NMBA Legislated Registration for Proficiency - MyAssignmenthelp

Question: Discuss about theNMBA Legislated Registration Standardsfor Proficiency. Answer: Introduction The Nursing and Midwifery Board of Australia (NMBA) is a professional body that is charged with qualifying, assessing and approving nurses and midwifes who apply to practice in Australia with such organizations as the Australian Nursing Federation (ANF). The NMBA according to Gray, Rowe and Barnes, (2016) provides protection to the members of the general public by ensuring that the nurses and midwifes who are approved for practice are competent and consistent with the laws and standards of the nursing and midwifery practice. NMBA ensures this through several legislated registration standards as discussed in this paper. Apart from the students and the non practicing registrants, the NMBA registration standards are applicable to all of the nurses and midwives in Australia. The NMBA registration standards were formulated in regard to the health practitioner regulation law of 2009 which ensures that all registered health workers meets the professional competency requirements. The registration standards are important in that they ensure safety in health operations along with several core values such as transparency and equality in the practice. Apart from the registration standards, there are also several policies that are used to qualify workers who had a leave from work considering that nursing and midwifery is a female dominated field who often take occasional maternal leaves. Registration Standard: Continuing Professional Development The continuing professional development standard takes into account how nurses and midwifes uphold, advance and widen their awareness, proficiency and handiness. This takes into account even the various personal and individual professional values that one needs to develop and use in their lifetime as health practitioners in the nursing and midwifery field. The CPD standards takes into account the number of hours that one can be allowed to take up for personal development and the number of hours these people need to work (Scanlon, et al 2016). The NMBA under the continuous professional development also provides for auditing which takes place after a specified period of about 5 years. People who seem to be incompetent with the continuous development standard are stopped from practicing as healthcare professionals. This standard would apply to me in the near future as I would still want to pursue an advanced degree in midwifery, child development and maternal health. The CPD standards also help in planning and balancing career and other personal interests in distinct fields. Registration Standard: Criminal History Halcomb, et al (2017) explains that all applicants wishing to practice as nurses in Australia must disclose all information regarding to their criminal history either in Australia or in other countries. They must give information as to whether they have been accused of any offense that deserved a term of more than 12 months and whether they have ever been sentenced or discovered liable of an offense deserving of detainment in Australia or potentially abroad. This information is considered important to guarantee just those medical nurses and midwifes who are reasonable and safe to practice are conceded enrollment in Australia. There however finer details stipulated in the criminal history regulation that ascertains the nature and magnitude of crimes that one has committed in their lifetime, the period after which one was convicted, the sentence or verdict passed by the jury, the age at which the practitioner is said to have committed the crime and the practitioners behavior since the offence. This regulation standard would help in determining the likelihood of threat that workers may impose and to guide my character relating to the profession requirements. It also helps to remain consistent with constitutional laws as their effects are far fetching and would guarantee termination of my career. Registration Standard: English Language The English language registration standard maintains that applicants whether aboriginal or immigrant should show mastery of the English language communication skills. The individual should have relevant skills both in writing and communicated English. One must fully satisfy that he or she has undergone the primary and secondary English classes and has fully completed and passes in the English language. One should also provide documents acting as proof that the course of the practice he or she is applying for was taught and assessed in English. According to Small, et al (2016) this would help me in communication with staff and patients and ensuring unity of purpose in the activities. It also boosts counseling activities and advisory in a language that is relevant to the patient. Proficiency in the English language will also act as proof that one competent in the medical term and language of identification and medical procedures. Registration Standard: Professional Indemnity Nurses and midwives are barred from operating if they dont have the appropriate professional indemnity insurance (PII) that relates to their area of professional expertise. This helps to protect the members of the general public from being misled by uninsured professionals. PII provides the necessary legal insurance against civil liability in the professional practice in order to cater for claims or charges of negligence, omission or a professional malpractice. Professional indemnity would help me to get cover from civil claims and to get a job both with the government and private based institutions. The PII would also serve to shield from uncovered claims that may arise from a previous practice. It would also cover me from reinstatement and also help in maintaining morals in ethics in the practice to avoid losing the personal indemnity insurance as Middleton, et al (2016) explains. Registration Standard: Recency of Practice Under the recency of practice, NMBA ensures that all applicants and all people practicing the profession have successfully completed a registered course under NMBA and is registered with a nursing or midwifery regulatory authority. This registration standard also ensures that the roles that one performs are relevant with the education and experience that one has and it also ensures that one has completed a period of supervised practice with NMBA. The standard also ensures that one has had not less than 450 hours of practical experience (Edmonds, et al 2016). This registration standard relates to my future practice in that I must ensure that I undergo and complete the course successfully and at least attain minimum requirements of operation. It also would help me to consistently deal with nursing and midwifery activities only at the place of work. Summary of the Scenario After working for 10 weeks as a graduate enrolled nurse, you are in an acute medical ward and you have been asked to insert and replace a nasogastric tube that has become blocked. You have not performed or witnessed this since the laboratory integrated skills class. Immediate Actions The immediate actions would on the risk factors that might pose a risk on the insertion of the nasogastric tube and the existing NMBA regulations. The practice should always be consistent with the professional indemnity regulation standard among the other laws. However other factors such as medical conventions of moral courage, transformational leadership and consistency to the Hippocratic Oath should be considered as a priority. In case of unsure course of action, due consideration and consultation is necessary in order to provide the best care in handling the replacement. Birks, et al (2016) explains that some of the main immediate actions include checking for any ear, throat or nose abnormal conditions that may threaten the life of the patient. The oesophageal varices strictures that may make it hard to perform the operation. Lastly, anatomical abnormalities and the risk of aspiration should also be consistently checked to ensure the success of the insertion and replacement. However, on normal cases, such risks are considerably minimal. If at one given time it appears so difficult, I would consider attending some refreshing classes in order to gain some competence. Identified Learning Needs The skills and knowledge that should be very essential in performing this operation include the skills of measuring, cutting and lubricating the tube. Proper identification of the type of tube is also very necessary. The medical practitioner should also be in a position to assess the age of the child and thus easily identify the correct measurement necessary for the child. Careful insertion of the tube also demands that the health practitioner has the relevant skills such as making the child to sit upright which in turn helps to avoid some of the critical conditions such as breathing difficulties, vomiting or coughing. The medical practitioner also requires having sufficient knowledge of the gastrointestinal tract, the digestion process and absorption of the digested food. It is also required that the practitioner is able to inform the patient on the procedure of insertion and the reasons for the operation to the patient. This in turn demands that the medical professional has this relevant knowledge in order to fully and sufficiently explain to the patient. The medical practitioner should then have the necessary knowledge of verifying in the tube has been correctly placed such as the PH test (Boyko, et al 2016). Learning Activities that Necessitate a Successful Performance of the Skill in Future In order to successfully perform the insertion correctly in future, one needs to undertake various learning activities. The learning activities are centered in line with the continuous professional development of the nurse or midwife. The various learning activities include the indications for the practice. The indications may be either to relieve the upper part of the tract, to feed to child or both. This may not influence any differences in the operation but it provides the comprehensive framework on why the replacement and insertion is necessary. According to Schultz and Gtz, (2016) other activities that the nurse needs to revisit include gaining the consent from the patients, the knowledge of measuring and identifying several sizes that best fit the patient. The preparation and insertion techniques are also of great essence in order to guarantee a successful future operation. Lastly, the verification of the correct positioning which is conducted using the PH tests, chest x-ray or the syringe test is then very essential to avoid inconveniences. Conclusion In conclusion, it is of great essence to point out that nurse and midwifes need to be consistent with the NMBA regulation standards in their day to day operations. The use of English language, professional indemnity and continuous professional development among others and they also need to follow the decision-making framework. This helps to challenge various obstacles in the field and give the correct and consistent medication to patients with minimal defects. Refrerences Birks, M., Davis, J., Smithson, J., Cant, R. (2016). Registered nurse scope of practice in Australia: an integrative review of the literature.Contemporary Nurse,52(5), 522-543. Boyko, J. A., Carter, N., Bryant?Lukosius, D. (2016). Assessing the spread and uptake of a framework for introducing and evaluating advanced practice nursing roles.Worldviews on Evidence?Based Nursing,13(4), 277-284. Edmonds, L., Cashin, A., Heartfield, M. (2016). Comparison of Australian specialty nurse standards with registered nurse standards.International nursing review. Gray, M., Rowe, J., Barnes, M. (2016). Midwifery professionalisation and practice: Influences of the changed registration standards in Australia.Women and Birth,29(1), 54-61. Halcomb, E., Stephens, M., Bryce, J., Foley, E., Ashley, C. (2017). The development of professional practice standards for Australian general practice nurses.Journal of Advanced Nursing. Middleton, S., Gardner, A., Della, P. R., Lam, L., Allnutt, N., Gardner, G. (2016). How has the profile of Australian nurse practitioners changed over time?.Collegian,23(1), 69-77. 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. Schultz, J. S., Gtz, K. (2016). 4 Collaborative decision-making.Ethics and Professionalism in Healthcare: Transition and Challenges, 39. Small, K., Sidebotham, M., Fenwick, J., Gamble, J. (2016). Midwifery prescribing in Australia.Australian Prescriber,39(6), 215.