NZNA_AnnualReport2017_280817_v10_small
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Competence Reviews<br />
Key Results: 2016–2017<br />
32<br />
inquiries completed:<br />
13 needed<br />
competence<br />
reviews<br />
19 required<br />
no further action<br />
50<br />
new notifications were<br />
received by the Council<br />
about the competence<br />
of nurses<br />
13<br />
competence<br />
reviews conducted<br />
Response to notifications of competence concerns<br />
The Council must inquire into all<br />
notifications it receives about nurses’<br />
competence and determine what action,<br />
if any, will be required to ensure the<br />
nurses practise at the standard required<br />
to protect the safety of the public.<br />
Employers generally address any<br />
competence concerns about nurses<br />
in their employment with performance<br />
improvement plans or similar processes.<br />
However, where the concerns about the<br />
competence of a nurse are more serious,<br />
or the nurse has been unable to sustain<br />
any improvement in practice following<br />
additional education and support, a<br />
notification to the Council may be required.<br />
Where a nurse is dismissed or resigns<br />
for reasons related to competence, their<br />
employer must notify the Council of the<br />
reasons for that dismissal or resignation.<br />
The Health and Disability Commissioner<br />
is also required to notify the Council if<br />
he or she has reason to believe that a<br />
nurse may pose a risk of harm to the<br />
public by practising below the required<br />
standard of competence. Referrals may<br />
also be made by PCCs or any health<br />
practitioner. Other sources of notification<br />
include self-notification, members of the<br />
public, the Ministry of Health, overseas<br />
regulatory authorities, the recertification<br />
audit process and a Health Committee<br />
or Professional Conduct Committee. The<br />
Council may also review the competence<br />
of a nurse with an APC at any time.<br />
In the 2016-2017 year the<br />
Council received notifications<br />
about the competence of 50<br />
nurses. This is a very <strong>small</strong><br />
proportion of nurses practising:<br />
0.09% of the 55,289 nurses with<br />
APCs at the end of March 2017.<br />
It is a decrease from the previous year,<br />
when 77 nurses were referred. Most of<br />
the notifications (43 of 50) came from<br />
employers.<br />
Annual Report 2017 | 45