CORE COMPETENCIES

1. Competency Areas

1.1. Course Description:

1.1.1. Course Name : INFORMATICS

1.1.2. Course Code : IT

1.1.3. Course Credit : 2 units lecture; 1 unit laboratory

1.1.4. Contact Hours/sem: 36 lecture hours; 54 laboratory hours

1.1.5. Prerequisite : College Algebra

1.1.6. Placement : 2nd Year, Summer

1.1.7. This course deals with the use of information technology system and data standards based on nursing informatics principles/theories. It further deals with the utilization of clinical information systems in the management and decision-making of patient care. A laboratory session shall be provided for practice application.

1.1.8. At the end of the course and given relevant actual or simulated situations/conditions, the student will be able to:

1.1.8.1. Course Objectives :

1.1.8.2. 1. Apply concepts, theories and principles of informatics in nursing and health care

1.1.8.3. 2. Discuss issues and trends in informatics relevant to nursing and health

1.1.9. Reference:

1.1.9.1. CHED MEMORANDUM ORDER (CMO) No. 14 Series of 2009

1.1.9.2. SUBJECT: POLICIES AND STANDARDS FOR BACHELOR OF SCIENCE IN NURSING (BSN) PROGRAM

1.2. A. Safe and Quality Nursing Care

1.2.1. Core Competency 1: Demonstrates knowledge based on the health /illness status of individual /groups

1.2.1.1. •Identifies the health needs of the clients (individuals, families, population groups and/or communities)

1.2.1.1.1. Electronic Medical Records

1.2.1.2. •Explains the health status of the clients/ groups

1.2.1.2.1. Decision-support systems

1.2.2. Core Competency 2: Provides sound decision making in the care of individuals / families/groups considering their beliefs and values

1.2.2.1. • Identifies wellness potential and/or health problem of clients

1.2.2.2. •Gathers data related to the health condition

1.2.2.3. •Analyzes the data gathered

1.2.2.4. •Selects appropriate action to support/enhance wellness response; manage the health problem

1.2.2.5. •Monitors the progress of the action taken

1.2.3. Core Competency 3: Promotes safety and comfort and privacy of clients

1.2.3.1. •Performs age-specific safety measures in all aspects of client care

1.2.3.2. •Performs age-specific comfort measures in all aspects of client care

1.2.3.3. •Performs age-specific measures to ensure privacy in all aspects of client care

1.2.3.3.1. Health Information privacy and confidentiality

1.2.4. Core Competency 4: Sets priorities in nursing care based on clients’ needs

1.2.4.1. •Identifies the priority needs of clients

1.2.4.2. •Analyzes the needs of clients

1.2.4.3. •Determines appropriate nursing care to address priority needs/problems

1.2.5. Core Competency 5: Ensures continuity of care

1.2.5.1. •Refers identified problem to appropriate individuals / agencies

1.2.5.1.1. Health Information Exchage and Interoprability

1.2.5.2. •Establishes means of providing continuous client care

1.2.5.2.1. Continuity of Care Records

1.2.6. Core Competency 6: Administers medications and other health therapeutics

1.2.6.1. •Conforms to the 10 golden rules in medication administration and health therapeutics

1.2.6.1.1. CPOE

1.2.6.1.2. Drug-administration System

1.2.6.1.3. Clinical Alerts

1.2.6.1.4. Decision-support

1.2.7. Core Competency 7: Utilizes the nursing process as framework for nursing

1.2.7.1. 7.1 Performs comprehensive and systematic nursing assessment

1.2.7.1.1. •Obtains informed consent

1.2.7.1.2. •Completes appropriate assessment forms

1.2.7.1.3. •Performs appropriate assessment techniques

1.2.7.1.4. •Obtains comprehensive client information

1.2.7.1.5. •Maintains privacy and confidentiality

1.2.7.1.6. •Identifies health needs

1.2.7.2. 7.2 Formulates a plan of care in collaboration with clients and other members of the health team

1.2.7.2.1. •Includes client and family in care planning

1.2.7.2.2. •Collaborates with other members of the health team

1.2.7.2.3. •States expected outcomes of nursing intervention maximizing clients’ competencies

1.2.7.2.4. •Develops comprehensive client care plan maximizing opportunities for prevention of problems and/or enhancing wellness response

1.2.7.2.5. •Accomplishes client-centered discharge plan

1.2.7.3. 7.3 Implements planned nursing care to achieve identified outcomes

1.2.7.3.1. •Explains interventions to client and family before carrying them out to achieve identified outcomes

1.2.7.3.2. •Implements nursing intervention that is safe and comfortable

1.2.7.3.3. •Acts to improve clients’ health condition or human response

1.2.7.3.4. •Performs nursing activities effectively and in a timely manner

1.2.7.3.5. •Uses the participatory approach to enhance client-partners empowering potential for healthy life style/wellness

1.2.7.4. 7.4 Evaluates progress toward expected outcomes

1.2.7.4.1. •Monitors effectiveness of nursing interventions

1.2.7.4.2. •Revises care plan based on expected outcomes

1.3. B. Management of Resources and Environment

1.3.1. Core Competency 1: Organizes work load to facilitate client care

1.3.1.1. •Identifies tasks or activities that need to be accomplished

1.3.1.2. •Plans the performance of tasks or activities based on priorities

1.3.1.3. •Verifies the competencies of the staff prior to delegating tasks

1.3.1.4. •Determines tasks and procedures that can be safely assigned to other members of the team

1.3.1.5. •Finishes work assignment on time

1.3.2. Core Competency 2: Utilizes financial resources to support client care

1.3.2.1. •Identifies the cost-effectiveness in the utilization of resources

1.3.2.2. •Develops budget considering existing resources for nursing care

1.3.3. Core Competency 3: Establishes mechanism to ensure proper functioning of equipment

1.3.3.1. •Plans for preventive maintenance program

1.3.3.2. •Checks proper functioning of equipment considering the:

1.3.3.2.1. - intended use

1.3.3.2.2. -cost -benefit

1.3.3.2.3. - infection control

1.3.3.2.4. -safety

1.3.3.2.5. -waste creation and disposal storage

1.3.3.3. •Refers malfunctioning equipment to appropriate unit

1.3.4. Core Competency 4: Maintains a safe environment

1.3.4.1. •Complies with standards and safety codes prescribed by law

1.3.4.2. •Adheres to policies, procedures and protocols on prevention and control of infection

1.3.4.3. •Observes protocols on pollution-control (water, air and noise)

1.3.4.4. •Observes proper disposal of wastes

1.3.4.5. •Defines steps to follow in case of fire, earthquake and other emergency situations.

1.4. C. Health Education

1.4.1. Core Competency 1: Assesses the learning needs of the clients/ partner/s

1.4.1.1. •Obtains learning information through interview, observation and validation

1.4.1.2. •Analyzes relevant information

1.4.1.3. •Completes assessment records appropriately

1.4.1.4. •Identifies priority needs

1.4.2. Core Competency 2: Develops health education plan based on assessed and anticipated needs

1.4.2.1. •Considers nature of learner in relation to: social, cultural, political, economic, educational and religious factors.

1.4.2.2. •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

1.4.2.3. •Formulates a comprehensive health education plan with the following components: objectives, content, time allotment, teaching-learning resources and evaluation parameters

1.4.2.4. •Provides for feedback to finalize the plan

1.4.3. Core Competency 3: Develops learning materials for health education

1.4.3.1. •Develops information education materials appropriate to the level of the client

1.4.3.2. •Applies health education principles in the development of information education materials

1.4.4. Core Competency 4: Implements the health education plan

1.4.4.1. •Provides for a conducive learning situation in terms of time and place

1.4.4.2. •Considers client and family’s preparedness

1.4.4.3. •Utilizes appropriate strategies that maximize opportunities for behavior change for wellness/healthy life style

1.4.4.4. •Provides reassuring presence through active listening, touch, facial expression and gestures

1.4.4.5. •Monitors client and family’s responses to health education

1.4.5. Core Competency 5: Evaluates the outcome of health education

1.4.5.1. •Utilizes evaluation parameters

1.4.5.2. •Documents outcome of care

1.4.5.3. •Revises health education plan based on client response/outcome/s

1.5. D. Legal Responsibility

1.5.1. Core Competency 1: Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent.

1.5.1.1. •Fulfills legal requirements in nursing practice

1.5.1.2. •Holds current professional license

1.5.1.3. •Acts in accordance with the terms of contract of employment and other rules and regulations

1.5.1.4. •Complies with required continuing professional education

1.5.1.5. •Confirms information given by the doctor for informed consent

1.5.1.6. •Secures waiver of responsibility for refusal to undergo treatment or procedure

1.5.1.7. •Checks the completeness of informed consent and other legal forms

1.5.2. Core Competency 2: Adheres to organizational policies and procedures, local and national

1.5.2.1. •Articulates the vision, mission of the institution where one belongs

1.5.2.2. •Acts in accordance with the established norms of conduct of the institution / organization/legal and regulatory requirements

1.5.3. Core Competency 3: Documents care rendered to clients

1.5.3.1. •Utilizes appropriate client care records and reports.

1.5.3.2. •Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice.

1.6. E. Ethico-moral Responsibility

1.6.1. Core Competency 1: Respects the rights of individual / groups

1.6.1.1. •Renders nursing care consistent with the client’s bill of rights: (i.e. confidentiality of information, privacy, etc.)

1.6.2. Core Competency 2: Accepts responsibility and accountability for own decision and actions

1.6.2.1. •Meets nursing accountability requirements as embodied in the job description

1.6.2.2. •Justifies basis for nursing actions and judgment

1.6.2.3. •Projects a positive image of the profession

1.6.3. Core Competency 3: Adheres to the national and international codes of ethics for nurses

1.6.3.1. •Adheres to the Code of Ethics for Nurses and abides by its provisions

1.6.3.2. •Reports unethical and immoral incidents to proper authorities

1.7. F. Personal and Professional Development

1.7.1. Core Competency 1: Identifies own learning needs

1.7.1.1. •Identifies one’s strengths, weaknesses and limitations

1.7.1.2. •Determines personal and professional goals and aspirations

1.7.2. Core Competency 2: Pursues continuing Education

1.7.2.1. •Participates in formal and non-formal education

1.7.2.2. •Applies learned information for the improvement of care

1.7.3. Core Competency 3: Gets involved in Professional organizations and civic activities

1.7.3.1. •Participates actively in professional, social, civic, and religious activities

1.7.3.2. •Maintains membership to professional organizations

1.7.3.3. •Support activities related to nursing and health issues

1.7.4. Core Competency 4: Projects a professional image of the nurse

1.7.4.1. •Demonstrates good manners and right conduct at all times

1.7.4.2. •Dresses appropriately

1.7.4.3. •Demonstrates congruence of words and actions

1.7.4.4. •Behaves appropriately at all times

1.7.5. Core Competency 5: Possesses positive attitude towards change and criticism

1.7.5.1. •Listens to suggestions and recommendations

1.7.5.2. •Tries new strategies or approaches

1.7.5.3. •Adapts to changes willingly

1.7.6. Core Competency 6: Performs functions according to professional standards

1.7.6.1. •Assesses own performance against standards of practice

1.7.6.2. •Sets attainable objectives to enhance nursing knowledge and skills

1.7.6.3. •Explains current nursing practices, as the situation arises

1.8. G. Quality Improvement

1.8.1. Core Competency 1: Gathers data for quality improvement

1.8.1.1. •Identifies appropriate quality improvement methodologies for clinical problems

1.8.1.2. •Detects variations in specific parameters i.e vital signs of the client from day to day

1.8.1.3. •Reports significant changes in clients’ condition/environment to improve stay in the hospital

1.8.1.4. •Solicits feedback from clients and significant others regarding care rendered

1.8.2. Core Competency 2: Participates in nursing audits and rounds

1.8.2.1. •Shares with the team relevant information regarding clients’ condition and significant changes in clients’ environment

1.8.2.2. •Encourages the client to verbalize relevant changes in his/her condition

1.8.2.3. •Performs daily check of clients’ records / condition

1.8.2.4. •Documents and records all nursing care and actions implemented

1.8.3. Core Competency 3: Identifies and reports variances

1.8.3.1. •Reports to appropriate person/s significant variances/changes/occurrences immediately

1.8.3.2. •Documents and reports observed variances regarding client care

1.8.4. Core Competency 4: Recommends solutions to identified problems

1.8.4.1. •Gives an objective and accurate report on what was observed rather than an interpretation of the event

1.8.4.2. •Provides appropriate suggestions on corrective and preventive measures

1.8.4.3. •Communicates solutions to appropriate groups

1.9. H. Research

1.9.1. Core Competency 1: Gathers data using different methodologies

1.9.1.1. •Specifies researchable problems regarding client care and community health

1.9.1.2. •Identifies appropriate methods of research for a particular client / community problem

1.9.1.3. •Combines quantitative and qualitative nursing design through simple explanation on the phenomena observed

1.9.2. Core Competency 2: Analyzes and interprets data gathered

1.9.2.1. •Analyzes data gathered using appropriate statistical tool

1.9.2.2. •Interprets data gathered based on significant findings

1.9.3. Core Competency 3: Recommends actions for implementation

1.9.3.1. •Recommends practical solutions appropriate to the problem based on the interpretation of significant findings

1.9.4. Core Competency 4: Disseminates results of research findings

1.9.4.1. •Shares/presents results of findings with colleagues / clients/ family and to others

1.9.4.2. •Endeavors to publish research

1.9.4.3. •Submits research findings to own agency and others as appropriate

1.9.5. Core Competency 5: Applies research findings in nursing practice

1.9.5.1. •Utilizes findings in research in the provision of nursing care for individuals / groups / communities

1.9.5.2. •Makes use of evidence-based nursing to enhance nursing practice

1.10. I. Records Management

1.10.1. Core Competency 1: Maintains accurate and updated documentation of client care

1.10.1.1. •Completes updated documentation of client care

1.10.1.2. •Applies principles of record management

1.10.1.3. •Monitors and improves accuracy, completeness and reliability of relevant data

1.10.1.4. •Makes record readily accessible to facilitate client care

1.10.2. Core Competency 2: Records outcome of client care

1.10.2.1. •Utilizes records system ex. Kardex or Hospital Information System (HIS)

1.10.2.2. •Uses data in decision and policy making activities

1.10.3. Core Competency 3: Observes legal imperatives in record keeping

1.10.3.1. •Maintains integrity, safety, access and security of records

1.10.3.2. •Documents/monitors proper record storage, retention and disposal

1.10.3.3. •Observes confidentially and privacy of the clients’ records

1.10.3.4. •Maintains an organized system of filing and keeping clients’ records in a designated area

1.10.3.5. •Follows protocol in releasing records and other information

1.11. J. Communication

1.11.1. Core Competency 1: Establishes rapport with clients, significant others and members of the health team

1.11.1.1. •Creates trust and confidence

1.11.1.2. •Spends time with the client/significant others and members of the health team to facilitate interaction

1.11.1.3. •Listens actively to client’s concerns/significant others and members of the health team

1.11.2. Core Competency 2: Identifies verbal and non-verbal cues

1.11.2.1. •Interprets and validates client’s body language and facial expressions

1.11.3. Core Competency 3: Utilizes formal and informal channels

1.11.3.1. •Makes use of available visual aids

1.11.3.2. •Utilizes effective channels of communication relevant to client care management

1.11.4. Core Competency 4: Responds to needs of individuals, families, groups and communities

1.11.4.1. •Provides reassurance through therapeutic touch, warmth and comforting words of encouragement

1.11.4.2. •Provides therapeutic bio-behavioral interventions to meet the needs of clients

1.11.5. Core Competency 5: Uses appropriate information technology to facilitate communication

1.11.5.1. •Utilizes telephone, mobile phone, electronic media

1.11.5.2. •Utilizes informatics to support the delivery of healthcare

1.12. K. Collaboration and Teamwork

1.12.1. Core Competency 1: Establishes collaborative relationships with colleagues and other members of the health team

1.12.1.1. •Contributes to decision making regarding clients’ needs and concerns

1.12.1.2. •Participates actively in client care management including audit

1.12.1.3. •Recommends appropriate interventions to improve client care

1.12.1.4. •Respects the role of other members of the health team

1.12.1.5. •Maintains good interpersonal relationships with clients, colleagues and other members of the health team

1.12.2. Core Competency 2: Collaborates plan of care with other members of the health team

1.12.2.1. •Refers clients to allied health team partners

1.12.2.2. •Acts as liaison / advocate of the client

1.12.2.3. •Prepares accurate documentation for efficient communication of services