Huwebes, Mayo 17, 2012

11 Key Areas of Responsibility / Core Competency / Indicators

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

• 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

• 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

• 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

• 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

• Refers identified problem to appropriate individuals / agencies
• Establishes means of providing continuous client care

 Core Competency 6:
Administers medications and other health therapeutics

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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.

• 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  

• 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

• 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

• Renders nursing care consistent with the client’s bill of rights: (i.e. confidentiality of information, privacy, etc.)

 Core Competency 2:
Accepts responsibility

• 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

• 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

• Identifies one’s strengths, weaknesses/ limitations
• Determines personal and professional goals and aspirations 

 Core Competency 2: 
Pursues continuing education

• 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

• 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

• 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

• Listens to suggestions and recommendations
• Tries new strategies or approaches 
• Adapts to changes willingly

 Core Competency 6:
Performs function according to professional standards 

• 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

• 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

• 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

• 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

• 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

• 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 

• Analyzes data gathered using appropriate statistical tool
• Interprets data gathered based on significant findings

 Core Competency 3: 
Recommends actions for implementation 

  Recommends practical solutions appropriate to the problem based on the interpretation of significant findings

 Core Competency 4:
Disseminates results of research findings

• 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 

• 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 

• 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 

• 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 

• 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

• 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 

• Interprets and validates client’s body language and facial expressions

 Core Competency 3:
Utilizes formal and informal channels

• 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

• 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

• Utilizes telephone, mobile phone, electronic media 
• Utilizes informatics to support the delivery of healthcare

11. Collaboration and Teamwork

Core Competency 1:
Establishes collaborative relationship with colleagues and other members of the health team

• 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

• Refers clients to allied health team partners
• Acts as liaison / advocate of the client
• Prepares accurate documentation for efficient communication of services 

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