Self-Assessment Tool - College of Licensed Practical Nurses of ...

SELF-ASSESSMENT TOOLThe Self-Assessment Tool is used to assess your professional practice using the LPN Standards ofPractice and Competency Profile as a guide. Focus your assessment on your practice as a whole andthen those Specific Competencies which are directly related to your role and responsibilities.RATING SCALE Use the following rating scale to complete your Self-Assessment.1 2 3 4 5Excellent Competent Requires Developmental Not ApplicableImprovementDemonstratesexcellence in theexpectations and /or requirements ofthe competency.Meets theexpectations and /or requirements ofthe competency.Has identifiedweakness inareas ofknowledge, skills,attitudes, orclinical judgment.Requireseducation and/ororientation tomeet theexpectations and /or requirements ofthe competency.Not applicable tocurrent role andresponsibility.STEP 1: SELF-ASSESSMENT WITHIN STANDARDS OF PRACTICECompetencyNumberYear20__Year20__Year20__Year20__Year20__A: Nursing KnowledgeRating(1-5)Rating(1-5)Rating(1-5)Rating(1-5)Rating(1-5)A-1 Applies knowledge of anatomy and physiologyof the human body to the assessment of clientand delivery of nursing care.A-2 Applies knowledge of microbiology throughoutcare, disease prevention, and health promotion.A-3 Applies knowledge of pathophysiology to thenursing care of the client.A-4-4A-5-9Uses appropriate medical terminology to reportand document client care.Adjusts nursing practice to the specific growthand development of the client.A-6 Applies principles of nutrition to the assessmentand care of the client.A-7Applies knowledge of pharmacology throughoutclient care and teaching.Self-Assessment Tool – CCP Page 1College of LPNs of Alberta 2 nd Edition - Revised October 2008