Tuesday, December 10, 2019
Nursing and Midwifery Board of Australia- MyAssignmenthelp.com
Question: Discuss about theNursing and Midwifery Board of Australia. Answer: Introduction Primarily, the NMBA which stands for the Nursing and Midwifery Board of Australia carries out its work as set by the national law that regulates health care practitioners. Without this board in place, it would be difficult to control the registration of nurses and midwives to ensure that they meet the minimum requirements before they are enlisted for registration. This paper explains how the NMBA registration standards relate to future practice as an enrolled nurse. NMBA Registration Standards Continuous Professional Development In essence, Continuous Professional Development (CPD) refers to the mechanism through which members of the health care department, particularly the nurses and midwives can enhance the sustenance, development, and the expansion of their individual knowledge, competency, expertise, and finally the development of professional as well as personal qualities that are mandatory throughout their specialists life (Taylor, 2015). CPDs standards are set out in a way that it is directly applicable to both the midwives and nurses context of practice, whereby the NMBA reserves the duty of giving exemptions in personal cases (Ross, Barr, Stevens, 2013). The CPD's requirements are that registered and enrolled nurses, as well as midwives, must take part in at least twenty hours per year of continuing professional development. This standard relates to my future practice as an enrolled nurse because every time of active participation in CPD has the effect of improving my learning. Criminal History By definition, criminal history refers to each conviction pertaining to an individuals offense, elsewhere or in a participating jurisdiction (Scanlon et al., 2012). This is the registration standard that sets out the National Boards factors which are considered in making decisions on whether the criminal history of a health practitioner applies to the practice of their specialty as speculated under the national law enforced in any territory or state. In deciding that the nurses or midwives criminal history emerges as relevant to their professional practice, the NMBA has a number of considerations (Scanlon et al., 2016). It has to consider the gravity and the nature of an offense or any criminal allegations. This registration standard looks at the period elapsed since the health care professional committed or accused of an allegation, and it also looks at the behavior of such an individual to ensure that there is no threat of such act happening again. This registration standard relates to my future practice as an enrolled nurse. It helps to enlighten me on how I should conduct myself during the period of practice in which I have to be keen on what I am doing to avoid committing any criminal offense as this might affect my enrollment. English Language This is the registration standard that gives an outline of the requirements for the demonstration of a practitioners English skills that are relevant for nurses and midwives registration in their specific health profession. The NMBA registration has three English language proficiency standards, the first one being the common standard relevant to be applied to 12 professions. The second is the nursing and midwifery standard, and the last is the Aboriginal as well as the Torres Strait Islander standard of health practice. English language skills give an explanation on how to provide the evidence required to fit the standard of nursing and midwifery in Australia. According to this registration standard, one must make English as the primary language irrespective of educational backgrounds. In essence, this registration standard relates to my future practice as an enrolled nurse since I have to know that the primary language for communication in a health care setting is English Language a nd I have to maintain a certain standard. Professional Indemnity Any health practitioner who is registered must not practice in a specific professional in which their registration is based upon unless apt PII (Professional Indemnity Insurance) arrangements are brought into force in regards to individual practice (Nursing Council, 2012). The Nurses and Midwifery Board of Australia requires enrolled, registered, and nurse practitioners as well as midwives with a valid insurance cover to hold it in their own names besides retaining something to prove evidence of their insurance. The arrangements of professional indemnity are usually provided either through a public or private employer, membership of a specialist body, obtained contract of insurance, or the above combined (Nursing Council, 2014). This registration standard relates to my future practice as an enrolled nurse because it contains the requirements of how to arrange my professional indemnity and how to stop it when I cease from practice. Recency of Practice Evidently, this is the registration standard that sets out the minimum requirements that are applicable to enrolled nurses, registered nurses, and midwives. It also applies to applicants for a midwife or an enrolled nurse or registered nurse beside those midwives and nurses seeking to register for an endorsement. In totality, the fulfillment of the recency of practice by the nurses and midwives happens when a health care professional has completed a minimum of 450 hours in a duration of five years (Jacob, Sellick, McKenna, 2012). A nurse or a midwife must have completed a program where the boa wasrd approved the assessment. This registration standard relates to my future practice as an enrolled nurse. This is based on the reason that failure to adhere to the registration's minimum requirements set out by the board can lead to the refusal of my application. Scenario Immediate Actions Nasogastric tubes are important scientific devices for feeding patients with acute problems that make normal eating to be difficult. First of all, my immediate actions before the start of the replacement process will involve consulting my seniors who we might be working in the same department. After making several readings to refresh what was learned while in the institution, there is need to practice hand hygiene. Hand washing is one of the most fundamental practices that must be observed during the replacement of the Nasogastric tube. An enrolled nurse has to be aware of his or her actions to avoid committing any legal offense that can cause non-registration or permanent prohibition from practice (Xu, 2011). The immediate action that follows after this is checking the room to look for additional precautions. Ideally, personal introduction to the patient is particularly important when I want to approach a client to know the nature of the procedure from the replacement of an NG tube to insertion. As part and parcel of the immediate actions to carry out the replacement and insertion of the nasogastric tube, it is important for an enrolled nurse to check for vital signs. Identified Learning Skills My identified learning skills, as well as the knowledge that I need to review to be able to carry out the task safely, involves the refreshment of various literature through reading. Insertion techniques of the nasogastric tube are the identified learning need. The tubes are in most cases inserted by the nurses practitioners or registered nurses or by a junior doctor who only performs the task to a patient by the bedside. To be able to handle this matter appropriately, English language skills as per the Nursing and Midwifery Board of Australia (NMBA) registration requirements needs that at least three of the standards are attained by the enrolled nurse preparing to replace and insert a nasogastric tube (NMBA, 2017). The registration standards ensure that no health care practitioner's behavior is questionable to the extent of inciting a potential threat that may affect the operational efficacy of the sector. I have to know the exact measurement starting from the noses tip to a certain point that is supposedly halfway the length between the umbilicus and the xiphoid (Meyer et al., 2009). Knowing this would make an enrolled nurse to give an estimate of the required distance. During the replacement of the tube, the chosen NG is lubricated at the tip through the smearing of aqua gel. This is to ensure that no difficulties are encountered during insertion. As such, this is all the identified learning needs I can review before the start of the procedure. By employing the continuous professional development registration requirements, I am able to focus on health care duties that add value to my practice as a graduate enrolled nurse. In essence, this identified learning skills will make the entire process of replacement and insertion of the nasogastric a success. Learning Activities Decision making is one of the activities that health care practitioners must perfect to ensure that they consciously handle matters of health to avoid the occurrence of malpractices that may subject a professional to legal action (Jensen, Croskerry, Travers, 2009). The other activity is a continuous reading of primary literature found in the nursing library databases accessed either online or in physical libraries within the country. The replacement of nasogastric tube and insertion requires one to have the ability to make sound decisions that are applicable to the context herein. The learning activities or opportunities that I need to undertake to perform this skill in future is that every hour that I spend while handling the task adds value to my performance because consistent practice makes perfected work. This is where the application of Continuing Professional Development sets in as the most relevant registration standard alongside the decision making framework (Moxham, 2012). Health care providers are supposed to bolster their flexibility when it comes to decision making that enables them to know the right practitioner to refer a patient to for him poor her to receive the needed treatment. This is in a bid to ensure total adherence to the rules and regulations that govern the registration of nurses and midwives in Australia without forgetting enrolled nurses in a nations scheme that does not include students or fresh graduates from Australian institutions offering healthcare disciplines. Conclusion The registration of nurses, as well as midwives in Australia, is one of the key steps towards improving the quality of service delivered to the patients. Through CPD, criminal history, English language skills, professional indemnity insurance, and recency of practice, it is possible to gauge whether a professional can continue with service or can be prompted to stop following a legal order. As an enrolled nurse, equipment with excellent decision-making skills is one of the steps geared towards the improvement of patients' satisfaction. References Jacob, E., Sellick, K., McKenna, L. (2012). Australian registered and enrolled nurses: Is there a difference?. International journal of nursing practice, 18(3), 303-307. Jensen, J. L., Croskerry, P., Travers, A. H. (2009). Paramedic clinical decision making during high acuity emergency calls: design and methodology of a Delphi study. BMC emergency medicine, 9(1), 17. Meyer, P., Henry, M., Maury, E., Baudel, J. L., Guidet, B., Offenstadt, G. (2009). Colorimetric capnography to ensure correct nasogastric tube position. Journal of critical care, 24(2), 231-235. Moxham, L. (2012). Nurse education, research and evidence-based practice. Nursing and Midwifery Board of Australia - Guidelines: Continuing professional development. (2017). Nursingmidwiferyboard.gov.au. Retrieved 31 May 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines/Guidelines-cpd.aspx Nursing, A., Council, M. A. (2012). Registered nurse accreditation standards 2012. Canberra: ANMAC. Nursing, A., Council, M. A. (2014). Midwife accreditation standards 2014. Canberra, ACT: ANMAC. Ross, K., Barr, J., Stevens, J. (2013). Mandatory continuing professional development requirements: what does this mean for Australian nurses. BMC nursing, 12(1), 9. Scanlon, A., Cashin, A., Bryce, J., Kelly, J. G., Buckely, T. (2016). The complexities of defining nurse practitioner scope of practice in the Australian context. Collegian, 23(1), 129-142. Scanlon, A., Cashin, A., Watson, N., Bryce, J. (2012). Advanced nursing practice hours as part of endorsement requirements for nurse practitioners in Australia: A definitional conundrum. Journal of the American Academy of Nurse Practitioners, 24(11), 649-659. Taylor, S. (2015). Pediatric Nurses' Perceptions of Continuing Professional Development Opportunities. Xu, Y. (2011). A comparison of regulatory standards for initial registration/licensure of internationally educated nurses in the United Kingdom, Australia, Canada, and the United States. Journal of Nursing Regulation, 2(3), 27-36.