RESERVE YOUR SPACE EARLY! - ASRM

Com pet en cy Fr am ew or k f orFer t ilit y Nu r sin gCan adian Fer t ilit y an d An dr ology Societ y an dAm er ican Societ y f or Repr odu ct ive M edicin eASRM Pract ice Commit t eeApproval 1/ 10/ 2020CFAS Board of Direct orsApproval 03/ 2020

Table of ContentsINTRODUCTION and PURPOSE . 3CONTENT CONTRIBUTORS . 4ABBREVIATIONS . 4COMPETENCY FRAMEWORK FOR FERTILITY NURSING . 5PROCESS GUIDANCE .19REFERENCES . 202

INTRODUCTIONIn a joint initiative, the Canadian Fertility and Andrology Society (CFAS) and the AmericanSociety for Reproductive Medicine (ASRM) collaborated to develop a fertility nursingcompetency framework along with other supporting resources. The intention of theseresources is to provide a guideline to support consistent practice for nurses working inassisted reproduction. It is our hope that fertility centers and nurses will use these toolswithin their own practices and in combination with their own clinic-specific policies andprocedures.The CFAS is a multidisciplinary national non-profit society that serves as the voice ofreproductive specialists, scientists, and allied health professionals working in the field ofAssisted Reproduction in Canada. Established in 1954, the mission of the CFAS is to responsiblyadvance reproductive science and medicine in Canada through leadership, research andguidance.The ASRM is a multidisciplinary organization dedicated to the advancement of the science andpractice of reproductive medicine. The Society accomplishes its mission through the pursuit ofexcellence in education and research and through advocacy on behalf of patients, physicians,and affiliated health care providers. The Society is committed to facilitating and sponsoringeducational activities for the lay public and continuing medical education activities forprofessionals who are engaged in the practice of and research in reproductive medicine.PURPOSE OF THE PROGRAM:The Competency Framework for Fertility Nursing is the first step towards development of aprogram that also includes Service Standards for Individuals Participating in AssistedReproductive Care, Rights and Responsibilities of Fertility Patients, and a Learning Pathway andOrientation Guideline for nurses in fertility care.We have submitted only the Competency Framework for Fertility Nursing at this time. Itoutlines expectations and core competencies essential for safe and effective practice as aspecialized fertility nurse. Each category has a set of desired outcomes as well as subcategoriesand descriptors. The competencies are not tasks but behavioral actions describing how servicesare to be delivered. They are meant to be used in conjunction with an orientation program andclinic-specific practice guidelines. It is also important to note that competencies required of ageneralist nurse, which prepare them for work in any setting, are an expectation for practice inaddition to these specialized competencies. Generalist competencies are not included in thiscompetency framework.3

CONTENT CONTRIBUTORS AND PLANNERS:Eileen McMahon, RN(EC), MN, PNC(C)Mark Evans, BA, MBADanielle Dubois, BScN, MHS, RNNancy Bowers, BSN, MPHKimberly Kretzer, MSNAmanda Ellis, MSNSue Jasulaitis, MSNJeanette Tomasino, PhDSarah Steel, RNElisha Ogglesby, RN, BScNShafiqa Awj, RNAlisha LeBlanc, BScN, RNDebra Sibbald, PhDABBREVIATIONS:AH assisted hatchingFET frozen embryo transferICSI intracytoplasmic sperm injectionIUI intrauterine inseminationIVF in vitro fertilizationLGBTQI2S lesbian, gay, bisexual, transgender, queer or questioning, intersex, and two-spiritOHSS ovarian hyperstimulation syndromePGT preimplantation genetic testingPCOS polycystic ovary syndromePOI premature ovarian insufficiency4

THE COMPETENCY FRAMEWORK FOR FERTILITY NURSINGI. COMMUNICATIONDesired outcomes of competent nursing communication in the fertility careenvironment:A. Care plan reflects collaboration with patient care teamB. Professional boundaries within the therapeutic Nurse-Patient relationshiphave been established and maintainedC. Patient care directives/medical orders have been communicated to the patient andpatient care teamD. Patient receives accurate and timely informationE. Patient verbalizes an understanding of what has been communicated and isable to repeat back salient pointsF. Confidentiality and patient privacy have been maintainedG. Patient indicates they feel supported5

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II. SAFE AND EFFECTIVE NURSING CAREDesired outcomes of safe and effective nursing care in the fertility care environment:A.Care delivered according to established standards, procedures,protocols, and regulatory guidelinesB.Patients correctly identified and personal health information protectedC.Adverse patient safety events, medication errors, and health care-associated infection preventedD.Risks to patient and patient care team are minimizedE.Personal safety maintainedF.A culture of safety is supported and maintained9

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III. TEACHING AND EDUCATIONDesired outcomes of competent nursing teaching and education in the fertilitycare environment:A. Patient has access to resources and information about their careB. Patient is knowledgeable about their diagnosisC. Patient is aware and understands treatment options, alternatives, and potential outcomesD. Patient understands treatment risksE. Patient provides informed decision-making and consentF. Patient adheres to treatment and medication administration instructionsG. Patient feels prepared throughout care13

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IV. PATIENT CARE MANAGEMENTDesired outcomes of competent patient care management in the fertility care environment:A. Patient receives appropriate care through assessment, planning,implementation, and evaluation of nursing care to achieve optimaloutcomesB. Care reflects interprofessional collaborationC. Patient participates in planning and implementation of their careD. Care is continuous and comprehensiveE. Nurse-patient relationship is therapeuticF. Patient feels they have received holistic support16

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PROCESS GUIDANCETo guide our process, we engaged an expert in the field of competency development and referred to avariety of existing competency documents.Competency Documents:Canadian Association of Nurses in Oncology (2006). CANO Practice Standards and Competencies for theSpecialized Oncology Nurse. Vancouver: CANO.Canadian Pediatric Nursing Standards. (2017). Standardizing High Quality Nursing Care forCanada’s Children. Accessed online athttps://ken.caphc.org/xwiki/bin/download/Other Resources/Canadian Paediatric Nursing df.College of Nurses of Ontario. (2014). CNO Competencies for entry-level Registered Nursepractice. Accessed online at:https://www.cno.org/globalassets/docs/reg/41037 entrytopracitic final.pdf.Critical Care Services Ontario. (2012). Standards for Critical Care Nursing in Ontario. Accessed online etry Examining Board of Canada. (2015). National Competency Profile for Entry-LevelOptometry. Accessed online rofile%20in%20Optometry English.pdf.Royal College of Nursing. (2011). RCN Competences: Specialist Competences for FertilityNurses. London: RCN.Royal College of Physicians and Surgeons of Canada. (2011). CanMEDS Framework. Accessed onlineat framework-e.Standards New Zealand. (2007). Fertility Services Standard. Government of New Zealand.Accessed online at iles/NZS8181-2007.pdf.19

REFERENCESCode of Ethics for Nurses. (2015). American Nurses Association. Accessed online sing-excellence/ethics/code-of-ethics-for- nurses/Code of Ethics for Registered Nurses. (2017). Canadian Nurses Association. Accessed online at tion/index.html#Frank JR, Brien S, (Editors) on behalf of The Safety Competencies Steering Committee. The SafetyCompetencies: Enhancing Patient Safety Across the Health Professions. Ottawa, ON: Canadian PatientSafety Institute; 2008.Greiner AC, Knebel, E, (Editors) on behalf of Health Professions Education: A Bridge to Quality.Institute of Medicine (US) Committee on the Health Professions Education 9/Health and Safety Authority. (2010). Health and Safety Management in Healthcare. Accessed online athttp://www.hsa.ie/eng/Publications and Forms/Publications/Healthcare Sector/Health and Safety Management in Healthcare.pdfICN Code of Ethics for Nurses (2012). ICN – International Council of Nurses. Accessed online /icncode english.pdfJoint Commission - National Patient Safety Goals. (2018). Accessed online athttps://www.jointcommission.org/standards information/npsgs.aspxMohr DC, Cox D, Epstein L, Boudewyn A. (2002). Teaching Patients to Self-Inject: pilot study of a treatment forinjection anxiety and phobia in multiple sclerosis patients prescribed injectable medications. J Behav Ther ExpPsychiatry. Mar;33(1):39-47.Spitzberg, B.H. (2013). (Re)Introducing Communication Competence to the Health Professions. JPublic Health Res. Dec 1; 2(3): e23. Published online 2013 Dec 1. doi: 10.4081/jphr.2013.e23PMCID: PMC4147740Standards for the Therapeutic Nurse-Client Relationship. (2015). Nurses Association of NewBrunswick.20

clinic-specific practice guidelines. It is also important to note that competencies required of a generalist nurse, which prepare them for work in any setting, are an expectation for practice in addition to these specialized competencies. Generalist competencies are not included in this competency framework.