Clinical Competencies

14
NURS 479 Clinical Core Competencies

Weekly Progress Record
Name Juliana Aldrich Unit Medical Surgical Date October – November 2020
Directions: Preceptor Reviews/Initials the Progress Record at the end of each shift/ week indicating whether the competency was met, is In Progress (IP), or
was Unmet. Students are to review their progress with faculty weekly. You may use N/A for Not Applicable for the assigned clinical specialty.
Week 1 Week 2 Week 3 Week 4 Week 5
1. Synthesize knowledge from general education, professional nursing Met IP Met IP Met IP Met IP Met Unmet
education, and life experiences as a basis for professional nursing
practice.
a) Applies growth and development knowledge for the initiation of the X
patient plan of care.
b) Demonstrates the Nursing process for appropriate plan of care. X
c) Identifies areas of concerns related to patient’s cultural background and X
implements Integrative strategies in their provision of care
2. Demonstrates competencies of assessment, critical thinking,
communication, patient-centered teaching, holistic nursing
interventions, and psychomotor skills to manage nursing care that
promotes health of individuals/families/groups/communities in all
settings, across the lifespan and health-illness continuum.
a) Performs timely, comprehensive assessments. X
b) Analyzes patient labs, tests, medications/treatments, and procedures. X X X
c) Uses six rights of medication administration and explains rationale for X
medications, treatments, etc.
d) Prioritizes plan of care for a specific patient assignment based on the X X X
needs of patients.
e) Critical care thinks 2-3 priority nursing care concerns/problems of X X
patients with sound rationale.
f) Creates an individualized plan of care for assigned patient(s). X
g) Systematically evaluates the effectiveness of nursing interventions. X X X X X
h) Incorporates principles of patient safety and quality improvement into X X X X X
patient/family education.
i) Progressively demonstrates progress in numbers and complexity of X X X X X
patient/client/family assignment.
j) Provides a comprehensive hand off report when transferring or X X X X X
discharging patients.
3. Apply nursing knowledge to assume various professional nursing
roles.
a) Communicates effectively with Interdisciplinary team, patients, and X X X X
families in a caring, thoughtful and logical way.
b) Patient care documentation reflects synthesis of activities and care. X
c) Takes appropriate steps to notify chain of command regarding patient X X X X X
care issues or concerns.
d) Questions physician orders if unclear, unusual or incomplete. X X
e) Able to give and evaluate patient/family teaching for discharge/transition. X X X X X
f) Demonstrates basic competence with select patient care technologies as X
appropriate to patient population.
g) Demonstrates competency in agency documentation system. X
h) Adheres to all policies and procedures which govern appropriate use of X X
information technology such as cell phones, computers, procedures, etc.
Met IP Met IP Met IP Met IP Met Unmet
4. Initiate evidence-based practice principles to inform and improve

professional nursing practice.
a) Identifies possible quality improvement, and integrative nursing X X
opportunities in the clinical setting. Identifies the quality improvement
process within the assigned institution.
b) Applies evidence-based practice principles to planning, delivering and X X X
evaluating nursing care.
c) Applies appropriate strategies in clinical practice which enhance patient X X
safety (infection control, fall prevention, symptom management, basic care
and equipment safety, restraints)
Met IP Met IP Met IP Met IP Met Unmet
5. Demonstrate the values and standards associated with professional
nursing practice including interprofessional collaboration and legal
and ethical principles.
a) Accepts responsibility and accountability for personal and professional X
actions. Adheres to professional boundaries.
b) Demonstrates professional behavior in the clinical setting/activities. X
c) Interacts productively and tactfully with peers, staff, MD, patients, family, X
and positively responds to constructive feedback.
d) Notifies faculty of any patient/student related incidents. X
6. Apply leadership skills in patient care management to promote
patient safety and quality patient outcomes for populations.
a) Describes the healthcare system: mission, vision, philosophy. X
b) Assumes responsibility for patient care decisions and actions. X
c) Applies effective principles of delegation with the healthcare team. X X X X X
d) Provides timely patient care: medications, etc. Anticipates needs of next X X X X
shift.
e) Identifies potential safety issues and shares them with the preceptor. X X

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14

NURS 479 Clinical Core Competencies

4. Initiate evidence-based practice principles to inform and improve

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