Review of reserved and high-risk operations (hospital, nursing home and district care)


To be well prepared for the practical test, you will go through e-learning modules. The actions are then tested practically during a simulated setting.



Review of reserved and high-risk actions especially for nurses (level 4 or 5) working in hospital, nursing home or community care.

Reserved and risky operations

Risky actions are those that pose risks to the client when performed. Reserved operations are a specific group within high-risk operations. These are acts performed professionally by individual professionals. In Article 36 of the BIG Act, 14 high-risk actions are classified as reserved actions . One may perform a reserved act only if, in addition to being qualified, one is competent to perform that act.

Theoretical section:
You will independently go through 7 mandatory e-learning modules , which must be successfully completed, before being able to participate in the practical assessment.

Practical section:
You will be sent observation lists of all actions that will be tested for preparation. During the practical session, you will be practically tested in a simulated setting. Two teachers independently assess the actions using so-called “evidence-based” observation lists .

Review of reserved and high-risk operations

Upon completion of the practical test, you will have demonstrated mastery of the following actions during a simulated setting:
  • Insertion of intravenous infusion cannula
  • Intramuscular injection
  • Subcutaneous injection
  • Man catheterization
  • Catheterizing Woman
  • Gastric tube insertion through the nose
  • Sucking out the airway

Target group and level

BIG registered nurses (level 4 or 5) working in hospital/nursing home or district care.

Length and study load

Preparation (theory): 5-7 hours (depending on prior education and experience)
Assessment (practical): 1.5 hours

Study Material:

DocZero e-learning modules


  • mandatory theory test (incorporated into e-learning modules)
  • compulsory practical test

Certification and accreditation

  • Certificate of “competence in simulated setting” (valid for 2 years)
  • 7 certificates of e-learning modules taken
  • V&VN accreditation points: 7


€249 exempt from VAT.