REGIONAL
PROFESSIONAL DEVELOPMENT AND RECOGNITION
PROGRAMME
REGISTERED NURSE COMPETENCIES
Designated Senior Nurse: Direct Client Care
WORKBOOK
Name:
Work Area:
Assessor:
Assessment Date:
Assessor:
Assessment Date:
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 1 of 12
Checklist of Requirements for Submission of a Designated
Senior Nurse: Direct Client Care Portfolio
Certificates should be photocopied. All other documents are originals
Please tick of the following requirements; ensuring typed pages are signed and dated by
the person who has written on it.
 Completed Workbook
 Application for assessment form (Declaration and consent form)
 Verification that application has been discussed with Clinical Nurse Manager for application at this
level of practice
 Printout of current APC available from NCNZ on-line register www.nursingcouncil.org.nz
 Curriculum Vitae providing work and education history
 Validation of 450 hours of practice over the last 3 years
 60 hours of Professional development –
- validated by signature of line manager or nurse educator
- at an appropriate level related to practice
- include reflective statement of at least three(3) educational attendances in past three
years
 Self Assessment Form (verified by R/N completing performance appraisal) against the NCNZ
competencies
 Performance Appraisal /Nursing development plan against the NZNC competencies
 Organisational Certification/ requirement
Evidence of achievement of the specific Expert competencies and Senior Nurse definition may be
evidenced in the standard requirements eg self assessment and performance appraisal. If so, NO
ADDITIONAL evidence is required. If it is not, then separate statements should be provided for
the following:
 One piece of evidence demonstrating contribution to speciality knowledge/innovation in practice
and quality improvement
 One piece of evidence describing and reflecting on responsibility for learning and/or development
of nurse colleagues
 One piece of evidence demonstrating engagement and influence in wider service, professional or
organisational activities
 One piece of evidence showing expert knowledge, application of expert practice of complex patient
and clinical leadership
 PG Education (level 8) or equivalence in education and practice
Optional additional evidence
 Reflective writing if self review does not have required detail of practice to meet the expert level
competencies
 Peer review if the performance appraisal does not have required detail of practice to meet the
expert level competencies
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 2 of 12
Confidentiality

As a Registered Nurse, you are obliged to adhere to the Health Information Privacy Code.
In accordance with this, no information contained within portfolios will identify clients /
consumers / whänau / communities as well as health team members / staff. Confidentiality
requires not only protecting the name of individuals / groups but also their locality / specific
unique situation e.g. a high profile media case which could lead to their identify / a particular
community that may be identified within the context of the reflection.

Consider professional implications before disclosing information about your practice or that
of others that could be regarded as inappropriate (please seek guidance if unsure).

The portfolio is a personal document and the information it contains is private and
confidential. All assessors are required to respect this expectation.

However an assessor has an ethical and legal responsibility to refer any identified issue of
unsafe practice to the Nurse Co-ordinator PDRP in the first instance who will then refer to
the DoN / DONM / PNA.

Portfolios are to be held in a locked room within the organisation.

In the event of portfolios being assessed outside of the organisation, all due care will be
taken by the assessor to ensure confidentiality and protection of the portfolio.

Written permission will be obtained for this on submission of the portfolio.
Breaches of confidentiality will require a portfolio to be returned to the applicant for amendment.
Definition for
Designated Senior
Nurse
Comments from Assessor
1. Demonstrates
nursing leadership
through broad problem
solving and analytical
skills in relation to
nursing standards at
service, organisational
and / or national level.
2. Utilised in an
expert / advisory
capacity for extensive
nursing experience /
knowledge.
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 3 of 12
Definition for
Designated Senior
Nurse
Comments from Assessor
3. Works through,
or mentors nurses
through, change
processes to introduce
nursing initiatives
which are evidence
based and quality
focused to improve
nursing standards /
practice and enhance
the service provided.
The change process
incorporates
partnership with Māori,
other client groups and
the health team.
4. Evidence of
application of learning
gained from post
graduate or post
registration education
to advance own
nursing practice / role.
5. Actively
participates in
professional groups to
advance nursing
practice.
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 4 of 12
Designated Senior Nurse: Direct Client Care
Domain 1: Professional Responsibility
1st
Assessor comments
(include reference to 1st and 3rd party
evidence)
Not Met
Competency
Page number
of 1st & 3rd
party
evidence
Met
This domain contains competencies that relate to professional, legal and ethical responsibilities and
cultural safety. These include being able to demonstrate knowledge and judgement and being
accountable for own actions and decisions, while promoting an environment that maximises clients’*
safety, independence and quality of life and health.
3rd
1.1
Accepts
responsibility
for
ensuring that his/
her nursing practice
and conduct meets
the standards of the
professional, ethical
and
relevant
legislated
requirements
1st
1.2
Demonstrates
the ability to apply
the principles of the
Treaty of Waitangi /
Te Tiriti o Waitangi
to nursing practice
1st
3rd
3rd
1.3
Demonstrates
accountability
for
directing
,
monitoring
and
evaluating nursing
care that is provided
by Enrolled Nurses
and others
Northland PDRP
Issue Date: March 2015
1st
3rd
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 5 of 12
1st
3rd
1.4 Promotes
an
environment that
enables
client
safety,
independence,
quality of life and
health
1st
1.5
1st
Practices
nursing in a
manner
that
the
client
determines as
being
culturally safe
Northland PDRP
Issue Date: March 2015
Not Met
Assessor comments
(include reference to 1st and 3rd party
evidence)
Met
Competency
Page number
of 1st & 3rd
party
evidence
3rd
3rd
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 6 of 12
Designated Senior Nurse: Direct Client Care
Domain 2: Management of Nursing Care
1st
Nurse Coordinator Post
Graduate Education
2.1 Provides planned
nursing care to achieve
identified outcomes
Assessor comments
(include reference to 1st and 3rd
party evidence)
Not Met
Competency
Page number
of 1st & 3rd
party
evidence
Met
This domain contains competencies related to client assessment and managing client care,
which is responsive to clients needs, and which is supported by nursing knowledge and
evidence based research.
3rd
1st
3rd
2.2
Undertakes
a
comprehensive
and
accurate
nursing
assessment of clients in
a variety of settings
1st
3rd
2.3
Ensures
documentation
is
accurate and maintains
confidentiality
of
information
1st
3rd
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 7 of 12
1st
2.4 Ensures the client
has
adequate
explanation
of
the
effects, consequences
and
alternatives
of
proposed
treatment
options
Not Met
Assessor comments
(include reference to 1st and 3rd
party evidence)
Met
Competency
Page number
of 1st & 3rd
party
evidence
3rd
1st
3rd
2.5 Acts appropriately to
protect
oneself
and
others when faced with
unexpected
client
responses,
confrontation, personal
threat or other crisis
situations
1st
2.6
Evaluates client’s
progress
toward
expected outcomes in
partnership with clients
1st
3rd
3rd
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 8 of 12
1st
2.7
Provides health
education appropriate to
the needs of the client
within
a
nursing
framework
Not Met
Assessor comments
(include reference to 1st and 3rd
party evidence)
Met
Competency
Page number
of 1st & 3rd
party
evidence
3rd
1st
3rd
2.8 Reflects upon, and
evaluates with peers and
experienced nurses the
effectiveness of nursing
care
1st
3rd
2.9
Maintains
professional
development
1st
3rd
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 9 of 12
Designated Senior Nurse: Direct Client Care
Domain 3: Interpersonal Relationships
This domain contains competencies related to interpersonal and therapeutic communication
with clients, other nursing staff and Inter-professional communication and documentation.
Competency
Page number
of 1st & 3rd
party
evidence
1st
3.1
Establishes,
maintains and
concludes
therapeutic
relationships with
client
Assessor comments
(include reference to 1st and 3rd party
evidence)
Met
Not
Met
3rd
1st
3rd
3.2
Practices
nursing in a
negotiated
partnership with
client where and
when possible
1st
3rd
3.3 Communicates
effectively with
clients and
members of health
team
1st
3rd
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 10 of 12
Designated Senior Nurse: Direct Client Care
Domain 4: Inter-professional Health Care & Quality Improvement
This domain contains competencies to demonstrate that, as a member of the health care team
the nurse evaluates the effectiveness of care and promotes a nursing perspective within the
Inter-professional activities of the team.
Competency
Page number of 1st
& 3rd party
evidence
1st
4.1
4.2
4.3
Assessor comments
(include reference to 1st and
3rd party evidence)
Met
Not
Met
3rd
Collaborates and
participates
with
colleagues
and
members of the
health care team
to facilitate and coordinate care
1st
Recognises
and
values the roles
and skills of all
members of the
health care team in
the delivery of
care.
1st
Participates
in
quality
improvement
activities
to
monitor
and
improve standards
of nursing practice
1st
3rd
3rd
3rd
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 11 of 12
PDRP Assessor Declaration
This declaration verifies that assessment of this PDRP portfolio has been based on evidence
provided at the time of submission.
The evidence (based on the Nursing Council competencies) considered for this assessment
was:




Performance Review
Self Assessment
Other ( optional eg reflection and/or peer review)
Further evidence sought ………………………………………………………………………….
PDRP Assessor Declaration
I……………………………………………………………… declare that the evidence provided
meets the regional PDRP requirements for competent level of practice.
Assessor Summary:
 I did not identify any professional, cultural, ethical, or legal concerns or other practice issues
in the evidence provided
OR
 I did identify a professional, cultural, ethical or legal concerns or other practice issues in the
evidence provided which was discussed with Nurse Co-ordinator PDRP. The outcome from this
discussion was:
 Issue resolved and portfolio approved (relevant documentation completed by assessor)
OR
 Issue not resolved and portfolio not approved (relevant documentation completed by
Nurse Co-ordinator PDRP)
PDRP Assessor Signature: ________________________
Date: _______________
Assessor Summary:
PDRP Assessor Signature: ________________________
Date: _______________
Please retain your workbook and associated documentation, as these may be required
for audit and moderation purposes
Northland PDRP
Issue Date: March 2015
Key Word: Designated Senior Nurse : Direct Client Care
Review Date: March 2018
Version: Two
File: PDRP
Workbooks
Page 12 of 12