Nursing Competency Checklist PDF Details

In the field of nursing, ensuring that registered nurses are fully prepared and competent in their roles is crucial, especially in specialized areas like Critical Care and the Post-Anesthesia Care Unit (PACU). The UCHC Competency Checklist serves as a comprehensive tool to both guide and evaluate the orientation process for the RN position within these critical care environments, encompassing ICU, CSDU, ED, PACU, and ICU Float Pool areas. Through a detailed outline, this form facilitates the documentation of a nurse's abilities in various competencies, starting from basic system navigations, safety and infection control measures, to more advanced clinical practices. The checklist discriminates between departmental, cluster-specific, and unit-specific competencies, inviting a thorough validation of skills through several methodologies such as self-assessment, protocol review, clinical observation, education sessions, and practical demonstrations. It also encompasses equipment operation, documentation, communication protocols, and direct patient care provisions, ensuring registered nurses are well-equipped to deliver high-quality care. By setting a structured pathway for nurses to follow and supervisors to assess, the UCHC Competency Checklist remarkably supports the continuous improvement and assurance of nursing competencies in critical care settings.

QuestionAnswer
Form NameNursing Competency Checklist
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesnursing skills competency checklist template, er triage competency checklist, annual nurse competency checklist, annual nursing competency checklist

Form Preview Example

 

UCHC Competency Checklist: ORIENTATION: RN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position Title: Registered Nurse, JDH

 

 

Employee Name: ________________

 

 

Unit:

 

 

JDH PACU

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cluster Area: Critical Care: ICU, CSDU, ED, PACU & ICU Float Pool

Float Cluster: FSC Perianesthesia

 

 

Start Date: _________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Method of Instruction Key:

 

Method of Evaluation Key:

 

Self-Assessment by Employee

 

 

 

 

 

Validation of Competency

 

P = Protocol/Procedure Review

 

O = Observation (in clinical setting)

 

 

 

 

 

 

 

 

 

 

 

Method of

 

 

 

 

 

 

 

 

Evaluation

 

 

E = Education Session

 

RD = Return Demonstration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Never

 

 

Needs

 

 

 

 

 

Instruction

 

 

 

 

 

 

 

 

Method

 

 

S = Self Learning Package

 

T = Written Test

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Review/

 

C

ompetent

 

(Use

 

 

Date

 

 

Initials

 

 

(Use

 

 

 

 

 

Done

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C = Clinical Practice

 

V = Verbal Review

 

 

 

 

Practice

 

 

 

 

 

Instruction

 

 

 

 

 

 

 

 

Evaluation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D = Demonstration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Key on Left)

 

 

 

 

 

 

 

 

Key on Left)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Level 1 Competencies reviewed and documented in Central Orientation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. GETTING INTO THE SYSTEM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Locates Hard Copy Manuals / Binders on Unit

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Locates On-Line Manuals (Dept. of Nursing Website)

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

Obtains LCR, email, Pyxis, SIS & Bed Management System Access

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recalls Proper Call-Out Procedure

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identifies unit-based orientation plan and timing of evaluations

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

Locates Educational Activity Records Binder / File

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identifies Performance Improvement Initiatives

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. SAFETY/INFECTION CONTROL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Completes radiation dosimetry badge request, if desired

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

Places contact information onto disaster call tree

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identifies and locates personal protective equipment

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Locates fire alarms, extinguishers and exits

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reviews Safety Plan for unit with Safety Trainer

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

V

 

C. EQUIPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 1: DEPARTMENTAL COMPETENCIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accesses OneSource for manufacturer equipment information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVEL 2: CLUSTER SPECIFIC COMPETENCIES – Operates the following according to the operator’s manual

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Defibrillator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Doppler

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Infusion pumps: single- & double-chamber, primary & secondary tubing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials

Signature

 

 

Initials

Signature

 

 

 

 

 

 

 

 

 

Initials

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised 4/07, 5/07, 3/10, 3/11, 11/12

Page 1 of 7

How to Edit Nursing Competency Checklist Online for Free

It's an easy task to complete the nurse competency form gaps. Our software makes it almost effortless to work with almost any PDF. Listed below are the primary four steps you need to follow:

Step 1: To begin with, click on the orange "Get form now" button.

Step 2: As soon as you've entered the editing page nurse competency form, you will be able to notice all of the functions intended for your document within the upper menu.

In order to fill out the nurse competency form PDF, enter the details for all of the sections:

er triage competency checklist blanks to complete

Enter the requested data in the space B SAFETYINFECTION CONTROL, E E E E E, V V, C EQUIPMENT LEVEL DEPARTMENTAL, Doppler, Infusion pumps single, Initials, Signature, Initials, Signature, Initials, Signature, Revised, and Page of.

Finishing er triage competency checklist step 2

You should be required specific important data so you can fill out the UCHC Competency Checklist, Unit JDH PACU Start Date, Method of Instruction Key P, Method of Evaluation Key O, SelfAssessment by Employee, Validation of Competency, Never Done, Needs Review Practice, Competent, Method of Instruction Use, Date, Initials, Evaluation Method Use Evaluation, Infusion pumps syringe Oxygen, and Pyxis Machines field.

Finishing er triage competency checklist part 3

You have to indicate the rights and obligations of both parties in field Code Cart Hemodynamic monitoring, Hemodynamic monitoring central, Latexfree supply box, Malignant Hyperthermia supply boxes, Medication Lockboxes, Monitors GE Carescape B Outside, Pediatric Anesthesia Cart, Pumps PCA, Radial Hemostasis Bands, Initials, Signature, Initials, Signature, Initials, and Signature.

Filling out er triage competency checklist part 4

Finish the file by looking at the next fields: UCHC Competency Checklist, Unit JDH PACU Start Date, Method of Instruction Key P, Regional Anesthesia Cart, Ventilators, Method of Evaluation Key O, SelfAssessment by Employee, Validation of Competency, Never Done, Needs Review Practice, Competent, Method of Instruction Use, Date, Initials, and Evaluation Method Use Evaluation.

Filling out er triage competency checklist step 5

Step 3: Select the "Done" button. Now, you may export the PDF document - download it to your electronic device or forward it through electronic mail.

Step 4: Produce a copy of each single document. It would save you some time and allow you to keep clear of worries down the road. Keep in mind, your data won't be distributed or analyzed by us.

Watch Nursing Competency Checklist Video Instruction

Please rate Nursing Competency Checklist

2 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .