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Summary of Clinical Competencies KEY Core competency Specific competency to area of practice / role Not required Competency Assessment Domestic Activities of Daily Living 1.1 Balance and gait assessment 1.2 Blood Glucose Monitoring 1.3 Deteriorating patient: MEWS / SBAR 1.4 Electrocardiograph (ECG) 1.5 Falls assessment 1.6 Assessment 1.7 Mental capacity assessment 1.8 Mobility assessment 1.9 Pain assessment 1.10 Physiological observations 1.11 Psychological / social assessment 1.12 Venous Thromboembolism 2 Communication 2.1 Communication 3 Diabetes 3.1 General principles: Management of Type 1 and 2 and complications 4 Drug Administration 4.1 Administration principles 4.1.1 Drug round 4.1.2 Controlled Drugs 4.1.3 Oral medication 4.1.4 IM medication 4.1.5 SC medication 4.1.6 PR medication 4.1.7 PV medication 4.1.8 Topical: eye, ear, nasal 4.1.9 Inhaled medication 4.1.10 Buccal medication Band 3 Band 4 Band 5 1 1.0 1 4.1.11 4.2 4.3 4.4 4.5 4.6 5 5.1 5.2 5.3 5.4 6 6.1 6.1.2 6.1.3 6.1.4 6.1.5 6.2 6.3 7 7.0 7.1 8 8.1 8.2 8.3 9 9.1 9.2.1 9.2.2 9.2.3 9.2.4 9.3 10 10.1 10.2 Transdermal medication IV administration and infusion devices Non Medical Prescribing Patient Group directions (PGD’s) Subcutaneous fluid therapy Syringe drivers Elimination Bowel care and digital examination/manual evacuation Continence assessment Stoma care Urinary catheter care including irrigation, urine collection and analysis End of Life Care General principles Assessment and care planning Symptom management , comfort and wellbeing Advanced care planning Values and knowledge Last Offices Verification of expected death Equipment General principles: medical devices Standard equipment Infection Prevention Aseptic technique inc Aseptic Non Touch Technique (ANNT) Infection control Isolation Leadership and management Mentorship Professional practice and leadership: MDT working (see 9.2.1) Delegation (see 9.2.1) Time management (see 9.2.1) Management of clinics Nutritional Support Enteral Feeding to include NG Tubes and feeding tubes (i.e. Jejunostomy and PEG) Nutrition: Malnutrition and MUST assessment 2 11 11.1 11.2 12 12.1 12.2 Other Discharge Planning Ear syringing Physical Care Personal hygiene Pressure ulcer care and prevention 13 Respiratory Therapy 13.1 Oxygen therapy 13.2 Tracheostomy care including suctioning 13.3 Respiratory care 14 Statutory and Mandatory competencies 14.1 Basic Life support 14.1.2 Anaphylaxis 14.2 Moving and handling 14.3 Medicines management(see 4.1) 14.4 Record keeping: clinical 14.5 Equality, diversity and human rights 14.6 Health and safety 14.7 Safeguarding vulnerable adults 14.8 Safeguarding children 14.9 Conflict resolution 14.10 Fire safety 14.11 Infection prevention and control 15 Venesection 15.1 Cannulation 15.2 Phlebotomy 15.3 Transfusion of blood and blood products 16 Wound Management 16.1 Compression Bandaging 16.2 Doppler assessment 16.3 Sharp debridement 16.4 Larvae Therapy 16.5 Pressure ulcer assessment Grading of pressure ulcers 16.6 Topical negative pressure 16.7 Well leg 16.8 Wound assessment and dressing selection 16.9 Wound management 16.10 Wound dressing (pts home) 3