care of individuals/groups
    • identifies and explains effects of legislation in the
    area of health, and
    • identifies unprofessional practice as it relates to
    confidentiality and privacy legislation.
    1.2 Fulfils the duty of care:
    • performs nursing interventions in accordance with
    recognised standards of practice
    • clarifies responsibility for aspects of care with other
    members of the health team
    • recognises the responsibility to prevent harm, and
    • performs nursing interventions following
    comprehensive and accurate assessments.
    1.3 Recognises and responds appropriately to unsafe or
    unprofessional practice:
    • identifies interventions which prevent care being
    compromised and/or law contravened
    • identifies appropriate action to be taken in specified
    circumstances
    • identifies and explains alternative strategies for
    intervention and their likely outcomes
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    National competency standards for the registered nurse
    • identifies behaviour that is detrimental to achieving
    optimal care, and
    • follows up incidents of unsafe practice to prevent
    recurrence.
    2. Practises within a professional and ethical nursing
    framework
    2.1 Practises in accordance with the nursing profession’s
    codes of ethics and conduct:
    • accepts individuals/groups regardless of race,
    culture, religion, age, gender, sexual preference,
    physical or mental state
    • ensures that personal values and attitudes are not
    imposed on others
    • conducts assessments that are sensitive to the
    needs of individuals/groups
    • recognises and accepts the rights of others
    • maintains an effective process of care when
    confronted by differing values, beliefs and biases
    • seeks assistance to resolve situations involving
    moral conflict, and
    • identifies and attempts to overcome factors which
    may constrain ethical decisions, in consultation with
    the health care team.
    2.2 Integrates organisational policies and guidelines with
    professional standards:
    • maintains current knowledge of and incorporates
    relevant professional standards into practice
    • maintains current knowledge of and incorporates
    organisational policies and guidelines into practice
    • reviews and provides feedback on the relevance of
    organisational policies and professional standards
    procedures to practice
    • demonstrates awareness and understanding of
    developments in nursing that have an impact on the
    individual’s capacity to practise nursing, and
    • considers individual health and wellbeing in relation
    to being fit for practice.
    2.3 Practises in a way that acknowledges the dignity, culture,
    values, beliefs and rights of individuals/groups:
    • demonstrates respect for individual/group common
    and legal rights in relation to health care
    • identifies and adheres to strategies to promote and
    protect individual/group rights
    • considers individual/group preferences when
    providing care
    • clarifies individual/group requests to change and/
    or refuse care with relevant members of the health
    care team
    • advocates for individuals/groups when rights are
    overlooked and/or compromised
    • accepts individuals/groups to whom care is
    provided regardless of race, culture, religion, age,
    gender, sexual preference, physical or mental state
    • ensures that personal values and attitudes are not
    imposed on others
    • undertakes assessments which are sensitive to the
    needs of individuals/groups
    • recognises and accepts the rights of others
    • maintains an effective process of care when
    confronted by differing values, beliefs and biases
    • provides appropriate information within the nurse’s
    scope of practice to individuals/groups
    • consults relevant members of the health care team
    when required
    • questions and/or clarifies orders and decisions that
    are unclear, not understood or questionable, and
    • questions and/or clarifies interventions that appear
    inappropriate with relevant members of the health
    care team.
    2.4 Advocates for individuals/groups and their rights for
    nursing and health care within organisational and
    management structures:
    • identifies when resources are insufficient to meet
    care needs of individuals/groups
    • communicates skill mix requirements to meet care
    needs of individuals/groups to management
    • protects the rights of individuals and groups and
    facilitates informed decisions
    • identifies and explains policies/practices which
    infringe on the rights of individuals or groups
    • clarifies policies, procedures and guidelines when
    rights of individuals or groups are compromised,
    and
    • recommends changes to policies, procedures and
    guidelines when rights are compromised.
    2.5 Understands and practises within own scope of practice:
    • seeks clarification when questions, directions and
    decisions are unclear or not understood
    • undertakes decisions about care that are within
    scope of competence without consulting senior staff
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    National competency standards for the registered nurse
    • raises concerns about inappropriate delegation with
    the appropriate registered nurse
    • demonstrates accountability and responsibility for
    own actions within nursing practice
    • assesses consequences of various outcomes of
    decision making
    • consults relevant members of the health care team
    when required, and
    • questions and/or clarifies interventions which
    appear inappropriate with relevant members of the
    health care team.
    2.6 Integrates nursing and health care knowledge, skills and
    attitudes to provide safe and effective nursing care:
    • maintains a current knowledge base
    • considers ethical responsibilities in all aspects of
    practice
    • ensures privacy and confidentiality when providing
    care, and
    • questions and/or clarifies interventions which
    appear inappropriate with relevant members of the
    health care team.
    2.7 Recognises the differences in accountability and
    responsibility between registered nurses, enrolled
    nurses and unlicensed care workers:
    • understands requirements of statutory and
    professionally regulated practice
    • understands requirements for delegation and
    supervision of practice, and
    • raises concerns about inappropriate delegation with
    the relevant organisational or regulatory personnel.
    Critical thinking and analysis
    Relates to self-appraisal, professional development and the value
    of evidence and research for practice. Reflecting on practice,
    feelings and beliefs and the consequences of these for individuals/
    groups is an important professional bench- mark.
    3. Practises within an evidence-based framework
    3.1 Identifies the relevance of research to improving
    individual/group health outcomes:
    • identifies problems/issues in nursing practice that
    may be investigated through research
    • considers potential for improvement in reviewing
    the outcomes of nursing activities and individual/
    group care
    • discusses implications of research with colleagues
    participates in research, and
    • demonstrates awareness of current research in
    own field of practice.
    3.2 Uses best available evidence, nursing expertise and
    respect for the values and beliefs of individuals/groups in
    the provision of nursing care:
    • uses relevant literature and research findings to
    improve current practice
    • participates in review of policies, procedures and
    guidelines based on relevant research
    • identifies and disseminates relevant changes in
    practice or new information to colleagues
    • recognises that judgements and decisions are
    aspects of nursing care, and
    • recognises that nursing expertise varies with
    education, experience and context of practice.
    3.3 Demonstrates analytical skills in accessing and
    evaluating health information and research evidence:
    • demonstrates understanding of the registered
    nurse role in contributing to nursing research
    • undertakes critical analysis of research findings in
    considering their application to practice
    • maintains accurate documentation of information
    which could be used in nursing research, and
    • clarifies when resources are not understood or their
    application is questionable.
    3.4 Supports and contributes to nursing and health care
    research:
    • participates in research, and
    • identifies problems suitable for research.
    3.5 Participates in quality improvement activities:
    • recognises that quality improvement involves
    ongoing consideration, use and review of practice
    in relation to practice outcomes, standards and
    guidelines and new developments
    • seeks feedback from a wide range of sources to
    improve the quality of nursing care
    • participates in case review activities, and
    • participates in clinical audits.
    4. Participates in ongoing professional development of self
    and others代写Nursing-and-Midwifery-Board---Standard---National-competency-
    4.1 Uses best available evidence, standards and guidelines to
    evaluate nursing performance:
    • undertakes regular self-evaluation of own nursing
    practice
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    National competency standards for the registered nurse
    • seeks and considers feedback from colleagues
    about, and critically reflects on, own nursing
    practice, and
    • participates actively in performance review
    processes.
    4.2 Participates in professional development to enhance
    nursing practice:
    • reflects on own practice to identify
    professionaldevelopment needs
    • seeks additional knowledge and/or information
    when presented with unfamiliar situations
    • seeks support from colleagues in identifying
    learning needs
    • participates actively in ongoing professional
    development, and
    • maintains records of involvement in professional
    development which includes both formal and
    informal activities.
    4.3 Contributes to the professional development of others:
    • demonstrates an increasing responsibility to share
    knowledge with colleagues
    • supports health care students to meet their
    learning objectives in cooperation with other
    members of the health care team
    • facilitates mutual sharing of knowledge and
    experience with colleagues relating to individual/
    group/unit problems
    • contributes to orientation and ongoing education
    programs
    • acts as a role model to other members of the health
    care team
    • participates where possible in preceptorship,
    coaching and mentoring to assist and develop
    colleagues
    • participates where appropriate in teaching others
    including students of nursing and other health
    disciplines, and inexperienced nurses, and
    • contributes to formal and informal professional
    development.
    4.4 Uses appropriate strategies to manage own responses to
    the professional work environment:
    • identifies and uses support networks
    • shares experiences related to professional issues
    with colleagues, and
    • uses reflective practice to identify personal needs
    and seek appropriate support.
    Provision and coordination of care
    Relates to the coordination, organisation and provision of nursing
    care that includes the assessment of individuals/ groups, planning,
    implementation and evaluation of care.
    5. Conducts a comprehensive and systematic nursing
    assessment
    5.1 Uses a relevant evidence-based assessment framework
    to collect data about the physical socio-cultural and
    mental health of the individual/group:
    • approaches and organises assessment in a
    structured way
    • uses all available evidence sources, including
    individuals/groups/significant others, health care
    team, records, reports, and own knowledge and
    experience
    • collects data that relate to physiological,
    psychological, spiritual, socio-economic and
    cultural variables on an ongoing basis
    • understands the role of research-based, and other
    forms of evidence
    • confirms data with the individual/group and
    members of the health care team
    • uses appropriate assessment tools and strategies
    to assist the collection of data
    • frames questions in ways that indicate the use of a
    theoretical framework/structured approach, and
    • ensures practice is sensitive and supportive to
    cultural issues.
    5.2 Uses a range of assessment techniques to collect
    relevant and accurate data:
    • uses a range of data-gathering techniques,
    including observation, interview, physical
    examination and measurement in obtaining a
    nursing history and assessment
    • collaboratively identifies actual and potential health
    problems through accurate interpretation of data
    • accurately uses health care technologies in
    accordance with manufacturer’s specification and
    organisational policy
    • identifies deviations from normal, or improvements,
    in the individual’s/group’s health status, and
    • identifies and incorporates the needs and
    preferences of the individual/ group into a plan of
    care.
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    National competency standards for the registered nurse
    5.3 Analyses and interprets assessment data accurately:
    • recognises that clinical judgements involve
    consideration of conflicting information and
    evidence
    • identifies types and sources of supplementary
    information for nursing assessment
    • describes the role of supplementary information in
    nursing assessment, and
    • demonstrates knowledge of quantitative and
    qualitative data to assess individual/group needs.
    6. Plans nursing care in consultation with individuals/
    groups, significant others and the interdisciplinary health
    care team
    6.1 Determines agreed priorities for resolving health needs
    of individuals/groups:
    • incorporates relevant assessment data in
    developing a plan for care
    • determines priorities for care, based on nursing
    assessment of an individual’s/group’s needs for
    intervention, current nursing knowledge and
    research, and
    • considers individual/group preferences when
    determining priorities for care in performance
    review processes.
    6.2 Identifies expected and agreed individual/group health
    outcomes including a time frame for achievement:
    • establishes realistic short- and long-term goals
    that identify individual/group health outcomes and
    specify condition for achievement
    • identifies goals that are measurable, achievable,
    and congruent with values and beliefs of the
    individual/group and/or significant others
    • uses resources to support the achievement of
    outcomes, and
    • identifies criteria for evaluation of expected
    outcomes.
    6.3 Documents a plan of care to achieve expected outcomes:
    • ensures that plans of care are based on an ongoing
    analysis of assessment data
    • plans care that is consistent with current nursing
    knowledge and research, and
    • documents plans of care clearly.
    6.4 Plans for continuity of care to achieve expected
    outcomes:
    • collaboratively supports the therapeutic
    interventions of other health team members
    • maintains and documents information necessary
    for continuity of the plan of care
    • responds to individual/group or carer’s educational
    needs
    • provides or facilitates provision of an individual’s/
    group’s or carer’s resources and aids as required
    • identifies and recommends appropriate agency,
    government and community resources to ensure
    continuity of care
    • initiates necessary contacts and referrals to
    external agencies, and
    • forwards all information needed for continuity of
    care when an individual/group is transferred to
    another facility or discharged.
    7. Provides comprehensive, safe and effective evidence-based
    nursing care to achieve identified individual/group health
    outcomes
    7.1 Effectively manages the nursing care of individuals/
    groups:
    • uses resources effectively and efficiently in
    providing care
    • performs actions in a manner consistent with
    relevant nursing principles
    • performs procedures confidently and safely
    • monitors responses of individuals/groups
    throughout each intervention and adjusts care
    accordingly, and
    • provides education and support to assist
    development and maintenance of independent
    living skills
    7.2 Provides nursing care according to the documented care
    or treatment plan:
    • acts consistently with the predetermined plan of
    care
    • uses a range of appropriate strategies to facilitate
    the individual/group’s achievement of short and
    long term expected goals
    7.3 Prioritises workload based on the individual/group’s
    needs, acuity and optimal time for intervention:
    • determines priorities for care, based on nursing
    assessment of an individual/group’s needs for
    intervention, current nursing knowledge and
    research
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    National competency standards for the registered nurse
    • considers the individual/group’s preferences when
    determining priorities for care
    7.4 Responds effectively to unexpected or rapidly changing
    situations
    • responds effectively to emergencies
    • maintains self-control in the clinical setting and
    under stress conditions
    • implements crisis interventions and emergency
    routines as necessary
    • maintains current knowledge of emergency plans
    and procedures to maximise effectiveness in crisis
    situations, and
    • participates in emergency management practices
    and drills according to agency policy
    7.5 Delegates aspects of care to others according to their
    competence and scope of practice:
    • delegates aspects of care according to role,
    functions, capabilities and learning needs
    • monitors aspects of care delegated to others and
    provides clarification/assistance as required
    • recognises own accountabilities and responsibilities
    when delegating aspects of care to others, and
    • delegates to and supervises others consistent with
    legislation and organisational policy.
    7.6 Provides effective and timely direction and supervision
    to ensure that delegated care is provided safely and
    accurately:
    • supervises and evaluates nursing care provided by
    others
    • uses a range of direct and indirect techniques
    such as instructing, coaching, mentoring, and
    collaborating in the supervision and support of
    others
    • provides support with documentation to nurses
    being supervised or to whom care has been
    delegated, and
    • delegates activities consistent with scope of
    practice/competence
    7.7 Educates individuals/groups to promote independence
    and control over their health
    • identifies and documents specific educational
    requirements and requests of individuals/groups
    • undertakes formal and informal education sessions
    with individuals/groups as necessary, and
    • identifies appropriate educational resources,
    including other health professionals.
    7.8 Uses health care resources effectively and efficiently to
    promote optimal nursing and health care
    • recognises when nursing resources are insufficient
    to meet an individual’s/group’s needs
    • demonstrates flexibility in providing care where
    resources are limited, and
    • recognises the responsibility to report to
    relevant persons when level of resources risks
    compromising the quality of care
    8. Evaluates progress towards expected individual/group health
    outcomes in consultation with individuals/groups, significant
    others and interdisciplinary health care team
    8.1 Determines progress of individuals/groups toward
    planned outcomes:
    • recognises when individual’s/group’s progress and
    expected progress differ and modifies plans and
    actions accordingly
    • discusses progress with the individual/group
    • evaluates individual/group responses to
    interventions, and
    • assesses the effectiveness of the plan of care in
    achieving planned outcomes
    8.2 Revises the plan of care and determines further
    outcomes in accordance with evaluation data:
    • revises expected outcomes, nursing interventions
    and priorities with any change in an individual’s/
    group’s condition, needs or situational variations
    • communicates new information and revisions to
    members of the health care team as required
    Collaborative and therapeutic practice
    Relates to establishing, sustaining and concluding pro- fessional
    relationships with individuals/groups. This also contains
    those competencies that relate to nurses understanding their
    contribution to the interdisciplinary health care team.
    9. Establishes, maintains and appropriately concludes
    therapeutic relationships
    9.1 Establishes therapeutic relationships that are goal
    directed and recognises professional boundaries:
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    National competency standards for the registered nurse
    • demonstrates empathy, trust and respect for the
    dignity and potential of the individual/group
    • interacts with individuals/groups in a supportive
    manner
    • effectively initiates, maintains and concludes
    interpersonal interactions
    • establishes rapport with individuals/groups that
    enhances their ability to express feelings, and
    fosters an appropriate context for expression of
    feeling
    • understands the potential benefits of partnership
    approaches on nurse individual/group relationships,
    and
    • demonstrates an understanding of standards
    and practices of professional boundaries and
    therapeutic relationships.
    9.2 Communicates effectively with individuals/groups to
    facilitate provision of care:
    • uses a range of effective communication techniques
    • uses language appropriate to the context
    • uses written and spoken communication skills
    appropriate to the needs of individuals/groups
    • uses an interpreter where appropriate
    • provides adequate time for discussion
    • establishes, where possible, alternative
    communication methods for individuals/groups
    who are unable to verbalise, and
    • uses open/closed questions appropriately.
    9.3 Uses appropriate strategies to promote an individual’s/
    group’s self-esteem, dignity, integrity and comfort:
    • identifies and uses strategies which encourage
    independence
    • identifies and uses strategies which affirm
    individuality
    • uses strategies which involve the family/significant
    others in care
    • identifies and recommends appropriate support
    networks to individuals/groups
    • identifies situations which may threaten the dignity/
    integrity of an individual/group
    • implements measures to maintain dignity of
    individuals/groups during periods of self-care deficit
    • implements measures to support individuals/
    groups experiencing emotional distress, and
    • information is provided to individuals/groups to
    enhance their control over their own health care.
    9.4 Assists and supports individuals/groups to make
    informed health care decisions:
    • facilitates and encourages individual/group
    decision-making
    • maintains and supports respect for an individual/
    group’s decision through communication with other
    members of the interdisciplinary health care team,
    and
    • arranges consultation to support individuals/
    groups to make informed decisions regarding
    health care
    9.5 Facilitates a physical, psychosocial, cultural and spiritual
    environment that promotes individual/group safety and
    security:
    • demonstrates sensitivity, awareness and respect
    for cultural identity as part of an individual’s/
    group’s perceptions of security
    • demonstrates sensitivity, awareness and respect in
    regard to an individual’s/group’s spiritual needs
    • involves family and others in ensuring that cultural
    and spiritual needs are met
    • identifies, eliminates or prevents environmental
    hazards where possible
    • applies relevant principles to ensure the safe
    administration of therapeutic substances
    • maintains standards for infection control
    • applies ergonomic principles to prevent injury to
    individual/group and self
    • prioritises safety problems
    • adheres to occupational health and safety
    legislation
    • modifies environmental factors to meet an
    individual/group’s comfort needs where possible
    • promotes individual/group comfort throughout
    interventions, and
    • uses ergonomic principles and appropriate aids to
    promote the individual/group’s comfort
    10. Collaborates with the interdisciplinary health care team to
    provide comprehensive nursing care
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    National competency standards for the registered nurse
    10.1 Recognises that the membership and roles of health
    care teams and service providers will vary depending on
    an individual’s/group’s needs and health care setting:
    • recognises the impact and role of population,
    primary health and partnership health care models
    • recognises when to negotiate with, or refer to, other
    health care or service providers
    • establishes positive and productive working
    relationships with colleagues, and
    • recognises and understands the separate and
    interdependent roles and functions of health care
    team members.
    10.2 Communicates nursing assessments and decisions to
    the interdisciplinary health care team and other relevant
    service providers:
    • explains the nursing role to the interdisciplinary
    team and service providers
    • maintains confidentiality in discussions about an
    individual/group’s needs and progress
    • discusses individual/group care requirements
    with relevant members of the health care team
    • collaborates with members of the health
    care team in decision making about care of
    individuals/groups
    • demonstrates skills in written, verbal and
    electronic communication, and
    • documents, as soon possible, forms of
    communication, nursing interventions and
    individual/group responses
    10.3 Facilitates coordination of care to achieve agreed health
    outcomes:
    • adopts and implements a collaborative approach to
    practice
    • participates in health care team activities
    • demonstrates the necessary communication skills
    to manage avoidance, confusion and confrontation
    • demonstrates the necessary communication skills
    to enable negotiation
    • demonstrates an understanding of how
    collaboration has an impact on the safe and
    effective provision of comprehensive care
    • establishes and maintains effective and
    collaborative working relationships with other
    members of the health care team
    • consults with relevant health care professionals and
    service providers to facilitate continuity of care
    • recognises the contribution of, and liaises with,
    relevant community and support services
    • records information systematically in an accessible
    and retrievable form
    • ensures that written communication is
    comprehensive, logical, legible, clear and
    concise, spelling is accurate and only acceptable
    abbreviations are used, and
    • establishes and maintains documentation
    according to organisational guidelines and
    procedures.
    10.4 Collaborates with the health care team to inform policy
    and guideline development:
    • regularly consults policies and guidelines
    • demonstrates awareness of changes to policies and
    guidelines
    • attends meetings and participates in practice
    reviews and audits, and
    • demonstrates understanding of the implications of
    national health strategies for nursing and health
    care practice.
    10
    National competency standards for the registered nurse
    Glosssary
    ANMAC
    The Australian Nursing and Midwifery Accreditation Council,
    which is the new name for the ANMC
    ANMC
    Australian Nursing and Midwifery Council
    Appropriate
    Matching the circumstances, meeting needs of the individual,
    group or situation
    Attributes
    Characteristics which underpin competent performance
    Competence
    The combination of skills, knowledge, attitudes, values and
    abilities that underpin effective and/ or superior performance
    in a profession/occupational area
    Competency element
    Represents a sub-section of a competency unit, and contains
    examples of competent performance known as cues
    Competency standards
    Consist of competency units and competency elements
    Competency unit
    Represents a stand-alone function or functional area
    underlying some aspect of professional performance
    Competent
    The person has competence across all the domains of
    competencies applicable to the nurse, at a level that is judged
    to be appropriate for the level of nurse being assessed
    Contexts
    The setting/environment where competence can be
    demonstrated or applied
    Core competency standards
    Essential competency standards for registration
    Cues
    Generic examples of competent performance. They are neither
    comprehensive nor exhaustive. They assist in assessment, selfreflection
    and curriculum development
    Domains
    An organised cluster of competencies in nursing practice
    Enrolled nurse (EN)
    A person registered to provide nursing care under the
    supervision of a registered nurse
    Exemplars
    Concrete examples typical of competence. They are not the
    standard but are indicative of the standard
    National Board
    The Nursing and Midwifery Board of Australia
    National Scheme
    The National Registration and Accreditation Scheme that
    commenced on 1 July 2010
    NMRAs
    Nursing and midwifery regulatory authorities (states and
    territories)
    Nursing and Midwifery Board of Australia
    The national body responsible for the regulation of nurses and
    midwives
    Registered nurse (RN)
    A person registered to practise nursing in Australia
    11
    National competency standards for the registered nurse
    This work is copyright January 2006. The Nursing and
    Midwifery Board of Australia (National Board) holds
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    This document was originally developed and published under
    the auspices of the Australian Nursing and Midwifery Council.
    When the National Registration and Accreditation Scheme
    (National Scheme) began in Australia in 2010, this publication
    became property of the Nursing and Midwifery Board of
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    and midwives. Except to update the design and names of
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    not changed unless indicated otherwise.
    Nursing and Midwifery Board of Australia
    T 1300 419 495/+61 3 8708 9001
    GPO Box 9958
    Melbourne VIC 3000
    AUSTRALIA
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