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Clinical Competency Framework 1 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 2 2.1 3 3.1 4 4.1 4.1.8 4.2 4.3 4.4 4.5 4.6 5 5.1 5.2 5.3 5.4 6 6.1 Competency Assessment Domestic Activities of Daily Living Balance and gait assessment Blood Glucose Monitoring Deteriorating patient: MEWS / SBAR Electrocardiograph (ECG) Falls prevention ward based (Band 3, 4) Falls prevention ward based (Band 5,6,7) Falls prevention community based (Band 3, 4) Falls prevention community based (Band 5,6,7 Assessment of patient /client (Band 4) Assessment of patient/ client (Band 5.6.7) Mental capacity assessment Mobility assessment Pain assessment Physiological observations Psychological / social assessment Venous Thromboembolism Communication Communication (Band 2,3,4) Communication (Band 5,6,7) Diabetes General principles: Management of Type 1 and 2 and complications Drug Administration Drug administration (Band 4) Drug administration (Band 5,6,7) Drug administration (topical) Band 3 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 6.1.2 6.1.3 6.1.4 6.1.5 6.2 6.3 7 7.0 7.1 8 8.1 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 including Aseptic Non Touch Technique (ANNT) 8.2 Infection control 8.3 Isolation 9 Leadership and management 9.1 Mentorship 9.2.1 Management and leadership Band 4) Professional practice and leadership Band 5,6,7) 10 Nutritional Support 10.1 Enteral Feeding to include NG Tubes and feeding tubes (i.e. Jejunostomy and PEG) 10.2 Nutrition: Malnutrition and MUST assessment 11 Other 11.1 Discharge Planning 11.2 Ear syringing 12 Physical Care 12.1 Personal hygiene 12.2 Pressure ulcer care and prevention 13 Respiratory Therapy 13.1 Oxygen therapy 13.2 Tracheostomy care including suctioning 13.3 Respiratory care (Band 4) Respiratory care (Band 5,6,7)) 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 15.2 15.3 16 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 Cannulation Phlebotomy Transfusion of blood and blood products Wound Management Compression Bandaging (Band 4) Compression Bandaging (Band 5,6,7) Doppler assessment (Band 4) Doppler assessment (Band 5,6,7) Sharp debridement Larvae Therapy Pressure ulcer assessment Grading of pressure ulcers Topical negative pressure Well leg Wound assessment and dressing selection Wound management Wound dressing (pts home)