Role: Band: Work Base: First Assessor Name and Role: Second Assessor Name and Role: Competency Statement Expected of Competency Signature of Assessor Registered Practitioners Subject Specific Competencies Signature Registered Nurse can demonstrate an Causes sepsis, Acute Kidney Injury (AKI), chronic – understanding of common causes of disease process, co-morbidities, end of life / palliative, deterioration and identify patient groups failure to recognise, unavoidable complications. at potential risk of deterioration. Risks co-existing disease, elderly, emergency admissions, – Registered nurse can give explanation to specific acute illnesses, altered GCS, haemorrhage. potential causes of deterioration in Discuss deteriorating patient scenarios. relation to the scenarios. BP: systolic 101-170 Registered nurse can demonstrate HR: 51-100 knowledge of normal values of vital signs RR: 11-20 and give examples of when differences should be considered ie: chronic Saturations: >96% Temperature: 36 38 degrees conditions, enhanced recovery. – Urine Output: 0.5ml/kg/hr. Registered nurse can demonstrate how to Documentation date/time, recording of observations, accurately record a set of observations Frequency, using both machine and manual methods Initials, calculating score. on trusts recognised documentation. Manual BP, Pulse. Obtaining observations with machine. Use of fluid balance charts. Registered nurse can explain limitations of Discuss Limitations of NEWS compensation in young, use – own practice and limitations of systems of professional judgment and recognition of signs’ ‘soft and processes used. deterioration. Limitations of own practice and who to seek support from.
Role: Band: Work Base: First Assessor Name and Role: Second Assessor Name and Role: Competency Statement Subject Specific Competencies Expected of Competency Signature of Assessor Registered Practitioners Signature Registered Nurse can demonstrate an understanding of common causes of deterioration and identify patient groups at potential risk of deterioration. Registered nurse can give explanation to potential causes of deterioration in relation to the scenarios. Causes – sepsis, Acute Kidney Injury (AKI), chronic disease process, co-morbidities, end of life / palliative, failure to recognise, unavoidable complications. Risks – co-existing disease, elderly, emergency admissions, specific acute illnesses, altered GCS, haemorrhage. Discuss deteriorating patient scenarios. Registered nurse can demonstrate knowledge of normal values of vital signs and give examples of when differences should be considered ie: chronic conditions, enhanced recovery. BP: systolic 101-170 HR: 51-100 RR: 11-20 Saturations: >96% Temperature: 36 – 38 degrees Urine Output: 0.5ml/kg/hr. Registered nurse can demonstrate how to accurately record a set of observations using both machine and manual methods on trusts recognised documentation. Documentation date/time, recording of observations, Frequency, Initials, calculating score. Manual BP, Pulse. Obtaining observations with machine. Use of fluid balance charts. Registered nurse can explain limitations of own practice and limitations of systems and processes used. Discuss Limitations of NEWS – compensation in young, use of professional judgment and recognition of ‘soft signs’ deterioration. Limitations of own practice and who to seek support from.
Revised%20DP%20competency%20for%20RN%20Nov%202017.docx