Enrolled Nurse Self- Assessment/Appraisal Tool and Professional Development … · 2016-03-02 ·...
Transcript of Enrolled Nurse Self- Assessment/Appraisal Tool and Professional Development … · 2016-03-02 ·...
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional
Development Plan Booklet
Australian Nursing and Midwifery Federation
NATIONAL TOOLKIT for NURSES IN GENERAL PRACTICE
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
1
SECTION ONE: PROFESSIONAL DEVELOPMENT - Enrolled Nurse This section will assist the enrolled nurse to use the ANMF National practice standards for nurses in general practice to plan, undertake, and evaluate, their own professional development. Undertaking CPD not only defines a professional but is also a mandatory requirement of the NMBA for all nurses and midwives regulated under the Health Practitioner Regulation National Law Act (2009). A nurse may be audited to show evidence of CPD.
When using this document it should be remembered that the ANMF National practice standards for nurses in general practice are to be used in conjunction with the NMBA Standards for practice: Enrolled nurses.
Section one - Part A: Self-assessment/appraisal tool
The self-assessment/appraisal tool in this section of the Toolkit (pages 49-72) can be used as a self-assessment tool for the enrolled nurse to reflect on their professional practice OR it can be used as a self-assessment and appraisal tool, as required.
It is important to note that a registered nurse is the only person who can complete an appraisal of the nursing practice of an enrolled nurse.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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ENR
OLL
ED N
UR
SE S
ELF-
ASS
ESSM
ENT/
APP
RA
ISA
L TO
OL
N
ame:
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D
ate:
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.
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anda
rd
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t yet
met
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her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
1D
emon
stra
tes
an u
nder
stan
ding
of p
rim
ary
heal
th c
are
prin
cipl
es a
nd n
ursi
ng in
gen
eral
pra
ctic
e.
1.1
Artic
ulat
es th
e di
ffere
nces
bet
wee
n nu
rsin
g ca
re in
ge
nera
l pra
ctic
e an
d ot
her
heal
th s
ettin
gs.
1.2
Pra
ctis
es in
a m
anne
r co
nsis
tent
with
the
prin
cipl
es
of p
rim
ary
heal
th c
are.
1.3
Rec
ogni
ses
the
impa
ct o
f the
soc
ial d
eter
min
ants
of
heal
th o
n co
nsum
ers.
1.4
Artic
ulat
es th
e va
riou
s ro
les
and
resp
onsi
bilit
ies
of th
e ge
nera
l pra
ctic
e te
am, i
n pa
rtic
ular
, EN
su
perv
isio
n re
quir
emen
ts a
nd th
e EN
sco
pe o
f pr
actic
e.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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anda
rd
met
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dard
no
t yet
met
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her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
2
Pro
vide
s nu
rsin
g ca
re c
onsi
sten
t wit
h cu
rren
t nur
sing
an
d ge
nera
l pra
ctic
e st
anda
rds,
gui
delin
es, r
egul
atio
ns
and
legi
slat
ion.
2.1
Iden
tifie
s cu
rren
t NM
BA
EN s
tand
ards
for
prac
tice.
2.2
Pra
ctis
es w
ithin
indi
vidu
al s
cope
of p
ract
ice.
2.3
Und
erta
kes
dele
gate
d cl
inic
al ta
sks
unde
r th
e su
perv
isio
n of
an
RN
.
2.4
Seek
s ad
vice
from
the
supe
rvis
ing
RN
whe
n fa
ced
with
si
tuat
ions
out
side
of t
heir
sco
pe o
f pra
ctic
e.
2.5
Use
s ge
nera
l pra
ctic
e sp
ecifi
c st
anda
rds
to g
uide
nu
rsin
g pr
actic
e.
2.6
Appl
ies
evid
ence
-bas
ed g
uide
lines
and
pol
icie
s w
hen
prov
idin
g nu
rsin
g ca
re w
ithin
the
EN s
cope
of
prac
tice.
2.7
Und
erst
ands
and
use
s re
leva
nt C
omm
onw
ealt
h, S
tate
or
Ter
rito
ry le
gisl
atio
n to
info
rm n
ursi
ng p
ract
ice.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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met
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lopm
ent
requ
ired
N/A
Com
men
ts
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3
Act
ivel
y bu
ilds
and
mai
ntai
ns p
rofe
ssio
nal r
elat
ions
hips
w
ith
othe
r nu
rses
and
reg
ular
ly e
ngag
es in
pro
fess
iona
l de
velo
pmen
t act
ivit
ies.
3.1
Mai
ntai
ns p
rofe
ssio
nal r
elat
ions
hips
with
oth
er
nurs
es in
gen
eral
pra
ctic
e, in
clud
ing
netw
orki
ng a
nd
men
tori
ng r
elat
ions
hips
.
3.2
Mai
ntai
ns r
elev
ant p
rofe
ssio
nal n
ursi
ng a
nd/o
r ge
nera
l pr
actic
e m
embe
rshi
ps
3.3
Par
ticip
ates
in r
egul
ar c
linic
al p
erfo
rman
ce a
ppra
isal
w
ith th
e su
perv
isin
g R
N.
3.4
Dis
cuss
es a
nd p
lans
con
tinui
ng p
rofe
ssio
nal
deve
lopm
ent w
ith th
e su
perv
isin
g R
N.
3.5
Activ
ely
part
icip
ates
in p
rofe
ssio
nal d
evel
opm
ent
activ
ities
rel
evan
t to
nurs
ing
in g
ener
al p
ract
ice.
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dard
4
Adv
ocat
es fo
r th
e ro
le o
f nur
sing
in g
ener
al p
ract
ice.
4.1
Pro
mot
es th
e nu
rsin
g an
d EN
rol
e in
gen
eral
pra
ctic
e to
the
nurs
ing
prof
essi
on, o
ther
hea
lth
prof
essi
onal
s,
cons
umer
s an
d ot
her
rele
vant
gro
ups.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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met
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her
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lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
5
Dem
onst
rate
s nu
rsin
g le
ader
ship
.
5.1
Pro
vide
s co
llegi
al s
uppo
rt to
oth
er E
Ns.
5.2
Assi
sts
in th
e or
ient
atio
n of
sta
ff n
ew to
the
Gen
eral
P
ract
ice.
5.3
Take
s re
spon
sibi
lity
for
dele
gate
d ta
sks.
5.4
Con
side
rs o
wn
wel
lbei
ng a
nd fi
tnes
s to
pra
ctic
e.
Stan
dard
6D
emon
stra
tes
the
know
ledg
e an
d sk
ills
to p
rovi
de s
afe,
ef
fect
ive
and
evid
ence
-bas
ed n
ursi
ng c
are.
6.1
Iden
tifie
s th
e ro
le o
f evi
denc
e in
the
prov
isio
n of
qua
lity
nurs
ing
care
.
6.2
Artic
ulat
es a
kno
wle
dge
base
app
ropr
iate
to s
uppo
rt
the
prov
isio
n of
evi
denc
e-ba
sed
nurs
ing
care
with
in
the
EN s
cope
of p
ract
ice.
6.3
Appl
ies
appr
opri
ate
clin
ical
ski
lls a
nd r
easo
ning
to
unde
rtak
e de
lega
ted
clin
ical
car
e w
ithin
the
EN s
cope
of
pra
ctic
e.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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dard
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anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
6.4
Pro
vide
s nu
rsin
g ca
re c
onsi
sten
t with
cur
rent
ev
iden
ce-b
ased
pra
ctic
e in
con
sulta
tion
with
the
RN
.
6.5
Rec
ogni
ses
whe
n cl
inic
al c
are
is o
utsi
de th
eir
scop
e of
pr
actic
e an
d se
eks
the
supp
ort o
f the
sup
ervi
sing
RN
.
Stan
dard
7U
nder
take
s nu
rsin
g as
sess
men
t and
pla
ns o
ngoi
ng
care
.
7.1
Assi
sts
the
RN
to u
nder
take
nur
sing
ass
essm
ents
of
cons
umer
s.
7.2
Dem
onst
rate
s pr
ofic
ienc
y in
a r
ange
of d
ata
gath
erin
g te
chni
ques
and
nur
sing
ass
essm
ent s
kills
with
in th
e EN
sco
pe o
f pra
ctic
e.
7.3
Appr
opri
atel
y an
d ac
cura
tely
rec
ords
dat
a ga
ther
ed
in a
tim
ely
man
ner
to c
ontr
ibut
e to
the
nurs
ing
asse
ssm
ent.
7.4
Safe
ly u
nder
take
s tr
iage
of c
onsu
mer
s ba
sed
on
stan
dard
ised
pro
toco
ls.
7.5
Pro
vide
s ap
prop
riat
e re
ferr
als
and
follo
w-u
p as
de
lega
ted
by th
e R
N, i
n co
njun
ctio
n w
ith th
e ge
nera
l pr
actic
e te
am.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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anda
rd
met
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dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
7.6
Rec
ogni
ses
whe
n cl
inic
al in
terv
entio
n is
req
uire
d an
d co
mm
unic
ates
this
to th
e R
N.
7.7
Pro
vide
s ap
prop
riat
e ha
ndov
er to
oth
er c
linic
al s
taff
as
dire
cted
by
the
RN
.
Stan
dard
8Ef
fect
ivel
y im
plem
ents
evi
denc
e-ba
sed
heal
th
prom
otio
n an
d pr
even
tive
car
e re
leva
nt to
the
Pra
ctic
e co
mm
unit
y.
8.1
Rec
ogni
ses
the
impo
rtan
ce o
f evi
denc
e- b
ased
hea
lth
prom
otio
n an
d pr
even
tive
care
in g
ener
al p
ract
ice
with
in th
e EN
sco
pe o
f pra
ctic
e.
8.2
Iden
tifie
s th
e he
alth
pro
mot
ion
and
prev
entiv
e ca
re
need
s of
the
Pra
ctic
e po
pula
tion.
8.3
Pro
vide
s ev
iden
ce-b
ased
hea
lth
prom
otio
n an
d pr
even
tive
care
with
in th
e EN
sco
pe o
f pra
ctic
e.
8.4
Assi
sts
the
RN
to p
rovi
de d
eleg
ated
hea
lth
prom
otio
n an
d pr
even
tive
care
act
iviti
es, i
nclu
ding
nur
se c
linic
s.
8.5
Und
erta
kes
oppo
rtun
istic
hea
lth
scre
enin
g ac
tiviti
es
as d
eleg
ated
by
the
RN
.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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sSt
anda
rd
met
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dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
9
Empo
wer
s an
d ad
voca
tes
for
cons
umer
s.
9.1
Advo
cate
s fo
r in
divi
dual
con
sum
ers
with
in th
e EN
sc
ope
of p
ract
ice.
9.2
Pro
vide
s su
ppor
t to
enco
urag
e co
nsum
ers
to b
e ac
tive
part
icip
ants
in th
eir
own
heal
th c
are.
9.3
Pra
ctis
es in
a w
ay th
at r
ecog
nise
s in
divi
dual
co
nsum
ers’
cir
cum
stan
ces,
nee
ds a
nd v
alue
s.
Stan
dard
10
Und
erst
ands
div
ersi
ty in
the
Pra
ctic
e co
mm
unit
y an
d fa
cilit
ates
a s
afe,
res
pect
ful a
nd in
clus
ive
envi
ronm
ent.
10.1
Dem
onst
rate
s re
spec
t for
con
sum
ers
rega
rdle
ss o
f th
eir
nativ
e la
ngua
ge, c
ultu
ral/
ethn
ic b
ackg
roun
d,
sexu
al o
rien
tatio
n, g
ende
r id
entit
y, s
ocio
-eco
nom
ic
stat
us, p
hysi
cal o
r m
enta
l cap
acity
, val
ues
or b
elie
fs
in th
e de
liver
y of
pri
mar
y nu
rsin
g ca
re.
10.2
Pro
vide
s nu
rsin
g ca
re in
a r
espe
ctfu
l and
cul
tura
lly
safe
man
ner
for
Abor
igin
al a
nd T
orre
s St
rait
Isla
nder
pe
ople
s.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
10.3
Rec
ogni
ses
and
resp
ects
the
impa
ct o
f div
ersi
ty o
n co
nsum
ers
acce
ssin
g pr
imar
y ca
re s
ervi
ces.
10.4
Iden
tifie
s th
e ne
eds
of in
divi
dual
con
sum
ers
and
adap
ts n
ursi
ng p
ract
ice
to p
rovi
de s
ensi
tive
prim
ary
care
nur
sing
ser
vice
s.
10.5
Ass
ists
the
RN
to im
plem
ent p
rogr
ams
for
dive
rse
grou
ps w
ithin
the
Pra
ctic
e co
mm
unity
.
Stan
dard
11
Effe
ctiv
ely
deliv
ers
evid
ence
-bas
ed h
ealt
h in
form
atio
n to
impr
ove
heal
th li
tera
cy a
nd p
rom
ote
self
-m
anag
emen
t.
11.1
Pro
vide
s re
leva
nt e
vide
nce-
base
d he
alth
info
rmat
ion
to c
onsu
mer
s in
con
sulta
tion
with
the
RN
.
11.2
Use
s ap
prop
riat
e co
mm
unic
atio
n sk
ills
to d
eliv
er
heal
th in
form
atio
n to
indi
vidu
al c
onsu
mer
s.
11.3
Dem
onst
rate
s an
und
erst
andi
ng o
f the
con
cept
of
heal
th li
tera
cy.
11.4
Dem
onst
rate
s an
und
erst
andi
ng o
f the
con
cept
of
self-
man
agem
ent.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
10
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
12
Eval
uate
s th
e qu
alit
y an
d ef
fect
iven
ess
of n
ursi
ng c
are.
12.1
Reg
ular
ly u
nder
take
s re
flect
ion
on th
e qu
ality
of t
heir
in
divi
dual
clin
ical
pra
ctic
e.
12.2
Iden
tifie
s, r
epor
ts a
nd d
ocum
ents
pot
entia
l or
actu
al r
isk,
nea
r m
isse
s or
saf
ety
brea
ches
rel
ated
to
nurs
ing
care
, to
the
supe
rvis
ing
RN
.
12.3
Par
ticip
ates
in r
egul
ar d
iscu
ssio
ns w
ith s
uper
visi
ng
RN
/s a
bout
the
qual
ity o
f nur
sing
car
e in
the
Pra
ctic
e.
12.4
Sup
port
s ac
tiviti
es to
eva
luat
e th
e qu
ality
and
ef
fect
iven
ess
of n
ursi
ng c
are.
Stan
dard
13
Dem
onst
rate
s pr
ofic
ienc
y in
the
use
of in
form
atio
n te
chno
logy
, clin
ical
sof
twar
e an
d de
cisi
on s
uppo
rt to
ols
to u
nder
pin
heal
th c
are
deliv
ery.
13.1
Und
erst
ands
the
impo
rtan
ce o
f acc
urac
y in
ent
erin
g co
mpu
teri
sed
data
.
13.2
Acc
urat
ely
and
appr
opri
atel
y do
cum
ents
dat
a ga
ther
ed d
urin
g ep
isod
es o
f car
e us
ing
rele
vant
IT
syst
ems.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
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dard
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anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
13.3
Dem
onst
rate
s th
e ab
ility
to r
etri
eve
info
rmat
ion
from
IT
sys
tem
s.
13.4
App
ropr
iate
ly u
ses
deci
sion
sup
port
tool
s to
und
erpi
n de
lega
ted
nurs
ing
care
with
in th
e EN
sco
pe o
f pr
actic
e.
Stan
dard
14
Effe
ctiv
ely
uses
reg
iste
rs a
nd r
emin
der
syst
ems
to
prom
pt in
terv
enti
on a
nd p
rom
ote
best
pra
ctic
e ca
re.
14.1
Dem
onst
rate
s an
und
erst
andi
ng o
f the
rec
all a
nd
rem
inde
r pr
oces
ses
and
rele
vant
reg
iste
rs w
ithin
the
Pra
ctic
e.
14.2
Und
erta
kes
dele
gate
d ta
sks
rela
ted
to th
e re
call
and
rem
inde
r pr
oces
ses
and/
or r
egis
ters
.
Stan
dard
15
Und
erst
ands
the
cont
ext o
f gen
eral
pra
ctic
e w
ithi
n th
e w
ider
Aus
tral
ian
heal
th c
are
syst
em, i
nclu
ding
fund
ing
mod
els.
15.1
Con
side
rs th
e im
plic
atio
ns o
f the
con
text
of g
ener
al
prac
tice
whe
n pr
ovid
ing
nurs
ing
care
.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
12
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
15.2
Und
erst
ands
the
role
of g
ener
al p
ract
ice
in th
e he
alth
ca
re s
yste
m.
15.3
Art
icul
ates
an
awar
enes
s of
the
curr
ent m
odel
s of
fu
ndin
g fo
r ge
nera
l pra
ctic
e.
15.4
Mai
ntai
ns c
urre
nt k
now
ledg
e ab
out t
he w
ays
in w
hich
nu
rsin
g in
gen
eral
pra
ctic
e is
fund
ed.
15.5
Iden
tifie
s th
e ro
le o
f pri
mar
y he
alth
car
e or
gani
satio
ns a
s th
ey r
elat
e to
gen
eral
pra
ctic
e.
Stan
dard
16
Con
trib
utes
to q
ualit
y im
prov
emen
t and
res
earc
h ac
tivi
ties
to m
onit
or a
nd im
prov
e th
e st
anda
rd o
f car
e pr
ovid
ed in
gen
eral
pra
ctic
e.
16.1
Iden
tifie
s, d
ocum
ents
and
rep
orts
pot
entia
l or
actu
al
risk
, nea
r m
isse
s or
saf
ety
brea
ches
with
in th
e P
ract
ice
to th
e su
perv
isin
g R
N.
16.2
Act
ivel
y pa
rtic
ipat
es in
Pra
ctic
e-w
ide
qual
ity
impr
ovem
ent a
nd r
esea
rch
activ
ities
as
dele
gate
d by
th
e R
N.
16.3
Par
ticip
ates
in th
e pr
oces
s of
Pra
ctic
e ac
cred
itatio
n.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
13
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
Stan
dard
17
Par
tici
pate
s in
the
deve
lopm
ent,
impl
emen
tati
on a
nd
eval
uati
on o
f rel
evan
t pol
icie
s an
d pr
oced
ures
.
17.1
Dem
onst
rate
s kn
owle
dge
of c
urre
nt p
olic
ies
and
proc
edur
es.
17.2
Iden
tifie
s an
d re
port
s is
sues
with
cur
rent
pol
icie
s an
d pr
oced
ures
whe
n ap
plie
d in
pra
ctic
e.
Stan
dard
18
Mon
itor
s lo
cal p
opul
atio
n he
alth
issu
es to
info
rm c
are
and
resp
onds
to c
hang
ing
com
mun
ity
need
s
18.1
Col
lect
s in
form
atio
n on
pop
ulat
ion
heal
th is
sues
as
dele
gate
d by
the
RN
.
18.2
Is a
war
e of
the
impa
ct o
f pop
ulat
ion
heal
th is
sues
on
indi
vidu
als
and
the
Pra
ctic
e co
mm
unity
.
Stan
dard
19
Mon
itor
s lo
cal p
opul
atio
n he
alth
issu
es to
info
rm c
are
and
resp
onds
to c
hang
ing
com
mun
ity
need
s
19.1
Man
ages
and
pri
oriti
ses
own
wor
kloa
d as
del
egat
ed
by th
e R
N.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
14
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
19.2
Eff
icie
ntly
und
erta
kes
clin
ical
task
s as
del
egat
ed b
y th
e R
N.
19.3
See
ks s
uppo
rt fr
om th
e R
N if
unc
lear
abo
ut p
rior
ities
or
wor
kloa
d.
19.4
Use
s re
sour
ces
effic
ient
ly in
pro
vidi
ng n
ursi
ng c
are.
19.5
Ord
ers
and
mai
ntai
ns c
linic
al s
uppl
ies
and
equi
pmen
t as
dele
gate
d by
the
RN
.
19.6
Iden
tifie
s an
d re
port
s is
sues
with
sup
plie
s or
eq
uipm
ent t
o th
e R
N.
Stan
dard
20
Bui
lds
and
mai
ntai
ns p
rofe
ssio
nal a
nd th
erap
euti
c re
lati
onsh
ips
wit
h co
nsum
ers,
thei
r fa
mili
es a
nd/o
r su
ppor
t per
son(
s).
20.1
Pra
ctis
es in
a m
anne
r th
at r
ecog
nise
s th
e na
ture
of
pro
fess
iona
l and
ther
apeu
tic r
elat
ions
hips
in th
e ge
nera
l pra
ctic
e se
ttin
g.
20.2
Use
s ef
fect
ive
com
mun
icat
ion
and
inte
rper
sona
l sk
ills
to b
uild
trus
t, an
d pr
omot
e co
nfid
ence
and
sa
tisfa
ctio
n.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
15
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
20.3
Cre
ates
and
mai
ntai
ns a
saf
e en
viro
nmen
t for
co
nsum
ers,
thei
r fa
mili
es a
nd s
uppo
rt p
erso
ns d
urin
g ep
isod
es o
f car
e.
20.4
Ref
lect
s on
pro
fess
iona
l and
ther
apeu
tic
rela
tions
hips
.
Stan
dard
21
Effe
ctiv
ely
com
mun
icat
es, s
hare
s in
form
atio
n an
d w
orks
col
labo
rati
vely
wit
h th
e ge
nera
l pra
ctic
e te
am.
21.1
Use
s ap
prop
riat
e co
mm
unic
atio
n an
d in
terp
erso
nal
skill
s to
bui
ld c
olle
gial
rel
atio
nshi
ps w
ithin
the
gene
ral p
ract
ice
team
.
21.2
Reg
ular
ly a
nd e
ffect
ivel
y co
mm
unic
ates
with
the
RN
an
d sh
ares
rel
evan
t inf
orm
atio
n.
21.3
Com
mun
icat
es c
linic
al a
nd/o
r pe
rson
al in
form
atio
n in
a m
anne
r co
nsis
tent
with
rel
evan
t Sta
te/T
erri
tory
pr
ivac
y le
gisl
atio
n.
21.4
Sha
res
rele
vant
clin
ical
info
rmat
ion
and
exte
rnal
le
arni
ng w
ith o
ther
mem
bers
of t
he g
ener
al p
ract
ice
team
.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
16
Stan
dard
sSt
anda
rd
met
Stan
dard
no
t yet
met
Furt
her
deve
lopm
ent
requ
ired
N/A
Com
men
ts
21.5
Act
ivel
y co
mm
unic
ates
with
oth
er m
embe
rs o
f th
e ge
nera
l pra
ctic
e te
am r
egar
ding
clin
ical
car
e,
wor
kfor
ce a
nd e
nvir
onm
enta
l iss
ues.
21.6
Pra
ctis
es in
a c
olla
bora
tive
man
ner
with
in th
e nu
rsin
g an
d ge
nera
l pra
ctic
e te
am.
Stan
dard
22
Liai
ses
effe
ctiv
ely
wit
h re
leva
nt a
genc
ies
and
heal
th
prof
essi
onal
s to
faci
litat
e ac
cess
to s
ervi
ces
and
cont
inui
ty o
f car
e
22.1
Iden
tifie
s re
leva
nt lo
cal s
ervi
ce p
rovi
ders
and
cri
teri
a fo
r ac
cess
ing
thei
r se
rvic
es.
22.2
Con
trib
utes
to th
e bu
ildin
g of
rel
atio
nshi
ps b
etw
een
the
Pra
ctic
e an
d re
leva
nt lo
cal s
ervi
ce p
rovi
ders
.
22.3
Fac
ilita
tes
refe
rral
of c
onsu
mer
s to
loca
l ser
vice
pr
ovid
ers
as d
eleg
ated
by
the
RN
.
22.4
Iden
tifie
s co
nsum
ers
who
are
rec
eivi
ng c
are
from
va
riou
s lo
cal s
ervi
ce p
rovi
ders
.
22.5
Com
mun
icat
es w
ith c
are
prov
ider
s ab
out t
he
indi
vidu
al c
onsu
mer
and
thei
r he
alth
sta
tus
/ car
e ne
eds
as d
eleg
ated
.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
17
Summary of enrolled nurse self-assessment/appraisal
Professional achievements
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Areas for further development
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Other comments
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Professional development plan reviewed: Date:…………………..
Signature of enrolled nurse: …………………………………………… Date:…………………
Signature of registered nurse reviewer (if applicable): ………………………………Date: …………………..
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
18
SEC
TIO
N O
NE
- PA
RT B
: PR
OFE
SSIO
NA
L D
EVEL
OPM
ENT
PLA
N –
EN
ROLL
ED N
URS
E
Wor
king
thro
ugh
this
sec
tion
will
ass
ist t
he E
nrol
led
nurs
e in
the
achi
evem
ent o
f obj
ectiv
es id
entif
ied
at th
e se
lf-as
sess
men
t/ a
ppra
isal
sta
ge.
Sam
ple
Prof
essi
onal
Dev
elop
men
t Pla
n
Dat
eW
hat d
o I n
eed
to
deve
lop/
Iden
tifi
ed
lear
ning
nee
d
(Ref
eren
ce to
the
Dom
ain
Num
ber
wit
hin
the
prac
tice
st
anda
rds
for
nurs
es in
gen
eral
pr
acti
ce)
Wha
t will
I do
to a
chie
ve th
is
lear
ning
nee
d (p
lann
ed a
ctiv
ity)
W
hat p
rofe
ssio
nal
lear
ning
act
ivit
y I
com
plet
ed
Hou
rs
com
plet
ed
Out
com
e of
wha
t I
com
plet
ed (r
efle
ctio
n on
pro
fess
iona
l lea
rnin
g ac
tivi
ty)
Self
-ass
essm
ent
1 Ju
ly 2
014
Rev
iew
1
5 Ja
nuar
y 20
15
Stan
dard
2P
rovi
des
nurs
ing
care
co
nsis
tent
with
cur
rent
nu
rsin
g an
d ge
nera
l pr
actic
e st
anda
rds,
gu
idel
ines
and
legi
slat
ion
Gai
n a
bett
er
unde
rsta
ndin
g of
the
stan
dard
s, g
uide
lines
and
le
gisl
atio
n fo
r nu
rsin
g in
ge
nera
l pra
ctic
e
Rev
iew
the
legi
slat
ion
rele
vant
to
enr
olle
d nu
rsin
g in
my
[sta
te/
terr
itory
].
Rev
iew
the
NM
BA’
s w
ebsi
te
focu
sing
on
the
prof
essi
onal
pr
actic
e fr
amew
ork
for
enro
lled
nurs
es.
Rev
iew
the
ANM
F N
atio
nal
Pra
ctic
e St
anda
rds
for
Nur
ses
in
Gen
eral
Pra
ctic
e.
I hav
e re
view
ed s
ome
legi
slat
ion
rele
vant
to
enro
lled
nurs
ing.
I hav
e re
view
ed th
e N
MB
A’s
web
site
and
ha
ve r
ead
all r
elev
ant
code
s an
d gu
idel
ines
fo
r en
rolle
d nu
rse.
I hav
e re
ad a
nd
unde
rsta
nd th
e AN
MF
Nat
iona
l Pra
ctic
e St
anda
rds
for
Nur
ses
in
Gen
eral
Pra
ctic
e.
2 ho
urs
2 ho
urs
1 ho
ur
Afte
r co
mpl
etin
g th
e le
arni
ng a
ctiv
ities
I ha
d pl
anne
d, I
feel
I am
cu
rren
t and
upd
ated
with
th
e pr
actic
e st
anda
rds,
gu
idel
ines
and
rel
evan
t le
gisl
atio
n.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
19
Dat
eW
hat d
o I n
eed
to
deve
lop/
Iden
tifi
ed
lear
ning
nee
d
(Ref
eren
ce to
the
Dom
ain
Num
ber
wit
hin
the
prac
tice
st
anda
rds
for
nurs
es in
gen
eral
pr
acti
ce)
Wha
t will
I do
to a
chie
ve th
is
lear
ning
nee
d (p
lann
ed a
ctiv
ity)
W
hat p
rofe
ssio
nal
lear
ning
act
ivit
y I
com
plet
ed
Hou
rs
com
plet
ed
Out
com
e of
wha
t I
com
plet
ed (r
efle
ctio
n on
pro
fess
iona
l lea
rnin
g ac
tivi
ty)
Self
asse
ssm
ent
1 Ju
ly 2
014
Rev
iew
1 Ju
ly 2
015
Stan
dard
13
Dem
onst
rate
s pr
ofic
ienc
y in
the
use
of
info
rmat
ion
tech
nolo
gy,
clin
ical
sof
twar
e an
d de
cisi
on s
uppo
rt to
ols
to u
nder
pin
heal
th c
are
deliv
ery.
Lear
n to
effe
ctiv
ely
use
the
IT s
yste
m a
t my
Pra
ctic
e to
bet
ter
unde
rsta
nd th
e cl
ient
rem
inde
r sy
stem
.
Com
plet
e th
e IT
sys
tem
on-
line
educ
atio
n an
d co
mpl
ete
the
follo
w-u
p qu
estio
ns to
con
firm
m
y co
mpr
ehen
sion
.
Wor
k w
ith th
e R
N to
bet
ter
unde
rsta
nd th
e cl
ient
rem
inde
r sy
stem
.
Activ
ate
the
clie
nt r
emin
der
syst
em w
ith th
e su
perv
isio
n of
th
e R
N.
Com
plet
ed a
rev
iew
of
the
avai
labl
e on
-lin
e re
sour
ces
rega
rdin
g th
e IT
sys
tem
.
I hav
e w
orke
d w
ith th
e R
N to
gai
n a
bett
er
unde
rsta
ndin
g of
the
clie
nt r
emin
der
syst
em.
With
the
supe
rvis
ion
of
the
RN
I ha
ve a
ctiv
ated
th
e cl
ient
rem
inde
r sy
stem
.
2 ho
urs
3 ho
urs
2 ho
urs
The
on-l
ine
educ
atio
n sy
stem
pro
vide
d m
e th
e ba
sic
know
ledg
e on
how
th
e IT
sys
tem
wor
ks.
Wat
chin
g th
e R
N I
have
be
en a
ble
to r
efle
ct o
n th
is n
ew k
now
ledg
e to
be
tter
und
erst
and
the
syst
em. W
orki
ng u
nder
su
perv
isio
n w
ith th
e R
N
has
cons
olid
ated
my
know
ledg
e an
d sk
ills
with
th
e IT
sys
tem
use
d in
the
Pra
ctic
e, e
spec
ially
the
clie
nt r
emin
der
syst
em.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
20
Prof
essi
onal
Dev
elop
men
t Pla
n
Nam
e: .
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
.
Dat
eW
hat d
o I n
eed
to
deve
lop/
Iden
tifi
ed
lear
ning
nee
d
(Ref
eren
ce to
the
Dom
ain
Num
ber
wit
hin
the
prac
tice
st
anda
rds
for
nurs
es in
gen
eral
pr
acti
ce)
Wha
t will
I do
to a
chie
ve th
is
lear
ning
nee
d (p
lann
ed a
ctiv
ity)
W
hat p
rofe
ssio
nal
lear
ning
act
ivit
y I
com
plet
ed
Hou
rs
com
plet
ed
Out
com
e of
wha
t I
com
plet
ed (r
efle
ctio
n on
pro
fess
iona
l lea
rnin
g ac
tivi
ty)
Self
asse
ssm
ent
1 Se
ptem
ber
2014
Dom
ain
2: N
ursi
ng C
are
Gai
n a
bett
er u
nder
stan
d-in
g of
ana
phyl
axis
and
the
requ
ired
trea
tmen
t.
Rev
iew
the
polic
y of
the
Pra
ctic
e on
the
man
agem
ent o
f an
aphy
laxi
s.
Und
erta
ke a
n on
-lin
e re
view
of
anap
hyla
xis
and
trea
tmen
t.
Atte
nd th
e an
aphy
laxi
s w
orks
hop
bein
g de
liver
ed b
y th
e R
N a
t the
P
ract
ice.
Pra
ctic
e po
licy
revi
ewed
.
Rev
iew
ed a
num
ber
of
rece
nt jo
urna
l art
icle
s on
ana
phyl
axis
bot
h in
ad
ults
and
pae
diat
rics
.
Atte
nded
the
anap
hyla
xis
wor
ksho
p in
Mar
ch 2
015.
30 m
inut
es
2 ho
urs
2 ho
urs
Afte
r co
mpl
etin
g th
e C
PD
re
latin
g to
ana
phyl
axis
I no
w h
ave
a be
tter
und
er-
stan
ding
on
why
it o
ccur
s an
d th
e re
late
d tr
eatm
ent.
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
21
Prof
essi
onal
Dev
elop
men
t Pla
n
Nam
e: .
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
.
Dat
eW
hat d
o I n
eed
to
deve
lop/
Iden
tifi
ed
lear
ning
nee
d
(Ref
eren
ce to
the
Dom
ain
Num
ber
wit
hin
the
prac
tice
st
anda
rds
for
nurs
es in
gen
eral
pr
acti
ce)
Wha
t will
I do
to a
chie
ve th
is
lear
ning
nee
d (p
lann
ed a
ctiv
ity)
W
hat p
rofe
ssio
nal
lear
ning
act
ivit
y I
com
plet
ed
Hou
rs
com
plet
ed
Out
com
e of
the
wha
t I
com
plet
ed (r
efle
ctio
n on
pro
fess
iona
l lea
rnin
g ac
tivi
ty)
Enrolled Nurse Self-Assessment/Appraisal Tool and Professional Development Plan Booklet
22
Prof
essi
onal
Dev
elop
men
t Pla
n
Nam
e: .
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
.
Dat
eW
hat d
o I n
eed
to
deve
lop/
Iden
tifi
ed
lear
ning
nee
d
(Ref
eren
ce to
the
Dom
ain
Num
ber
wit
hin
the
prac
tice
st
anda
rds
for
nurs
es in
gen
eral
pr
acti
ce)
Wha
t will
I do
to a
chie
ve th
is
lear
ning
nee
d (p
lann
ed a
ctiv
ity)
W
hat p
rofe
ssio
nal
lear
ning
act
ivit
y I
com
plet
ed
Hou
rs
com
plet
ed
Out
com
e of
the
wha
t I
com
plet
ed (r
efle
ctio
n on
pro
fess
iona
l lea
rnin
g ac
tivi
ty)