UK Career Framework for Pain Nurses - Skill Level Three
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RCN - Confidential Level 3 Example Role Title: Experienced HCA, Assistant Practitioner (AP), Trainee Nurse Associate (TNA), first and second year Student Nurse Therapy Assistants Qualification: Care Certificate, Assistant Practitioner training completed NVQ level 3 or SVG level 3, Higher National Certificate. Domain One: Recognition of pain This aspect of care examines definitions of pain, its anatomy and physiology, psychological, emotional, spiritual and social aspects of pain Knowledge Skills Able to describe different types of pain such as acute, chronic and cancer pain and how these may affect patients. Demonstrates how to adapt approach to support patients with different types of pain. Works within own sphere of practice.
Transcript of UK Career Framework for Pain Nurses - Skill Level Three
RCN - Confidential
Level 3 Example Role Title: Experienced HCA,
Assistant Practitioner (AP), Trainee Nurse Associate (TNA), first and second year Student Nurse Therapy Assistants
Qualification: Care Certificate, Assistant Practitioner training completed NVQ level 3 or SVG level 3, Higher National Certificate.
Domain One: Recognition of pain This aspect of care examines definitions of pain, its anatomy and physiology, psychological, emotional, spiritual and social aspects of pain
Knowledge Skills Able to describe different types of pain such as acute, chronic and cancer pain and how these may affect patients.
Demonstrates how to adapt approach to support patients with different types of pain. Works within own sphere of practice.
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Domain Two: Assessment of pain. This aspect of care outlines how pain can be assessed, measured and communicated.
Knowledge Skills Chooses suitable tool to perform and document pain assessment. Awareness of how to adapt approaches to facilitate pain assessment
Assesses pain across range of patient groups and clinical circumstances. Recognises issues and applies agreed protocols to escalate care in relations to pain assessment
Domain Three: Treatment - Physical strategies to manage pain
Knowledge Skills Demonstrates knowledge and recognises the importance of physical strategies such as: • turning and positioning • wound support • reach devices • heat and cold • massage • mobilisation • exercise • role of physiotherapy • hydrotherapy • TENS.
Explains the physical strategies to patients and families and how they improve or maintain function. Identifies ways of engaging and empowering patients. Recognises issues and utilises agreed protocols to escalate issues that arise.
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Domain Three: Treatment - Self Management Strategies
Knowledge Skills Demonstrates an awareness of how chronic differs from acute pain and the role self-management plays in helping improve the physical and psychological impact of pain. Is aware of the different ways in which the role of self - management can be used for chronic pain by: • promoting movement • reducing anxiety • improving comfort • facilitating sleep • distraction • involving family.
Demonstrates a concept of how self-management strategies can be optimised within the context of clinical practice. Demonstrates the ability to actively take part in promoting self-management strategies at a basic level as part of the IDT Recognises the need for all patients to have access to the provision of self-management education.
Domain Three: Treatment – Use of pharmacological strategies
Knowledge Skills Demonstrates, with guidance, knowledge of medications including allergies, analgesia, nonprescribed drugs, over the counter drugs, alcohol and tobacco intake. Has awareness of routes of administration and side effects of commonly used medicines in the area of practice. Has an awareness that medicines may impact on an individual’s mental capacity
Administers commonly prescribed pharmacological strategies under supervision (www.nmc-uk.org/ publications/standards ). Gives simple and clear instructions to patients about pain relief under supervision. Accepts and documents patients’ right to decline analgesia. Recognises and uses protocols to appropriately escalate potential problems to seniors in relation to clinical signs and symptoms of adverse effects.
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Portfolio of Evidence Resource: This document has been designed to be used in combination with the competency assessment framework. The portfolio is broken down into the four pillars for advancing practice. This document should be used as evidence for your own practice development and can be used towards NMC revalidation or as part of a personal development plan. Assessment Strategies:
• Observation of practice with feedback. • Evidence of training/ education. • Personal reflection. • Discussion with senior colleagues / mentors • Setting of objectives / Appraisal.
Name of Practitioner Name of Mentor
Role of Practitioner Role of Mentor and Qualifications
Place of Work Line Manager Name
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Domain One: Recognition
Date of Meeting
Competency Level
Summary of learning activities undertaken
Skills / Knowledge deficits identified Action plan to address skills / knowledge deficits
Comments from Mentor Comments from Practitioner
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Domain One: Recognition Record of Achievement
Date of Completion
Level Completed
Comments from Mentor
Mentor Signature:
Date of Completion
Level Completed
Reflection from Practitioner
Practitioner Signature:
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Domain Two: Assessment
Date of Meeting
Competency Level
Summary of learning activities undertaken
Skills / Knowledge deficits identified Action plan to address skills / knowledge deficits
Comments from Mentor Comments from Practitioner
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Domain Two: Assessment Record of Achievement
Date of Completion
Level Completed
Comments from Mentor
Mentor Signature:
Date of Completion
Level Completed
Reflection from Practitioner
Practitioner Signature:
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Domain Three: Treatment Progress Review
Date of Meeting
Competency Level
Summary of learning activities undertaken
Skills / Knowledge deficits identified Action plan to address skills / knowledge deficits
Comments from Mentor Comments from Practitioner
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Domain Three: Treatment Record of Achievement
Date of Completion
Level Completed
Comments from Mentor
Mentor Signature:
Date of Completion
Level Completed
Reflection from Practitioner
Practitioner Signature:
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Additional Meetings / Comments:
Date of Meeting
Competency Level
Summary of learning activities undertaken
Skills / Knowledge deficits identified Action plan to address skills / knowledge deficits
Comments from Mentor Comments from Practitioner
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Final Record of Achievement:
Date of Completion
Level Completed
Comments from Mentor
Mentor Signature:
Date of Completion
Level Completed
Comments from Line Manager (if different from Mentor)
Line Manager Signature:
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Date of Completion
Level Completed
Reflection from Practitioner:
Future Development plan:
Practitioner Signature:
