major competency area: p competency: p-3 palliative care ... · pdf filepalliative care...

Manitoba Licensed Practical Nurses Competency Profile 158

Major Competency Area: P

Palliative Care

Competency: P-3

Psychological and Emotional Support

A Licensed Practical Nurse will:

P-3-1 Demonstrate an awareness of own perspective of death and dying.

P-3-2 Demonstrate ability to recognize and respect client’s and family’s reaction tothe dying process.

P-3-3 Demonstrate ability to perform nursing care in a composed, sympathetic,and considerate manner.

P-3-4 Demonstrate ability to recognize the client’s and family’s adaptation to thegrieving process.

P-3-5 Demonstrate ability to recognize and understand co-workers reactions andfeelings toward the dying process.

P-3-6 Demonstrate ability to teach and inform the family of client’s condition.

P-3-7 Demonstrate respect for religious and cultural practices that bring comfortto the dying client and family such as:awareness of rituals and fundamentals of different faithsaccess to hospital chaplain or client’s representative.

P-3-8 Demonstrate ability to recognize and make an effort to keep the familycomfortable physically, emotionally, and spiritually such as:direction to quiet room, phones, parkingnourishmentoffering overnight accommodationsrefer to emotional and spiritual supportlocation of chapeloffer support and encouragement.



Palliative Care

Competency: P-4

Care and Comfort Measures


P-4-1 Demonstrate ability to provide nursing care to keep client comfortable suchas:maintaining a peaceful environmentcommunicating with client, family and significant othersusing touch to reassure client and familyadjusting nursing care to compensate for changes in normal functioningbathing, skin care, mouth care, hygiene measuresadministering medication to ensure comfort.

P-4-2 Demonstrate ability to provide care to family such as:comfortable environmenttouchlisteningcollaborating with other health team members.



Palliative Care

Competency: P-5

Support Services


P-5-1 Demonstrate knowledge and ability to access support services such as:pastoral care, chapel, representatives of diverse faithsappropriate cultural representativessocial workerdietitianfamily roomliteraturefamily bereavement support grouphospicevolunteers.



Palliative Care

Competency: P-6

Respect for the Family’s Rights and Wishes


P-6-1 Demonstrate ability to understand and respect the family’s perspective ondeath and dying.

P-6-2 Demonstrate ability to respect different religious and cultural backgroundsand practices.

P-6-3 Demonstrate ability to respect the family’s rights and wishes to use or refusesupport services.

P-6-4 Demonstrate knowledge and ability to respect the family’s decisionsregarding:their level of participation in the caredifficult decisions regarding client care and interventionslevel of involvement in post mortem care.



Palliative Care

Competency: P-7

Post Mortem Care and Documentation


P-7-1 Demonstrate knowledge and ability to provide post mortem care andappropriate documentation.

P-7-2 Demonstrate respect and dignity for the body.

P-7-3 Demonstrate ability to collect, store, and list personal effects and valuables.

P-7-4 Demonstrate ability to ensure proper documentation of death and follow-upcare.


Q: RehabilitationNursing


Major Competency Area: Q

Rehabilitation Nursing

Competency: Q-1

Apply the Rehabilitation Process


Q-1-1 Demonstrate knowledge and ability to apply critical thinking and clinicaljudgment to adapt the nursing process to rehabilitation nursing.

Q-1-2 Demonstrate knowledge of the rehabilitation continuum and the progressionof the client through an episodic illness or trauma.

Q-1-3 Demonstrate knowledge of rehabilitation as re-education of one who hasbeen ill or injured.

Q-1-4 Demonstrate knowledge of the purpose of rehabilitation to return clients tooptimal functioning.

Q-1-5 Demonstrate knowledge of the multiple roles of the rehabilitation nurse such as:advocatecaregivercoordinatorcounseloreducatorintegratorresearcher.

Q-1-6 Demonstrate the ability to apply principles of evaluation to the assessment ofclient and family’s progress toward rehabilitation.




Competency: Q-2

Assessment and Provision ofRehabilitation Process


Q-2-1 Demonstrate ability to apply the nursing process to the health assessment of therehabilitation client.

Q-2-2 Demonstrate knowledge and ability to perform full health assessment on theclient such as:painphysical status and changesperformance of activities of daily livingneurological changescurrent abilities and strengthschanges in abilities and strengthselimination alternationsemotional state and response to lossnutritional needscultural and religious influencessexuality alterationsability to follow self medication programneed for adaptive and environmental aidseffective use of aidsresponse to treatment.

Q-2-3 Demonstrate ability to provide a variety of interventions to assist client andfamily to deal with physical, cognitive, and perceptual deficits.

Q-2-4 Demonstrate ability to provide for relief of pain through pharmacological andnon-pharmacological pain management strategies.


Competency: Q-2

Assessment and Provision ofRehabilitation Process

Page: 2


Q-2-5 Demonstrate knowledge and ability to provide specific rehabilitationtherapies and safely use equipment and devices to promote self care inactivities of daily living.

Q-2-6 Demonstrate knowledge and ability to modify nursing interventions based onobjective and subjective assessment of client to facilitate improved coping withfunctional deficits.

Q-2-7 Demonstrate ability to explore the client’s and family’s perceptions, andconcerns regarding functional deficits.

Q-2-8 Demonstrate knowledge and ability to follow the medical treatment /rehabilitation plan and provide nursing care to clients with multiple needs.

Q-2-9 Demonstrate knowledge and ability to provide clients ongoing educationregarding the care and rehabilitation related to their specific disorders /injury.




Competency: Q-3

Support and Teaching


Q-3-1 Demonstrate ability to assess the learning needs of the client and family.

Q-3-2 Demonstrate ability to use effective communication skills and techniques toestablish a therapeutic nurse-client relationship.

Q-3-3 Demonstrate ability to develop a plan to address the learning needs of theclient and family considering areas such as:knowledge, skills, attitudesacceptance of limitations of the disabilityclients optimum level of functioning.

Q-3-4 Demonstrate ability to identify the coping mechanisms being used by theclient and family.

Q-3-5 Demonstrate ability to select the appropriate time and place for clientteaching, based on readiness, resources, and response.

Q-3-6 Demonstrate the ability to support the client and family as they cope withillness, loss, recovery, and rehabilitation.

Q-3-7 Demonstrate ability to provide emotional and psychological interventions toclient and family throughout the rehabilitation process.

Q-3-8 Demonstrate ability to assess on an ongoing basis the client and familyresponse to treatment and care, and adjust teaching and support asrequired.




Competency: Q-4

Collaboration


Q-4-1 Demonstrate knowledge of the roles of the interdisciplinary team within therehabilitation setting to facilitate the client’s return to highest level offunctioning.

Q-4-2 Demonstrate ability to serve as client advocate making client’s views known toother health team members.

Q-4-3 Demonstrate ability to participate in establishing rehabilitation goals withthe client and family and the interdisciplinary team.

Q-4-4 Demonstrate ability to contribute to the successful function of theinterdisciplinary team by following through on the planned goals andactivities.

Q-4-5 Demonstrate ability to facilitate discussion of client and family concernswithin team conferences.

Q-4-6 Demonstrate ability to resolve conflicts among team members througheffective use of communication techniques.

Q-4-7 Demonstrate ability to participate in the evaluation of the client’s andfamily’s progress towards rehabilitationgoals.



Competency: Q-5

Discharge Planning


Q-5-1 Demonstrate ability to identify the effects of loss and disability on the clientand family.

Q-5-2 Demonstrate ability to assess the transition the client and family must makefor the client to return home.

Q-5-3 Demonstrate ability to work with the interdisciplinary team to prepare theclient and family to adapt to the changes / transitions necessary for the client toreturn home.

Q-5-4 Demonstrate ability to identify social support systems which may assist clientand family at home.

Q-5-5 Demonstrate ability to participate as a member of the interdisciplinary team toarrange for the discharge of the client.

Q-5-6 Demonstrate ability to identify and arrange community support andresources for the client upon discharge such as:home carecentral placementcommunity rehabilitationcommunity pharmacyMeals on Wheelssocial services.

Q-5-7 Demonstrate ability to teach the client and family strategies for dealing withbehaviors and attitudes they may encounter in the community.

____________________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 169

____________________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 170


R: CommunityHealth


Major Competency Area: R

Community Health

Competency: R-1

Knowledge of Community Health


R-1-1 Demonstrate knowledge and ability to apply critical thinking and clinicaljudgment to adapt the nursing process to all settings in community nursing.

R-1-2 Demonstrate knowledge of nursing roles and activities in community health.

R-1-3 Demonstrate knowledge of the concept of health promotion and diseaseprevention and communicable disease control in community nursing.

R-1-4 Demonstrate knowledge of primary health care.

R-1-5 Demonstrate knowledge of determinants of health and how they impact thecare of individuals, families, and groups.

R-1-6 Demonstrate knowledge and ability to implement time management skills inthe practice environment.



Community Health

Competency: R-2

Nursing Process and Community Health


R-2-1 Demonstrate knowledge and ability to assess, implement, and evaluateappropriate nursing interventions such as:assessing client within the community environmentproviding nursing interventions and treatments.

R-2-2 Demonstrate knowledge and ability to perform triage in ambulatory non-urgent care centres such as:performing rapid primary initial assessmentsperforming secondary assessments that relate to overall health status.

R-2-3 Demonstrate knowledge and ability to provide full health assessments in themanagement of chronic disease.

R-2-4 Demonstrate knowledge and ability to provide community health nursingconsidering factors such as:client / family centered careculture, ethnic and religious beliefsenvironmental factors and supports within practicehealth promotion, disease prevention, and communicable disease controlsupport, education, and resources available to promote self care.

R-2-5 Demonstrate knowledge and ability to be a client and family advocate andresource.



Community Health

Competency: R-3

Client Services


R-3-1 Demonstrate knowledge and ability to assess individual needs of client andaccess services to meet those needs.

R-3-2 Demonstrate knowledge and ability to coordinate and participate in clientcare and facilitate the implementation of the care plan.

R-3-3 Demonstrate knowledge and ability to assign care to the health care aide andsupervise as necessary.

R-3-4 Demonstrate knowledge and ability to organize and participate in client andfamily case conferences.

R-3-5 Demonstrate knowledge and ability to plan for appropriate follow up ordischarge of client in the community setting.

R-3-6 Demonstrate knowledge and ability to adjust to a variety of settings incommunity health such as: community health clinics client home mobile health vehicle schools community settings i.e., halls, shopping centres, offices.

R-3-7 Demonstrate knowledge and ability to assess safety by recognizing,documenting and referring safety concerns such as: ability to access other health professionals, as necessary equipment or furniture maintenance safety issues within various community settings working alone policies.


Competency: R-3

Client ServicesPage: 2


R-3-8 Demonstrate ability to refer to appropriate health care team members foradjusting or providing home safety devices.

R-3-9 Demonstrate ability to be flexible and innovative to meet the needs andtreatment of the client such as:adjusting nursing care procedures to the environmentmodifying treatments to fit the environmentrecognizing effect of the community environment on client and / or family.



Community Health

Competency: R-4

Primary Health Care


R-4-1 Demonstrate knowledge of the concept of primary health care.

R-4-2 Demonstrate knowledge and ability to provide nursing services in primaryhealth care such as:communicable disease controlcommunity rehabilitationcoordination and referraldisease preventionhealth maintenancehealth promotionhome supportillness preventioninjury preventionpre-hospital emergency medical services.



Community Health

Competency: R-5

Community Health


R-5-1 Demonstrate knowledge and ability to assess client’s needs and direct care asnecessary.

R-5-2 Demonstrate knowledge and ability to prioritize client’s immediate needsand collaborate as necessary to ensure needs are met.

R-5-3 Demonstrate knowledge and ability to perform client referral such as:knowledge of role of other health care professionalsknowledge of resources available in communityability to access available resources.

R-5-4 Demonstrate knowledge and ability to participate in case and familyconferences.



Community Health

Competency: R-6

Preventative Health


R-6-1 Demonstrate knowledge of the concept of preventative health.

R-6-2 Demonstrate knowledge and ability to plan and participate in the delivery ofprimary prevention activities such as:communicable disease controldisease preventionhealth promotionillness preventioninjury prevention.

R-6-3 Demonstrate knowledge and ability to plan and participate in actions ofsecondary prevention such as:accurate and full health assessmentsearly detection of health concernsprompt communication of changes to health statusprompt referral to appropriate health resourcesearly treatment of health issues.

R-6-4 Demonstrate knowledge and ability to plan and participate in actions oftertiary prevention such as:establishing goals to return client to highest level of functionpreventing further deterioration in healthpreventing recurrences of the health issuesfocusing on rehabilitation of client.


Community Health

Competency: R-7

Health Teaching


R-7-1 Demonstrate ability to assist in identifying the need for educational servicesand inservice for communities such as:communicable disease / vaccination teachingdiabetic teachinghealth related issuesholistic healthnutrition.

R-7-2 Demonstrate ability to provide educational services and in-services forindividuals, families, and groups.

R-7-3 Demonstrate ability to research available resources and arrange appropriatespeakers, audio visual aids, location, and time.

R-7-4 Demonstrate ability to organize meetings, meeting area, advertising, andrecruiting resource person to facilitate educational need.

R-7-5 Demonstrate ability to evaluate the effectiveness of the meeting or educationsession.

_____________________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 179

_____________________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 180


S: Clinic BasedNursing


Major Competency Area: S

Clinic Based Nursing

Competency: S-1

Knowledge of Clinic Based Nursing


1S-1-1 Demonstrate ability to apply critical thinking and clinical judgmentthroughout the nursing process in clinic based nursing.

S-1-2 Demonstrate knowledge and ability to provide clinic based nursing servicessuch as:health promotionillness preventionhealth maintenancehome supportcommunity rehabilitationpre-hospital communitycoordination and referral.

Demonstrate ability to work within an interdisciplinary team.

Demonstrate ability to utilize effective time management skills.

Demonstrate ability to maintain confidentiality.

Demonstrate ability to work independently in clinic based nursing.

S-1-3

S-1-4

S-1-5

S-1-6




Competency: S-2

Assessment and Prioritizing of ClientNeeds


S-2-1 Demonstrate ability to triage and screen clients and participate asper agency policy.

S-2-2 Demonstrate knowledge and ability to provide head-to-toe health assessmentof the client including:admission of client to clinicdetermining reason for visitprioritizing carecollecting assessment datacollecting and sending specimensfollowing agency policy and proceduresdocumenting and reporting findings.

S-2-3 Demonstrate knowledge and ability to ascertain if client’s basic needs arebeing met such as:clothingfoodsheltersafetytransportation.




Competency: S-3

Nursing Interventions


S-3-1 Demonstrate knowledge and ability to perform a variety of clinic proceduressuch as:obtain verbal or written physician / nurse practitioner ordersapplication of dressings, splints, slings, tensorsapplication of oxygenassist with minor surgical proceduresblood glucose monitoringeye irrigationsinitiate CPRinhalation therapyimmunizationsmedication administrationmonitor test resultsparticipate in the triage and screening of clientspre-lab instructionspre-operative teachingspecimen collectioninitiate intravenous infusionvarious examinations including:

o assisting with pelvic examinationso diagnostic testing as ordered by the physiciano physical / mental assessmentso visual acuity

prepare client for physician / nurses practitioners examinations.


Competency: S-3

Nursing InterventionsPage: 2


S-3-1 Demonstrate knowledge and ability to perform a variety of clinic proceduressuch as: (continued)application and removal of castsallergy / skin testing (on-site supervision by physician)dermatology and schlerotherapy treatments (on-site supervision by physician)wart treatment, i.e., liquid nitrogenelectrocardiogram (ECG–12 and 15 lead)perform pap smears (on-site supervision by physician / nurse practitioner)assisting with procedures and tests such as:

o preparation of slides for microscopic examinationo sigmoidoscopyo vasectomyo circumcisiono biopsy.




Competency: S-4

Coordinate Client Referral


S-4-1 Demonstrate ability to perform client referral such as:assessing and responding to urgency of referralaccessing available resourcesarranging for appropriate transfer if necessaryprocessing forms for referral to a variety of agencies / servicesarranging for client information to be communicated to referral agencycommunicating referral information to client and family.




Competency: S-5



S-5-1 Demonstrate knowledge and ability to provide support and teaching toclient, family, and public through means such as:determining educational needs of clientsutilizing resources within clinic for public educationdeveloping presentations and seminars as necessaryparticipating in presentation of seminars and information sessions, as appropriateevaluating effectiveness of educationproviding support throughout teaching process.




Competency: S-6

Ear Syringing


S-6-1 Demonstrate knowledge of the anatomy of the ear.

S-6-2 Demonstrate knowledge of the purpose for the ear syringing.

S-6-3 Demonstrate the ability to perform ear syringing as per agency policy.


T: Occupation Healthand Safety


Major Competency Area: T

Occupation Health and Safety

Competency: T-1

Knowledge of Occupational Healthand Safety Nursing


T-1-1 Demonstrate knowledge and ability to apply critical thinking and clinicaljudgment throughout the nursing process in occupational health and safetynursing.

T-1 -2 Demonstrate knowledge of occupational health and safety nursing such as:concept of wellnesshealth promotionhealth assessmentpsychosocial interventionadvanced emergency medical treatment as per agency policy.

T-1-3 Demonstrate knowledge of Legislation related to occupational health andsafety nursing such as:College of Licensed Practical Nurses of Manitoba Regulations(CLPNM)Workplace Hazardous Materials Information System (WHMIS)Workers Compensation Act (WCA)Work Place Health and Safety Acts (WPH&SA)Transportation of Dangerous Goods (TDG).

T-1-4 Demonstrate ability to achieve competence and / or certification in areassuch as:Basic Rescuers CPRhealth and safetyimmunizationintravenous initiationurine drug screeningother areas as appropriate and necessaryaudiometric testingAutomatic External Defibrillator (AED)breathalyzer applicationphlebotomy.




Competency: T-2

Application of Nursing Process


T-2-1 Demonstrate ability to perform client referral such as:accessing available resourcesarranging for appropriate transferprocessing forms for referral to a variety of disciplines and agenciesarranging for client information to be communicated to referral agencymaintaining medical confidentiality appropriately throughout referral process.

T-2-2 Demonstrate ability to perform specific health screening and assessmenttests such as:assessing visual acuityproviding immunizationsperforming spirometry and pulmonary function testingperforming audiometric testingperforming pre-employment and placement assessmentperforming post accident assessment including reasonable causeidentifying potential ergonomic problemsproviding surveillance for substance abuse.

T-2 -3 Demonstrate ability to apply nursing knowledge and nursing process inoccupational health and safety environment such as:ensuring that medical directives and nursing protocols are available and currentutilizing health assessment skills to evaluate ill or injured workersinterpreting data and establish priorities of careproviding nursing interventions to minimize effects of illness, injury, or

disability to promote early return to workreferring ill or injured workers to appropriate community resourcesproviding one-to-one educationensuring continuity of careproviding follow-up and evaluation of treatmentidentifying causes of and / or trends in occupational injury / illness and making

recommendations for control.




Competency: T-3

Health and Safety Promotion


T-3-1 Demonstrate knowledge and ability to provide education to client such as:assisting in identifying educational needs of clientsproviding resources for educationparticipating in presentation of seminars and information sessionsattending in-service and continuing education to maintain own knowledge and

skill.

T-3-2 Demonstrate knowledge and ability to promote optimal wellness, prevent illness,and manage absenteeism such as:monitoring health service usage and identify potential problems in workplaceparticipating in developing and implementing company wellness policies and

standardsparticipating in prevention and control of WCB costsreferring client to Employee Assistance Program (EAP), Substance Abuse and

Addiction Agencies and other resources for healthy lifestyle rehabilitationparticipating in providing fitness and health education programsactively promoting exercise and treatment as ordered by rehabilitationpromoting return to work programs considering conditions of employment.




Competency: T-4

Collaborate With Health Professionals


T-4-1 Demonstrate ability to establish working relationship with other healthprofessionals such as:effective communications skillsability to maintain confidentialitycontribution to health team.

T-4 -2 Demonstrate ability to promote successful early return to work and modifiedwork programs through collaboration with health professionals, management,and employees.

T-4 -3 Demonstrate ability to refer client for appropriate treatment, therapy, andrehabilitation.




Competency: T-5

Respond to Emergency Situations


T-5-1 Demonstrate ability to implement and maintain established emergencyprotocols such as:firechemical leaksexplosionsdangerous goodsevacuation.

T-5-2 Demonstrate ability to respond to emergency calls such as:establishing and maintaining first aid measures according to industrial standardsmaintaining emergency equipment for response to work related accidents.

T-5-3 Demonstrate ability to provide emergency medical treatment in the event of injurysuch as:providing emergency scene management:

o assess hazards and ensure safety at sceneo contact appropriate people to move hazards

providing emergency care for injured:o assess and prioritize the physical and mental status of cliento establish and maintain first aid measureso refer client for appropriate medical treatmento arrange transport of client for emergency treatment

documenting and reporting event.




Competency: T-6

Provision of Support for Program


T-6-1 Demonstrate ability to manage the Occupational Health and Safety officesuch as:providing administrative support:

o attendance reportso respond to callso maintain computer recordso document

maintaining statistics such as:o accidentso near-miss accidentso WCB claimso progress reports

completing “Worker Compensation Board” forms following protocolsfollowing proper channels of communicationadhering to policy and procedureeffective time managementcontributing to evaluation of program.

____________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 196

U: MedicationAdministration

____________________________________________________________________________Manitoba Licensed Practical Nurses Competency Profile 197


Major Competency Area: U

Medication Administration

Competency: U-1

Pharmacology and Principles ofAdministration of Medications


U-1-1 Demonstrate knowledge and ability to apply critical thinking and clinicaljudgment throughout the pharmacology / medication administration process.

U-1-2 Demonstrate ability to apply knowledge of pharmacology throughout theprocess of administration of medication such as :describing the physiological mechanisms of medication action including:

o absorptiono distributiono metabolismo excretion

identifying the factors which affect medication action in all ages of clientsidentifying toxic, idiosyncratic, allergic, interactive, and side effects of

medications.

U-1-3 Demonstrate knowledge of the principles of medication administration asrelated to assessment, evaluation, implementation and documentation.

U-1-4 Demonstrate ability to adhere to agency policy and procedure in the safeadministration of medications.




Competency: U-2

Assess Client Need for Medication


U-2-1 Demonstrate ability to assess the client’s need for and potential response tomedication by researching the client’s record and observing client’s behavior.

U-2-2 Demonstrate ability to review the pertinent information regarding clientprior to preparing the medication such as:diagnosis, history, co-morbidities, and contraindicationshistory of allergiesmedication historyage, weight, and dietary historycurrent clinical condition and cognitive statuslevel of knowledge regarding medicationclient’s learning needs.

U-2-3 Demonstrate knowledge and ability to assess the appropriateness of the route ofmedication administration for the client such as:ability to swallowlevel of consciousnessagebody buildmuscle sizeskin conditionweight.

U-2-4 Demonstrate ability to identify risk factors and contraindications to themedication and report appropriately.

U-2-5 Demonstrate ability to document assessment and nursing actions related torisk factors.




Competency: U-3

Processing Medication Orders


U-3-1 Demonstrate knowledge and ability to identify the components of amedication order such as:name of drugdosagefrequencyroutedurationdate and timesignature of physician / nurse practitioner.

U-3-2 Demonstrate knowledge and ability to accept, process, and initiatemedication orders such as:written, verbal, phone or electronic ordertime limited orderstanding orderstat orderPRN order.

U-3-3 Demonstrate knowledge and ability to verify that medication order such as:is complete and accuratetranscribe medication orderis appropriate to the patient and conditionfollow-up with the physician as necessaryconsult with other health professionalsadhere to agency policy.




Competency: U-4

Access Resources and Information


U-4-1 Demonstrate knowledge and ability to access appropriate resources forinformation on medication such as: Compendium of Pharmaceuticals and Specialists (CPS) Nursing Drug Handbook Nursing Drug Reference Formulary Computerized Medication System Pharmaceutical Information Network Pharmacy Department.

U-4-2 Demonstrate knowledge and ability to identify the types of information to beresearched about a medication prior to administration such as: appropriateness of medication for client action of medication safe dosage range routes side effects and adverse effects of the medication special precautions or examinations required pre and post administration identification of allergies nursing implications.




Competency: U-5

Calculating Medication Dosages


U-5-1 Demonstrate ability to apply basic arithmetic to calculate medicationdosages and solutions with 100% accuracy.

U-5-2 Demonstrate knowledge and ability to identify the common systems ofmeasurement such as:the volume and weight of the metric systemthe liquid and solid measures of the household systems.

U-5-3 Demonstrate knowledge and ability to safely calculate dosages,concentrations, rates, and volumes such as:utilizing available medication in desired dosage if availablecalculating the dosage quantity to be administered:

o simplify by reducing to the lowest terms if possibleo utilize equivalency tables and resources to covert weights and volumeso utilize acceptable formulae for calculating

seeking guidance from another health professional as necessary.




Competency: U-6

Preparation of Medication


U-6-1 Demonstrate knowledge and ability to prepare medication foradministration such as:mix powdered oral medicationsmix powder in a vial with diluent for injectable medicationsmix medication in infusion bag or syringemix medication in buretrol / minibag infusion systemmix medications in a syringe.

U-6-2 Demonstrate knowledge and ability to prepare medications for injectionsuch as:draw medication out of an ampouledraw medication out of a vialchange needle to appropriate size for administrationlabel multi-dose vials for next usehandle and dispose of sharps appropriately.




Competency: U-7

Administration of Medication


U-7-1 Demonstrate ability to apply the “rights” for administering medication:right medicationright doseright routeright timeright clientright documentationright to refuse.

U-7-2 Demonstrate ability to review pertinent information related to medicationincluding:actiondurationfrequencypurposeside effectscontraindicationsnursing implications.


Competency: U-7

Administration of MedicationPage: 2


U-7-3 Demonstrate knowledge and ability to administer medications according toagency policy and procedures such as:enteral:

o oralo tube feed, nasogastric delivery

parenteral:o subcutaneouso intramuscularo intradermalo intravenous (including IV push)

percutaneous:o topicalo buccalo transdermalo sublingualo installation of eye, nose drops and nasal sprayso rectal / vaginal medicationo inhaled.

U-7-4 Demonstrate knowledge and ability to provide proper documentation suchas:documenting administration of medication immediately after administeringusing specific forms supplied for medication documentation per agencycomputerized documentation.




Competency: U-8

Prepare and Administer Injections


U-8-1 Demonstrate ability to prepare medication for injection.

U-8-2 Demonstrate ability to repeat the check of the medication name, dose, timeand route of administration, and expiration date.

U-8-3 Demonstrate ability to double check selected medications with another nurseprior to administration according to agency policy and protocol.

U-8-4 Demonstrate ability to identify client as per agency policy.

U-8-5 Demonstrate ability to identify steps of the procedure and the pertinentinformation regarding the medication to the client.

U-8-6 Demonstrate ability to prepare the environment for administering theinjection such as: ensuring privacy positioning client following aseptic technique securing client appropriately.

U-8-7 Demonstrate ability to select and landmark site for injection.


Competency: U-8

Prepare and Administer InjectionsPage: 2


U-8-8 Demonstrate ability to administer injections such as:subcutaneousintradermalintramuscularintravenous.

U-8-9 Demonstrate ability to dispose of sharps, used equipment, and supplies.

U-8-10 Demonstrate ability to record the medication administration and client’s response.

U-8-11 Demonstrate ability to document and report effects from medicationappropriately.




Competency: U-9



U-9-1 Demonstrate knowledge and ability to teach and support the client / familyregarding medications such as:assessing client’s understanding about the medicationproviding information regarding:

o medication nameo usual action / purposeo complianceo adverse effectso possible interactionso potential side effectso special precautionso providing information to enhance the effectiveness of the medication.




Competency: U-10

Monitoring Drug Effectiveness


U-10-1 Demonstrate knowledge of the therapeutic outcomes of the medication forthe client.

U-10-2 Demonstrate knowledge and ability to monitor the client while medication isbeing administered and intervene appropriately as necessary.

U-10-3 Demonstrate knowledge and ability to evaluate the outcome of themedication on the client and seek appropriate intervention as necessary.

U-10-4 Demonstrate ability to recognize, intervene, manage and report adverse andnon-adverse (expected) drug reactions and document as appropriate.

U-10-5 Demonstrate knowledge and ability to recognize and manage anaphylaxissuch as:identifying symptoms of anaphylaxis:

o angioedemao hypotensiono severe bronchospasmo shortness of breatho urticaria

administering anaphylactic medications as appropriateseeking assistance from other health care professionals.




Competency: U-11

Storage and Disposal Procedures


U-11-1 Demonstrate knowledge and ability to properly store and dispose ofmedications and medication administration supplies such as: storing and dispose of sharps in appropriate manner checking shelf life of medications storing narcotics and controlled substances per agency policy maintaining appropriate storage requirements for medications:

o light sensitiveo refrigeration

proper medication disposal protocol per agency policy.

major competency area: p competency: p-3 palliative care ... · pdf filepalliative care...

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