Platforms and Proficiencies/Skills and Procedures List for Reference Only

Scottish Practice Assessment Document (PAD) (paper and electronic) Guidance

Platforms and Proficiencies/Skills and Procedures List for Reference Only

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This list of Platforms and Proficiencies/Skills and Procedures has been extracted from the Scottish Practice Assessment Document (PAD) for student nurses.

Platforms and Proficiencies; Skills and Procedures

List of Platforms and Proficiencies/Skills and Procedures for reference use only (Accessed October 2023)

PLATFORMS AND PROFICIENCIES

The proficiencies are grouped under seven platforms followed by two annexes; this section focuses on the platforms and proficiencies and the annexes are explained in more detail in the next section.

This section contains the platforms and the related proficiency statements for each Part of your programme. In keeping with the Participation in Care Framework, there are suggested examples of how you can evidence achievement of each proficiency at the required level. The examples also help explain ways in which you might be able to evidence the progression of your developing knowledge, skills, values and your increasing independence in practice to your practice supervisor (PS)/practice assessor (PS). Please remember, the examples provided are only suggestions and it is therefore not a requirement that these specific examples are assessed.

Shading has been used to distinguish which proficiencies must be achieved in each part, meaning that by the point of entry to the register, all proficiencies should have been achieved across your programme of study. See explanation below for this achievement:

Part 1 - ALL non-shaded proficiencies must be achieved at the dependent level by the end of this Part
Part 2 - ALL non-shaded proficiencies must be achieved at the developing independence level by the end of this Part
Part 3 - ALL non-shaded proficiencies must be achieved at the independent level by the end of this Part

If a proficiency has been signed as achieved in a previous Practice Learning Experience (PLE) of the Part, you must continue to demonstrate the achievement of the required level of participation within all subsequent PLEs. An explanation of the levels of the participation in care framework has been provided to help you and your practice supervisor and practice assessor work together to document this.

Participation in Care Framework

The expected level of performance for PART ONE is Dependent. This means that you will be working closely with your practice supervisor who will direct and guide you. Through guided participation in care, you will be able to demonstrate delivery of safe, effective person-centred care in a professional manner using appropriate nursing skills.

The expected level of performance for PART TWO is Developing Independence. This means that you will be developing independence and your practice supervisor will offer guidance and support when required. You will actively participate in care with this guidance and will demonstrate increasing confidence and competence.

The expected level of performance for PART THREE is Independent. You will be working independently and your practice supervisor will offer a more indirect form of supervision. You will demonstrate the ability to lead and coordinate care, and the ability to act as an accountable practitioner, demonstrating a comprehensive knowledge base that informs safe and effective practice.

Mapping to the EU Directives and The Code (NMC 2018)

Each proficiency from the 7 platforms have been mapped to The Code (NMC 2018). Each proficiency has also been mapped to the clinical instruction elements of the EU directives. This mapping is visible below each proficiency statement. This will allow practice supervisors, practice assessors and academic assessors to be assured that, when students achieve each proficiency, they are, as a consequence of this mapping, also demonstrating that their practice is in adherence to the expectations of The Code (NMC 2018) for a registered nurse. This mapping also ensures that the clinical instruction aspects of the EU Directives are met as part of proficiency achievement.

Coding of EU Directives to Support Mapping to NMC (2018) Future Nurse: Standards of proficiency for registered nurses

Article 31 (V.2 Nurse Responsible for General Care) - ‘5.2.1 Training programme for nurses responsible for general care - the training leading to the award of a formal qualification of nurses responsible for general care shall consist of the following two parts…’ (NMC 2018; p15-16)
B. Clinical Instruction	General and specialist medicine	B.1
	General and specialist surgery	B.2
	Child care and paediatrics	B.3
	Maternity care	B.4
	Mental health and psychiatry	B.5
	Care of the old and geriatrics	B.6
	Home nursing	B.7

Platform 1: Being an accountable professional

Registered nurses act in the best interests of people, putting them first and providing nursing care that is person-centred, safe and compassionate. They act professionally at all times and use their knowledge and experience to make evidence-based decisions about care. They communicate effectively, are role models for others, and are accountable for their actions. Registered nurses continually reflect on their practice and keep abreast of new and emerging developments in nursing, health and care.

Platform 1: Being an accountable professional
1.1	understand and act in accordance with The Code (2015): Professional standards of practice and behaviour for nurses and midwives, and fulfil all registration requirements
	All statements outlined as part of The Code (NMC 2018) :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Demonstrates:- Professional behaviour and appearance, honesty and integrity, good timekeeping, adherence to appropriate policies and protocols, accurate record keeping, accountability for own actions, accepts and acts on constructive feedback, respect for the privacy and dignity of others, appropriate information sharing.	Demonstrates:- Professional behaviour and appearance, honesty and integrity, good timekeeping, adherence to appropriate policies and protocols, accurate record keeping, accountability for own actions, accepts and acts on constructive feedback, respect for the privacy and dignity of others, appropriate information sharing.	Demonstrates:- Professional behaviour and appearance, honesty and integrity, good timekeeping, adherence to appropriate policies and protocols, accurate record keeping, accountability for own actions, accepts and acts on constructive feedback, respect for the privacy and dignity of others, appropriate information sharing.

1.2	understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice, differentiating where appropriate between the devolved legislatures of the United Kingdom
	The Code (NMC 2018)12.1; 14.3; 16.1; 16.2; 16.3; 17.3; 18.2; 20.4; 23.1; 25.2 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discusses with PS/PA the legal basis underpinning practice, for example, Children’s Act, MH Act, Power of Attorney, Guardianship, Carers’ Act. Demonstrate the ability to work in line with The Code, to raise concerns appropriately.	Demonstrate ability to recognise specific issues relating to the legal basis for practice, for example, Children’s Act, MH Act, Power of Attorney, Guardianship, Carers’ Act. Practices in line with the Code, to raise concerns appropriately.	Selects and applies appropriate legal, regulatory and governance; legal basis for practice, for example, Children’s Act, MH Act, Power of Attorney, Guardianship, Carers’ Act. Critically reflects on self and others’ practice in line with The Code and is able to raise concerns appropriately.
	understand and apply the principles of courage, transparency and the professional duty of candour, recognising and reporting any situations, behaviours or errors that could result in poor care outcomes
1.3	The Code (NMC 2018) 9.3; 14.1; 14.2; 14.3; 16.1; 16.2; 16.3; 16.4; 16.5; 16.6; 17.1; 17.2; 17.3; 20.8; 25.1 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Demonstrate the ability to work in line with The Code, raises concerns appropriately. Awareness of duty of candour. Understanding of medication errors and how to escalate these.	Demonstrate the ability to work in line with The Code, raises concerns appropriately. Explicit awareness of duty of candour. Understanding of medication errors and how to escalate these.	Critically reflects upon practice in line with The Code, raises concerns appropriately. Effectively and appropriately implements duty of candour. Report and document all adverse event appropriately.

1.4	demonstrate an understanding of, and the ability to challenge, discriminatory behaviour
	The Code (NMC 2018) 1.1; 1.3; 1.5; 3.4; 4.4; 7.3; 9.3; 16.1; 16.4; 16.6; 17.1; 17.2; 17.3; 20.2 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with the PS/PA demonstrate knowledge of the protected characteristics of discriminatory behaviour e.g. age, race, pregnancy religion or belief, disability, gender, marital status, sexual orientation. Can discuss appropriate mechanisms to highlight concerns.	Able to identify and respond appropriately to challenging situations involving discrimination. Is able to identify situations where discriminatory behaviour may occur in clinical practice. Provides support to people when discriminatory behaviours are evident.	Acts as a role model in providing uncompromised, non-judgemental care whilst respecting the individuality of others. Demonstrate the ability to challenge discrimination. Exhibits confidence in engaging with courageous conversation. Takes an active role in reporting and documenting poor or discriminatory behaviour. Provides unambiguous, constructive feedback to others where discriminatory behaviours are evident. Acts as an advocate as required.
1.5	understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health
	The Code (NMC 2018) 4.4; 8.1; 8.2; 8.4; 8.7; 9.1; 9.2; 9.3; 11.1; 11.2; 11.3; 13.3; 15.3; 16.1; 16.2; 16.6; 19.4; 20.2; 20.3; 20.5; 20.8; 20.9 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART THREE – Independent
	Practices within local procedures around self-care and responsibility for oneself. Reporting sickness absence in line with local guidelines. Is able to seek support for self. Can identify critical or adverse incidents and considers how these may impact on professional practice.	Practices within local procedures around self-care and also care of colleagues. Starts to develop analysis of critical incidents. Identifies vulnerability in colleagues and signpost opportunities for support and improving future practice.	Take responsibility for promoting care of vulnerable members of the team in line with local procedures. Follows appropriate reporting mechanisms. Is supportive of others experiencing vulnerability. Reflect on critical or adverse incidents to inform or change practice.

1.6	understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and wellbeing required to meet people’s needs for mental and physical care
	The Code (NMC 2018) 20.9 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate an understanding of the importance of one’s own health in relation to being able to care for others.	Can identify appropriate actions, agencies and support mechanisms to promote and maintain personal mental and physical health.	Clear evidence within the practice environment of the student’s physical and emotional health to enable them to support the care needs of others.
1.7	demonstrate an understanding of research methods, ethics and governance in order to critically analyse, safely use, share and apply research findings to promote and inform best nursing practice
	The Code (NMC 2018) 6.1; 6.2; 8.4; 9.2; 10.6; 19.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Engages with pre-practice learning activities and identifies evidence that supports best nursing practice within this context. Appears keen to learn from the current evidence base related to the practice area. Actively seeks out opportunities to engage in scholarly activity within the practice area.	Actively seeks out opportunities to engage in scholarly activity within the practice area. Developing awareness of current evidence or research related to clinical area / client group. Can identify deficits in the research methods or evidence base.	Can interpret, analyse and apply research to promote and enhance best possible nursing practice in the practice learning environment. Actively shares evidence from research findings with colleagues.

1.8	demonstrate the knowledge, skills and ability to think critically when applying evidence and drawing on experience to make evidence informed decisions in all situations
	The Code (NMC 2018) 6.2; 13.1; 15.1; 17.3; 19.2; 19.3; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Is aware of current research relating to the practice learning environment and its practices, client group and significant others. Seek out opportunities to source evidence to support learning within practice.	Developing knowledge and understanding of research and how to integrate this with previous experience to inform decisions and practises within the practice area / client group.	Apply research and evidence to patient care and planning care. Problem solve and prioritise patient care in accordance with current research evidence. Identifies gaps in own knowledge and takes appropriate steps to address.
1.9	understand the need to base all decisions regarding care and interventions on people’s needs and preferences, recognising and addressing any personal and external factors that may unduly influence their decisions
	The Code (NMC 2018) 1.1; 1.3; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 5.5; 7.3; 7.4 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In association with PS/PA engages in the holistic multifactorial assessment of clients Is developing communication and listening /interview skills which gather information required to inform person centred care planning. Is aware of the need to utilise various sources of information to compile a thorough assessment of the client’s needs and preferences.	Communicate effectively with the client group and significant others. Is able to assess social, cultural differences and provide effective and appropriate care. Understand concept of unconscious bias. Reflect upon feedback from clients to enhance future assessment activity and client interactions.	Initiates skilled communication with the client group and significant others to establish the person’s needs and preferences. Effectively assesses social, cultural differences and plans effective and appropriate care. Is non-discriminatory and non-judgemental in planning or prioritising care delivery. Actively reflects upon feedback from various sources to enhance future assessment activity and client interactions and satisfaction.

1.10	demonstrate resilience and emotional intelligence and be capable of explaining the rationale that influences their judgments and decisions in routine, complex and challenging situations
	The Code (NMC 2018) 1.4; 2.3; 2.4; 2.5; 4.1; 5.2; 6.2; 7.1; 9.2; 9.3; 14.1; 15.1; 18.1; 19.2; 19.4; 20.2; 20.6 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Able to engage confidently with people within the practice area. Sensitive to needs of others. Participates actively in routine care delivery/activities within the practice area with appropriate supervision. Developing confidence is explaining the rationale for a variety of routine actions/ care decisions.	Engages confidently with a wide range of people within and out-with the practice area. Developing confidence in assuming responsibility for the delivery of care/routine activities within the practice setting. Sensitive to the needs of others and can adapt care in line with changing situations/preferences. Understands and provides clear explanations regarding decisions made within the care setting.	Assumes responsibility for liaison with a wide range of people within and out-with the practice area. Is confident and competent in assuming responsibility for the delivery of care in more complex situations within the practice setting. Sensitive to the changing needs of others and can adapt care in line with evolving situations/preferences. Is confident and competent in rationalising decisions made within the care setting even in more complex and challenging situations.
1.11	communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges
	The Code (NMC 2018) 1.1; 7.1; 7.2; 7.3; 7.4; 7.5; 8.2; 8.3; 9.3; 20.10 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Appropriate use of verbal and non-verbal communication skills. Actively listens, recognises and responds to verbal and non-verbal communication. Participates in producing accurate, clear and legible documentation. Participate in ward rounds/ MDT/case conference/ handovers.	Developing confidence and competence in appropriate use of verbal and non-verbal communication skills. Produces accurate, clear and legible documentation. Adopts an active role in ward rounds/MDT/case conference/ handovers.	Confidently and clearly presents and shares verbal and written reports with individuals and groups Lead ward rounds/ MDT/case conference/ handovers, formulate and document plans. Analyse and accurately records and shares digital information and data.

1.12	demonstrate the skills and abilities required to support people at all stages of life who are emotionally or physically vulnerable
	The Code (NMC 2018) 1.1; 1.3; 1.5; 2.1; 2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 5.5; 7.4; 13.1; 13.2; 13.3; 13.4; 15.3; 17.1; 17;2; 17.3; 20.5 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In association with the PS/PA is able to provide reassurance to clients. Is aware of appropriate support structures and agencies. Demonstrates empathy in communicating with clients. Is aware of the need to report any perceived vulnerability to senior staff. Is aware of principles of de-escalation.	Provides reassurance to clients. Is aware and able to participate in appropriate referrals to appropriate agencies. Demonstrate Empathy. Demonstrates ability to utilise appropriate and timely de-escalation.	Is confident and competent in providing effective reassurance in a variety of situations. Takes the lead in undertaking appropriate referrals. Is skilled in demonstrating sensitive and empathic care. Is skilled and confident in utilising appropriate and timely de-escalation.
1.13	demonstrate the skills and abilities required to develop, manage and maintain appropriate relationships with people, their families, carers and colleagues
	The Code (NMC 2018) 1.1; 2.5; 2.6; 4.4; 5.5; 7.3; 7.5; 8.1; 8.2; 9.3; 17.3; 20.1; 20.2; 20.3; 20.6; 20.7; 20.8; 21.1; 21.2; 21.3; 21.5; 21.6 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Utilise verbal and non-verbal communication skills. Developing ability to actively listen and respond to verbal cues from others. Demonstrates empathy when interacting with people, their families, carers and colleagues. Aware of the need to engage in appropriate information sharing. Developing a professional disposition when interacting with all people.	Developing confidence and competence in engaging in verbal and non-verbal communication with others. Engages in active listen to identify relevant information from patients, their families and carers. Responds appropriately to verbal cues from others. Demonstrates empathy when interacting with people, their families, carers and colleagues. Engages confidently in appropriate information sharing. Developing a professional disposition when interacting with all people.	Is confident and competent in engaging in verbal and non-verbal communication with others. Actively engages in active listen to identify relevant information from patients, their families and carers. Is skilled in recognising and responding to verbal cues from others. Demonstrates empathy when interacting with people, their families, carers and colleagues. Confidently and appropriately identifies relevant information for sharing with appropriate individuals/agencies. Always presents self in a professional manner when interacting with all people

1.14	provide and promote non-discriminatory, person centred and sensitive care at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments
	The Code (NMC 2018) 1.3; 1.5; 3.4; 5.5; 7.2; 7.3; 7.4; 20.2; 24.1 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participates in active listening and appropriate questioning techniques to identify individual needs and preferences. Understand the need to assess social and cultural differences and provide effective and appropriate care. Aware of the concept of unconscious bias. Under supervision is able to adapt care to be person centred and sensitive to individual needs.	Developing confidence and competence in active listening and appropriate questioning techniques to identify individual needs and preferences. Is able to assess social and cultural differences and provide effective and appropriate care. Understands the concept of unconscious bias. Is able to adapt care to be person centred and sensitive to individual needs.	Competently engages in non-discriminatory and person centred care at all times. Engages in active listening, and skilled questioning utilising appropriate techniques to identify individual needs and preferences. Competently assesses social and cultural differences and provide effective person centred and individually adjusted care. Avoids unconscious bias
1.15	demonstrate the numeracy, literacy, digital and technological skills required to meet the needs of people in their care to ensure safe and effective nursing practice
	The Code (NMC 2018) 10.1; 10.3; 10;4; 10.5; 10.6; 14.3; 17.2; 18.1; 18.2; 18.3; 20.10 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participating in using numeracy, literacy and digital technology in the care of service users, medicine management and monitoring.	Developing confidence in using numeracy, literacy and digital technology in the care of service users medicine management and monitoring.	Confidently and accurately engages in the use of numeracy, literacy and digital technology in the care of service users, their medicine management and monitoring.

1.16	demonstrate the ability to keep complete, clear, accurate and timely records
	The Code (NMC 2018) 2.5; 4.2; 5.2; 5.4; 5.5; 7.5; 8.2; 8.6; 9.1; 10.1; 10.2; 10.3; 10.4; 10.5; 10.6; 13.2; 14.3; 16.2; 17.2; 18.1; 18.2; 18.3; 18.5; 20.10. 21.4; 23.1 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participates in sharing clear and accurate verbal statements and written reports in patient notes and documentation.	Developing confidence and competence in sharing clear and accurate verbal statements and written reports in patient notes, documentation or handovers.	Confidently and accurately presents and shares verbal and written statements in patient notes and documentation. Provides clear verbal, digital or written information and instructions when delegating or handing over responsibility for care.
1.17	take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop their professional knowledge and skills
	The Code (NMC 2018) 8.4; 9.2; 22.3; 23.1; 24.2 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Seeking feedback with PS/PA from service users, carers and MDT professionals. Engage in reflection.	Seeking feedback with PS/PA from service users, cares and MDT professionals and using this for development/ inform future practice. Actively engages in reflection.	Taking the lead to obtain feedback from service users, cares and MDT professionals and using information for personal and professional development/ inform future practice. Utilises reflection to inform action.
1.18	demonstrate the knowledge and confidence to contribute effectively and proactively in an interdisciplinary team
	The Code (NMC 2018) 3.3; 5.4; 6.1; 8.1; 8.2; 8.3; 8.4; 8.5; 8.6; 8.7; 9.1; 9.3; 9.4; 10.2; 11.1; 11.3; 13.2; 13.3; 16.1; 16.5; 17.2; 19.4; 20.3; 25.1 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Attend and participate in appropriate MDT meetings, ward rounds, demonstrates effective and appropriate communication with team.	Attend and participate in MDT meetings and engages in effective and appropriate communication with team members.	Takes and active role in MDT meetings fostering effective, appropriate and informed communication with team.
1.19	act as an ambassador, upholding the reputation of their profession and promoting public confidence in nursing, health and care services
	The Code (NMC 2018) 1.1; 2.2; 3.2; 3.4; 5.1; 6.2; 7.1; 8.1; 9.3; 9.4; 11.1; 12.1; 13.5; 14.1; 16.1; 16.2; 16.3; 16.4; 16.5; 16.6; 17.3; 19.1; 19.2; 20.1; 20.2; 20.3; 20.7; 20.8; 20.9; 21.1; 21.2; 22.1; 22.2; 22.3; 23.1; 23.2; 23.3 :EU clinical instruction Directives N/A
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate an understanding of the importance of professional values within the practice environment. Acts in a professional manner with all staff and people in the care environment. Understands the need to respect the privacy and dignity of others and is aware of the need for appropriate information sharing. Is aware of policies and protocols relating to professional practice and acts on feedback provided.	Acts as a role model to junior students. Developing confidence and competence in practicing in a professional manner whilst becoming more aware of personal and professional limitations. Acts appropriately to protect the privacy and dignity of others and demonstrates appropriate information sharing. Is able to relate policies and protocols to professional behaviour and performance.	Acts as a role model to other students and colleagues demonstrating professionalism at all times whilst accepting personal and professional limitations. Acts in a way which inspires confidence in colleagues and clients. Actively protects the privacy and dignity of others and demonstrates appropriate information sharing. Takes a lead role in ensuring that policies and protocols are followed. Reports and documents poor or discriminatory behaviour. Provides unambiguous, constructive feedback to others where discriminatory behaviours are evident. Acts as an advocate as required.
1.20	safely demonstrate evidence-based practice in all skills and procedures stated in Annexes A and B
	The Code (NMC 2018) 4.3; 6.1; 6.2; 17.3; 18.2; 19.2; 19.3; 20.4; 20.6; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Achieving skills and procedures and demonstrates safe practice as detailed in the PAD.	Achieve skills and procedures and demonstrates safe practice as detailed in the PAD.	Achieve all skills and procedures and demonstrates safe and effective practice as detailed in the PAD.

Platform 2: Promoting health and preventing ill health

Registered nurses play a key role in improving and maintaining the mental, physical and behavioural health and well-being of people, families, communities and populations. They support and enable people at all stages of life and in all care settings to make informed choices about how to manage health challenges in order to maximise their quality of life and improve health outcomes. They are actively involved in the prevention of and protection against disease and ill health and engage in public health, community development and global health agendas, and in the reduction of health inequalities.

Platform 2: Promoting health and preventing ill health
2.1	understand and apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people
	The Code (NMC 2018) 1.3; 2.2; 2.3; 2.4; 3.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of these principles. Support people to make positive health choices.	Apply your understanding of these principles to support people to make positive health choices.	Deliver a health promotion or health promoting activity to a person or group of people. Work within the parameters of national health protection policy e.g. Smoking Health and Social Care (Scotland) Act 2005.
2.2	demonstrate knowledge of epidemiology, demography, genomics and the wider determinants of health, illness and wellbeing and apply this to an understanding of global patterns of health and wellbeing outcomes
	The Code (NMC 2018) 3.1; 6.1; 6.2; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of these principles.	Demonstrate knowledge of epidemiology, demography, genomics and the wider determinants of health, illness and wellbeing and apply this to an understanding of global patterns of health and wellbeing outcomes.	Be able to relate core theories, concepts, principles and terminology to individual or groups within your care.
2.3	understand the factors that may lead to inequalities in health outcomes
	The Code (NMC 2018) 3.1; 3.3; 3.4; 4.3; 6.2; 17.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of these principles.	In conversation demonstrate an understanding of the core theories, concepts, principles and terminology of health inequalities and health outcomes and their impact on the people in your care.	Relate the core theories, concepts and principles of health inequalities and health outcomes to the care needs of individuals and groups in your care.
2.4	identify and use all appropriate opportunities, making reasonable adjustments when required, to discuss the impact of smoking, substance and alcohol use, sexual behaviours, diet and exercise on mental, physical and behavioural health and wellbeing, in the context of people’s individual circumstances
	The Code (NMC 2018) 2.2; 2.3; 2.4; 3.1; 7.1; 7.2; 7.3; 7.4; 8.2; 8.3; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Observe and have reflective discussion about promoting health in relation to one or more of these health behaviours.	Recognise appropriate opportunities to discuss promoting health choices with people in relation to one or more of these health behaviours.	Create opportunities to discuss promoting health choices with people or groups of people in relation to one or more of these health behaviours.
2.5	promote and improve mental, physical, behavioural and other health related outcomes by understanding and explaining the principles, practice and evidence-base for health screening programmes
	The Code (NMC 2018) 1.3; 2.2.; 2.3; 2.4; 2.5; 3.1; 6.1; 6.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Apply your understanding of these principles to support people to make informed health choices.	Identify where a person could engage in health screening and support them in making an informed choice about this.
2.6	understand the importance of early years and childhood experiences and the possible impact on life choices, mental, physical and behavioural health and wellbeing
	The Code (NMC 2018) 6.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of the above.	In conversation demonstrate an understanding of the core theories, concepts, principles and terminology of health inequalities and health outcomes and their impact on the people in your care.	Apply your understanding of the core theories, concepts and principles to care planning and delivery taking in to account a person’s experiences.
2.7	understand and explain the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes
	The Code (NMC 2018) 2.2; 2.3; 2.4; 3.1; 7.1; 7.2; 7.3; 7.4; 8.2; 8.3; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of the above.	In conversation demonstrate an understanding of the core theories, concepts, principles and terminology of health behaviours and health outcomes and their impact on the people in your care.	Apply your understanding of the core theories, concepts and principles to care planning and delivery taking in to account a person’s experiences.
2.8	explain and demonstrate the use of up to date approaches to behaviour change to enable people to use their strengths and expertise and make informed choices when managing their own health and making lifestyle adjustments
	The Code (NMC 2018) 1.3; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 3.1; 3.2; 3.3; 6.1; 6.1; 6.2; 7.3; 8.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Recognise and apply techniques such as teachback, motivational interviewing or other similar approaches to enable people to make informed choices.	Recognise opportunities to apply techniques such as teachback, motivational interviewing or other similar approaches to enable people to make informed choices. Integrate appropriate behaviour change approaches to your practice.
2.9	use appropriate communication skills and strength-based approaches to support and enable people to make informed choices about their care to manage health challenges in order to have satisfying and fulfilling lives within the limitations caused by reduced capability, ill health and disability
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 5.4; 5.5; 7.1; 7.2; 7.3; 7.4; 7.5; 8.2; 8.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Use appropriate communication skills to support people to make informed choices about their care.	Use appropriate communication skills and strengths-based approaches to support people to make informed choices about their care.	Work collaboratively to identify people’s individual strengths and support them to identify personally meaningful goals.
2.10	provide information in accessible ways to help people understand and make decisions about their health, life choices, illness and care
	The Code (NMC 2018) 7.1; 7.2; 7.3; 7.4; 7.5 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Use a range of information sources e.g. translators, alternative language, audio or graphics, to meet individual needs.	Identify the need for and utilise a range of information sources e.g. translators, alternative language, audio or graphics, to meet individual needs.
2.11	promote health and prevent ill health by understanding and explaining to people the principles of pathogenesis, immunology and the evidence-base for immunisation, vaccination and herd immunity
	The Code (NMC 2018) 1.3; 1.4; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 4.1; 5.2; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 7.5 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Consider the core theories, concepts, principles and terminology in conversation with your PS/PA.	Explain the core theories, concepts, principles and terminology in accessible language to individuals or groups.
2.12	protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance
	The Code (NMC 2018) 1.2; 1.4; 2.2; 5.4; 5.5; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 7.5; 8.2; 17.1; 17.3; 18.1; 18.3; 19.2; 19.3; 19.4 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Understand and apply the principles of infection prevention and control in your practice.	Apply and support others to apply the principles of infection prevention and control in your practice.	Support best practice in the application of the principles of infection prevention and control in your practice.

Platform 3: Assessing needs and planning care.

Registered nurses prioritise the needs of people when assessing and reviewing their mental, physical, cognitive, behavioural, social and spiritual needs. They use information obtained during assessments to identity the priorities and requirements for person-centred and evidence- based nursing interventions and support. They work in partnership with people to develop person-centred care plans that take into account their circumstances, characteristics and preferences.

Platform 3: Assessing needs and planning care
3.1	demonstrate and apply knowledge of human development from conception to death when undertaking full and accurate person-centred nursing assessments and developing appropriate care plans
	The Code (NMC 2018) 1.4; 2.1; 2.2; 2.4; 3.1; 4.2; 5.5; 6.2; 7.1; 10.1; 13.1; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participation in nursing assessment and planning of care. For each, discuss with PS/PA the stage of human development and the implications for care planning.	Initiate and complete nursing assessments and plans of care. For each, explore with PS/PA the stage of human development and the implications for care planning.	Independently complete nursing assessments and plans of care. Analyse with PS/PA the stage of human development and the implications for care planning.
3.2	demonstrate and apply knowledge of body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology and social and behavioural sciences when undertaking full and accurate person-centred nursing assessments and developing appropriate care plans
	The Code (NMC 2018) 2.1; 3.1; 3.2; 3.3; 6.1; 6.2; 10.1; 13.1; 13.2; 17.3; 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participation in nursing assessment and planning of care. Discuss with PS/PA the aspects listed in 3.2 and impact and influence on nursing assessment and care planning.	Initiate and complete nursing assessments and plans of care. Explore with PS/PA the aspects listed in 3.2 and the impact and influence on nursing assessment and care planning.	Independently complete nursing assessments and plans of care. Analyse with PS/PA the aspects listed in 3.2 and the impact and influence on nursing assessment and care planning.
3.3	demonstrate and apply knowledge of all commonly encountered mental, physical, behavioural and cognitive health conditions, medication usage and treatments when undertaking full and accurate assessments of nursing care needs and when developing, prioritising and reviewing person centred care plans
	The Code (NMC 2018) 2.1; 3.1; 3.2; 3.3; 6.1; 6.2; 10.1; 13.1; 13.2; 17.3; 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participation in nursing assessment and planning of care. For each, demonstrate knowledge of conditions and the impact this will have on planning care.	Initiate, complete and review nursing assessments and plans of care. For each, apply knowledge of conditions and illustrate the impact this will have on planning care.	Independently complete and review nursing assessments and plans of care. For each, apply knowledge of conditions and evaluate the impact this will have on planning care.
3.4	understand and apply a person-centred approach to nursing care, demonstrating shared assessment, planning, decision making and goal setting when working with people, their families, communities and populations of all ages
	The Code (NMC 2018) 1.1.; 1.3; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.3; 3.4; 4.1; 4.2; 4.3; 5.5; 6.1; 7.1; 10.1; 13.1; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participation in nursing assessment and planning of care. For each, demonstrate and discuss the importance of working in partnership with people to assess and plan care.	Working collaboratively with people, assess, plan and deliver care devising individualised goals.	Working collaboratively with people, assess, plan, deliver and evaluate care devising individualised goals.

3.5	demonstrate the ability to accurately process all information gathered during the assessment process to identify needs for individualised nursing care and develop person-centred evidence-based plans for nursing interventions with agreed goals
	The Code (NMC 2018) 1.1.; 1.3; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.3; 3.4; 4.1; 4.2; 4.3; 5.5; 6.1; 7.1; 10.1; 13.1; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participation in nursing assessment and planning of care and in discussion with your PS/PA, develop a person-centred plan of care with agreed goals.	Initiate and complete nursing assessments and plans of care. Interpret data gathered and in discussion with your PS/PA, explore and devise a person-centred plan of care with agreed goals.	Independently complete nursing assessments and plans of care. Interpret and synthesise data gathered, explore and devise a person-centred plan of care with agreed goals.
3.6	effectively assess a person’s capacity to make decisions about their own care and to give or withhold consent
	The Code (NMC 2018) 1.3; 1.5; 2.3; 2.4; 2.5; 2.6; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 7.2; 7.3; 7.4; 7.5; 17.1; 17.2; 17.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In collaboration with PS/PA, assess a person’s capacity to consent and make decisions about care.	Demonstrate the ability to assess a person’s capacity to consent and make decisions about care.	Assess a person’s capacity to consent and make decisions about care.
3.7	understand and apply the principles and processes for making reasonable adjustments
	The Code (NMC 2018) 1.3; 1.5; 2.1; 2.3; 2.4; 2.5; 2.6; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 5.1; 10.1; 17.1; 17.2; 17.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Recognises individual needs and adapts practice to meet individual care requirements.	Assess individual needs and initiate adaptations to practice to meet individual care requirements.
3.8	understand and apply the relevant laws about mental capacity for the country in which you are practising when making decisions in relation to people who do not have capacity
	The Code (NMC 2018) 1.3; 1.5; 2.1; 2.5; 3.1; 3.4; 4.1; 4.2; 4.1; 4.4; 5.1; 5.2; 5.5; 7.1; 7.5; 10.1 :EU clinical instruction Directives B3; B5; B6; B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Apply knowledge of legal frameworks to inform assessment of capacity.	Apply knowledge of legal frameworks to the assessment of capacity and the implications for assessing and planning care.
3.9	recognise and assess people at risk of harm and the situations that may put them at risk, ensuring prompt action is taken to safeguard those who are vulnerable
	The Code (NMC 2018) 1.5; 3.1; 3.4; 4.3; 5.4; 8.5; 8.6; 14.1; 13.2; 13.4; 14.1; 14.2; 14.3; 15.2; 15.3; 16.1; 16.2; 16.4; 17.1; 17.2; 17.3 :EU clinical instruction Directives B3; B4; B5; B6; B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Demonstrate the ability to identify people who are or may be vulnerable.	In collaboration with your PS/PA, participate in assessing people at risk of harm and initiate safeguarding measures.	Independently identify and assess people at risk of harm or potential harm, initiating safeguarding measures and escalating where appropriate.
3.10	demonstrate the skills and abilities required to recognise and assess people who show signs of self-harm and/or suicidal ideation
	The Code (NMC 2018) 2.6; 3.1; 4.3; 6.2; 7.1; 7.3; 7.5; 8.6; 13.1; 13.2; 13.3; 13.4; 15.1; 15.1; 15.3; 17.1 :EU clinical instruction Directives B3; B4; B5
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		In collaboration with your PS/PA, explore how to recognise and discuss / participate in assessing people who show signs of self-harm and/or suicidal ideation.	Independently identify and assess people who show signs of self-harm and/or suicidal ideation.
3.11	undertake routine investigations, interpreting and sharing findings as appropriate
	The Code (NMC 2018) 1.4; 2.1; 6.2; 8.1; 8.2; 8.3; 8.4; 8.5; 13.1; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Complete observations (eg Temp, P, BP) and investigations (eg specimen collection) and discuss findings with PS/PA.	Complete routine investigations, analyse findings and in collaboration with your PS/PA share as appropriate.	Identify appropriate investigations based upon assessment data. Analyse findings and share with relevant others.
3.12	interpret results from routine investigations, taking prompt action when required by implementing appropriate interventions, requesting additional investigations or escalating to others
	The Code (NMC 2018) 1.4; 2.1; 6.2; 8.1; 8.2; 8.3; 8.4; 8.5; 13.1; 13.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Consider any abnormalities from 3.11 and with assistance from your PS/PA, consider further investigations required.	Interpret any abnormalities from 3.11 and in collaboration with your PS/PA, implement necessary actions and consider if further investigations are required.	Interpret any abnormalities from 3.11 and, implement necessary actions and consider if further investigations are required.
3.13	demonstrate an understanding of co-morbidities and the demands of meeting people’s complex nursing and social care needs when prioritising care plans
	The Code (NMC 2018) 2.1; 2.2; 2.3; 3.1; 3.2; 6.1; 6.2; 13.1; 13.2; 18.1; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		In collaboration with your PS/PA apply knowledge of co-morbidities to identify priorities of care when planning care.	Applying knowledge of co-morbidities, prioritise care to meet the demands of people’s complex nursing and social care needs.
3.14	identify and assess the needs of people and families for care at the end of life, including requirements for palliative care and decision making related to their treatment and care preferences
	The Code (NMC 2018) 1.2; 1.4; 2.1; 2.2; 3.2; 6.1; 6.2; 7.3; 13.1; 13.2; 18.1; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Participate in or in discussion with your PS/PA, demonstrate an understanding of assessment and planning of palliative care.	Participate in or in discussion with your PS/PA, contribute to the assessment and planning of palliative care.	In collaboration with people and families, assess and plan palliative care to meet individual preferences and requirements.
3.15	demonstrate the ability to work in partnership with people, families and carers to continuously monitor, evaluate and reassess the effectiveness of all agreed nursing care plans and care, sharing decision making and readjusting agreed goals, documenting progress and decisions made
	The Code (NMC 2018) 1.1; 2.1; 2.2; 2.3; 2.4; 2.6; 3.1; 3.2; 3.3; 3.4; 5.2; 5.4; 5.5; 7.1; 7.3; 8.1; 8.2; 8.3; 13.1; 13.1; 13.2; 13.3 :EU clinical instruction Directives B3; B5; B6; B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Under direct supervision, review plans of care with PS/PA and participate in documenting progress and any appropriate adjustments to plans of care.	In collaboration with your PS/PA, review plans of care, document progress and implement appropriate adjustments to plans of care.	In collaboration with people, evaluate plans of care, document progress and implement appropriate adjustments to plans of care.
3.16	demonstrate knowledge of when and how to refer people safely to other professionals or services for clinical intervention or support
	The Code (NMC 2018) 2.1; 7.1; 8.1; 8.2; 8.3; 8.4; 8.5; 11.1; 13.2; 13.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		In collaboration with your PS/PA, discuss relevant referral processes and action where opportunities arise.	Safely refer people to relevant services based upon assessment of need.

Platform 4: Assessing needs and planning care

Registered nurses take the lead in providing evidence-based, compassionate and safe nursing interventions. They ensure that care they provide and delegate is person-centred and of a consistently high standard. They support people of all ages in a range of care settings. They work in partnership with people, families and carers to evaluate whether care is effective and the goals of care have been met in line with their wishes, preferences and desired outcomes.

Platform 4: Assessing needs and planning care
4.1	demonstrate and apply an understanding of what is important to people and how to use this knowledge to ensure their needs for safety, dignity, privacy, comfort and sleep can be met, acting as a role model for others in providing evidence based person-centred care
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 5.1; 5.2; 5.3; 5.4; 5.5; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 7.5; 8.1; 8.2; 8.3; 8.4; 8.5; 8.6; 8.7; 9.1; 9.2; 9.3; 9.4; 13.1; 13.2; 13.3; 13.4; 13.5; 19.2; 20.1; 20.2; 20.3; 20.8; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Communicates effectively with people to identify their goals and uses this information to plan and evaluate care in collaboration with PS/PA. In collaboration with PS/PA, undertake risk assessments prior to initiating care. Updates documentation and maintain accurate records. Ensures care promotes patient dignity and privacy.	Communicates effectively with people to identify their goals and uses this information to plan and evaluate care with increasing independence. Undertakes risk assessments whilst delivering care. Updates documentation and maintain accurate records. Ensures care promotes patient dignity and privacy.	Communicates effectively with people to identify their goals and uses this information to independently plan and evaluate care. Undertakes risk assessments whilst delivering care and responds appropriately to changing situations. Updates documentation and maintain accurate records. Ensures care promotes patient dignity and privacy and acts a role model for others.
4.2	work in partnership with people to encourage shared decision making in order to support individuals, their families and carers to manage their own care when appropriate
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6;; 3.1; 3.2; 3.3; 3.4; 4.1; 4.2; 4.3; 4.4; 5.1; 5.2; 5.3; 5.4; 5.5; 7.1; 7.2; 7.3; 7.4; 7.5 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In collaboration with PS/PA, uses appropriate communication skills to support people, families and carers to manage their care when appropriate.	Uses appropriate communication skills to support people, families and carers to manage their care when appropriate.	Identifies opportunities to participate in shared decision making with people, families and carers to manage their care when appropriate.
4.3	demonstrate the knowledge, communication and relationship management skills required to provide people, families and carers with accurate information that meets their needs before, during and after a range of interventions
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.1; 5.2; 5.5; 7.1; 7.2; 7.3; 7.4; 7.5; 14.2; 18.2; 18.3; 20.6; 20.7; 20.10 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with the PS/PA demonstrates understanding of the knowledge and skills needed to support people, families and carers before, during and after a range of interventions. Demonstrates an understanding of the principles of informed consent, breaking bad news, withdrawing consent/refusing treatment, duty of candour and other relevant issues.	Obtains informed consent prior to nursing interventions. In collaboration with PS/PA, answers questions from patients/families or refers on as appropriate. Uses range of information sources e.g. translators, alternative language, audio or graphics, props to meet individual needs.	Takes an active role in supporting people and families prior to and after interventions. Where appropriate, provides patients/families with results from procedures or refers on where necessary. Identifies additional support services which the person may require/makes referrals to other services.
4.4	demonstrate the knowledge and skills required to support people with commonly encountered mental health, behavioural, cognitive and learning challenges, and act as a role model for others in providing high quality nursing interventions to meet people’s needs
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 3.4; 4.1; 4.2; 4.3; 5.1; 5.2; 5.3; 5.4; 5.5; 6.2; 7.1; 7.2; 7.3; 7.4; 9.1; 9.2; 9.3; 9.4; 13.1; 13.2; 13.3; 13.4; 17.1; 17.2; 17.3; 20.1; 20.2; 20.3; 20.4; 20.5; 20.6; 20.8; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with the PS/PA, discusses a number of common mental health conditions in the practice area and approaches to treatment. In collaboration with PS/PA, communicates effectively with people of all abilities. In collaboration with the PS/PA, provides evidence based nursing care to reduce the negative impacts of mental ill health.	Demonstrates ability to support people with a number of common mental health conditions. Communicates effectively with people of all abilities. Uses techniques and aides to ensure effective communication. Provides evidence based nursing care to reduce the negative impacts of mental ill health.	Takes an active role in planning and evaluating care with people with a range of commonly encountered mental health, behavioural, cognitive and learning challenges. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.5	demonstrate the knowledge and skills required to support people with commonly encountered physical health conditions, their medication usage and treatments, and act as a role model for others in providing high quality nursing interventions when meeting people’s needs
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 4.1; 4.2; 5.1; 5.2; 5.3; 5.4; 5.5; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 9.1; 9.2; 9.3; 9.4; 13.1; 13.2; 13.3; 13.4; 18.1; 18.2; 18.3; 20.1; 20.2; 20.3; 20.4; 20.5; 20.6; 20.8; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with the PS/PA, discusses a number of common physical conditions in the practice area and approaches to treatment. In conversation with the PS/PA, discusses the principles of medicines management and pharmacology of medicines commonly prescribed in the practice area. In collaboration with the PS/PA, provides evidence based nursing care to reduce the negative impacts of physical ill health.	Demonstrates ability to support people with a number of common physical health conditions. Communicates effectively with people regarding their medicines management. Provides evidence based nursing care to reduce the negative impacts of physical ill health.	Takes an active role in planning and evaluating care with people with a range of commonly encountered physical health challenges. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.6	demonstrate the knowledge, skills and ability to act as a role model for others in providing evidence-based nursing care to meet people’s needs related to nutrition, hydration and bladder and bowel health
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 4.1; 4.2; 5.1; 5.2; 5.3; 5.4; 5.5; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 9.1; 9.2; 9.3; 9.4; 13.1; 13.2; 13.3; 13.4; 20.1; 20.2; 20.3; 20.4; 20.5; 20.6; 20.8; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, explains the signs and symptoms of dehydration and malnutrition. In collaboration with PS/PA, uses evidence based tools to assess fluid and nutritional needs and bladder and bowel function. Assists with toileting whilst maintaining privacy and dignity. Reports any problems with bladder/bowel function to PS/PA.	Undertakes assessment of fluid and nutritional needs using evidence based tools and reports back to PS/PA. Undertakes assessment of bladder and bowel function using evidence based tools and reports back to PS/PA. Identifies when people may need referral to other health care professionals or services. Communicates effectively with people to set appropriate goals regarding fluid and nutritional intake. Assists with toileting whilst maintaining privacy and dignity.	Takes an active role in planning and evaluating nursing care to address people’s fluid and nutritional needs. Takes an active role in planning and evaluating nursing care to promote bladder and bowel function health. Makes safe and appropriate referrals to other health care professionals or services in relation to fluid/nutrition and bladder/bowel health. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.7	demonstrate the knowledge, skills and ability to act as a role model for others in providing evidence-based, person-centred nursing care to meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 4.1; 4.2; 5.1; 5.2; 5.3; 5.4; 5.5; 6.1; 6.2; 7.1; 7.2; 7.3; 7.4; 9.1; 9.2; 9.3; 9.4; 13.1; 13.2; 13.3; 13.4; 20.1; 20.2; 20.3; 20.4; 20.5; 20.6; 20.8; 22.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In collaboration with the PS/PA, provides evidence based nursing care which meets people’s needs regarding mobility, hygiene, oral care, wound care and skin integrity.	Uses evidence based tools to assess people’s needs regarding mobility, hygiene, oral care, wound care and skin integrity and reports back to PS/PA. Provides evidence based care which meets people’s needs regarding mobility, hygiene, oral care, wound care and skin integrity with increasing independence. Identifies when people may need referral to other health care professionals or services.	Takes an active role in planning and evaluating nursing care to address people’s needs regarding mobility, hygiene, oral care, wound care and skin integrity. Makes safe and appropriate referrals to other health care professionals or services in relation to mobility, hygiene, oral care, wound care and skin integrity needs. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.8	demonstrate the knowledge and skills required to identify and initiate appropriate interventions to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6; 3.1; 3.3; 4.1; 4.2; 4.3; 5.1; 5.2; 5.3; 5.4; 5.5; 6.1; 6.2; 8.1; 8.2; 8.3; 8.5; 8.6; 11.1; 11.2; 11.3; 13.1; 13.2; 13.3; 13.4 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, discusses a range of interventions for people with commonly encountered symptoms. In collaboration with PS/PA, provides evidence based nursing care to people with a range of commonly encountered symptoms.	Uses evidence based tools to assess commonly encountered symptoms and discusses findings with PS/PA. Provides evidence based care to people with commonly encountered symptoms with increasing independence. Identifies when people may need referral to other health care professionals or services.	Takes an active role in planning and evaluating nursing care to address commonly encountered symptoms. Makes safe and appropriate referrals to other health care professionals or services in relation to commonly encountered symptoms. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.9	demonstrate the knowledge and skills required to prioritise what is important to people and their families when providing evidence-based person-centred nursing care at end of life including the care of people who are dying, families, the deceased and the bereaved
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, discusses the principles of palliative care. In collaboration with the PS/PA, provides evidence based palliative care. In conversation with the PS/PA, discusses sources of support for people who are dying and for the bereaved.	Provides evidence based palliative care with increasing independence. Identifies when people may need referral to other health care professionals or services.	Takes an active role in planning and evaluating palliative nursing care. Makes safe and appropriate referrals to other health care professionals or services in relation to people requiring palliative care and the bereaved. Acts as a role model by ensuring care is evidence based and challenges appropriately when not. Identifies gaps in own knowledge and takes steps to address.
4.10	demonstrate the knowledge and ability to respond proactively and promptly to signs of deterioration or distress in mental, physical, cognitive and behavioural health and use this knowledge to make sound clinical decisions
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, discusses common signs and symptoms of deteriorating mental and physical health. Identifies when people are experiencing a deterioration in mental or physical health and alerts clinical staff promptly and appropriately.	Continuously and proactively assesses people for signs of deterioration in mental or physical health and alerts clinical staff promptly and appropriately in the event of a deterioration.	Continuously and proactively assesses people for signs of deterioration in mental or physical health and demonstrates sound clinical decision making in the event of a deterioration.
4.11	demonstrate the knowledge and skills required to initiate and evaluate appropriate interventions to support people who show signs of self-harm and/or suicidal ideation
	The Code (NMC 2018) 1.1; 1.2; 1.3; 1.4; 1.5; 2.1; 2.2;2.3; 2.4; 2.5; 2.6 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, discusses common signs of self-harm and suicide ideation.	Identifies when people show signs of self-harm and/or suicide ideation and alerts clinical staff promptly and appropriately.	Recognises people at risk of self-harm and/or suicidal ideation and demonstrates the knowledge and skills required to support person-centred care using evidence based risk assessment tools.
4.12	demonstrate the ability to manage commonly encountered devices and confidently carry out related nursing procedures to meet people’s needs for evidence based, person-centred care
	The Code (NMC 2018) N/A :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with PS/PA, demonstrates an understanding of the safe and effective use of devices commonly encountered in the practice area. In collaboration with the PS/PA, safely and effectively uses devices commonly encountered in the practice area. Recognises and reports when devices are not functioning as required.	Safely and effectively uses devices commonly encountered in the practice area with increasing independence where appropriate. Recognises when devices are not functioning as required and makes sound clinical decisions regarding malfunction.	Safely and effectively uses devices commonly encountered in the practice area with increasing independence where appropriate. Recognises when devices are not functioning as required and makes sound clinical decisions regarding malfunction with increasing confidence.
4.13	demonstrate the knowledge, skills and confidence to provide first aid procedures and basic life support
	The Code (NMC 2018) 1.4; 6.2; 15.1; 15.2; 15.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In discussion with PS/PA, demonstrate knowledge of first aid procedures. Know where in the learning environment to find first aid equipment and personnel. In discussion, demonstrate awareness of basic life support procedures and equipment.	In discussion with PS/PA, demonstrate knowledge of first aid procedures. Know where in the learning environment to find first aid equipment and personnel. Demonstrate awareness of basic life support procedures and ways of summoning help. Demonstrate orientation to BLS equipment in the learning environment and an awareness of the student role in life support.	In discussion with PS/PA, demonstrate knowledge of first aid procedures. Where possible demonstrate first aid skills. Know where in the learning environment to find first aid equipment and personnel, including escalation procedures when required. Demonstrate knowledge of basic life support procedures. Demonstrate ability to perform BLS and knowledge of equipment within the learning environment. Understand how to summon assistance and escalate as required.
4.14	understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies and demonstrate proficiency and accuracy when calculating dosages of prescribed medicines
	The Code (NMC 2018) 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Shadow your PS/PA carrying out medications administration. Demonstrate safe and effective practice in distinct processes of medicines administration, eg identity check, preparation of medication, drawing up an injectable preparation or administering a topical product. In discussion with PS/PA demonstrate understanding of medicines management policies. Demonstrate safe and effective disposal of waste.	Shadow your PS/PA carrying out medications administration and participate in supervised medications management. Demonstrate safe and effective practice in supervised medicines administration and drug calculations. Demonstrate understanding of medicines management policies and where to seek assistance should support be required. Demonstrate safe and effective disposal of waste.	Safely and effectively administer medications, supervised by your PS/PA. Complete drug calculations independently, checked by PS/PA. Demonstrate compliance with medicines management policies and awareness of where to find information and support.
4.15	demonstrate knowledge of pharmacology and the ability to recognise the effects of medicines, allergies, drug sensitivities, side effects, contraindications, incompatibilities, adverse reactions, prescribing errors and the impact of polypharmacy and over the counter medication usage
	The Code (NMC 2018) 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In discussion with PS/PA, demonstrate knowledge of the effects of common drugs. Identify signs of allergy or adverse drug reactions and know how to summon help. In discussion, demonstrate understanding of polypharmacy and use of OTC medication.	Demonstrate knowledge of the effects of common drugs. Identify signs of allergy or adverse drug reactions and know how to summon help. In discussion, demonstrate understanding of polypharmacy and use of OTC medication. Identify polypharmacy on admission or prescribing paperwork. Demonstrate understanding of where to find pharmacological information. In discussion, demonstrate knowledge of prescribing error procedures.	Demonstrate knowledge of the effects of drugs and recognise side effects. Identify signs of allergy or adverse drug reactions and know how to summon help. Demonstrate understanding of polypharmacy and challenge it when encountered. Demonstrate understanding of where to find pharmacological information. Demonstrate knowledge of prescribing error procedures and of the safe prescription processes.
4.16	demonstrate knowledge of how prescriptions can be generated, the role of generic, unlicensed, and off-label prescribing and an understanding of the potential risks associated with these approaches to prescribing
	The Code (NMC 2018) 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In discussion with PS/PA, demonstrate understanding of prescription generation. Show awareness of risks associated with prescribing and how to seek assistance.	Demonstrate understanding of safe prescription generation. Show awareness of risks associated with prescribing, alternative sources of medication and understand reporting procedures.	Challenge poor prescribing in the learning environment. Understand the source of further information. Demonstrate ability to source pharmacological information from both written sources and practitioners.

4.17	apply knowledge of pharmacology to the care of people, demonstrating the ability to progress to a prescribing qualifications on following registration
	The Code (NMC 2018) 18.1; 18.2; 18.3 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Demonstrate in discussion that you are aware of prescribing procedures. Discuss the pharmacological effects of medications encountered in the learning environment and demonstrate understanding of the necessary administration procedures.	Understand and demonstrate prescribing procedures, supervised by your PS/PA. Discuss the pharmacological effects of medications encountered in the learning environment and demonstrate understanding of the necessary administration procedures.	Understand and demonstrate prescribing procedures independently, checked by your PS/PA. Discuss the pharmacological effects of medications encountered in the learning environment and demonstrate understanding of the necessary administration procedures.
4.18	demonstrate the ability to co-ordinate and undertake the processes and procedures involved in routine planning and management of safe discharge home or transfer of people between care settings
	The Code (NMC 2018) 3.3; 5.4 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Observe the discharge/transfer process with your PS/PA. Demonstrate understanding of the details and arrangements which need to be considered. Demonstrate your ability to document arrangements made in records. In discussion, demonstrate awareness of the necessary communication required for safe and effective discharge/transfer.	Take part, alongside your PS/PA, in a conversation about discharge home/transfer. Demonstrate understanding of the details and arrangements which need to be considered and how to make the necessary plans. Demonstrate your ability to document arrangements made in records. Demonstrate awareness of the necessary communication required for safe and effective discharge/transfer.	Initiate and carry out a conversation about discharge home/transfer with your PS/PA observing. Make arrangements, with support of your supervisor and record these arrangements appropriately. Initiate and carry out communication between stakeholders in the discharge or transfer of an individual, observed by your supervisor.

Platform 5: leading and managing nursing care and working in teams

Registered nurses provide leadership by acting as a role module for best practice in the delivery of nursing care. They are responsible for managing nursing care and are accountable for the appropriate delegation and supervision of care provided by others in the team including lay carers. They play an active and equal role in the interdisciplinary team, collaborating and communicating with a range of colleagues.

Platform 5: Leading and managing nursing care and working in teams
5.1	understand the principles of effective leadership, management, group and organisational dynamics and culture and apply these to team working and decision-making
	The Code (NMC 2018) 4.3; 4.4; 5.4; 6.2; 7.1; 7.2; 7.3; 7.4; 7.5; 8.1; 8.2; 8.3; 8.4; 8.5; 8.6; 8.7; 9.1; 9.2; 9.3; 9.4; 10.1; 10.2; 10.3; 10.4; 10.5; 11.1; 11.2; 11.3; 13.2; 13.3; 13.5; 15.1; 15.3; 16.1; 16.2; 16.3; 17.2; 19.1; 19.2; 19.4; 20.1; 20.3; 20.5; 20.6; 20.7; 20.8; 20.9; 20.10; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with PS/PA principles of leadership and working within teams.	Demonstrate ability to work effectively within a team recognising how dynamics and culture influence decision-making.	Initiate leadership in care delivery and demonstrate understanding of organisational dynamics and culture.
5.2	understand and apply the principles of human factors, environmental factors and strength-based approaches when working in teams
	The Code (NMC 2018) 1.1; 1.3; 1.4; 1.5; 2.1; 2.2; 2.3; 2.4; 2.5; 2.6; 3.1; 3.2; 3.3; 3.4; 4.2; 4.2; 4.3; 5.1; 5.2; 5.3; 5.5; 7.1; 7.2; 7.3; 7.4; 7.5; 8.2; 13.2; 13.3; 13.4; 16.2; 16.3; 17.3; 19.2; 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with PS/PA principles of effective team working.	Demonstrate ability to recognise how human, environmental factors impact on team function.	Demonstrate ability to effectively lead and promote team cohesion and function.
5.3	understand the principles and application of processes for performance management and how these apply to the nursing team
	The Code (NMC 2018) 8.1; 8.2; 8.4; 8.7; 9.1; 9.2; 9.3; 9.4; 11.1; 11.2; 11.3; 12.1; 13.5; 16.1; 16.2; 16.3; 16.4; 16.5; 16.6; 19.1; 19.2; 19.3; 19.4; 20.1; 20.2; 20.3; 20.5; 20.8; 22.2; 22.3; 23.1; 23.2; 23.3; 23.4; 23.5; 24.1; 24.2; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Discuss how performance concerns can affect practice. Discuss local policies for escalation and seeking support.	Gather and reflect on feedback from a variety of sources, using it to improve your practice and performance.
5.4	demonstrate an understanding of the roles, responsibilities and scope of practice of all members of the nursing and interdisciplinary team and how to make best use of the contributions of others involved in providing care
	The Code (NMC 2018) 5.4; 8.2; 8.3; 8.4; 8.5; 8.6; 9.3; 11.1; 11.2; 11.3; 13.2; 13.3; 13.5; 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with PS/PA the principles of an effective Multi-disciplinary team (MDT).	Demonstrate an understanding of the roles of all those within the MDT and how they impact on the delivery of care.	As an active member of the MDT, lead and manage team collaboration to enhance and co-ordinate patient care.
5.5	safely and effectively lead and manage the nursing care of a group of people, demonstrating appropriate prioritisation, delegation and assignment of care responsibilities to others involved in providing care
	The Code (NMC 2018) 5.4; 6.2; 7.1; 7.2; 7.3; 7.4; 7.5; 8.1; 8.2; 8.3; 8.4; 8.5; 8.6; 8.7; 9.1; 9.2; 9.3; 9.4; 10.1; 10.2; 10.3; 10.4; 10.5; 11.1; 11.2; 11.3; 13.2; 13.3; 13.5; 15.1; 15.3; 16.1; 16.2; 16.3; 17.2; 19.1; 19.2; 19.4; 20.1; 20.3; 20.5; 20.6; 20.7; 20.8; 20.9; 20.10; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		In collaboration with PS/PA using appropriate prioritisation and delegation principles assign care responsibilities to appropriate care providers eg, HCSW.	Demonstrate leadership of prioritisation, delegation and assignment of care responsibilities to a group of people.
5.6	exhibit leadership potential by demonstrating an ability to guide, support and motivate individuals and interact confidently with other members of the care team
	The Code (NMC 2018) 7.1; 7.4; 7.5; 8.1; 8.2; 8.4; 8.7; 9.1; 9.2; 9.3; 11.1; 11.2; 11.3; 2-.2; 20.3; 20.8; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Demonstrate ability to interact and communicate with members of the care team.	Demonstrate appropriate use of support and motivational skills with members of the care team.	Demonstrate leadership in guiding, supporting and motivating individuals to interact confidently.

5.7	demonstrate the ability to monitor and evaluate the quality of care delivered by others in the team and lay carers
	The Code (NMC 2018) 8.4; 9.1; 9.3; 20.2; 25.1; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with PS/PA the principles of evaluation of quality care delivery.	In collaboration with PS/PA demonstrate ability to identify, monitor and evaluate quality of care delivery.	Demonstrate ability to appraise, monitor and evaluate the care delivered by team members.
5.8	support and supervise students in the delivery of nursing care, promoting reflection and providing constructive feedback, and evaluating and documenting their performance
	The Code (NMC 2018) 6.1; 7.1; 7.4; 7.5; 9.4; 10.1; 10.2; 10.3; 10.4; 10.5; 11.1; 11.2; 11.3; 20.8; 25.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Engage in supervision of junior students, reflecting and providing feedback on their performance.	Demonstrate effective support and supervision for learners, engage in reflective discussions evaluating and documenting performance.
5.9	demonstrate the ability to challenge and provide constructive feedback about care delivered by others in the team, and support them to identify and agree individual learning needs
	The Code (NMC 2018) 2.1; 3.4; 8.2; 8.4; 9.1; 9.3; 9.4; 20.3; 20.5; 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
		Discuss with PS/PA challenging situations and managing expectations of others within the team. Reflect on own personal learning outcomes and identifying needs.	Demonstrate ability to discuss, challenge and construct positive feedback within the team. Encourage other learners to meet learning outcomes.
5.10	contribute to supervision and team reflection activities to promote improvements in practice and services
	The Code (NMC 2018) 8.2; 8.4; 9.1; 9.2; 9.3; 9.4; 11.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss and explore with PS/PA methods to promote and demonstrate good practice and activities to improve services within a team.	Demonstrate ability to contribute to group discussions / reflection on improvements in practice and service.	Lead a group in discussing activities to promote and formulate improvements in practice and services within the team.
5.11	effectively and responsibly use a range of digital technologies to access, input, share and apply information and data within teams and between agencies
	The Code (NMC 2018) 8.2; 8.6; 10.4; 10.5; 10.6; 20.4 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss and identify with PS/PA a range of digital technologies within the working environment.	In collaboration with PS/PA demonstrate ability to share and record information within the team and other agencies utilising digital technologies.	Ability to input, access and share relevant information/data utilising digital technologies within the team and other agencies.
5.12	understand the mechanisms that can be used to influence organisational change and public policy, demonstrating the development of political awareness and skills
	The Code (NMC 2018) 8.2; 9.2; 20.3; 20.7 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with PS/PA elements of organisational policies and impact of political influences.	In collaboration with PS/PA demonstrate ability to distinguish between organisational and political changes.	Ability to analyse and recognise internal and external influences on organisational change policies and political awareness.

Platform 6: Improving safety and quality of care

Registered nurses make a key contribution to the continuous monitoring and quality improvement of care and treatment in order to enhance health outcomes and people’s experience of nursing and related care. They assess risks to safety or experience and take appropriate action to manage those, putting the best interests, needs and preferences of people first.

Platform 6: Improving safety and quality of care
6.1	understand and apply the principles of health and safety legislation and regulations and maintain safe work and care environments
	The Code (NMC 2018) 13.4, 16.1, 19.1, 19.2, 19.3, 19.4, 20.4 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of the principles of health and safety legislation and regulations.	Be able to reflect on your knowledge of the principles of health and safety legislation and regulations to the maintenance of safe work and care environments.	Be able to understand and apply the processes of health and safety legislation when any circumstances impact on a safe work and care environment.
6.2	understand the relationship between safe staffing levels, appropriate skills mix, safety and quality of care, recognising risks to public protection and quality of care, escalating concerns appropriately
	The Code (NMC 2018) 8.5, 10.2, 11.1, 16.1, 19.1, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the relationships between safe staffing and skill mix. Know where to access the HEI and NMC guidance about raising concerns.	In conversation with your PS/PA consider the evidence that demonstrates the relationship between safe staffing levels, appropriate skills mix, safety and quality of care, recognising risks to public protection and quality of care.	In conversation with your PS/PA explain the processes involved in raising concerns appropriately. Consider the impact on public protection and quality of care.
6.3	comply with local and national frameworks, legislation and regulations for assessing, managing and reporting risks, ensuring the appropriate action is taken
	The Code (NMC 2018) 3.4, 43, 10.2, 14.1, 16.1, 17.2, 17.3, 19.1, 19.4, 20.4, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the local and national frameworks, legislation and regulations for assessing, managing and reporting risks and their impact on your practice.	In conversation with your PS/PA consider how you will action the local and national frameworks, legislation and regulations for assessing, managing and reporting risks and their impact on your practice.	In your practice be able to demonstrate how you comply with local and national frameworks, legislation and regulations for assessing, managing and reporting risks and ensure the appropriate action is taken and documented.
6.4	demonstrate an understanding of the principles of improvement methodologies, participate in all stages of audit activity and identify appropriate quality improvement strategies
	The Code (NMC 2018) 6.2, 8.4, 10.2, 19.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the principles of quality improvement.	In conversation with your PS/PA consider the range of methodologies available to develop practice and how you might use them.	Participate in audit activity in your PLE and share with your PS/PA how the outcomes may inform quality improvement.
6.5	demonstrate the ability to accurately undertake risk assessments in a range of care settings, using a range of contemporary assessment and improvement tools
	The Code (NMC 2018) 8.6, 10.2, 19.1, 19.2 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the principles of risk assessment and the tools that may be available to do this.	Under supervision undertake a risk assessment using evidence based contemporary tools.	Assess and document risk assessments in your PLEs.
6.6	identify the need to make improvements and proactively respond to potential hazards that may affect the safety of people
	The Code (NMC 2018) 8.5, 8.6, 10.2, 16.1, 17.2, 19.2, 20.4, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA discuss risk reduction strategies.	Under supervision implement risk reduction strategies.	Initiate risk reduction strategies in response to hazards.
6.7	understand how the quality and effectiveness of nursing care can be evaluated in practice, and demonstrate how to use service delivery evaluation and audit findings to bring about continuous improvement
	The Code (NMC 2018) 8.4, 8.6, 19.2, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider how nursing care can be evaluated and how findings may be used to improve practice.	Under supervision participate in evaluations in and of practice, for example completing audits or assisting people to complete evaluations.	Identify changes or improvements that have taken place as a consequence of service evaluation and consider the evidence base to support them.
6.8	demonstrate an understanding of how to identify, report and critically reflect on near misses, critical incidents, major incidents and serious adverse events in order to learn from them and influence their future practice
	The Code (NMC 2018) 8.4, 8.6, 9.2, 10.2, 16.1, 19.1, 19.2, 22.3, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the process used to identify and report near misses, critical incidents, major incidents and serious adverse events.	Participate with your PS/PA to complete the appropriate documentation to report near misses, critical incidents, major incidents and serious adverse events.	Develop your understanding of how to identify, report and critically reflect on near misses, critical incidents, major incidents and serious adverse events by using for example the Quality Improvement Scotland or Healthcare Improvement Scotland websites.
6.9	work with people, their families, carers and colleagues to develop effective improvement strategies for quality and safety, sharing feedback and learning from positive outcomes and experiences, mistakes and adverse outcomes and experiences
	The Code (NMC 2018) 2.1, 2.2, 5.2, 5.4, 8.1, 8.4, 8.5, 8.6, 9.1, 9.2, 10.2, 10.6, 16.4, 19.1, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Take some time to observe your PS/PA and other colleagues seeking and responding to feedback from people, their families, carers and colleagues.	In conversation with your PS/PA consider the strategies used to develop effective improvement strategies.	Participate in activities that enable you to work with people, their families, carers and colleagues to achieve the above.
6.10	apply an understanding of the differences between risk aversion and risk management and how to avoid compromising quality of care and health outcomes
	The Code (NMC 2018) 1.3, 4.1, 4.3, 5.4, 17.1, 19.1, 20.3, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the differences between risk aversion and risk management.	In conversation with your PS/PA consider the methodologies used to develop for example SIGN or NICE Guidelines and their potential use.	Critically reflect on the difference between risk aversion and risk assessment and the implications for safe effective person-centred care.
6.11	acknowledge the need to accept and manage uncertainty, and demonstrate an understanding of strategies that develop resilience in self and others
	The Code (NMC 2018) 1.3, 3.1, 6.1, 8.7, 13.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA develop an understanding of the concept of resilience.	Use reflection as an approach to help you accept and manage uncertainty.	Create opportunities to participate in critical reflection with others and keep a reflective diary to help develop resilience in yourself and others.
6.12	understand the role of registered nurses and other health and care professionals at different levels of experience and seniority when managing and prioritising actions and care in the event of a major incident
	The Code (NMC 2018) 7.1, 8.1, 8.5, 10.1, 11.1, 13.3, 13.4, 15.1, 15.3, 19.1, 25.1 :EU clinical instruction Directives B1-B7
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA develop an understanding of what may be considered a major incident – eg public health, traumatic event, adverse weather.	Review the major incident protocols for your PLEs and share your understanding with your PS/PA.	Critically reflect on any major incidents that have recently occurred and consider the various roles and responsibilities of registered nurses and other health and care professionals.

Platform 7: Coordinating care

Registered nurses play a leadership role in coordinating and managing the complex nursing and integrated care needs of people at any stage of their lives, across a range of organisations and settings. They contribute to processes of organisational change through an awareness of local and national policies.

Platform 7: Coordinating Care
7.1	understand and apply the principles of partnership, collaboration and interagency working across all relevant sectors
	The Code (NMC 2018) 2.1, 8.1, 8.2, 8.3, 8.4, 8.5, 8.6, 9.3, 13.2, 13.3, 17.2 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of the principles of partnership and interdisciplinary working.	Plan and coordinate the care of people in your PLE and take and make referrals to other agencies and professionals.	Plan and coordinate complex care and consider the influence local and national policy may have on care.
7.2	understand health legislation and current health and social care policies, and the mechanisms involved in influencing policy development and change, differentiating where appropriate between the devolved legislatures of the United Kingdom
	The Code (NMC 2018) 4.3, 18.2, 20.4 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA demonstrate a foundation understanding of some of the health and social care policies that influence the PLE.	In conversation with your PS/PA demonstrate an understanding of the key methodologies applied to influence policy.	Seek out opportunities to speak with others about health and social care legislation and apply the knowledge to your practice.
7.3	understand the principles of health economics and their relevance to resource allocation in health and social care organisations and other agencies
	The Code (NMC 2018) 6.1, 25.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider some aspects of health economics and nursing’s role in governance.	In conversation with your PS/PA consider the allocation of resources for complex care and nursing interventions.	In conversation with your PS/PA consider the allocation of resources for complex care across disciplines and agencies.
7.4	identify the implications of current health policy and future policy changes for nursing and other professions and understand the impact of policy changes on the delivery and coordination of care
	The Code (NMC 2018) 6.2, 13.5, 17.3, 18.2, 20.4, 22.3 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA identify some of the organisations that influence or develop policy.	In conversation with your PS/PA identify and discuss the impact of policy on the specific PLE.	In conversation with your PS/PA and others consider how current and future health policy may influence the delivery and coordination of care.
7.5	understand and recognise the need to respond to the challenges of providing safe, effective and person-centred nursing care for people who have co-morbidities and complex care needs
	The Code (NMC 2018) 1.3, 2.4, 3.3, 4.3, 5.5, 6.1, 6.2, 7.1, 7.4, 8.3, 8.6, 10.2, 13.2, 13.3, 17.1, 18.3, 19.1, 25.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the needs of a person with co-morbidities and complex care needs. Share your understanding of person-centred care.	In conversation with your PS/PA explain how you recognise and respond to the challenges of providing safe, effective person-centred care.	With your PS/PA critically reflect on your practice when providing safe, effective and person-centred nursing care for people who have co-morbidities and complex care needs.
7.6	demonstrate an understanding of the complexities of providing mental, cognitive, behavioural and physical care services across a wide range of integrated care settings
	The Code (NMC 2018) 4.1, 4.3, 8.1, 10.1, 17.3 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider some of the complexities of mental, cognitive, behavioural and physical care.	In conversation with your PS/PA share your understanding of the complexities of mental, cognitive, behavioural and physical care in the PLE.	In conversation with your PS/PA and in your practice, demonstrate your understanding of the complexities of mental, cognitive, behavioural and physical care in a range of PLEs.
7.7	understand how to monitor and evaluate the quality of people’s experience of complex care
	The Code (NMC 2018) 2.1, 7.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider how you can communicate with people to enable them to share their experience of care.	In conversation with your PS/PA consider the range of approaches you can use to monitor and evaluate care.	Demonstrate your understanding of how you will combine the range of approaches you can use to monitor and evaluate care to ensure a positive experience.
7.8	understand the principles and processes involved in supporting people and families with a range of care needs to maintain optimal independence and avoid unnecessary interventions and disruptions to their lives
	The Code (NMC 2018) 2.1, 2.5, 3.1, 3.3, 4.1, 4.3, 5.5, 7.1, 7.2, 7.4, 8.3, 10.2, 20.5 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider some of the principles and processes that may optimise a person’s independence.	In conversation with your PS/PA share your understanding of some of the principles and processes that enable people and families with a range of care needs to maintain optimal independence.	Demonstrate your understanding of how to optimise independence and avoid unnecessary interventions and disruptions to people’s lives.
7.9	facilitate equitable access to healthcare for people who are vulnerable or have a disability, demonstrate the ability to advocate on their behalf when required, and make necessary reasonable adjustments to the assessment, planning and delivery of their care
	The Code (NMC 2018) 3.1, 3.3, 3.4, 4.3, 7.1, 7.2, 13.2 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	Discuss with your PS/PA what equitable access to healthcare for people who are vulnerable or have a disability might be. Talk about legislation that might support you in this e.g. Mental Health (Care and Treatment) (Scotland) Act 2003.	Demonstrate how you would facilitate access to healthcare for people by advocating for them and working with their beliefs and values.	Using your professional knowledge, demonstrate and document your practice of advocating for people and making reasonable adjustments to your assessment, planning and delivery of care.
7.10	understand the principles and processes involved in planning and facilitating the safe discharge and transition of people between caseloads, settings and services
	The Code (NMC 2018) 2.3, 3.3, 4.3, 5.5, 7.1, 7.4, 8.3, 10.3, 13.2, 25.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider some of the principles and processes that may influence safe discharge or transition of care between settings and services.	In conversation and practice with your PS/PA share your understanding of some of the principles and processes that enable safe discharge and transition by participating in related activities.	Using your professional knowledge of the principles and processes, participate in and document the activities the safe discharge and transition of people between caseloads, settings and services.
7.11	demonstrate the ability to identify and manage risks and take proactive measures to improve the quality of care and services when needed
	The Code (NMC 2018) 8.6, 10.2, 14.1, 14.3, 16.1, 19.1, 19.2, 19.4, 25.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider how nurses may identify and manage risk.	In conversation with your PS/PA identify risks in the PLE and consider how these may be managed.	With your PS/PA demonstrate how you use your professional knowledge to improve quality of care and services by responding to and managing risk.
7.12	demonstrate an understanding of the processes involved in developing a basic business case for additional care funding by applying knowledge of finance, resources and safe staffing levels
	The Code (NMC 2018) 6.1, 21.3, 25.1 :EU clinical instruction Directives
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the processes involved in funding care by for example discussing the Health and Care (Staffing) (Scotland) Bill or Indicator of Relative Need processes.	In conversation with your PS/PA consider how you would participate in processes to develop a business case for additional funding for care.	Using your professional knowledge participate in activities and conversations with colleagues who are developing a basic business case for additional care funding.
7.13	demonstrate an understanding of the importance of exercising political awareness throughout their career, to maximise the influence and effect of registered nursing on quality of care, patient safety and cost effectiveness
	The Code (NMC 2018) 1.5, 2.2, 20.8
	PART 1 - Dependent	PART 2 - Developing Independence	PART 3 - Independent
	In conversation with your PS/PA consider the importance of exercising political awareness by engaging with literature from a variety of organisations, e.g. your university student union, the Nursing and Midwifery Council, The Royal College of Nursing or UNISON.	Consider how you may participate in activities that may influence and effect the role of registered nursing on quality of care, patient safety and cost effectiveness. This may be by reviewing literature, attending conferences or taking part in surveys.	Participate in conversations and activities that enable you to demonstrate your understanding of being politically aware.

SKILLS AND PROCEDURES (ANNEXES A & B)

There are communication and relationship management skills (listed first) and nursing procedures (listed second) that you must be able to safely demonstrate on entry to the NMC register. We will now refer to these as ‘skills’ and ‘procedures’. Equally, on entry to the NMC register, you must be able to undertake these skills and procedures safely and effectively in order to provide compassionate, evidence-based, person-centred nursing care. A holistic approach to the care of people is essential and all skills and procedures should be carried out in a way, which reflects cultural awareness and ensures that the safety, needs, priorities, expertise and preferences of people are always valued and taken into account.

On entry to the register, all newly registered nurses, in all fields of practice, must demonstrate the ability to provide nursing interventions and support for people of all ages, who require nursing procedures during the processes of assessment, diagnosis, care and treatment for mental, physical, cognitive and behavioural health challenges. Where a student has declared an additional support need it is essential that appropriate reasonable adjustments are made to ensure that all procedures can be undertaken safely.

As a student you will be able to observe and practise some of these skills and procedures through simulation. However, simulation should only be in exceptional circumstances and it is expected that you will be able to practise and safely demonstrate each of these skills and procedures during your practice learning experiences; you will be guided by your university regarding simulated skills as you progress through your programme. You are therefore expected, by the point of registration (the end of your programme), to have reached the level of being able to safely demonstrate each of the skills and procedures at least once in either practice or in simulation.

Communication and relationship management skills (NMC 2018a)
1. At the point of registration, the registered nurse will be able to safely demonstrate underpinning communication skills for assessing, planning, providing and managing best practice, evidence based nursing care:
Section	Skill
1.1	Actively listens, recognises and responds to verbal and non-verbal cues
1.2	Uses prompts and positive verbal and non-verbal reinforcement
1.3	Uses appropriate non-verbal communication including touch, eye contact and personal space
1.4	Makes appropriate use of open and closed questioning
1.5	Uses caring conversation techniques
1.6	Checks understanding and uses clarification techniques
1.7	Demonstrates awareness of own unconscious bias in communication encounters
1.8	Writes accurate, clear, legible records and documentation
1.9	Confidently and clearly presents and shares verbal and written reports with individuals and groups
1.10	Analyses and clearly records and shares digital information and data
1.11	Provides clear verbal, digital or written information and instructions when delegating or handing over responsibility for care

2. At the point of registration, the registered nurse will be able to safely demonstrate evidence based, best practice approaches to communication for supporting people of all ages, their families and carersin preventing ill health and in managing their care:
Section	Skill
2.1	Shares information and checks understanding about the causes, implications and treatment of a range of common health conditions including: anxiety
	depression
	memory loss
	diabetes
	dementia
	respiratory disease
	cardiac disease
	neurological disease
	cancer
	skin problems
	immune deficiencies
	psychosis
	stroke
	arthritis
2.2	Uses clear language and appropriate, written materials, making reasonable adjustments where appropriate in order to optimise people’s understanding of what has caused their health condition and the implications of their care and treatment
2. At the point of registration, the registered nurse will be able to safely demonstrate evidence based, best practice approaches to communication for supporting people of all ages, their families and carers in preventing ill health and in managing their care:
Section	Skill
2.3	Recognises and accommodates sensory impairments during all communications
2.4	Supports and manages the use of personal aids
2.5	Identifies the need for, and manages a range of alternative communication techniques
2.6	Uses repetition and positive reinforcement strategies
2.7	Assesses motivation and capacity for behaviour change and clearly explains cause and effect relationships related to common health risk behaviours including: smoking
	obesity
	sexual practice
	alcohol
	substance use
2.8	Provides information and explanation to people, families and carers, and responds to questions about their treatment and care and possible ways of preventing ill health to enhance understanding
2.9	Engages in difficult conversations, including breaking bad news and supports people who are feeling emotionally or physically vulnerable or in distress, conveying compassion and sensitivity

3. At the point of registration, the registered nurse will be able to safely demonstrate evidence based, best practice communication skills and approaches for providing therapeutic interventions
Section	Skill
3.1	Motivational interview techniques
3.2	Solution focused therapies
3.3	Reminiscence therapies
3.4	Talking therapies
3.5	De-escalation strategies and techniques
3.6	Cognitive behavioural therapy techniques
3.7	Play therapy
3.8	Distraction and diversion strategies
3.9	Positive behaviour support approaches

4. At the point of registration, the registered nurse will be able to safely demonstrate evidence-based, best practice communication skills and approaches for working with people in professional teams
Section	Skill
4.1	Demonstrate effective supervision, teaching and performance appraisal through the use of:
	4.1.1 Clear instructions and explanations when supervising, teaching or appraising others
	4.1.2 Clear instructions and check understanding when delegating care responsibilities to others
	4.1.3 Unambiguous, constructive feedback about strengths and weaknesses and potential for improvement
	4.1.4 Encouragement to colleagues that helps them to reflect on their practice
	4.1.5 Unambiguous records of performance
4.2	Demonstrate effective personal and team management through the use of:
	4.2.1 Strengths based approaches to developing teams and managing change
	4.2.2 Active listening when dealing with team members’ concerns and anxieties
	4.2.3 A calm presence when dealing with conflict
	4.2.4 Appropriate and effective confrontation strategies
	4.2.5 De-escalation strategies and techniques when dealing with conflict
	4.2.6 Effective co-ordination and navigation skills through:
	4.2.6.1 Appropriate negotiation strategies
	4.2.6.2 Appropriate escalation procedures
	4.2.6.3 Appropriate approaches to advocacy
Nursing Procedures (NMC 2018a)
Part 1: At the point of registration, the student nurse will be able to safely demonstrate procedures for assessing people’s needs for person-centred care
Section		Procedure
1. Use evidence based, best practice approaches to take a history, observe, recognise and accurately assess people of all ages:
1.1		Mental Health and wellbeing status
		1.1.1 Signs of mental and emotional distress or vulnerability
		1.1.2 Cognitive health status and wellbeing
		1.1.3 Signs of cognitive distress and impairment
		1.1.4 Behavioural distress based needs
		1.1.5 Signs of mental and emotional distress including: agitation
		aggression
		challenging behaviour
		1.1.6 Signs of self-harm and/or suicidal ideation
1.2		Physical health and wellbeing
		1.2.1 Symptoms and signs of physical ill health
		1.2.2 Symptoms and signs of physical distress
		1.2.3 Symptoms and signs of deterioration
		sepsis
Part 1: At the point of registration, the student nurse will be able to safely demonstrate procedures for assessing people’s needs for person-centred care
Section		Procedure
2. Use evidence based, best practice approaches to undertake the following procedures:
2.1		Take, record and interpret vital signs manually and via technological devices
2.2		Undertake: venepuncture
		cannulation
		blood sampling
		interpreting normal and common abnormal blood profiles and venous blood gases
2.3		Set up and manage routine electrocardiogram (ECG) investigations
2.3		interpret normal and commonly encountered abnormal traces
2.4		Manage and monitor blood component transfusions
2.5		Manage and interpret: cardiac monitors
		infusion pumps
		blood glucose monitors
		other monitoring devices
2.6		Accurately measure weight and height, calculate body mass index
2.6		recognise healthy ranges and clinically significant low/high readings
Part 1: At the point of registration, the student nurse will be able to safely demonstrate procedures for assessing people’s needs for person-centred care
Section		Procedure
2.cont/ Use evidence based, best practice approaches to undertake the following procedures:
2.7		Undertake a whole body systems assessment including: respiratory
		circulatory
		neurological
		musculoskeletal
		cardiovascular
		skin status
2.8		Undertake chest auscultation and interpret findings
2.9		Collect and observe specimens, undertaking routine analysis and interpreting findings: sputum
		urine
		stool
		vomit
2.10		Measure and interpret blood glucose levels
2.11		Recognise and respond to signs of all forms of abuse

Part 1: At the point of registration, the student nurse will be able to safely demonstrate procedures for assessing people’s needs for person-centred care
Section	Procedure (may be appropriate to attain at a higher level for the different fields)
2.cont/ Use evidence based, best practice approaches to undertake the following procedures:
2.12	Undertake, respond to and interpret neurological observations and assessments
2.13	Identify and respond to signs of: deterioration
2.13	sepsis
2.14	Administer basic mental health first aid
2.15	Administer basic physical first aid
2.16	Recognise and manage, providing appropriate basic life support seizures
	choking
	anaphylaxis
2.17	Recognise and respond to challenging behaviour, providing appropriate safe holding and restraint

Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
3. Use evidence based, best practice approaches for meeting the needs for care and support with rest, sleep, comfort and the maintenance of dignity, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions
3.1	Observe and assess comfort and pain levels and rest and sleep patterns
3.2	Use appropriate bed-making techniques including those required for people who are unconscious or who have limited mobility
3.3	Use appropriate positioning and pressure-relieving techniques
3.4	Take appropriate action to ensure privacy and dignity at all times
3.5	Take appropriate action to reduce or minimise pain or discomfort
3.6	Take appropriate action to reduce fatigue, minimise insomnia, support improved rest, and sleep hygiene

Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
4. Use evidence based, best practice approaches for meeting the needs for care and support with hygiene and the maintenance of skin integrity, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
4.1	Observe, assess and optimise skin and hygiene status and determine the need for support and intervention
4.2	Use contemporary approaches to the assessment of skin integrity and use appropriate products to prevent or manage skin breakdown
4.3	Assess needs for and provide appropriate assistance with washing, bathing, shaving and dressing
4.4	Identify and manage skin irritations and rashes
4.5	Assess needs for and provide appropriate care and decide when an onward referral is needed for: oral care
	dental care
	eye care
	nail care
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
4. cont/ Use evidence based, best practice approaches for meeting the needs for care and support with hygiene and the maintenance of skin integrity, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
4.6	Use aseptic techniques when undertaking wound care including: dressings
	pressure bandaging
	suture removal
	vacuum closures
4.7	Use aseptic techniques when managing wound and drainage processes
4.8	Assess, respond and effectively manage pyrexia
4.8	hypothermia
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
5. Use evidence based, best practice approaches for meeting the needs for care and support with nutrition and hydration, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
5.1	Observe, assess and optimise: nutrition status and determine the need for intervention and support
5.1	hydration status and determine the need for intervention and support
5.2	Use contemporary nutritional assessment tools
5.3	Assist with feeding and drinking and use appropriate feeding and drinking aids
5.4	Record fluid intake and output and identify, respond to and manage dehydration or fluid retention
5.5	Identify, respond to and manage nausea and vomiting
5.6	Insert oral/nasal/gastric tubes
	manage oral/nasal/gastric tubes
	remove oral/nasal/gastric tubes

Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
5. cont/ Use evidence based, best practice approaches for meeting the needs for care and support with nutrition and hydration, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
5.7	Manage artificial nutrition and hydration using: oral
	enteral
	parenteral routes
5.8	Manage the administration of IV fluids
5.9	Manage fluid and nutritional infusion pumps and devices.
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
6. Use evidence based, best practice approaches for meeting the needs for care and support with bladder and bowel health, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
6.1	Observe and assess level of urinary and bowel continence to determine the need for support and intervention assisting with toileting, maintaining dignity and privacy and managing the use of appropriate aids
6.2	Select and use appropriate continence products; insert, manage and remove catheters for all genders; and assist with self-catheterisation when required
6.3	Manage bladder drainage
6.4	Assess bladder and bowel patterns to identify and respond to constipation, diarrhoea and urinary and faecal retention
6.5	Administer enemas and suppositories and undertake rectal examination and manual evacuation when appropriate
6.6	Undertake stoma care identifying and using appropriate products and approaches
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
7. Use evidence based, best practice approaches for meeting the needs for care and support with mobility and safety, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
7.1	Observe and use evidence-based risk assessment tools to determine need for support and intervention to optimise mobility and safety, and to identify and manage risk of falls using best practice risk assessment approaches
7.2	Use a range of contemporary moving and handling techniques and mobility aids
7.3	Use appropriate moving and handling equipment to support people with impaired mobility
7.4	Use appropriate safety techniques and devices
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
8. Use evidence based, best practice approaches for meeting the needs for respiratory care and support, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
8.1	Observe and assess the need for intervention and respond to restlessness, agitation and breathlessness using appropriate interventions
8.2	Manage the administration of oxygen using a range of routes and best practice approaches
8.3	Take and interpret peak flow and oximetry measurements
8.4	Use appropriate nasal and oral suctioning techniques
8.5	Manage inhalation, humidifier and nebuliser devices
8.6	Manage airway and respiratory processes and equipment

Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
9. Use evidence based, best practice approaches for meeting the needs for care and support with the prevention and management of infection, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
9.1	Observe, assess and respond rapidly to potential infection risks using best practice guidelines
9.2	Use standard precautions protocols
9.3	Use effective aseptic, non-touch techniques
9.4	Use appropriate personal protection equipment
9.5	Implement isolation procedures
9.6	Use evidence-based hand hygiene techniques
9.7	Safely decontaminate equipment and environment
9.8	Safely use and dispose of waste, laundry and sharps
9.9	Safely assess and manage invasive medical devices and lines
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
10. Use evidence based, best practice approaches for meeting the needs for care and support at the end of life, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
10.1	Observe, and assess the need for intervention for people, families and carers, identify, assess and respond appropriately to uncontrolled symptoms and signs of distress including: pain
	nausea
	thirst
	constipation
	restlessness
	agitation
	anxiety
	depression
10.2	Manage and monitor effectiveness of symptom relief medication, infusion pumps and other devices
10.3	Assess and review preferences and care priorities of the dying person and their family and carers
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
10. cont/ Use evidence based, best practice approaches for meeting the needs for care and support at the end of life, accurately assessing the person’s capacity for independence and self-care and initiating appropriate interventions.
10.4	Understand and apply: organ and tissue donation protocols
	advanced planning decisions
	living wills and health and lasting powers of attorney for health
10.5	Understand and apply DNACPR (do not attempt cardiopulmonary resuscitation) decisions and
10.5	verification of expected death
10.6	Provide care for the deceased person and the bereaved respecting cultural requirements and protocols
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
11. Procedural competencies required for best practice, evidence-based medicines administration and optimisation.
11.1	Carry out initial and continued assessments of people receiving care and their ability to self-administer their own medications
11.2	Recognise the various procedural routes under which medicines can be prescribed, supplied, dispensed and administered; and the laws, policies, regulations and guidance that underpin them
11.3	Use the principles of safe remote prescribing and directions to administer medicines
11.4	Undertake accurate drug calculations for a range of medications
11.5	Undertake accurate checks, including transcription and titration, of any direction to supply or administer a medicinal product
11.6	Exercise professional accountability in ensuring the safe administration of medicines to those receiving care
11.7	Administer injections using the following routes and manage injection equipment: intramuscular
	subcutaneous
	intradermal
	intravenous
11.8	Administer medications using a range of routes
Part 2: At the point of registration, the student nurse will be able to demonstrate safely, procedures for the planning, provision and management of person-centred nursing care
Section	Procedure
11. cont/ Procedural competencies required for best practice, evidence-based medicines administration and optimisation.
11.9	Administer and monitor medications using vascular access devices and enteral equipment
11.10	Recognise and respond to adverse or abnormal reactions to medications
11.11	Undertake safe storage, transportation and disposal of medicinal products