How to Obtain Declaration of Employment and Competency. 

Ensure you meet eligibility requirements:

  1. Enrolled or Registered nurse with current AHPRA/NCNZ Registration
  2. Current Periop Concepts Member for >6 months (either Premium or Hospital)
  3. You have completed and received a certificate for The Anaesthetic Assistant Starter Course (all modules and assessments) and Live Series 3 - 13 (Including lessons, PDF summaries and assessments)
  4. You have chosen an Approved Employee Representative, have informed them they will receive a request for electronic signature and have their email address ready. An AER includes:
    1. Anaesthetic Clinical Nurse Educator
    2. Anaesthetic Nursing Unit Manager
    3. Perianaesthesia Clinical Nurse Consultant 
    4. Nurse Practitioner working within anaesthesia
  5. You have chosen a FANZCA Anaesthetist who has worked with you for more than 6 months, have informed them that you they will receive a request for electronic signature and have their email address ready. 

See example form below. 

PLEASE NOTE: These are only accepted via electronic signature using the links below. Scanned documents will not be accepted. 

Complete this form when you are ready to request electronic signatures. 

Please note: it is your responsibility to chase up the signatures.

View the Declaration Form

Prior to requesting electonic signatures, you can view the declaration form below. This includes the competency standards on which you will be signed off.

Please note: only electronically signed copies via our Docusign pathway will be accepted.

View the Form