Appendix 4
Compression Bandaging Clinical Competency
Name: / Role: Band 3 / 4Base: / Date initial training / E mot completed:
Competency Statement:
The participant demonstrates clinical knowledge and skill incompression bandaging without assistance and/or direct supervision (level 3 - see level descriptors). Assessment in practice must be by a Registered Nurse who can demonstrate competence at level 3 or above.
Performance Criteria
/ Assessment Method / Level achieved/ Date / Assessor/self assessed
The Participant will be able to:
1.Demonstrate the knowledge and skills to apply compression bandaging
a) The participant is able to demonstrate an understanding of the need for a formal patient and leg ulcer assessment to take place / Questioning
b) The participant is able to explain their accountability / Questioning
c) The participant has undertaken the leg ulcer course. / Questioning
d) The participant has read the Trusts guidelines and policy on leg ulcer management / Questioning
e) The participant can discuss the contra-indications/precautions for compression therapy / Questioning / observation
f) The participant can name the bandages that are required to apply compression therapy / Questioning
g) Explain to the patient why they are having compression therapy / Observation
h)The participant can explain the causes of venous hypertension / Questioning
i) Demonstrate understanding of the need to gain consent and maintain privacy and dignity throughout the application of compression bandaging / Observation
j) The participant can discuss the relevance of Laplace’s Law and Pascal’s5- If you did seek advice was it useful
Law to compression therapy / Questioning
k) The participant demonstrates they can measure ankle circumference and explains why this should always be measured prior to application of compression bandages and the significance of the ankle circumference to the bandages applied / Observation
l) The participant is able to explain when it is not appropriate to apply compression bandages / Questioning
m) Discuss the difference between short stretch and long stretch bandages / Questioning
n) Discuss what is reduced compression and why might you use this / Questioning
o) Discuss what to do if the ulcer has not improved/healed within 8 weeks / Questioning
p) The participant is able to demonstrate how and explain why it is important to always apply padding prior to applying compression bandaging / Observation
q) The participant is able to demonstrate how much padding and bandage overlap is required, for each system used and what is the significance of this / Observation
r) The participant is able to demonstrate appropriate compression bandage selection / Observation
s) The participant is able to explain to the patient why they are having compression therapy / Observation
t) The participant is competent in documenting wound details / Observation
u) Review and update wound and well being care plan implemented by registered nurse / Observation
Source: tissue viability group: Leg Ulcer Guidelines
Date all elements of Competency Tool completed to level 3______
Name ______Signature ______Status______Date ______
I confirm that I have assessed the above named individual and can verify that he/she demonstrates competency in compression bandaging
Assessor ______Signature ______Status______Date ______
Review Dates: / CompetentYes / No / Registered Nurse Signature / Verifier signature / Comments
Compression Bandaging Clinical Competency
Name: / Role: Band 5/6/7Base: / Date initial training / E mot completed:
Competency Statement:
The participant demonstrates clinical knowledge and skill incompression bandaging without assistance and/or direct supervision (level 3 - see level descriptors). Assessment in practice must be by a Registered Nurse who can demonstrate competence at level 3 or above.
Performance Criteria
/ Assessment Method / Level achieved/ Date / Assessor/self assessed
The Participant will be able to:
1.Demonstrate the knowledge and skills to apply compression bandaging
a)
The participant has undertaken the leg ulcer course / Discussion
b) Describe the Trusts guidelines and policy for leg ulcer management / Questioning
c) Describe the contra-indications/precautions for compression therapy / Questioning
d) Discuss the Registered Nurses responsibility and NMC accountability when delegation to junior and non-registered staff / Questioning
e) Describe which bandages are required to apply compression
therapy / Questioning
f) Explain to the patient why they are having compression therapy / Questioning
g) Explain the causes of venous hypertension / Observation
h) Demonstrate understanding of the need to gain consent and maintain privacy and dignity throughout the application of compression bandaging / Observation
i) Describe what is Laplace’s Law and Pascal’s Law / Questioning
j) Discuss why the ankle circumference should always be measured prior to application of compression bandages / Questioning
k) Describe when it is not appropriate to apply compression therapy / Questioning
l) Discuss the difference between short stretch and long stretch bandages / Questioning
m) Discuss what is reduced compression and why might you use this / Questioning
n) Discuss what to do if the ulcer has not improved/healed within 8 weeks / Questioning
o) Describe why it is important to always apply padding prior to applying compression bandaging / Questioning
2. Demonstrate the practical skills necessary to perform compression bandaging
a) Demonstrates measurement of ankle circumference / Observation
b) Demonstrate how much padding and bandage overlap is required for each bandage system used. / Observation
c) Demonstrate appropriate compression bandage selection / Observation
d) Explain to the patient why they are having compression therapy / Observation
e) Document wound details electronically on wound assessment form / Observation
f) Demonstrate completion of patient centred care plans and well being care plans based on the leg ulcer assessment / Observation
Source: Tissue Viability Group
Date all elements of Competency Tool completed to level 3______
Registered Nurse ______Signature ______Status______Date ______
I confirm that I have assessed the above named Registered Nurse and can verify that he/she demonstrates competency in compression bandaging
Assessor ______Signature ______Status______Date ______
Review Dates: / CompetentYes / No / Registered Nurse Signature / Verifier signature / Comments