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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: Course Objectives : 1. Apply concepts, theories and principles of informatics in nursing and health care 2. Discuss issues and trends in informatics relevant to nursing and health


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 •Identifies the health needs of the clients (individuals, families, population groups and/or communities) Electronic Medical Records •Explains the health status of the clients/ groups 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 • Identifies wellness potential and/or health problem of clients •Gathers data related to the health condition •Analyzes the data gathered •Selects appropriate action to support/enhance wellness response; manage the health problem •Monitors the progress of the action taken

1.2.3. Core Competency 3: Promotes safety and comfort and privacy of clients •Performs age-specific safety measures in all aspects of client care •Performs age-specific comfort measures in all aspects of client care •Performs age-specific measures to ensure privacy in all aspects of client care Health Information privacy and confidentiality

1.2.4. Core Competency 4: Sets priorities in nursing care based on clients’ needs •Identifies the priority needs of clients •Analyzes the needs of clients •Determines appropriate nursing care to address priority needs/problems

1.2.5. Core Competency 5: Ensures continuity of care •Refers identified problem to appropriate individuals / agencies Health Information Exchage and Interoprability •Establishes means of providing continuous client care Continuity of Care Records

1.2.6. Core Competency 6: Administers medications and other health therapeutics •Conforms to the 10 golden rules in medication administration and health therapeutics CPOE Drug-administration System Clinical Alerts Decision-support

1.2.7. Core Competency 7: Utilizes the nursing process as framework for nursing 7.1 Performs comprehensive and systematic nursing assessment •Obtains informed consent •Completes appropriate assessment forms •Performs appropriate assessment techniques •Obtains comprehensive client information •Maintains privacy and confidentiality •Identifies health needs 7.2 Formulates a plan of care in collaboration with clients and other members of the health team •Includes client and family in care planning •Collaborates with other members of the health team •States expected outcomes of nursing intervention maximizing clients’ competencies •Develops comprehensive client care plan maximizing opportunities for prevention of problems and/or enhancing wellness response •Accomplishes client-centered discharge plan 7.3 Implements planned nursing care to achieve identified outcomes •Explains interventions to client and family before carrying them out to 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 healthy life style/wellness 7.4 Evaluates progress toward expected outcomes •Monitors effectiveness of nursing interventions •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 •Identifies tasks or activities that need to be accomplished •Plans the performance of tasks or activities based on priorities •Verifies the competencies 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

1.3.2. Core Competency 2: Utilizes financial resources to support client care •Identifies the cost-effectiveness in the utilization of resources •Develops budget considering existing resources for nursing care

1.3.3. Core Competency 3: Establishes mechanism to ensure proper functioning of equipment •Plans for preventive maintenance program •Checks proper functioning of equipment considering the: - intended use -cost -benefit - infection control -safety -waste creation and disposal storage •Refers malfunctioning equipment to appropriate unit

1.3.4. Core Competency 4: Maintains a safe environment •Complies with standards and safety codes prescribed by law •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.

1.4. C. Health Education

1.4.1. Core Competency 1: Assesses the learning needs of the clients/ partner/s •Obtains learning information through interview, observation and validation •Analyzes relevant information •Completes assessment records appropriately •Identifies priority needs

1.4.2. Core Competency 2: Develops health education plan based on assessed and anticipated 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, teaching-learning resources and evaluation parameters •Provides for feedback to finalize the plan

1.4.3. Core Competency 3: Develops learning materials for health education •Develops information education materials appropriate to the level of the client •Applies health education principles in the development of information education materials

1.4.4. Core Competency 4: Implements the health education plan •Provides for a conducive learning situation 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

1.4.5. Core Competency 5: Evaluates the outcome of health education •Utilizes evaluation parameters •Documents outcome of care •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. •Fulfills legal requirements in nursing practice •Holds current professional license •Acts in accordance with the terms of 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

1.5.2. Core Competency 2: Adheres to organizational policies and procedures, local and national •Articulates the vision, mission of the institution where one belongs •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 •Utilizes appropriate client care records and reports. •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 •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 •Meets nursing accountability requirements as embodied in the job description •Justifies basis for nursing actions and judgment •Projects a positive image of the profession

1.6.3. Core Competency 3: Adheres to the national and international codes of ethics for nurses •Adheres to the Code of Ethics for Nurses and abides by its provisions •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 •Identifies one’s strengths, weaknesses and limitations •Determines personal and professional goals and aspirations

1.7.2. Core Competency 2: Pursues continuing Education •Participates in formal and non-formal education •Applies learned information for the improvement of care

1.7.3. Core Competency 3: Gets involved in Professional organizations and civic activities •Participates actively in professional, social, civic, and religious activities •Maintains membership to professional organizations •Support activities related to nursing and health issues

1.7.4. Core Competency 4: Projects a professional image of the nurse •Demonstrates good manners and right conduct at all times •Dresses appropriately •Demonstrates congruence of words and actions •Behaves appropriately at all times

1.7.5. Core Competency 5: Possesses positive attitude towards change and criticism •Listens to suggestions and recommendations •Tries new strategies or approaches •Adapts to changes willingly

1.7.6. Core Competency 6: Performs functions according to professional standards •Assesses own performance against standards of practice •Sets attainable objectives to enhance nursing knowledge and skills •Explains current nursing practices, as the situation arises

1.8. G. Quality Improvement

1.8.1. Core Competency 1: Gathers data for quality improvement •Identifies appropriate quality improvement methodologies for clinical problems •Detects variations 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 clients and significant others regarding care rendered

1.8.2. Core Competency 2: Participates in nursing audits and rounds •Shares with the team relevant information 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

1.8.3. Core Competency 3: Identifies and reports variances •Reports to appropriate person/s significant variances/changes/occurrences immediately •Documents and reports observed variances regarding client care

1.8.4. Core Competency 4: Recommends solutions to identified problems •Gives an objective and accurate report on what was observed rather than an interpretation of the event •Provides appropriate suggestions on corrective and preventive measures •Communicates solutions to appropriate groups

1.9. H. Research

1.9.1. Core Competency 1: Gathers data using different methodologies •Specifies researchable problems regarding client care and community health •Identifies appropriate methods of research for a particular client / community problem •Combines quantitative and qualitative nursing design through simple explanation on the phenomena observed

1.9.2. Core Competency 2: Analyzes and interprets data gathered •Analyzes data gathered using appropriate statistical tool •Interprets data gathered based on significant findings

1.9.3. Core Competency 3: Recommends actions for implementation •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 •Shares/presents results of findings with colleagues / clients/ family and to others •Endeavors to publish research •Submits research findings to own agency and others as appropriate

1.9.5. Core Competency 5: Applies research findings in nursing practice •Utilizes findings in research in the provision of nursing care for individuals / groups / communities •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 •Completes updated documentation of client care •Applies principles of record management •Monitors and improves accuracy, completeness and reliability of relevant data •Makes record readily accessible to facilitate client care

1.10.2. Core Competency 2: Records outcome of client care •Utilizes records system ex. Kardex or Hospital Information System (HIS) •Uses data in decision and policy making activities

1.10.3. Core Competency 3: Observes legal imperatives in record keeping •Maintains integrity, safety, access and security of records •Documents/monitors proper record storage, retention and disposal •Observes confidentially and privacy of the clients’ records •Maintains an organized system of filing and keeping clients’ records in a designated area •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 •Creates trust and confidence •Spends time with the client/significant others and members of the health team to facilitate interaction •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 •Interprets and validates client’s body language and facial expressions

1.11.3. Core Competency 3: Utilizes formal and informal channels •Makes use of available visual aids •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 •Provides reassurance through therapeutic touch, warmth and comforting words of encouragement •Provides therapeutic bio-behavioral interventions to meet the needs of clients

1.11.5. Core Competency 5: Uses appropriate information technology to facilitate communication •Utilizes telephone, mobile phone, electronic media •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 •Contributes to decision making regarding clients’ needs and concerns •Participates actively in client care management including audit •Recommends appropriate interventions to improve client care •Respects the role of other members of the health team •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 •Refers clients to allied health team partners •Acts as liaison / advocate of the client •Prepares accurate documentation for efficient communication of services