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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.