NUR1115 Clinical Competency Evaluation - Lawrence S ...

that of an RN.Assessments, diagnoses andtherapeutic plans reflect knowledgeof client diversity, socioeconomicstatus and social support networkswithin the household andcommunities in which the clientlives.Incorporates knowledge ofdevelopmental and life stages,pathophysiology, psychopathology,demographics and family processesinto assessments, diagnoses andtherapeutic plans.Incorporates knowledge ofepidemiology, environmental riskfactors and communicable diseasesinto assessments, diagnoses andtherapeutic plans.Incorporates knowledge of chronicdisease and other co-morbidconditions into the urgent &emergent health needs of clients.Considers costs and impact onresources of testing choices andtherapeutic interventions.Discloses adverse events to clientsand reports as per legislative andorganizational policies.Provides safe client care byaddressing immediate risks andanticipating adverse events.Provides education that is evidencebasedand relevant to clients’ needs.Documents clinical data,assessment findings, diagnoses,plans of care, therapeuticinterventions, and outcomes in atimely, concise and accuratemanner.b. ResearchCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedIncorporates research and bestpractice guidelines into therapeuticplans for clients.11/21/2012 2

Disseminates knowledge throughinformal discussions, presentationsand/or publications.11/21/2012 3

c. LeadershipCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedProvides leadership in themanagement of clinical care.Acts as a resource person,educator, mentor and role model.Articulates and promotes the role ofthe nurse practitioner to clients,families and members of the healthcare team.Advocates for an environment thatpromotes safe client care,collaborative practice andprofessional growth.Plans, initiates, coordinates andconducts educational programsbased on client needs, priorities, andorganizational resources.d. Collaboration, Consultation and ReferralCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedInitiates timely and appropriateconsultation, referrals, andcollaboration with other health careproviders.Refers and accepts referrals fromother health care providers,community agencies and allied nonhealthcare professionals.Demonstrates knowledge and skill incommunication, negotiation, andconflict resolution.Advocates for individuals, families,groups and communities in relationto treatment, the health-care system,and policy decisions that affecthealth and quality of life.11/21/2012 4

2. Health Assessment and DiagnosisCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedCarries out focused and completeadvanced health assessmentsbased on the client’s age anddevelopmental stage.Physical examinations areorganized, accurate, complete; ableto consistently identify abnormalfrom normal findings.Health history includes physical,psychosocial, emotional, ethnic,cultural and spiritual dimensions ofhealth.Synthesizes findings of assessment,physical exam and diagnostic teststo identify differential diagnoses,diseases, disorders and conditions.Uses appropriate clinical reasoningstrategies when connectingknowledge to diagnoses andtherapeutic plans.Anticipates and identifies emergent,urgent and life-threateningsituations.Orders diagnostic tests, interpretsresults and assumes responsibilityfor follow-up.Communicates with clients aboutassessment findings and diagnostictests, including outcomes andprognosis.11/21/2012 5

3. Therapeutic ManagementCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedApplies knowledge of pharmacologyin selecting, prescribing, monitoringof drugs and performs thesecompetencies as appropriate for theNP scope of practice and provincialand federal legislations.Prescribes pharmacotherapy basedon the client’s health history,condition and stage of life.Coordinates and facilitates care withother health-care providers,agencies and community resources.Promotes clients’ self-efficacy innavigating the health care systemand identifying necessary resources.Considers client perspectives,feasibility and best outcomes wheninitiating therapeutic plans.Counsels clients on medicationtherapy, benefits, potential sideeffects, interactions, importance ofcompliance and recommendedfollow-up.Uses an evidence-informedapproach in the consideration ofcomplementary and alternativetherapies.Initiates interventions for thepurposes of stabilizing clients inemergent, urgent and lifethreateningsituations.Evaluates client’s response andpreference for interventions andadjusts therapeutic plan as needed.Supports, educates, coaches andcounsels clients regardingdiagnoses, prognoses and selfmanagement(including risk factormodification, lifestyle changes etc).Safely performs invasive/noninvasiveprocedures for the clinicalmanagement of clients.11/21/2012 6

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4. Health Promotion and Prevention of Illness and InjuryCriteria: Outstanding ExceedsExpectationsMeetsExpectationsBelowExpectationsUnsatisfactoryNotObservedProvides anticipatory guidancerelated to common health and safetyrisks and relevant to the client’s ageand developmental stage.Additional Comments:DATELEARNER SIGNATURE:PRECEPTOR SIGNATURE(s)____________________________________________________________________11/21/2012 8