Continuing CompetenceFor North Carolina Nurses

Continuing CompetenceFor North Carolina Nurses

OBJECTIVESOBJECTIVES

Describe the NCBON Reflective Practice Model of Continuing Competence

Discuss Implementation and Compliance with Continuing Competence Requirements.

WHY is Continuing Competence important to the NC Board of Nursing?

WHY is Continuing Competence important to the NC Board of Nursing?

Public protection Regulatory function Assure patient safety Road to improving quality of nursing

care

Background Timeline Background Timeline

1998 – 1999: Initiative & stakeholders 2001- 2005 : Development & pilot 2005: Legislation & Rules enacted July 1, 2006: Implementation July 1, 2008: Audits July 1, 2011: Evidence; license issued

Continuing Competence Requirements for License Renewal and Reinstatement

Continuing Competence Requirements for License Renewal and Reinstatement

Law and Rules apply to ALL NC nurses – RN, LPN, and APRN

A Reflective Practice Approach for Continuing Competence

A Reflective Practice Approach for Continuing Competence

Individual responsibility Routine periodic self

assessment Identify strengths and

opportunities for continued growth

Implement personal learning plan

Continuing CompetenceContinuing Competence

“. . . the ongoing acquisition and application of knowledge and the decision-making, psychomotor, and interpersonal skills expected of the licensed nurse resulting in nursing care that contributes to the health and welfare of clients served”

Reflective PracticeReflective Practice

“ . . . is a process of assessing one’s own nursing practice to identify and seek learning opportunities to promote continuing competence”

A B C D A B C D

Assess personal practice Based on standards Collect feedback Develop and implement a

learning plan and select learning activity for demonstration of continuing competence

A --- Self Assessment A --- Self Assessment

Assess the following four dimensions of practice:

1) Professional responsibility 2) Knowledge based practice3) Legal/ethical practice4) Collaborating with others

Dimension Worksheets are available on BON website – OR you may choose to use your own forms

B ---Based on applicable standards

B ---Based on applicable standards

Think of the standards that apply to your practice–

Nursing law and rules (apply to everyone) Employer policies Accreditation Standards Certification Standards Specialty organizational standards

Example of Self-AssessmentExample of Self-Assessment

1 2 3 4 5

I use evidence, such as research find-ings and current clinical expertise, to base decisions relevant to my practice. 21 NCAC 36.0224(a)&(b) and .0225(a)&(b)

X

2.4 from Knowledge based practice

C --- Collect FeedbackC --- Collect Feedback

Collect feedback about your practice from others

This could include people having knowledge of your practice, such as your supervisor, peers or other colleagues, individuals you may supervise, patients or patient family members, nursing students, etc.

Example of Self-AssessmentExample of Self-Assessment

1 2 3 4 5

I use evidence, such as research find-ings and current clinical expertise, to base decisions relevant to my practice. 21 NCAC 36.0224(a)&(b) and .0225(a)&(b)

X

2.4 from Knowledge based practice

D --- Develop a Learning PlanD --- Develop a Learning Plan

Based on your assessment, identify strengths and areas to develop in your practice

Next, identify one or more goals for improving your practice

Then, choose a learning activity from the 8 Board approved options

Learning Plan Template is available on website – OR you may use your own format

ImplementationImplementation

At the time of license renewal or reinstatement, ALL licensees are required to complete the process of self assessment, develop a learning plan, select an approved learning activity, and implement their plan!!

Acceptable Learning ActivitiesAcceptable Learning Activities

1) National certification

2) 30 hrs of CE

3) Refresher Course

4) Academic education

5) 15 hrs of CE + project

6) 15 hrs of CE + publication

7) 15 hrs of CE + presentation

8) 15 hrs of CE + 640 hrs active practice

Choose ONEof these options

Option 1Option 1

National Certification or re-certification related to the nurse’s practice role by a national credentialing body recognized by the Board

Option 2Option 2

Thirty (30) contact hours of continuing education activities related to the nurse’s practice

Note: one contact hour= 60 minutes

Option 3Option 3

Completion of a Board approved refresher course

Option 4Option 4

Completion of a minimum of two (2) semester hours of post-licensure academic education related to nursing practice

Option 5Option 5

Fifteen (15) contact hours of continuing education and completion of a nursing project as principal or co-principal investigator

Option 6Option 6

Fifteen (15) contact hours of continuing education and authoring or co-authoring a published nursing-related article, paper, book or book chapter

Option 7Option 7

Fifteen (15) contact hours of continuing education and designing, developing, and conducting a professional presentation or presentations totaling 5 contact hrs

Option 8Option 8

Fifteen (15) contact hours of continuing education and 640 hours of active practice within the previous two years

Prorated CE HoursProrated CE Hours

Recognized CE providersRecognized CE providers

Any provider recognized by a national credentialing body that offers certification in nurse’s specialty area of practice

Any provider recognized by a national credentialing body offering certification to advanced practice nurses

Recognized CE providersRecognized CE providers

NCNA or any other state nurses association

ANA NLN NFLPN NAPNES NC AHEC

NC BON or any other state board of nursing

NCSBN Employer

sponsored ( up to 50% of requisite hours)

Other professional CE for health professionals

Unacceptable CEUnacceptable CE

Offerings for lay persons Offering less than 30 minutes On-the-job orientation On-the-job training related to

policies, procedures or equipment Other non professional educational

activities

Accountability Accountability

At the time of license renewal or reinstatement, ALL licensees are required to attest to having complied with the requirement for Continuing Competence

Licensees are randomly selected for audit and are asked to submit evidence of completion of one of the approved learning activities

AccountabilityAccountability

Effective July 1, 2011 Licenses not issued until

requirement met Renewal – Inactive Status Reinstatement – not issued

Accountability When AuditedAccountability When Audited

Complete all requirements Submit evidence of requirements by

the 20th of the renewal month Correct address Individual responsibility

Privacy of DocumentsPrivacy of Documents

If audited, nurses submit documentation validating completion of selected learning activity

Self-assessment and learning plan are personal documents

Contact InformationContact Information

www.ncbon.com

Continuing Competence@ncbon.com

919-782-3211 ext 281