Integrated Respiratory Service competencies for Student Nurses.

Competency description.
Assessed during placement. / Level 3 –Novice new to nursing patients with respiratory disease. (1st year Students.) / Level 2 –Some experience of caring for patients with respiratory disease. (2nd year Students.) / Level 1 – Able to link knowledge and practice of caring for patients with respiratory disease. (3rd year Students.)
Assessment/monitor/evaluate.
Agree a plan to enable individuals to manage their condition. (Self-management).
Level 3. To observe Mentor discussing and issuing self-management plans for COPD and asthma patients. Obtain consent from the patient.
Level 2. To assist in taking information from the patients, documentation of discussions.
Level 1. To be supervised whilst giving patients self-management advice, to document discussions and answer patients questions. Research self-management of chronic lung conditions.
Agree courses of actions following assessment to address health and well being needs to individuals.
Level 3. Observation of agreed courses of action.
Level 2. Discuss possible courses of action with Mentor. Consider the ways we address health and well-being.
Level 1. Plan and implement actions with Mentor. Discuss compliance/patient choice and involvement.
Assessment/reassessment of individuals with COPD and other respiratory diseases.
Level 3. Observation of respiratory patient assessments.
Level 2. Take part in process/assist with documentation. Attend a Consultant clinic, see assessment of other respiratory conditions and reflect on their assessments.
Level 1. Assess/reassess respiratory patients with Mentors supervision, (a COPD patient or a rarer respiratory condition.)
Undertake an assessment of need for nebuliser use.
Level 3. Observe a nebuliser assessment.
Level 2. Assist Mentor in assessment process. Find out which drugs can be nebulised.
Level 1. Complete assessment paperwork and discussions with a patient. What are the benefits or drawbacks to long term nebuliser use?
Obtain a patient/client history to assess respiratory disease status.
Level 3. To observe mentor obtaining patient history.
Level 2. Take part in process/assist with Mentor. Consider what information is relevant to a respiratory diagnosis.
Level 1. Take a full history compare your information with your Mentor’s then action areas of concern.
Evaluate treatment plans with individuals with COPD and other respiratory diseases and those involved in their care.
Level 3. To observe mentor evaluating treatment plans/other professional involvement. Attend other respiratory linked services.
Level 2. Take part in process/assist with Mentor or consultant or Pulmonary Rehabilitation staff.
Level 1. To evaluate a treatment plan and discuss with others involved in the patients care, feedback to Mentor, dictate or fax letters.
Monitor an individual with diagnosed COPD.
Level 3. To observe mentor monitoring a patient with COPD.
Level 2. Take part in process/assist with Mentor.
Level 1. Review a patient with COPD on more than one occasion; reflect on treatment/care interventions with your Mentor. This could be acute care/home setting.
Manage information and materials for access by patients with COPD.
Level 3. Mentor to adviseStudent where information and materials can be found.
Level 2. Student to be given a respiratory topic to research and find information on. Discuss findings with Mentor/Team.
Level 1. Student to find information/materials and provide poster display or informal teaching (to patients or staff), on any current research in respiratory care.

It is the Mentors responsibility to assess Students competency level, the above is guidance only.

Competencies to be signed off once completed and photocopied for IRS evidence of learning environment.

Further respiratory training needs can be highlighted in column.

Obtain patients consent prior to Student participation.

Please ask for Student feedback on the competency checklists.

Assessment/monitoring and evaluation links to Student Nurse Competency profiles:

Domain 1. Care, compassion and communication.
Domain 2. Organisational aspects of care.
Domain 4. Nutrition and fluid management.
Domain 5. Medicines management.
Nursing activity A: Measuring vital signs.
Nursing activity B: Care, comfort and positioning.
Nursing activity C: Hygiene and skin integrity.
Nursing activity D: Continence.
Nursing activity E: Medication management.
Nursing activity G: Activity and rest.

Janine Hood July 2013

Version 1.