Why do I need to demonstrate Competency?

Solid Robust training and competency that is achieved in a timely manner that suits you and your patients, where you can explain your actions.  

It cannot be achieved on one day.  It takes time to develop your skill and gain competence. 

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Venepuncture and cannulation are two commonly practiced invasive procedures in the hospital and community setting that have remained unchanged despite technological developments of the past decades. These are not complex procedures, however there are a number of factors that contribute to correctly performing them, presented by the authors in this book. The wide variety of clinicians offering these skills to their patients is welcome and makes the most of the talent in the NHS, while offering patients choice and an efficient service. However, such diversity risks different types of practices evolving. It is therefore essential that a clear, concise yet informative text is available for clinicians to lead forward best practice in the most appropriate and informative way. 

 Forward in Phillips et al (2011)



Professor Lord Darzi PC, KBE, FMedSci, HonFREng

Professor Darzi holds the Paul Hamlyn Chair of Surgery at Imperial College London where he is Head of Division of Surgery. He is inter- nationally respected for his innovative work in the advancement of minimal invasive surgery and the development and use of allied tech- nologies. Research led by Professor Darzi is directed towards achieving best surgical practice through both innovation in surgery and enhanc- ing the safety and quality of healthcare. 




Organisation considerations:

  • "Intravenous cannula insertion will be carried out by trained and competent staff using strictly aseptic techniques" (DH, 2003).

Patient Considerations:

  • "Having a needle" was ranked as 6th most distressing during chemotherapy treatment. Coates et al (1983)
  • Repeated 1996 (Griffin, 1996) - Top 5 of side effects by women.







                                                        Competent Practice:

  • Nurses: "You must have the knowledge and skills for safe and effective practice when working without direct supervision" (NMC, 2008, p4)

  • Allied Health Care Professionals: "You must act within the limits of your knowledge, skills and experience and, if necessary, refer the matter to another professional" (HPC, 2004, p9).



  • Doctors: "You must keep your knowledge and skills up to date throughout your working life. You should be familiar with relevant guidelines and developments that affect your work. You should regularly take part in educational activities that maintain and further develop your competence and performance" (GMC, 2006, p12).


  • Health Care Support Workers: It is the responsibility of the employer or professional deciding to delegate to ensure appropriate training,
  • supervision and assessment. (NMC, 2008, p3).
















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Managing Director, RN, Paramedic Training Co., Summer 2016

I just wanted to thank you and especially Paulette for an excellent course yesterday in Nottingham. I must say Paulette was a very skilled, experienced and professional trainer with a soft but firm manner. She expertly guided the conversation to learning points that related to the different work streams of the group, using her experience in the clinical field to support the students in their individual learning goals. A big thank you for a professional day.


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