11 KEY AREAS OF RESPOSIBILITY

BON Res.No. 112 s. 2005CMO No. 14 s. 2009

by: JAY LAPAZ ANDRES, RN, BSN, MAN ©

The nursing industry has established eleven key areas of responsibility that provide a framework for unifying NURSING EDUCATION, PRACTICE and REGULATION.

This comprehensive list of key areas and core competencies within each key area furnishes the industry with a STANDARDIZED measure that is used in all aspect of the nursing profession.

LEGAL BASES :

ARTICLE 3 Sec. 9 (c) of R.A. 9173 / Philippine Nursing Act of 2002

* Board shall monitor and enforce quality standards of nursing practice necessary to ensure the maintenance of EFFICIENT, ETHICAL and TECHNICAL, MORAL and PROFESSIONAL STANDARDS in the practice of nursing taking into account the health needs of the nation.

SIGNIFICANCE OF CORE COMPETENCY STANDARDS

• Unifying framework for nursing practice, education and regulation

• Guide in nursing curriculum development

SIGNIFICANCE OF CORE COMPETENCY STANDARDS

• Framework in developing test syllabus for nursing profession entrants

• Tool for nurses’ performance evaluation

SIGNIFICANCE OF CORE COMPETENCY STANDARDS

• Basis for advance nursing practice, specialization

• Framework for developing nursing training curriculum

SIGNIFICANCE OF CORE COMPETENCY STANDARDS

• Public protection from incompetent practitioners

• Yardstick for unethical, unprofessional nursing practice

The 11 Key Areas of Responsibilities

1. Safety and quality2. Management of Resources and Environment3. Health Education4. Legal Responsibility5. Ethico-Moral Responsibility6. Personal and Professional Development7. Quality Improvement8. Research9. Records Management10. Communication11. Collaboration and Teamwork

I. SAFE AND QUALITY NURSING CARE

COMPETENCY 1

•Demonstrate knowledge based on health/illness status of individual/groups.

COMPETENCY 2:

•Provides sound decision making in care of individual/groups considering their beliefs and values.

COMPETENCY 3:•Promote

patient safety and comfort

COMPETENCY 4:• Priority

setting in nursing care based on patients’ need

COMPETENCY 5:

• Ensures continuity of care

COMPETENCY 6: • Administers

medications and other health therapeutics

COMPETENCY 7:• Utilizes nursing process

as a framework for nursing.

• Performs comprehensive, systematic nursing assessment

COMPETENCY 8:• Formulates care

plan in collaboration with patients, other health team members

COMPETENCY 9:• Implements NCP

to achieve identified outcomes

COMPETENCY 10:• Implements NCP

progress toward expected outcomes

COMPETENCY 11:

• Responds to urgency of patients’ condition

II. MANAGEMENT OF RESOURCES & ENVIRONMENT

COMPETENCY 1

• Organizes workload to facilitate patient care

COMPETENCY 2

• Utilizes resources to support patient care

COMPETENCY 3

• Ensures the functioning of resources

COMPETENCY 4

• Check the proper functioning of the equipment

COMPETENCY 5

• Maintains safe environment

III. HEALTH EDUCATION

COMPETENCY 1

• Assesses the learning needs of the patient and the family

COMPETENCY 2

• Develops health education plan based on assessed and anticipated needs

COMPETENCY 3

Develops learning material for health education

COMPETENCY 4

• Implements the health education plan

COMPETENCY 5

• Evaluates the outcome of health education

IV. LEGAL RESPONSIBILITY

COMPETENCY 1

• Adheres to practice in accordance with the nursing law and other relevant legislation including contract and informed consent.

COMPETENCY 2

• Adheres to organizational policies and procedures, local and national.

COMPETENCY 3

• Document care rendered to patients.

V. ETHICO-MORAL RESPONSIBILITY

COMPETENCY 1

• Respect the rights of individual/groups

COMPETENCY 2

• Accepts responsibility and accountability for own decision and actions

COMPETENCY 3

• Adheres to the national and international code of ethics for nurses

VI. PERSONAL AND PROFESSIONAL DEVELOPMENT

COMPETENCY 1

• Identifies own learning needs

COMPETENCY 2

• Pursues continuing education.

COMPETENCY 3

• Gets involved in professional organizations and civic avtivities

COMPETENCY 4

• Projects a professional image of nurse

COMPETENCY 5

• Possesses positive attitude towards change and criticism

COMPETENCY 6

• Performs function according to professional standards

VII. QUALITY IMPROVEMENT

COMPETENCY 1

• Gathers data for quality improvement

COMPETENCY 2

• Participates in nursing audit and rounds

COMPETENCY 3

• Identifies and reports variances

COMPETENCY 4

• Recommends solutions to identified problems

VIII. RESEARCH

COMPETENCY 1

• Gathers data using different methodologies

COMPETENCY 2

• Recommends actions for implementation

COMPETENCY 3

• Disseminates results of research findings

COMPETENCY 4

• Applies research findings in nursing practice

IX. RECORDS MANAGEMENT

COMPETENCY 1

• Maintains accurate and updated documentation of patient care

COMPETENCY 2

• Records outcome of patient care

COMPETENCY 3

• Observes legal imperatives in recording.

X. COMMUNICATION

COMPETENCY 1

• Establishes rapport with patients , significant others and members of the health team

COMPETENCY 2

• Identifies verbal and non-verbal cues

COMPETENCY 3

• Utilizes formal and informal channels

COMPETENCY 4

• Responds to needs of individuals, family, group and community

COMPETENCY 5

• Uses appropriate information technology to facilitate communication

XI. COLLABORATION AND TEAMWORK

COMPETENCY 1

• Establishes collaborative relationship with colleagues and other members of the health team

COMPETENCY 2

• Collaborates plan of care with other members of the health team