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Step Competency Framework

​CC3N have for many years has been driving work to underpin critical care nurse education. It recognised that to be able to deliver high quality care to patients, staff need to be equipped with the knowledge and skills that allow them to perform at the highest level and this should be standardised across all critical care units.
CC3N in collaboration with other professional critical care nursing organisations and staff from Higher Education Institutes across the UK have developed the Steps Framework for Adult Critical Care Nurses. ​
​Step 1 Competencies have been designed to provide staff with the core skills required to care for a critically ill patient safely, whilst under supervision. It is expected that Step 1 competencies will be completed prior to commencing an academic critical care programme.
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Competencies are statements describing behaviours that nurses believe are important for providing safe, effective and ethical care"
Steps 2 & 3 Competencies have been designed to further develop your essential critical care skills and will require enhanced theoretical knowledge to underpin your practice. It is anticipated that Steps 2 & 3 competencies will be undertaken whilst undertaking an academic critical care programme.

Step 4 Competencies have been designed to provide staff with the core skills required to take charge in a critical care unit; building management and leadership capability into your professional development, to demonstrate safe and effective coordination and prioritisation of unit workload, workforce and resources.
To download any of the Steps Competency Documents please click on links below:
Please note that Steps 1,2,3 competency books are currently under review.
It is anticipated that Version 3 will be available from next year.

Step 1 Competencies for Adult Critical Care Nurses 

Step 2 Competencies for Adult Critical Care Nurses

Step 3 Competencies for Adult Critical Care Nurses 

NEW Step 4 Competencies for Adult Critical Care Nurses (2025)

NEW National Competency Framework Advanced Specialist Competencies to be used in Burns Units (2025)

NEW National Competency Framework for Registered Nurses in Adult Critical Care - Liver Competencies (2025)

National Competency Framework for Nurses in Level 1 Patients and Enhanced Care Areas

National Competency Framework for Registered Nurses in Adult Critical Care - Trauma Specialty Competencies 

National Competency Framework Neurological Competencies 

National Competency Framework for Registered Nurses in Adult Critical Care Maternal Competencies (2024)

Obstetric Critical Care Checklist ​

National Competency Framework - Intermittent Haemodialysis

National Competency Framework - Cardia Speciality Competencies

National Competency Framework for Health Care Support Workers in Adult Critical Care Supportive Level (Band 2) - Under review 

National Competency Framework for Health Care Support Workers in Adult Critical Care Assistive Level (Band 3) - Under review

National Standards for Adult Critical Care Nurse Education V3

Adult Critical Care Clinical Nurse Educator Best Practice Guidelines (2024)

Copyright Information - Steps Competency Framework 
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  • Home
  • About US
    • Forum chairs
    • Critical Care Networks
    • Critical Care Network Lead Nurses
  • Training & Education
    • Steps digitalisation Resources
    • Step Competency Framework
    • Registered Nursing Associate
    • Career Pathway
    • Mentor Information
    • Critical Care Outreach Competencies
  • Guidelines & Reports
  • Staff Wellbeing
  • Professional Nurse Advocate
  • Coronavirus Resources & Guidance
  • COVID 19 Educational Resources
  • Contact us
  • CC3N Symposium 2026