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NURSING DEPARTMENT HOSPITAL

DR SOLIMAN FAKEEH

NURSING COMPETENCY ASSESSMENT TOOL


Name: ID No.: Position: Proced re: !"ood G" cose Monitorin# PERFORMAN$E
PASS FAIL

PERFORMAN$E
PASS FAIL

KNO%LEDGE &$o#niti'e Domain(


$. List the % types !f & !!' G uc!se E"er(encies. *. St+te the n!r"+ r+n(e circu +tin( # !!' ( uc!se e,e . .. /iscuss the "+n+(e"ent !f e+ch type !f & !!' G uc!se e"er(ency. 2. App y St+n'+r' Prec+uti!ns f!r # !!'3#!rne p+th!(ens. 4. Refer t! & !!' G uc!se M!nit!rin( #y Accu3Che0 Inf!r" Meter P! icy +n' Pr!ce'ure. SKILLS &Ps)c*omotor Domain( $. Prep+re the e6uip"ents nee'e'. *. .. %. 2. 4. 7. ;. 9+sh h+n's. E:p +in the pr!ce'ure t! the p+tient. /!n 'isp!s+# e ( !,es. Se ect +n' prep+re the fin(er t! #e +nce'. C e+n the fin(er -ith -+ter +n' s!+p. Turn !n the "eter. Prep+re the "eter f!r p+tient test.

9. Verify the current strip !t nu"#er. $). Gent y insert the strip int! the "eter. $$. The "eter -i in'ic+te its re+'iness f!r p+tient test. $*. Pric0 the p+tient1s fin(er +ter+ t! the fin(ertip usin( +ncin( 'e,ice. $.. App y # !!' t! the si'e !f the test strips. $%. Re+' the resu t +n' '!cu"ent. $2. The +nce' fin(er is c!,ere' -ith + (+u5e unti # ee'in( st!ps. $4. Return the "eter #+c0 t! the #+se. $7. /! the 8C test +cc!r'in( t! the h!spit+ p! icy +n' pr!ce'ure. ATTITUDE &A++ecti'e Domain( $. Assess the p+tient1s e,e !f c!nsci!usness. *. Inf!r" p+tient. .. 9+sh p+tient1s h+n's in -+r" -+ter +n' s!+p. /ry th!r!u(h y.

Si(n+ture !f E"p !yee< /+te < ===========================================

Si(n+ture !f E,+ u+t!r< /+te< ======================================

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