Queen's Nursing Institute

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Name……………………………………… Assessor………………………………………………………….Role / Band………………………………. Level of competency expected of role = 3 Competency: Vitamin B12 (Hydroxocobalamin) injection administrationCompetency Statement: To ensure the Assistant Practitioner can administer Vitamin B12 injection safely and correctly in line with the patient’s plan of care Initially please self-assess your current level of competence in relation to the competency statements outlined. You may feel that you are at different levels for different components of this competency. Initial and date where you feel that you are for each statement. This information will help you focus your learning needs. Agree with your assessor a timeframe to complete the competency. At the end of this period reassess your competence and ask your assessor to do the sameComplete self-assessment regarding this competency on day 1At agreed date re-assess your level of knowledge / skills / attitudeAssessor to indicate level of competency achieved at negotiated end pointCompetence to be reviewed at Annual Personal Development ReviewLink to KSF dimensions and levels1.Understands basic principles2.Consistently able to demonstrate principles and apply to practice3.Safe to practice unsupervisedNegotiated timeframe for successful completionKnowledge requiredShows a clear knowledge and understanding of the individual patient’s care plan and in particular any specific risk assessments regarding the administration of injectable medicinesUnderstands why Vitamin B12 injection is given and its effects on the bodyUnderstands the possible side-effects of Vitamin B12 injectionRecognises the importance of timely administration of Vitamin B12 injectionUnderstands the importance of accurate and comprehensive documentation and record keepingUnderstands the serious nature of Vitamin B12 related patient safety incidents, knows how to report them and how to take corrective actionsUnderstands the correct disposal of sharps wasteUnderstands what to do in the event of a needlestick injury and the importance of using safer sharpsUnderstands the storage requirements for Vitamin B12Skills requiredIs able to use the correct technique for administration of Vitamin B12Can recognise changes in the clinical condition which would contraindicate administration of Vitamin B12Records information accurately and correctly in the recordsRecords on RiO and in team systems, when next Vitamin B12 injection is dueAttitude/Behaviour requiredIs sensitive in approach to patients and family when administering Vitamin B12Is aware of own responsibility when administering Vitamin B12Is able to identify how the privacy and dignity of the patient can be maintained and promoted whilst administering Vitamin B12Understands the potential harm of Vitamin B12 maladministration, and can describe all measures that they could take as additional safeguards, to prevent incident occurrence ApplicationAny patient who is on established B12 dose, where Named Nurse has completed holistic and risk assessments, and careplans, including standardised B12 injection careplanIf patient is only on DN caseload for B12 injections, then Registered Nurse must visit alternate visitsLearning requiredMust have completed:Adrenaline for anaphylaxis competency successfullyResuscitation and anaphylaxis trainingAP Medicines Management trainingInjection technique trainingInjection competencyAssessment of competenceOnce registered nurse is satisfied that AP is competent with this patient, has met all the training requirements and has obtained level 3 in all aspects of this competency, the AP can begin to practice unsupervised with that patientOther resourcesRelated Policies Medicines Management Policy MM01:(MM01)%20Feb2012.pdfIncident reporting policy RMHS1:(inc%20Health%20and%20Safety)/Incident%20Reporting%20and%20Management%20Policy%20Incident%20Reporting%20SIRI%20Procedure%20(RMHSI).pdfInfection Control policy IF1: (from%201st%20April%202011)/Trust%20Wide%20Clinical%20Policies/Infection%20Control/IF1%20Infection%20Control%20May2011.pdfConsent to Treatment CP1:(from%201st%20April%202011)/Trust%20Wide%20Clinical%20Policies/Consent%20to%20Treatment%20(CP19)%20Dec2010.pdfClinical Risk Assessment and Management CP16(from%201st%20April%202011)/Trust%20Wide%20Clinical%20Policies/Clinical%20Risk%20Assessment%20and%20Management%20(CP16).pdfMedical Devices Management Policy and Procedures CP08(from%201st%20April%202011)/Trust%20Wide%20Clinical%20Policies/Medical%20Devices%20Policy%20and%20Guidelines%20(CP08).pdfPrivacy and Dignity CP51:(from%201st%20April%202011)/Trust%20Wide%20Clinical%20Policies/Privacy%20and%20Dignity%20(CP51).pdf,The policies identified within this competency framework are not exhaustive and clinicians should have a working knowledge of all relevant polices for required competency Home - Policies & ProceduresLinks to Care Quality Commission Outcomes : 1, 2, 4,7,8,11,12, 14, 16Clinicians CommentsAssessors CommentsSignatureDateSignatureDateDate of competency/Training reviewSubsequent Review PeriodClinicians CommentsAssessors CommentsSignatureDateSignatureDateDate of competency/Training review ................
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