National Registration

for Nursesin NSW

Elizabeth NewmanNurse Practitioner

Bone Marrow Transplant & ApheresisCRGH

YOUR New National Legislation

Health Practitioner Regulation Amendment Bill 2010becomes our national legislative requirement from the 1st July 2010

The Nurses and Midwives Act 1991 &Nurses and Midwives Regulation 2008

ceases from the 30th June 2010

Poisons and Therapeutic Goods Act 1966 &Poisons and Therapeutic Goods Regulation 2008

remains valid in NSW.

Other NSW Legislation that remains valid• Health Care Complaints Act

1993• Health Records and Information

Privacy Act 2002• Health Records and Information

Privacy Code of Practice 2005• Health Records and Information

Privacy Regulation 2006• Human and Tissue Act 1993• Human Tissue Regulation 2005

Regulatory Body Changes• NSW Nurses & Midwives

Board (NMB) ceases to function from the 30th June, 2010

• Nursing and Midwifery Board of Australia commences from the 1st

July, 2010• Australian Health

Practitioner Regulation Agency (AHPRA)

AHPRA Practitioners include:

• Chiropractic Board of Australia

• Dental Board of Australia• Medical Board of Australia• Optometry Board of Australia• Osteopathy Board of Australia• Pharmacy Board of Australia• Physiotherapy Board of

Australia• Podiatry Board of Australia• Psychology Board of Australia

What does this mean for you?

• Registration will be due by the 31st May each year

• National registration fee

• May work in any state or territory in Australia

• You become accountable for YOUR own professional identity and development

New Obligations for Nurses & Midwives

New Registration Standards

• Continuing professional development

• Recency of Practice• Professional Indemnity

Insurance• Criminal history• English language skills• Endorsement of Nurse

Practitioners• Endorsement for Eligible

Midwives• Endorsement for scheduled

medicines registered nurses

Continuing Professional Development

• At least 20 hours/points of CPD• RN’s with scheduled medicines

endorsement & NP’s endorsed under the National Law must complete an extra 10 hours related to the endorsement

• 1 hr of active learning = I pt of CPD• CPD must be relevant to the nurse’s

context of practice• Written documentation that

demonstrates evidence• Must include dates, description of

outcome, number of hours spent in each activity and be verified

Continuing Professional Development (cont’d)

• Demonstration of learning needs based against the ANMC guidelines (annual appraisal)

• Learning plan based on appraisal• Proven participation in effective

learning activities relevant to learning needs (certificate of attendance, evaluation evidence)

• Reflection of the value of the learning activity and the impact on their practice

• Mandatory skills acquisition may be counted towards CPD

• Annual audit of 2% of nurses registered in Australia

What else is new????

Australian Nursing & Midwifery Council (ANMC)

Continuing Competence Framework (2009)

Four components:1. Maintaining a professional portfolio2. Assessment of practice3. Continuing Professional Development4. Recency of Practice

What else do we need to know?

PROFESSIONAL PORTFOLIO –evidence measurement criteria

• Self assessment against ANMC competencies

• Annual professional review• CPD• Practiced within the last 5

years• Annual declaration of

competence

PROFESSIONAL PORTFOLIO –maintaining a history in your portfolio

• Curriculum vitae• Job descriptions• Registration certificates• Educational transcripts• Awards• Employment records

PROFESSIONAL PORTFOLIO –maintaining a record of professional activities in your portfolio

• Presentation• Publications• Membership in

organisations• Awards• Commendations• Research activities• Any documentation that

demonstrates professional achievements

Assessment

• Self assessment based on the ANMC competency standards (annual performance appraisal)

• Professional review (annual performance appraisal)

• Annual declaration of competence (signed at the time of renewal of registration & copy kept in portfolio)

Continuing professional development -examples

• Your responsibility to calculate hours/points of active learning

• Reflecting on feedback (practice journal)

• Acting as preceptor or mentor• Participation in audits or quality

improvement• Reading discussion groups

(journal clubs)• Journal articles• Developing policies, protocols,

guidelines• Presenting or attending

workplace education• Undertaking further study

Recency of Practice

• Must have practiced within the last 5 years; or

• Completed a re-entry to practice program; or

• Can demonstrate successful completion of a supervised practice experience.

SO… How do we do this??

To help you get started:

SSWAHS Centre for Education and Workforce Development has created a guide on developing your PP with templates that are easy to use.

This is where to find it:

SSWAHS Intranet/click on Training & Education/ click on Centre for Education &

Workforce Development/click on Professional PortfolioOr:http://intranet.sswahs.nsw.gov.au/C

EWD/

Where to find help & support for your PP in CRGH

There are lots of people to answer your questions and help you with the development of your PP

1.Your CNE2.Your NUM3.CNC’s & NP’s

Lots of different ways to keep your portfolio…………

• Folder with dividers and headings and index

• On-line E-P tools• USB

If you keep a folder……….• CV• Registration Copy• Declaration of competence copy• Job description• Appropriate nurse ANMC competency

copy • ANMC continuing competency

framework copy• Performance appraisal copy• Code of ethics• Qualifications• Awards, scholarships, grants etc• Educations transcripts• CPD evidence of learning

Anything that shows professional competence

Why is this important ??

Ensures that a standard of practice is maintained

nationally which ensures best practice and

quality of care for our patients.

WHY SHOULD I DO THIS???

Apart from the mandatory registration requirement;

You need to do this for YOU

A Professional Portfolio describes YOU, what YOU can do and what YOU do well

It is a showcase of YOUR Professional Abilities

QUESTIONS ???????

References

• Nurses and Midwives Board New South Wales

• Australian Health Practitioner Regulation Agency (AHPRA)

• Nursing and Midwifery Board of Australia standards

• Australian Nursing & Midwifery Council (ANMC) competencies