Level 1 Framework-matrix

8/8/2019 Level 1 Framework-matrix

1/23

Key Areas ofResponsibility

Core Competency PerformanceIndicators

ROLES OF CI Competencies thatneed to be

developed on level I

Skills needed to bedeveloped in Level I

1. Safe andQuality

NursingCare

Core Competency1: Demonstrates

knowledge baseon the health/illness status ofindividual /groups

Core Competency2. Provides sound

decision makingin the care ofindividuals /families/groupsconsidering theirbeliefs and values

Identifies the healthneeds of the clients

(individuals, families,population groupsand/or communities)Explains the healthstatus of the clients/groups

Identifies clientswellness potentialand/or health problem

Gathers data relatedto the health condition

Analyzes the datagathered

Selects appropriateaction to support/enhance wellnessresponse; manage thehealth problem

Monitors the progress

Serves as a role model for

other faculty, staff, and

students in the area ofclient service,

collaboration,

communication,

excellence, dress,

attendance, and general

professionalism.

Assumes responsibility for

all autonomous aspect s of

individual teaching loads.

Participates in academic

advisement and counselingfor an assigned group of

students while

participating in assessment

of potential and real

counseling concerns for all

students with whom the

faculty come in contact.

Plans clinical experience

for and provides

supervision and evaluation

of nursing students

delivering nursing care to

an individual, groups andcommunities.

A. Given simulatedconditions/

situations, thestudents will beable to:

1.)Differentiateviews givenby variousnursingtheorists onperson,health,environment

and nursing,2.)Describe thevarious nonnursingtheories asapplied tonursing.

3.)Utilizeselectednursingtheory andnon nursing

theories inthe care of

A. Skills on:

- Bedmaking- Bed bathing- Demonstration oftheDifferent types ofexercise

b. Skills on Nutritionand Elimination

- Cumputation of

BMR- I & O Monitoring- NGT Feeding- ChestPhysiotherapy- Pursed LipBreathing

C. Skills onOxygenation

- Chest Physiotherapy

- Pursed Lip Breathing- Diaphragmatic


2/23

Core Competency3: Promotes

safety andcomfort andprivacy of clients

Core Competency4: Sets prioritiesin nursing carebased on clientsneeds

Core Competency5: Ensures

of the action taken

Performs age-specificsafety measures in allaspects of client care

Performs age-specificcomfort measures inall aspects of clientcarePerforms age-specificmeasures toensure privacy in allaspects of client care

Identifies the priorityneeds of clients

Analyzes the needs ofclients

Determinesappropriate nursingcare to addresspriorityneeds/problems

Refers identified

problem toappropriate

A faculty member at the

rank of instructor begins to

assume leadership within

the college by accepting or

initiating as part of the

workload, responsibility

for activities such as:

develops leadership skills

through formal course

work or continuing

education, participates in

activities outside the

college, serves as college

committees and serves as

course coordinator.

clients.4.)Demonstrates

selectedcompetenciesunder the

eleven keyareas ofresponsibilities pertinent tonursing.

B. Describe the anatomicstructures andphysiologicmechanisms/processes/systemsinvolved in thefollowingphysiologicconcepts:

1.1) Locomotion

1.2) Fluidtransport

1.3) Gas

exchange1.4) Fluid

Exercise- Care for client withCTT- Oro &Nasopharyngeal

suctioning- Deep BreathingExercise- Identification of thedifferent instruments inOxygen therapy

D. Skills on DataClustering & Making ofNursing Diagnosis

E. Utilize therapeuticnurse patientrelationship

F. Utilize the NursingProcess

G. Formulate effectiveNursing care plan

H. Taking Vital Signs

I Administration of


3/23

continuity of care

Core Competency6: Administersmedications andother healththerapeutics

Core Competency7: Utilizes thenursing processas framework fornursing

7.1 Performscomprehensive andsystematic nursingassessment

individual/agencies

Establish means ofproviding continuouspatient care

Obtains consent

Completes appropriateassessment forms

Performs appropriateassessmenttechniques

Obtainscomprehensive clientinformation

Maintains privacy andconfidentiality

andelectrolyte, acid/basedynamics.

1.5) Nutritionmetabolism

1.6) Chemicalregulation

1.7) Neuralregulation

1.8) Sensoryintake

1.9) Protection

1.10) Awareness andresponseto theenvironment

1.11) Reproduction

B.1. utilize basic

anatomical factsand

medications

J. Asepsis and infectioncontrol

K. Wound care

L. Catheterization

II. Nursing HealthAssessment

A. Nursing Data

Collection, Documentationand Analysis

- Collecting Subjective Data

1. Data to be collected

2. Interviewing

3. Communicationduring Interview

4. Special considerationduring the interview

5. Complete HealthHistory Format:

6. Collecting ObjectiveData

7. Validating and


4/23

7.2 Formulates aplan of care incollaboration withclients and othermembers of thehealth team

7.3 Implementsplanned nursingcare to achieveidentified outcomes

Identifies health needs

Includes client and

his family in careplanning

Collaborates withother members ofthe health team

States expectedoutcomes ofnursingintervention

maximizing clientscompetence

Developscomprehensiveclient care planmaximizingopportunities forprevention ofproblems and/orenhancingwellness response

Accomplishes client-

physiologicalconcepts andprinciples in thenursing care ofindividuals

C. Given actual orsimulatedsituations/conditions, the studentsshould be able to:

1. Utilize thenursingprocess in theholistic careof client forthe promotionndmaintenanceof helth1.1 assess

with theclienthis/herhealthstatus andrisk factorsaffecting

health,1.2 identify

documenting data

III. Primary Assessment

Techniques

A. InspectionB. Palpation

C. PercussionD. Ausculattion

IV. Physical Assessment

Head to Toe

IV. Nursing Assessment ofthe Infant, Toddler, School-

aged, Adolescent, YoungAdult, Adult, Old Age:

a. General Survey Mental

Status Examination, VitalSigns

b. Skin, Hair and Nail

Assessment

c. Head and Neck

Assessment

d. Eye Assessment


5/23

7.4 Evaluatesprogress towardexpected outcomes

Core Competency 8:

Responds to urgency ofpatients condition

centered dischargeplan

Explains

interventions toclients and familybefore carryingthem out toachieve identifiedoutcomes

Implements nursingintervention that issafe andcomfortable

Acts to improveclients healthcondition orhuman response

Performs nursingactivitieseffectively and in atimely manner

Uses the

participatoryapproach to

actualwellness/atrisknursingdiagnosis

1.3 planwith clientappropriateinterventions for thepromotionandmaintenance ofhealth

1.4 implement withclientappropriateinterventions for thepromotionandmaintenance ofhealth

1.5 evaluate with

e. Ear Assessment

f. Mouth, Throat, Nose,Sinus Assessment

g. Thoracic and Lung

Assessment

h. Breast and LymphaticAssessment

i. Heart and Neck Vessel

Assessment

j. Peripheral VascularAssessment

k. Abdominal Assessment

L. Female GenitaliaAssessment

M. Musculoskeletal

Assessment

N. Neurologic Assessment

V. Psychosocial Assessment

VI. Interpreting laboratory


6/23

enhance client-partnersempoweringpotential forhealthy life

style/wellness

Monitorseffectiveness ofnursinginterventions

Revises care planbased on expectedoutcomes

Identifies sudden changes

in patients condition

I

mplements immediateand appropriate

interventions

clientoutcomesof ahealthystatus

D. Differentiatesnormal fromabnormalassessmentfindings

Results

8. Communication

Core Competency1: Establishes

rapport withclient, significant

Creates trust andconfidence

Interprets and

Discuss the differentpractice models

Utilize the therapeutic


7/23

others andmembers of thehealth team

Core Competency2: Identifiesverbal and non-verbal cues

Core Competency3: Utilizes formaland informalchannels

Core Competency4: Responds toneeds ofindividuals,family, group andcommunity

Core Competency5: Usesappropriate

informationtechnology to

validates clients bodylanguage and facialexpressions

Interprets and

validates clients bodylanguage and facialexpressions

Makes use of availablevisual aidsProvides reassurancethrough therapeutictouch, warmth andcomforting words ofencouragement

Provides therapeuticbio-behavioralinterventions to meetthe needs of clients

Utilizes telephone,mobile phone,electronic media

nurse client

relationship

Appreciate the valueof establishing rapport

with the client


8/23

facilitatecommunication

3.

Collaboration andTeamwork

Core Competency

1: Establishescollaborativerelationship withcolleagues andother members ofthe health team

Core Competency2: Collaboratesplan of care withother members ofthe health team

Contributes to

decision makingregarding clientsneeds and concerns

Acts as liaison /advocate of the client

Recommendsappropriateintervention toimprove client care

Acts as resource person for

students in developing andimplementin g nursing care

plan.

Relate

effectively withclients,members of thehealth team andothers in worksituationsrelated tonursing andhealth


9/23

4. HealthEducation

Core Competency 1:Assesses thelearning needs ofthe client-partner/s

Core Competency 2:Develops healtheducation planbased on assessedand anticipatedneeds

Core Competency 3:Develops learning

materials for healtheducation

Core Competency 4:Implements thehealth educationplan

Obtains learninginformation throughinterview, observationand validation

Analyzes relevantinformation

Completesassessment recordsappropriately

Identifies priorityneeds

Considers nature oflearner in relation to:

social, cultural,political, economic,educational andreligious factors.

Involves the client,family, significantothers and otherresources inidentifying learningneeds on behaviorchange for wellness,healthy lifestyle or

Given thehealthy client ofany age groupacross the lifespan, students

will be able torenderappropriatehealth teachingutilizing thehealth patternspecifically:

1. Essentialactivities ofhealthpromotion to

meet theneeds of:

a. Infantb. Toddlersc. Preschoold. School-aged

childrene. Adolescentf. Young Adultg. Middle Aged

Adulth. Elders


10/23

Core Competency 5:Evaluates theoutcome of healtheducation

management of healthproblems

Develops informationeducation materials

appropriate to thelevel of the client

Applies healtheducation principles inthe development ofinformation educationmaterials

Provides for aconducive learningsituation in terms of

time and place

Considers client andfamilys preparedness

Utilizes appropriatestrategies thatmaximizeopportunities forbehavior change forwellness/healthy lifestyle

2. Differenthealthpromotionactivities forimproving

oxygenation,metabolism,fluid andelectrolytesandperceptionandcoordination.

3. DifferentHealthactivities forillness

prevention4. Importance of

Nutrition inHealthPromotion

5. Differentways onmeasuringthe energybalance

6. Differentnutrientsneeded in


11/23

Provides reassuringpresence throughactive listening, touch,facial expression andgestures

Monitors client andfamilys responses tohealth education

Utilizes evaluationparameters

Documents outcomeof careRevises healtheducation plan based

on clientresponse/outcome/s

healthpromotion

7. Factorsaffectingbowel

elimination8. Measures

againstcancer andways ofcontrollingcancer

9. Differenttypes ofexercise

10. Different childhood

problem11. Measur

es thatfacilitategrievingprocess

II.EMPOWERINGCOMPETENCIES

5. Legal

Core Competency 1:Adheres to practicesin accordance withthe nursing law andother relevantlegislation including

Articulates the vision,mission of theinstitution where onebelongs

Acts in accordance

Implements the Colleges

philosophy, curriculum,

program outcomes and

course objectives through

classroom, clinical

teaching and service to the

college, community, health

system and profession.

Ensure a well-organizedrecording andreporting system

Demonstrates


12/23

Responsibility

contracts, informedconsent.

Core Competency 2:Adheres to

organizationalpolicies andprocedures, localand national

Core Competency 3:Documents carerendered to clients

with the establishednorms of conduct ofthe institution /organization/legal andregulatory

requirements

legal practices indocumentation

Record andreport pertinent

findings

6. Ethico-moralResponsibility

Core Competency 1:Respects the rightsof individual /

groups

Core Competency 2:Acceptsresponsibility andaccountability forown decision andactions

Core Competency 3:Adheres to the

Renders nursing care

consistent with theclients bill of rights:(i.e. confidentiality ofinformation, privacy,etc.)

Reports unethical andimmoral incidents toproper authorities

Identify the KeyAreas ofResponsibility

Appreciate theimportance ofcore values innursing


13/23

national andinternational code ofethics for nurses

7. PersonalandProfessionaldevelopment

Core Competency 1:Identifies ownlearning needs

Core Competency 2:Pursues continuingeducation

Core Competency 3:Gets involved inprofessionalorganizations andcivic activities

Core Competency 4:Projects a

Identifies onesstrengths,weaknesses/limitations

Determines personaland professional goalsand aspirations

Participates actively inprofessional, social,civic, and religiousactivities

Support activitiesrelated to nursing andhealth issues

Demonstrates goodmanners and right

Participates in schoolrelated extracurricular

activities.

Devises and improves

evaluation tools, student

competencies and

performance rating scales

on various nursing

procedures.

Develops curricular/

teaching innovations in the

annual preparation and

revisions of all assigned

course

Discuss aprofession

Discuss criteriaof a profession

Define Nursingas a professionDifferentiatepersonal andprofessional

qualities of anurse


14/23

professional imageof the nurse

Core Competency 5:Possesses positiveattitude towardschange and criticism

Core Competency 6:Performs functionaccording toprofessionalstandards

conduct at all times

Dresses appropriately

Demonstrates

congruence of wordsand action

Behaves appropriatelyat all times

Listens to suggestionsand recommendations

Tries new strategies orapproaches

Adapts to changeswillingly

Sets attainableobjectives to enhancenursing knowledgeand skills

Explains currentnursing practices,when situations callfor it


15/23

III.ENHANCINGCOMPETENCIES

8. RecordsManagement

Core Competency 1:Maintains accurateand updateddocumentation of

client care

Core Competency 2:Records outcome ofclient care

Core Competency 3:

Completes updateddocumentation ofclient care

Applies principles ofrecord management

Monitors andimproves accuracy,completeness andreliability of relevantdata

Makes record readilyaccessible to facilitateclient care

Uses data in theirdecision and policymaking activities

Maintains integrity,safety, access andsecurity of records

Documents/monitorsproper recordstorage, retention and

Provides documentation on

students clinical

performance and

participates in performance

improvement activities.

Ensure a well-organizedrecording andreporting system

Demonstrateslegal practices indocumentation

Record andreport pertinentfindings


16/23

Observes legalimperatives inrecord keeping

disposal

Observesconfidentially andprivacy of the clients

records

Maintains anorganized system offiling and keepingclients records in adesignated area

Follows protocol inreleasing records andother information

9. Manage

mentResources andEnvironment

Core Competency 1:

Organizes work loadto facilitate clientcare

Core Competency 2:Utilizes financialresources to support

Id

entifies tasks oractivities that needto be accomplished

Plans the performanceof tasks or activitiesbased on priorities

Finishes work ass

Identifies the cost-

Implements rules and

regulations regardingrecords and accounting

measures such as

dropping/changing of

subjects,

special/completion

examinations, inspection

of admission slips during

major examinations and

such other rules and

regulations as maybe

formulated by the records

and/or finance division.

Appreciate the

importance ofthe core valuesof Nursingparticularly:

Love of Countryunder which isthe preservation& enrichment ofthe Environmentand CulturalHeritage


17/23

client care

Core Competency 3:Establishes

mechanism toensure properfunctioning of equipment

Core Competency 4:Maintains a safeenvironment

effectiveness in theutilization ofresources

Plans for preventivemaintenanceprogram

Checks properfunctioning ofequipmentconsidering the:

- intended use- safety

- cost benefits

- waste creationand disposal storage

- infection control- Refers

malfunctioningequipment toappropriate unit

Complies withstandards and

safety codesprescribed by laws

Utilizeappropriateassessmenttools in theassessment of

individual clientwith varying agegroup anddevelopment


18/23

Adheres to policies,procedures andprotocols onprevention and

control of infection O

bserves protocols onpollution-control(water, air andnoise)

Observes properdisposal of wastes

Defines steps tofollow in case of fire,earthquake andother emergencysituations.

IV. ENABLINGCOMPETENCIES

10. QualityImprove

ment

Core Competency1: Gathers datafor qualityimprovement

Detects variation inspecific parametersi.e vital signs of theclient from day today

R

eports significantchanges in clients

Differentiatenormal fromabnormalfindings

Utilize concepts,principles,

techniques andappropriate


19/23

Core Competency 2:

Participates innursing audits androunds

Core Competency3: Identifies andreports variances

condition/environment to improve stayin the hospital

Solicits feedback from

client and significantothers regardingcare rendered

Shares with the teamrelevant informationregarding clientscondition andsignificant changesin clientsenvironment

Encourages the clientto verbalize relevantchanges in his/hercondition

Performs daily checkof clients records /condition

Documents and

records all nursingcare and actions

assessmenttools in theassessment ofindividual clientwith varying age

group anddevelopment


20/23

Core Competency4: Recommendssolutions toidentifiedproblems

implemented

Reports toappropriate person/s

significantvariances/changes/occurrencesimmediately

Documents andreports observedvariances regardingclient care

Gives an objective andaccurate report on

what was observedrather than aninterpretation of theevent

Provides appropriatesuggestions oncorrective andpreventivemeasures

C

ommunicatessolutions with


21/23

appropriate groups11. Research Core Competency 1:

Gather data usingdifferentmethodologies

Core Competency 2:Analyzes andinterprets datagathered

Core Competency 3:Recommendsactions forimplementation

Core Competency 4:

Disseminates resultsof research findings

Core Competency5: Appliesresearch findingsin nursingpractice

Recommends practicalsolutions appropriateto the problem basedon the interpretationof significant findings

Makes use of

evidence-basednursing to enhancenursing practice

Demonstrates scholarship

through the following

activities: academic course

work, active involvement

in implementation of

teaching, service,professional practice or

research projects or formal

publication in scholarly

works related to nursing

and/or education or

presentations to

professional audience.

Makes use ofevidence-basednursing toenhance nursing

practice such asusing nursingtheories


22/23

FRAMEWORK OF THE ROLE OF CLINICAL INSTRUCTOR IN

STUDENT SUPERVISION


23/23

LEVEL 1