one paragraph due today at 6pm

Employers are partnering with your university to help you to transition into professional practice using a process that is both educational and supportive. As a responsibility of your participation you are required to provide baseline data regarding the level of your professional practice. It is NOT anticipated that you are expert or that you can perform skills independently. With that said, please complete the following survey indicating your level of experience and confidence with each of the skills or professional roles. This survey will be administered two times during the course. Please answer truthfully and with introspection. Your responses will be kept confidential and only aggregate data will be reported.

Welcome!

Program Nursing Competencies Self Assessment

1. What is your first name?*

2. What is your last name?*

3. What is the name of the health care organization or health care system with whom you are working?*

4. What unit are your working on? Please specify med surg, ob, peds, ED, etc.*

5. What is today's date?*

6. What is the name of the university or school of nursing from which you graduated?*

1

Other (please specify)

7. What type of program are you or did you graduate from?*

ADN Program

BSN Program

Accelerated BSN

Entry Level Master's Program

2

Complete this survey at the end of your clinical experience. Use the following scoring key to guide your responses:

1-Little to no experience-I need direct guidance and support 2-Capable-I'm familiar with skill but may need assistance 3-Performs independently-I am knowledgeable to perform skills safely as a result of previous education and experience 4-Proficient-I have extensive experience with skill; able to teach others 5-Expert-I have extensive experience and I am fluid in my performance.

Instructions

Program Nursing Competencies Self Assessment

Little to no experience Capable

Performs Independently Expert N/A

Completes comprehensive Admission Assessment with accuracy

Completes comprehensive Physical Assessment with accuracy during shift. Documents findings appropriately

Conducts Skin Assessment of pressure ulcer risk using Braden Scale. Implements precautions and documents accurately

Completes Fall Risk Assessment, implements precautions, and documents appropriately

Conducts Pain Assessment/Reassessment, provides appropriate and safe interventions, and documents appropriately

Assesses client for a Legal 2000

Comment?

8. Physical Assessment*

3

Little to no experience Capable

Performs Independently Expert N/A

Obtains and documents accurate and comprehensive history including family history, cultural assessment, spiritual needs assessment

Comment?

9. Admission History*

Little to no experience Capable

Performs Independently Expert N/A

Obtains vital signs, interprets findings accordingly, and documents appropriately

Comment?

10. Vital Signs*

Little to no experience Capable

Performs Independently Expert N/A

Demonstrates appropriate hand hygiene and uses PPE appropriately

Demonstrates safe use of restraints. Monitors restrained patients and documents appropriately

Demonstrates appropriate use of Standard Precautions/Isolation

Provides a safe patient environment including but not limited to bed position, side rails, brakes and other items in the room

Comment?

11. Personal Hygiene Care*

4

Little to no experience Capable

Performs Independently Expert N/A

Provides appropriate patient teaching regarding lab/diagnostic tests

Interprets lab/diagnostic test findings, performs necessary nursing interventions related to findings, and documents interventions

Performs nursing interventions necessary for scheduled tests to include pre and post test interventions, documenting appropriately

Performs bedside blood glucose finger stick using organization's equipment. Documents findings

Collects specimens using universal precautions

Interprets ABG results and performs necessary nursing interventions related to findings. Documents interventions

Interprets ECG/telemetry strips results and performs necessary nursing interventions related to findings, documenting appropriately

Recognizes common heart rhythms and lethal dysrhythmias

Comment?

12. Lab and Diagnostic Tests*

5

Little to no experience Capable

Performs Independently Expert N/A

Demonstrates use of tube feeding pump

Demonstrates ability to care for patient with tube feedings (NG, small bore feeding tubes and PEG)

Demonstrates ability to care for patient with NG tube (intermittent and continuous suction)

Comment?

13. Nutrition*

Little to no experience Capable

Performs Independently Expert N/A

Safely administers enemas (Fleets, cleansing, etc)

Provides ostomy care and documents appropriately

Performs and monitors bladder irrigation (intermittent and continuous)

Comment?

14. Elimination*

Little to no experience Capable

Performs Independently Expert N/A

Demonstrates sterile gloving

Demonstrates ability to maintain sterile technique/field when performing sterile procedures

Comment?

15. Sterile Technique*

6

Little to no experience Capable

Performs Independently Expert N/A

Demonstrates 10 RIghts of Medication Administration

Demonstrates ability to perform safely and accurately all routes of medication administration to include: oral, sublingual, subcutaneous, rectal, vaginal, topical, instillation (eye, ear, nose) inhalations, intramuscular and intravenous routes

Demonstrates appropriate use of all equipment related to medication administration

Provides appropriate care for patients receiving TPN and documents accurately

Provides patient teaching and family teaching regarding medications and medication administration

Comment?

16. Medication Administration*

Little to no experience Capable

Performs Independently Expert N/A

Demonstrates ability to safely administer blood products following established policies and procedures. Documents procedure appropriately

Able to provide care for a patient on BiPAP/CPAP

17. Specialized skills*

7

Perform central line/PICC line dressing change

Performs Foley and straight catheterizations using established policies and procedures. Documents procedure appropriately

Demonstrates ability to perform nasal/airway, oropharyngeal and tracheal suctioning

Performs tracheostomy care according to organization's policies and procedures, documenting appropriately

Demonstrates ability to set up and maintain traction

Demonstrates ability to perform cast and pin care

Demonstrates ability to provide pre and post op care

Demonstrates ability to provide care to post cardiac cath or PTCA patients

Demonstrates ability to provide care for patient with chest tubes using policies and procedures to guide safe practice

Little to no experience Capable

Performs Independently Expert N/A

Comment?

8

Little to no experience Capable

Performs Independently Expert N/A

Recognizes medical emergency situation and reacts appropriately (rapid response team or code team)

Performs as an RN in a simulated code situation

Comment?

18. Emergency Response*

19. Describe your level of confidence in providing care for a full patient assignment TODAY?*

20. Please share any questions you may have about this survey or anything else that we may be able to help you with.

9

Program Nursing Competencies Self Assessment

10

1. 676564371: Reahabilitation Unit
2. 676564372: 1/28/2021
3. 676564368:
4. 676564369:
5. 676564370:
6. 676564373:
7. 676564374_other:
8. 676564354_other:
9. 676564355_other:
10. 676564356_other:
11. 676564357_other:
12. 676564358_other:
13. 676564359_other:
14. 676564361_other:
15. 676564362_other:
16. 676564363_other:
17. 676564364_other:
18. 676564365_other:
19. 676564367: Capable
20. 676564366: N/A