1. Continuing Competence For North Carolina Nurses

2. OBJECTIVES
Describe the NCBON Reflective Practice Model of Continuing Competence
Discuss Implementation and Compliance with Continuing Competence Requirements.

3. WHY is Continuing Competence important to the NC Board of Nursing?
Public protection
Regulatory function
Assure patient safety
Road to improving quality of nursing care

4. Background Timeline 1998 – 1999: Initiative & stakeholders
: Development & pilot
2005: Legislation & Rules enacted
July 1, 2006: Implementation
July 1, 2008: Audits
July 1, 2011: Evidence; license issued

5. Continuing Competence Requirements for License Renewal and Reinstatement
Law and Rules apply to ALL NC nurses – RN, LPN, and APRN

6. A Reflective Practice Approach for Continuing Competence
Individual responsibility
Routine periodic self assessment
Identify strengths and opportunities for continued growth
Implement personal learning plan

7. Continuing Competence
“. . . the ongoing acquisition and application of knowledge and the decision-making, psychomotor, and interpersonal skills expected of the licensed nurse resulting in nursing care that contributes to the health and welfare of clients served”

8. Reflective Practice
“ is a process of assessing one’s own nursing practice to identify and seek learning opportunities to promote continuing competence”

9. A B C D Assess personal practice Based on standards Collect feedback
Develop and implement a learning plan and select learning activity for demonstration of continuing competence
ABCD
Assess
Based on standards
Collect feedback
Develop & implement plan

10. A Self Assessment
Assess the following four dimensions of practice:
Professional responsibility
Knowledge based practice
Legal/ethical practice
Collaborating with others
Dimension Worksheets are available on BON website – OR you may choose to use your own forms

11. B ---Based on applicable standards
Think of the standards that apply to your practice–
Nursing law and rules (apply to everyone)
Employer policies
Accreditation Standards
Certification Standards
Specialty organizational standards

12. Example of Self-Assessment
2.4 from Knowledge based practice 1 2 3 4 5
I use evidence, such as research find-
ings and current clinical expertise, to
base decisions relevant to my practice.
21 NCAC (a)&(b) and .0225(a)&(b) X

13. C Collect Feedback
Collect feedback about your practice from others
This could include people having knowledge of your practice, such as your supervisor, peers or other colleagues, individuals you may supervise, patients or patient family members, nursing students, etc.

14. Example of Self-Assessment
2.4 from Knowledge based practice 1 2 3 4 5
I use evidence, such as research find-
ings and current clinical expertise, to
base decisions relevant to my practice.
21 NCAC (a)&(b) and .0225(a)&(b) X

15. D --- Develop a Learning Plan
Based on your assessment, identify strengths and areas to develop in your practice
Next, identify one or more goals for improving your practice
Then, choose a learning activity from the 8 Board approved options
Learning Plan Template is available on website – OR you may use your own format

16. Implementation
At the time of license renewal or reinstatement, ALL licensees are required to complete the process of self assessment, develop a learning plan, select an approved learning activity, and implement their plan!!

17. Acceptable Learning Activities
Choose
ONE
of these options
National certification
30 hrs of CE
Refresher Course
Academic education
15 hrs of CE + project
15 hrs of CE + publication
15 hrs of CE + presentation
15 hrs of CE hrs active practice

18. Option 1
National Certification or re-certification related to the nurse’s practice role by a national credentialing body recognized by the Board

19. Option 2
Thirty (30) contact hours of continuing education activities related to the nurse’s practice
Note: one contact hour= 60 minutes

20. Option 3
Completion of a Board approved refresher course

21. Option 4
Completion of a minimum of two (2) semester hours of post-licensure academic education related to nursing practice

22. Option 5
Fifteen (15) contact hours of continuing education and completion of a nursing project as principal or co-principal investigator

23. Option 6
Fifteen (15) contact hours of continuing education and authoring or co-authoring a published nursing-related article, paper, book or book chapter

24. Option 7
Fifteen (15) contact hours of continuing education and designing, developing, and conducting a professional presentation or presentations totaling 5 contact hrs

25. Option 8
Fifteen (15) contact hours of continuing education and 640 hours of active practice within the previous two years

26. Prorated CE Hours

27. Recognized CE providers
Any provider recognized by a national credentialing body that offers certification in nurse’s specialty area of practice
Any provider recognized by a national credentialing body offering certification to advanced practice nurses

28. Recognized CE providers
NCNA or any other state nurses association
ANA
NLN
NFLPN
NAPNES
NC AHEC
NC BON or any other state board of nursing
NCSBN
Employer sponsored ( up to 50% of requisite hours)
Other professional CE for health professionals

29. Unacceptable CE Offerings for lay persons
Offering less than 30 minutes
On-the-job orientation
On-the-job training related to policies, procedures or equipment
Other non professional educational activities

30. Accountability
At the time of license renewal or reinstatement, ALL licensees are required to attest to having complied with the requirement for Continuing Competence
Licensees are randomly selected for audit and are asked to submit evidence of completion of one of the approved learning activities

31. Accountability Effective July 1, 2011
Licenses not issued until requirement met
Renewal – Inactive Status
Reinstatement – not issued

32. Accountability When Audited
Complete all requirements
Submit evidence of requirements by the 20th of the renewal month
Correct address
Individual responsibility

33. Privacy of Documents
If audited, nurses submit documentation validating completion of selected learning activity
Self-assessment and learning plan are personal documents

34. Continuing Competence@ncbon.com
Contact Information
Continuing
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