1. National Competency Framework for Registered Nurse in Adult Critical Care

2. National Concerns What was the problem?
Changes to educational regulation and centralisation
Demise of the English National Board
Emergence of various critical care programmes
Different standards in relation to access, content, outcomes and accreditation
Units concerns
Issues associated with workforce transferability
Programmes not fit for purpose
Value for money

3. Framework
Step 1
Step 2
Step 3
Competence

4. Progression Pathways Newly Registered
Initial assessment & development plan
Preceptorship programme
Induction
Supernumerary period
(minimum of 6 weeks)
Sign off supernumerary competencies
Remaining Step 1 competencies
3 monthly on-going assessment reviews
New to Critical Care (with registered experience)
Transferred from other Critical Care Unit
(to include evidence of previous competency attainment)
(negotiated locally)
Step document appropriate to experience

5. Process for implementation
Identify a ‘Lead’ for implementation
Ensure collaborative approach for multi-site implementation
Ensure approach is adopted & supported by the senior team
Identify lead assessor & mentor pool
Set realistic implementation plans & timeframes
Be clear about which staff are completing the framework (i.e. new starter, existing staff)

6. Principles of implementation-Step 1
Allocation of clinical mentor/assessor
Complete learning contract & initial assessment & development plan
Highlighted competencies in Step 1 need to be completed during supernumerary period (minimum 6 weeks)
Competencies should be completed within the recommended timeframe (approx. 12 months)
Step 1 needs to be completed before commencing a post registration critical care award
Timeframes are to be negotiated locally and will depend on the individuals needs and unit requirements

7. Principles of implementation-Step 2 & 3
National Standards for Critical Care Nurse Education (2012)
60 Credits Level 6 or level 7
Core Curriculum
Assessments- exams, vivas
Successful completion of academic programme
National Competency Framework for Critical Care Nurses (2015)
Steps 2 & 3 Competencies
Delivered by expert Critical Care
Work based standardised clinical assessment
Successful completion of academic competencies
Query this slide as they no longer complete academic competencies it is step 2 & 3
Validated and transferable Critical Care Award

8. Adding Value Motivated & confident staff
Supportive structured assessment
Reduced skill variations
Established staff
Provides evidence for NMC revalidation
Informs performance reviews
Contributes to workforce planning
Skill mix
Establishment
Recruitment (transferable skill set with evidence)
Retention
Supports training needs analysis
Provides improved governance process
Creates National consistency & currency

9. What’s new 2015? Step 1 Introduction booklet incorporated
Supernumerary competencies identified
Supernumerary sign off
Step 2 & 3
Removing repetition (aligning knowledge & skill assessment)
Inter & intra hospital transfer relocated to Step 1 & 2
Across all steps
Reviewed to reflect current evidence & national guidance
More generic neurological section
Practical renal replacement therapy competencies are unit specific
Inclusion of NMC Revalidation documentation
Inclusion of signature record

10. Benefits Patients Learner Unit Organisation HEI’s
Delivery of safe, consistent quality care regardless of location
Learner
Structured framework for development
Nationally transferable
Unit
Assurance of skill set & competence
Selection for courses
Organisation
Quality assurance & benchmarking
HEI’s
Nationally transferable award
Improved collaboration
Assurance that programme is clinically credible

11. Vision for the future Guidance for a standard induction
Step 4-senior critical care nurses
Specialist additions-‘Bolt-on’
Paediatrics in adult critical care
Burns
Cardiac
Neurological
Major Trauma

12. References
Faculty of Intensive Care Medicine, Intensive Care Society (2015) Guidelines for the Provision of Intensive Care Services. 1st Edition. Joint standards committee. FICM, ICS
Faculty of Intensive Care Medicine, Intensive Care Society (2013) Core Standards for ICU. 1st Edition. Core standards working party. FICM, ICS
National Competency Framework for Adult Critical Care Nurses (2015) Critical Care Nurse Education Review Forum on behalf of the Critical Care National Network Lead Nurse Forum (CC3N)
National Standards for Critical Care Nurse Education: A framework to improve educational outcomes and quality (2012) Critical Care Nurse Education Review Forum on behalf of the Critical Care National Network Lead Nurse Forum (CC3N)
NMC Mentorship (2008) Standards to support learning and assessment in practice. NMC standards for mentors practice teachers and teachers.