Licensed Nursing Competency Document
Unit Specific – 7N Cardiac Step Down
2010 – 2011
Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self, peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.
Name: ______Group A
Unit Specific CompetenciesCompetency: Unit Level Problem Identification
Key topics:
· Systems thinking
· Problem recognition
· Problem prioritization
Required: / Date Completed / Evaluator
Problem Identification and Prioritization Exercise:
· Your goal is to identify potentially inefficient processes, near-misses, and circumstances in which you or your peers struggle to deliver safe care.
· Click here to access tool: Unit Level Problem Identification and Prioritization Exercise
· Include completed tool in competency packet.
Competency: Communicating Safety Concerns
Key topics:
· Proactive and clear communication
Required: / Date Completed / Evaluator
In-the-Moment Safety Concern Scripting Exercise:
· Your goal is to identify when to use the escalating strategies of asking, advocating, and asserting when addressing safety concerns with other healthcare team members.
· Click here to access tool: In the Moment Safety Concern Scripting Exercise
· Include completed tool in competency packet.
Competency: QTc Monitoring
Key topics:
· Critical thinking
· Equipment Monitoring
Complete learning module: QT Monitoring by Barbara Drew in the Philips Online Learning Center.
Note:
· You received an email from the Philips Online Learning Center with your login id and password. Refer to the email from to access your account or you can click here to access the site: Philips Online Learning Center
· Once you have accessed the system using your login id and password, the page that appears is your classroom activities and will have this module listed for you to complete.
AND / Date Completed / Evaluator
Complete learning module: Philips QT/QTc Interval Monitoring by Elizabeth Zengo in the Philips Online Learning Center. Click here to access:
Note:
· You received an email from the Philips Online Learning Center with your login id and password. Refer to the email from to access your account or you can click here to access the site: Philips Online Learning Center
· Once you have accessed the system using your login id and password, the page that appears is your classroom activities and will have this module listed for you to complete.
Competency: ST Segment Monitoring
Key topics:
· Critical thinking
· Equipment Monitoring
Complete learning module: ST Segment Monitoring Training Guide
· Complete test and include in your packet
· Click here for test: ST Segment Monitoring
Hospital Wide Competencies
Competency: Safety: Safely responds to emergency situations
Key topics:
· Emergency response (NPSG 15)
· Safe Blood administration (NPSG 1,3)
Required: / Date Completed / Evaluator
Current BLS (Healthcare provider) status
(Current certification expires ______)
Completion of learning module: Building Blocks of Safe Blood Administration in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Completion of Learning Module: Acute Coronary Syndrome in the Learning Exchange
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
AND one of the following: / Date Completed / Evaluator
ð Current EOR or ACLS
(My current certification expires ______) OR
ð Mock Code experience in new employee orientation, Safety Fair or Department Based activity (Done every 2 years)
Last Date Completed ______)
AND one of the following: / Date Completed / Evaluator
Blood Administration
Click here for checklist: Blood Administration and complete one of the following; Include checklist in packet.
ð Peer observation of blood transfusion process OR
ð Mock transfusion practice/return demonstration in a real or simulated setting OR
ð Peer Documentation Audit of a patient’s medical record that has received a blood transfusion; click here for audit if you choose to do audit: Blood Audit Tool
Competency: Communication: Communicates pertinent information to those who need to know and responds accordingly
Key Topics: (NPSG 1,2,7, 8, 9,14,15)
· Nursing Model Tactics
· Documentation
· Hand-over communication
Required: / Date Completed / Evaluator
Completion of module: Universal Protocol Training in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Completion of module: Overview of Patient Care in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Completion of module: Handover Communication in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Competency: Prevention of Harm to Staff: Takes measures to prevent injury to self and co-workers
Required: / Date Completed / Evaluator
Completes annual safety modules in Vandysafe prior to annual evaluation; provide date of completion.
· Universal Safety Training
· Patient or Blood and Body Fluid Contact Training
Click here to access: VandySafe
Completion of module: Safety 2010 in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Annual TB Mask Fitting (Date completed) ______
Click Here for Fit Testing Schedule
Competency: Prevention of Harm to Patients: Takes measures to prevent injury to patients and families
Key prevention topics:
1. Restraint use (NPSG 2, 8, 9, 15)
2. Medication Errors (NPSG 3, 8}
3. Foley cath- related UTI’s (NPSG 7)
4. Blood Stream infections (NPSG 7)
5. Pain (NPSG 2, 3, 8)
6. Falls (NPSG 2, 9)
7. VAP (NPSG 7)
8. Pressure Ulcers (NPSG 7, 14)
Required: / Date Completed / Evaluator
Review of Restraint Policy (CL 30-04.18). Click here to access policy and provide date of review: Restraints
Demonstration of Restraint Application/Discontinuation Competency at:
· Safety Fair OR
· Unit Based Competency Demonstration
Provide date and include checklist in your packet. Click here for checklist: Restraints
Completion of module: Moderate Sedation Training in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Compliance Tracking: Provide Date of Completion
Required: / Date Completed / Evaluator
Standards of Conduct in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
HIPAA in the Learning Exchange.
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Conflict of Interest: click here to create
conflict of interest disclosure
· Log into the system using your vunetid and password
· Under My Disclosures click on Create Disclosure to the right of the box
Signed Job Description: click here to access, print, and sign:
RN II Job Description
RN III Job Description
Surestepp Flexx Certification
(Expires annually; list date completed)
Hemoccult Testing Certification
(Expires annually; list date completed)
VUMC Policy Review in the Learning Exchange:
Click here to access: The Learning Exchange
· Click on My Current Course Schedule to complete or
· Click on Completed Courses and Events to retrieve the date you completed it.
Equal Employment Opportunity & Affirmative Action (HR – 001)
Anti-Harrassment (HR – 002)
Hours of Work (HR – 003)
Attendance & Punctuality (HR – 026)
Smoking & Tobacco (HR – 031)
Substance Abuse (HR – 035)
Solicitation (HR – 039)
False Claims/Whistleblower (HR – 040)
Dress Code (OP 10-10.16)
CNE Requirement: attach copies of certificates
RNII requirement: 10 hours
RNIII requirement: 15 hours
List Professional Certifications:
I certify that the information and competency data I submitted are true and accurately reflects my work and abilities to function as a nurse on my unit or area. I understand that my ongoing professional growth is my responsibility and that I will notify my educator or assistant manager if I have further training needs. I agree to submit additional competency assessment data if requested by the Management Team.
Employee: ______Date: ______
(print last name, first) (signature)
By signing and dating below, I acknowledge that I have read and understand the policies listed above and that I agree to comply with them as I manage patient care.
Employee: ______Date: ______
(print last name, first) (signature)
Verified by: ______Date: ______
Please complete this form as documentation of annual competency completion and place in unit-designated area.