D u k e Details - Advanced Clinical Practice - Duke University

sCompetency validation occurs in one of twoways:• Credentialed Staff: Upon appointment,MDs, PAs, CRNAs, NPs, CNMs, and other specificdisciplines apply for privileges to deliver careto patients at Duke University Hospital. Theseprivileges are renewed every 2 years followingan ongoing review of the practitioner’s performance.Privileges held by these practitionerscan be verified on the DUHS intranet, ClinicalResources section titled “DUMC Staff Privileges”.• Non-credentialed Staff:• Orientation: Initial competency validationoccurs by observing staff perform assignedjob duties safely. Some duties requiresuccessful completion of test.• Performance Appraisal: Competencyvalidation occurs on an ongoing basis andannually within the first quarter of the fiscalyear (July-Sept).Population-Specific Competencies:Non-credentialed staff with jobs involving routinepatient contact for therapeutic purposes (e.g. nursingassistants, respiratory therapists, registered nurses,clinical pharmacists) also require the validation ofpopulation-specific competencies during orientationand annually thereafter through the performanceappraisal process.Examples of population specific competencies:• Effectively communicates using age appropriatetechniques• Maintains a safe environment appropriate topatient age.• Assures that procedures/treatments areappropriate for age and/or weight of patient• Uses equipment appropriate to the age &weight of the patient.Competency Validation37