56 tal-1986

I..N. 56 or 19116

MEDICA l. ,\ ,'111) KINJ}RED PROn:.-" .. 'i IONS OIUlINANCE

(CA I'. 51)

Tr.l.ining School ror £ nrolltd Nurses R~ulat ioos. 1986

IN exe rcise of the powers conferred by section 72 of the Medical

and Ki ndred Professions O rdinanc.::. the Minister of He alth. on the

advice of the Nursing and Midwi fery Board. hllS made the following

regula tions:-

I . ( I) These regulations may be cited as the T rnin ing School for

E nrolled Nu rses Regulations. 1986.

(2) These regulations shall apply to training co urses sta rted

on or after the date of their publication in the Gal'.e tte .

Reg ulat ions 9 and \0

SC HEM E OF TRA INING

(PUP IL NU RSES)

I~RODucroIlY

PART

ANATOMY

Lectures in

PHYSIOLOGY

NURS[NG

FIRST AlD

INTRODUCTORY ASSESSMENT

INTIORMED1ATE PAin

Practical Nursing Experience 1.

MEDICINEjSU RGERY

Study Block I (Thcorctical lnstruction )

Practical Nursing Experience 2.

SURGERY/MEDIC INE

Holidays

Study Block 2 (Theoretical InSlnlclion)

Practical Nursin g Expe rie nce 3.

GYNA ECOLOGYI

U ROLOGYI

MATERN ITY CAREJ

CAREOFTHENE~O RN

Ho lidays

Study Block 3 (Th eorc tical lnSlruct ion)

Practical Nursing Experience 4.

ACCIDENT Al'lD EMERGENCY DEPARTMENT!

ORTHOPAED ICS!

MEDICA L O R SURGICAL SPEC IALITY

(includes e~pericnce in Oncology andFeve rUnit allloffa Hospital

and in Outpatient Department)

Holidays

Study Block 4 rtneoretical lnslruction)

INTERMEDIATE EX AMINATION

F1SAL PART

Practical NUl'1>ing E:lperience 5.

GE RIATRI CS (includes Com munity G e riatrics)!

PAE DI ATRICS

Holidays

Study Block 5 (Theoretical Inmuction)

I'ractical Nursing E:lperience 6.

GE RIAT RI CS (includes Communi ty Geria trics)!

M ErITA L D ISORDE R AND II AN D ICA P

Holidays

Study Block 6 (ThCllretieal lnStruction)

f----:C 77 C"C-88c - h

-,-- - - ----1

and in

I~ ol idays

Study Block 7 (Theoretical Inst ruction)

Practical Nursing Experience~.

MEDI C IN E!SURGE RY

Holidays

4 weeks

Introducto ry Part

I t weeks

so wee ks

9 wee ks

In these regulations. unless the context o therwise requires -

""ho!;;pilHl" means a hospi tal o r any part thereof. appro\'ed by

Ihe Nursing and Midwi fery Board ItS forming part of a training school;

" tra ining school" and "school" mean a com plete training

school . inclusive of onc or more hospitals o r any pan thereof. apprO\'ed

by the Nursing and Midwifery Board. fo r nurses to be admitted \olhe

Roll of Nurses kept by Ihe said Board.

PART I

Training School Fur En rolled Nurses Regulations. 19116

Applicotion for Admission

rhe lnlermediDle{Fi"D"

ExamilUlliQn for Sludem

IQ

Nurses

(ADDRESS)

(D ATE)

The RcgiSlrar

Nursi ng and Midwifery Board

I beg to apply for pennission to sit for the Intermcdiatc/Final' Enmi na lion for

Pupil Nu~ wh ich will be hekl during .... ......... ..... ........ ..... . ... .. ... .

in te rms of the Training School for En rolled Nurses Regulations, 1986.

In support of my app lication , I am forwarding herewith a certificate signed by the

Principal Nursing Tu tor ce rtifying that I have completed the Practical Nursing Exper-

ience at the . ............ ... ......... ........ .. Training School For Nurses

(which I joi ned on the ................................. . ) in tenns of paragraph

( I) of regulation \0 o f the Training School for Enrolled Nun;es Regulations. [986. and

also my conduct and regu lar attendance during the relati~e ~riod of trai nin g.

I am also forwardin g herewith the rela tive fee for the examination.

Signature ...... . ... , ............... ...... .. .

Nam e in Block Letters .... ... ................ .

(Pupil Nun;e)

"

3'17

PART II A

Training School for Enrol led Nur5l'$ Regulations. 1986

Cl'rlijicate by Principu! Nursing Tt/fOr for the p",wues of /lie

fmem /tl/jOlt! Examinalioll fo r Pupil Nurses'

The Registrar

Nursing & Midwifery Board

(Date)

I Hcrebyccrtify. as Principa l NursingTutor. that MissfMr . ... ................ .

a Pupil Nu~. Daughter/Son of , ... . ................................. born al

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. aged

.... .... ... . and

rcsldmg:1I ................................................................ .

has com pleted the practic~11 nursing experience required unde r paragraph (I )

u.

o f regulat ion lOof the Training School for En rolled Nurses Regulations, 1986.

in respect of the Intenncdiate Examination. and

b. has regul a rly attended the rel ative period of training. in accordan~ wi th th e

said Regulations.

The co nduct o f Miss/Mr

has been sa tisfactory/not sat isfacto ry throughout the re la tive period o f training.

This is her/his first /second/third attempt

In cast or tht first a lll'fTlpl only: Her/His marks in the Introductory Assess-

ment were ... . ...... . ...... (max imum 20 mark s).

In case or second or third alll'fflpt (HIly: Further satisfactory tr-"inin,R has been

undergone in accordance with paragraph ( 1) o f regulat ion 13 o f the said Regu la-

tions. Yes/No.

Signature

(Prj'lcip(I/ Nursing TulOr)

Name ( BLOCK LEIIERS )

Name of Training School

• TIoio Ctnlr",",. io '" KCOfI>IWIy ,"" «1a'M "1'1'1",*1"", (ot ............ 001"" I",.nnc<lialc Eumina'ion ....

l'upil NUl .. ,.

PART liB

Training School ror Enrolled Nurses H:~ulatiuns. I ~

Certificale by Principd Nursing Tu/or jor Ihe " llrfWSeQj lhe

Final £Xl/mination jor Pupil Nllf!es'

The Registrar

Nursing & Midwifery Board

(Date)

I hereby certify. as Principal Nursing Tutor. that Miss/Mr

..... . ......... ..... . ............. a Pupil Nurse. Daughter/Son of ...... .

. . . . . . . . . . . . . . . . . . . . . . . .. born at ... .. ........ . ..... . aged .. ... ... .. . and

residing at ... . ... .. . . .... . ..... . ...................... .. .......... .. ...... .

a . has (X)fI1pleted the practical nursing experience required under pa ragr.lph ( I)

of regulation lOof the Training School ror Enrolled Nurses Regul ations. 1986,

in respect or the Final Examination , and.

b . has regularly attended the rela ti\'e period of training, in accordance with the

said regulations.

The conduct of Miss/Mr ...................... . ..... .. ..... ......... .

has been satisfactory/not satisractory throughout lhe relative ro:: riod of training.

This is he r/his first/secon d/thi rd al1empt

In t:a.se or second or third attempt only: Further sa tisfactory training has been

undergone in acrordance with paragraph (2) of regulmion IS of the said Regula-

tions. Yes/No .

Signalu re

( Prillcipal Nursing Tutor)

Name (B LOCK LET fE RS)

Name of Tr<tininp; School

, nil! ern ,f",.,c ;. '0 """"'.,."y ,he "".,i", .ppI"'~'ioo fnr odm ;,..ion 10 IM Fin.1 E .. m,n .. "", ro. ~"pil

Nu"",,.

..... _ of. ,.

I_"_~''''·

IW_I -'-'"""'-C _ _ _

.. ... / .... - . . '"''''''' ,",, ,,

The traini ng school shall be open to female candidates who. on

the dosing dale for applications for adm ission. are not under seve nlee n

years nor ove r thirty years of age.

4 . No candidat e shall be admitted to Ihe Irainingsehool unless she

shall have been approved at one and the same session a t an entrance

exa min at io n held as p rovided in regula tion 6 ofthesc regulations

Provided that any cand idate who holds a Genera l Certificate of

Education at Ordinary Level. or a Malta Matriculation Ce rt iflC"dte. in

E ngl ish Langu age. Maltese and Ma themlltics shall be exempted from

the written test of the entranc.:: examination.

Eb<ia kandidata ma tithalla tidhol fl· iskola ta ' laghlim jekk ma Kondizzj<Noij;"1

tkunx gie l approva ta retalni lad-dhui f sessjoni wahda miimum kif iJlad-dllul.

provdut fi r .. regola ment 6 la' dawn ir-regolament i

Itda kull kandidata li jkollha General Ce rl ificat e of Educat ion

ta ' Uvell Ordinarju jew Ce n ifikal tal-Matrikola la' Malta fil- Li ngwa

Inglita, fil -Malti u fil-Matematika tkun eien ti mill-prova bil-mik tub la'

l-eiami tad·dhui.

S. Ebda kandida la ma tithalla tersaq gI'Iall-etami tad-dtlul jekk

ma Ik ullx ikkompl etat dawk I-istudji Ji jkunu ekwi vale llti gf'Jal dawk

ta l· Fonn III la' 1 .. lskola Sekondarja tal..(;vcrn skond te n ifikat , fk ull

kat, mid-Di rettur ta ' I· Ed uka.zzjoni.

No candidate shall be admitted 10 the entrance examina tion Eti, ibility

unless s he hasoompleted such studies asare equivalent to those of Form 10";1 for

I I1 of the Governmen t Secondary School 10 be certified. in each case, by . , .",inat;',n ,

the Director of Educat ion.

The enlrance e xamination shall be held at least twice yearly.

and Shall consist in a wri llen test in E nglish ( lwO papers). Maltese aod

MathemMics and in a sclective interview.

No candida le shall be allowed 10 join Ihe train ing school unless CorMIodo'<i '"

she is certified medically fit 10 th", satisfaction of the Chief Governmenl t..

MedicaIOffic.::r.

Candidates ;Idmined to the training school shall be known ;IS Pup,l """",.

pupil nurses and shall be u nder the direction of a Principa l Nursing toW_, I""

Tutor. Such Tutor shall be in charge of th e Witching and tra ining in ""

theo retica l and practical nursing.

Th e studies shall be made up of three parts

( I) The Introductory Part, which sha ll last for four weeks.

during wh ich basic inst ructio n shall be imparted al a Iraining school ;and

(2) (a) the Im cnncd iatc Pa rt . which shalllasl fo r a period

of fon y-six "·c;:eks. and

(b)

the Final Pari. which shall last for a period of fiftv-

four wee ks.

during which Intermediate and Final !'llrl S theoretical and pmctical

instruction shall be imparted at a training school in accordance with the

scheme of trai n ing laid down in the First Schedu le to these regu lat ions.

Provided that the Minilitc r responsib le for Health may. o n the

advice o f the Nursing and Midwifery Board . make such alterations 10

the said schedule as may be conside red necesSary.

Wh en advisi ng the said Ministcr on such changes th e Nursing

and Midwi fery Board shall be guided by the rela ti ve rules of th e United

Ki ngdom Centra l Co uncil for Nursing, Midwifery and Heal1h ViSi ting.

(I) Duri ng the Intermediate and Final Parts, pupil nurses

shall be required 10 work in hospital wards and in the Community Care

Services of the Department of Health and to gain practical nursing

experience in aC(.'()rdancc with the scheme of trai ning laid down in the

Firs t Schedule 10 these regulations.

(2) Pu pil nu rscs shall also have to perfo rm night du ti.::s at

regula r intervals.

There shall be an assessment at the end of the Int roduclory

I>art. known as Introductory Asscssment , an examina tion at the end of

the Intermedia te Part. know n as Intermedia te Examinatton and anolher

after the e nd o f the Final Part . known as Final Examination.

12 . (I ) The In troductory Asscssment shall be conducted by the

Pri ncipal Nursing T utor of the trainin g sc hool and shall consist of onc

written paper in Anat omy . Physiology and theory of Nursin g and First

Aid. The mar ks obtained by a pupil nurse for each wrinen paper shall be

out of a maximum o(twen ty marks and the Principal Nursing Tu tor shall

submit a report o n the Assessment to the Nu rsingand Midwifery Board.

(2 ) The Intermediate fu amination shall wnsist of one

wrillen paper. The written paper shall consist of questions on the

subject maller covcced during the [nl<:rmediate Part in accordance wit h

the First Sch.:dule to these regu lations.

Th.: result of the lntrodueton.· Assessmcnt Shall supplement

the marks for th.: wri tten paper of Ihe interm.:diate 8aminat ion I',ilh

the remain ing eig hty marks beinglltlocated for the ..... ritten tcS! que~tions

bringing the 10lal maximum marks up to on.: hu ndred.

Provided that th e res ult of such As.'iCssmcn t sha ll not be taken

into considera tion in any suppl ementary .:xamination .

(3)

The Final EKamination shall consist of -

(a) a written test (onc paper on all aspects of Nursing. and

another paper on Nu rsi ng E thics. including Civics and Human

Re lations); and

(b) a practical omltest (lasting one hour) which shall deal

with th e practice of nu rsing an d with questio ns on the subjects

specified in the syallabus for the course of sludies , al wh ich IC$l

pupil nurses will be required to present to the assessors their record

of practical instruction and experie nce.

(I) Any pupil nu rse who fails in the In termediate Examina- Supplementary

tion shall be allowed tosi t aga in for such examina tion provided she gives Eumin.a' ......

evidence. 10 th e sa tisfaction of the Nursing and Midwifery Board. of

having undergone further satisfactory training and. if successful. to

conti nu e her course of studies

Provided th at any such pupil nurse who fails at he r second

attempt at the Intermediate Examination shall. savi ng always the pm-

dUl:tion of evidence that she has unde rgone fu rther Sll tisfactory training.

be allowed to sit for the exam ina tion for the thi rd time but. if successful.

she will have to join the Final Part of the follow ing co urse of stud ies

Provided further 1hat no pupil nurse who will have failed for

th e third time will be allowed to contin ue the co urse of st udies.

(2) For the purposes of this regulation, absence: from an

examinatio n shall be deemed 10 bc a failure at th at examination.

( I) No pupil nurse may sit for the Final Examination un less

she shall have passed the Intermediate EXamination .

(2) No pupil nurse shall sit for the Final Examination if she

has abse nted herself on sick leave or other cause (ududing vacation

leave ) in excess of an aggregate period of twenty days throughout the

durat ion o f the prescribed OOUfl;C of slUd icsal lhe training sehool . unless

she has made up for the excess abse nteeism by al1ending for practical

d ut ies at a G overnmen t Hospital to the satisfaction of the Principal

Nu rsing Tu tor before silting (or the Final Examination

Provided Ihat where the cu rriculum of sludies includes study

blocks in acco rdance with curricula as may fTom time 10 time be

approved by the Nu~ing and Midwifery Board, any period of absence

for wha teve r cause, exceedi ng 20 pe r (":COl of Ihe duration of the theore-

tical instructions of an y of such study block shall render Ihe candidat e

ineligi ble to si t fo r the final exami nat ion unless she has made up for th is

abse nteeism by atte nding for the specific instruction for which she had

been absent before sitling for the final examination.

(3) After mak ing up for the absenteeism as provided for in

paragra ph (2) of this regulation, such pupil nuT$C shall not be entitled to

a special session of the Fi nal Exam ination but may sit at a se!;Sion not

earlie r than that which is due in the normal course of eve nt s.

(4) Any pupil nurse may. subject to the provisions ofpara-

graph (2) of this regul ation. mak e up for the absenteeism referred to in

the same paragraph or (or any part thereof. by forfeiting an equivalen t

number of days of vaca ti on leave to which she may be ent itled .

(I) A pupil nurse shall no t be deemed 10 h~\'e passed the

Final Examination unless she shall have obtained a pass mark in the

written test and in the practical and o ra l lest t Q the: SlI tisfaction of the

Board of Examiners.

(2) A pupil nurse who fails in th e Final Exam inalKlO sha ll be

allowed to si t again for such examina tion in such les t provided she

produces evidence, 10 th e satisfaction of th e Nursing and Mi dwifery

Board. that she has undergone funhcr lrainingal a school for a period of

approximately four months immediately prior to her resining for the

said exami nation

Pro vided. howeve r. that no pupil nurse may avail herse lf of

Ih is concession at any lime la ter than three years from the date on which

she firsl sal for the sa id examinat io n .

If;.

A pupil nu~ shall not be dee med 10 ha\'e passed any of the

test~ un less she shall have obtained at least 50 per ce nt of the mark s

award a ble a t an)' of the writt e n papers o r in the oral and practica l lest.

( I) T he Intemlediate and the Final EKaminat ions shall be

conducted by a Board ofExaminel1l. to be aplXlinted by the Nursin g and

Midwife ry Board.

(2) T he Board o f Examinc l1I for the Intermedia te Examina-

tion ~hall include al least twO nurses whose names an:: entered in the

general part of the Registe r of Nu~s kept by the Nursing and Mid-

wifery Boa rd.

(3)

The Board of Examiners for tile Final Examination shall

consist or-

(a) a Principa l Medical Office r or a Senior Medical Officer.

represe nting the Chief Govemment Medical OrrlCC r as Chairman;

(b) two med ical practitioners, onc being a physician llnd the

o the r a surgeon ; and

(c) three nurses, two being persons whose names 8re entered

in the general pilrt of the Register of Nurses and the OIhe r being a

person whose name is e ntered in the Roll of Nurses.

(4) The Board of Examiners shall submit the respecti ve

res ults to the Nursing and Midwifery Board for llpprova l and ratification

prior to publicatio n .

(I)

Not less than onc month 's notice shall be given of th e

date on which the Intermediate and Final Exam ination shall be held ,

which notice shall bc exhibi ted on the Notice Board o f the school.

(2) A pupi l nurse who in tends sitt ing at e ither the Inter-

med iate EJCam ina tion o r the Final Exam inat ion shalt. toge the r with the

rela tive fee for the examinat ion, submit to the Nu rsing and Midwifery

Ho ard an applicatio n on th e form prescribcd in the Second Schedule to

these regul ations accompanied by a certificate signed by the Principal

Nu rsing Tutor a lso as per said Schedu le certifying-

(a) the fact that Ihc pupil nurse has comp leted the practical

nursi ngexpc rience required under paragraph (I)of regulalion IO of

these regul:llions: and

(b) the conduct and the regular allendance of th..: said pupil

nurse during thc relative period of training in accordana: wi th the

requirements of thl'Se regulations.

L9. (I) Pupil nurses who. on the comple tion of the full period of

training, pass the Final Examination shafl be awarded a a: rtific-,lI e

signed by the Chairman of the Nursing and Midwifery Board. sta ting

that the pupil nurse: has undergone the prescribed course of studies at

the training school and has becn :.pproved <It the prescribed e.'laminll-

lions.

(2) Such ce rtificau: shall be deemed to be the certificale

referred to in paragraph (i) of section 67 A of the Medical and Kindred

Professions Ordinance.

The Chief Governmen t Medical Officcr ma)' admit male

ca ndidatcs to the training school, and in such case these regulations

shall . mutalis nw/(mdis. apply to male cllndidates

Provided that male pupil nurses shall not be required to gain

practical nursing experience in-

gene ra l medical nursing offemales;

ge neral surgical nursing of females

maternity ca re and gynaecological nursing care

geriatric or long-stay ehronic siek nursing of females and

nursing of fema le psychia tric or men tally handicapped pa tie nts.

The Training School for Enrollcd Nursc5 Regulations. 1971.

aTe hereby revoked

Provided thaltraining courses which have com mena:d prior to

the coming into force of thesc RegulationsshaJl continue to be regulated

by Ihe provisions of the regulations hereby revoked.

SC HE DU L ES