Competency Assessment

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

The second category of provisions relates to the nurse’s responsibility to maintain their own proficiency and health environments, delegate appropriately, preserve integrity, and keep their practice and competence current. It is crucial that nurses are proficient and maintain competency in order to deliver high quality care to patients. "The virtue of professional competence calls for continual professional growth and a commitment to lifelong learning. You must practice nursing that’s evidence-based, be knowledgeable about the scope and standards of nursing practice, and have the necessary skills to perform nursing tasks effectively” [ (Lachman, 2008, p. 44) ].

Although both the non-clinical nursing administrator and the clinical nurse practitioner are both advanced positions in the field of nursing, they are not the same position that requires the same core competencies across the board. Nursing is a challenging field of study that allows for similarities and differences across the various positions that a person has the potential to hold. Some more obvious differences with regard to nursing roles are the levels of education needed to even apply for such jobs.

The London Mental Health models of Competency Framework was made to suite people receiving mental healthcare needs not just from a tertiary hospital setting but also from primary and secondary settings of the hospital.as well. This health care competency was made in order to improve the mental health quality of the patients and the community health care support that the patient needs. Likewise, this competency focuses more on the rehabilitative phase of a client. The London health care program developed a five-step essential care: Assessment, effective referral to appropriate services, planning, implementation and evaluation (London Health Programs, 2004).

When I work at a hospital, I was competent nurse because I work around 4 years. According to Benner’s stages, typically, the competent professional is one through learning from actual practice situations and by acting in accordance with the other, advanced beginner level moves to the right person. It represents a step in the right

The need for nurses to gain extensive knowledge in handling complex issues within their professional environment is a need whose significance goes without saying. In Australia and other regions of the world, this factor holds such an importance to the extents that nurses and midwives, in their different capacities are engaged within the Continuing Professional Development (CPD) Program in enhancing their capacities. The purpose of this report is to explore the learning outcomes in a nursing environment in which various components of acute care were involved. In consideration of the acute care needs under discussion, the repost focuses on the learning areas which would be relevant to the Australian Nursing and Midwifery Council (ANMC) standards. Focus on the needs associated with CPD is widespread here. As such, the dates, the duration of activities and outcome descriptions for each of the activities are provided. Additionally, the discussion demonstrates the aspects of priorities given to certain learning needs, learning plan development, participation in appropriate learning activities and their values as required within the CPD Standards. The acute care learning needs of consideration in this discussion are associated with those the problems of bleeding commonly associated with conditions like, Gastrointestinal (Gi) Bleeding, surgery and trauma (Pinson, 2012, p. 1). these conditions are considered to be quite common and to a

Blood pressures can be obtained by invasive or non-invasive means. When carrying out a skill such as blood pressure, the nurse needs not only to have the capability of reading the results on the electrical sphygmomanometer, they also need to have the understand of what the results mean and be able to decipher if the results are normal for that patient. Even though a range of what is deemed to be normal is given, a patient may have low blood pressure, which is slightly lower than the normal range, however consistency and adhering to and following that patient’s care plan will enable you to see that. Just as if the blood pressure reading is high.

The clinical skill that I have decided to reflect on in this essay is the manual blood pressure test that I have performed on one of my colleague during a simulative clinical skills session. The aim of this essay is to reflect on this experience, so as to learn from it, identify areas of concern and increase competence in this skill accordingly. To start the essay it is the custom to at least give a definition of blood pressure test, and understand how to interprete the results. I will then proceed to reflect on this whole experience. I will continue by revealing two issues that I have encountered while performing the blood pressure test, and

In order for a defendant to plead guilty, he or she must understand the circumstances and consequences of their plea. They must understand that if they put in a guilty plea, they are agreeing with the fact that they did the crime. Depending on how gruesome the crime is that was committed the attorney and judge can send the defendant out for a psych evaluation. Once at the psych evaluation the psychologist will ask the accused a series of questions. The doctor will look at the accused past and current situation to help understand more about the patient. The psychiatrist will help the court understand if a person is fit to stand trial. Everyone wants to know if the accused is capable of making decisions on his behalf.

Clinical training is considered as an indispensable part of professional nursing education. The evaluation of clinical competence is an integrated form of evaluation seeking to combine knowledge, understanding, problem solving, technical skills, attitudes, and ethics in evaluation (Rafiee, Moattari, Nikbakht, Kojuri, & Mousavinasab, 2014)

The purpose of this assignment is to reflect on a chosen experience that I have identified as requiring more knowledge to complete this skill competently. I have chosen to do my learning contract on adult base line observation – blood pressure. The reason I have chosen this skill is because my first experience of taking a blood pressure was not a positive experience and to this day I still get nervous taking someone’s blood pressure. I can do the skill confidently now but feel I need to understand the theory around it to communicate the findings with the woman. When I was first learning to take someone’s blood pressure in intensives I was put down in front of our group by a tutor. I feel

One would think that completing a competency on an examination, such as a chest, would be a simple task, however that is not the case. Even after completing a competency, careful considerations need to be made, in order to produce a diagnostic radiograph. A patient’s body habitus, height, age, and overall health can affect the diagnostic information that is present on a radiograph. Additionally, these factors will most certainly affect the manner in which an examination is carried out. Although I have gained a competency on the standard chest examination, these factors require that myself and those around me pay close attention to the needs of the patient. But with the guidance and knowledge of the technologists at Spohn South, I find the efficiency with which I complete exams increasing as the days’ pass.

Ms Florence Yap is an Operating Room RN I/06; a BSN degree holder, graduating as Magna Cum Laude at Florida Atlantic University in 2014. He is a valuable member of the operating room, demonstrating leadership within and outside the realms of the operating room. Ms Yap serves as staffs nurse; she step up and assumes the responsibility of Special Equipment and Instrumentation Coordinator. This proficiency report demonstrates examples of how Ms. Yap uses her nursing knowledge and skills to provide nursing care exceeding the Qualification Standards in the four areas for a Nurse I. Ms. Yap provided input to this proficiency.

The test is performed to validate a new nurse or nursing student’s skills set. American Nurses Credentialing Center’s (ANCC) accredited tests ensure that nurses’ skills are up to the national standards (ANCC, 2012). When scoring a clinical performance six domains are observed: patient care, medical knowledge, practice based learning, communication skills, professionalism and systems-based practice (Issenberg et al., 2007). Miller explains that the level of competency of a nursing student builds upon itself in levels when assessing a nurse’s knowledge. These levels consist of the student’s ability to: recall basic knowledge of a skill, apply this knowledge in a situation, clearly demonstrate this knowledge, and finally practice this behavior in a real life situation (as cited in Issenberg et al., 2003). Going through this process of competency testing may be rigorous, but it is beneficial because it prepares students for real life scenarios, the National Council Licensure Examination (NCLEX), and ultimately a career as a nurse (Cherry & Jacobs, 2002).

Demonstrate Competency in Knowledge of Nursing and Clinical Skills Necessary to Provide Safe, Competent Nursing Care