Level of Competency

3.1.9. Level of Competency of Staff Nurses 3.1.9.1 Ethico-moral Responsibility •

Specifies the ethico-legal bases for proviing safe! "uality an professional nursing care.

•

E#ecutes the ethical reasoning process use in arriving at ecisions to aress situations of ethical istress an moral ilemma.

•

$ecies on cases base on ethical reasoning.

•

%resses &ith respect an trust client-partner's concerns(nees relate to sharing information about oneself to enhance the nurse-client &or)ing relationship. relationship.

•

*btains the client's signature on the informe consent ta)ing into consieration ethico-legal principles.

3.1.9.+ Legal Responsibility •

,a)es professional ecisions &ithin ethical an legal parameters.

•

ses institutional! community an scholarly resources to aress ethical an legal concerns in nursing practice.

•

%pplies legal an ethical principles to avocate for human an societal &ell being an preferences.

•

Sho&s evience of legal re"uirements in the practice of nursing! i.e. current professional license/

•

 %cts in accorance &ith the terms of contract of employment an other rules an regulations.

3.1.9.3

Communication

•

Clarifies unclear or "uestionable orers! ecisions or actions mae by other inter-professional health care team members.

•

0aliates &ith client if informe consent is clear! complete! ta)en &holly voluntarily! an signe by legally competent representative.

•

E#plains to the client the iagnostic an treatment proceure.

•

Communicates &ith the health team constantly! as &ell as &ith the family an his(her family.

•

See)s concurrence &ith the client regaring problems ientifie.

•

tilies various avenues for open communication.

•

Listens to suggestions an recommenations.

•

Specifies conflict resolution strategies(approaches to resolve(transform conflict situations.

3.1.9.2

Safe uality Care

•

%ssesses client-partner's reainess for ta)ing charge of the conition or situation.

•

tilies therapeutic interventions appropriate to psychosocial phenomena(malaaptive behavior patterns(problems ientifie.

•

Refers to appropriate authority client's situations not &ithin his(her capabilities.

•

$ecies on appropriate interventions to aress client's specific concerns! issues! an problems base on the situation.

•

4erforms evience-base nursing proceures safely an effectively.

•

ses appropriate technology to perform safe an efficient nursing interventions.

3.1.9.5

6ealth Eucation

•

Supports client as he ta)es charge of maintaining health or managing the conition(situation e.g. ta)ing over self-care or implementation of prevention an control measures/

•

ses strategies to evelop( enhance the s)ills of the client to participate in eveloping(specifying the methos an tools for ata gathering.

•

Specifies goals! ob7ectives an e#pecte outcomes of care ma#imiing client's competencies.

•

$evelops the competence of the client to participate in using appropriate evience-base nursing care.

•

E#plains to the client the iagnostic an treatment proceure.

•

$evelops the competence of the family to recognie opportunities for &ellness! healthy lifestyle( aaptation! health promotion! isease(problem management an environmental sanitation an protection by 8 o

o o

analying the factors affecting health! human response! the environment an its resources(realities etermining the relationships among these factors specifying the health an relate conitions(problems &hich nee to be aresse.

3.1.9. Collaboration an :eam&or) •

Collaborates &ith the client an the inter-professional health care team in eveloping the plan of care.

•

Refers to appropriate authority client's situations not &ithin his(her capabilities.

•

;nforms the physician of sie effects an averse reactions to the meication.

•

Relays iagnostic proceure results to the physician.

•

Recommens further iagnostic proceures an(or treatment options for averse reactions an complications in coorination &ith a senior member of the nursing team.

•

Carries out strategies an actions to ensure a safe environment of care in partnership &ith the health team! the client an other support staff.

3.1.9.<

Recor ,anagement •

=roups assessment ata by conition or category using appropriate assessment frame&or) by type of client.

•

Revie&s appropriate laboratory results! assessment finings an other pertinent information prior to aministration of meication.

•

Collects ata(statistics to manage an reuce ris)s relate to meication aministration.

•

Conforms to ocumentation stanars.

•

$ocuments ata on client care clearly! concisely! accurately! an in a timely manner.

•

tilies systems! processes! methos an tools to maintain integrity! safety! accessibility an security of information.

•

,aintains confientiality in the safe)eeping of recors an other information.

•

Releases recors an information base on protocol an principle of confientiality.

3.1.9.>

,anagement of resources an environment •

Conucts a comprehensive an systematic nursing assessment of clients &ithin an interisciplinary frame&or).

•

=enerates &ith the client the assessment ata using appropriate ata gathering methos an tools guie by &or)-setting re"uisites.

•

$ra&s inferences from ata gathere by specifying the nature! magnitue(e#tent an sources of(reasons for the alterations e.g.! pathophysiology! psychopathology/! gaps! eficiencies an(or barriers to opportunities for change(improvement! health promotion(&ellness! isease prevention! problem(isease management! rehabilitation.

•

ses appropriate assessment techni"ues &ith least iscomfort to patients.

•

Recognies an priorities emerging problems in a timely manner.

•

$etermines appropriate participatory an empo&erment strategies relate to promotion of health! healthy lifestyle(aaptation! &ellness! isease management! environmental sanitation an protection an health resource generation! use or access.

•

Creates opportunities to evelop client's competence for promotion of health! healthy lifestyle(aaptation! &ellness! isease management! environmental sanitation! environment protection! an health resource generation! use or access.

•

;entifies appropriate an efficient methos an tools to organie an prioritie use of human! material! financial an other resources.

•

Specifies bases for organiing &or)loa to ensure efficiency in meeting responsibilities an achieving outcome.

•

%ccomplishes assigne &or)loa &ithin a given time frame.

•

Selects appropriate methos(tools to ensure ae"uacy of resources.

•

ses appropriate methos(tools to ensure ae"uacy of resources for effective program(service implementation base on re"uirements! ratio an stanars.

•

$etermines effectiveness of methos in maintaining ae"uacy of resources.

3.1.9.9

4ersonal an 4rofessional =ro&th •

;entifies learning nees(issues base on current an pro7ecte(future practice re"uisites.

•

Specifies lifelong learning plan(activities to aress learning nees(issues base on current an pro7ecte practice re"uisites.

•

*btains feebac) from peers an other sources to augment one's assessment as basis of a learning plan.

•

0aliates ne& )no&lege that support an improve one's nursing practice competency.

•

pates one's learning plan to maintain competence as a registere nurse.

•

$evelops a career plan.

•

nergoes training voluntarily for personal an professional gro&th.

•

4articipates actively in professional activities.

•

Complies &ith regulatory re"uirements for competence e.g. C4E- Continuing 4rofessional Eucation/.

3.1.9.1?

uality ;mprovement

•

;entifies nees(concerns(issues relate &ith multiple interventions for clients &ith comorbiities an comple#! rapily changing health status.

•

tilies cost effective strategies.

•

4articipates actively in the creation of a preventive maintenance program to ensure proper function of e"uipment.

•

6elps health team resolve ifferences or areas of conflict by emphasiing concern about a specific situation or action involving a safety issue! an suggesting alternatives an stating conse"uences.

•

Specifies the nature("uality an e#tent of performance of nursing support staff.

•

4rovies concerne staff feebac) on results of performance evaluation.

•

Reports to appropriate authority results of evaluation.

•

Specifies areas for improvement on e#isting policies an stanars of nursing practice.

•

4rovies feebac) regaring effect of ne& policies an stanars of nursing practice.