AFEN Programme

Key Facts Overview Fees Assessment Registration

Key Facts

Start Date


Course Duration

Part time: Two years




Until January 2021: Annual FEN membership

From January 2021: two years FEN membership

Outside of UK & Ireland

If you are from outside of the United Kingdom and Republic of Ireland, you are welcome to join the Faculty and access our training programme. Should you wish to complete the clinical portfolio for accreditation please contact


Our two year taught programme will enable registered nurses working within emergency care to develop the theoretical knowledge and clinical skills required for Associate level (AFEN). This programme will be delivered through webinars and online learning.

The programme will be delivered on Tuesday Evenings (15/9/2020 to 25/8/2022) 19:00 to 21:00 GMT/BST. There will be a two week break for Christmas and Easter as well as a short break between the first and second year of the programme. Webinars will be recorded and accessible by FEN members to catch-up or to review at a later date. On completion of an evaluation form, you will receive confirmation of attendance.

To access the programme, you will need to be a nurse registrant Plus hold an annual membership with the Faculty of Emergency Nursing – either as an individual or through corporate membership. To continue to access the programme your membership must remain current. To join FEN click here.

This programme of study is designed to provide the theoretical underpinnings to achieve the AFEN level competence. If you wish to have this level of competence accredited, you will need to supplement this with background reading, engagement with additional web-based resources and undertake clinical skills teaching and assessments in your own place of work. You will also need to build a clinical portfolio of robust evidence against a set of assessment criteria in order to demonstrate necessary learning outcomes.

For a nurse new to emergency nursing, it will take approximately two years to complete all the learning to gain the qualification. The taught programme delivered in webinars will cover the outcomes of all eight units. Provided evidence is collected throughout this period then candidates can expect to have a complete portfolio ready for submission by the end of the programme. However completed portfolios may be submitted before this.

Should you wish to submit a portfolio for accreditation, this will incur an extra cost. This is likely to be less than £750 and will provide credits on the Credit & Qualifications Framework for Wales (CQFW) which is mapped – like other European Countries – to the European Qualifications Framework.

1st Year Content2nd Year Content
Introduction to the programme, including:
what is expected of you
how lectures will work
legal foundations
ethical principles
Heads – anatomy & physiology
ABCDE assessmentHead injuries
Chest – injuries (part 1)Brain pathology
Chest – illnesses (part 1)Airway assessment – plans A – D
Chest – injuries (part 2)Sedation
Chest – illnesses (part 2)Mental health – common presenting symptoms
Risk assessments – Infection controlPsychotic illness
Hearts – ECG interpretation methodsAnxiety-related presentations
Hearts  – ArrhythmiasMental health prioritisation scales
Hearts – BlocksOverdoses – drugs used and treatment options
Hearts – Acute Coronary Syndrome (part 1)Poisoning
Hearts – Acute Coronary Syndrome (part 2)Mental Capacity assessment
Hearts – congenital abnormalitiesLegal detention of mentally ill people
Hearts – injuries and infectionsHealth and Safety risk assessments
Risk assessments – pressure areasCommunicable diseases
Limbs – arm injuriesEnd of life
Limbs – hand injuriesSudden death
Limbs – hip injuriesSudden bereavement
Limbs – lower leg and foot injuriesManual handling in Emergency Care
Risk assessments – Safeguarding (initial)Eye assessment (1)
Pain assessmentEye assessment (2)
Non-pharmaceutical pain reliefEye treatments
Pharmaceutical pain relief optionsEar problems
Wound assessmentNose problems
Wound cleaning and closureThroat problems
Local anaesthetics for wound exploration and closureMajor incident planning
Wound dressingsMajor incident implementation
Risk assessments – Safeguarding (secondary)Major incident –  Communication structures
Structuring Emergency CareClinical governance in Emergency Care
Prioritising in Emergency CareHuman Factors in Emergency Care
Burns – assessmentHandover/transfer of care
Burns – treatmentPregnancy in a nutshell
Major burnsDelivering a baby
Explosion injuriesResuscitation of the newborn
Auditing Emergency CarePV bleeds
Normal childhood progressionKidney injury
Adolescents – physical changesKidney pathology
Adolescents – cognitive changesDomestic Abuse
Adolescents – legal changesSepsis
Adolescents – transitionCognitive impairment
Normal ageing progressionAdjusting care to the individual patient
Abdominal pain – assessmentViolence and aggression – prevention and management
Abdominal injuriesShock
Abdominal pathologyConsent
Risk assessment – FallsManaging unpredictable patients
Diabetes (1)End of course – summary and evaluation
Diabetes (2)


Course fee

£36 Annual FEN membership required, payment to be received prior to course registration.

From January 2021 the fee will be two years FEN membership to cover the duration of the teaching sessions.

This covers access to all learning materials, live webinars and recordings of webinars.

Additional costs

Accreditation fee – on application


The taught programme maybe attended without submitting a portfolio but to achieve AFEN accreditation you will need to complete:

Three compulsory units:

Compulsory Group A

Core Competencies for Working in Emergency Care Settings
Psychological Care of Patients in Emergency Care Settings

Compulsory Group B – Choose one

Care of Adults and Older People in Emergency Care Settings
Care of Children and Younger People in Emergency Care Settings

You must also choose one of the following optional units:

Care of Patients with Non-Life/Non-Limb Threatening Injuries
Care of Patients with Major Trauma
Care of Patients in the Pre Hospital Care Environment
Care of Patients in a Major Incident

Clinical assessment must be undertaken in the workplace. A portfolio of practice must be developed which will include workplace based assessments, case based discussions, annotated clinical notes, audits of notes. Once complete portfolios should be submitted to the Internal Quality Assurance Board for verification and award of qualification.


You will need to register to access the programme. Once membership has been confirmed, and prior to the webinar, you will be forwarded an access code.

Please give title of your department and name of hospital