B: Nursing Process. Alberta Licensed Practical Nurses Competency Profile 15
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1 B: Nursing Process Alberta Licensed Practical Nurses Competency Profile 15
2 Competency: B-1 Assessment B-1-1 B-1-2 B-1-3 B-1-4 Demonstrate ability to apply critical thinking and clinical judgment in the health assessment. Demonstrate the knowledge and ability to assess the client: collect data historical current subjective objective. Demonstrate the knowledge and ability to identify primary and secondary sources of data. Demonstrate methods of data collection: client / family interview health history statistical data allergies chief complaint past health history family medical history medication history lab values social history cultural / spiritual history personal directives document personal history. 16 Alberta Licensed Practical Nurses Competency Profile
3 Competency: B-1 Assessment Page: 2 B-1-5 Demonstrate ability to perform the physical assessment: systems assessment including, but not limited to: o cardiovascular o gastrointestinal o genitourinary o gynecological o integumentary o musculoskeletal o neurological o neurovascular o respiratory head to toe physical assessment using techniques such as: o inspection: visual inspection of a body part or cavity characteristics, e.g., size, shape, colour, symmetry, position, and abnormalities digital cameras, dopplers, and bladder scanners o palpation: use of fingers or hands to assess an organ, areas of the body or mass of tissue observe for characteristics while palpating: temperature texture turgor moisture size vibrations pulsation shape consistency pain or tenderness. Alberta Licensed Practical Nurses Competency Profile 17
4 Competency: B-1 Assessment Page: 3 B-1-5 B-1-6 Demonstrate ability to perform the physical assessment: (continued) o percussion: striking or tapping an area of the body for determining density, size, and location of an underlying structure observe for characteristics during percussion differential of sounds: percussion sound intensity pitch duration quality o auscultation: act of listening to sounds produced by the organs and blood vessels of the body observe for characteristics while auscultating: pitch loudness quality duration. Demonstrate knowledge and ability to perform vital sign and other assessments such as: temperature pulse respiration blood pressure pulse oximetry blood glucose. 18 Alberta Licensed Practical Nurses Competency Profile
5 Competency: B-2 Planning B-2-1 B-2-2 B-2-3 B-2-4 B-2-5 B-2-6 Demonstrate ability to apply critical thinking and clinical judgment in the planning of care. Demonstrate the knowledge and ability to implement the planning process and establish priorities based on: client needs / resources / privacy client safety / risks client desires / goals family involvement agency situation timelines. Demonstrate knowledge and ability to identify and analyze nursing diagnoses. Demonstrate knowledge and ability to prioritize the nursing diagnosis. Demonstrate knowledge and ability to establish goals of care and expected outcomes: short term interim long term. Demonstrate knowledge and ability to develop the nursing care plan: written in terms of client behaviour goals and outcomes must be observable and measurable time orientated clear and concise consistent with physician orders consistent with agency plan of care document and communicate with health care team. Alberta Licensed Practical Nurses Competency Profile 19
6 Competency: B-3 Implementation B-3-1 B-3-2 Demonstrate ability to apply critical thinking and clinical judgment during implementation of care plan. Demonstrate the knowledge and ability to carry out interventions of the nursing care plan: reassess client review plan of care modify care plan organize equipment and supplies prepare environment client and family teaching anticipate and intervene to prevent complications consult with other health professionals as required reporting and documentation. 20 Alberta Licensed Practical Nurses Competency Profile
7 Competency: B-4 Evaluation B-4-1 B-4-2 Demonstrate ability to apply critical thinking and clinical judgment during ongoing evaluation of client. Demonstrate knowledge and ability to evaluate client s response to care: assess the client s response to nursing actions assess the client s progress toward achieving goals assess the quality / effectiveness of nursing care provided measure the level of nursing care for the client determine family / social support system compare observed results with outcome criteria revise nursing diagnosis, outcomes, and care plan as needed follow through on further actions as indicated by assessment findings collaborate with health care team as appropriate document and communicate results of evaluation. Alberta Licensed Practical Nurses Competency Profile 21
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