| Section 1: Knowledge |
| |
|
Competency statement |
Leaning outcome |
| 1.1.1 |
Anatomy & physiology |
Have a comprehensive knowledge of normal anatomy and physiology for all body systems |
Demonstrate and apply an understanding of anatomy and physiology of all body systems |
| 1.1.2 |
Anatomy & physiology |
Apply comprehensive knowledge of anatomy, physiology and psychology to recognised patterns of illness and injury |
Demonstrate and apply an understanding of anatomy, physiology and psychology |
| 1.2.1 |
Clinical assessment |
Undertake and document a comprehensive, systematic and accurate assessment of the physical, psychological, social and spiritual needs of a patient in an emergency situation |
Demonstrate the ability to undertake an accurate, comprehensive assessment for a patient requiring emergency care, using recognised assessment tools |
| 1.2.2 |
Assessment frameworks |
use a structured approach to individual clinical assessment |
Competently apply recognised assessment frameworks, systematically document assessment findings. Demonstrate use of pain assessment tools
|
| 1.3.1 |
Prioritising care |
Use a structured approach for prioritising patient care |
Accurately record your decision-making process |
| 1.4.1 |
Critical illness or injury |
Recognise patients with life-threatening presentations, and the need for immediate intervention |
Differentiate life-threatening presentations and respond appropriately |
| 1.5.1 |
Emotional & psychological reactions |
Identify a range of immediate emotional and psychological reactions by patients or those with them to sudden & exacerbation of illness or injury |
Identify the immediate emotional and psychological impact of sudden or acute exacerbation of illness or injury on the patient and others, and suggests possible coping mechanisms |
| 1.6.1 |
Pharmacology |
Use comprehensive knowledge of the relevant pharmacology for emergency patients |
Discuss the application of relevant pharmacology for the emergency patient |
| 1.7.1 |
Care needs |
Provide care and anticipate needs, based on patterns of the actual and predicted illness or injury |
Demonstrates the ability to provide an appropriate level of care and anticipate further care needs |
| 1.8.1 |
Monitoring equipment |
Select and deploy appropriate monitoring equipment for individual patients |
Identify a range of appropriate clinical indicators for deploying clinical monitoring equipment |
| 1.9.1 |
Personal influences on care |
Provide a rationale for the care you deliver, taking into account social, spiritual and cultural influences |
Demonstrate awareness of social, spiritual and cultural influences that impact on holistic care, informed by robust evidence |
| 1.10.1 |
External influences on care
|
Provide a rationale for care delivery that takes account of legal, professional, political and economical influences |
Demonstrate awareness of the multiple influences which impact on holistic care |
| 1.11.1 |
Standards and guidance |
Apply standards and guidance provided by the relevant professional governing body, e.g. Nursing & Midwifery Council (NMC) or equivalent, National Institute for Clinical Excellence (NICE), etc. |
Demonstrate informed understanding of the use of policies and guidance on clinical practice |
| 1.12.1 |
Legal and ethical principles |
Use a working knowledge of relevant legal and ethical principles in clinical practice |
Apply legal and ethical principles to emergency practice which are underpinned by quality diversity and human rights principles |
| 1.13.1 |
Risk assessment |
Identify health and safety issues in the work environment |
Demonstrate knowledge of risk assessment and management strategies and competently apply them in practice |
| 1.15.1 |
Accountability |
Apply the principles of the relevant professional regulatory body (e.g. NMC) Code of Conduct to your own professional practice and conduct |
Demonstrate responsibility and accountability for your professional practice in accordance with the prescribed level of your personal competence |
| 1.16.1 |
Leadership |
Identify the principles of leadership and use them to negotiate and plan your own practice |
Use principles of leadership in negotiating your own practice |
| 1.17.1 |
Communication |
Demonstrate the application of effective interaction and communication with patients and the multi-professional team |
Demonstrate knowledge and application of effective communication skills for patients and the multi-professional team |
| Section 2: Intervention |
| |
|
Competency statement |
Leaning outcome |
| 2.1.1 |
Assessment |
Assess and prioritise patients according to clinical and psycho-social need |
Perform appropriate and effective assessment and prioritisation |
| 2.2.1 |
Observation and evaluation |
Undertake accurate and appropriate observations and interventions and effectively evaluate impact of interventions and observations in order to plan care. |
Measure, interpret and record vital signs and other appropriate observations Evaluate interventions and observations and respond appropriately to findings through care planning |
| 2.3.1 |
Critical situations |
Identify critical and/or life threatening situations |
Initiate appropriate action in response to critical and/or life threatening situations |
| 2.4.1 |
Therapeutic interventions |
Provide safe management of therapeutic interventions |
Demonstrate safe delivery and monitoring of therapeutic interventions. Initiate effective pain management strategies and demonstrate the provision of essential care needs |
| 2.5.1 |
Disseminating information |
Be effective in applying the principles of essential care, reporting this information effectively to the patient and other members of the health care team |
Demonstrate the ability to access, use and disseminate information from a wide variety of sources, within the department, on admission, transfer or discharge, to support effective co-ordination of a patient’s journey through the health care process |
| 2.6.1 |
Pain assessment |
Be able to assess a patient’s pain, having selected and applied an appropriate pain assessment tool |
Demonstrate the ability to carry out pain assessment, using a range of appropriate pain assessment tools |
| 2.6.2 |
Pain relief |
Identify suitable analgesia either by administering analgesia under protocol (e.g. Patient Group Direction (PGD), using non-invasive methods of pain relief or initiating intervention by a medical practitioner |
Access suitable analgesia using a variety of methods or initiating intervention by a medical practitioner |
| 2.7.1 |
Psychological impact |
Recognise the psychological impact of an emergency situation on a patient and family/carers, and instigate appropriate interventions |
Demonstrate the ability to recognise and respond appropriately to the psychological impact of an emergency on a patient and family/carers and to instigate appropriate interventions |
| 2.8.1 |
Health promotion
|
Initiate appropriate health promotion strategies when providing emergency health care
|
• Demonstrate an understanding of the term health promotion. Apply appropriate health promotion principles to emergency care practice and evaluate health advice given
|
| 2.9.1 |
Managing aggression & violence |
Be able to recognise trigger points for aggressive and violent behaviour, and effectively manage violent incidents until further support arrives |
Demonstrate the ability to recognise trigger points for aggressive and violent behaviour and de-escalates such situations, recognising your own limitations and seeking assistance as necessary |
| 2.10.1 |
Care pathways |
Initiate patients' journeys on appropriate care pathways |
Demonstrate the ability to anticipate and instigate the preliminary stages of access to the care pathway for a patient |
| Section 3: Patient Management |
| |
|
Competency statement |
Leaning outcome |
| 3.1.1 |
Care delivery |
Identify, assesses, plan and evaluate appropriate care for patients, taking into account their age, gender, ethnicity, culture, values and spiritual beliefs |
Demonstrate the ability to evaluate and plan appropriate and timely care for patients, taking into account their age, gender, ethnicity, culture, values and spiritual beliefs |
| 3.2.1 |
Care delivery to vulnerable patients |
Assess and identify appropriate emergency care needs for patients who are vulnerable, including those with learning disabilities |
Demonstrate the ability to distinguish which individuals are vulnerable or potentially vulnerable and evaluate effectively the needs of these patients delivering appropriate care |
| 3.3.1 |
Communication |
Use communication skills to rapidly form effective therapeutic relationships |
Discuss principles of effective therapeutic communication. Demonstrate the ability to communicate effectively and achieve therapeutic relationships with patients and carers |
| 3.3.2 |
Communication |
Understands the principles of how to negotiate patient care outcomes with senior staff/mentors |
Demonstrate an ability to communicate effectively with other health care professionals and managers, to negotiate appropriate patient care outcomes |
| 3.4.1 |
Equity and dignity |
Assist in delivering and developing an emergency service that shows equity and respect to all patients and staff |
Demonstrate provision of care that treats patients with equity and dignity. Respond appropriately when patients or staff are not treated with respect and dignity
|
| 3.5.1 |
Consent and advocacy |
Uphold ethical and legal principles, particularly showing respect for patients’ views and their right to self-determination when making decisions about their care |
Discuss the use of ethical and legal principles to underpin decision-making about patients' care and demonstrate an understanding of the principles of advocacy in the emergency care setting |
| 3.6.1 |
Coping strategies |
Encourage patients and families/carers to use helping and coping strategies during critical events |
Show an ability to help patients and families/carers to use helping and coping strategies during critical events |
| 3.7.1 |
Patient empowerment |
Use the principles of empowering patients and families during critical events |
Demonstrate that you apply the principles of support and empowering patients and families during critical events |
| 3.8.1 |
Managing relatives' loss |
Use the principles of research-based practice in managing relatives and friends who are experiencing loss and sudden bereavement |
Demonstrate that you apply best practice guidelines in managing relatives and friends experiencing loss and sudden bereavement |
| 3.9.1 |
Prioritisation |
Be self-reliant within the scope of your responsibility, identify the unit's and patients' priorities for care and organise your workload appropriately |
• Demonstrate professionalism and awareness of the scope of your own role within the emergency team. Demonstrate an ability to manage yourself and your personal workload in this rapidly changing environment |
| 3.10.1 |
Documentation |
Ensure all aspects of care are fully documented |
Produce complete and appropriate documentation |
| 3.11.1 |
Role modelling |
Act as a role model in the emergency care setting |
Demonstrates ability to work as a role model |
| 3.12.1 |
Multi-professional team working |
Contribute to effective multi-disciplinary team working and care delivery |
Demonstrate your ability to share workload, involving other team members in providing care and referring to team members for help and advice. Apply the principles of effective communication and team working in delivering care |
| 3.12.2 |
|
Be an effective team member in an emergency situation |
Demonstrate the ability to function effectively as a member of a team in an emergency situation |
| 3.13.1 |
Inter-agency working |
Work effectively with primary care and social service teams to ensure safe discharge of patients |
Instigate safe discharge for patients who require community support. Demonstrate effective communication with community support teams to facilitate continuity of care |
| 3.14.1 |
Audit & monitoring care delivery |
Participate in audit or research to develop practise in emergency care. |
Demonstrate participation in audit and research processes to develop practise in emergency care. |
| 3.15.1 |
Risk management policy |
Use information provided in your unit’s risk management policy to inform practice |
Demonstrate effective use of the risk management policy in practice |
| Section 4: Managing Self and Others |
| |
|
Competency statement |
Leaning outcome |
| 4.1.1 |
Reflective practice |
Apply a reflective approach to delivering care and analyse your own practice |
Apply a reflective framework to your own practice, identifying strengths and weakness in care delivery |
| 4.2.1 |
Portfolio |
Reflect on your care delivery, developing a progressive portfolio of evidence of your professional practice |
Record your progressive practice in a professional portfolio of evidence |
| 4.3.1 |
Personal development
|
Negotiate and work with a mentor to develop a personal development plan, determining an action plan for achievement |
Record a personal development plan and action plan to meet set targets, showing progressive achievement |
| 4.4.1 |
Education and preceptorship |
Undertake a preceptorship programme/period in the emergency care environment |
Use appropriate teaching and learning principles to develop your own knowledge and skill in the emergency environment, and support other junior staff |
| 4.5.1 |
Mentorship |
Provide support to junior members of the team and actively encourage their development |
Apply the principles of mentorship in your own professional practice |
| 4.6.1 |
Coping |
Identify the potential impact of working in emergency care settings on your own values and emotions, and uses recognised coping strategies to respond appropriately |
Be self aware about the potential impact of the range of emotions that can be provoked in the emergency environment. Demonstrate best practice & professionalism in response to the wide range of emotions provoked in the emergency environment |
| 4.7.1 |
Stress |
Identifies ways to reduce the effects of stress on yourself and others in the team |
Develop coping strategies to manage stress in yourself and others, showing an ability to provide supporting mechanisms to prevent and alleviate stress in others
|
| 4.8.1 |
Organisation |
Use appropriate organisational techniques to plan and organise own workload |
Demonstrate the ability to plan and organise own workload effectively |
| 4.9.1 |
Leadership and development |
Use the principles of leadership to negotiate and plan your own practice |
Demonstrate an ability to use the principles of leadership in negotiating your own practice |