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Course Name: COMPETENCY APRAISAL 1
Course Description:This course deals with the application of the
concepts , principles and processes basic to the practice of
nursing
with emphasis on health promotion, health maintenance,
preventive, risk reduction, curative and rehabilitative aspects
ofcare for the mother, child and family, population group and
community with problems of oxygenation, fluid and
electrolyte balance, metabolism and endocrine system. It
includes the utilization of the nursing process and the
corecompetencies under the eleven (11) key areas of responsibility,
research and management and leadership skills in thepractice of
nursing.
Course Credit: 3 units lecture
Contact Hours/Semester: 54 hours lecture
Prerequisite : NCM 105, Nursing Research 1
Placement: 4 th year, First Semester
Terminal Competencies:
Given relevant simulated situation involving health promotion,
health maintenance, preventive, risk reduction, curative and
rehabilitativeaspects of care for the mother, child and family,
population group and community, the students will be able to:
1. Apply the nursing process in the care of
individuals/families/ population group in selected setting.1.1.
Assess with clients his/her/ their condition/ health status through
interview, ph ysical examination, interpretation of laboratory
findings1.2. Identify actual and at risk nursing diagnosis1.3. Plan
appropriate nursing interventions with client and family for
identified nursing diagnosis1.4. Implements plan of care with
client and family1.5. Evaluate the progress of his/her/their client
condition and outcomes of care,
2. Ensure a well organized and accurate documentation system3.
Utilize bioethical concepts/ principles, core values and nursing
standards in the care of clients,4. Integrate the various
competencies in the various key areas of responsibilities in the
care of selected clients.
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PATIENT CARE COMPETENCIES OVERVIEW CONTENTS KEY CONTENTS
I. PATIENT CARE COMPETENCIESDefinition: Cluster of key areas of
responsibilitythat include safe and quality care,communication,
health education andcollaboration and team work.
A. Safe and Quality Nursing CareThe nurse promotes achievement
of clientoutcome by providing nursing care thatenhances the care
delivery in any settingand across the life span in order to
protectclient, family/ significant others and other health care
personnel.
1. Safety and Infection Control protectingclients and health
care personnel from healthand environment hazard.- Medical and
Surgical Asepsis- Safety Use of Equipment- Use of Restraints/
safety Devices- Handling Hazardous and Infectious
Materials- Injury Prevention- Home Safety- Error Prevention- 10
Golden Rules in Administration of
Medication
2. Health Promotion and MaintenanceThe nurse provides nursing
care of the client
and family/significant others that incorporatethe knowledge of
expected growth anddevelopment principled, prevention and/or early
detection of the health problems andstrategies to achieve optimal
health.- Growth and Development- Aging Process-
Ante/Intra/Postpartum & Newborn Care- Health Promotion Programs
and the Health
care delivery SystemExpanded Program on ImmunizationPneumonia
Vaccine/Flu Vaccine
Newborn Screening
Reproductive Health- High Risk Behaviors- Health and Wellness-
Family System
- Client unit and Basic Equipments- The Chain of Infection-
Basis of Microbiology- Standard, Precaution- Barrier Techniques-
Key Nursing Concepts- Key Nursing Concepts- Specific Nursing
Procedures- Important Medications
- Development Stages and Transition- Local and National Health
Agencies
- Preventive Health Care- Maslows Hierarchy of Needs - Family
and Community Needs- Personal Health Maintenance- Community Health
Maintenance- Physical Growth and Development- Piaget Cognitive and
Motor Development- Erickson Moral Development- Infertility and
Health Belief Model
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- Human Sexuality- Lifestyle Choices- Self Care- Disease
Prevention
3. Psychosocial IntegrityThe nurse promotes achievement of
client/outcome by providing nursing care thatenhances health care
delivery in any settingacross the lifespan in order to protect
clients,family significant others and others health carepersonnel-
Crisis Intervention- Coping Mechanism in Illness Situation-
Cultural Diversity- Family Dynamics- Grief, Loss and Mourning-
Child Abuse/neglect- Stress Management
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Situational Role Changes- Support System
4. Physiology IntegrityThe nurse promotes achievement of
clientoutcome by providing nursing care thatenhances care delivery
in any setting acrossthe life span in order to protect clients,
familyand significant others and other health carepersonnel.4.1.
Basic Care and Comfort providing
comfort and assistance in theperformance of activities of daily
living
- Nutrition and Oral Hydration- Personal Hygiene- Rest and
Sleep- Elimination
- Principles of Communication- Therapeutic Communication- Mental
Health and Mental Illness- Defense Mechanism- Diagnostic Technique-
Therapeutic Modalities- Psychosocial Development
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Stages of Death and Dying- Management of Symptoms- End of
Life
- Complementary and Alternative therapies
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- Mobility/ Immobility- Non Pharmacological comfort
Intervention
4.2. Pharmacological and Parenteraltherapies providing care
related tothe administration and parenteraltherapies.
- Adverse/ Effect/ Contraindications- Blood and Blood Products-
Dosage Calculation- Medication Administration-
Parenteral/Intravenous Therapies- Pharmacological Agents/ Action-
Pharmacological Interactions- Total Parenteral Nutrition
4.3. Reduction of Risk Potential reducingthe likelihood that
clients will developcomplication of health problems to
existing conditions, treatments or procedures- Diagnostic test/
Treatment/Procedure- Laboratory Values- Potential for Complications
from surgical
procedures- System Specific Assessment- Vital Signs- Potential
for Complication of Diagnostic
Test/Treatment/ Procedures- Potential for Alterations in body
System- Therapeutic Procedure
4.4. Physiological Adaptation providingcare of clients with
Acute Chronic or Life Threatening Physical HealthCondition.
- Medication preparation- Legal and Ethical Aspects Related
to
Medications- General Classifications of Medications- Desired and
or adverse effect- Safe Medication Administration-
Documentation
- Normal Pregnancy- Normal Labor, Delivery and
PostpartumCare
- Care of Normal Newborn
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B. CommunicationThe nurse utilizes principles ofcommunication in
the care of clients/families/ communities.
C. Health EducationThe nurse utilizes principles in
teaching/learning in addressing the health problemsof the
clients/family/ significant others
- Alterations in Body System (Fluid andElectrolytes)
- Fluids and Electrolyte Imbalances- Pathophysiology- Illness
Management- Unexpected Response to Therapies- Integrated Management
of Childhood
Illness
- Nursing Informatics- Nurse- Clients Relationship- Inter and
Intra Personal Communications- Effective/Functional Communications-
Therapeutic Relationship- Elements of Communication
- Clients Education- Principles in Teaching/Learning- Discharge
Planning- Learning Domains- Teaching strategies- Barriers to
Learning
- High Risk Pregnancy and Childbirth- High Risk Newborn-
Sexuality, Fertility- Pediatric nursing- Care of Infant, Toddler or
Preschool- Care of School-age child or adolescent- Child of
adolescent with special needs- Topics related to each body
system
Specific diagnostic testCommon medical treatmentNursing
processCommon surgical proceduresImportant medications
- Disorder and special concern related toaging
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D. Collaboration and Teamwork
The nurse establishes collaborativerelationship with colleagues
and other members of the health team.
II. EMPOWERING COMPETENCIES
Definition: Cluster of Key Areas ofResponsibility that mandate
compliance tothe standards of legal, ethico-moralresponsibilities
and personal andprofessional development.
A. Legal Responsibilities The nurseadheres to practice in
accordancewith the laws, policies and guidelinesaffecting
nursing
B. Ethico-Moral Responsibility The nurseobserves ethico-moral
considerationsint hepractice of the profession
- Inter and Intra Professional Relationship- The Health care
Delivery System- Referral
Relevant Laws and Legislation such as EPI:- Sanitation Law-
Reproductive Right
Selected Aspects of the Constitution Related tothe Practice of
Nursing such as:
- Bill of Rights- Provision on Health, Women and Family- Health
Care and Organizational Policies
Documentation- Informed Consent- Contracts and Other Legal
Forms
- Accountability- Professionalism- Confidentiality
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C. Personal and ProfessionalDevelopment- The nurse
acceptsresponsibility for ones personal andprofessional development
in thepractice of nursing.
III. ENABLING COMPETENCIESDefinition: Cluster of Key Areas
ofResponsibility that provide support toeffective and efficient
performance ofpatient care competencies includingmanagement of
resources andenvironment and record management
A. Management of Resources andEnvironment includes managerialand
supervisory skills that enhancenursing care delivery to protect
clients,family , significant others
B. Record Management the nurse
maintains accurate and updateddocumentation of patient care.
- Privacy- Ethical Principles- Code of Ethics- Patients Bill Of
Rights - Ethical Dilemma
- Nursing theories- Historical Development in Nursing- Nursing
as a Science, Art Profession,
Vocation- Professional Decorum
- Establishing Priorities- Case Management- Advocacy- Continuity
of Care- Resource Management- Management of Care
- SOAPIE Charting
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Legal Imperatives in Record Keeping- The Nursing Care Plan-
Kardex- Confidentiality and Privacy of Patient
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IV. ENHANCING COMPETENCIESDefinition: Cluster of Key Areas
ofresponsibility that endures safe and qualitynursing care to
include research andquality improvement
A. Research Nursing research advancesthe discipline of nursing,
helps developnursing knowledge and improvesnursing care
B. Quality Improvement The nurseparticipant in activities
towards qualitycare management that will ensurequality patient
care.
Records.- The Chart as a Legal Document- Recording and
Reporting- Nursing Informatics- Health Care Technology
- Evidence based Practice- Research Methodologies- Research
Process- Sources of Knowledge- COPAR
- Total Patient Care- Individualized Nursing Care
