APRN Competency Checklist – 2014
Orientation Evaluation
Successful competency in each area is required prior to
practicing independently as an NP/CNS.
The NP/CNS systematically assesses the patient’s health
status and develops a plan of care.
____ Completes physical examination of the patient in a comprehensive
and timely manner.
1 – Poor (please include comments if giving “1”)
2 – Novice
3 – Proficient
4 – Advanced
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
____ Documents assessment data appropriately for progress notes, using
appropriate terminology and format.
____ Uses and incorporates the assessment as well as multiple sources
of data into the development of the plan of care and can prioritize
this plan based on the information.
____ Demonstrates basic knowledge of anatomy, physiology and
pathology in assessment and plan of care.
____ Selects and orders appropriate diagnostic tests to aid in diagnosis
based on the assessment and history.
____ Correctly interprets diagnostic data gathered from the patient
and incorporates these findings into the plan of care.
____ Demonstrates a basic understanding of normal and abnormal values.
____ Demonstrates the ability to make independent judgments when
developing the plan of care.
____ Writes progress notes that contain the assessment and
comprehensive plan of care.
The NP/CNS demonstrates competency in the admission
and initial management of the patient.
____ Obtains a complete health history.
____ Recognizes important variables from the history and includes them
in the plan of care.
____ Initiates appropriate admission orders.
____ Identifies specific potential and actual problems based on knowledge
of pathophysiology.
____ Initiates proper diagnostic studies based on assessment and history.
____ Exhibits ability to identify common abnormalities and diseases,
describes pathophysiology and matches symptoms to disease
processes.
____ Reports abnormal findings in a timely manner and documents
response in progress notes.
____ Prioritizes problems appropriately and incorporates the assessment
in the plan of care.
____ Responds rapidly and appropriately to immediate problems or signs
of clinical deteriorations.
____ Documents relevant problems and management appropriately in the
progress note.
APRN Competency Checklist – 2014
The NP/CNS develops an individual plan of care for
patient.
____ Provides direct care management and treatment within the scope of
the NP role.
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
____ Promotes optimal care through multidisciplinary collaboration.
____ Initiates appropriate consultations and documents in progress note.
____ Uses appropriate clinical evaluation and laboratory tests.
____ Understands the uses of different ventilator modalities and plans
appropriate ventilator management.
____ Initiates individualized and appropriate pharmacotherapeutics.
____ Inputs orders in a timely manner.
The NP/CNS evaluates the patient’s response to the plan
of care.
____ Periodically evaluates the patient’s therapeutic response to
interventions and documents in progress notes.
____ Evaluates drug therapy. Demonstrates knowledge of commonly
used drugs.
____ Revises plan of care based on diagnostic studies, assessment and
consultation and documents these changes.
The NP/CNS demonstrates proficiency in technical skills.
____ Identifies risks and benefits of procedural interventions and list
pertinent clinical indicators for the procedures.
____ Correctly carries out technical skills and procedures according to
protocols.
____ Demonstrates sterile technique.
____ Monitors and evaluates patient’s clinical status prior to, during and
after procedure.
____ Documents completed procedure in a note that includes rationale,
procedure and evaluation.
The NP/CNS communicates data that reflects the
patient’s status.
____ Writes orders that are clear and concise.
____ Presents patient’s data in clinical rounds. Report is organized, clear
and succinct. All relevant data are reported.
____ Documents the assessment, plan and evaluation of care in the
progress note.
____ Provides clear verbal and written reports of changes in patient’s
condition to all appropriate healthcare team members.
____ Communicates verbally with clarity and attention to detail pertinent
to continuity during sign-out.
APRN Competency Checklist – 2014
The NP/CNS demonstrates responsibility for own practice.
____ Manages an appropriate caseload and completes work in clinical time
allotted.
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
Self-Evaluation
1 2 3 4 n/a
Preceptor Rating
1 2 3 4 n/a
Orientee’s Comments:
Preceptor’s Comments:
____ Brings appropriate questions to preceptor.
____ Takes responsibility for correcting knowledge deficits, using multiple
resources to answer questions and augment team members’
knowledge.
____ Takes responsibility for finding opportunities to work on skill
requirements.
____ Accepts guidance and constructive criticism in a professional manner,
recognizing the need for help.
____ Takes responsibility for practicing within their scope of practice.
____ Integrates the BSW Professional Practice Model
The NP/CNS shows leadership in the APRN role.
____ Demonstrates self-reliance by attempting to find answers on own.
____ Takes responsibility for expanding knowledge base and experiences.
____ Actively participates in clinical rounds by asking questions,
commenting, and bringing up ideas regarding the condition of
management of patients under discussion.
____ Discusses new treatment options and research, demonstrating a
basic knowledge of research design, measurement techniques and
statistical methods.
____ Demonstrates awareness of own strengths, identifies areas of
growth in developing the NP role identity, and progresses toward
goal.
____ Is courteous and respectful to all team members.
____ Develops relationships with multidisciplinary team members
promoting mutual respect and trust.
Comments:
___________________________________________________________________________________
___________________________________________________________________________________
Orientee Signature:
Preceptor Signature:
Date:
APRN Competency Checklist – 2014
Date:
Adapted from Vanderbilt