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Licensed Nursing Competency Document

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Licensed Nursing Competency Document

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

Name : _______________________________________

    Unit Specific Competencies

    Competency: Cardiac Surgery

    Key prevention topics:

    ? Sternal Precautions

    ? Chest Tubes

    ? External Pacemakers

    Required: Date Completed Evaluator Complete webinservice on Sternal Precautions with post test score >80%. Click here to access webinservice:

    http://www.webinservice.com/vanderbilt/login50/

    AND One of the following: Date Completed Evaluator Attend Chest Tube Inservice and participate in discussion group; list date of inservice in the Date Completed column.

    Skills Demonstration; use provided checklist and have

    peer/nurse educator check you off while caring for a patient

    with a chest tube. Include checklist in your packet. Click

    here for checklist: CT checklist

    Demonstrates proficiency in set up and management of chest

    tubes during Skills Day. Be prepared to demonstrate your

    skills. Resources in preparation: Mosby‟s Nursing Skills

    Mosby's Nursing Consult - Home and Atriummed

    http://www.atriummed.com/Products/Chest_Drains/edu-

    oasis.asp

    Present a Chest Tube Inservice to your peers. See Nurse

    Educator for details. Provide date of inservice and a copy of

    the sign in sheet in your packet.

    AND One of the following: Date Completed Evaluator

    Demonstrate proficiency in management of a patient with an

    external pacemaker during Skills Day. Resources in

    preparation:

    http://www.utmb.edu/ces/_opmanual/medpcmkr.pdf

    Complete External Pacemaker case study. Include checklist

    in your packet. Click here for Case Study : External

    Pacemakers

    Skills Demonstration; use provided checklist and have

    peer/nurse educator check you off while caring for a patient

    with an external pacemaker. Include checklist in your packet.

    Click here for checklist: PM checklist

    Competency: Heart Failure

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    Key prevention topics:

    ? Core Measures

    ? Medications

    ? Patient Education

    Required: Date Completed Evaluator Heart Failure Core Measures Exemplar. Complete and include in packet. Click here for exemplar: Heart Failure

    Exemplar

    AND One of the following: Date Completed Evaluator Attend 1 Heart Failure Inservice and participate in group discussion; list specific topic and date:

    1.

    Complete 2 online Heart Failure presentations and

    accompanying test with a minimum score of 90%. Provide contact hour certificate or webinservice documentation of

    completion. Contact Nurse Educator for webinservice

    assignment. Click here to access webinservice:

    WebInService

    AND One of the following: Date Completed Evaluator Complete Heart Failure Case Study. Include document in your packet. Click here for case study: Heart Failure

    Read Heart Failure article and complete post test with score of at least 90%. Include test in your packet. Click here for

    article: http://jama.ama-assn.org/cgi/reprint/287/5/628.pdf

    and here for test: Article Test

    Watch any two of the Heart Failure Skylight Videos and complete post test. Include post test in your packet.

    1. Heart Failure: Getting Started with Treatment

    a. Test Getting Started

    2. Heart Failure: Eating to Feel Better

    a. Test Eating to Feel Better

    3. Heart Failure: Staying Active

    a. Test Staying Active

    4. Heart Failure: Understanding Your Medications

    a. Test - Medications

    Competency: Acute Coronary Syndrome

    Key prevention topics:

    ? Core Measures

    ? Medications

    ? 12 Lead ECG

    Groin Management

    Required: Date Completed Evaluator Complete Vandysafe education on ACS with post test

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

     VandySafe

    Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self, Attend Radial Band inservice. Provide date of inservice. peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable. One of the following: Date Completed Evaluator score >90%. Click here for access to Read extended text in Mosby‟s Nursing Skills on Electrocardiograms: 12 Lead. View Demonstrations and Illustrations. Complete post test with score of 100%. Include

    post test in packet. Click here to access Mosby‟s Skills:

    Mosby's Nursing Consult - Home

    Search Electrocardiograms: 12 Lead

    Skills Demonstration; use provided checklist and have

    peer/nurse educator check you off while performing a 12 Lead

    EKG on your patient. Include checklist in your packet. Click

    here for checklist: 12 Lead

    Demonstrate 12 Lead EKG proficiency at Skills Day. Be

    prepared to demonstrate your skills. Resources in preparation:

    Mosby‟s Nursing Skills Mosby's Nursing Consult - Home

    Search Electrocardiograms: 12 Lead.

    Present a 12 Lead EKG Inservice to your peers. See Nurse

    Educator for details. Provide date of inservice and a copy of

    the sign in sheet in your packet.

    AND One of the following: Date Completed Evaluator

    ACS Exemplar: Identify one patient you cared for with the

    diagnosis of Acute MI; list the core measures for AMI and tell

    whether or not your patient met each core measure; if they did

    not describe the measures you took to ensure they did. Click

    here for Core Measures. Click here for Exemplar. Other

    Resources: „Specifications Manual for National Hospital

    Quality Measures‟, version 2.6b'

    Complete ACS Case Study and include in your packet. Click

    here for Case Study: ACS

    AND One of the following: Date Completed Evaluator

    Complete Test: Groin Management with a minimum score of

    90%. Include test in your packet. Click here for test: Groin

    Management

    Demonstrate Groin Management proficiency at Skills Day.

    Be prepared to demonstrate your skills.

    Skills Demonstration; use provided checklist and have

    peer/nurse educator check you off while caring for a patient

    with a femostop. Include checklist in your packet. Click here

    for checklist: Femostop

    Competency: Arrhythmia

    Key prevention topics:

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    ? Arrhythmia Identification

    ? Post Procedure Monitoring th? Equipment Wed. q month Required: Date Completed Evaluator in the 7N Family Room; list date:_____________ Attend one Advanced Arrhythmia Interpretation Session and Complete competency exemplar on Telemetry. Include

    participate in Group Discussion; occurs the 4exemplar in your packet. Click here for worksheet:

    Telemetry

    AND One of the following: Date Completed Evaluator

    Complete Arrhythmia Case Study on Cardiosource. First click here to register:

    Click on CME/CE (right top of page); click on case studies;

    click on Arrhythmias to the left of the screen and select a case

    study from the list; attach CE Credit statement that will be

    emailed to you after you complete the questions.

    http://www.cardiosource.com/index.asp

    Complete competency exemplar on Pacemaker/ICD. Include

    exemplar in your packet. Click here for worksheet: PM/ICD Competency: Heart Transplant

    Key prevention topics:

    ? Medications

    ? Infection Prevention

    Rejection

    Required: Date Completed Evaluator

    Complete webinservice on Heart Transplants and complete

    post test score >90%. Click here to access webinservice:

    http://www.webinservice.com/vanderbilt/login50/ Competency: Peritoneal Dialysis

    Key prevention topics:

    ? Technique

    ? Infection Prevention

    Required: Date Completed Evaluator

    View Peritoneal Dialysis video and complete post test. click here to view video; click here for post test. Locate Peritoneal

    Dialysis Guide (in the cabinet above the sink at the charge

    nurse desk) Other Resources:

     Peritoneal Dialysis (PD) Exchange

    Peritoneal Dialysis: Postoperative Sterile Dressing Changes

    for New PD Catheter Exit Site

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

    Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self, peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    Peritoneal Dialysis: Adding Medication to Peritoneal Peritoneal Dialysis:Obtaining a Specimen of Effluent

    Dialysis FluidPeritoneal Dialysate

    Peritoneal Dialysis (PD): Routine Exit Site Catheter Care

    Hospital Wide Competencies Competency: Safety: Safely responds to emergency situations Key topics:

    ? Emergency response (NPSG 16)

     Safe Blood administration (NPSG 1,3)

    Required: Date Completed Evaluator

    Current BLS (Healthcare provider) status or Red Cross provider

    (Current certification expires _____________)

    Basic Arrhythmia Recognition (where applicable) One of the following methods:

    ? Arrhythmia recognition review web module or live class

    OR

    ? Age specific advanced life support class completion or

    renewal (ACLS, PALS, etc) OR

    ? Attendance at a scheduled Arrhythmia Practice Session

    OR

    ? Completion of initial training or test out (provides

    competency documentation only for the first year that it is

    required).

    AND one of the following: Date Completed Evaluator

     ? Current EOR, ACLS, PALS, PEARS, NALS, or NRP

     (Choose age and area-appropriate course)

     (My current certification expires ________________)

    OR

    ? Age-appropriate Mock Code experience in new employee

    orientation, Safety Fair or Department Based activity (Done

    every 2 years)

     Last Date Completed _________________)

    Required: Date Completed Evaluator

    Webinservice on blood transfusion completed. Provide date of completion. Click here to access webinservice:

    http://www.webinservice.com/vanderbilt/login50/

    Trach Care and/or Suctioning

    ? Policy review click here to review policy:

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    Tracheostomies: Management of Care

    ? Complete webinservice - Tracheostomies:

    Management of Care Feb 09; list date of completion; click

    here to access webinservice

    http://www.webinservice.com/vanderbilt/login50/ AND one of the following: (Only where applicable) Date Completed Evaluator

    Click here for checklist: Blood Administration and complete

    one of the following; Include checklist in packet. ? Peer Documentation Audit of a patient medical record that has received a blood transfusion OR

    ? Peer observation of blood transfusion process OR ? Mock transfusion practice/return demonstration in a real or

    simulated setting)

    Competency: Communication: Communicates pertinent information to those who need

    to know and responds accordingly

    Key Topics: (NPSG 1,2,9,13,15)

    ? Nursing Model Tactics

    ? Documentation

    ? Hand-over communication

    Required: Date Completed Evaluator

     ? Peer Observation and checkoff demonstration of SBAR

    format during report. Click here for checklist: SBAR AND one of the following: Date Completed Evaluator

     ? Peer observation of bedside report or hand-over

    communication (transfer or other report) using standardized

    format/checklist. Click here for checklist: Bedside Report OR

    ? Exemplar involving the use of HEART protocol (Service

    Recovery protocol) OR

    ? Exemplar involving the use of AIDET protocol OR ? Evidence of purposeful hourly rounding (MR audit) OR ? Peer observation of a patient/family teaching experience

    incorporating age and/or cultural specific information

    regarding one of the following:

    1. Fall Prevention strategies

    2. Family-initiated RRT

    3. Criteria for removal of restraints

    Click here for form: Peer Observation

    Competency: Prevention of Harm to Staff: Takes measures to prevent injury to self and co-workers

    Required: Date Completed Evaluator

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010

     Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    ? Completes safety modules prior to annual evaluation;

    provide date of completion.

    ? Safety Fair “live” OR VandySafe ? On- line via VandySafe, (includes Pandemic and ? Demonstrates adherence to Hand Hygiene Policy. Click Influenza Education) here for policy: Hand Hygiene ; Complete checklist and Click here to access include in packet. Click here for checklist: Handwashing Competency: Prevention of Harm to Patients: Takes measures to prevent injury to

    patients and families

    Key prevention topics:

    1. Restraint use (NPSG 3, 9, 15, 16)

    2. Medication Errors (NPSG 3, 8}

    3. Foley cath- related UTI’s (NPSG 3,7)

    4. Blood Stream infections (NPSG 3,7)

    5. Pain (NPSG 2, 3, 8)

    6. Falls (NPSG 9,13)

    7. VAP (NPSG 7, 10)

    8. Pressure Ulcers (NPSG 7, 14, 16)

    Required: Date Completed Evaluator

     Completion of Webinservice Restraints Housewide Education 2009. Provide date of completion. Click here to access

    WebInService

    ? Demonstration of Restraint Application/Discontinuation

    Competency. Provide date and include checklist in your packet.

    Click here for checklist: Restraints

    Alaris Pump training including use of Guardrails (related to changes from Upgrade). Provide date and include checklist in your packet.

    Click here for checklist: Alaris Pump

    And one of the following:

    ? Super-user class. Date of class _____________ OR ? View on-line training. Provide date of review. Click here for online training

    Completion of webinservice Urinary Catheter Housewide Education Licensed Staff. Provide date of completion. Click here to access

    WebInService

    Completion of Blood Stream Infection Reduction education. Click

    here to access VandySafe Complete module: VUMC Infection

    Prevention: CVC Lesson. Provide date of completion. List the Sixteen 2009 National Patient Safety Goals. Click here for

    document to include in packet: NPSG

    Click here for resource:

    http://www.jcrinc.com/common/PDFs/fpdfs/pubs/pdfs/JCReqs/JCP-

    Licensed Nursing Competency Document

    Unit Specific 7N Cardiac Step Down

    2009 2010 07-08-S1.pdf Peer observation of correct sterile technique of at least 1 Instructions: Evaluator sign and date each column when it is complete. Evaluator may be self,

    procedure using criterion based skills checklist in live or peer, or leadership. Provide dates and attach tests, checklists, etc. if applicable.

    simulated situation. Click here to access checklist and include

    in packet: Sterile Technique

    1. Central line dressing change e.g. PICC, CVC,

    Implanted port, etc.

    2. Foley catheter insertion

    3. Tracheal suctioning

    4. Sterile Dressing change

    5. Other procedure requiring sterile technique

    (appropriate to the area); list procedure

    _________________________________

I certify that the information and competency data I submitted are true and accurately reflects my

    work and abilities to function as a nurse on my unit or area. I understand that my ongoing

    professional growth is my responsibility and that I will notify my educator or assistant manager

    if I have further training needs. I agree to submit additional competency assessment data if

    requested by the Management Team.

Employee: _______________________ _________________________ Date: ____________

     (print last name, first) (signature)

By signing and dating below, I acknowledge that I have read and understand the policies listed

    above and that I agree to comply with them as I manage patient care.

Employee: _______________________ _________________________ Date: ____________

     (print last name, first) (signature)

Verified by: ________________________________________________ Date: ___________

Please complete this form as documentation of annual competency completion and place in

    unit-designated area.

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