In this guide
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 identify 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.
Outcomes
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The proficiencies identified below will equip the newly registered nurse with the underpinning knowledge and skills required for their role in assessing and initiating person-centred plans of care.
At the point of registration, the registered nurse will be able to:
3.1demonstrate and apply knowledge of human development from conception to death when undertaking full and accurate person-centred nursing assessments and developing appropriate care plans
3.2demonstrate 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
3.3demonstrate 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
3.4understand 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
3.5demonstrate 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
3.6effectively assess a person's capacity to make decisions about their own care and to give or withhold consent
3.7understand and apply the principles and processes for making reasonable adjustments
3.8understand 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
3.9recognise 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
3.10demonstrate the skills and abilities required to recognise and assess people who show signs of self-harm and/or suicidal ideation
3.11undertake routine investigations, interpreting and sharing findings as appropriate
3.12interpret results from routine investigations, taking prompt action when required by implementing appropriate interventions, requesting additional investigations or escalating to others
3.13demonstrate an understanding of co-morbidities and the demands of meeting people's complex nursing and social care needs when prioritising care plans
3.14identify 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
3.15demonstrate 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
3.16demonstrate knowledge of when and how to refer people safely to other professionals or services for clinical intervention or support.
