COMPETENCY APPRAISAL I

Submitted by:
Chris Denver Y. Bancale

Submitted to:
CBM R.N
1. What are the core competencies under the 11 key
area of responsibility?
Core competencies under the 11 Key Areas of Responsibility
Key Areas of Core Competency: Indicators
Responsibility
A. Safe and Quality Core Competency 1: • Identifies the health needs of the
Nursing Care Demonstrates knowledge clients
base on the health /illness (individuals, families, population
status of individual / groups
groups and/or communities)
• Explains the health status of the
clients/
groups
Core Competency 2. • Identifies clients’ wellness
Provides sound decision potential and/or
making in the care of health problem
individuals • Gathers data related to the health
families/groups condition
considering their beliefs • Analyzes the data gathered
and values • Selects appropriate action to
support/enhance wellness
response;
manage the health problem
• Monitors the progress of the
action taken
Core Competency 3: • Performs age-specific safety
Promotes safety and measures in all
comfort and privacy of aspects of client care
clients • Performs age-specific comfort
measures in
all aspects of client care
• Performs age-specific measures
to ensure
privacy in all aspects of client care

Core Competency 4: • Identifies the priority needs of

Sets priorities in clients
nursing care based on • Analyzes the needs of clients
clients’ needs • Determines appropriate nursing
care to
address priority needs/problems
Core Competency 5: • Refers identified problem to
Ensures continuity of appropriate
care individuals / agencies
• Establishes means of providing
continuous
client care
Core Competency 6: • Conforms to the 10 golden rules
Administers medications in medication administration and
and other health health
therapeutics therapeutics

Core Competency 7: • Obtains informed consent

Utilizes the nursing • Completes appropriate
process as framework assessment forms
for nursing • Performs appropriate assessment
7.1 Performs techniques
comprehensive and • Obtains comprehensive client
systematic nursing information
assessment • Maintains privacy and
confidentiality
• Identifies health needs
7.2 Formulates a • Includes client and his family in
plan of care in care planning
collaboration with • Collaborates with other members
clients and other of the
members of the health health team
team • States expected outcomes of
nursing
intervention maximizing clients’
competence
• Develops comprehensive client
care plan
maximizing opportunities for
prevention of
problems and/or enhancing
wellness
response
• Accomplishes client-centered
discharge plan
7.3 Implements • Explains interventions to clients
planned nursing care and family
to achieve identified before carrying them out to
outcomes achieve identified
outcomes
• Implements nursing intervention
that is safe
and comfortable
• Acts to improve clients’ health
condition or
human response
• Performs nursing activities
effectively and in
a timely manner
• Uses the participatory approach
to enhance
client-partners empowering
potential for

7.4 Evaluates
progress toward
expected outcomes
B. Management of Core Competency 1:
Resources and Organizes work load to
Environment facilitate client care
Core Competency 2:
Utilizes financial
resources to support client
care
Core Competency 3:
Establishes
mechanism to ensure
proper functioning of
equipment
Core Competency 4:
healthy life style/wellness
• Monitors effectiveness of
nursing
interventions
• Revises care plan based on
expected
outcomes
• Identifies tasks or activities that
need to be
accomplished
• Plans the performance of tasks or
activities
based on priorities
• Verifies the competency of the
staff prior to
delegating tasks
• Determines tasks and procedures
that can
be safely assigned to other
members of the
team
• Finishes work assignment on
time
• Identifies the cost-effectiveness
in the
utilization of resources
• Develops budget considering
existing
resources for nursing care
• Plans for preventive maintenance
program
• Checks proper functioning of
equipment
considering the:
- intended use
- cost benefits
- infection control
- safety
- waste creation and disposal
storage
• Refers malfunctioning equipment
to
appropriate unit
• Complies with standards and
 Maintains a safe
environment
C. Health Education Core Competency 1:
Assesses the learning
needs of the client-partner/
s validation
Core Competency 2:
Develops health
education plan based
on assessed and
anticipated needs
safety codes
prescribed by laws
• Adheres to policies, procedures
and protocols
on prevention and control of
infection
• Observes protocols on pollution-
control
(water, air and noise)
• Observes proper disposal of
wastes
• Defines steps to follow in case of
fire,
earthquake and other emergency
situations.
• Obtains learning information
through
interview, observation and
• Analyzes relevant information
• Completes assessment records
appropriately
• Identifies priority needs
• Considers nature of learner in
relation to:
social, cultural, political,
economic,
educational and religious factors.
• Involves the client, family,
significant others
and other resources in identifying
learning
needs on behavior change for
wellness,
healthy lifestyle or management of
health
problems
• Formulates a comprehensive
health education
plan with the following
components:
objectives, content, time allotment,
teachinglearning
resources and evaluation
parameters
• Provides for feedback to finalize
the plan
 Core Competency 3: • Develops information education
Develops learning materials appropriate to the level
materials for health of the client
• Applies health education
principles in the education
development of information
education
materials
Core Competency 4: • Provides for a conducive
Implements the health learning situation
education plan in terms of time and place
• Considers client and family’s
preparedness
• Utilizes appropriate strategies
that
maximize opportunities for
behavior change
for wellness/healthy life style
• Provides reassuring presence
through active
listening, touch, facial expression
and
gestures
• Monitors client and family’s
responses to
health education
Core Competency 5: • Utilizes evaluation parameters
Evaluates the outcome of • Documents outcome of care
health education • Revises health education plan
based on
client response/outcome/s
D. Legal Responsibility Core Competency 1: • Fulfills legal requirements in
Adheres to practices nursing practice
in accordance with the • Holds current professional
nursing law and other license
relevant legislation • Acts in accordance with the
including contracts, terms of
informed consent. contract of employment and other
rules and
regulations
• Complies with required
continuing
professional education
• Confirms information given by
the doctor for
informed consent
• Secures waiver of responsibility
for refusal
 to undergo treatment or procedure
• Checks the completeness of
informed
consent and other legal forms
Core Competency 2: • Articulates the vision, mission of
Adheres to the
organizational policies institution where one belongs
and procedures, local • Acts in accordance with the
and national established
norms of conduct of the institution
/
organization/legal and regulatory
requirements

Core Competency 3: • Utilizes appropriate client care

Documents care records and
rendered to clients reports.
• Accomplishes accurate
documentation in all
matters concerning client care in
accordance to the standards of
nursing
practice.
E. Ethico-moral Core Competency 1: • Renders nursing care consistent
Responsibility Respects the rights of with the
individual / groups client’s bill of rights: (i.e.
confidentiality of
information, privacy, etc.)

Core Competency 2: • Meets nursing accountability

Accepts responsibility and requirements
accountability for own as embodied in the job description
decision and actions • Justifies basis for nursing actions
and
judgment
• Projects a positive image of the
profession

Core Competency 3: • Adheres to the Code of Ethics for

Adheres to the Nurses
national and and abides by its provision
international code of • Reports unethical and immoral
ethics for nurses incidents to
proper authorities
F. Personal and Core Competency 1: • Identifies one’s strengths,
Professional Development Identifies own learning weaknesses/
needs limitations
• Determines personal and
professional goals
and aspirations
Core Competency 2: • Participates in formal and non-
Pursues continuing formal
education education
• Applies learned information for
the
improvement of care
Core Competency 3: • Participates actively in
Gets involved in professional, social,
professional civic, and religious activities
organizations and • Maintains membership to
civic activities professional
organizations
• Support activities related to
nursing and
health issues

Core Competency 4: • Demonstrates good manners and

Projects a right
professional image of conduct at all times
the nurse • Dresses appropriately
• Demonstrates congruence of
words and
action
• Behaves appropriately at all
times

Core Competency 5: • Listens to suggestions and

Possesses positive recommendations
attitude towards • Tries new strategies or
change and criticism approaches
• Adapts to changes willingly

Core Competency 6: • Assesses own performance

Performs function against
according to standards of practice
professional • Sets attainable objectives to
standards enhance
nursing knowledge and skills
• Explains current nursing
practices, when
situations call for it
G. Quality Improvement Core Competency 1: • Identifies appropriate quality
Gathers data for improvement
quality improvement methodologies for the clinical
problems
• Detects variation in specific
parameters i.e
vital signs of the client from day to
day
• Reports significant changes in
clients’
condition/environment to improve
stay in
the hospital
• Solicits feedback from client and
significant
others regarding care rendered
Core Competency 2: • Shares with the team relevant
Participates in nursing information
audits and rounds regarding clients’ condition and
significant
changes in clients’ environment
• Encourages the client to
verbalize relevant
changes in his/her condition
• Performs daily check of clients’
records /
condition
• Documents and records all
nursing care and
actions implemented

Core Competency 3: • Reports to appropriate person/s

Identifies and reports significant
variances variances/changes/occurrences
groups immediately
• Documents and reports observed
variances
regarding client care
 Core Competency 4: • Gives an objective and accurate
Recommends report on
solutions to identified what was observed rather than an
problems interpretation of the event
• Provides appropriate suggestions
on
corrective and preventive
measures
• Communicates solutions with
appropriate

H. Research Core Competency 1: • Specifies researchable problems

Gather data using regarding
different client care and community health
methodologies • Identifies appropriate methods of
research
for a particular client / community
problem
• Combines quantitative and
qualitative
nursing design through simple
explanation on
the phenomena observed
Core Competency 2: • Analyzes data gathered using
Analyzes and appropriate
interprets data statistical tool
gathered • Interprets data gathered based on
significant
findings
Core Competency 4: • Shares/presents results of
Disseminates results findings to colleagues / clients/
of research findings family and to others
• Endeavors to publish research
• Submits research findings to own
agencies and others as appropriate

Core Competency 5: • Utilizes findings in research in

Applies research findings the provision of nursing care to
in nursing individuals / groups / communities
practice • Makes use of evidence-based
nursing to enhance nursing
practice
I. Records Management Core Competency 1: • Completes updated
Maintains accurate documentation of client
and updated care
documentation of • Applies principles of record
client care management
 • Monitors and improves accuracy,
completeness and reliability of
relevant data
• Makes record readily accessible
to facilitate
client care
Core Competency 2: • Utilizes a records system ex.
Records outcome of Kardex or
client care Hospital Information System
(HIS)
• Uses data in their decision and
policy making
activities

Core Competency 3: • Maintains integrity, safety,

Observes legal access and
imperatives in record security of records
keeping • Documents/monitors proper
and privacy of the record storage,
clients’ records retention and disposal
• Observes confidentially and
privacy of the client’s records
• Maintains an organized system
of filing and keeping clients’
records in a designated area
area
• Follows protocol in releasing
records and
other information
J. Communication Core Competency 1: • Creates trust and confidence
Establishes rapport • Spends time with the
with client, significant client/significant others
others and members and members of the health team to
of the health team facilitate
interaction
• Listens actively to client’s
concerns/significant
others and members of the health
team

Core Competency 2: • Interprets and validates client’s

Identifies verbal and body
non-verbal cues language and facial expressions

Core Competency 3: • Makes use of available visual

Utilizes formal and aids
informal channels • Utilizes effective channels of
communication
 relevant to client care management

Core Competency 4: • Provides reassurance through

Responds to needs of therapeutic
individuals, family, touch, warmth and comforting
group and community words of
encouragement
• Provides therapeutic bio-
behavioral
interventions to meet the needs of
clients
Core Competency 5: • Utilizes telephone, mobile
Uses appropriate phone, electronic
information media
technology to facilitate • Utilizes informatics to support
communication the delivery of
healthcare
K. Collaboration and Core Competency 1: • Contributes to decision making
Teamwork Establishes regarding
collaborative clients’ needs and concerns
relationship with • Participates actively in client
colleagues and other care
members of the health management including audit
team • Recommends appropriate
intervention to
improve client care
• Respect the role of other
members of the
health team
• Maintains good interpersonal
relationship
with clients , colleagues and other
members
of the health team
Core Competency 2: • Refers clients to allied health
Collaborates plan of team partners
care with other • Acts as liaison / advocate of the
members of the health client
team • Prepares accurate documentation
for
efficient communication of
services
2. Obtain 3 cases in your current clinical rotation
 Assess Clients
 Identify risk nursing diagnosis
 Plan appropriate nursing interventions with client and family
 Implement Plan of Care with PX and family
 Evaluate progress of client’s condition and outcomes of care
 Assessment Nsg. Diagnosis Objective Nsg. Intervention Rationale Evaluation

Subjective: Hyperthermia r/t Within 8 hours of Independent Nursing After 8 hours of

“Mainit po ang Pathological effective nursing Action: rendering effective
katawan ko”as Disturbances 2° intervention patient -Monitor vital sign - Serves at baseline nursing intervention
verbalized by the Dengue Fever body temperature will data. the goal was not met
patient. be decrease from 39.1- - Monitor intake and -To know the fluid completely met as
37.5˚C output balance of the body evidenced by patient’s
body temperature 39.1
- Perform TSB - To reduce body to 38.8˚C.
Objective: After 4 days of nursing temperature through Patient’s skin still
V/S taken: Septemer 6, intervention client will the process of warm to touc still flush
2017 as of 8am be able to maintain conduction skin
normal body -Increase oral fluid - To prevent
BP – 130/80mmHg temperature within the intake dehydration and
Temp. – 39.1˚C range of 36.5-37.6°C support circulating
RR – 22 volume.
PR – 106bpm - Provide safe & quite - To provide conducive
environment place to rest .Inform
- Flushing of skin the patient about
- Skin warm to touch -Inform the patient proper management of
about proper fever
management of fever - To be able for the
patient to know the
Dependent nursing proper management.
intervention:
- Administer
medications as order -To elevate the
by physicians such as patient’s body
Paracetamol 300mg IV temperature.
 Assessment Nsg. Diagnosis Objective Nsg. Rationale Evaluation
Intervention

Subjective: Risk for bleeding r/t Independent Nursing After 8hrs of nursing
“Naga pababa daw altered clotting ability After 3 days of Action: intervention client is
yung platelet ko sir r/t low platelet count nursing intervention still at risk for
sabi ni doc” s/t dengue fever client will be able to Asses client risk -To obtain baseline bleeding as
As verbalized reduce risk for noting medical data manifested by lab
bleeding as evidence diagnosis results of platelets still
by normal results in going down
Objective: laboratory such as Assess Vital Signs
platelet count
-V/S: T: 39.1 PR: 102 Assess skin color, -Changes in these
RR:22 BP: 130/80 moisture, I%O, and signs may indicate
After 5 days of level of consciousness blood loss
-low plate count of 69 effective nursing care
N: 150-450 (Sept. client will be out of Maintain patency of
6,2017) risk for bleeding as vesicular access -for fluid
evidence by normal administration
-Dengue fever results of HGB,HCT Be prepared to
and Platelet administer hemostatic
-HGB: 191(H) N:115- agents if needed -to promote clotting
135 and diminish bleeding
-HCT: 0.54(H) Provide information to by increasing
N:0.35-0.45 the family about the coagulation factors
disease -to collaborate with
the family and inform
Instructed to increase them of the disease
intake of food rich in -to improve blood
vitamin such as clotting
Cabbage and
Cucumbers
-to avoid case of
Instructed client to bleeding
avoid any injury as
possible.
 Assessment Nsg. Diagnosis Objective Nsg. Rationale Evaluation
Intervention

Subjective: Acute pain Within 8 hours Independent After 8 hours of

“ Sakit talaga Nursing Action:
related to of effective -Perform a - To improve rendering
ng ulo ko sir clinical nursing comprehensive quality, frequency & effective
mga 10 out of assessment of pain location of pain.
manifestations intervention nursing
10 siguro” as of dengue fever patient will be - Provide non- -To alleviate pain. intervention the
verbalized able to feel less pharmacologic goal was
management like
pain on his change of position partially met as
Objective head. evidenced by

- Encourage -To divert his less guarding of

V/S taken: diversional activities attentions to the pain head and patient
:September 6, verbalize partial
- Encourage rest - To prevent fatigue
2017 as of 2pm relieve of pain
period

BP – 130/80mmHg -Provide emotional -To enhance the

Temp. – 39.1˚C support desire of the patient to
RR – 22bpm follow treatment
PR – 102bpm regimen

- Guarding of head Dependent nursing

- Facial grimace intervention:
- Pain scale of - Administer - To alleviate pain.
medications as order
by physicians such
10/10 Ketorolac

-Restless

-Uninterested in
the surrounding
 How do you integrate the various
competencies in the various key areas of
responsibilities in the care of your client?
Core competencies in the 11 key areas of responsibility is the foundation in delivering the
proper and correct way of care to the client, this serves as guidelines on what to do and how
to do it during an encounter with the client, These Core competencies are made to give us the
glance on what do we need to do when we are in an encounter with a client, How to do it
effectively, and achieve our ultimate goal which is the total recovery of our clients.

I can integrate these core competencies by applying each of them in every procedure I make
to the patient, these core competencies could greatly boost my health care skills in every
possible way, it could also make a great positive impact on the client as applying these
competencies on them could greatly boost their recuperative process, these core
competencies are my guide in delivering a very effective care to the client.

Reading and understanding these competencies will surely integrate these things in my care
of my client.