PATIENT CARE COMPETENCIES

I. SAFE AND QUALITY NURSING CARE

Core Competency 1: Demonstrates knowledge base on the health /illness status of individual / groups Core Competency 2. Provides sound decision making in the care of individuals / families/groups considering their beliefs and values y y y y y y y y y y Core Competency 4: Sets priorities in nursing care based on clients needs y y y y Identifies the health needs of the clients (individuals, families, population groups and/or communities) Explains the health status of the clients/ groups 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 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 Identifies the priority needs of clients Analyzes the needs of clients Determines appropriate nursing care to address priority needs/problems Refers identified problem to appropriate individuals / agencies

Core Competency 3: Promotes safety and comfort and privacy of clients

Core Competency 5: Ensures continuity of care

Core Competency 6: Administers medications and other health therapeutics Core Competency 7: Utilizes the nursing process as framework for nursing 7.1 Performs comprehensive and systematic nursing assessment 7.2 Formulates a plan of care in collaboration with clients and other members of the health team

y y

Establishes means of providing continuous client care Conforms to the 10 golden rules in medication administration and health therapeutics

7.3 Implements planned nursing care to achieve identified outcomes

Obtains informed consent Completes appropriate assessment forms Performs appropriate assessment techniques Obtains comprehensive client information Maintains privacy and confidentiality Identifies health needs y Includes client and his family in care planning y Collaborates with other members of the health team y States expected outcomes of nursing intervention maximizing clients competence y Develops comprehensive client care plan maximizing opportunities for prevention of problems and/or enhancing wellness response y Accomplishes client-centered discharge plan 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 Monitors effectiveness of nursing interventions Revises care plan based on expected outcomes

y y 7.4 Evaluates progress toward expected outcomes y y y

y y

II.

COMMUNICATION
y Creates trust and confidence

Core Competency 1: Establishes rapport with client, significant others and members of the health team

Core Competency 2: Identifies verbal and non-verbal cues Core Competency 3: Utilizes formal and informal channels

y Spends time with the client/significant others and members of the health team to facilitate interaction y Listens actively to clients concerns/significant others and members of the health team y Interprets and validates clients body language and facial expressions y y
y y y y

Makes use of available visual aids Utilizes effective channels of communication relevant to client care management
Provides reassurance through therapeutic touch, warmth and comforting words of encouragement Provides therapeutic bio-behavioral interventions to meet the needs of clients Utilizes telephone, mobile phone, electronic media Utilizes informatics to support the delivery of healthcare

Core Competency 4: Responds to needs of individuals, family, group and community Core Competency 5: Uses appropriate information technology to facilitate communication III. TEAMWORK and COLLABORATION

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

y y y y

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

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

IV.

HEALTH EDUCATION
y y y y y y Obtains learning information through interview, observation and validation Analyzes relevant information Completes assessment records appropriately Identifies priority 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, teaching-learning resources and evaluation parameters Provides for feedback to finalize the plan Develops information education materials appropriate to the level of the client Applies health education principles in the development of information education materials Provides for a conducive learning situation in terms of time and place

Core Competency 1: Assesses the learning needs of the client-partner/s

Core Competency 2: Develops health education plan based on assessed and anticipated needs

Core Competency 3: Develops learning materials for health education Core Competency 4: Implements the health education plan

y y y y

y
y y Core Competency 5: Evaluates the outcome of health education y y y y

Considers client and familys 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 familys responses to health education Utilizes evaluation parameters Documents outcome of care Revises health education plan based on client response/outcome/s

V.

LEGAL RESPONSIBILITY
y y y Fulfills legal requirements in nursing practice Holds current professional license Acts in accordance with the terms of contract of employment and other rules

Core Competency 1: Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent.

y y y

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

y Core Competency 2: Adheres to organizational policies and procedures, local and national Core Competency 3: Documents care rendered to clients
y y y y

Checks the completeness of informed consent and other legal forms

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 Utilizes appropriate client care records and reports. Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice.

VI.

ETHICO-MORAL RESPONSIBILITY
y Renders nursing care consistent with the clients bill of rights: (i.e. confidentiality of information, privacy, etc.) y Meets nursing accountability requirements as embodied in the job description y Justifies basis for nursing actions and judgment y Projects a positive image of the profession y Adheres to the Code of Ethics for Nurses and abides by its provision

Core Competency 1: Respects the rights of individual / groups

Core Competency 2: Accepts responsibility and accountability for own decision and actions Core Competency 3: Adheres to the national and international code of ethics for nurses

Reports unethical and immoral incidents to proper authorities