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Continuing Professional Development as a Registered Nurse

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Nursing and Midwifery Board of Australia (NMBA) is the regulating body for all nurses and midwives in Australia  5 standards for registration (Nursing and Midwifery Board of Australia [NMBA], 2021); Criminal history registration standard  English language skills registration standard  Registration standard: Continuing professional development  Registration standard: Recency of practice  Registration standard: Professional indemnity insurance arrangements CPD - encourage the development of knowledge, expertise and competence of nurses and midwives, and enhance the personal and professional qualities required throughout their career (NMBA, 2021) Minimum of 20hrs CPD

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Reflecting on the Positives and negatives

Negative experience – Surgical Outpatients Clinic Reduced scope of practice  But… Provided opportunity to gain wound care and dx management skills not available elsewhere and confirm my career path towards acute/critical care environments.  Positive Experiences - Oncology Unit/Surgical Ward 3  Broader scope of practice  Skills which are applicable to my aspired career pathway

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Diagram, schematic

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Timeline

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Note : Source from New south Wales Nurses and Midwives Association (2018).

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Short Term Goal  (First 12 Months of  Practice)

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SHORT TERM GOAL 1: PIVC/CVAD MANAGEMENT

PIVC management and accessing since placement 3  Nil CVAD experience  Nursing and Midwifery Board of Australia (NMBA) Registered nurse standards for practice (2017):  Standard 6: Provides safe, appropriate and responsive quality nursing practice  Standard 3: Maintains the Capability for Practice  National Safety and Quality Health Service (NSQHS) Preventing and controlling infections standard (2019)

SMART Goal  I will achieve a comprehensive understanding of the processes and procedures of IV cannulation and management within the first four months of practice. This will be evidenced by the successful placement of five intravenous cannulas and attainment of facility based competency certificate. CPD activity 1  Intravenous Cannulation Course ( Australian Primary Health Care Nurses Association [APNA], 2021).  Online Module  Generalized PIVC insertion and Management.  1.5 CPD Hours  CPD Activity 2  Managing Difficult Cannulation ( Ausmed , 2020).  Online module Tips and strategies for patients who are difficult to cannulated  5 minutes CPD  CPD Activity 3  Central Venous Access Devices ( Eviq , 2021) 3 online modules  Mod1 – Introduction to CVAD Mod2 – patient education  Mod 3 – Management of CVAD  5.75 Hours

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Short Term Goal 2: Managing a Deteriorating Patient

Role of the RN, need to take a more active role in management of deteriorating patients NMBA standards of practice  (NMBA, 2017): Standard 1: Thinks critically and analyses nursing practice  Standard 3: Maintains the capability for practice Standard 4: Comprehensively conducts assessments NSQHS recognizing and responding to acute deterioration standard (NSQHS,  2019) poor communication and lack of clinical knowledge and experience are two key influences in poor management of patient deterioration (Treacy &  Stayt , 2019)

SMART Goal  Achieve a comprehensive understanding of managing patient deterioration within the first twelve months of practice. This will be evidenced by increased early detection of patient deterioration and achievement of Advanced Life support Certificate CPD activity 1  Clinical Deterioration: Identify, Assess, Prevent Seminar ( Ausmed , 2021).  Face-to-face seminar Recognition of deterioration signs, systems assessments, interpretation of results and communication  10.5 CPD Hours  CPD Activity 2  Communication for Safety: Effective clinical handover (Midwifery and Nursing CPD, 2021).  Online module  Principles of effective clinical handover, ISBAR and ISoBAR structures and barriers to effective clinical handover  2.5CPD Hours  CPD Activity 3  Advanced Life Support (Australian College of Critical Care Nurses, 2021) 12 Hours face-to-face learning & 4 Hours SDL.  provide further development of the interventions and management of deterioration patients and support interpretation of information to facilitate the application of critical thinking 16 CPD Hours

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Long Term Goals  (5-10 Years of practice)

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Long term goal 1: Beocming a  critical care specialists

Clinical Nurse Specialists - an expert in a specialty area of nursing and has developed and maintained a higher level of clinical knowledge, skills, abilities (Royal Children's Hospital, 2016) NMBA Standard for Practice (NMBA, 2017); Standard 1: Thinks critically and analyses nursing practice  Standard 3: Maintains the capability for practice

SMART Goal  I will become an expert in my chosen specialty within 8-10 years of practice. This will be evidenced by the completion of my post graduate certificate and achievement of a clinical nurse position in the ICU.  CPD activity 1  Post Graduate Certificate in Critical Care ( University of  Technology Sydney, 2021)  8-month part time course, online.   extend understanding of core critical care concepts and be able to confidently evaluate complex patient data to inform clinical decision-makin Recommended by sources I.e. (RCH, SEEK, etc.) CPD Activity 2  Difficult Airway Management  ( Medcast , 2020) Face-to-Face  40 CPD points A wide variety of techniques and devices are available to assist in the management of the difficult airway

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Long term goal 2: Transition to management

SMART Goal   I will become a part of the leadership team within 6-10 years of practice. This will be evidenced by allocation as shift coordinator and acceptance of contracts in management positions CPD activity 1  Clinical Leadership and Management (Global Nursing Leadership Academy, 2020).  Online Module  Generalized course in leadership an management in the context of nursing  2 CPD hours  CPD Activity 2  Conflict Resolution (Global Nursing Leadership Academy, 2020). Online module  Basic conflict management skill. Processes and indicators of conflict  2 CPD Hours  CPD Activity 3  Supporting staff who are second victims after adverse healthcare events ( Marran , 2019) Journal Article What to look for and how to care for staff who  may be upset by adverse outcomes

Within 6-8 months of practice  Various management avenues  Shift coordinator  NUM and CNC  Etc.  NMBA Standard For practice;  Standard 3: Maintains the capability for practice

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Ausmed . (2020). Managing difficult IV cannulation.  https://www.ausmed.com.au/cpd/articles/difficult-iv-cannulation   Ausmed . (2021).  Clinical deterioration: identify, assess, prevent seminar.  https://www.ausmed.com.au/event/seminar/clinical-deterioration     Australian College of Critical Care Nurses. (2021).  ALS program overview.   https://www.acccn.com.au/alsprogram/als-program-overview     Australian Commission on Safety and Quality in Health Care. (2019). NSQHS  standards.  https://www.safetyandquality.gov.au/standards/nsqhs-standards   Australian Primary Health Care Nurses Association [APNA]. (2021).  Peripheral intravenous cannulation.  https://www.apna.asn.au/product/detail/109bbc31-4823-e811-80d4-005056be66b1 Elizabeth  Marran , J. (2019). Supporting staff who are second victims after adverse healthcare events. Nursing Management (Harrow, London, England), 26(6), 36–43.  https://doi.org/10.7748/nm.2019.e1872    EviQ . (2021). Central Venous Access Devices.  https://education.eviq.org.au/courses/clinical-and-community-practice/central-venous-access-devices Global  Nursing Leadership Academy. (2020). Conflict Resolution.  https://courses.gnla.com.au/courses/conflict-resolution   Global Nursing Leadership Academy. (2020).  Clinical leadership and management.  https://courses.gnla.com.au/courses/clinical-leadership-and-management-dha     Kazoo. (2021).  [Online image].  https://www.kazoohr.com/resources/library/how-to-set-smart-goals   Medcast . (2020).  Difficult airway management.  https://medcast.com.au/education/difficult-airway-management     Midwifery and Nursing CPD. (2021).  Communicating for safety: effective clinical handover.  https://www.mncpd.com.au/modules/communicating-for-safety-effective-clinical-handover     National Safety and Quality in Health Care Service. (2019).  NSQHS standard s.  https://www.safetyandquality.gov.au/standards/nsqhs-standards New South Wales Nurses and Midwives Association. (2018).  Guide to continuing professional development (CPD).  https://www.nswnma.asn.au/wp-content/uploads/2020/05/Guide-to-Continuing-Professional-Development-NMBA-FINAL-HR.pdf   Nursing and Midwifery Board of Australia [NMBA]. (2017).  Registered nurse standards for practice.  https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx   Nursing and Midwifery Board of Australia [NMBA]. (2021).  Continuing professional development.  https://www.nursingmidwiferyboard.gov.au/Registration-Standards/Continuing-professional-development.aspx   Nursing and  MIdwifery  Board of Australia [NMBA]. (2021). Registration standards.  https://www.nursingmidwiferyboard.gov.au/registration-standards.aspx   Royal Children’s Hospital Melbourne. (2016). Clinical nurse specialists: application guide .   https://www.rch.org.au/uploadedFiles/Main/Content/nursing/CNS%20Application%20Guide%20V2%20September%202016.pdf Treacy, M., & Caroline  Stayt , L. (2019). To identify the factors that influence the recognizing and responding to adult patient deterioration in acute hospitals. Journal of Advanced Nursing, 75(12), 3272–3285.  https://doi.org/10.1111/jan.14138     University of Technology Sydney. (2021) .  Graduate certificate in critical care (0nline).  https://studyonline.uts.edu.au/online-courses/graduate-certificate-critical-care

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