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THE CORE COMPETENCY AREAS
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 1:Demonstrate knowledge based onhealth/illness status of individual/ groups
Indicators : Identifies health needs of patients/groups
Explains patient/group status
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 2:Provides sound decision making in care ofindividual/groups considering their beliefs, values
Indicators : Problem identification Data gathering related to problem
Data analysis Selection appropriate action Monitor progress of action taken
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 3:Promotes patient safety and comfort
Indicators :
Performs age-specific safety measures and comfortmeasure in all aspects of patient care
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 4:Priority setting in nursing care based on patientsneeds
Indicators : Identifies priority needs of patientsAnalysis of patients needs
Determine appropriate nursing care to beprovided
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 5:Ensures continuity of care
Indicators : Refers identified problems to appropriateindividuals/ agencies
Establish means of providing continuouspatient care
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 6:Administers medications and other healththerapeutics
Indicators : Conforms to the 10 golden rules inmedication administration and healththerapeutics
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 7:Utilizes nursing process as framework for nursing.Performs comprehensive, systematic nursingassessment
Indicators : Obtains consent Complete appropriate assessment forms Performs effective assessment techniques Obtains comprehensive client information Maintains privacy and confidentiality
Identifies health needs
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 8:Formulates care plan in collaboration withpatients, other health team members
Indicators : Includes patients, family in care planning States expected outcomes in nursinginterventions Develops comprehensive patient care plan Accomplishes patient centered discharge plan
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 9:Implements NCP to achieve identified outcomes
Indicators :
Explain interventions to patient, family beforecarrying them out Implement safe, comfortable nursinginterventionsActs according to clients health conditions,needs Performs nursing interventions effectively and in
timely manner
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 10:Implements NCP progress toward expectedoutcomes
Indicators : Monitors effectiveness of nursinginterventions Revises care plan PRN
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SAFE AND QUALITY NURSING CARE
CORE COMPETENCY 11:Responds to urgency of patients condition
Indicators :Identifies sudden changes in patientshealth conditions Implements immediate, appropriateinterventions
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MANAGEMENT OF RESOURCES
AND ENVIRONMENTCORE COMPETENCY 1:
Organizes workload to facilitate patient care
Indicators: Identifies task or activities that need to be
accomplished Plans the performance of task or activitiesbased on priority Finishes work assignment on time
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MANAGEMENT OF RESOURCES
AND ENVIRONMENTCORE COMPETENCY 2:
Utilizes resources to support patient
care
Indicators:
Determines the resources needed todeliver patient care Control the use of equipment
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MANAGEMENT OF RESOURCES
AND ENVIRONMENTCORE COMPETENCY 3:
Ensures the functioning of resources
Indicators: Check proper functioning of the
equipment Refers Malfunctioning equipment toappropriate unit
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MANAGEMENT OF RESOURCES
AND ENVIRONMENT
CORE COMPETENCY 4:Check the Proper functioning of the
Equipment
Indicators: Determines the task and procedures that
can be safely assigned to the other membersof the team Verifies the competence of the staff prior to
delegating tasks
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MANAGEMENT OF RESOURCES
AND ENVIRONMENT CORE COMPETENCY 5:
Maintains safe Environment
Indicators: Observe proper disposal of waste Adheres to policies, procedures and protocols onprevention and control of infection
Defines steps to follow incase of fire , earthquakeand other emergency situation
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HEALTH DUCATION CORE COMPETENCY 1:
Assesses the learning needs of the patient and thefamily
Indicators: Obtains learning information through interview,observation and validation Defines relevant information Completes assessment records appropriately Identify priority needs
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HEALTH DUCATIONCORE COMPETENCY 2:
Develops Health Education plan based on
assessed and anticipated needs.
Indicators:
Considers nature of the learner in relationto social, cultural, political, economic,educational, and religious factor
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HEALTH DUCATION
CORE COMPETENCY 3:Develops learning material for health education
Indicators:
Involves the patient, family and significant othersand other resources Formulates a comprehensive health educationalplan with the following components , objectives,
content and time allotment Teaching-learning resources and evaluationparameters Provides for feedback to finalize plan
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HEALTH DUCATION
CORE COMPETENCY 4:Implements the health Education Plan
Indicators:
Provides for conducive learning situation interms of timer and place Considers client and family preparednessUtilize appropriate strategies
Provides reassuring presence through activelistening, touch and facial expression and gesturesMonitors client and familys responses to healtheducation
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HEALTH DUCATIONCORE COMPETENCY 5:
Evaluates the outcome of health Education
Indicators: Utilizes evaluation parameters
Documents outcome of care Revises health education plan whennecessary
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ETHICO-MORAL RESPONSIBILITYCORE COMPETENCY 1:
Respects the rights of individual/ groups
Indicator: Renders nursing care consistent with the
patients bill of rights (ie. confidentiality ofinformation, privacy, etc.)
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ETHICO-MORAL RESPONSIBILITY
CORE COMPETENCY 2Accepts responsibility & accountability forown decisions and actions
Indicators: Meets nursing accountability
requirements as embodied in the jobdescription Justifies basis for nursing actions andjudgment Protects a positive image of the profession
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ETHICO-MORAL RESPONSIBILITY CORE COMPETENCY 3
Adheres to the national and international code ofethics for nurses
Indicators: Adheres to the Code of Ethics for Nurses and
abides by its provisions Reports unethical and immoral incidents toproper authorities
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LEGAL RESPONSIBILITY CORE COMPETENCY 1:
Adheres to practices in accordance with the nursing law and otherrelevant legislation including contract and informed consent.
Indicators: Fulfill legal requirements in Nursing Practice
Holds current professional license Acts in accordance with the terms of contract of employment andother rules and regulation Complies with the required CPE Confirms information given by the doctor for informed consent
Secures waiver of responsibility for refusal to undergo treatment orprocedures Check the completeness of informed consent and other legal forms
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LEGAL RESPONSIBILITY CORE COMPETENCY 2:
Adheres to organizational policies and procedures,local and national
Indicators: Articulates the vision and mission of the
institution where one belongs Acts in accordance with the established normsand conduct of the institution/ organization
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LEGAL RESPONSIBILITY CORE COMPETENCY 3:
Document care rendered to patients.
Indicators: Utilizes appropriate patient care records andreports
Accomplish accurate documentation in allmatters concerning patient care in accordancewith the standard of nursing practice.
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PERSONAL AND PROFESSIONAL
DEVELOPMENT CORE COMPETENCY 1
Identifies own learning needs
Indicators: Verbalizes strengths, weaknesses, limitations. Determines personal and professional goals and
aspirations.
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PERSONAL AND PROFESSIONAL
DEVELOPMENT CORE COMPETENCY 2
Pursues continuing education
Indicators: Participates in formal and non-formaleducation.
Applies learned information for theimprovement of care.
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PERSONAL AND PROFESSIONAL
DEVELOPMENT CORE COMPETENCY 3
Gets involved in professional organizations andcivic activities
Indicators: Participates actively in professional, social, civic
and religious activities Maintain membership to professionalorganizations Support activities related to nursing and health
issues
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PERSONAL AND PROFESSIONAL
DEVELOPMENTCORE COMPETENCY 4
Projects a professional image of nurse
Indicators: Demonstrate good manners and rightconduct at all times.
Dresses appropriately. Demonstrates congruence of words andactions.
Behaves appropriately at all times.
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PERSONAL AND PROFESSIONAL
DEVELOPMENTCORE COMPETENCY 5
Possesses positive attitude towards change
and criticismIndicators: Listens to suggestions and
recommendations. Tries new strategies or approaches. Adapts to changes willingly.
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PERSONAL AND PROFESSIONAL
DEVELOPMENT CORE COMPETENCY 6
Performs function according to professionalstandards
Indicators: Assesses own performance against standards of
practice. Sets attainable objectives to enhance nursingknowledge and skills. Explains current nursing practices, when
situations call for it.
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RESEARCH
CORE COMPETENCY 1:Gathers data using different methodologies
Indicators:
Identifies researchable problems regarding patientcare and community healthIdentifies appropriate methods of research for aparticular patient/community problem
Combines quantitative and qualitative nursingdesign thru simple explanation on the phenomenaobserved
Analyzes data gathered
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RESEARCHCORE COMPETENCY 2:
Recommends actions for implementation
Indicator:Based on the analysis of data gathered,
recommends practical solutions appropriatefor the problem
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RESEARCH CORE COMPETENCY 3:
Disseminates results of research findings
Indicators:Communicates results of findings tocolleagues/patients/family and to others
Endeavors to publish researchSubmits research findings to own agencies andothers as appropriate
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RESEARCH CORE COMPETENCY 4:
Applies research findings in nursing practice
Indicators:Utilizes and findings in research in the provisionof nursing care to
individuals/groups/communitiesMakes use of evidence-based nursing to amelioratenursing practice
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RECORDS MANAGEMENT CORE COMPETENCY 1:
Maintains accurate and updated documentation ofpatient care
Indicator:Completes updated documentation of patient care
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RECORDS MANAGEMENTCORE COMPETENCY 2:
Records outcome of patient care
Indicator:Utilizes a record system
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RECORDS MANAGEMENT CORE COMPETENCY 3:
Observes legal imperatives in recording keeping
Indicators:Observes confidentially and privacy of patientsrecords
Maintains an organized system of filing andkeeping patients records in a designated areaRefrains from releasing records and otherinformation without proper authority
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COMMUNICATION CORE COMPETENCY 1:
Establishes rapport with patients, significantothers and members of the health team.
Indicators: Creates trust and confidence
Listens attentively to clients queries andrequests Spends time with the client to facilitateconversation that allows client to express concern.
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COMMUNICATIONCORE COMPETENCY 2:
Identifies verbal and non-verbal cues
Indicator:Interprets and validates clients body
language and facial expression
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COMMUNICATIONCORE COMPETENCY 3:
Utilizes formal and informal channels
Indicator: Makes use of available visual aids
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COMMUNICATIONCORE COMPETENCY 4:
Responds to needs of individuals, family,
group and community
Indicator: Provides re- assurance throughtherapeutic, touch, warmth and comfortingwords of encouragement Readily smiles
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COMMUNICATION
CORE COMPETENCY 5:Uses appropriate information technology tofacilitate communication
Indicator: Utilizes telephone, mobile phone, email andinternet, and informatics
Identifies a significant other so that follow upcare can be obtainedProvides holding or emergency numbers ofservices
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COLLABORATION AND TEAMWORK CORE COMPETENCY 1:
Establishes collaborative relationship with colleagues andother members of the health team
Indicators:
Contributes to decision making regarding patientsneeds and concerns Participates actively in patients care managementincluding audit
Recommends appropriate intervention to improvepatient care Respects the role of the other members of the healthteam Maintains good interpersonal relationships with
patients, colleagues and other members of the health team
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COLLABORATION AND
TEAMWORK CORE COMPETENCY 2:
Collaborates plan of care with other members ofthe health team
Indicator: Refers patients to allied health team partners
Acts liaison / advocate of the patients Prepares accurate documentation of efficientcommunication of services
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QUALITY IMPROVEMENT
CORE COMPETENCY 1:Gathers data for quality improvement
Indicators:
Demonstrates knowledge of method appropriate for theclinical problems identifiedDetects variation in the vital signs of the patient from dayto dayReports necessary elements at the bedside to improvepatient stay at hospitalSolicits feedback from patient and significant othersregarding care rendered
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QUALITY IMPROVEMENT CORE COMPETENCY 2:
Participates in nursing audits and rounds
Indicators:Contributes relevant information about patient conditionas well as unit condition and patient current reactions
Shares with the team current information regardingparticular patients conditionEncourages the patient to speak about what is relevant tohis conditionDocuments and records all nursing care and actionsPerforms daily check of patient records/conditionCompletes patients records
Actively contributes relevant information of patientsduring rounds thru readings and sharing with others
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QUALITY IMPROVEMENT CORE COMPETENCY 3:
Identifies and reports variances
Indicators:Documents observed variance regarding patient careand submits to appropriate group within 24 hoursIdentifies actual and potential variance to patient care
Reports actual and potential variance to patient careSubmits report to appropriate groups within 24 hours
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QUALITY IMPROVEMENT CORE COMPETENCY 4:
Recommends solutions to identified problems
Indicators:Gives appropriate suggestions on corrective andpreventive measuresCommunicates and discusses with appropriate groups
Gives and objective and accurate report on what wasobserved rather than an interpretation of the event.
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REFERENCES:
http://thenursingprofession.blogspot.com/2009/09/11-core-competencies.html
De Belen RT.2007. Significant Laws, Rulesand Regulations, and Standards in NursingPractice
http://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.htmlhttp://thenursingprofession.blogspot.com/2009/09/11-core-competencies.html -
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