| Section 1: Knowledge |
|
Competency statement |
Leaning outcome |
| 1.1.1 |
Anatomy & physiology |
Apply advanced knowledge of pathophysiology to differentiate disease processes |
Synthesize available research to identify different disease processes, contributing to the evidence base for diagnosis and treatment |
| 1.1.2 |
Anatomy & physiology |
Apply extensive knowledge of anatomy, physiology and psychology to differentiate a wide range of patient presentations with complex care needs, to determine the appropriate diagnosis |
Integrate advancements of knowledge in anatomy, physiology and psychology into your approach to diagnosing a wide rage of patients with complex care needs, and to making appropriate diagnoses |
| 1.2.1 |
Clinical assessment |
Critically appraise existing tools, or design new tools, to enable a comprehensive, systematic and accurate assessment of the physical, psychological, social and spiritual needs of a patient in an emergency situation |
Use current research-based practice to refine or develop a tool for undertaking an accurate comprehensive assessment for a patient requiring emergency care |
| 1.2.2 |
Assessment frameworks |
Lead in developing or refining structured approaches to clinical assessment |
Demonstrate leadership in developing or refining clinical assessments using structured approaches |
| 1.2.3 |
Assessment frameworks |
Determine effectiveness of clinical outcomes and action plans when using structured approach to patient assessment |
Develop reports which critically appraise patient care outcomes using structured approaches. Develop and implement effective action plans to resolve identified patient care issues and undertake an appropriate risk assessment |
| 1.3.1 |
Prioritising care |
Develop usable new approaches to prioritising patient care which contribute to the body of knowledge about emergency care delivery |
Contribute to the evidence base of knowledge about the principles and practices of prioritisation |
| 1.4.1 |
Critical illness or injury |
Develop or refine approaches to identifying critically ill patients, and apply these effectively in practice |
Apply and evaluate the current evidence base on the assessment of critically ill patients. Contribute to the evidence base on critically ill assessment techniques |
| 1.5.1 |
Emotional & psychological reactions |
Appraise the effectiveness of approaches to meeting psychological and emotional needs of patients (and their carers) who present with sudden or acute exacerbation of illness or injury or identify new approaches |
Evaluate the effectiveness of current policies and practices on meeting psychological and emotional needs of patients (or their carers) with sudden or acute exacerbated illness or injury. Contribute to the design of policies and practices for the psychological and emotional care needs of patients or their carers presenting with sudden illness or injury |
| 1.6.1 |
Pharmacology |
Critically appraise the impact of the range of available pharmacology appropriate to a patient's problem* |
Differentiate the range and impact of available pharmacology appropriate to the individual patient |
| 1.7.1 |
Care needs |
Challenge current approaches to recognising patterns of illness and injury in patients with complex care needs, proposing and designing new methods |
Evaluate the evidence base which underpins the assessment of patients' complex care needs, advising on innovative approaches to advance care |
1.8.1
|
Monitoring equipment |
Contribute to the ongoing audit and procurement of monitoring equipment |
Evaluate current data on monitoring equipment and advise employers and manufacturers on suitability and development needs in relation to clinical governance and risk management |
1.9.1
|
Personal influences on care |
Identify different care approaches that take account of social, spiritual, and cultural influences on patients, or design new ones.
Contribute to the development of a new evidence base for interventions |
Identify or develop the evidence base that underpins new approaches to holistic care and demonstrate the ability to identify areas for research in emergency practice. Disseminate evidence to inform best practice |
1.10.1
|
External influences on care |
Identify different care delivery approaches that take into account legal, professional, political and economical influences, or designs new ones. Contribute to the development of a new evidence base |
Identify or develop the evidence base that underpins new approaches to holistic care and demonstrate the ability to identify and undertake research in emergency practice |
| 1.11.1 |
Standards and guidance |
Challenges standards and guidelines provided by employers and relevant governing bodies (e.g. NMC or equivalent, NICE, DH etc.) in relation to current practice and contributes to the development of new standards and practice guidance |
Evaluates the evidence base underpinning guidance provided by employers and relevant governing bodies (e.g. NMC or equivalent, NICE, DH etc.) and identifies new sources of evidence and assists to advance their further development |
| 1.12.1 |
Legal and ethical principles |
Design new practice using legal and ethical principles of quality, diversity and human rights and share the new developments in a wider emergency care arena |
Integrate legal and ethical principles into emergency practice, using issues of quality of care, diversity and human rights in designing innovative practice
share this new practice with the emergency care community |
| 1.13.1 |
Risk assessment |
Evaluate the effectiveness of clinical governance and risk management strategies on health and safety in emergency care settings |
Contribute to the development of clinical governance and clinical risk strategies in emergency care settings |
| 1.14.1 |
Procedural frameworks |
Develop and monitor care planning initiatives in accordance with national protocols |
Demonstrate expertise in developing and monitoring care planning, practice and procedural frameworks |
| 1.15.1 |
Accountability |
Determine the implications of being responsible for yourself, others and the service |
Identify the relevance and impact of accountability for professional practice for yourself, others and the service
advise on appropriate actions to establish an effective governance framework for safe and effective practice |
| 1.16.1 |
Leadership |
Determine the implications of leadership and negotiation in influencing patient care |
Evaluate the evidence base for leadership and negotiation which will influence patient care |
| Section 2: Intervention |
|
Competency statement |
Leaning outcome |
| 2.1.1 |
Assessment |
Leads the team in decision-making about prioritising patients with complex care needs
|
Demonstrate expert practice in prioritising patients with complex care needs
|
| 2.1.2 |
Assessment |
Provide an expert function in supervising others in care delivery
|
Demonstrate expertise in supervising others during care delivery |
| 2.2.1 |
Observation and evaluation |
Advise and lead in undertaking evaluations of patients with undifferentiated, undiagnosed problems and inconsistent signs and symptoms
|
Demonstrate expert practice in evaluating patients who have undifferentiated, undiagnosed problems and inconsistent and variable signs and symptoms
|
| 2.2.2 |
Observation and evaluation |
Apply expert practice supervising others and their evaluation of patients with inconsistent signs and symptoms |
Demonstrate expertise in leadership and supervision of others during their evaluation of patients with inconsistent signs and symptoms |
| 2.2.3 |
Observation and evaluation |
Determine the effectiveness of the delivery of evaluations of patients with inconsistent signs and symptoms |
Undertake audit and/or research and develop action plans, or an evidence base for evaluating patients with inconsistent signs and symptoms |
| 2.3.1 |
Critical situations |
Appraise different interventions for patients in critical and/or life threatening situations, and appropriately apply them |
Demonstrate expert practice in determining appropriate multi-disciplinary interventions for patients in acute, critical or life-threatening situations at regional and national level. |
| 2.4.1 |
Therapeutic interventions |
Determine appropriate use of interventions in a range of situations for patients presenting with complex care needs |
Leads the multi-professional team in delivering appropriate interventions for patients with complex care needs |
| 2.5.1 |
Disseminating information |
Expert in evaluating the quality of information disseminated in relation to the principles of essential care |
Demonstrates expertise in evaluating the quality of information from a wide variety of sources including relevant national and international sources |
2.6.1
|
Pain assessment |
Provides expert consultancy on managing pain in patients with complex care needs |
Demonstrate expertise in pain management for patients with complex care needs |
| 2.6.2 |
Pain relief |
If applicable, be proficient at initiating pain relief, using nationally accepted independent prescribing policies and protocols |
Apply the knowledge and skills underpinning independent prescribing |
| 2.7.1 |
Psychological impact |
Ensures the application of appropriate psychological assessments relevant to the condition of the patient and their family/carers and the use of appropriate interventions |
Demonstrates expertise in understanding the appropriateness of the available tools for assessing the psychological condition of a patient and their family/carers. Demonstrate expertise in supervising others providing, evaluating and planning psychological care |
2.8.1
|
Health promotion |
Appraise health promotion strategies and integrate them into emergency care delivery |
Demonstrate expertise in emergency care delivery that is underpinned by health promotion strategies |
| 2.8.2 |
Health promotion |
Lead in the development of emergency care that is underpinned by national health promotion strategies in the wider emergency care arena |
Establish new emergency care practices which are underpinned by health promotion strategies in the wider arena of emergency care |
| 2.9.1 |
Managing aggression & violence |
Ensure appropriate risk management strategies are in place for managing violence and aggression and protecting patient and staff dignity |
Demonstrate involvement in determining risk, evaluating the effectiveness of and developing realistic strategies for managing violent and aggressive incidents in the workplace and protecting patient and staff dignity |
| Section 3: Patient Management |
|
Competency statement |
Leaning outcome |
| 3.1.1 |
Care delivery |
Appraise the evidence base for the formation and delivery of care, taking into account patients’ age, gender, ethnicity, culture, values and spiritual beliefs |
Demonstrate expert practice in delivering appropriate care for patients, taking into account their age, gender, ethnicity, culture, values and spiritual beliefs |
| 3.1.2 |
Care delivery |
appraise the evidence base on delivery of emergency care, drawing on a wide range of data, including influential guidelines (e.g. National Service Frameworks) and legal principles, and integrate findings into care design |
Demonstrate appraisal of patient care, and lead in integrating a wide range of evidence into developing new practice and ways of working to meet the needs of vulnerable patients in the emergency care setting |
| 3.1.3 |
Care delivery |
Modify the boundaries of practice by making properly considered decisions and safely working beyond the scope of conventional practice |
Demonstrate the ability to make properly considered decisions and push the boundaries of practice by working safely beyond the scope of conventional practice |
| 3.2.1 |
Care delivery to vulnerable patients |
Appraise the evidence base on the care of vulnerable patients and use these appropriately in care delivery |
Demonstrate expert practice in delivering appropriate care for vulnerable patients, within the context of an appropriate risk management strategy |
| 3.2.2 |
Care delivery to vulnerable patients |
Appraise the evidence on emergency care of vulnerable patients, drawing on a wide range of data including influential guidelines (e.g. National Service Frameworks) and legal principles, and integrate findings into care design |
Demonstrate appraisal of care for vulnerable patients and lead in integrating a wide range of evidence into developing new practice or ways of working to meet vulnerable patients' needs in the emergency care setting |
| 3.2.3 |
Care delivery to vulnerable patients |
Lead in the development of inter-professional, inter-agency working to facilitate care pathways for vulnerable patients |
Show leadership in facilitating care pathways between primary, secondary and social care for vulnerable patients |
| 3.3.1 |
Communication |
Rapidly form therapeutic relationships with patients and carers who are experiencing emotional distress, and be able to explain what is happening in a way they can understand |
Demonstrate the rapid formation of therapeutic relationships with patients and carers who are experiencing emotional distress |
| 3.3.2 |
Communication |
Utilise expertise in negotiating patient pathways with the multi-professional, multi-agency teams by leading in pathway development across the primary, secondary and social care boundaries |
Demonstrate expertise and a leadership role in developing patient care pathways across the boundaries of primary, secondary and social care, helped by using principles of patient involvement |
| 3.3.3 |
Communication |
Works with the employer and other agencies to develop strategies for effective care of patients with communication difficulties |
Substantiate the development of effective communication strategies for patients who have difficulty communicating, involving your employer and other agencies |
| 3.4.1 |
Equity and dignity |
Develop strategies for providing an environment which treats all patients and staff with equity and dignity |
Critically analyse service provision to ensure equity and dignity for all patients and staff. Develop effective care pathways that are underpinned by the principles of equity and dignity for all patients |
3.5.1
|
Consent and advocacy |
Provide an expert function in determining patients' capacity and rationalising consent in relation to working ‘in the best interest’ of the patient |
Demonstrate expertise in decision-making processes, establishing consent and delivering care when working ‘in the best interest’ of the patient. Demonstrate the ability to respond to patients' opinions when determining effective new ways of working or implementing new practices |
| 3.5.2 |
Consent and advocacy |
Lead in the development of emergency care guidelines that are clearly underpinned by sound legal and ethical principles |
Demonstrate expertise in leading the development of patient care guidelines that are clearly underpinned by sound legal and ethical principles |
| 3.6.1 |
Coping strategies |
Utilise expertise in evaluating the helping and coping strategies provided to patients, families and carers during critical events |
Demonstrates expertise in evaluating the helping and coping strategies provided to patients, families and carers during critical events |
| 3.6.2 |
Coping strategies |
Utilises expertise to assist other health care professionals in the provision of helping and coping strategies for patients and families during critical events |
Demonstrate expertise in assisting other health care professionals to provide helping and coping strategies to patients and families during critical events |
| 3.7.1 |
Patient empowerment |
Ensure that developments in patient care are underpinned by the principles of support and empowerment |
Demonstrate an active role in ensuring that patient care developments are underpinned by principles of support and empowerment |
| 3.7.2 |
Patient empowerment |
Evaluate available resources to ensure patients and enabled to make informed decisions |
Demonstrate expertise in understanding and evaluating available resources to ensure patients are enabled to make informed decisions |
| 3.8.1 |
Managing relatives' loss |
Develop and/or evaluate the effectiveness of methods used to manage relatives and friends who are experiencing loss and sudden bereavement |
Critically analyse current practice against best practice guidelines on the management of relatives and friends experiencing loss and sudden bereavement |
| 3.9.1 |
Prioritisation |
Be expert in rationalising the choices made when prioritising care for individuals, groups of patients and the service
|
Demonstrate expertise in rationalising the choices made when prioritising care for individuals, groups of patients and the service |
| 3.9.2 |
Prioritisation |
Develop team efficiency in prioritising care for patients in the emergency care setting
|
Demonstrates the ability to develop team efficiency in prioritising care for patients in the emergency care setting |
| 3.10.1 |
Documentation |
Lead in the development of multi-professional patient care pathways |
Show leadership in the multi-professional development of effective patient care pathways which are underpinned by clinical evidence base and local and national guidelines |
| 3.10.2 |
Documentation |
Develop documentation systems which meets clinical and legal requirements. Ensure utilisation of documentation systems which meet legal and clinical requirements |
Demonstrate the development and utilisation of documentation systems which meet clinical and legal requirements |
3.11.1
|
Role modelling |
Act as a role model and resource to other members of the multi-professional team in the emergency care setting, employing organisation, regionally or nationally |
Demonstrate evidence of being a role model and providing advice to others in the emergency care setting, in the employing organisation, and at regional or national level |
| 3.12.1 |
Multi-professional team working |
Develop effective multi-professional team working |
Demonstrate the ability to critically analyse the effective working of the multi-professional team and develop new ways of working. Act in a supportive, motivational and consultancy role to the multi-professional team. Create and sustain support mechanisms within the emergency setting and empower junior members of the multi-professional team |
| 3.12.2 |
Multi-professional team working |
Be effective in supervising and facilitating team leaders' learning in an emergency situation |
Demonstrate expertise in supervision and facilitation in an emergency situation |
| 3.12.3 |
Multi-professional team working |
Initiate crisis intervention and evaluate each intervention effectively |
Demonstrate expertise in initiating and evaluating crisis intervention |
| 3.12.4 |
Multi-professional team working |
Utilise expertise in effective day-to-day management of the emergency department |
Demonstrate effective management of the emergency service on a day-to-day basis |
| 3.12.5 |
Multi-professional team working |
Utilise expertise in the clinical management of patients attending the emergency setting |
Demonstrate expertise in managing patients attending the emergency setting |
| 3.13.1 |
Inter-agency working |
Analyse the evidence base on specific patient presentations and maximise on intermediate and social care opportunities, working inter-professionally and with other agencies to develop care pathways which reduce admission and ensure safe discharge of patients |
Demonstrate effective inter-professional, inter-agency working in developing care pathways, underpinned by an evidence base, to reduce admission and ensure safe discharge of patients |
| 3.14.1 |
Audit & monitoring care delivery |
Utilise expert in undertaking audit and / or research, evaluating findings, report writing and implementing changes to practise arising from an action plan. |
Demonstrate effective change management as a direct result of audit and / or research findings. |
| 3.15.1 |
Risk management policy |
Participate in developing risk management policy for the emergency service |
Demonstrate the ability to perform risk assessment, act on findings and develop risk management policy |
| 3.16.1 |
policy & practice development |
Be an innovator in emergency care delivery |
Demonstrate innovative ways of delivering care across the emergency service |
| 3.16.2 |
policy & practice development |
Provide leadership in stimulating discussion and critical review of government emergency care expectations and the local strategies to meet them |
Demonstrate leadership in stimulating discussion and critical review of government emergency care expectations and the strategies in place to meet them locally |
| 3.17.1 |
Leads emergency care |
Lead in emergency developments on a regional or national basis
|
Demonstrate effective leadership of projects which facilitate the development of emergency practice in the wider emergency care arena |
| Section 4: Managing Self and Others |
|
Competency statement |
Leaning outcome |
| 4.1.1 |
Reflective practice |
Be expert in reflective, intuitive practice |
Demonstrate expertise in reflective, intuitive practice |
| 4.2.1 |
Portfolio |
Reflects on care delivery, developing a progressive portfolio of evidence that depicts an expert practice function in emergency care |
Records progressive practice in a professional portfolio of evidence that Demonstrates an expert practice function in emergency care |
| 4.3.1 |
Personal development |
Be expert in identifying own learning needs, designing personal development and action plans to address specific areas of development |
Demonstrate expertise in producing personal development plans and progressively achieving set targets in an action plan |
| 4.4.1 |
Education and preceptorship |
Possess the educational knowledge and skills to support the design and implementation of an effective learning environment and take a leading role in the development of a learning environment
|
Integrate educational principles into the emergency care environment. Analyse the effectiveness of the emergency care environment to identify learning opportunities for staff and act as an educational resource for staff
|
| 4.4.2 |
Education and preceptorship |
Critically analyse evidence and anticipate the direction in which emergency care will progress and facilitate future development and refinement of emergency care competencies in the wider emergency care arena |
Demonstrate expertise in anticipating the future direction of emergency care, and developing and refining established competencies in the wider emergency care arena |
4.5.1
|
Mentorship |
Be effective in supervision, facilitation and mentoring; and assist others in developing personal development plans, designing and achieving action plans and providing career advice |
Demonstrate expertise in supervision, facilitation and mentoring others, establishing personal development plans, designing and achieving action plans and providing career advice |
| 4.5.2 |
Mentorship |
Evaluate Faculty of Emergency Nursing portfolios and accredit their practice |
Demonstrate expertise in evaluating emergency care practice and accreditation for the Faculty of Emergency Nursing |
| 4.6.1 |
Coping |
Develop systems to enable yourself and others to deal with competing demands in a rapidly changing environment |
Demonstrate the development of systems which enable yourself and others deal with competing demands in a rapidly changing environment. Demonstrate effective coping skills in responding to competing demands |
| 4.7.1 |
Stress |
Ensures best practice is utilised in identifying and managing the effects of stress on yourself and others.
Develop systems to identify and manage stress within the workplace |
Demonstrates expertise in identifying and managing the effects of stress on yourself and others |
| 4.7.2 |
Stress |
Ensure best practice is utilised in identifying and managing conflict in the workplace. Develop effective systems for identifying and managing conflict. |
Demonstrating expertise in identifying and managing conflict in the workplace. |
| 4.7.3 |
Stress |
Critically analyse the potential for the detrimental impact of the emergency environment on staff and patients, take the lead in developing a supportive environment where emotional challenges can be explored and managed, and contribute to the strategic planning of emotional risk management |
Identify appropriate evidence-based practice to develop the strategic approach to emotional risk management and support for staff and patients |
| 4.8.1 |
Organisation |
Demonstrate expertise in organisational skills |
Demonstrate expertise in organising own and others' work |
| 4.9.1 |
Leadership and development |
Critically analyse the effect of leadership and negotiation on patient care, and the development of yourself and staff. Use leadership skills in role modelling, to enhance patient care and develop yourself and others |
Evaluate the effectiveness of leadership and negotiation skills on patient care, and on developing yourself and other staff. Demonstrate leadership in developing patient care, and in developing yourself and others |