How is nursing competency assessed in your health care organization? Is a formal tool used? Is “competency” an observable function, or is it measured in another way.
How is nursing competency assessed in your health care organization? Is a formal tool used? Is “competency” an observable function, or is it measured in another way.
How is nursing competency assessed in your health care organization? Is a formal tool used? Is “competency” an observable function, or is it measured in another way? Using the IOM Core competencies as a guide (Rubenfeld & Scheffer (2010), p. 71), discuss your suggestions for improving quality and consistency of care through assessing nursing competency in your work environment.

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Please support your initial discussion and opinions with at least two citations from the assigned readings, or peer-reviewed professional nursing literature. You are required to respond to two peers, but do not need to include reference citations to the responses unless you include someone else’s ideas in the responses. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria.
Discussion 3 Question 1
by Penelope – Tuesday, 2 December 2014, 2:57 PM
Nursing competencies are assessed by an annual competency tool that is unit specific and annual testing that is completed by our education department. The annual testing consists of Blood Administration, Restraints Usage, Medication Administration, Team Dynamics, Cultural Diversity, End of Life Care and Age Specific tests.
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The unit specific competencies are assessed in the orientation process and annually on low volume topics and issues with high incidents through the year, such as fetal demise care, specimen labeling, instrument counting on surgeries, and post partum hemorrhage management. Nurses must remain current on certifications, such as Neonatal Resuscitation, ACLS, and BLS. There are several different ways that a nurse is assessed for competency they are observation of the task, verbal explanation, testing, and return demonstrations. According to our text, “Competency – based evaluations focus on evidence of effective implementation of specified skills; critical elements are demonstrated, but not necessary in a step-by-step format. It’s bottom- line, real world view, not a set textbook steps. In short, it’s all about performance.” (Rubenfeld & Scheffer, 2010)
Some suggestions that I have for improving quality and consistency of care are:
1.The utilization of more e-learning’s on competency skills and orientation for staff. Computers are a daily way of life for the nurse practicing today and we need to become more familiar with their operations. This concept will help the nurse be more familiar with the computer use and it will document that the learning has occurred. I see many preceptors and new staff that just date and initial competencies on a paper and there is no real way of assessing true competency. I also see many nurses that cheat off each other when it is time to complete their annual testing. I feel that if an individual had to actually log in to a computer and view a PowerPoint and answer test questions then it would more reliable than the process that we have currently.
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