Section 3: Patient Management

Section 3: Patient Management

Code Title Core Competency Statement Core Learning Outcome
3.1.1 Care delivery Be proficient in emergency care provision for patients, taking into account their age, gender, ethnicity, culture, values and spiritual beliefs Demonstrate proficiency in emergency care assessment, evaluation and care planning for patients with complex care problems, taking into account patients’ age, gender, ethnicity, culture, values and spiritual beliefs. Interpret and challenge assumptions that affect the delivery of evidence based emergency care
3.1.2 Care delivery Contribute to the development of practice and protocols to meet patients’ needs Assist in formulating new practices to meet patients’ care needs in the emergency care setting
3.2.1 Care delivery to vulnerable patients Be proficient in emergency care provision for patients who are vulnerable, including those with learning disabilities Demonstrate proficiency in emergency care assessment, provision and evaluation for vulnerable patients, ensuring that protection and risk assessment principles are applied
3.2.2 Care delivery to vulnerable patients Contribute to the development of practice to meet the needs of vulnerable patients Assist in formulating new practices to meet the needs of vulnerable patients in the emergency care setting
3.3.1 Communication Be effective in communicating with patients, including those who have learning disabilities or communication problems Be proficient in determining and using a range of communication techniques appropriately to meet the needs of all patients, including those with learning disabilities or communication difficulties
3.3.2 Communication Be proficient in negotiating patient outcomes with the multi-professional, multi-agency team, working across boundaries to smooth patients’ journeys through the emergency care setting Communicate effectively with the multi-professional and multi-agency team to negotiate appropriate patient care outcomes and smooth patients’ journeys through the emergency care setting
3.3.3 Communication Intervene effectively in care delivery when other members of the health care team are experiencing difficulty communicating with patients Be proficient in intervening in care delivery when other members of the health care team are experiencing difficulty communicating with patients, whilst being sensitive to the effect of your intervention on the team member
3.4.1 Equity and dignity Help develop an environment that offers equity and dignity to all patients and to the multi-professional team Evaluate how effectively patients and team members are treated with equity and dignity in the workplace, developing a report with action plan as appropriate. Intervene to facilitate equity and dignity in the workplace
3.5.1 Consent and advocacy Be effective in determining patients’ capacity for decision-making, gaining consent and negotiating patient care with patients and the multi-professional team Be proficient in assessing patients’ decision-making capacity and in obtaining consent, respecting patients’ right to self-determination while making decisions about their care. Be proficient in acting as a patients’ advocate in emergency care delivery
3.5.2 Consent and advocacy Develop patient care guidelines that are underpinned by sound legal and ethical principles, particularly in relation to patients’ right of self-determination Demonstrate the ability to develop patient care guidelines that are underpinned by sound legal and ethical principles
3.6.1 Coping strategies Be proficient in encouraging patients and families/carers to use helping and coping strategies during critical events Demonstrate proficiency in encouraging patients and families/carers to use helping and coping strategies during critical events
3.6.2 Coping strategies Be proficient in assisting other health care professionals in encouraging patients and families to use helping and coping strategies during critical events Demonstrate proficiency in assisting other health care professionals to encourage patients and families to use helping and coping strategies during critical events
3.7.1 Patient empowerment Use the principles of support and empowerment when developing strategies for patient care, and when supervising others Demonstrate that you apply the principles of support and empowerment when developing strategies for patient care, and when supervising others
3.7.2 Patient empowerment Provide resources to enable patients to make a properly informed decision Demonstrate proficiency in identifying and delivering resources to enable patients to make properly 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 Identify your own realistic learning outcomes for prioritisation skills and achieve proficiency in prioritising the care of individuals, groups of patients and the emergency care service Be proficient in identifying your own learning needs for prioritisation skills and developing learning action plans. Achieving proficiency in prioritising care for individuals, groups of patients and the service
3.9.2 Prioritisation Be skilled in assisting others in developing their prioritisation skills Be proficient in assisting others to become competent at prioritising care on an individual and group basis
3.10.1 Documentation Be skilled in recording patient history, assessments, interventions, evaluations and in determining a plan of care for a range of patients, including those that have complex care needs and difficulties communicating Show proficiency in recording succinct, relevant patient histories, assessments, interventions, evaluations and determining of care plans for all patients, with a range of complaints including those with complex care needs and difficulties in communicating
3.10.2 Documentation Appraise your own and others’ documentation, identifying strengths and weaknesses and reporting accordingly Demonstrates the ability to evaluate care delivered through critically analysing patient records and reporting findings, providing realistic action plans and associated evaluation criteria
3.11.1 Role modelling Be proficient in leadership and role modelling in the emergency care setting show evidence of being a role model to AFEN nurses and others in the emergency care setting, Demonstrating proficiency in leadership
3.12.1 Multi-professional team working Be effective at working as part of the multi-professional team Demonstrate working as an effective multi-professional team member, showing sensitivity, support and motivational skills when working as a team member. Demonstrate that you can empower junior members of the multi-professional team
3.12.2 Multi-professional team working Function as team leader in an emergency situation Demonstrates the ability to function as team leader in an emergency situation
3.12.3 Multi-professional team working Respond effectively in crisis situations Demonstrate working proficiently in crisis situations
3.12.4 Multi-professional team working Be proficient in managing the emergency care setting or a designated area in the emergency care environment Demonstrate proficiency in day-to-day management of the emergency care environment, or a designated area within it
3.13.1 Inter-agency working Be effective in cross-boundary working, to ensure safe discharge of patients Be proficient in cross-boundary working, to ensure safe discharge of patients from the emergency care setting
3.14.1 audit & monitoring care delivery Be proficient in undertaking audit and/or leading on an aspect of research, evaluating findings and/or report writing. Demonstrate proficiency in undertaking audit and/or research, evaluating findings and determining action plans.
3.15.1 Risk management policy Use your unit/organisation’s risk management policy effectively to underpin practice development Demonstrate appropriate application of the risk management policy in developing policies, protocols and guidelines
3.16.1 Policy & practice development Contribute to the overall management and policy development for the emergency care setting Demonstrate proficiency in negotiating further development of the emergency service, including policy and practice development

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