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HINDS COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
NURSING 1229/2224
COMPETENCY RATING GUIDE
END OF PROGRAM
COMPETENCIES
SATISFACTORY
(S)
NEEDS
IMPROVEMENT
(NI)
Client Centered Care
UNSATISFACTORY
(U)
1. Collect and integrate
relevant and critical
assessment data to complete
a plan of care for a group of
clients.
2. Utilize critical thinking and
the nursing process to make
valid, rational, justifiable
clinical decisions.
3. Incorporate community
resources, environmental
factors, culture and values in
the provision of client care.
4. Integrate age specific
competencies in caring for
clients across the lifespan.
Collect and identify relevant
assessment data to develop a plan of
care.
Requires guidance in collecting
relevant assessment data to develop a
plan of care.
Fails to collect relevant assessment data to
develop a plan of care.
Utilize critical thinking and the nursing
process to make basic clinical decisions
related to client care with minimal
instructor guidance.
Requires extensive instructor guidance
in utilizing critical thinking and the
nursing process to make basic clinical
decisions related to client care.
Fails to utilize critical thinking and the
nursing process to make basic clinical
decisions related to client care.
Identify impact of community resources,
environmental factors, culture and values
in provision of client care.
Requires instructor guidance to identify
impact of community resources,
environmental factors, culture and values
in the provision of client care.
Fails to identify impact of community
resources, environmental factors, culture and
values in the provision of client care.
Integrate age specific competencies in
caring for clients across the lifespan with
instructor guidance.
Requires extensive instructor guidance in
integrating age specific competencies in
caring for clients across the lifespan.
Fails to integrate age specific competencies
in caring for clients across the lifespan with
instructor guidance.
5. Demonstrate caring behaviors
toward the client, significant
support person(s), peers, and
other members of the health
team.
6. Develop, implement, and
evaluate teaching for clients,
families, and/or groups based
on assessed needs, available
resources, age, lifestyles, and
cultural considerations.
Demonstrate caring behaviors toward the
client, significant support person(s),
peers, and other members of the health
team.
Rev Sp 2016
Provide relevant health teaching for
clients, based on assessed needs,
available resources, age, lifestyles, and
cultural considerations with instructor
guidance.
Fails to demonstrate caring behaviors toward
the client, significant support person (s),
peers, and other members of the health team.
Requires extensive instructor guidance
in providing relevant health teaching
for clients, based on assessed needs,
available resources, age, lifestyles, and
cultural considerations.
Fails to provide relevant health teaching
for clients, based on assessed needs,
available resources, age, lifestyles, and
cultural considerations.
7.
Demonstrate the incorporation
of appropriate priorities in
planning and providing client
care.
8. Evaluate cost efficiency in
resource utilization for self and
others.
Set appropriate priorities for client care
with minimal instructor guidance.
Requires extensive instructor guidance to
set appropriate priorities for client care.
Fails to set appropriate priorities for client
care.
Demonstrate cost efficiency in resource
utilization when providing client care
with minimal instructor guidance.
Requires extensive instructor guidance in
demonstrating cost efficiency in resource
utilization when providing client care.
Fails to demonstrate cost efficiency in
resource utilization when providing client
care.
Requires extensive instructor guidance to
complete clinical assignments within
designated time frame.
Fails to complete clinical assignments within
designated time frame.
Complete clinical assignment within
9. Utilize effective time
designated timeframe with minimal
management skills in the
instructor guidance.
provision of care for a group of
clients.
Professionalism
10. Practice within the legal,
ethical, and regulatory
frameworks of nursing.
Demonstrate professional nursing
expectations with minimal instructor
guidance regarding:
a. client’s rights (privacy,
confidentiality, refusal of
treatment, advance directives,
informed consent)
b. ethical qualities (honesty,
integrity, self-control,
tolerance and respect for
others, and accountability).
c. professional growth (selfawareness, self-reflection,
learning, confidence, and
competence).
d. scope of practice
Requires extensive instructor guidance
in demonstrating professional nursing
expectations regarding client’s rights,
ethical qualities, professional growth
and scope of practice.
11. Adapt to changes in the clinical
environment and revises work
plan in order to achieve
expected outcomes.
12. Follow ADN and agency
policies/procedures.
Accept and adapt to assignment and/or
schedule changes with instructor
guidance.
Fails to accept and adapt to assignment
and/or schedule changes.
Follow ADN and agency
policies/procedures with minimal
instructor guidance.
Fails to follow ADN and agency policies/
procedures.
Leadership
Rev Sp 2016
Fails to demonstrate professional nursing
expectations regarding client’s rights,
ethical qualities, professional growth and
scope of practice.
13. Delegate client care to
qualified personnel
appropriately with minimal
instructor guidance.
14. Evaluate outcomes of nursing
care provided by self and
others with instructor
guidance.
15. Manage care for a group of
clients.
16. Acknowledge mistakes,
report appropriately, choose
and implement corrective
action.
17. Assume accountability for
own behavior/actions as well
as for nursing care given by
self and/or delegated to
others.
18. Promote a positive culture by
valuing individuals and their
contributions.
Identify healthcare team members’
responsibilities in contributing to overall
client care with instructor guidance.
Requires extensive instructor guidance in
identifying healthcare team members’
responsibilities in contributing to overall
client care.
Fails to identify healthcare team members’
responsibilities in contributing to overall
client care.
Demonstrate actions that improve
performance in the delivery of client care
with instructor guidance.
Requires extensive instructor guidance in
demonstrating actions that improve
performance in the delivery of client care.
Fails to demonstrate actions that improve
performance in the delivery of client care.
Manage care for assigned client(s) with
instructor guidance.
Requires extensive instructor guidance in
managing care for assigned client (s).
Fails to manage care for assigned client (s).
Acknowledge mistakes, report
appropriately, and take corrective
action with instructor guidance.
Requires extensive instructor guidance
to acknowledge mistakes, report
appropriately and take corrective
action.
Fails to acknowledge mistakes, report
appropriately and take corrective action.
Accept responsibility for own
behavior/actions and for nursing care
given by self.
Requires instructor guidance to accept
responsibility for own behavior/ actions
and for nursing care given by self.
Fails to accept responsibility for own
behavior/actions and for nursing care
given by self.
Demonstrate understanding toward
individuals with different viewpoints.
Requires instructor guidance in
demonstrating understanding toward
individuals with different viewpoints.
Fails to demonstrate understanding toward
individuals with different viewpoints.
Systems-Based Practice
19. Collaborate with members of
the health care team to plan
and prioritize work unit
resources to achieve quality
patient outcomes.
20. Plan, organize, and deliver care
within the organization of the
work unit.
Identify own role and responsibilities and
that of the other members of the health
care team in planning and using work unit
resources to achieve quality patient
outcomes.
21. Take initiative to identify and
solve problems encountered at
the point of care.
Rev Sp 2016
Fails to identify own role and
responsibilities and that of the other
members of the health care team in planning
and using work unit resources to achieve
quality patient outcomes
Plan, organize, and deliver care within the
organization of the work unit with
instructor guidance.
Requires instructor guidance in
identifying own role and responsibilities
and that of the other members of the
health care team in planning and using
work unit resources to achieve quality
patient outcomes
Requires extensive instructor guidance to
plan, organize, and deliver care within the
organization of the work unit.
Identify and solve problems encountered
at the point of care with instructor
guidance.
Requires extensive instructor guidance to
identify and solve problems encountered
at the point of care.
Fails to identify and solve problems
encountered at the point of care
Fails to plan, organize, and deliver care
within the organization of the work unit.
22. Utilize chain of command
appropriate for healthcare
settings to address workplace
issues with minimal instructor
guidance.
Identify how to utilize the chain of
command in healthcare settings to address
workplace issues.
Requires instructor guidance in
identifying how to utilize the chain of
command in healthcare settings to address
workplace issues.
Fails to identify how to utilize the chain of
command in healthcare settings to address
workplace issues.
Informatics and Technology
23. Demonstrate competence with
current technologies in the
delivery of client care.
Use equipment /technology appropriately
in the delivery of client care with
instructor guidance.
Requires extensive instructor guidance to
use equipment/technology appropriately
in the delivery of client care.
Fails to use equipment/technology
appropriately in the delivery of client care.
24. Apply technology and
information management to
support safe processes of care
and evaluate impact on client
outcomes.
25. Maintain privacy and
confidentiality of clients’
computerized health
information.
Demonstrate the use of technology and
information management to provide client
care with instructor guidance.
Requires extensive instructor guidance in
demonstrating the use of technology and
information management to client care.
Fails to demonstrate the use of technology
and information management to provide
client care.
Demonstrate use of safeguards
designed to protect clients’ rights
related to privacy and confidentiality as
they relate to computerized
information with instructor guidance.
Fails to demonstrate use of safeguards
designed to protect clients’ rights related
to privacy and confidentiality as they
relate to computerized information.
26. Respond appropriately to
technology supports and alerts
that affect clinical decisionmaking.
Respond appropriately to technology
supports and alerts in the care of the client
with instructor guidance.
Requires extensive instructor guidance
in demonstrating use of safeguards
designed to protect clients’ rights
related to privacy and confidentiality as
they relate to computerized
information
Requires extensive instructor guidance in
responding appropriately to technology
supports and alerts in the care of the
client.
Fails to respond appropriately to technology
supports and alerts in the care of the client.
Communication
27. Communicate effectively and
exhibit understanding of
verbal, non-verbal, therapeutic,
and non-therapeutic
communication with others
across the lifespan.
28. Communicate pertinent
information to appropriate
persons in a timely manner.
Rev Sp 2016
Demonstrate basic principles of verbal,
non-verbal, therapeutic, and nontherapeutic communication used to
interact with others across the lifespan
with instructor guidance.
Requires extensive instructor guidance in
demonstrating basic principles of verbal /
nonverbal, therapeutic and nontherapeutic
communication used to interact with
others across the life span.
Fails to demonstrate basic principles of
verbal, non-verbal, therapeutic, and nontherapeutic communication used to interact
with others across the lifespan.
Communicate pertinent information to
appropriate persons in a timely manner
with instructor guidance.
Requires extensive instructor guidance
to communicate pertinent information
to appropriate persons in a timely
manner.
Fails to communicate pertinent
information to appropriate persons in a
timely manner.
29. Document all aspects of
nursing care according to
professional standards and
work unit policy.
Document complete and accurate client
data and nursing care using
appropriate terminology with
instructor guidance.
Requires extensive instructor guidance
in documenting complete and accurate
client data and nursing care using
appropriate terminology.
Fails to document complete and accurate
client data and nursing care using
appropriate terminology.
Teamwork and Collaboration
30. Utilize input from other team
members to improve individual
and team performance.
31. Integrate the contributions of
others in assisting clients to
achieve desired client
outcomes.
32. Implement discharge planning
for a group of clients with
input from the healthcare team
members.
33. Transfer client care
responsibilities to another
professional by effectively
communicating pertinent
data.
34. Integrate the feedback of
others in assisting client to
achieve desired client
outcomes.
35. Provide safe, accurate
nursing care in diverse
settings.
Rev Sp 2016
Demonstrate behaviors that promote
teamwork and cooperation with peers,
clients, families, and health team
members with instructor guidance.
Confer with appropriate person(s) to
solve problem(s) with instructor
guidance.
Requires minimal instructor guidance in
utilizing input from other team members
to improve individual and team
performance.
Requires minimal instructor guidance
to confer with appropriate person(s) to
solve problem(s).
Fails to utilize input from other team
members to improve individual and team
performance.
Identify discharge-planning needs of the
client with input from the healthcare team
members and instructor guidance.
Requires minimal instructor guidance to
identify discharge planning needs of the
client with input from the healthcare team
members.
Fails to identify discharge planning needs of
the client with input from the healthcare
team members.
Demonstrate the transfer of client care
responsibilities to another professional
effectively with minimal instructor
guidance.
Requires extensive instructor guidance
to transfer client care responsibilities to
another professional by effectively.
Fails to transfer client care
responsibilities to another professional by
effectively.
Display receptive attitude in response to
instructor feedback and make appropriate
changes in behavior needed for
performance improvement with minimal
instructor guidance.
Requires extensive instructor guidance to
display receptive attitude in response to
instructor feedback and make appropriate
changes in behavior needed for
performance improvement.
Safety
Fails to display receptive attitude in response
to instructor feedback and make appropriate
changes in behavior needed for performance
improvement
Implement plan of care safely in
diverse settings with regard to client,
self, and others with minimal instructor
guidance.
Requires extensive instructor guidance
to implement plan of care safely in
diverse settings with regard to client,
self and others.
Fails to confer with appropriate person(s)
to solve problem(s).
Fails to implement plan of care safely in
diverse settings with regard to client, self
and others.
36. Administer medications
safely and correctly with
minimal instructor guidance
(required calculations,
knowledge of drug and
nursing implications).
37. Utilize knowledge of Joint
Commission National Patient
Safety Goals in the delivery
of client care.
38. Identify and report the
presences of hazards and
errors involving clients,
families, and/or health care
team members and take
corrective action.
Administer medications safely and
correctly with minimal instructor
guidance (required calculations,
knowledge of drug and nursing
implications).
Requires extensive instructor guidance
in administering medications safely and
correctly.
Fails to administer medications safely and
correctly.
Utilize knowledge of Joint Commission
National Patient Safety Goals in the
delivery of client care with instructor
guidance.
Requires extensive instructor guidance
to utilize knowledge of Joint
Commission National Patient Safety
Goals in the delivery of client care.
Fails to utilize knowledge of Joint
Commission National Patient Safety
Goals in the delivery of client care.
Identify and report the presence of
hazards and errors involving clients,
families, and/or health care team
members and take corrective action
with instructor guidance.
Requires extensive instructor guidance
to identify and report the presence of
hazards and errors involving clients,
families, and/or health care team
members and takes corrective action.
Fails to identify and report the presence
of hazards and errors involving clients,
families, and/or health care team
members and takes corrective action.
Quality improvement
39. Integrate the use of quality
indicators and core measures in
the delivery of client care.
40. Support the agency’s efforts to
positively impact the clinical
agency’s consumer assessment.
41. Utilize the quality and safety
competencies of the Quality
and Safety Education of
Nurses (QSEN) in the delivery
of client care.
Utilize quality improvement methods to
improve client care in in healthcare
setting with instructor guidance.
Requires extensive instructor guidance to
utilize quality improvement methods to
improve client care in healthcare setting.
Fails to utilize quality improvement methods
to improve client care in in healthcare
setting.
Utilize knowledge of Hospital Consumer
Assessment of Healthcare Providers and
Systems (HCAHPS) to provide a positive
impact in delivery of care with instructor
guidance.
Implement the quality and safety
competencies of the Quality and Safety
Education of Nurses (QSEN) in the
delivery of client care with instructor
guidance.
Requires extensive instructor guidance in
utilizing HCAHPS to provide a positive
impact in delivery of care.
Fails to utilize HCAHPS to provide a
positive impact in delivery of care.
Requires extensive instructor guidance to
implement quality and safety
competencies of the QSEN in the delivery
of client care.
Fails to implement quality and safety
competencies of the QSEN in the delivery of
client care.
Evidence-based Practice
42. Utilize evidence-based
rationales to support
independent clinical decisionmaking.
Rev Sp 2016
Identify evidence-based rationales to
support decisions in the development and
implementation of the plan of care with
instructor guidance.
Requires extensive instructor guidance to
identify evidence-based rationales to
support decisions in the development and
implementation of the plan of care.
Fails to identify evidence-based rationales to
support decisions in the development and
implementation of the plan of care.
43. Utilize and reference reliable
sources to support independent
clinical decision-making.
Rev Sp 2016
Utilize and reference reliable sources to
support decisions in the development and
implementation of the plan of care with
instructor guidance.
Requires extensive instructor guidance to
utilize and reference reliable sources to
support decisions in the development and
implementation of the plan of care.
Fails to utilize and reference reliable sources
to support decisions in the development and
implementation of the plan of care.