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Ahpra notification · Nursing and Midwifery Board

Professionalism and Professional Standards for Nurses and Midwives for Nurses and Midwives facing an Ahpra notification, complaint or allegation

The allegation concerns your conduct, behaviour or professional standards as a nurse or midwife.

  • Manner — dismissive, rough or disrespectful to a patient or a colleague
  • Impairment — practising while alcohol, drugs or your health affected you
  • Dishonesty — a chart, drug register, timesheet or reference that is not true
  • Unsafe practice — a second check skipped, or a task beyond your scope
  • Boundaries — a boundaries breach with a patient, a family or a colleague
  • Social media — a post that identified a patient, or records opened without reason
  • Medication — poisons law, authorisation or local policy not followed
  • Any other — professional concern or allegation of unprofessional conduct

Facing an allegation of unprofessional conduct or misconduct like these — from the NMBA, Ahpra, a panel or a tribunal?

Help with an Ahpra notification, complaint or allegation starts here. This CPD course helps you remediate — and demonstrate the remediation, with a dated certificate for your written response, your portfolio or a Board, panel or tribunal direction.

Immediate access · certificate on completion · twelve months' access

  • 2 CPD hours
  • Self-paced
  • Written for Australia
  • CPD certificate
  • Bulk buy: any 5 for A$850 · any 10 for A$1,400

At a glance

Who it is for
Any nurse or midwife facing an Ahpra notification, complaint or allegation, an NMBA investigation, a panel or a tribunal hearing about professional behaviour or conduct — an allegation of unprofessional behaviour or conduct
Regulators covered
The Nursing and Midwifery Board of Australia and Ahpra, plus the Nursing and Midwifery Council of NSW, the HCCC and the OHO
Length
6 sections, 17 lessons, 2 CPD hours
Format
Self-paced, online, immediate access, twelve months from purchase
Certificate
Issued by Healthcare Ethics Courses on completion, dated, with the course title and 2 CPD hours
Price
A$200 · any 5 for A$850 · any 10 for A$1,400
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Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.

2CPD hours, issued by Healthcare Ethics Courses
6Sections, five closing with a reflective quiz
17Lessons, plus a post-course assessment
A$200One off. Twelve months' access

Who this course is for

Facing an allegation of unprofessional behaviour or conduct

Ahpra’s letter says your manner on the ward, a remark to a patient or a colleague, a chart, a post, a relationship or a medication practice fell short of the NMBA Code of conduct, the Board’s own standard. This course is how you account for it — and show you have remediated.

Dealing with an Ahpra notification or complaint

A patient, a family, a colleague, your employer or a mandatory notifier has told Ahpra, and you have been asked for a written response. In 2024/25 there were 3,872 notifications about nurses Australia-wide; behaviour was 13.1% of the matters raised and a criminal offence 11.6%. Many conduct matters are decided on that first account; this course gives it the structure the Board reads for.

Under investigation, or under immediate action

Ahpra is investigating, or the Board has suspended your registration or imposed conditions while it does. An investigator reads for insight in your account — and for dated, targeted remediation alongside it.

Facing a panel or a tribunal hearing

A performance and professional standards panel has been convened, or the Board has referred you to the tribunal in your state or territory for professional misconduct. Remediation completed before the hearing — dated, documented — is weighed every time.

Directed to complete CPD or remediation

Conditions on your registration, an undertaking, a panel or tribunal order, or a manager’s or supervisor’s advice require education in professionalism or professional standards. The certificate records two dated CPD hours written to the NMBA Code of conduct.

Expecting a complaint to reach Ahpra

A complaint to your employer, to the HCCC in New South Wales, to the Office of the Health Ombudsman in Queensland, to another health complaints body or to Medicare can become an Ahpra notification. Remediation done now is documented before it does.

The concerns this course speaks to

Communication, manner and dignity

A request for pain relief brushed off, a patient told they are overreacting, rough handling of someone frail, a colleague or a student spoken to in a way the ward remembers. Principle 3 of the NMBA Code of conduct requires respectful relationships and Principle 4 says nurses embody integrity, honesty, respect and compassion; behaviour was 13.1% of the matters raised about nurses in 2024/25. The pressure of the shift is context the Board reads, not a defence it accepts; the course covers communication and teamwork as a core value.

Impairment — health, alcohol, drugs and the risk to patients

Practising while impaired by illness, fatigue, alcohol, drugs or a mental health condition, or not seeking help when a colleague or an employer raised it. Impairment is one of the four grounds for a mandatory notification under the National Law, and section 7.1 of the code asks a nurse or midwife with a condition that could affect their judgement to seek help; the course covers impairment and fitness concerns in yourself, the duty to notify about a colleague, and why a nurse or midwife who seeks support and manages the risk is more likely to be supported than sanctioned.

Probity and an allegation of dishonesty

A medication signed for and not given, a chart altered to hide a missed dose, a controlled-drug count that does not reconcile, a vaccination backdated, a timesheet or a reference that is not true. Principle 4’s value statement names honesty and integrity, Principle 1 requires lawful behaviour, and dishonesty during the process goes to whether you are a fit and proper person to hold registration. A conduct concern becomes a probity matter at that point; the course covers accountability and integrity — honesty about mistakes, open disclosure, no fraudulent documentation or dishonest reporting — and records corrected by the proper procedure, never erased or overwritten.

Unsafe practice under pressure, and scope

A second check skipped, an IV given without the double signature, an observation not taken on a short-staffed night, a task beyond your scope or without the training. Section 2.1 of the NMBA Code of conduct requires safe, person-centred, evidence-based practice to the standards for practice for your registration, and clinical care was 18.5% of the matters raised about nurses in 2024/25. The course lists tasks beyond scope or training, and care delayed when the workload is high, among its clinical practice failures, and counts escalating concerns as accountability.

Professional and ethical boundaries

A friendship with a patient or their family that outlasts the care, messages after discharge, a significant gift accepted, a relationship that began on the ward or with a colleague or someone you supervise. Section 4.1 of the NMBA Code of conduct puts the responsibility for the boundary on the nurse or midwife whoever began it, and Ahpra recorded 1,991 boundary-violation notifications across the professions in 2024/25; the course sets out that crossing a boundary, even with good intent, can lead to investigation, and that the boundary holds with families and colleagues as well as patients.

Confidentiality, social media and the screen

A case posted online that a small town can identify, a diagnosis discussed where others can hear, records opened without a clinical reason, a message to a patient from a personal account. Confidentiality and privacy sit inside Principle 3 of the NMBA Code of conduct, Principle 4 covers conduct that could undermine confidence in the profession, and the NMBA’s social media guidance applies the code online without change. The course treats online conduct as professional behaviour, because the Board does.

Medication and legal compliance

A medicine given, obtained, stored or supplied outside poisons legislation, an authorisation or local policy, a dose change not recorded, an error not disclosed. Section 1.1 of the NMBA Code of conduct ties medication practice to poisons legislation, authorisation, local policy and your own scope, and 2.4 governs what follows an error — recognise, act, disclose openly — which is assessed as closely as the error. The course lists medication given incorrectly or without proper documentation among its professional lapses, and honesty about mistakes and open disclosure as part of accountability.

Delegation, cultural safety and any other concern

A task delegated without deciding it was appropriate, a student or a colleague supervised without the accountability that goes with it (Principle 5); cultural protocols ignored, a family excluded, Aboriginal and Torres Strait Islander people cared for without asking what mattered (Principle 3); consent treated as a signature (2.3). Any allegation of unprofessional conduct is measured against a principle of the NMBA Code of conduct, and the course sets out the code’s expectations domain by domain, from legal and ethical frameworks to professional behaviour.

Facing an Ahpra notification, complaint or allegation? This course helps you remediate — and demonstrate it.

Buy this course — A$200.00

What the course covers

Six sections and 17 lessons, with a reflective quiz closing each of the first five and a post-course assessment at the end.

Section 01

Understanding professionalism in nursing and midwifery

Defining professionalism in Australian healthcare, and why it matters for nurses and midwives specifically — a standard that reaches far beyond clinical skills.

Section 02

Core professional values and standards

Six lessons: person-centred care, empathy and respect; accountability and integrity; professional boundaries; communication and teamwork; documentation; and cultural safety and equity in healthcare.

Section 03

Regulatory expectations and the role of the NMBA

The NMBA's code of conduct and professional standards, and then fitness to practise, notifications and mandatory reporting — what triggers each and what follows.

Section 04

Breaches of professionalism and their consequences

The six categories of lapse the course sets out — clinical practice failures, boundary violations, inappropriate communication, documentation and reporting, impairment and fitness, and disrespect for cultural values or patient autonomy — then the disciplinary actions, legal risk and effect on public trust that follow.

Section 05

Insight, reflection and remediation

Three lessons: reflective practice and professional growth; remediation strategies and returning to safe practice; and rebuilding trust in teams, organisations and the profession.

Section 06

Conclusion and key takeaways

Eight takeaways drawing the course together, then the post-course assessment. Among them: cultural safety is a professional obligation and not an optional addition; even unintentional lapses can have serious consequences; and Ahpra and the NMBA respond to notifications with a focus on public protection, with outcomes ranging from education and supervision to suspension or cancellation.

Show every lesson title
Section 01 · Understanding Professionalism in Nursing and Midwifery
Defining Professionalism in Australian Healthcare; Why Professionalism Matters for Nurses and Midwives.
Section 02 · Core Professional Values and Standards (NMBA and Ahpra)
Person-Centred Care, Empathy, and Respect; Accountability and Integrity; Professional Boundaries; Communication and Teamwork; Documentation; Cultural Safety and Equity in Healthcare.
Section 03 · Regulatory Expectations and the Role of the NMBA
The NMBA’s Code of Conduct and Professional Standards; Fitness to Practise, Notifications, and Mandatory Reporting.
Section 04 · Breaches of Professionalism and Their Consequences
Examples of Professional Lapses in Nursing and Midwifery; Disciplinary Actions, Legal Risk, and Impact on Public Trust.
Section 05 · Insight, Reflection, and Remediation
Reflective Practice and Professional Growth; Remediation Strategies and Returning to Safe Practice; Rebuilding Trust in Teams, Organisations, and the Profession.
Section 06 · Conclusion and Key Takeaways
Conclusion; Key Takeaways.

How to respond to an Ahpra notification, complaint or allegation

Ahpra, the NMBA, a panel and a tribunal all read a written response for the same four parts. Ahpra says it needs to understand how you responded to the event — accepting accountability, declaring what happened, actively reflecting and updating your knowledge and skills, and being able to say how you would respond in similar circumstances in future. On a conduct matter the account comes first, and the course teaches each part.

The risk is fixed by what happened; insight and the potential for recurrence are decided by what you do before the response goes back.

  1. The accountThe events in order, in plain words, with the chart, the register or the roster cited rather than described — the shift as context, not as a defence.The course’s reflection lesson starts here: describe what happened, with the context and who was involved, then identify the contributing factors — genuine and non-defensive, which is what the NMBA values.
  2. The principle, named by youThe principle of the NMBA Code of conduct the conduct fell short of — professional behaviour (Principle 4), lawful behaviour and medication (1.1), respectful relationships and confidentiality (Principle 3), open disclosure (2.4), your own health (7.1) — named before the Board names it, with the standards for practice for your registration beside it.The course sets the code beside the standards for practice for registered nurses, enrolled nurses and midwives, so you can name the expectation and the standard together.
  3. The effectWhat the conduct meant for the patient, their family or your colleagues, in their terms rather than yours.The course defines insight as understanding the nature and seriousness of the breach, without minimising it or blaming others, and asks for a written reflection that demonstrates it.
  4. What has changed, and who can confirm itDated evidence someone other than you can check: supervised practice with a named supervisor and a written report, a documentation or medication audit with a before and after, CPD on the standard itself.This course is the dated item you attach — and it tells you how to build the rest.

Apologise for the conduct, not for the complaint — and the shift is context, not a defence.

Take advice from your indemnity insurer, your union (the ANMF or your state branch) or professional association, or a lawyer before you respond to anyone.

Facing an Ahpra notification, complaint or allegation? This course helps you remediate — and demonstrate it.

Buy this course — A$200.00

How this course helps with an Ahpra notification

The Board reads for insight before it reads for outcome

The course works through the six categories of professional lapse — clinical practice failures, boundary violations, inappropriate communication, documentation and reporting issues, impairment or fitness concerns, disrespect for cultural values or patient autonomy — and the consequences that can follow, from a caution or conditions to suspension or referral to a tribunal. What the Board weighs is understanding of what went wrong, acknowledgement of the effect on the person in your care and on colleagues, personal responsibility rather than blame moved elsewhere, and evidence of learning and changed behaviour. Nurses and midwives who show insight, take responsibility and engage in remediation are treated differently from those who deflect blame or repeat the behaviour, and the course says what the NMBA values: genuine, non-defensive reflection that leads to meaningful change.

Reflection has a structure, and the Board can tell when it is absent

The course sets out what effective reflection involves: describing what happened, with the context and who was involved; identifying the contributing factors — communication breakdowns, unclear protocols, personal stress; evaluating the impact on the patient, the team, workplace culture and your own wellbeing; recognising the ethical principles at stake, such as autonomy, duty of care, justice or dignity; learning from the event; and planning for improvement. Then name the principle: professionalism is Principle 4; medication and lawful behaviour are 1.1; consent is 2.3; open disclosure is 2.4; confidentiality sits inside Principle 3 — with the standards for practice for your registration beside the code, because section 2.1 brings them into scope.

Remediation that stands up

A remediation portfolio for a conduct matter in Australia is built from the instruments the tribunals themselves order as conditions — and the Board, a panel and a tribunal all weigh it the same way. Remediation begun before the outcome is known counts differently from remediation promised for afterwards. Counts: a reflective statement that cites the NMBA Code of conduct by heading; CPD targeted to the lapse, this course’s dated certificate among it; a documentation or medication audit with a before and after; supervision or mentoring with written reports; feedback from patients and colleagues gathered on purpose. Counts for little: an apology followed by “but”, a character reference in place of an account, CPD hours on another subject, a reflection written by someone else, a promise where evidence should be. For the stages from the first letter to a tribunal, see the Ahpra investigation process, explained.

Read the primary sources

Who wrote it

Dr Shehzad Iqbal, course author and facilitator at Healthcare Ethics Australia

Dr Shehzad Iqbal

Course author and facilitator, Healthcare Ethics Australia

Dr Iqbal has designed and delivered ethics, probity and professionalism training for healthcare professionals since 2020, working with registrants across regulated health professions, online and face to face. He combines clinical practice with formal postgraduate training in healthcare law and ethics.

MBBS · MRCS · MRCGP · Postgraduate Certificate in Healthcare Law and Ethics, University of Dundee

Written and reviewed by Dr Shehzad Iqbal. Last reviewed .

In short

Professionalism and Professional Standards for Nurses and Midwives is a self-paced remediation course of 2 hours for practitioners registered with the Nursing and Midwifery Board of Australia facing an Ahpra notification, complaint or allegation. It is written for allegations concerning professional behaviour and conduct — Principle 4 of the NMBA Code of conduct for nurses, whose value statement is that nurses embody integrity, honesty, respect and compassion. It also covers scope of practice, medication and legal compliance, consent, open disclosure, confidentiality, delegation and supervision, and the insight and remediation a notification calls for. It is not accredited by Ahpra or the NMBA, and no course determines the outcome of a notification.

Where professionalism sits in the NMBA code

The NMBA Code of conduct for nurses and Code of conduct for midwives, in effect since 1 March 2018, describe professionalism as conduct a nurse or midwife shows, not a quality they have. Each is built from seven principles in four domains: practise legally (1, legal compliance); practise safely, effectively and collaboratively (2, person-centred practice; 3, cultural practice and respectful relationships); act with professional integrity (4, professional behaviour; 5, teaching, supervising and assessing; 6, research in health); promote health and wellbeing (7). A professionalism concern engages Principle 4 first, and its value statement is four words: nurses embody integrity, honesty, respect and compassion. That is the standard a written response has to demonstrate rather than assert — then check whether Principle 1 on legal compliance or Principle 3 on respectful relationships and confidentiality is engaged as well.

Three things are Australian. The first is the second document: the NMBA also publishes standards for practice — separate documents for registered nurses, enrolled nurses, midwives and nurse practitioners — and section 2.1 requires you to practise in accordance with them, so a professionalism response cites the standards that match your registration beside the code. The second is the National Law: a conduct concern travels the same route as any notification — assessment, immediate action where the risk is current, investigation, a panel or a tribunal — and in New South Wales and Queensland it is the HCCC and the Nursing and Midwifery Council of NSW, or the Office of the Health Ombudsman, that hold the file first. The third is cultural safety: Principle 3 makes culturally safe and respectful practice an obligation judged by the person receiving the care. In a written response, name the principle, accept the effect and date the change. The Board reads for the second of those.

What these words mean

The three terms that decide how a matter is handled, and the other words on this page.

Notification
Ahpra’s word for a complaint or a concern about a registered practitioner, from a patient, a colleague, an employer or a mandatory notifier. Every notification is assessed for risk to the public; you are told of it and asked for a written response, and that response is read at every later stage. In 2024/25 there were 3,872 notifications about nurses Australia-wide, about one nurse in 190; health impairment was 10.5% of the matters raised, behaviour 13.1% and a criminal offence 11.6%.
Immediate action
The step a National Board may take at any stage under section 156 of the National Law where it believes a practitioner poses a serious risk: suspending registration or imposing conditions while the matter continues. A protective step, not a finding, and reviewable.
The four National Law grounds
Fitness to practise is the phrase practitioners use for the whole process. The National Law names four grounds on which a Board acts: impairment (a health matter, not a conduct finding), unsatisfactory professional performance (knowledge, skill, judgement or care below the standard of a peer), unprofessional conduct (conduct below what peers and the public reasonably expect) and professional misconduct (substantially below that standard, found only by a tribunal). Which one your letter uses tells you how the matter is being treated.
The seven principles, the standards for practice, scope, delegation, insight and the other terms the code and the course use
The seven principles
The NMBA Code of conduct for nurses is built from seven principles grouped into four domains: practise legally (legal compliance); practise safely, effectively and collaboratively (person-centred practice; cultural practice and respectful relationships); act with professional integrity (professional behaviour; teaching, supervising and assessing; research in health); and promote health and wellbeing.
Principle 4, Professional behaviour
The principle a professionalism concern engages first. Its value statement is four words long: nurses embody integrity, honesty, respect and compassion. A separate code applies to midwives with the same structure.
Standards for practice
Distinct from the code of conduct. The NMBA publishes standards for practice for registered nurses, enrolled nurses, midwives and nurse practitioners, and they describe what competent practice looks like in your role. A professionalism response may need to engage both documents, not one.
Scope of practice
What you are educated, authorised and competent to do in your role and setting. The distinction between registered and enrolled practice, and between nursing and midwifery practice, is where a scope concern can start.
Delegation and supervision
Principle 5 covers teaching, supervising and assessing. Delegating a task does not transfer the accountability for deciding that the delegation was appropriate.
Mandatory notification
A reporting obligation under the National Law. Principle 1 requires nurses to abide by reporting obligations, referring to sections 129, 130, 131 and 141 and the NMBA's own guidelines on mandatory notifications.
Insight
Understanding what happened, its effect, and your part in it. It is what the Board weighs most heavily, and it is demonstrated in writing rather than asserted.
Remediation
Concrete change with evidence behind it: supervised practice, a documentation or medication audit, a scope conversation with your manager recorded in writing, or CPD directed at the specific concern rather than at hours.

The principles a notification engages

Read off the NMBA Code of conduct — the Code of conduct for nurses and the Code of conduct for midwives, which share the same seven principles in four domains — not the shared Code of conduct the other National Boards use, whose numbering does not transfer. The four provisions a professionalism response is written to, then the others a conduct concern engages. The principles that govern decisions — person-centred practice (2), consent (2.3), cultural safety (3) — are taken up in the Ethics course.

Principle 4 — Professional behaviour

The centre of any professionalism concern. The value statement is that nurses embody integrity, honesty, respect and compassion, and the guidance beneath it covers professional boundaries with people in your care, their families and colleagues (4.1), advertising and professional representation, conflicts of interest and gifts (4.4, 4.5), and conduct that could undermine confidence in the profession, on social media included. A dishonest account during a notification is read against the National Law’s test of whether a nurse or midwife is a fit and proper person to hold registration.

For this course: the course’s lessons on professional boundaries and on accountability and integrity, and its material on social media, cover the conduct this principle governs.

Principle 7 — Health and wellbeing

Promoting health and wellbeing, and managing your own health where it may affect your practice (7.1) — the principle an impairment, alcohol or drug concern engages first. Impairment is one of the four grounds for a mandatory notification under the National Law and is dealt with on its own route, with support; a condition declared early, with a plan behind it, is read as insight, and the course treats your own health as part of the remediation plan.

For this course: the course treats your own health as part of professionalism and of the remediation plan, and says that a nurse or midwife who is unwell but seeks support and manages the risk is more likely to be supported than sanctioned.

1.1 — Lawful behaviour

Practise honestly and ethically and do not engage in unlawful behaviour, because it may affect your practice or damage the reputation of the profession. It expressly covers complying with poisons legislation, authorisation, local policy and your own scope of practice when using, administering, obtaining, possessing, prescribing, selling, supplying or storing medications — which is why a medication error is answered as a professionalism matter, and why the response names the rule that was not followed before the Board does.

For this course: the course lists medication given incorrectly or without proper documentation among its clinical practice failures, and legal compliance, medication safety included, among the code’s domains.

2.4 — Adverse events and open disclosure

Where something has gone wrong: recognise it, act, and explain to the person openly. The duty is individual and sits alongside whatever the organisation does, and what follows an error — disclosure, documentation, escalation, the incident report — is assessed as closely as the error. A correction made openly, dated as a correction and reported through the incident process is an error handled properly; a chart altered so the omission cannot be seen turns a medication concern into one about integrity.

For this course: the course holds that errors must be recognised, reported and learned from, not concealed, and treats honesty about mistakes and open disclosure as part of accountability.

Also engaged: Principle 1 — legal compliance: practising honestly and lawfully, and the reporting obligations the National Law sets · 1.2 — obligations under the National Law: mandatory notification (sections 129, 130, 131 and 141) and the registration standards · Principle 2 — person-centred practice: safe, evidence-based care and shared decision-making · 2.1 — nursing practice: in accordance with the standards for practice for your registration, cited beside the code · 2.3 — informed consent: a process rather than a signature · Principle 3 — cultural practice and respectful relationships: cultural safety, open and honest professional relationships, privacy and confidentiality · Principle 5 — teaching, supervising and assessing: delegating a task does not transfer the accountability for deciding it was appropriate · Principle 6 — research in health: engaged where a research, audit or quality role sat behind the concern.

Not a nurse or midwife? Ahpra and the National Boards regulate 16 professions under the National Law, and the process is the same for all — courses for every registered profession →

Frequently asked questions

What does the NMBA want in a response to a professionalism notification?

The account, the principle, the effect and the change: the events in order with the chart or the register cited; the principle of the NMBA Code of conduct the conduct fell short of — and the standard for practice for your registration — named by you before the Board names it; what it meant for the person in your care, their family or your colleagues, in their terms; and dated evidence of what is different now — supervised practice with a written report, an audit with a before and after, CPD on the standard itself. Insight is understanding what went wrong, acknowledging the effect and taking personal responsibility rather than moving it, in your own words and about the specific concern.

Should I take advice before I respond to Ahpra?

Yes — before anything is written to Ahpra, the NMBA, a panel, a tribunal, your employer or a health complaints body. Your indemnity insurer, your union (the ANMF or your state branch) or professional association, or a lawyer should read a response before it goes. Nothing on this page is legal advice, and no course determines the outcome of a notification.

Will Ahpra or the NMBA accept this course as remediation?

No provider is accredited by Ahpra or any National Board, and no course decides a matter. What the Board, a panel and a tribunal weigh is dated, targeted remediation with reflection that engages the standard — and this course covers the NMBA Code of conduct and the standards for practice beside it, the six categories of professional lapse, and the reflection and remediation the NMBA values, with a dated certificate for your response. Check the wording of any condition, undertaking or direction with your indemnity insurer, your union (the ANMF or your state branch) or professional association or a lawyer before you rely on it.

What can the NMBA do about a professionalism concern?

After an assessment or an investigation the NMBA may take no further action, caution you, accept an undertaking or impose conditions on your registration (section 178), refer you to a panel, or refer the most serious matters to a tribunal (section 193), which can reprimand, impose conditions, fine, suspend, cancel registration and disqualify (section 196). The course sets out the notification pathway — assessment, investigation, the Board’s decision, outcome — and the NMBA’s risk-based approach, whose aim is to protect the public rather than to punish, and says that honest, timely and reflective engagement with the process is essential.

Who investigates a concern about a nurse or midwife in New South Wales or Queensland?

Not Ahpra, in either case. In New South Wales the Nursing and Midwifery Council of NSW and the Health Care Complaints Commission manage conduct, health and performance matters between them, and Ahpra does not investigate registered practitioners there. In Queensland every complaint goes first to the Office of the Health Ombudsman, which decides what it keeps and what it refers on to Ahpra and the Board. The letterhead tells you which body has your file, and the same response — the reasoning, the standard, the remediation — is what each of them reads for.

Where does a professionalism concern sit in the code?

Principle 4, professional behaviour. It sits in the domain act with professional integrity, and its value statement is that nurses embody integrity, honesty, respect and compassion; the guidance beneath it covers boundaries (4.1), conflicts of interest and gifts, and conduct that could undermine confidence in the profession. If the letter uses the word professionalism without narrowing it, Principle 4 is where to look first — then check whether the concern also engages Principle 1 on legal compliance, Principle 3 on respectful relationships and confidentiality, or Principle 7 on your own health. The course sets out the code’s core domains as behaviour expected of you, professional behaviour among them.

Is the code the only document I am measured against?

No. The code describes how you must behave; the standards for practice — separate NMBA documents for registered nurses, enrolled nurses, midwives and nurse practitioners — describe what competent practice in your role looks like. Section 2.1 of the NMBA Code of conduct requires you to practise in accordance with the standards of the profession, so a professionalism response engages both: the principle from the code, and the standard that matches your registration. A response that cites only the code has answered half the question, and the course names the standards for practice beside the code.

The concern is about scope of practice. Is that professionalism?

Often, yes. A scope question arrives as a professionalism concern because the issue is judgement rather than knowledge: whether you recognised the limit, whether you sought help and whether you escalated when the decision was not yours to make. Section 1.1 also ties scope to medication practice, requiring compliance with poisons legislation, authorisation, local policy and your own scope, and the standards for practice for your registration say what the scope is. The response names the limit, says what you did when you reached it, and shows the scope conversation with your manager recorded in writing.

It was a medication error. Why is professionalism involved?

Because the NMBA Code of conduct treats medication practice as a legal-compliance matter as well as a clinical one. Section 1.1 requires compliance with poisons legislation, authorisation, local policy and scope when using, administering, obtaining, possessing, prescribing, selling, supplying or storing medications, and what follows the error — disclosure under 2.4, documentation, escalation, the incident report — is assessed under Principles 2 and 4 as closely as the error itself. A correction made openly and reported is an error handled properly; a chart altered so the omission cannot be seen is an integrity matter.

Which code applies to me — nurses or midwives — and does it apply to enrolled nurses?

Whichever matches your registration, and if you hold both you are subject to both. The NMBA publishes a separate Code of conduct for nurses and Code of conduct for midwives; both took effect on 1 March 2018 and share the same seven principles in four domains, so this page cites them by principle and section and the reference holds for either. The Code of conduct for nurses applies to enrolled nurses, registered nurses and nurse practitioners alike; what differs by registration is the standards for practice beside it. A response that cites the wrong document is an easy thing for a reader to notice.

What sort of remediation carries weight?

Concrete and evidenced, and begun before the outcome is known. Supervised practice with a named supervisor and a written report; a documentation or medication audit with a before and after; a scope conversation with your manager recorded in writing; feedback from patients and colleagues gathered on purpose; CPD chosen for the specific concern rather than for hours, this course’s dated certificate among it; and a reflective statement that cites the code by principle. Counts for little: an apology followed by “but the ward was”, a character reference in place of an account, and a promise where evidence should be.

How is this different from the Ethics course for nurses and midwives?

This course is about conduct — the behaviours the code requires of nurses and midwives, the breaches a notification describes, what follows a breach and the remediation the Board recognises. The Ethics course is about the reasoning behind a decision and what to do when two principles conflict. If a notification describes how you behaved, start here; if it says a decision or a relationship was unethical, start there. The two can be taken together.

Does this count towards my CPD?

The Nursing and Midwifery Board of Australia sets its own continuing professional development registration standard, and targeted CPD on the subject of a notification is among the remediation the Board and the tribunals recognise. The certificate records the course, the 2 CPD hours and the date, which is what a CPD portfolio needs; how the hours count towards your requirement depends on the standard’s categories, so check them.

How long does it take, and how long do I have access?

The course is 2 CPD hours, self-paced, with twelve months’ access from purchase. The certificate is issued on completion, dated, with the course title and the CPD hours, for a response, a portfolio or your CPD record.

A notification can raise more than one issue. These are the courses that pair with this one.

Ethics and Ethical Standards for Nurses and Midwives

The companion course. Where this one works from the code of conduct, that one works from the ethical framework beneath it.

2 CPD hours · A$200

Documentation for Healthcare Professionals

Records are the first thing an investigation requests, and thin notes are read as thin care.

2 CPD hours · A$200

Ensuring Teamwork and Collaboration

Escalation, handover and how you receive a colleague’s concern, with collaboration put into daily practice.

2 CPD hours · A$200

Professional Boundaries Course

Boundaries with patients and colleagues, and the Board’s expectation of objectivity with people in your care.

2 CPD hours · A$200

Dealing with a Complaint or Investigation Professionally

How you conduct yourself during the process is assessed alongside whatever the concern is about.

2 CPD hours · A$200

Insight for Fitness to Practise

A major factor in how the Board responds. Its absence is cited as a reason for ongoing restrictions.

2 CPD hours · A$200

Remediation for Fitness to Practise

Supervised practice, an audit of your own records, CPD chosen for the concern. Evidence rather than intention.

2 CPD hours · A$200

Professionalism and Professional Standards for Nurses and Midwives

This course. Conduct, boundaries, scope, records and communication under the NMBA Code of conduct, and the evidenced remediation that answers a notification.

2 CPD hours · You are here

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