Question:

This written assignment requires that you review, summarise and then apply the Nursing and Midwifery Board of Australia’s Legislated Registration Standards (NMBA).

Part A

You can summarize the Nursing and Midwifery Board of Australia (NMBA), Legislated Registration Standards using sub headings.

Explain how these standards affect your future practice in Enrolled Nursing.

Continuous Professional Education: Register

Criminal History as a requirement for registrationRegistration standard: English Language

Standard of Registration: Professional Indemnity

Recency in Practice is the registration standard

Part B

The following sub headings will allow you to give a written analysis on the provided scenario.

Take immediate actions.

Your identified learning needs (e.g.

What skills and knowledge do they need to be able to safely execute the skill?

Learn the necessary learning activities (educational opportunities), to master the skill in the future.Scenario

It has now been ten weeks since your new position in the metropolitan hospital as a Graduate Registered Nurse.

The current situation is that you are working in an acute medical unit and have been asked by the hospital to repair and insert a nasogastric tubes.

This skill was not taught to you in your Holmesglen Integrated Skills Lab class.

Describe the steps you’ll take to apply the Nursing and Midwifery Board of Australia’s (NMBA), standards and decision making framework.

You should include a short introduction and conclusion.

Answer to Question: HLTENN001 Practice Nursing Within The Australian Health Care System

Part A

Australian Nurse Registry Standards and Requirements

Nursing and Midwifery Board of Australia NMBA – Legislated Registration Standards

These are what will determine if an applicant is a student or registered.

They are open to registered nurses, midwives, and all applicants who desire registration. Registered students and registered practitioners are not exempt.

You must meet five standards to be licensed to practice.Criminal History Registration Standard

This standard was in effect since July 1, 2015.

It allows NMBA, which is the national health practitioner regulation law, to decide if a healthcare provider’s criminal record is relevant to their profession.

It applies to all applicants, excluding students.

The NMBA takes into account ten factors to determine if an applicant is eligible to practice.a.

They analyze the nature and gravity the crime as well as the implications for the health sector/practice.

The punishment for offences against humanity is high.

The greater the offence’s weight, the more likely it is to have an impact on your health.b.

The time between the offense and its completion.

The board considers recent offenses as having a high weight.

c. Was there a conviction for the offense?

One was charged?

Is it still pending?

The board considers offense relevant in the following descending orders: convicted, guilty and pending.

d. The sentence that had been charged

The significance of each sentence determines how much weight you will receive.

e. The applicant’s age when the offence occurred.

It was taken into account less when the offence took place at 18 years of age or below.

f. If applicant’s offence has been decriminalized.

You can put less weight on offenses that no longer are considered offenses.

g. The applicant’s behavior since they committed the offense.

If an applicant has maintained good conduct in the past, the board may not give as much weight to the offense.

h. The risk that the offence could pose a danger to a patient in the future.

The more likely the offense, the greater its weight.i.

Information provided by the applicantj.

Anything else that is considered relevant by the board.

An enrolled student should know all of these details so that they do not have problems with registration.

They can avoid crimes that can endanger their professional practice.English Language Skills

This test is given to the first applicants.

It measures their ability to speak English.

The board gives tests. However, for those whose native language is English, they just ask for paper evidence.

The board will ask for proof that they have attested to having attended recognized schools that were able to teach and assess English in primary and secondary school.

These details are vital for students who want to continue their studies.

This allows them to know that English language is an essential requirement. They will learn how to improve it, and if English is their primary language, they will be prepared with papers.

Continuing professional development

This standard for registration went into effect on June 1, 2016.

It set out the minimum requirements nurses, registered midwives, and nurses must meet to be able to progress in their careers.

In order to meet these standards, they must have completed at minimum 20 hours of continuing professional learning by the time they register.

If you have been recommended by a doctor for diagnosis, medicine administration or referrals, you will need to add 10 hours to your CPD. Your hours are now 30,

This knowledge is vital for students, as they will be able to identify what is needed when they register for continuing development.

These students will be able achieve the minimum requirement.

Recency Of The Practice

This means the midwife/nurse has maintained sufficient contact/connection with/upcoming/emerging nurses in order to be eligible for registration.

The applicant must be registered, have knowledge of nursing and midwifery, or have a postgraduate qualification in a specific area of nursing to meet these requirements.

Nurses already in practice must have a minimum 450 hour of experience in the field.

This information is pertinent to nursing students, as it provides guidance on what they will need to practice recency.

Professional Indemnity Insurance

This standard describes the requirements of an enrolled nurse, registered nurse, or midwife for professional indemnity PII.

The applicant must declare that they will not be practicing unless they obtain PII when they apply for registration.

It is also required under the national law.

NMBA examines the nursing professional’s practice as required by the standards of registration at renewal of registration.

This information is helpful for students who will be enrolled or registered in the future. It will help them to determine what is needed to get PII.

They are also guaranteed that they will be covered and insured while practicing.

Part B

The main role of the national board in Australia is to ensure only competent and competent nurses are registered.

This is done in order to protect its citizens.

Frameworks, codes, and guidelines have been developed by the Nursing and Midwifery Board of Australia NMBA.

This provides guidance for nurses and midwives.

They help nurses and midwives understand the requirements and expectations of NMBA, and provide the right path to meet those requirements.

There is a national framework that allows the development of decision-making tools for midwifery, nursing, and other related fields.1.

After being asked to insert/replace a blockage in the naogastric tube, the nurse is immediately able to take immediate action.

When I am assigned the procedure, the first thing that I will do is to check whether it is currently within my scope of practice as a nurse.

Is the procedure in compliance with professional standards and legislation?

Since I am an enrolled nurse and have been taught the procedure, it is definitely within my scope.

Next, I will assess and evaluate the quality of the hospital’s risk management programs.

The hospital’s staff capability and access to qualified health professionals are also important considerations.

The third step will be to assess myself.

Can I do it?

If I ask the following questions, I can answer the question: What is the current state of the patient’s health?

What is the complexity and amount of care the patient needs?

The professional guidelines will tell you who should perform the procedure.

An enrolled or registered nurse?

Is there any commonwealth legislation that requires a nurse to perform the procedure.

Does the organization guideline specify who is allowed to perform the procedure: a registered or enrolled nurse?

If the answers to the above questions indicate that an enrolled nurses can perform this procedure, then I will.2.

The skills and knowledge required to perform the procedure safely.

Nursing is a constantly evolving profession.

Continuous professional development is essential for nurses and midwives. It helps them to grow, broaden and improve their competence.

This allows nurses to be competent and competent in providing safe, ethical and efficient services.

It is important that I have the following knowledge to be able safely perform the procedure according to the prescribed standards.i.

The client’s health.

My procedure involves inserting a NG tube. But, to whom?

Which medical condition is he/she currently in?

Which is their current state of health?

Is their current health status stable?ii.

The risks and benefits of inserting the nasogastric tubes should be understood.

An NG Tube aids in feeding the patient and can be used as a drain for aspirates.

It is dangerous because it can cause injuries when it is inserted.

When inserting it, I am careful and keep it clean.iii.

Resources available to support the procedure, and to manage any risky outcomes.

For an emergency, these resources can include professionals, suction machines and other support.

This increases my confidence, and gives patients assurance that should anything go wrong, it will get fixed quickly.

These are my skills to ensure that the patient receives safe, quality, and consistent care.

I’ve practiced the procedure many times in school and should be able to re-learn.

You can do this by reviewing the current nursing guide.

This will give me an overview of how to do the procedure according to the standards.

Many hospitals have procedures manual guidelines.

It’s best to request the procedure manual guidelines and then refer.

If I’m still not competent, I should request a nurse who is willing to help me.

It is important that I identify and address my limitations/deficits so that they can be addressed in accordance with the standard.

Talking about the plan with my mentor, peers, or supervisors.

The best way to find out my weaknesses.

Red warning signs must be visible.

You should know the signs of danger when inserting it.

You should be aware of the danger signs, such as if the tubes cause trauma or begin to choke the patient.

I should be able respond to this.

You should have the ability to manage/ reverse emergences.3.

The Learning Activities that I Need in Order to Master the Procedure

This will be possible through ongoing professional development.

Because it is my field of interest, I should give priority to it as a learning requirement.

This should be done after I have assessed the weaknesses and aimed to improve them.

I should be able, if I follow this process, to meet the standards that I would consider myself to have achieved.

I should also develop a learning strategy.

This could involve partial participation, observation, or being able to perform the procedure completely by myself.

Following the procedure, observing the patients’ reactions.

After prioritizing, developing an action plan, learning and reflecting on the results of my learnings, I will have a better understanding of what is important.

Is it improving my service delivery

Did it increase my competence and efficiency in service delivery?

If so, I have perfected that procedure.

CPD states that it takes a certain number of hours to register.

After having worked for 10 weeks, I should’ve seen/done the procedure for at most 5 hours.

In my case, this is my first time.

As the next registration group takes 10 hours or more, it is important that I have met these requirements in order to be considered competent.

It is crucial to make informed decisions and continue professional learning in the clinical environment.

It helps nurses and midwives improve their service delivery, efficiency, and competence.

The national framework provides the framework for nursing and midwifery decision making.

There are guidelines regarding professional development.

Nurses are required to be able think critically and take decisions.

The nurse should take stock of their abilities and plan for how they will perform the procedure.

Refer toRyan, D., 2009.

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Journal of Research. Information obtained from journals.sagepub.com.Vernon, R., 2010.

Evaluation of the continuing competency framework, nursing council New Zealand.Pearson, A., 2002.

What is a competent nurse?

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Journal of advanced nursing.

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Australian registered nurses and enrolled nurses: what is the difference?

International journal for nursing.

Wiley Online LibraryJacob, R., Barnett, A., Sellick, K., 2013.

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