Nurses may receive their education and training through many avenues. In the United States,a licensed nurse may be a Licensed Vocational(Practical) Nurse or a Registered Professional Nurse. A Licensed Vocational Nurse completes a one to 2 year vocational/technical education program and provides defined patient care tasks under the direction of a Registered Nurse or physician. A Registered Professional Nurse has 3 options available for their professional educational program; a hospital based school of nursing, a community or junior college offering an Associate Degree, or a 4 year Bachelor of Science program at a college or university. In past decades, Registered Professional Nurses were trained not at a university level but at an apprenticeship level through a hospital school of nursing. Whilst nursing is progressing towards being a more academic area of study and developing its own body of knowledge, a great deal of nurses' education and training requires an emphasis on practical application which is achieved in clinical rotations in a health care setting. To complete this assignment it will probaly be necessary to secure a job or work placement as a care assistant, auxilliary nurse, support worker or similar support role, and provide written support that you can achieve each of the learning proficiencies. This assignment can be completed many times and it may in fact be in your best interests to complete it every few months or so. I welcome any edits anyone feels should be made especially because this assignment will need to be edited to make it appropriate for those working outside the united kingdom.

Proficiency 1: Practicing in an ethically accountable manner.

   Provide written support that you are able to practice in line with the nursing and midwifery council's code of professional conduct: standards for conduct, performance and ethics.
   Show appropriate behavour when entering a patient/client's home 
   When providing care ensure that individuals or groups are shown support and acknowledgement
   Have a relevant and comprehensive knowledge of health care policy and regional legislation with regards to nursing

Proficiency 2: Striving to enhance the knowledge of the profession of nursing as well as personal knowledge and skills.

   Reflect on practice as often as possible and engage with contemporary nursing literature in order to maintain best practice and identify gaps in your own knowledge, this will also help to identify gaps in nursing knowledge as a whole and formulate new research.

Proficiency 3: Evaluation, record keeping, clinical judgement and assessment in nursing.

   Generate a plan of care in order to achieve the best possible health, habilitation or rehabilitation, expected outcomes and a time frame of the patient/client's care.
   Work with patients to gauge the progress of their care according to the the care plan.
   Show that you can apply your skills safely and appropriately
   Select nursing interventions based upon evidence, practical knowledge and patient/client's interests.
   Promote independent living skills and communicate with patients in order to ascertain their need/desire for health promotion.
   Show an ability to collect necessary nursing data on patients/clients in a systematic manner. 

Proficiency 4: Nursing management.

   Ensure that the patient/client's clinical/home environment is safe and eliminate hazards where possible and demonstrate safe and responsible control of therapeutic substances.
   Maintain efficient and reciprocal working relationships with other members of the health and social care team.

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