Test Of Competence 2021 - Adult Nursing Blueprint

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The Test ofCompetence 2021Adult nursingblueprint

IntroductionWe approve pre-registration nursing programmes in the United Kingdom.Applicants to the adult nursing part of our register who do not hold an NMC-approvedqualification will follow an alternate route to the register.This route includes an evaluation of the qualification they hold. If their qualification isfound not to be comparable to an NMC-approved qualification, the applicant will berequired to complete a test of competence, or undertake an approved compensationmeasure if trained in the EEA but outside the UK.This blueprint gives an overview of how each of the standards of proficiency forregistered nurses and associated skills and procedures may be tested in the Test ofCompetence 2021 (ToC 21)How to use this blueprintThe ToC 21 is made up of two parts: a multiple-choice computer based test (CBT) anda practical objective structured clinical examination (OSCE).The blueprint shows how the standards of proficiency and associated skills andprocedures for registered nurses may be tested in either the CBT, OSCE or bothparts.Applicants can use the blueprint to prepare for each part of the test.The blueprint is mapped to the platforms in our Standards of proficiency forregistered nurses (2018).The seven platforms are:1.2.3.4.5.6.7.Being an accountable professionalPromoting health and preventing ill healthAssessing needs and planning careProviding and evaluating careLeading and managing nursing care and working in teamsImproving safety and quality of careCoordinating careThe communication and relationship management skills and nursing proceduresidentified in Annexe A and B are mapped in the blueprint to the seven platforms.Proficiencies marked with ‘PSP’ are patient safety proficiencies - these must bepassed in the OSCE.

Platform 1: Being an accountable professionalProficiency1.1 Understand and act in accordance with the Code:Professional standards of practice and behaviourfor nurses, midwives and nursing associates, andfulfil all registration requirements (PSP)1.2 Understand and apply relevant legal, regulatoryand governance requirements, policies and ethicalframeworks, including any mandatory reportingduties, to all areas of practice (PSP)1.3 Understand and apply the principles of courage,transparency and the professional duty of candour,recognising and reporting any situations, behavioursor errors that could result in poor care outcomes(PSP)1.4 Demonstrate an understanding of, and the abilityto, challenge discriminatory behaviour1.5 Understand the demands of professionalpractice and demonstrate how to recognise signsof vulnerability in themselves or colleagues and theaction required to minimise risks to health1.6 Understand the professional responsibility toadopt a healthy lifestyle to maintain the level ofpersonal fitness and wellbeing required to meetpeople's needs for mental and physical care1.7 Demonstrate an understanding of researchmethods, ethics and governance in order to criticallyanalyse, safely use, share and apply researchfindings to promote and inform best nursingpractice1.8 Demonstrate the knowledge, skills and ability tothink critically when applying evidence and drawingon experience to make evidence informed decisionsin all situations1.9 Understand the need to base all decisionsregarding care and interventions on people’s needsand preferences, recognising and addressing anypersonal and external factors that may undulyinfluence their decisionsMay betested byCBTMay be tested byOSCE

Proficiency1.10 Demonstrate resilience and emotionalintelligence and be capable of explaining therationale that influences their judgments anddecisions in routine, complex and challengingsituations1.11 Communicate effectively using a range of skillsand strategies with colleagues and people at allstages of life and with a range of mental, physical,cognitive and behavioural health challenges (PSP)Annexe A1. Underpinning communication skills forassessing, planning, providing and managingbest practice, evidence-based nursing care1.1 actively listen, recognise and respond toverbal and non-verbal cues1.2 use prompts and positive verbal and nonverbal reinforcement1.3 use appropriate non-verbal communicationincluding touch, eye contact and personalspace1.4 make appropriate use of open and closedquestioning1.5 use caring conversation techniques1.6 check understanding and use clarificationtechniques1.7 be aware of own unconscious bias incommunication encounters1.12 recognise the need for, and facilitateaccess to, translator services and material.1.12 Demonstrate the skills and abilities requiredto support people at all stages of life who areemotionally or physically vulnerable (PSP)Annexe A2. Evidence-based, best practice approachesto communication for supporting people of allages, their families and carers in preventing illhealth and in managing their care2.1 share information and checkunderstanding about the causes, implicationsMay betested byCBTMay be tested byOSCE

Proficiencyand treatment of a range of common healthconditions including anxiety, depression,memory loss, diabetes, dementia, respiratorydisease, cardiac disease, neurological disease,cancer, skin problems, immune deficiencies,psychosis, stroke and arthritis1.13 Demonstrate the skills and abilities requiredto develop, manage and maintain appropriaterelationships with people, their families, carers andcolleagues1.14 Provide and promote non-discriminatory,person centred and sensitive care at all times,reflecting on people’s values and beliefs, diversebackgrounds, cultural characteristics, languagerequirements, needs and preferences, takingaccount of any need for adjustmentsAnnexe A2. Evidence-based, best practice approachesto communication for supporting people of allages, their families and carers in preventing illhealth and in managing their care2.2 use clear language and appropriate,written materials, making reasonableadjustments where appropriate in order tooptimise people’s understanding of what hascaused their health condition and theimplications of their care and treatment1.15 Demonstrate the numeracy, literacy, digitaland technological skills required to meet the needsof people in their care to ensure safe andeffective nursing practice (PSP)Annexe A1. Underpinning communication skills forassessing, planning, providing and managingbest practice, evidence-based nursing care1.9 confidently and clearly present and shareverbal and written reports with individualsMay betested byCBTMay be tested byOSCE

Proficiencyand groups1.10 analyse and clearly record and sharedigital information and data1.11 provide clear verbal, digital or writteninformation and instructions when delegatingor handing over responsibility for care1.16 Demonstrate the ability to keep complete,clear, accurate and timely records (PSP)Annexe A1. Underpinning communication skills forassessing, planning, providing and managingbest practice, evidence-based nursing care1.8 write accurate, clear, legible records anddocumentation1.17 Take responsibility for continuous selfreflection, seeking and responding to support andfeedback to develop their professional knowledgeand skills1.18 Demonstrate the knowledge and confidenceto contribute effectively and proactively in aninterdisciplinary team1.19 Act as an ambassador, upholding thereputation of their profession and promotingpublic confidence in nursing, health and careservices1.20 Safely demonstrate evidence based practicein all skills and procedures stated in Annexes A andB.These have been mapped to the proficiencies andintegrated across the platforms. See individualplatforms for full details.May betested byCBTMay be tested byOSCE

Platform 2: Promoting health and preventing ill healthProficiency2.1 Understand and apply the aims and principlesof health promotion, protection andimprovement and the prevention of ill healthwhen engaging with peopleAnnexe A2. Evidence-based, best practiceapproaches to communication forsupporting people of all ages, their familiesand carers in preventing ill health and inmanaging their care2.3 recognise and accommodate sensoryimpairments during all communications2.4 support and manage the use ofpersonal communication aids2.5 identify the need for and manage arange of alternative communicationtechniques2.6 use repetition and positivereinforcement strategies2.8 provide information and explanation topeople, families and carers and respond toquestions about their treatment and careand possible ways of preventing ill health toenhance understanding2.9 engage in difficult conversations,including breaking bad news and supportpeople who are feeling emotionally orphysically vulnerable or in distress,conveying compassion and sensitivity.2.2 Demonstrate knowledge of epidemiology,demography, genomics and the widerdeterminants of health, illness and wellbeing andapply this to an understanding of globalpatterns of health and wellbeing outcomesMay be tested byCBTMay be tested byOSCE

Proficiency2.3 Understand the factors that may lead toinequalities in health outcomes2.4 Identify and use all appropriateopportunities, making reasonable adjustmentswhen required, to discuss the impact ofsmoking, substance and alcohol use, sexualbehaviours, diet and exercise on mental, physicaland behavioural health and wellbeing, in thecontext of people’s individual circumstances2.5 Promote and improve mental, physical,behavioural and other health related outcomesby understanding and explaining the principles,practice and evidence-base for health screeningprogrammes2.6 Understand the importance of early yearsand childhood experiences and the possibleimpact on life choices, mental, physical andbehavioural health and wellbeing2.7 Understand and explain the contribution ofsocial influences, health literacy, individualcircumstances, behaviours and lifestyle choicesto mental, physical and behavioural healthoutcomes2.8 Explain and demonstrate the use of up todate approaches to behaviour change to enablepeople to use their strengths and expertise andmake informed choices when managing theirown health and making lifestyle adjustmentsAnnexe A2. Evidence-based, best practiceapproaches to communication forsupporting people of all ages, their familiesand carers in preventing ill health and inmanaging their care2.7 assess motivation and capacity forbehaviour change and clearly explain causeand effect relationships related tocommon health risk behaviours includingMay be tested byCBTMay be tested byOSCE

Proficiencysmoking, obesity, sexual practice, alcoholand substance use2.9 Use appropriate communication skills andstrength based approaches to support andenable people to make informed choices abouttheir care to manage health challenges in orderto have satisfying and fulfilling lives within thelimitations caused by reduced capability, illhealth and disability2.10 Provide information in accessible ways tohelp people understand and make decisionsabout their health, life choices, illness and care2.11 Promote health and prevent ill health byunderstanding and explaining to people theprinciples of pathogenesis, immunology and theevidence-base for immunisation, vaccination andherd immunity2.12 Protect health through understanding andapplying the principles of infection preventionand control, including communicable diseasesurveillance and antimicrobial stewardship andresistance (PSP)Annexe B4. Use evidence-based, best practiceapproaches for meeting the needs for careand support with hygiene and themaintenance of skin integrity, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions4.6 use aseptic techniques whenundertaking wound care includingdressings, pressure bandaging, sutureremoval and vacuum closures4.7 use aseptic techniques when managingwound and drainage processesNote: In addressing the above thecandidate must ensure they are ready toMay be tested byCBTMay be tested byOSCE

Proficiencydemonstrate procedures at an appropriatelevel for the adult field of nursing practicewhen undertaking procedures forassessing needs for person centred care.Annexe B9. Use evidence-based, best practiceapproaches for meeting needs for careand support with the prevention andmanagement of infection, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions9.1 observe, assess and respond rapidly topotential infection risks using bestpractice guidelines9.2 use standard precautions protocols9.3 use effective aseptic, non-touchtechniques9.4 use appropriate personal protectionequipment9.5 implement isolation procedures9.6 use evidence-based hand hygienetechniques9.7 safely decontaminate equipment andenvironment9.8 safely use and dispose of waste,laundry and sharps9.9 safely assess and manage invasivemedical devices and lines.May be tested byCBTMay be tested byOSCE

Platform 3: Assessing needs and planning careProficiency3.1 Demonstrate and apply knowledge of humandevelopment from conception to death whenundertaking full and accurate person-centrednursing assessments and developingappropriate care plans.3.2 Demonstrate and apply knowledge of bodysystems and homeostasis, human anatomy andphysiology, biology, genomics, pharmacology andsocial and behavioural sciences whenundertaking full and accurate person-centrednursing assessments and developingappropriate care plansAnnexe B4. Use evidence-based, best practiceapproaches for meeting the needs for careand support with hygiene and themaintenance of skin integrity, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions4.8 assess, respond effectively managepyrexia and hypothermia3.3 Demonstrate and apply knowledge of allcommonly encountered mental, physical,behavioural and cognitive health conditions,medication usage and treatments whenundertaking full and accurate assessments ofnursing care needs and when developing,prioritising and reviewing person centred careplans (PSP)Annexe B1. Use evidence-based, best practiceapproaches to take a history, observe,recognise and accurately assess people ofall ages:May be testedby CBTMay be tested byOSCE

Proficiency1.1 mental health and wellbeing status1.1.2 cognitive health status and wellbeing1.1.3 signs of cognitive distress andimpairment1.1.4 behavioural distress based needs1.1.5 signs of mental and emotionaldistress including agitation, aggression andchallenging behaviour1.2 physical health and wellbeing1.2.1 symptoms and signs of physical illhealth1.2.2 symptoms and signs of physicaldistressNote: In addressing the above thecandidate must ensure they are ready todemonstrate procedures at an appropriatelevel for the adult field of nursing practicewhen undertaking procedures forassessing needs for person centred care.3.4 Understand and apply a person-centredapproach to nursing care, demonstratingshared assessment, planning, decision makingand goal setting when working with people, theirfamilies, communities and populations of all ages3.5 Demonstrate the ability to accuratelyprocess all information gathered during theassessment process to identify needs forindividualised nursing care and develop personcentred evidence-based plans for nursinginterventions with agreed goals3.6 Effectively assess a person’s capacity tomake decisions about their own care and to giveor withhold consent (PSP)3.7 Understand and apply the principles andprocesses for making reasonable adjustmentsMay be testedby CBTMay be tested byOSCE

ProficiencyAnnexe A2. Evidence-based, best practiceapproaches to communication forsupporting people of all ages, their familiesand carers in preventing ill health and inmanaging their care2.3 recognise and accommodate sensoryimpairments during all communications2.4 support and manage the use ofpersonal communication aids2.5 identify the need for and manage arange of alternative communicationtechniques3.8 Understand and apply the relevant lawsabout mental capacity for the country in whichyou are practising when making decisions inrelation to people who do not have capacity3.9 Recognise and assess people at risk of harmand the situations that may put them at risk,ensuring prompt action is taken to safeguardthose who are vulnerable (PSP)Annexe B1. Use evidence-based, best practiceapproaches to take a history, observe,recognise and accurately assess people ofall ages:1.1.1 signs of mental and emotional distressor vulnerability2. Use evidence-based, best practiceapproaches to undertake the followingprocedures:2.11 recognise and respond to signs of allforms of abuseNote: In addressing the above the candidatemust ensure they are ready to demonstrateprocedures at an appropriate level for the adultMay be testedby CBTMay be tested byOSCE

Proficiencyfield of nursing practice when undertakingprocedures for assessing needs for personcentred care.3.10 Demonstrate the skills and abilitiesrequired to recognise and assess people whoshow signs of self-harm and/or suicidal ideation(PSP)Annexe B1. Use evidence-based, best practiceapproaches to take a history, observe,recognise and accurately assess people ofall ages:1.1.6 signs of self-harm and/or suicidalideationNote: In addressing the above the candidatemust ensure they are ready to demonstrateprocedures at an appropriate level for the adultfield of nursing practice when undertakingprocedures for assessing needs for personcentred care.3.11 Undertake routine investigations,interpreting and sharing findings as appropriate3.12 Interpret results from routineinvestigations, taking prompt action whenrequired by implementing appropriateinterventions, requesting additionalinvestigations or escalating to others (PSP)Annexe B1.Use evidence-based, best practiceapproaches to take a history, observe,recognise and accurately assess people ofall ages:1.2.3 symptoms and signs of deteriorationand sepsis.2. Use evidence-based, best practiceMay be testedby CBTMay be tested byOSCE

Proficiencyapproaches to undertake the followingprocedures:2.1 take, record and interpret vital signsmanually and via technological devices2.2 undertake venepuncture andcannulation and blood sampling,interpreting normal and common abnormalblood profiles and venous blood gases2.3 set up and manage routineelectrocardiogram (ECG) investigationsand interpret normal and commonlyencountered abnormal traces2.4 manage and monitor blood componenttransfusions2.5 manage and interpret cardiac monitors,infusion pumps, blood glucose monitors andother monitoring devices2.6 accurately measure weight and height,calculate body mass index and recognisehealthy ranges and clinically significantlow/high readings2.7 undertake a whole body systemsassessment including respiratory,circulatory, neurological, musculoskeletal,cardiovascular and skin status2.8 undertake chest auscultation andinterpret findings2.9 collect and observe sputum, urine, stooland vomit specimens, undertaking routineanalysis and interpretNote: In addressing the above the candidatemust ensure they are ready to demonstrateprocedures at an appropriate level for the adultfield of nursing practice when undertakingprocedures for assessing needs for personcentred care.May be testedby CBTMay be tested byOSCE

Proficiency3.13 Demonstrate an understanding of comorbidities and the demands of meetingpeople’s complex nursing and social care needswhen prioritising care plans3.14 Identify and assess the needs of people andfamilies for care at the end of life, includingrequirements for palliative care and decisionmaking related to their treatment and carepreferencesAnnexe B10. Use evidence-based, best practiceapproaches for meeting needs for careand support at the end of life, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions10.1 observe, and assess the need forintervention for people, families andcarers, identify, assess and respondappropriately to uncontrolled symptomsand signs of distress including pain, nausea,thirst, constipation, restlessness,agitation, anxiety and depression10.3 assess and review preferences andcare priorities of the dying person andtheir family and carers3.15 Demonstrate the ability to work inpartnership with people, families and carers tocontinuously monitor, evaluate and reassess theeffectiveness of all agreed nursing care plansand care, sharing decision making andreadjusting agreed goals, documenting progressand decisions made3.16 Demonstrate knowledge of when and howto refer people safely to other professionals orservices for clinical intervention or supportMay be testedby CBTMay be tested byOSCE

Platform 4: Providing and evaluating careProficiency4.1 Demonstrate and apply an understanding ofwhat is important to people and how to use thisknowledge to ensure their needs for safety,dignity, privacy, comfort and sleep can be met,acting as a role model for others in providingevidence based person-centred care (PSP)Annexe B3. Use evidence-based, best practiceapproaches for meeting needs for careand support with rest, sleep, comfort andthe maintenance of dignity, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions3.1 observe and assess comfort and painlevels and rest and sleep patterns3.2 use appropriate bed-making techniquesincluding those required for people who areunconscious or who have limited mobility3.3 use appropriate positioning andpressure-relieving techniques3.4 take appropriate action to ensureprivacy and dignity at all times3.5 take appropriate action to reduce orminimise pain or discomfort3.6 take appropriate action to reducefatigue, minimise insomnia and supportimproved rest and sleep hygiene4.2 Work in partnership with people toencourage shared decision making in order tosupport individuals, their families and carers tomanage their own care when appropriate4.3 Demonstrate the knowledge, communicationand relationship management skills required toprovide people, families and carers withaccurate information that meets their needsbefore, during and after a range ofinterventionsMay be testedby CBTMay be tested byOSCE

ProficiencyAnnexe A3. Evidence-based, best practice communicationskills and approaches for providing therapeuticinterventions3.1 motivational interview techniques3.2 solution focused therapies3.3 reminiscence therapies3.4 talking therapies3.5 de-escalation strategies and techniques3.6 cognitive behavioural therapy techniques3.7 play therapy3.8 distraction and diversion strategies3.9 positive behaviour support approachesNote: In addressing the above the candidatemust ensure they are ready to demonstrateprocedures at an appropriate level for the adultfield of nursing practice when undertakingprocedures for assessing needs for personcentred care.4.4 Demonstrate the knowledge and skillsrequired to support people with commonlyencountered mental health, behavioural,cognitive and learning challenges, and act as arole model for others in providing high qualitynursing interventions to meet people’s needs(PSP)4.5 Demonstrate the knowledge and skillsrequired to support people with commonlyencountered physical health conditions, theirmedication usage and treatments, and act as arole model for others in providing high qualitynursing interventions when meeting people’sneeds4.6 Demonstrate the knowledge, skills and abilityto act as a role model for others in providingevidence-based nursing care to meet people’sneeds related to nutrition, hydration andMay be testedby CBTMay be tested byOSCE

Proficiencybladder and bowel healthAnnexe B5. Use evidence-based, best practiceapproaches for meeting needs for care andsupport with nutrition and hydration, accuratelyassessing the person’s capacity forindependence and self-care and initiatingappropriate interventions5.1 observe, assess and optimise nutrition andhydration status and determine the need forintervention and support5.2 use contemporary nutritional assessmenttools5.3 assist with feeding and drinking and useappropriate feeding and drinking aids5.4 record fluid intake and output and identify,respond to and manage dehydration or fluidretention5.5 identify, respond to and manage nausea andvomiting5.6 insert, manage and removeoral/nasal/gastric tubes5.7 manage artificial nutrition and hydrationusing oral, enteral and parenteral routes5.8 manage the administration of IV fluids5.9 manage fluid and nutritional infusion pumpsand devices.6. Use evidence-based, best practiceapproaches for meeting needs for care andsupport with bladder and bowel health,accurately assessing the person’s capacity forindependence and self-care and initiatingappropriate interventions6.1 observe and assess level of urinary and bowelcontinence to determine the need for supportand intervention assisting with toileting,maintaining dignity and privacy and managing theuse of appropriate aids6.2 select and use appropriate continenceproducts; insert, manage and remove cathetersfor all genders; and assist with selfcatheterisation when requiredMay be testedby CBTMay be tested byOSCE

Proficiency6.3 manage bladder drainage6.4 assess bladder and bowel patterns toidentify and respond to constipation, diarrhoeaand urinary and faecal retention6.5 administer enemas and suppositories andundertake rectal examination and manualevacuation when appropriate6.6 undertake stoma care identifying and usingappropriate products and approaches4.7 Demonstrate the knowledge, skills and abilityto act as a role model for others in providingevidence-based, person-centred nursing care tomeet people’s needs related to mobility, hygiene,oral care, wound care and skin integrityAnnexe B4. Use evidence-based, best practiceapproaches for meeting the needs for care andsupport with hygiene and the maintenance ofskin integrity, accurately assessing the person’scapacity for independence and self-care andinitiating appropriate interventions4.1 observe, assess and optimise skin andhygiene status and determine the need forsupport and intervention4.2 use contemporary approaches to theassessment of skin integrity and useappropriate products to prevent or manage skinbreakdown4.3 assess needs for and provide appropriateassistance with washing, bathing, shaving anddressing4.4 identify and manage skin irritations andrashes4.5 assess needs for and provide appropriateoral, dental, eye and nail care and decide whenan onward referral is neededAnnexe B7. Use evidence-based, best practiceapproaches for meeting needs for care andsupport with mobility and safety, accuratelyassessing the person’s capacity forMay be testedby CBTMay be tested byOSCE

Proficiencyindependence and self-care and initiatingappropriate interventions7.1 observe and use evidence-based riskassessment tools to determine need forsupport and intervention to optimise mobilityand safety, and to identify andmanage risk of falls using best practice riskassessment approaches7.2 use a range of contemporary moving andhandling techniques and mobility aids7.3 use appropriate moving and handlingequipment to support people with impairedmobility7.4 use appropriate safety techniques anddevices.4.8 Demonstrate the knowledge and skillsrequired to identify and initiate appropriateinterventions to support people with commonlyencountered symptoms including anxiety,confusion, discomfort and pain4.9 Demonstrate the knowledge and skillsrequired to prioritise what is important topeople and their families when providingevidence-based person-centred nursing care atend of life including the care of people who aredying, families, the deceased and the bereavedAnnexe B10. Use evidence-based, best practiceapproaches for meeting needs for care andsupport at the end of life, accurately assessingthe person’s capacity for independence and selfcare and initiating appropriate interventions10.2 manage and monitor effectiveness ofsymptom relief medication, infusion pumps andother devices10.4 understand and apply organ and tissuedonation protocols, advanced planning decisions,living wills and health and lasting powers ofattorney for health10.5 understand and apply DNACPR (do notattempt cardiopulmonary resuscitation)May be testedby CBTMay be tested byOSCE

Proficiencydecisions and verification of expected death10.6 provide care for the deceased person andthe bereaved respecting cultural requirementsand protocols4.10 Demonstrate the knowledge and ability torespond proactively and promptly to signs ofdeterioration or distress in mental, physical,cognitive and behavioural health and use thisknowledge to make sound clinical decisions (PSP)4.11 Demonstrate the knowledge and skillsrequired to initiate and evaluate appropriateinterventions to support people who show signsof self-harm and/or suicidal ideation (PSP)4.12 Demonstrate the ability to managecommonly encountered devices and confidentlycarry out related nursing procedures to meetpeople’s needs for evidence based, personcentred careAnnexe B8. Use evidence-based, best practiceapproaches for meeting needs for respiratorycare and support, accurately assessing theperson’s capacity for independence and selfcare and initiating appropriate interventions8.1 observe and assess the need forintervention and respond to restlessness,agitation and breathlessness using appropriateinterventions8.2 manage the administration of oxygen using arange of routes and best practice approaches8.3 take and interpret peak flow and oximetrymeasurements8.4 use appropriate nasal and oral suctioningtechniques8.5 manage inhalation, humidifier and nebuliserdevices8.6 manage airway and respiratory processesMay be testedby CBTMay be tested byOSCE

Proficiencyand equipment4.13 Demonstrate the knowledge, skills andconfidence to provide first aid procedures andbasic life support (PSP)Annexe B2. Use evidence-based, best practiceapproaches to undertake the followingprocedures:2.14 administer basic mental health first aid2.15 administer basic p

The blueprint shows how the standards of proficiency and associated skills and procedures for registered nurses may be tested in either the CBT, OSCE or both parts. Applicants can use the blueprint to prepare for each part of the test. The blueprint is mapped to the platforms in our . Standards of proficiency for registered nurses (2018).

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