Background and Aims According to Dutch legislation nurses are allowed to perform a number of medical procedures, known as “reserved procedures”. Nurses are permitted to perform these procedures, but only after thorough education, training, examination and authorisation. The aim was to develop and implement an efficient and effective model to facilitate these demands, on behalf of the (non-ICU) nursing staff of our children’s hospital.

Methods We developed a cyclical blended learning method containing: e-learning, training of local assessors, bedside teaching, structural examination and registration.

The tool we developed is:

• feasible in daily practice,

• optimally using the local available skills and knowledge and

• based on the already present protocols.

Results

• We trained and authorised 30 local assessors.

• We trained, examined and authorised 215 nurses of 6 paediatric departments.

• We developed and used 8 e-learning modules (containing 13 procedures).

• We used this model in a 4-year cycle.

• We used a model which divides the set of reserved procedures into.

  1. a general part (16 procedures) and

  2. a ward-specific part (5–21 procedures).

Discussion/conclusion We successfully designed, introduced, implemented an effective and efficient intervention to ensure adequate nursing skills and knowledge regarding the “reserved procedures” in a children’s hospital.