Competency

A) Safe and Quality Nursing

Care
1. Assessment:
 History Taking Obtain complete and Conduct comprehensive
accurate patient’s history to assessment using the body
include family history of system approach
allergy and illnesses
Physical Assessment Perform basic triaging upon Inspect body contraptions
arrival of patient and their functionality
Perform accurate head to
toe physical assessment
utilizing standard protocols
Formulate accurate nursing
diagnosis based on the
assessment
 Referral Prepare documents for Refer to the physician Coordinate with ROD
networking and referral critical information regarding requirements for
obtained based on the intended procedure
assessment findings
Performed Refer to appropriate sub-
specialty(area) service
2. Diagnostics Explain to patient Follow through full Follow through full
diagnostic procedures to be implementation of relevant implementation of relevant
 Support to diagnostics performed and the diagnostic procedures to diagnostic procedures to
necessary preparations facilitate prompt facilitate prompt
interpretation by the interpretation by the
physician physician.
Prepare the patient for
diagnostic procedures after
securing informed consent
  Initial interpretation of
diagnostic results
3. Outcome Identification
4. Planning of nursing care
5. Patient Care
Identify abnormal Correlate findings with Correlate findings with
laboratory and other patient’s condition. patient’s condition
diagnostic findings
Identify expected outcomes Identify potential risks or
of a holistic nursing barriers in the
intervention implementation of care that
will affect the desired
outcome
Formulate nursing care plan Incorporate nursing
according to patient’s needs strategies in the nursing
as determined by the care plan to address
assessment process potential risks and barriers
Modify nursing care plan
according to changes in
client’s needs
Implement the Nursing Care Modify nursing Confirm and identify the
Plan with the participation interventions based on the procedure, discuss with
of the patient’s significant outcome of care patient , and secure written
others consent
Validate doctor’s orders Report or refer immediately
before carrying them out to the physician any adverse
reactions to treatment and
complications
Perform appropriate Perform necessary Implement strictly the
infection control measures emergency measures or infection control practices
independent nursing care to and principles
alleviate adverse reactions
and complications
 Anticipate patient’s needs
and provide care for them
accordingly
6. Evaluation Monitor patient’s progress
and evaluate against
desired outcomes
Gather feedback from the
patient and his/her
significant others on the
care received and its
outcomes
B. Health Education Disseminate information
that will promote healthy
lifestyle ,wellness disease
management ,
environmental sanitation
protection, and DOH
programs thrusts to the
patient and his/her support
system
Identify potential risks for
Identify risks factors
infection and refer to the affecting immediate post-
ICC or other person operative surgery and
responsible for action recommend ways to
address them
Implement operating room
safety measures with
utmost care and according
to prescribe standards
Evaluate the effectiveness Determine foreseeable
of nursing and medical crisis or complicating
management carried out on conditions after the
the patient operation and during
patient’s stay at the PACU
and recommend ways to
address them
Prepare plan for discharge
according to patient’s
condition
Assess learning needs of Prepare a health teaching
patient/significant others plan for use upon discharge
related to health that will contribute to fast
maintenance and continuity recovery
of care
 Customized health teaching Customize a health teaching
plan based on needs of plan based on needs of
patient and significant patient and significant
others others
Participate (e.g. , teach,
facilitate, moderate) in
health education activities
of the hospital
C. Communication Interact with the patient Validate patient’s verbal
and and significant others in and non -verbal responses
a manner that will promote with other manifestations
a trusting and helping
rtelationship
Discuss with patient his/her
rights , responsibilities and
obligations

Secure patient’s informed

written consent for hospital
admission and treatment
Utilize proper and effective
channels of communication
in collaborating with the
health care team and
providing patient care
Teamwork/ Collaboration in Provide regular and Participate in
patient care accurate update to multidisciplinary patient-
members of the health care management
team on the condition of
the patient for the
continuity of care
 Participate in meetings and
discussions on the patient’s
condition and plan of care
with other members of the
health care team
E. Ethical Judgment and Make judgments, decisions Ethical or moral
decision-making and actions on patient care considerations that may
consistent with the code of affect patient care,
Ethics and the standards of treatment or prognosis
nursing practice
F. Management of Resources Organize own workload Organize own Obtain availability of
and the Environment through prioritization and workload/patient functional equipment ,
time management in order assignment facility, manpower,
to be more efficient in medicines anesthetic and
provision of patient care other supplies before the
procedure
Conduct regular inventory Identify required medical Establish a mechanism to
of available medical supplies and equipment to ensure proper functioning
supplies and medications carry out medical and of equipment to include
using standard checklists nursing management for preventive maintenance
patient and referrals to repair
services
Monitor functionality of Monitor stock level of
medical and non-medical materials for patient’s use
equipment and request for
replenishment promptly
Use supplies for patients Identify additional or
appropriately and prudently alternative medical supplies
and medications
Implement measures that Establish a mechanism to
will address potential risks ensure proper functioning

G. Records Management
H. Quality Improvement
I.Research/ Evidence –Based
Practice
to patient safely following
risk management guidelines
and Patient Safety Principles
and Policies
Document patient care/all
nursing interventions clearly
concisely, accurately,
completely and in timely
manner using standard
protocols
Utilize appropriate tools,
methods and systems to
maintain integrity ,
confidentiality,
accessability, and security of
patient information and
records
Identify deviations from the
standards on patient care
and ward management
Identify topics appropriate
for research
of equipment to include
preventive maintenance
and referrals to repair
services
Document patient’s
condition and care
according to accepted
accreditation standards
using standard protocols
Identify root causes of Review effectiveness of
deviations from standards surgical procedure using the
in quality patient care and observation and inspection
ward management and of incision site and length of
propose measures to stay of operative patients
address them
Participate actively in the Implement strictly the
continuous quality principles of aseptic
Improvement activities / procedures and the
endeavors of the institution Infection Control Program
Provide technical support ( Provide technical support (
data gathering, analysis and data gathering, analysis and
interpretation of data) to interpretation of data) to
research team tasked with a

K. Leadership and Management
Professional/Personal
Development
Participate in preparing a
research proposal
complying with the ethical
principles in nursing
research
Gather data using different
methodologies
Perform nursing functions
and responsibilities
consistent with the
vision,mission, core values
and policies of the
institution
Prepare and regularly
update a learning plan to
acquire/enhance
progressive competencies
Actively secure
development opportunities
within and outside the
hospital
Participate in professional
organization that will lead
to the enhancement of
nursing competencies
particular problem research activities related to
regarding patient care or operating procedures
service delivery systems
Apply relevant evidence-
based research findings in
nursing practice
Lead in the performance of Act in such manner that
nursing care and other inspires patient , his/her
assignments in a manner support system, and other
that reflects the vision, members of the health
mission, and core values of team to work in a concerted
the institution manner toward positive
outcomes for the patient
Prepare career plan
Assume delegated
responsibilities with respect
to nursing care
Regularly attend seminars
,trainings,and other
continuing education
activities