Competency Checklist
Competency Checklist
Competency Checklist
Date: __________________________
Competency Checklist
COMPLETION GUIDELINES: 1. The learner will complete the Self-Assessment section prior to instruction in this module using the following legend: 1 = No experience and/or knowledge with this topic; 2 = Has some experience and/or knowledge of this topic; 3 = Able to function independently in this area. 2. The learner will complete the assigned learning options based upon recommendation from the educator/preceptor. 3. The educator/preceptor will initial and date the column for Demonstrates Competence when the learner has met the acceptable level of performance.
Responsibilities and Performance Criteria ASSESSMENT 1. Assesses patients psychosocial status and care needs (eg. sleep patterns, anxiety, anger, grief, support systems)
Self-Assessment
Evaluation
Demonstrates Competence
Review hospital Preceptor confirms policies and procedures, the ability to: unit specific policies - Identify individual Partner with patient psychosocial preceptor/CNS to needs based on complete patient assessment data assessment - Identify resources to meet the patient and family psychosocial needs Review of hospital Preceptor confirms
Chief Nurse
Date: __________________________
Assesses patients understanding and wishes related to advance directives and end-of-life care
policies and procedures, the ability to: unit specific policies - Identify issues related Partner with to end-of-life care and preceptor/CNS to advance directives for evaluate patient the individual patient understanding and based on assessment intent of documents data - Identify resources to help patient, family, and caregivers resolve issues. Partners with preceptor/CNS to perform complete systems assessment Preceptor confirms the ability to: - Perform system assessment with appropriate documentation on the medical record
IMPLEMENTATION Review unit and hospital policies and procedures Partners with Preceptor confirms the ability to: - Complete the plan of care and document
Develops written plan of care based on identified patient needs and assessment data
Chief Nurse
Date: __________________________
preceptor/CNS to develop individual patient plan of care Partners with preceptor/CNS to prioritize and provide patient care
Prioritizes nursing care for assigned critically ill patients based on assessment data and identified patient needs.
Preceptor confirms the ability to: - Identify and prioritize patient care needs on an ongoing basis based on assessment data
Implements standard of care for patients preand post-procedure (eg. surgery, interventional cardiology, endoscopy)
Individual clinical modules for specific procedure-related information Reviews unit and hospital policies and protocols Partners with preceptor/CNS to provide patient care
Preceptor confirms the ability to: - Explain the rationale for pre- and postprocedure patient management - Identify potential complications related to anesthesia, sedation, and/or the specific procedure
Chief Nurse