Circular 9/2023

TO:                    NATIONAL DEPARTMENT OF HEALTH

                           PROVINCIAL DEPARTMENTS OF HEALTH

                           NURSING EDUCATION INSTITUTIONS

                           ALL RELEVANT STAKEHOLDERS

SUBJECT:      INTRODUCTION OF COURIER SERVICES FOR DELIVERY OF DISTINGUISHING DEVICES

1. PURPOSE
   • To inform the Nurse Practitioners, the National Department of Health, Provincial Departments of Health, Nursing Education Institutions (NEIs) and other relevant stakeholders regarding the following:

• The SANC will deliver Nurse Practitioners’ distinguishing devices orders, paid via the bank, by courier services starting from 01 September 2023.
• The SANC is also embarking on a campaign for Nurse Practitioners to update their personal details to ensure we have recent and correct delivery addresses in its records which will assist with obtaining a higher rate of successful deliveries.

2. BACKGROUND
   • The SANC sells distinguishing devices to Nurse Practitioners and these devices are currently sent using registered mail via the South African Post Office.
   • The SANC has been inundated with complaints from Nurse Practitioners for not receiving their orders for distinguishing devices on time. Upon closer inspection, it became clear that the method used for delivery of orders is not effective and it was necessary to look at other delivery alternatives.

3. UPDATE OF PERSONAL DETAILS FOR COURIER SERVICE PURPOSES

3.1         Obtaining Nurse Practitioners’ recent physical addresses and contact details is essential for the successful delivery of distinguishing devices, and the SANC therefore request Nurse Practitioners to update their personal details by following the process below:

Step 1: Go to the SANC website: www.sanc.co.za

Step 2: On the Home Page, go to QUICK LINKS (top, right of the page)

Step 3: Click on:  DOWNLOADABLE FORMS

Step 4: Select the form:  UPDATE OF CONTACT DETAILS FORM

Step 5: Complete the online form

Step 6: Click on: SEND.

3.2         It is important to note that the Nurse Practitioners should update their personal details before ordering distinguishing devices to ensure that their devices are delivered to the correct address.

4. DELIVERY PROCESS AND REQUIREMENTS

4.1 DISTINGUISHING DEVICES

4.1.1        Distinguishing devices orders are currently delivered to Nurse Practitioners using registered mail via the South African Post Office (SAPO).

4.1.2     Starting from 01 September 2023 all orders paid through the bank will be delivered by courier.

4.1.3      Nurse Practitioners who pay their distinguishing devices orders at the bank and opt for delivery of their order to their physical addresses, will have to ensure that they provide the physical address on the order form.

4.1.4      The courier costs for distinguishing devices orders is R90.00 per parcel (only domestic delivery).

4.1.4      The procedure for ordering will not change, the only change will be that the amount usually charged for postage will be used for courier costs.

4.2 UNDELIVERED/RETURNED PARCELS

4.2.1      When a parcel is unsuccessfully delivered due to the unavailability of the Nurse Practitioner or provision of incorrect details by the Nurse Practitioner, the Nurse Practitioner will be liable for the return cost as charged by the courier company.

4.2.2      Nurse Practitioners will also pay courier cost for re-delivery of the parcel.

For further information in respect of this Circular, you are advised to contact Mr. B Manganyi, Acting Manager: Revenue Collections and Sales at bmanganyi@sanc.co.za or Tel: 012 420 1081.

                                             ______________                                                                        

PROF NG MTSHALI                                                                                                   

REGISTRAR AND CEO

SOUTH AFRICAN NURSING COUNCIL

___________________________________

DATE

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Circular 8/2023

TO:                    NATIONAL DEPARTMENT OF HEALTH

                           PROVINCIAL DEPARTMENTS OF HEALTH

                           NURSING EDUCATION INSTITUTIONS

                           ALL RELEVANT STAKEHOLDERS

SUBJECT:      INTRODUCTION OF COURIER SERVICES FOR DELIVERY OF ANNUAL PRACTISING CERTIFICATES

1. PURPOSE
   • To inform the National Department of Health, Provincial Departments of Health, Nursing Education Institutions (NEIs) and other relevant stakeholders regarding the following:
     • The SANC will provide an option to Nurse Practitioners who individually pay annual fees via the bank to deliver their 2024 Annual Practising Certificates by courier services at their own cost, starting from 01 September 2023.
     • The SANC is also embarking on a campaign for Nurse Practitioners to update their personal details to ensure we have recent and correct delivery addresses in our database which will assist with obtaining a higher rate of successful deliveries.

2. BACKGROUND

2.1         Section 36 (2) of the Nursing Act, 2005 (Act No. 33 of 2005) stipulates that a certificate of registration is proof of registration for a period of one year after its date and thereafter an Annual Practising  Certificate, issued upon payment of the prescribed annual fee and the submission of such information as may be required by the Council to keep accurate statistics on human resources in Nursing, is proof of registration in absence of any credible evidence to the contrary.

2.2.        Annual Practising Certificates are currently sent to Nurses Practitioners who individually pay their annual fees by using ordinary mail via the Post Office.

2.3.        The SANC has been inundated with complaints from Nurses Practitioners for not receiving their Annual Practising Certificates on time. In some instances, these are never received by the Nurse Practitioners.

3. UPDATE OF PERSONAL DETAILS

3.1   Obtaining Nurse Practitioners’ recent physical addresses and contact details is essential for the successful delivery of Annual Practising Certificates and the SANC therefore request Nurse Practitioners to update their personal details by following the process below:

Step 1: Go to the SANC website: (www.sanc.co.za)

Step 2: On the home page, Go to QUICK LINKS (top, right of the page)

Step 3: Click on: DOWNLOADABLE FORMS

Step 4: Select the form: UPDATE OF CONTACT DETAILS FORM

Step 5: Complete the online form

Step 6: Click on: SEND.

3.2   It is important to note that the Nurse Practitioners should update their personal details before making their annual fees payment to ensure that their Annual Practising Certificate is delivered to the correct address.

4. DELIVERY PROCESS AND REQUIREMENTS

4.1 ANNUAL PRACTISING CERTIFICATES

4.1.1     Annual Practising Certificates are usually sent using the South African Post Office (SAPO), thus via ordinary mail. However, noting the challenges with SAPO, the SANC will now offer an option to deliver Annual Practising Certificates via courier services at an extra cost to Nurse Practitioners who pay annual fees on their own.

IMPORTANT NOTE: This excludes those who are paid for by their employers/via PERSAL.

4.1.2     Annual Practising Certificates paid by employers will continue to be sent as per the arrangements we have with the various employers. Employers are therefore encouraged to distribute Annual Practising Certificates to their Nurse Practitioners as soon as they receive them from the SANC.

4.1.3     Nurse Practitioners who opt for the delivery of their Annual Practising Certificate by courier will have to pay courier costs together with their annual fees. This will be an indication that the Nurse Practitioner has opted for courier service delivery.

4.1.4     The courier costs will be R70.00 per parcel, which is subject to annual increase (only domestic delivery).

4.1.5     The table below depicts the amount payable by Nurse Practitioners who opt for courier services as their preferred delivery mode:

4.1.6     Nurse Practitioners will use the same reference for payment of annual fees, for example: 12345678ANLFEES

(This is only an example, the SANC number 12345678 quoted here is fictitious and must  not be used, Nurse Practitioners must use their own SANC number).

4.1.7      Nurse Practitioners who have already paid their 2024 annual fees via the bank from                        01 July 2023 to date should note that their Annual Practising Certificates have been kept aside (not posted) to afford them an opportunity to opt for their Annual Practising Certificate to be delivered by courier. What is required is for them to pay only the courier costs of R70.00

4.1.8     Nurse Practitioners who are mentioned in 4.1.7 above who opt for the delivery of their Annual Practising Certificate will have until 30 September 2023 to pay the courier cost, if payment is not received by this date their Annual Practising Certificate will be sent by post.

4.1.9     The payment code for courier cost is COURAPC (SANCNUMBER FOLLOWED BY COURAPC FOR EXAMPLE 12345678COURAPC)

4.1.10   The process mentioned in 4.1.3 above will apply to Nurse Practitioners who apply for restoration and opt for their Annual Practising Certificate to be delivered by courier i.e. they will have to add R70.00 courier cost to the restoration fees.

4.1.11   Nurse Practitioners who opt NOT to use this service will continue to receive their Annual Practising Certificates via the South African Post Office (SAPO) and will only pay annual fees without courier cost.

4.2   UNDELIVERED/RETURNED PARCELS

4.2.1   When a parcel is unsuccessfully delivered due to the unavailability of the Nurse Practitioner or provision of incorrect details by the Nurse Practitioner, the Nurse Practitioner will be liable for the return cost as charged by the courier company.

4.2.2   Nurse Practitioners will also pay courier cost for re-delivery of the parcel.

For further information in respect of this Circular, you are advised to contact Mr. B Manganyi, Acting Manager: Revenue Collections and Sales at bmanganyi@sanc.co.za or Tel: 012 420 1081.

                                             ______________                                           

PROF NG MTSHALI                                                                                                   

REGISTRAR AND CEO

SOUTH AFRICAN NURSING COUNCIL

DATE:  ___________________________

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TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS (NEIs)

               ALL STAKEHOLDERS

SUBJECT – NON-ADHERENCE TO SCOPE OF PRACTICE REGULATIONS BY NURSE PRACTITIONERS

1. PURPOSE

   • The purpose of this correspondence is to sensitize Practitioners on the importance of adherence to the Scope of Practice Regulations R.2127 promulgated on 3 June 2022.

    

   2. BACKGROUND

    

   • The South African Nursing Council is a statutory body that is empowered by the Nursing Act 2005, (Act No. 33 of 2005) to protect the public in matters involving health services in general and Nursing services in particular.
   • The Preliminary Investigation Committee (PIC) is a Committee established in terms of Section 15 of the Nursing Act 2005, (Act No. 33 of 2005) and mandated to investigate all reported cases of alleged unprofessional conduct against Practitioners who are registered in terms of the Act. This is to ensure that the provision of Nursing services complies with set standards, values and national health policies.
   • On analysis of reported cases, PIC has noted with concern perpetual non-compliance by Practitioners to legislation and regulatory frameworks, specifically the Scope of Practice Regulations, resulting in bad outcomes for end-users.
   • The Scope of Practice Regulations R.2127 were promulgated by the Minister of Health,

   Dr J Phaahla on 3 June 2022.

    

   3. DIRECTIVE

    

   • Nurse Practitioners are urged to familiarise themselves and comply with provisions of the Scope of Practice Regulations. Failure to do so, will result in them being held personally liable for their acts and omissions.
   • Regulations are easily accessible on the SANC website, sanc.co.za

    

   The contents of this Circular must be brought to the attention of all Practitioners and Nurse Managers in health establishments.

    

   Enquiries in this regard can be directed to Dr J Muswede, Senior Manager: Professional Practice on at jmuswede@sanc.co.za or Tel: 012 420 1008.

    

    

    

   _______________________                   

   DR NJ MUSWEDE

   ACTING REGISTRAR AND CEO

   S A NURSING COUNCIL

   DATE: ____________________

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TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS (NEIs)

               ALL STAKEHOLDERS

SUBJECT – DIRECTIVE ON THE MANAGEMENT OF A VAGINAL BIRTH AFTER PREVIOUS CAESAREAN SECTION (VBAC)

1. PURPOSE

• To sensitize Midwives and Midwife Specialists on the importance of managing women with a history of previous caesarean section in line with approved guidelines, policies and protocols, during labour.

2. BACKGROUND

• The South African Nursing Council is the statutory body that is empowered by the Nursing Act 2005, (Act No.33 of 2005). Its object is to serve and protect the public in matters involving health services generally and Nursing services in particular.
• Council has noted with concern the increasing non-compliance to approved policies, protocols and Guidelines for Maternity Care by Midwives and Midwife Specialists in managing VBAC.
• Based on the cases reported to Council it is evident that:
• Women with previous caesarean section deliveries are frequently treated as low-risk clients.
• Maternal and foetal monitoring inconsistently done.
• Inconsistent use of the Partogram.

3. VBAC MANAGEMENT PROCEDURES

• In line with Guidelines for Maternity Care in South Africa (2016:89), women with a history of previous caesarean section presenting with labour pains MUST be managed as follows:
• Conduct labour in a hospital that can perform caesarean section on a 24-hour basis.
• Run an intravenous drip with Ringer’s lactate solution at 80-120 mL/hour and pass a urinary catheter to monitor excretion.
• Monitor with continuous Cardiotocography (CTG).
• Always use the Partogram and intervene timeously.
• Do not augment labour with oxytocin.
• Observe carefully for imminent uterine rupture signs and prepare for an emergency caesarean section immediately if rupture is suspected based on any of the following signs:
• Foetal tachycardia or foetal heart rate decelerations.
• Significant vaginal bleeding.
• Macroscopic haematuria.
• Strong abdominal pain between contractions.
• Sudden cessation of contractions.
• Indications for emergency caesarean section at attempted VBAC:
• The latent phase of labour exceeds 8 hours.
• Progress in the active phase of labour crosses to the right of the alert line

(progress <1 cm/hour).

• There are signs of imminent uterine rupture.

4. DIRECTIVE

• Midwives and Midwives Specialists are hereby instructed to adhere to approved guidelines, policies and protocols on VBAC management.

The contents of this Circular must be brought to the attention of all Practitioners and Nurse Managers in health establishments.

Enquiries in this regard can be directed to Dr J Muswede, Senior Manager: Professional Practice at jmuswede@sanc.co.za or Tel: 012 420 1008.

_______________________                   

DR NJ MUSWEDE

ACTING REGISTRAR AND CEO

S A NURSING COUNCIL

DATE: ____________________

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20 June 2023

TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS (NEIs)

               ALL STAKEHOLDERS

SUBJECT – PRESCRIBED LECTURER: STUDENT RATIOS FOR EDUCATION AND TRAINING OF NURSES

1. PURPOSE

The purpose of this circular is to share with the National Department of Health, Provincial Departments of Health, Nursing Education Institutions (NEIs) and relevant stakeholders about the revised Lecturer: Student Ratios in facilitation of theory and Work Integrated Learning (WIL).

2. BACKGROUND

2.1     The South African Nursing Council (SANC) is a statutory body which functions in terms of the Nursing Act, 2005 (Act No. 33 of 2005). It has a responsibility to establish, improve, monitor and control the conditions, standards and quality of Nursing Education & Training and Practice within the ambit of the Nursing Act and any other applicable laws.

2.2   The SANC engaged with Education and Training Stakeholders regarding the issue of                          Lecturer: Student Ratios because of the view that the current ratios are inadequate to meet the needs of the country and many students currently being admitted to higher education studies. It was also indicated that Nursing education and training has become very expensive considering that an increase in the number of students requires simultaneous increase in the number of Lecturers and other resources to ensure quality education and training. The benchmarking exercise was conducted with other countries including African countries in particular. Although there are variations, it became clear that other countries also have approved Lecturer: Student Ratios guidelines.

2.3     The Council deliberated on this matter in the ordinary meeting held on 30-31 March 2023 and resolved to approve the revised Lecturer: Student Ratios below.

Table 1 below depicts the revised ratios for undergraduate programmes for theory and Work Integrated Learning (WIL).

Table 1: Undergraduate programmes

Table 2 below depicts the revised ratios for Postgraduate Diploma programmes (Clinical and non-clinical) for theory and WIL.

Table 2: Postgraduate Diploma Nursing programmes

3. IMPLICATIONS

3.1       The Nursing Education Institutions must ensure that distribution of teaching workload is fair and realistic to ensure quality teaching. Other factors to be considered include e.g. the weighting of the modules in terms of credits.

3.2       Increase in student numbers is not automatic, Nursing Education Institutions must still apply for extension of accreditation scope as stipulated in Sub-regulation 7(1) of the Regulations Relating to Accreditation of Institutions as Nursing Education Institutions (Government Notice No. R.173 of 8 March 2013).

3.3       The Nursing Education Institution must have offered the programme for at least a year before applying for an increase in the number of students.

3.4       The Letter of Support is still required for utilization of clinical facilities in the public sector, especially where the clinical spaces are more than what was allocated.

3.5       The Memorandum of Agreement signed within the last five (05) years will still be valid except where the clinical placement spaces are increased more than what was approved in terms of the (MOA/MOU).

3.6       Situational analyses conducted within the last five (05) years are still valid except where there have been major changes in respect of the services offered.

For further information in respect of this Circular, you are advised to contact Ms SJ Nxumalo – Deputy Registrar at (012) 420 1059 or on e-mail at: jnxumalo@sanc.co.za

____________________

PROF NG MTSHALI

REGISTRAR AND CEO

SOUTH AFRICAN NURSING COUNCIL

DATE:  ___________________     

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1June 2023

TO:        NATIONAL DEPARTMENT OF HEALTH

               PROVINCIAL DEPARTMENTS OF HEALTH

               NURSING EDUCATION INSTITUTIONS

               ALL STAKEHOLDERS

This Circular serves as confirmation of the South African Nursing Council’s fees and fines as stipulated in the Government Gazette published on 26 May 2023. 

1. ANNUAL FEES FOR 2024
   • NORMAL ANNUAL FEES

 The annual fees for the calendar year 2024 for different categories of Nurse Practitioners are provided in the table below:

• REDUCTIONS IN ANNUAL FEES FOR AGE 60 AND OVER

The Council has resolved to introduce reduced fees for Nurses 60 years of age and over as per the table below:

• 60 TO 64 YEARS OF AGE ON 1 JANUARY 2024 (25% REDUCTION)

• 65 YEARS OF AGE AND OLDER ON 01 JANUARY 2024 (50% REDUCTION)

NB: To qualify for the discount amounts, Nurse Practitioners may be required to submit a certified copy of their identity document in order to confirm their age.

Notes:

• The annual fees for 2024 must be received by the SANC on or before 31 December 2023.
• The amounts in the tables above all include 15% VAT.

2. RESTORATION FEES FOR 2024

The restoration fees for different categories applicable from 1 January 2024 are shown in the following table.

Notes:

The reduced restoration fee only applies to a Nurse Practitioner:

• Who must have been removed from the register at his/her own request; or
• Who must be 60 years of age or older on 1 January 2024. However, this must be confirmed with the Council before paying the reduced amount.

3. VOLUNTARY REMOVAL

A Nurse Practitioner who no longer wishes to practise in South Africa or who is unemployed, may request, in writing, for a voluntary removal of his/her name from the register, by completing the form available from the SANC. If a voluntary removal is granted by the SANC, the Nurse Practitioner’s name will be removed accordingly on the 31^st of December of the year in which the application is received. Once removed, the Nurse Practitioner will no longer be required to pay annual fees while he/she is removed from the register.

If the Nurse Practitioner requires reinstatement onto the register, he/she will, in addition to paying the reduced restoration fee, be required to complete a Restoration Form which can be accessed from the SANC website, www.sanc.co.za. It must be noted that practising while not being registered is illegal.

4. CLOSING DATE FOR PAYMENT OF ANNUAL FEES

Please note that for the calendar year 2024, the closing date for the payment of annual fees is 31 December 2023. Payments must reach the SANC bank account on or before the closing date. You are, therefore, urged not to leave payment for the last minute to avoid problems associated with making payments at year end.

Remember: Bank transfers from non-FNB banks may take up to 3 working days and you are therefore advised to pay well in advance to meet the 31 December 2023 deadline.

5. OTHER FEES

Please note that Annual Nursing Education Institution fees are payable from the 01 October 2023 to the 31 December 2023. Other fees and fees payable by institutions will be applicable with effect from 01 January 2024.

6. PERSAL DEDUCTIONS

The signing of Resolution 3 of 2019 in September 2019 by the National Department of Health together with major trade unions in Public Health and Social Development Sectoral Bargaining Council (PHSDSBC), brought into effect the implementation of PERSAL deductions from the 2020 APC season for all employees falling under the scope of the PHSDSBC.

As a result of this agreement, affected Nurse Practitioners are urged not to pay the annual fees on their own as the employers are required to pay on their behalf in terms of Resolution 3 of 2019.  

7. eREGISTER

The SANC has made an eRegister facility available on the SANC website which can be utilised by employers to verify the registration status of all Nurse Practitioners in their employment. Employers are urged to utilise this facility in the absence of a physical Annual Practising Certificate (APC).

Visit: https://www.sanc.co.za/eRegister.aspx for more details.

8. COMMUNITY SERVICE PRACTITIONERS

Community Service Practitioners are not eligible to be issued with an APC, and therefore, should NOT pay annual fees. They MUST pay a conversion fee on completion of their Community Service in order to be registered as Nurse Practitioners using the REGFPRA registration fee code instead of ANLFEES (e.g. 12345678REGFPRA).

Yours sincerely

______________________________

PROF NG MTSHALI

REGISTRAR AND CEO:

SOUTH AFRICAN NURSING COUNCIL                 

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18 May 2023

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17 March 2023

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13 January 2023

TO:     National Department of Health

Provincial Departments of Health

Nursing Education Institutions

All Stakeholders

APPOINTMENT: REGISTRAR AND CEO OF THE SOUTH AFRICAN NURSING COUNCIL

The South African Nursing Council (SANC) is pleased to announce the appointment of Prof Ntombifikile Mtshali as the Registrar and CEO of the South African Nursing Council, by the Honorable Minister of Health Dr MJ Phaahla, in terms of Section 18(1) and (3) of the Nursing Act, 2005 (Act No. 33 of 2005) with effect from 01 March 2023.

Professor Mtshali is a recognised Nurse leader, academic and researcher.  She holds a PhD from the University of KwaZulu-Natal and brings extensive leadership experience in higher education to the table.

Prior to the current position she served as the Head of the Nursing Department at the University of KwaZulu-Natal (UKZN), Director of the World Health Organisation Collaborating Centre (WHOCC) for Nursing and Midwifery at UKZN, Dean of Teaching and Learning in the College of Health at UKZN, Senior Manager Education and Training at the SANC, Lecturer and Associate Professor at UKZN. She served as the ICAP at Columbia University Nursing Education Partnership Initiative (NEPI) Manager in South Africa. During this period, she was seconded to the office of the Chief Nursing Officer in the National Department of Health, to provide technical support to public nursing colleges (PNC) that served as a pilot sites for the integration of PNC to higher education initiative. This initiative included developing and pilot-testing the country’s first National Policy on Nursing Education and Training.

In support of the WHO agenda Prof Mtshali provided technical support to Nursing Education Institutions in Congo Brazzaville, DRC, Eritrea, Lesotho, Rwanda, Seychelles, Namibia, Seychelles, South Africa, Rwanda and Tanzania in developing and implementing competency-based curricula, and in building the capacity of Nurses educators as a visiting professor.

The South African Nursing Council welcomes Prof Mtshali and wishes her every success in her new tenure.

(Signed)

DR MC MOLEPO

CHAIRPERSON
SOUTH AFRICAN NURSING COUNCIL

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6 February 2023

TO:     National Department of Health

Provincial Departments of Health

Nursing Education Institutions

All Stakeholders

SUBJECT: ADDENDUM TO CIRCULAR 14/2022 ON PROFESSIONAL ENTRANCE EXAMINATION PUBLISHED ON 8 NOVEMBER  2022

1. PURPOSE

To inform the National Department of Health, Provincial Departments of Health, Nursing Education Institutions, and relevant stakeholders about the Addendum on “Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council” to Circular 14/2022.

2. BACKGROUND

• Circular 14/2022 on Professional Entrance Examination was published on the 8^th  of November 2022 and it is also available on the SANC website, sanc.co.za . The “Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council” were not published at the same time with Circular 14/2022. It was indicated in the circular that the guidelines will be published on the SANC website and are now available on www.sanc.co.za/sanc-circulars/

• The attached Guidelines serve as an addendum to Circular 14/2022 and for ease of reference by all the stakeholders.

3. IMPLICATIONS

The Lecturers and student nurses should familiarise themselves with the content of these Guidelines on Professional Entrance Examination for Professional Registration with the South African Nursing Council in preparation of the said examination.

For further information in respect of this Circular, you are advised to contact Ms A Mnguni, Senior   Manager: Leaner Affairs at (012) 420 1065 or on e-mail at: amnguni@sanc.co.za.

Yours Sincerely

(Signed)

Ms SJ Nxumalo
Acting Registrar and CEO
South African Nursing Council