11 key resp.

and core competencies

1. SAFE AND QUALITY NURSING CARE The first key area of nursing responsibility focuses on providing nursing care that is safe and of high quality. Under this key area, core competencies include demonstrating knowledge about the health status and illness of a patient; making appropriate decisions when caring for patients and their families; and ensuring patient safety, privacy and comfort. Competencies also include setting appropriate priorities in patient care, working with the medical team to ensure stability of care, effectively administering medications and other treatment modalities and performing assessments and nursing services against a background of established nursing guidelines. The nurse also works with the medical team and patient's family to develop a plan of care. Identifying the goals of care and evaluating progress toward those goals are also core competencies within this key area.

Utilizes nursing process as framework for nursing. Performs comprehensive, systematic nursing assessment Indicators : Obtains consent Complete appropriate assessment forms Performs effective assessment techniques Obtains comprehensive client information Maintains privacy and confidentiality Identifies health needs CORE COMPETENCY 8: Formulates care plan in collaboration with patients, other health team members Indicators : Includes patients, family in care planning States expected outcomes in nursing interventions Develops comprehensive patient care plan Accomplishes patient centered discharge plan CORE COMPETENCY 9: Implements NCP to achieve identified outcomes Indicators : Explain interventions to patient, family before carrying them out Implement safe, comfortable nursing interventions Acts according to client s health conditions, needs Performs nursing interventions effectively and in timely manner CORE COMPETENCY 10: Implements NCP progress toward expected outcomes Indicators : Monitors effectiveness of nursing interventions Revises care plan PRN CORE COMPETENCY 11: Responds to urgency of patient s condition Indicators : Identifies sudden changes in patient s health conditions Implements immediate, appropriate interventions 2. MANAGEMENT OF RESOURCES AND ENVIRONMENT The next key area is the management of resources and environment. Core competencies in this area include identifying tasks that need to be completed, developing financially effective programs, ensuring that equipment performs adequately and maintaining safety in the environment.

CORE COMPETENCY 1: Demonstrate knowledge based on health/illness status of individual/ groups Indicators : Identifies health needs of patients/groups Explains patient/group status CORE COMPETENCY 2: Provides sound decision making in care of individual/groups considering their beliefs, values Indicators : Problem identification Data gathering related to problem Data analysis Selection appropriate action Monitor progress of action taken CORE COMPETENCY 3: Promotes patient safety and comfort Indicators : Performs age-specific safety measures and comfort measure in all aspects of patient care CORE COMPETENCY 4: Priority setting in nursing care based on patients needs Indicators : Identifies priority needs of patients Analysis of patients needs Determine appropriate nursing care to be provided CORE COMPETENCY 5: Ensures continuity of care Indicators : Refers identified problems to appropriate individuals/ agencies Establish means of providing continuous patient care CORE COMPETENCY 6: Administers medications and other health therapeutics Indicators : Conforms to the 10 golden rules in medication administration and health therapeutics CORE COMPETENCY 7:

CORE COMPETENCY 1: Organizes workload to facilitate patient care Indicators: Identifies task or activities that need to be accomplished Plans the performance of task or activities based on priority Finishes work assignment on time CORE COMPETENCY 2: Utilizes resources to support patient care Indicators: Determines the resources needed to deliver patient care Control the use of equipment CORE COMPETENCY 3: Ensures the functioning of resources Indicators:

Check proper functioning of the equipment Refers Malfunctioning equipment to appropriate unit CORE COMPETENCY 4: Check the Proper functioning of the Equipment Indicators: Determines the task and procedures that can be safely assigned to the other members of the team Verifies the competence of the staff prior to delegating tasks CORE COMPETENCY 5: Maintains safe Environment Indicators: Observe proper disposal of waste Adheres to policies, procedures and protocols on prevention and control of infection Defines steps to follow incase of fire , earthquake and other emergency situation 3. HEALTH EDUCATION Educational core competencies include assessing the educational needs of the patient and family, developing and implementing health education plans and learning materials and evaluating the outcome of education administered.

CORE COMPETENCY 5: Evaluates the outcome of health Education Indicators: Utilizes evaluation parameters Documents outcome of care Revises health education plan when necessary 4. LEGAL RESPONSIBILITY Core competencies in the legal key area include following legally mandated state and federal processes and procedures, such as obtaining informed consent from patients and adequately documenting all procedures performed for patients. CORE COMPETENCY 1: Adheres to practices in accordance with the nursing law and other relevant legislation including contract and informed consent. Indicators: Fulfill legal requirements in Nursing Practice Holds current professional license Acts in accordance with the terms of contract of employment and other rules and regulation Complies with the required CPE Confirms information given by the doctor for informed consent Secures waiver of responsibility for refusal to undergo treatment or procedures Check the completeness of informed consent and other legal forms CORE COMPETENCY 2: Adheres to organizational policies and procedures, local and national Indicators: Articulates the vision and mission of the institution where one belongs Acts in accordance with the established norms and conduct of the institution/ organization CORE COMPETENCY 3: Document care rendered to patients. Indicators: Utilizes appropriate patient care records and reports Accomplish accurate documentation in all matters concerning patient care in accordance with the standard of nursing practice. 5. ETHICO-MORAL RESPONSIBILITY In this key area that concerns morals and ethics, core competencies include respecting the rights of all individuals and groups, accepting responsibility for individual decisions and adhering to the nurses' national and international code of ethics. CORE COMPETENCY 1: Respects the rights of individual/ groups Indicator: Renders nursing care consistent with the patient s bill of rights (ie. confidentiality of information, privacy, etc.) CORE COMPETENCY 2 Accepts responsibility & accountability for own decisions and actions Indicators: Meets nursing accountability requirements as embodied in the job description Justifies basis for nursing actions and judgment Protects a positive image of the profession

CORE COMPETENCY 1: Assesses the learning needs of the patient and the family Indicators: Obtains learning information through interview, observation and validation Defines relevant information Completes assessment records appropriately Identify priority needs CORE COMPETENCY 2: Develops Health Education plan based on assessed and anticipated needs. Indicators: Considers nature of the learner in relation to social, cultural, political, economic, educational, and religious factor

CORE COMPETENCY 3: Develops learning material for health education Indicators: Involves the patient, family and significant others and other resources Formulates a comprehensive health educational plan with the following components , objectives, content and time allotment Teaching-learning resources and evaluation parameters Provides for feedback to finalize plan CORE COMPETENCY 4: Implements the health Education Plan Indicators: Provides for conducive learning situation in terms of timer and place Considers client and family preparedness Utilize appropriate strategies Provides reassuring presence through active listening, touch and facial expression and gestures Monitors client and family s responses to health education

CORE COMPETENCY 3 Adheres to the national and international code of ethics for nurses Indicators: Adheres to the Code of Ethics for Nurses and abides by its provisions Reports unethical and immoral incidents to proper authorities 6. PERSONAL & PROFESSIONAL DEVELOPMENT The professional development key area includes core competencies of identifying personal needs for education and pursuing those goals, participating in professional organizations and community activities, presenting a professional image and positive attitude as well as performing work duties in a professional manner.

and audits, staying aware of variances in treatment and recommending solutions to improve quality.

CORE COMPETENCY 1: Gathers data for quality improvement Indicators: Demonstrates knowledge of method appropriate for the clinical problems identified Detects variation in the vital signs of the patient from day to day Reports necessary elements at the bedside to improve patient stay at hospital Solicits feedback from patient and significant others regarding care rendered CORE COMPETENCY 2: Participates in nursing audits and rounds

CORE COMPETENCY 1 Identifies own learning needs Indicators: Verbalizes strengths, weaknesses, limitations. Determines personal and professional goals and aspirations. CORE COMPETENCY 2 Pursues continuing education Indicators: Participates in formal and non-formal education. Applies learned information for the improvement of care. CORE COMPETENCY 3 Gets involved in professional organizations and civic activities Indicators: Participates actively in professional, social, civic and religious activities Maintain membership to professional organizations Support activities related to nursing and health issues

Indicators: Contributes relevant information about patient condition as well as unit condition and patient current reactions Shares with the team current information regarding particular patients condition Encourages the patient to speak about what is relevant to his condition Documents and records all nursing care and actions Performs daily check of patient records/condition Completes patients records Actively contributes relevant information of patients during rounds thru readings and sharing with others CORE COMPETENCY 3: Identifies and reports variances Indicators: Documents observed variance regarding patient care and submits to appropriate group within 24 hours Identifies actual and potential variance to patient care Reports actual and potential variance to patient care Submits report to appropriate groups within 24 hours CORE COMPETENCY 4: Recommends solutions to identified problems Indicators: Gives appropriate suggestions on corrective and preventive measures Communicates and discusses with appropriate groups Gives and objective and accurate reporton what was observed rather than an interpretation of the event. 8. RESEARCH Core competencies in the research key area include gathering and analyzing research data, sharing results and applying findings to work functions.

CORE COMPETENCY 4 Projects a professional image of nurse Indicators: Demonstrate good manners and right conduct at all times. Dresses appropriately. Demonstrates congruence of words and actions. Behaves appropriately at all times. CORE COMPETENCY 5 Possesses positive attitude towards change and criticism Indicators: Listens to suggestions and recommendations. Tries new strategies or approaches. Adapts to changes willingly. CORE COMPETENCY 6 Performs function according to professional standards Indicators: Assesses own performance against standards of practice. Sets attainable objectives to enhance nursing knowledge and skills. Explains current nursing practices, when situations call for it. 7. QUALITY IMPROVEMENT In the quality improvement key area, core competencies include identifying areas for improvement, participating in nursing rounds

CORE COMPETENCY 1: Gathers data using different methodologies

Indicators: Identifies researchable problems regarding patient care and community health Identifies appropriate methods of research for a particular patient/community problem Combines quantitative and qualitative nursing design thru simple explanation on the phenomena observed Analyzes data gathered

CORE COMPETENCY 2: Recommends actions for implementation Indicator: Based on the analysis of data gathered, recommends practical solutions appropriate for the problem CORE COMPETENCY 3: Disseminates results of research findings Indicators: Communicates results of findings to colleagues/patients/family and to others Endeavors to publish research Submits research findings to own agencies and others as appropriate CORE COMPETENCY 4: Applies research findings in nursing practice Indicators: Utilizes and findings in research in the provision of nursing care to individuals/groups/communities Makes use of evidence-based nursing to ameliorate nursing practice 9. RECORDS MANAGEMENT The records management key area includes core competencies of maintaining appropriate documentation using the appropriate system and staying within legal boundaries in the area of patient privacy.

Creates trust and confidence Listens attentively to client s queries and requests Spends time with the client to facilitate conversation that allows client to express concern. CORE COMPETENCY 2: Identifies verbal and non-verbal cues Indicator: Interprets and validates client s body language and facial expression CORE COMPETENCY 3: Utilizes formal and informal channels Indicator: Makes use of available visual aids CORE COMPETENCY 4: Responds to needs of individuals, family, group and community Indicator: Provides re- assurance through therapeutic, touch, warmth and comforting words of encouragement Readily smiles CORE COMPETENCY 5: Uses appropriate information technology to facilitate communication Indicator: Utilizes telephone, mobile phone, email and internet, and informatics Identifies a significant other so that follow up care can be obtained Provides holding or emergency numbers of services 11. COLLABORATION and TEAMWORK The teamwork and collaboration key area includes core competencies of establishing beneficial working relationships with peers and colleagues and communicating care plans with health team members.

CORE COMPETENCY 1: Maintains accurate and updated documentation of patient care Indicator: Completes updated documentation of patient care

CORE COMPETENCY 2: Records outcome of patient care Indicator: Utilizes a record system CORE COMPETENCY 3: Observes legal imperatives in recording keeping Indicators: Observes confidentially and privacy of patient s records Maintains an organized system of filing and keeping patient s records in a designated area Refrains from releasing records and other information without proper authority 10. COMMUNICATION In this key area, core competencies include establishing communication with the patient and treatment team, learning to read verbal and nonverbal cues, using visual aids and other resources when necessary, responding to patient and group needs and effectively using technology to facilitate communication.

CORE COMPETENCY 1: Establishes collaborative relationship with colleagues and other members of the health team Indicators: Contributes to decision making regarding patients needs and concerns Participates actively in patients care management including audit Recommends appropriate intervention to improve patient care Respects the role of the other members of the health team Maintains good interpersonal relationships with patients, colleagues and other members of the health team CORE COMPETENCY 2: Collaborates plan of care with other members of the health team Indicator: Refers patients to allied health team partners Acts liaison / advocate of the patients Prepares accurate documentation of efficient communication of services

CORE COMPETENCY 1: Establishes rapport with patients, significant others and members of the health team. Indicators:

Heart of worship

ONE DESIRE
Intro: E - A - E - A (Verse 1) E You gave it all for me A My soul desire, my everything E A All I am is devoted to you (Verse 2) E How could a fail to see A You are the love that rescued me E A All I am is devoted to you (Pre-Chorus) B C#m Oh, how could I not be moved? A Lord here with you E B So have your way in me C#m Cause Lord there is just one thing A That I will seek (Chorus) E B This is my cry my one desire C#m To be where you are lord A Now and forever E More than a song, D My one desire F#m Is to be with you C#m A Is to be with you E - A - E - A Jesus (Bridge) E A The one thing, E/G# A The one thing, C#m B E That I ask is to be with you D A G Asus A When the music fades all is stripped away and i simply come D A G Longing just to bring something that's of worth that will bless Asus A your heart Prechorus Em D A Em D I'll bring you more than a song for a song in itself is not what you have A Em D A Em required you search much deeper within through the way things appear D A you're looking into my heart Chorus D A Em G I'm coming back to the heart of worship and it's all about you it's all A D about you Jesus D A Em G I'm sorry lord for the thing I made it when it's all about you it's all A D about you Jesus Verse 2 D A G Asus A King of endless worth no one could express how much you deserve D A G Asus A though i'm weak and poor all i have is yours every single breath Prechorus Em D A Em D I'll bring you more than a song for a song in itself is not what you have A Em D A Em required you search much deeper within through the way things appear D A you're looking into my heart Chorus D A Em G I'm coming back to the heart of worship and it's all about you it's all

A D about you Jesus D A Em G I'm sorry lord for the thing I made it when it's all about you it's all A D about you Jesus D A Em G I'm coming back to the heart of worship and it's all about you it's all A D about you Jesus D A Em G I'm sorry lord for the thing I made it when it's all about you it's all A D about you Jesus