Download - Level 1 Framework-matrix
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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FRAMEWORK OF THE ROLE OF CLINICAL INSTRUCTOR IN
STUDENT SUPERVISION
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LEVEL 1