Red related tasks – Registered Nurse Associates cannot Registered NAs working under (non-direct) supervision of a Registered Nurse cannot: Amber related tasks – additional training required The following skills and extended roles require additional training and assessment of competence before undertaking them. The NA should be working to national, local and practice polices, as appropriate, under supervision of a Registered Nurse to deliver the following: Please note Annual reviews for asthma should not be carried out by NAs as these require a management plan, and as this constitutes planning of care, this is the responsibility of a registered nurse. NAs can undertake the 4–8-week follow-up review of patients with asthma who have had changes to their management plan following their annual review. Please refer to local and national guidelines for minimum training requirements and competencies expected before undertaking an extended role. All medications should be delivered only under Patient Specific Directions (PSDs). • Assess, plan and co-ordinate care independently • Ear irrigation • Travel consultations and vaccinations • Baby, childhood and adult vaccinations • Cervical screening • Supporting Learning Disability reviews • Sexual health screening and history taking • Annual contraceptive checks • Complex wound care, including compression bandaging • Goserelin ‘Zoladex’ implants • Doppler Ultrasound test • Annual reviews for long term conditions (e.g. diabetes, asthma) • Lung function tests (Spirometry) • Fractional Exhaled Nitric Oxide (FeNO) testing • Supervision and support of students in practice • Long term conditions, annual reviews for patients with diabetes, hypertension and COPD Many thanks to colleagues who have contributed to this guidance. Authors: Nicola Lakic, Lead Nurse for Nursing Associates, Croydon Wendy Majewska, TNA Lead SWL ICS Resources: https://www.rcn.org.uk/Professional-Development/Accountability-and-delegation https://www.nmc.org.uk/standards/standards-for-nursing-associates/standards-of-proficiency-fornursing-associates/ https://www.rcn.org.uk/Professional-Development/Accountability-and-delegation https://www.nmc.org.uk/standards/standards-for-nursing-associates/standards-of-proficiency-fornursing-associates/ Preceptorship for Nursing Associates - Leaflet.pdf (hee.nhs.uk) June 2023
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