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Administrative Procedures

Emergency Nurses Association (ENA) approves all Emergency Nursing Pediatric Courses (ENPC), for both Provider and Instructor courses. Authorization must be obtained from ENA prior to conducting any ENPC courses is responsible for maintaining records of ENPC, mailing, as well as course manuals and materials.  Approves the continuing education credit hours (CECHs) for ENPC.

Is responsible for changes in course content or administrative procedures.

Canadian National Trauma Committee – Emergency Nurses Group of British Columbia (ENGBC)

is responsible for monitoring and evaluating the quality of the courses and instructors within their jurisdiction.

Addresses problems or concerns with courses or instructors, all  should be initially addressed at the jurisdiction level.


Emergency Nursing Pediatric Provider Program Guidelines

 Course Description

The ENPC Provider course is designed to provide core-level knowledge and psychomotor skills associated with the delivery of professional nursing care to the pediatric patient. This content is presented through lectures and psychomotor skill stations.

It is recognized that nursing practice varies between areas. The nursing responsibilities, nursing practice acts, and institutional policies which prescribe specific independent and interdependent nursing activities and which govern practice must be considered when implementing the described assessments, interventions, and evaluations for specific patients.

Time Frame Formats

The primary time frame for the ENPC Provider is at two and one-half day (20-hour ) course. Alternate formats available are a two-day (16-hour) course, or  scheduling of the course over a period of weeks. The proposed alternate format must be submitted in writing to ENA and approved.

 Participant/Instructor Ratio

It is recommended that the participant to instructor ratio for psychomotor skill stations be 4:1, however it may be increased to 5:1 or 6:1, if necessary. If the number of par­ticipants differs ratio must be developed by the course director and submitted to ENA

Number of Course Participants

1. Courses may be scheduled for up to maximum of 48 participants. Courses will be approved by ENA as long as an adequate number of approved instructors for the number of participants scheduled to take the course is present. In BC we have found that a maximum of  24-32 is most productive for learning.

Marketing

It is important to market ENPC well in advance of the course in order to ensure timely identification of course participants. Any marketing materials should clearly identify required course registration dates. A clearly identified cancellation policy is also recommended.  The course must be registered with ENA 12 weeks prior to the start date.

It must be clearly marked on the brochure advertising the course that only registered nurses may participate in the testing of the psychomotor skill stations and the multiple choice examination.

Participants

1. Registered Nurses

Registered nurses are the only health care providers eligible for ENPC verification.

It is recognized that nurses in a variety of clinical areas may desire to take the ENPC and benefit from the course. Regard­ less of clinical background, all participants must be encouraged to thoroughly read the ENPC Provider Manual prior to taking the course. The Provider manual should be made available to participants at least 4 weeks prior to the course.

Health Care Providers Desiring to Attend ENPC as Auditors

Health care providers, such as licensed practical nurses (LPN), licensed vocational nurses (LVN), emergency medical technician-paramedics (EMT-P), and physician assistants (PA) may attend the lecture and psychomotor skill stations. The may not participate in the testing of the psychomotor skill stations or take the multiple choice examination. They do not receive a verification card. The following procedure applies:

a. The participants should be provided with an ENPC or TNCC Provider Manual to facilitate the learning process.

b. Include the names of these individuals on the Summary Performance Report Form and class roster.

c. They do NOT participate in the Multiple Choice Examination Answer Sheet or  skill stations examinations.

d. The indirect fee must be submitted for each of these participants.

e. "Auditor" is written next to the person’s name, and the number of CECHs awarded is recorded.

Guidelines for Successful ENPC Provider Completion

1. The participant may attend the lectures and/or psychomotor skill station teaching, or choose to attend only the evaluation portion of the course. All participants must be provided with their own manual. Manuals cannot be shared.

2. For verification, the participant must complete the following course requirements:

a. Multiple choice examination

The multiple-choice examination consists of 50 questions. The examination evaluates the acquisition of the content presented in the ENPC lectures, course manual, and psychomotor skill stations.

The passing score is 80% (40 correct answers). If an individual achieves less than 70%, the multiple choice examination alone may not be retaken. However, if an individual achieves 70% to 78% on the exam AND successfully completes all psychomotor skill stations, he or she may be allowed to retake the examination one time according to the following criteria:

    • The student must retake the multiple choice examination either immediately following the course or within two weeks of the last day of the course. The arrangements are at the discretion of the course director.
    • The course director shall be responsible for identifying an instructor for the re-evaluation.
    • If the individual is unsuccessful on retest, he or she may retake the course or challenge another approved course.

 Psychomotor skill station evaluation

The following psychomotor skill stations are evaluated: Pediatric Multiple Trauma, Triage, and Pediatric Resuscitation. The skill stations are graded based on objective data.. To successfully complete the Pediatric Multiple Trauma and Pediatric Resuscitation stations, all of the critical criteria, plus 70% of the total points identified on the evaluation sheet, must be demonstrated. To successfully complete the Triage skill station, the participant must correctly prioritize three scenarios. The participant may be re-evaluated in only one skill station, only one time. In such a case, the participant is retaught, as recommended on the Skill Performance Report Form, prior to re-evaluation. If the participant is unsuccessful in more than one station, he or she may repeat the course or challenge another approved course.

The participant, who does not successfully complete the skill station evaluation, may be re-evaluated in only one skill station, only one time. In such a case, the participant is given a review of the station by an ENPC instructor, as recommended on the skill performance report form, prior to re-evaluation. If the participant does not successfully complete more than one station, he or she may repeat the course or challenge another approved course.

 Re-exam

A participant may retake only one psychomotor skill station or the multiple choice written examination. If a participant fails more than one testing component (written examination or any psychomotor skill station), he or she is not eligible to retest. The participant has the option to repeat the entire course.

 ENPC Recognition

 Provider Verification

The Emergency Nurses Association will issue a card verifying the successful completion of the ENPC Provider course. The card will be distributed at the course by the course director. Expiration of verification will occur four years from the last day of the month in which the card was issued.

Continuing Education Contact Hours (CECHs)

CECH is awarded to participants who attend the ENPC  Provider course regardless of their successful completion.

If an RN participant chooses not to participate in the evaluation component, the individual can receive partial CECHs for the didactic component. The number of CECHs awarded to each RN participant are to be indicated on the Summary Performance Report Form.

Reverification Process for ENPC  Providers

a. It is the recom­mendation of ENA that ENPC providers either attend a Reverification course or retake the entire course every 4 years to review the course content and acquire the knowledge reflected in the updated ENPC Provider Manual. Reverification must occur before your current provider status expires.

Changes in Course Size

If ENA is notified in writing (mail, fax or E-mail) of changes in course size at least 72 hours prior to the course, the indirect fee will apply only to the new number of projected participants.  The site coordinator must communicate class size changes to the course director 96 hours prior to the course.

 


ENPC and all related material is copyrighted to ENA www.ena.org