Orientation Skills / Competency Verification
Registered Nurse Leon S. Peters Rehabilitation
Unit: Clinical Excellence and Staff Development
Name: / Employee #: / Date Probationary Sent to HR:Date Completed:
Instructions:
We want to create a learning environment where the process of self-assessment and continuous improvement is ongoing. This skills list is both a self-assessment and verification of your skills. This determines what you feel you need to learn in order to do your job.
- Read through this packet.
- Complete the self-assessment portion by indicating next to each statement one of the following:
•Y-(Yes) independently performs skill according to hospital standard. (Validation will occur during orientation.)
•N- (No) need to review/develop the skill during orientation
- Use this list to record those skills that you will become competent with during your orientation. Your preceptor’s initials are used for validation of each skill.
- Submit the completed list to your Manager. This document is maintained in Human Resources.
Learning Methods:Verification Methods:
R = Read RD = Return Demonstration
O = Observe PO = Preceptor Observation
D = Demonstrated CA = Chart Audit
L = Lecture/Discussion D = Discussed with Preceptor
CAI = Computer Assisted Instruction PFB = Preceptor Feedback
LMC = Learning Module Completed CC = Competency Completed
Skill / Self-Assessment (Y / N) / Learning Method / Verification Method / Employee Initials/Date / Preceptor’s Initials/Date
A. Corporate / XXX / XXX / XXX
B. Department Overview / XXX / XXX / XXX
C. Department Safety (1st Day Checklist) / XXX / XXX / XXX
D. Resource Management
E. Age-Specific Education
Skill / Self-Assessment (Y / N) / Learning Method / Verification Method / Employee Initials/Date / Preceptor’s Initials/Date
F. Performance Improvement
Unit-Specific Indicators/PI Projects / /
Trends (HCAHPS, core measures, IRIS, quality indicators, customer complaints)
Customer Service /
G. Role Specific
Knowledge:
Describes elements of individualized care planning
Educates patients and families based on the Rehabilitation diagnosis and prepares the patient /family for discharge
Adapts educational activities based upon the needs of the patient/family
Incorporates evidence-based practice and nursing research into practice
Participates in Continuing Education within the Rehabilitation Specialty
Special Prep for Procedures
Application of the Functional Independence Measurement tool and adjusting for progress of the patient
Follows the guidelines placed by the CDC for Infection Prevention in the hospital setting
Educates patients and families based on the Rehabilitation diagnosis and prepares the patient /family for discharge
Utilizes a variety of resources and tools necessary to perform role
Special Precautions for patient populations
Skills:
Maintains specific skills utilized in Rehab
Utilizes the EPIC system for accurate documentation
Able to set up and utilize the Get Well Network for patients and families
Specimen collection procedure and documentation
Medication administration/Documentation
Equipment (Use and Documentation)
Skill / Self-Assessment (Y / N) / Learning Method / Verification Method / Employee Initials/Date / Preceptor’s Initials/Date
Preparation of Consent forms and proper documentation required for procedures
Attitudes:
Advocates for nursing when working with inter-professional team
Acts as a change agent and advocatein promoting effective change for better patient outcomes
Demonstrates and role models professionalism
Follows the AIDET/Target 100 goals
Performs self-reflection to enhance professional growth
Participates in educational career plan
Integrates Caring Theory into own professional practice and educational activities
REQUIRED SIGNATURES:
Competency Verified By:
______
Preceptor's Signature Date
______
Preceptor's Signature Date
______
Preceptor's Signature Date
______
Preceptor's Signature Date
Self-Assessment Completed By:
______
Employee's Signature Date
* Please forward completed form to Human Resources with introductory evaluation.