11
Key Areas of Responsibility
1. Safe and Quality
Nursing Care
Core Competency 1:
Demonstrates knowledge base on the health
/illness status of individual / groups
Indicators
• Identifies the health needs of the
clients (individuals, families, population groups and/or communities)
•
Explains the health status of the clients/ groups
Core Competency 2.
Provides sound decision making in the
care of individuals / families/groups considering their beliefs and values
Indicators
• Identifies clients’ wellness potential
and/or health problem
• Gathers data related to the health
condition
• Analyzes the data gathered
• Selects appropriate action to
support/enhance wellness response; manage the health problem
• Monitors the progress of the action
taken
Core Competency 3:
Promotes safety and comfort and privacy
of clients
Indicators
• Performs age-specific safety measures
in all aspects of client care
• Performs age-specific comfort measures
in all aspects of client care
• Performs age-specific measures to
ensure privacy in all aspects of client care
Core Competency 4:
Sets priorities in nursing care based on
clients’ needs
Indicators
• Identifies the priority needs of
clients
• Analyzes the needs of clients
• Determines appropriate nursing care to
address priority needs/problems
Core Competency 5:
Ensures continuity of care
Indicators
• Refers identified problem to
appropriate individuals / agencies
• Establishes means of providing
continuous client care
Core Competency 6:
Administers medications and other health
therapeutics
Indicators
• Conforms to the 10 golden rules in
medication administration and health therapeutics
Core Competency 7:
Utilizes the nursing process as
framework for nursing
7.1 Performs comprehensive and systematic
nursing assessment
• Obtains informed consent
• Completes appropriate assessment forms
• Performs appropriate assessment
techniques
• Obtains comprehensive client
information
• Maintains privacy and confidentiality
• Identifies health needs
7.2
Formulates a plan of care in collaboration with clients and other
members of the health team
• Includes client and his family in care
planning
• Collaborates with other members of the
health team
• States expected outcomes of nursing
intervention maximizing clients’ competence
• Develops comprehensive client care
plan maximizing opportunities for prevention of problems and/or enhancing
wellness response
• Accomplishes client-centered discharge
plan
7.3
Implements planned nursing care to achieve identified outcomes
• Explains interventions to clients and
family before carrying them out to achieve identified outcomes
• Implements nursing intervention that
is safe and comfortable
• Acts to improve clients’ health
condition or human response
• Performs nursing activities
effectively and in a timely manner
• Uses the participatory approach to
enhance client-partners empowering potential for healthy life style/wellness
7.4
Evaluates progress toward expected outcomes
• Monitors effectiveness of nursing
interventions
• Revises care plan based on expected
outcomes
2.
Management of Resources and Environment
Core Competency 1:
Organizes work load to facilitate client
care
Indicators
• Identifies tasks or activities that
need to be accomplished
• Plans the performance of tasks or
activities based on priorities
• Verifies the competency of the staff
prior to delegating tasks
• Determines tasks and procedures that
can be safely assigned to other members of the
team
• Finishes work assignment on time 6
Core Competency 2:
Utilizes financial resources to support
client care
Indicators
• Identifies the cost-effectiveness in
the utilization of resources
• Develops budget considering existing
resources for nursing care
Core Competency 3:
Establishes mechanism to ensure proper
functioning of equipment
Indicators
• Plans for preventive maintenance
program
• Checks proper functioning of equipment
considering the:
- intended use
- cost benefits
- infection control
- safety
- waste creation and disposal storage
• Refers malfunctioning equipment to
appropriate unit
Core Competency 4:
Maintains a safe environment
Indicators
• Complies with standards and safety
codes prescribed by laws
• Adheres to policies, procedures and
protocols on prevention and control of infection
• Observes protocols on
pollution-control (water, air and noise)
• Observes proper disposal of wastes
• Defines steps to follow in case of
fire, earthquake and other emergency situations.
3. Health Education
Core Competency 1:
Assesses the learning needs of the
clientpartner/s
Indicators
• Obtains learning information through interview,
observation and validation
• Analyzes relevant information
• Completes assessment records
appropriately
• Identifies priority needs
Core Competency 2:
Develops health education plan based on
assessed and anticipated needs
Indicators
• Considers nature of learner in
relation to: social, cultural, political, economic, educational and religious
factors.
• Involves the client, family,
significant others and other resources in identifying learning needs on
behavior change for wellness, healthy lifestyle or management of health problems
• Formulates a comprehensive health
education plan with the following components: objectives, content, time
allotment, teachinglearning resources and evaluation parameters
• Provides for feedback to finalize the
plan
Core Competency 3:
Develops learning materials for health
Indicators
• Develops information education
materials appropriate to the level of the client
• Applies health education principles in
the education development of information
education materials
Core Competency 4:
Implements the health education plan
Indicators
• Provides for a conducive learning
situation in terms of time and place
• Considers client and family’s
preparedness
• Utilizes appropriate strategies
that maximize opportunities for behavior
change for wellness/healthy life style
• Provides reassuring presence through
active listening, touch, facial expression and gestures
• Monitors client and family’s responses
to health education
Core Competency 5:
Evaluates the outcome of health education
Indicators
• Utilizes evaluation parameters
• Documents outcome of care
• Revises health education plan based on
client response/outcome/s
4. Legal Responsibility
Core Competency 1:
Adheres to practices in accordance with
the nursing law and other relevant legislation including contracts, informed
consent.
Indicators
• Fulfills legal requirements in nursing
practice
• Holds current professional license
• Acts in accordance with the terms of contract
of employment and other rules and regulations
• Complies with required continuing professional
education
• Confirms information given by the
doctor for informed consent
• Secures waiver of responsibility for
refusal to undergo treatment or procedure
• Checks the completeness of informed consent
and other legal forms
Core Competency 2:
Adheres to organizational policies and
procedures, local and national
Indicators
• Articulates the vision, mission of the
institution where one belongs
• Acts in accordance with the
established norms of conduct of the institution / organization/legal and
regulatory requirements
Core Competency 3:
Documents care rendered to clients
Indicators
• Utilizes appropriate client care
records and reports.
• Accomplishes accurate documentation in
all matters concerning client care in accordance to the standards of nursing practice.
5. Ethico-moral Responsibility
Core Competency 1:
Respects the rights of individual /
groups
Indicators
• Renders nursing care consistent with
the client’s bill of rights: (i.e. confidentiality of information, privacy,
etc.)
Core Competency 2:
Accepts responsibility
Indicators
• Meets nursing accountability requirements
as embodied in the job description and accountability for
own decision and actions
• Justifies basis for nursing actions
and judgment
• Projects a positive image of the
profession
Core Competency 3:
Adheres to the national and
international code of ethics for nurses
Indicators
• Adheres to the Code of Ethics for
Nurses and abides by its provision
• Reports unethical and immoral
incidents to proper authorities
6.
Personal and Professional Development
Core Competency 1:
Identifies own learning needs
Indicators
• Identifies one’s strengths,
weaknesses/ limitations
• Determines personal and professional
goals and aspirations
Core Competency 2:
Pursues continuing education
Indicators
• Participates in formal and non-formal education
• Applies learned information for the improvement
of care
Core Competency 3:
Gets involved in professional
organizations and civic activities
Indicators
• Participates actively in professional,
social, civic, and religious activities
• Maintains membership to professional organizations
• Support activities related to nursing
and health issues
Core Competency 4:
Projects a professional image of the
nurse
Indicators
• Demonstrates good manners and right conduct
at all times
• Dresses appropriately
• Demonstrates congruence of words and action
• Behaves appropriately at all times
Core Competency 5:
Possesses positive attitude towards change
and criticism
Indicators
• Listens to suggestions and recommendations
• Tries new strategies or
approaches
• Adapts to changes willingly
Core Competency 6:
Performs function according to
professional standards
Indicators
• Assesses own performance against standards
of practice
• Sets attainable objectives to enhance nursing
knowledge and skills
• Explains current nursing practices,
when situations call for it
7. Quality Improvement
Core Competency 1:
Gathers data for quality improvement
Indicators
• Identifies appropriate quality
improvement methodologies for the clinical problems
• Detects variation in specific
parameters i.e vital signs of the client from day to day
• Reports significant changes in
clients’ condition/environment to improve stay
in the hospital 9
• Solicits feedback from client and
significant others regarding care rendered
Core Competency 2:
Participates in nursing audits and
rounds
Indicators
• Shares with the team relevant
information regarding clients’ condition
and significant changes in clients’ environment
• Encourages the client to verbalize
relevant changes in his/her condition
• Performs daily check of clients’
records / condition
• Documents and records all nursing care
and actions implemented
Core Competency 3:
Identifies and reports variances
Indicators
• Reports to appropriate person/s
significant variances/changes/occurrences immediately
•
Documents and reports observed variances regarding client care
Core Competency 4:
Recommends solutions to identified problems
Indicators
• Gives an objective and accurate report
on what was observed rather than an interpretation of the event
• Provides appropriate suggestions on corrective
and preventive measures
• Communicates solutions with
appropriate groups
8. Research
Core Competency 1:
Gather data using different
methodologies
Indicators
• Specifies researchable problems
regarding client care and community health
• Identifies appropriate methods of
research for a particular client / community problem
• Combines quantitative and qualitative nursing
design through simple explanation on the phenomena observed
Core Competency 2:
Analyzes and interprets data gathered
Indicators
• Analyzes data gathered using
appropriate statistical tool
• Interprets data gathered based on
significant findings
Core Competency 3:
Recommends actions for
implementation
Indicators
•
Recommends practical solutions appropriate to the problem based on the
interpretation of significant findings
Core Competency 4:
Disseminates results of research
findings
Indicators
• Shares/presents results of findings to
colleagues / clients/ family and to others
• Endeavors to publish research
• Submits research findings to own
agencies and others as appropriate
Core Competency 5:
Applies research findings in nursing practice
Indicators
• Utilizes findings in research in the
provision of nursing care to individuals / groups / communities
• Makes use of evidence-based nursing to
enhance nursing practice 10
9. Records Management
Core Competency 1:
Maintains accurate and updated
documentation of client care
Indicators
• Completes updated documentation of
client care
• Applies principles of record
management
• Monitors and improves accuracy, completeness
and reliability of relevant data
• Makes record readily accessible to
facilitate client care
Core Competency 2:
Records outcome of client care
Indicators
• Utilizes a records system ex. Kardex
or Hospital Information System (HIS)
• Uses data in their decision and policy
making activities
Core Competency 3:
Observes legal imperatives in record keeping
Indicators
• Maintains integrity, safety, access
and security of records
• Documents/monitors proper record
storage, retention and disposal
• Observes confidentially and privacy of
the clients’ records
• Maintains an organized system of
filing and keeping clients’ records in a designated area
• Follows protocol in releasing records
and other information
10. Communication
Core
Competency 1:
Establishes rapport with client,
significant others and members of the health team
Indicators
• Creates trust and confidence
• Spends time with the
client/significant others and members of the health team to facilitate interaction
• Listens actively to client’s
concerns/significant others and members of the health team
Core Competency 2:
Identifies verbal and non-verbal
cues
Indicators
• Interprets and validates client’s body
language and facial expressions
Core Competency 3:
Utilizes formal and informal channels
Indicators
• Makes use of available visual
aids
• Utilizes effective channels of
communication relevant to client care management
Core Competency 4:
Responds to needs of individuals,
family, group and community
Indicators
• Provides reassurance through
therapeutic touch, warmth and comforting words of encouragement
• Provides therapeutic
bio-behavioral interventions to meet the
needs of clients
Core Competency 5:
Uses appropriate information technology
to facilitate communication
Indicators
• Utilizes telephone, mobile phone,
electronic media
• Utilizes informatics to support the
delivery of healthcare
Core Competency 1:
Establishes collaborative relationship
with colleagues and other members of the health team
Indicators
• Contributes to decision making
regarding clients’ needs and concerns
• Participates actively in client care management
including audit
• Recommends appropriate intervention to
improve client care
• Respect the role of other members of
the health team
• Maintains good interpersonal
relationship with clients , colleagues and other members of the health team
Core Competency 2:
Collaborates plan of care with other
members of the health team
Indicators
• Refers clients to allied health team
partners
• Acts as liaison / advocate of the
client
• Prepares accurate documentation for efficient
communication of services
