NMC Proficiency

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Proficiency 1.1

The code is the foundation of good nursing and midwifery practice, and a key tool in safeguarding the health and wellbeing of the public. The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives is a set of key principles that should underpin the practice of all nurses and midwives, and remind them of their professional responsibilities. It is not just a tool used in fitness-to-practise cases - it should be used to guide daily practice for all nurses and midwives. Alongside other standards, guidance and advice from the NMC, the code should be used to support professional development.

Making a Difference (Department of Health (DH) 1999) suggests that effective care is the product of interagency working. Professionals working in collaboration provide care which is designed to meet the needs of the patient. This concept was further promoted with the publication of The NHS Plan (DH 2000a) a ten year programme of reform practice. The NHS Plan (DH 2000a) aimed to create a service designed around patient needs, encouraging professionals to work together to meet the needs of patients. This shift in attitudes towards healthcare was instrumental in shaping the way in which interprofessional working is viewed and adopted today.


Hand hygiene policy - The aim of this policy is to provide guidance for all staff and to identify the expected standard for staff who have contact with patients to reduce the risk of health care associated infections. Hand hygiene remains the single most important and economical means of preventing and controlling the spread of infections (‘Pratt R J, Pellowe C, 2001’). Performing hand hygiene means the physical removing of visible dirt, soiling e.g. blood, and body fluid and removal of harmful microorganisms. Implementation of the policy will demonstrate compliance with the Health and social care Act 2008, ‘Hygiene Code’ (DH 2008).

Infection control policy - It is the responsibility of all health care staff/workers to minimise the potential risk of patients acquiring a healthcare associated infection in any care setting. Healthcare Associated Infections (HCAIs) affect an estimated one in ten NHS hospital patients each year (DoH 2003). using aseptic technique when changing wound dressing or catherisation saving lives

diposing bodily fluid correctly and into right waste management decontamination of patients environment

Safeguarding adult - Those who need safeguarding help are often elderly and frail, living on their own in the community, or without much family support in care homes. They are often people with physical or learning disabilities and people with mental health needs at risk of suffering harm both in institutions and in the community. Safeguarding encompasses six key concepts: empowerment, protection, prevention, proportionate responses, partnership and accountability. Social care organisations play an important role in the protection of members of the public from harm and are responsible for ensuring that services and support are delivered in ways that are high quality and safe.

Ethical dilemmas

Caring for terminally ill patients is often framed by ethical issues that arise at all stages of the palliative care period and are an integral part of medical and nursing decision making. Ethical dilemmas provide no easy solution but good communication between the professional health care providers, the patients, and the families can provide the best outcome for the patient. This chapter focuses on the ethical issues encountered by primary care teams providing palliative care at home, the most primary of which is good communication. Good communication plays a vital
role in determining the decisions and wishes of the patient and family and maintains a trusting relationship between the professional and the patient. The second ethical issue is informed consent, which reflects the respect for the autonomy of the patient. It means...
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