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Questions and Answers
What is the role of a Preceptor in the Healthcare facility?
What is the role of a Preceptor in the Healthcare facility?
Generic competencies are unique to each nursing service department.
Generic competencies are unique to each nursing service department.
False
Match the following competency levels with their descriptions:
Match the following competency levels with their descriptions:
Charge HCW = Competencies aligned with the Charge HCW Job Description Clinical HCW Educators = Adapted from WHO Core Competencies Professional Development Leaders = Adapted from AONE Competencies Leaders = Competencies for managerial roles aligned with Job Descriptions
What is an ongoing assessment and education based on specified standards and identified tasks essential for safe practice?
What is an ongoing assessment and education based on specified standards and identified tasks essential for safe practice?
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Ongoing competencies refer only to the initial training received by healthcare workers.
Ongoing competencies refer only to the initial training received by healthcare workers.
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What happens if an employee fails to meet the competency assessment standards during the first remediation?
What happens if an employee fails to meet the competency assessment standards during the first remediation?
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A staff member will not receive additional training if they fail to meet the competency standards.
A staff member will not receive additional training if they fail to meet the competency standards.
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What is the duration of the probationary period?
What is the duration of the probationary period?
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Match the following roles with their responsibilities in the remediation process:
Match the following roles with their responsibilities in the remediation process:
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What is included in the individual development/learning plan after the second remediation?
What is included in the individual development/learning plan after the second remediation?
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Personnel services in the HR department are responsible for maintaining records of competency assessments.
Personnel services in the HR department are responsible for maintaining records of competency assessments.
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What is the purpose of competency assessment programs for healthcare workers?
What is the purpose of competency assessment programs for healthcare workers?
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Generic competencies are specific to individual units or specialties.
Generic competencies are specific to individual units or specialties.
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Match the types of competencies with their descriptions:
Match the types of competencies with their descriptions:
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Which group is responsible for creating ongoing competency assessment programs?
Which group is responsible for creating ongoing competency assessment programs?
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New staff members can perform nursing procedures immediately during their orientation.
New staff members can perform nursing procedures immediately during their orientation.
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Which of the following does not fall under generic competencies?
Which of the following does not fall under generic competencies?
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Competency assessments can be conducted only once a year.
Competency assessments can be conducted only once a year.
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What happens if there is a lack of opportunity to experience a specific skill?
What happens if there is a lack of opportunity to experience a specific skill?
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Competency can be defined as the attainment of knowledge, skills, and professional attitudes that reflect values for effective practice
Competency can be defined as the attainment of knowledge, skills, and professional attitudes that reflect values for effective practice
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A person who provides advice and help to someone less experienced over some time.
A person who provides advice and help to someone less experienced over some time.
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The mandatory competencies specific to different levels of leadership are known as:
The mandatory competencies specific to different levels of leadership are known as:
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Who should be informed if an employee fails to meet competency assessment standards after the second remediation?
Who should be informed if an employee fails to meet competency assessment standards after the second remediation?
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Who is responsible for implementing the Nursing Competency Assessment Program?
Who is responsible for implementing the Nursing Competency Assessment Program?
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Development of ongoing competencies is based on:
Development of ongoing competencies is based on:
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Unit-Specific Competencies are:
Unit-Specific Competencies are:
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Staff competencies are assessed using various methods:
Staff competencies are assessed using various methods:
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Study Notes
Competency Assessment Policy
- Purpose: To define a framework for assessing, developing, and improving clinical competency and performance of employees, ensuring appropriate knowledge, skills, and readiness for care in various settings.
Definitions/Abbreviations
- Preceptor: A healthcare worker (HCW) demonstrating clinical competence, acting as a role model, and assisting new staff with integration and socialization.
- Competency: Attainment of knowledge, skills, integrity, professional values for safe, accountable, and effective practice.
- Competency-Based Assessment Program: Ongoing assessment and education based on standards, tasks, and knowledge for safe practice.
- Generic Competencies: Standard competencies across the Nursing Services Department, aligned with CBAHI and JCI standards.
- Leadership Competencies: Mandatory competencies specific to different leadership levels (Charge HCW, Educators, Leaders, Managers/Supervisors/Directors/Executives). These competencies are adapted from external organizations like the WHO and AONE.
- Mentor: Someone providing guidance and advice to a less experienced person.
- Ongoing Competencies: Developed knowledge, skills, and attitudes after initial competencies, based on evolving policies, technologies, high-risk skills, performance data, etc.
- Unit-Specific Competencies: Mandatory competencies tailored to each unit/specialty, aligned with CBAHI standards and Mosby's clinical skills.
Competency Assessment Policy and Procedures
- Orientation: New staff receives orientation to the healthcare facility, department, job responsibilities, and work area. This includes the Healthcare Facility Orientation Program (HOP), General HCW Orientation (GO), and unit-based/level-based orientations.
- Assessment Process: Competencies assessed through various methods (written assessment, skills demonstration, OSCE, feedback, peer review).
- Responsibilities: Employees responsible for achieving competencies; Nursing Professional Development Department (in collaboration with managers) responsible for ensuring assessment completion.
- Record Keeping: HCWs retain original competency records; copies are maintained in unit files and submitted to HR.
- Competency Types: Generic competencies apply to all staff; unit-specific and leadership competencies apply as needed.
- Assessment Frequency: Competencies assessed regularly, at least annually, or as needed.
- Timeframes: Generic, unit-specific, and leadership competencies (if applicable) completed within the initial 10 weeks of the 90-day probation period. Extensions granted for specific skills with joint agreement.
- Assessment Criteria: Based on evidence-based nursing standards, focusing on knowledge, skills, attitude, effective and safe use of equipment.
Competency Assessment Methods
- Benner's Novice to Expert: A framework for assessing HCWs at different expertise levels (Poor, Average, Good, Excellent).
- Preceptor Assignment: Managers assign preceptors to new staff after a preceptor workshop.
- Preceptor Responsibilities: Objectively orient, document progress, and inform the unit manager about progress or deficiencies (knowledge, skills, attitude).
- Preceptor Support: Clinical HCW educators provide support to the preceptor as required. Newly assigned HCWs (and student HCWs) work similar off-duty schedules as preceptors.
Generic Competencies
- Assessment/Reassessment of Patient, Medication Administration, Intravenous Therapy, Infection Control, Patient Falls, Pulse Oximetry, Restraints and Seclusion, Aseptic Technique, Skin Care, Chemical Spills Management, Codes, Pain Assessment.
Remediation Process
- First Remediation: Repeat the competency under the guidance of clinical HCW educators, preceptors, and unit managers.
- Second Remediation: Individual learning plan, involving staff, preceptor, clinical educators, and managers/directors/executives.
- Escalation: If remediation fails, the case is escalated to the Executive Director/Director of Nursing for potential contract termination.
Monitoring and Supervision
- Nursing Professional Development: Responsible for implementing and overseeing the Competency Assessment Program.
- Unit Managers: Ensure completion of competency assessments (generic, unit-specific, leadership) within the probationary period and before annual appraisals.
- Personnel Services: Maintain records of completed competencies in staff personnel files.
- Continuous Improvement: The Nursing Professional Development department continuously monitors the effectiveness of the program and updates assessments based on feedback and emerging standards.
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Description
This quiz evaluates your understanding of the competency assessment policies and frameworks specific to healthcare workers. It covers crucial definitions, roles, and the importance of competency-based assessment programs in improving clinical performance. Test your knowledge on generic and leadership competencies essential for safe healthcare practices.
