1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by the Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. a. Reports any patient care errors and/or omissions promptly according to ACC and facility guidelines. a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. b. Uses standards of nursing practice to provide patient care. b. Uses standards of nursing practice to provide and evaluate care. b. Uses standards of nursing practice to provide and evaluate care. b. Uses standards of nursing practice to provide and evaluate care. b. Uses standards of nursing practice to provide and evaluate care. b. Uses standards of nursing practice to provide and evaluate care. c. Reports environmental and systems incidents to reduce potential risks for harm. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. d. Maintains patient privacy and confidentiality in compliance with HIPPA and hospital regulations. Level 3 Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate 2. Implements measures to promote a safe environment and reduce risks for selected individuals and their families. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. 2. Implements & evaluates measures to promote quality and a safe environment for all individuals. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Performs ‘Safety Measures for All Skill Performances’, as set forth by ACC, upon entering and exiting individuals’ room when performing nursing skills. a. Performs ‘Safety Measures for All Skill Performances’, as set forth by ACC, upon entering and exiting individuals’ room when performing nursing skills. a. Performs ‘Safety Measures for All Skill Performances”, as set forth by ACC, upon entering and exiting individuals’ room when performing nursing skills. a. Performs ‘Safety Measures for All Skill Performances’, as set forth by ACC, upon entering and exiting individuals’ room when performing nursing skills. a. Performs skills in safe manner; observes infection control principles. a. Performs ‘Safety Measures for All Skill Performances’, as set forth by ACC, upon entering and exiting individuals’ room when performing nursing skills. b. Administers medications safely. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. c. Notes significant changes in status to faculty and coassigned nurse and takes action, based on need, in a timely manner. c. Reports and documents significant changes in status to faculty and co-assigned nurse and takes action, based on need, in a timely manner. c. Reports and documents significant changes in status to faculty and co-assigned nurse and takes action, based on need, in a timely manner. d. Administers medications safely. d. Administers medications safely. d. Administers medications safely. e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. . e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. c. Utilizes principles of basic infection control. b. Reports changes in patient behavior which may impact patient/milieu safety to nursing staff and instructor. c. Identifies and discusses in clinical conference issues related to safety. d. Identifies risk for patient/student injury related to aggressive behavior and takes appropriate preventative measures including informing clinical instructor whenever possible. e. Identifies elements of safe medication administration (6 rights) and confers with instructor regarding purpose of medications, possible side effects/adverse reactions, nurse’s role in ongoing monitoring, and patient teaching points. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. c. Reports and documents significant changes in status to faculty and co-assigned nurse and takes action, based on need, in a timely manner. d. Administers medications safely. e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate 3. Identifies evidencebased data to reduce risk to the individual. 3. Identifies and utilizes evidence-based data to reduce risk to the individual. 3. Formulates goals and outcomes, using evidencebased data, to reduce risks to the individual. 3. Formulates goals and outcomes, using evidencebased data, to reduce risks to the individual. 3. Formulates goals and outcomes, using evidencebased data, to reduce risks to the individual. 3. Formulates goals and outcomes, using evidencebased data, to reduce risks to the individual. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Formulates individualized plans of care using evidence – based data. a. Collaborates with individuals and their families to formulate individualized plans of care using evidence – based data to reduce risk. a. Collaborates with individuals and their families to formulate individualized plans of care using evidence – based data to reduce risk. a. Collaborates with individuals and their families to formulate individualized plans of care using evidence – based data to reduce risk. a. Uses theory based knowledge derived from text and evidence-based practice to inform and direct patient interactions in an effort to reduce risk. a. Collaborates with b. Identifies appropriate nursing actions, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite, co-requisite and current courses to reduce risk. b. Makes appropriate nursing judgments, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite, co-requisite and current courses to reduce risk. b. Makes appropriate nursing judgments, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite, co-requisite and current courses to reduce risk. b. Identifies appropriate evidence-based nursing actions to reduce risk utilizing knowledge and skills from pre-requisite, co-requisite and current courses. b. Makes appropriate nursing judgments, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite, co-requisite and current courses to reduce risk. individuals and their families to formulate individualized plans of care including using comprehensive outcome criteria using evidence-based outcomes to reduce risk. b. Makes effective nursing judgments to reduce risk, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite and co-requisite and current courses. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate Patient Safety Advocate 4. Seeks supervision before implementing nursing procedures or practices. 4. Seeks supervision before implementing nursing procedures or practices. 4. Seeks guidance before implementing nursing procedures or practices. 4. Seeks guidance before implementing nursing procedures or practices. 4. Seeks guidance before implementing nursing procedures or practices. 4. Seeks guidance, as needed, when implementing nursing procedures or practices. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Obtains instruction, supervision and/ or training when implementing nursing procedures or practices. a. Obtains instruction, supervision and/or training when implementing nursing procedures or practices. a. Obtains instruction, supervision and/or training when implementing nursing procedures or practices. a. Obtains instruction, supervision and/or training when implementing nursing procedures or practices. a. Obtains instruction, supervision and/or training when implementing nursing procedures or practices. a. Obtains instruction, supervision and/or training, as needed, when implementing nursing procedures or practices. b. Modifies behaviors promptly based on faculty input. b. Modifies behaviors promptly based on faculty input. b. Modifies behaviors promptly based on faculty input and self-evaluation. b. Modifies behaviors promptly based on faculty input and self-evaluation. b. Modifies behaviors promptly based on faculty input and self-evaluation. c. Seeks clarification regarding any treatment regimen that is unfamiliar. c. Seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. b. Modifies behaviors promptly based on faculty input and self- evaluation. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care 1. Applies clinical reasoning skills and the nursing process, guided by evidence-based practice, as a framework for providing care for individuals with obstetric and pediatric health care needs, and their families. 1. Applies clinical reasoning skills and the nursing process, guided by evidence-based practice, as a framework for providing care for individuals with mental health care needs. 1. Integrates clinical reasoning skills and the nursing process, guided by evidence-based practice, as a framework for providing care for multiple individuals, and their families, with complex health care needs involving multiple body systems in intermediate and critical care settings. Assessment 1. Develops clinical reasoning skills and utilizes the nursing process, guided by evidence-based practice, as a framework for meeting the health care needs of selected individuals and their families. 1. Develops clinical reasoning skills and utilizes the nursing process, guided by evidence-based practice, as a framework for providing care for individuals with medicalsurgical health care needs, and their families. 1. Applies clinical reasoning skills and utilizes the nursing process, guided by evidence-based practice, as a framework for providing care for individuals with complex medical-surgical health care needs, and their families. Level 3 Assessment Assessment Assessment Assessment Performs assessments to determine the health status, needs and preferences of individuals and their families. Performs accurate assessments to determine the health status, needs and preferences of individuals and their families. Performs comprehensive assessments to determine the health status, needs and preferences of individuals and their families. Performs comprehensive assessments to determine the health status, needs and preferences of individuals and their families. Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Collects subjective and objective data in each category of PERSON, using a structured format. a. Performs accurate and comprehensive assessments in a timely manner. a. Performs accurate and comprehensive assessments in a timely manner. b. Able to implement both structured and nonstructured assessment tools. b. Able to implement both structured and nonstructured assessment tools. c. Anticipates and interprets health data for underlying pathophysiological changes in status. c. Anticipates and interprets health data for underlying pathophysiological changes in status. Criteria Behaviors a. Collects subjective and objective data in each category of PERSON, using a structured format b. Performs accurate assessments in a timely manner. c. Identifies underlying pathophysiological changes. b. Performs accurate assessments in a timely manner. c. Anticipates and identifies health data for underlying pathophysiological changes in status. Assessment Performs comprehensive assessments to determine the health status, needs and preferences of individuals. Criteria Behaviors a. Performs mental status assessments according to clinical guidelines as well as ongoing assessments which reflect changes in patient’s status. b. Anticipates and interprets health data for underlying pathophysiological changes in status. Determines the health status, needs and preferences of culturally, ethnically and socially diverse individuals, and their families, based upon interpretation of comprehensive assessment findings. Criteria Behaviors a. Performs accurate, prioritized and comprehensive assessments in a timely manner. b. Able to implement both structured and non-structured assessment tools. c. Anticipates, interprets and analyzes health data for underlying pathophysiological changes in status. Diagnosis/Problem Identifies nursing problems based upon health assessment findings. Criteria Behaviors a. Collects subjective and objective data to identify nursing problems. Diagnosis/Problem Diagnosis/Problem Diagnosis/Problem Develops a list of nursing problems relevant to the care of individuals and their families based upon health assessment findings. Develops a list of prioritized nursing problems for individuals and their families based upon interpretation of health assessment findings. Develops a list of prioritized nursing problems for individuals and their families based upon interpretation of health assessment findings. Develops a list of prioritized nursing problems for individuals and their families based upon interpretation of health assessment findings. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Collects subjective and objective data to identify nursing problems. a. Interprets data to develop a prioritized list of comprehensive nursing diagnoses for each individual. a. Interprets data to develop a prioritized list of comprehensive nursing diagnoses for each individual. b. Develops a comprehensive list of nursing problems. Planning Formulates goals, with specific outcomes, in collaboration with individuals and their families as well as the interdisciplinary team. Planning Formulates measurable and realistic goals, with specific outcomes, in collaboration with individuals and their families as well as the interdisciplinary team. Criteria Behaviors a. Develops a list of realistic goals. b. Selects relevant evidencebased information from learning resources in planning care and clinical practice. Criteria Behaviors a. Develops a list of realistic goals. b. Utilizes relevant evidencebased information from learning resources in planning care and clinical practice. b. Reprioritizes nursing problems for each individual, as appropriate, throughout care. b. Reprioritizes nursing problems for each individual, in a timely manner, as appropriate, throughout care. Diagnosis/Problem a. Interprets data to develop a prioritized list of comprehensive nursing diagnoses for patient. b. Reprioritizes nursing problems in a timely manner, as appropriate, throughout care. Diagnosis/Problem Develops a list of prioritized nursing problems for individuals and their families based on analysis of assessment findings using knowledge of societal and health care trends. Criteria Behaviors a. Integrates data to develop a list of appropriate prioritized nursing diagnosis for adult individuals. b. Reprioritizes nursing problems for each individual in a timely manner, as appropriate, throughout care. Planning Planning Planning Planning Develops measurable and realistic goals using clinical reasoning, guided by evidence-based practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. Develops measurable and realistic goals using clinical reasoning, guided by evidence-based practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. Develops measurable and realistic goals using clinical reasoning, guided by evidencebased practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals. Criteria Behaviors Makes effective nursing decisions using clinical reasoning, guided by evidence-based practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. Criteria Behaviors Criteria Behaviors a. Formulates specific, realistic, measurable and timed goals. Criteria Behaviors a. Formulates measurable short term goals, with specific outcomes, based on identified nursing problems. a. Formulates measurable short term goals, with specific outcomes, in anticipation of risk based on identified nursing problems. b. Short and long term goals are determined with input of patient when possible and reflect current and evidencebased practice. a. Formulates measurable short-term and long-term goals with specific outcomes in anticipation of risk based on identified nursing problems. b. Incorporates relevant data from evidence-based resources, and utilizes clinical reasoning skills, in planning care. b. Analyzes and incorporates relevant data from evidencebased resources, and utilizes clinical reasoning skills, in planning care. c. Analyzes and incorporates relevant data from evidencebased resources, and utilizes clinical reasoning skills, in planning care. b. Develops plans of care, including plans for discharge, for individuals and families using information from evidence-based practice, and utilizes clinical reasoning skills, in planning care. Implementation Implements plans of care within a legal and ethical framework. Implementation Implements individualized plans of care, in a culturally sensitive manner, within a legal and ethical framework. Criteria Behaviors a. Implements individualized plans of care. Criteria Behaviors Criteria Behaviors a. Implements the plans of care. b. Demonstrates caring behaviors, including protecting the individual from violations of dignity and selfesteem. c. Uses therapeutic communication skills when providing care. d. Completes care in a timely manner. Implementation Implements individualized and comprehensive plans of care for individuals and their families, in a culturally sensitive manner, within a legal and ethical framework. b. Demonstrates caring behaviors, including protecting the individual from violations of dignity and selfesteem. c. Identifies changes in status. d. Uses therapeutic communication skills when providing care. e. Completes care in a timely manner. a. Implements individualized plans of care in an organized manner. b. Demonstrates caring behaviors for individuals and their families in a holistic, culturally sensitive and nondiscriminatory manner. c. Manages responsibilities to provide care, including during change in status. d. Uses therapeutic communication skills when providing care. Implementation Implementation Implements individualized and comprehensive plans of care for individuals and their families, in a timely and culturally sensitive manner, within a legal and ethical framework. Implements individualized and comprehensive plans of care for individuals, in a timely and culturally sensitive manner, within a legal and ethical framework. Criteria Behaviors a. Implements individualized and prioritized plans of care that help to meet health care needs in an organized manner. b. Demonstrates caring behaviors for individuals and their families in a holistic, culturally sensitive and nondiscriminatory manner. Criteria Behaviors a. Implements individualized and prioritized plans of care in an organized manner. b. Interventions are within student’s scope of practice. c. Demonstrates caring behaviors for individuals and their families in a holistic, culturally sensitive and nondiscriminatory manner. c. Manages multiple responsibilities and prioritizes care, including during changes in status. Implementation Implements comprehensive and prioritized plans of care for individuals and their families, in a timely and culturally sensitive manner, within a legal and ethical framework. Criteria Behaviors a. Implements individualized and prioritized plans of care that help to meet health care needs in an organized, timely manner. b. Demonstrates caring behavior for individuals and their families in a holistic, culturally sensitive and nondiscriminatory manner. c. Manages and adjusts priorities and multiple responsibilities to provide care for multiple patients including during rapidly changing and emergency situations. d. Uses therapeutic communication skills when providing care. d. Uses therapeutic communication skills when providing care. Evaluation Evaluation Recognizes the individuals’ response to nursing interventions. Evaluation Evaluates the achievement of goals. Evaluates the achievement of goals and modifies plans of care accordingly. Evaluates the achievement of goals and modifies plans of care accordingly. Evaluates the achievement of goals and modifies plans of care accordingly. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Performs ongoing assessments to monitor changes in status. a. Conducts ongoing assessments to interpret changes in patient status. a. Conducts ongoing assessments to determine whether interventions were effective and goals were met. Criteria Behaviors b. Evaluates goals and modifies the plan of care based on individual and family responses. b. Evaluates goals and interventions to appropriately modify the plan of care. b. Evaluates goals and interventions to appropriately modify the plan of care. b. Evaluates goals and the effectiveness of therapeutic interventions and a. Identifies and documents the individual’s response to nursing interventions. a. Evaluates goal as met, partially met, or not met and provides rationale. Evaluation Evaluation Evaluation Evaluates and reports outcomes and responses to therapeutic interventions and plans follow-up care. a. Provides ongoing assessment to analyze changes in status. appropriately modifies the plan of care, based on unmet needs, in a timely manner. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care 2. Provides basic information to individuals and their families to address disease prevention and health promotion, maintenance and restoration. 2. Develops teaching plans for individuals and their families to address disease prevention and health promotion, maintenance and restoration. 2. Develops and implements teaching plans for individuals with complex medical-surgical health care needs, and their families, to address disease prevention and health promotion, maintenance and restoration. 2. Develops and implements teaching plans for individuals with obstetric and pediatric health care needs, and their families, to address disease prevention and health promotion, maintenance and restoration. 2. Develops and implements teaching plans for individuals with mental health care needs, to address disease prevention and health promotion, maintenance and restoration. 2. Develops, implements and evaluates teaching plans for individuals and their families to address disease prevention, health promotion, maintenance and restoration. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Recognizes the learning a. Recognizes the learning a. Assesses learning needs to develop and implement individualized teaching/learning plans of care for individuals with complex medical-surgical health care needs, and their families. a. Assesses learning needs to a. Assesses learning needs and develops and implements patient teaching when possible. Confers with unit nurses/instructor prior to formal patient teaching. a. Analyzes learning needs to develop and implement individualized teaching/learning plans for individuals with complex health care needs with involving multiple body systems. needs of individuals. b. Provides basic information on strategies to protect & promote health. needs of individuals and develops teaching plans. b. Identifies reliable and valid sources of information. c. Identifies and provides basic information on strategies to protect and promote health. b. Educates regarding access to reliable and valid sources of information and resources, including health information. c. Teaches skills and strategies to protect and promote health. develop and implement individualized teaching/learning plans of care for individuals with obstetric and pediatric health care needs, and their families. b. Teaches about access to reliable and valid sources of information and resources, including health information. c. Teaches skills and strategies to protect and promote health. b. Teaches stress management skills, coping skills, relapse prevention skills, resiliency skills and medication management skills with nursing staff/instructor input. b. Teaches about access to reliable and valid sources of information and resources, including health information. c. Teaches skills and strategies to protect and promote health. d. Evaluates learning outcomes of those receiving instruction. e. Modifies teaching plans, as needed, utilizing best practice standards, in consideration of changes in patient status and patient and family differences. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care Provider of Patient-Centered Care 3. Utilizes information and material resources in providing care for individuals and their families. 3. Utilizes information and material resources in providing care for individuals and their families. 3. Utilizes human, information and material resources in providing care for individuals and their families. 3. Coordinates human, information and material resources in providing care for individuals and their families. 3. Coordinates human, information and material resources in providing care for individuals and their families. 3. Coordinates human, information, and material resources in providing care for individuals and their families. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Obtains needed equipment and supplies in a timely manner. a. Obtains needed equipment and supplies in a timely manner. a. Selects appropriate equipment and supplies prior to performing a task. a. Selects appropriate equipment and supplies prior to performing a task. a. Utilizes available resources in a cost effective and timely manner. a. Selects appropriate equipment and supplies prior to performing a task. b. Demonstrates proficiency in use of equipment. b. Demonstrates proficiency in use of equipment. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. b. Locates supplemental resources to enhance learning; shares with clinical group. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. Level 1 Level 2 Level 3 Level 4 2160 Mental Health Provider of Patient-Centered Care 4. Applies therapeutic communication skills, the cornerstone of mental health nursing practice, to interactions with mental health clients. Criteria Behaviors a. Demonstrates ability to differentiate between therapeutic and nontherapeutic communication. b. Employs verbal and nonverbal communications that promote trust, express empathy and a nonjudgmental approach. c. Establishes therapeutic nursing student/patient relationships that incorporate the three stages of the therapeutic relationship. d. Interactions consider patients’ cultural preferences . Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team 1. Acts as an advocate in promoting quality and access to health care for selected individuals and their families. 1. Acts as an advocate in promoting quality and access to health care for individuals, with medicalsurgical health care needs, and their families. 1. Acts as an advocate in promoting quality and access to health care for individuals with complex medical-surgical health care needs, and their families. 1. Acts as an advocate in promoting quality and access to health care for individuals with obstetric and pediatric health care needs and their families. 1. Acts as an advocate in promoting quality and access to health care for individuals with mental health care needs and their families. 1. Serves as health care advocate in monitoring and promoting quality and access to health care for adult individuals, with complex health care needs involving multiple body systems, and their families in collaboration with the health care team. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Participates with the health care team to provide continuity of care that is culturally sensitive. a. Participates with the health care team to provide continuity of care that is culturally sensitive. a. Collaborates with the health care team to provide continuity of care that is culturally sensitive. a. Collaborates with the health care team to provide continuity of care that is culturally sensitive. a. Collaborates with the health care team to provide a consistent approach to patient treatment. a. Collaborates with the health care team to provide continuity of care and culturally sensitive care, to adult individuals. b. Supports the individual’s right to self-determination, choice, and confidentiality. b. Supports the individual’s right to self-determination, choice and confidentiality. b. Advocates for individuals with complex medical surgical health care needs, and their families, by supporting the individual’s right to selfdetermination, choice and confidentiality and encourages participation in care. b. Advocates for individuals with obstetric and pediatric health care needs, and their families, by supporting the individual’s right to selfdetermination, choice and confidentiality and encourages participation in care. b. Shares pertinent information and advocates for the patient within the context of the health care team. c. Evaluates the effectiveness and quality of care. c. Evaluates the effectiveness and quality of care, including that care provided by other health care team members. c. Recognizes advocacy as a nursing responsibility. c. Evaluates the effectiveness and quality of care. b. Advocates for individuals, with multiple health care needs, and their families by supporting the right to selfdetermination, choice and confidentiality and encourages participation in care. c. Evaluates the effectiveness and quality of care provided by other members of health care team. Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team 2. Identifies appropriate resources that facilitate health promotion, maintenance and restoration for selected individuals and their families. 2. Utilizes appropriate resources that facilitate continuity of care health promotion, maintenance and restoration for individuals, with medicalsurgical health care needs, and their families. 2. Integrates resources, into own nursing practice, and refers individuals with complex medical surgical health care needs, and their families, to resources that facilitate continuity of care; health promotion, maintenance and restoration. 2. Integrates resources, into own nursing practice, and refers individuals with obstetric and pediatric health care needs, and their families, to resources that facilitate continuity of care; health promotion, maintenance and restoration. 2. Refers individuals with mental health care needs to resources that facilitate continuity of care, health promotion, maintenance and restoration. 2. Integrates resources, into own nursing practice, and refers individuals with complex health care needs involving multiple body systems, and their families, to resources that facilitate continuity of care; health promotion, maintenance and restoration. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Identifies institutional resources (i.e. teaching resources, ancillary staff resources, PT/OT/RT/SW/CM) to meet health care needs. a. Assesses the need for resources and referrals. a. Assesses the need for resources and referrals. a. Assesses the need for resources and referrals. a. Assesses the need for resources and referrals. b. Identifies institutional resources (i.e. teaching resources, ancillary staff resources, PT/OT/RT/SW/CM) to meet health care needs. b. Collaborates with other members of the health care team to procure resources for care. b. Collaborates with the health care team to facilitate continuity of care and to identify and initiate appropriate referrals. a. Assesses the need for/and patient’s interest in community support resources and attempts to help individual access these resources with review of healthcare team members. c. Provides information regarding institutional resources. c. Identifies and provides national and community resources to meet the needs of individuals and their families. Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 c. Identifies and provides national and community resources to meet the needs of individuals and their families. b. Increases own knowledge of these resources. c. Collaborates with the health care team to facilitate continuity of care and to identify the need for appropriate referrals. d. Identifies and provides national and community resources to meet the needs of individuals. b. Collaborates with the health care team to facilitate continuity of care and initiates appropriate referrals. Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team 3. Communicates with individuals and the interdisciplinary health care team to provide safe patient- centered care. 3. Communicates with individuals and the interdisciplinary health care team, in a timely manner, to provide safe and effective patientcentered care. 3. Collaborates and communicates with individuals and the interdisciplinary health care team, in a timely manner, to plan, deliver and evaluate safe and effective patient- centered care. 3. Collaborates and communicates with individuals and the interdisciplinary health care team, in a timely manner, to plan, deliver and evaluate safe and effective patient- centered care. 3. Collaborates and communicates with individuals and the interdisciplinary health care team in a timely manner to plan, deliver and evaluate safe and effective patient-centered care. 3. Coordinates, collaborates and initiates communication with individuals, their families and the interdisciplinary health care team, in a timely manner, to plan deliver and evaluate safe and effective patientcentered care. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Obtains report prior to administering care and gives report (using SBAR) prior to leaving the unit. a. Obtains report prior to administering care and gives report (using SBAR) prior to leaving the unit. b. Reports changes in status to appropriate health care team members and faculty in a timely manner. b. Reports changes in status to appropriate health care team members and faculty in a timely manner. a. Effectively organizes written and verbal communication when discussing plans of care with faculty and members of the health care team. a. Effectively organizes written and verbal communication when discussing plans of care with faculty and members of the health care team. a. Effectively organizes written and verbal communication when discussing plans of care with faculty and members of the health care team. c. Follows established guidelines for charting: legally correct accurate concise proper terminology grammatically correct legible (if applicable) timely c. Follows established legally correct guidelines for charting: legally correct accurate proper conciseterminolo proper terminology grammatically correct legible (if applicable) timely b. Reports changes in status to appropriate health care team members and faculty in a timely manner. legally correct c. Follows established guidelines for charting: legible proper legally correct terminolo accurate concise proper terminology grammatically correct legible (if applicable) timely b. Reports changes in status to appropriate health care team members and faculty in a timely manner. b. Reports changes in status to appropriate health care team members and faculty in a timely manner. a. Effectively organizes written and verbal communication, including change of shift report and/or during interdisciplinary team meetings, utilizing facility specific measures. c. Follows established guidelines for charting: legally correct legally correct legible accurate conciseterminolo proper proper terminology grammatically correct legible (if applicable) timely d. Collaborates with members of the health care team to modify plans of care. d. Coordinates and collaborates with members of the health care team to modify plans of care. c. Submits assignments legally following guidelines forcorrect documentation: legally correct proper terminolo accurate legible concise proper terminology grammatically correct legible (if applicable) timely not copied from other sources d. Actively participates with health care team and/or b. Reports changes in status to appropriate health care team members and faculty in a timely manner. c. Follows established guidelines for charting: legally correct legible accurate proper terminolo concise proper terminology grammatically correct legible (if applicable) timely d. Coordinates and collaborates with members of the health care team to modify plans of care. p during clinical nursing conferences with instructor and nursing student groups. e. Recognizes and manages conflict though the chain of command. e. Demonstrates professional behaviors and respect for other team members and student colleagues. 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team 4. Uses available technology and informatics to gather information that will support decision making to improve care for selected individuals and their families. 4. Uses available technology and informatics to gather information that will support decision making to improve care for individuals with medicalsurgical needs, and their families. 4. Effectively organizes information using available technology and informatics to support decision making to improve care for individuals with complex medical-surgical health care needs, and their families. 4. Effectively organizes information using available technology and informatics to support decision making to improve care for individuals with obstetric and pediatric health care needs, and their families. 4. Effectively accesses and organizes information using available technology and informatics to support decision making to improve care for individuals with mental health care needs. 4. Communicates and manages information using available technology and informatics to support decision making to improve care, and promote quality improvement, for individuals with complex medical surgical health care needs involving multiple body systems and their families. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Utilizes relevant information from learning resources in planning care and clinical practice. a. Selects and utilizes relevant information from learning resources in planning care and clinical practice. a. Identifies, collects, processes and manages data in the delivery of patientcentered care. a. Identifies, collects, processes and manages data in the delivery of patientcentered care. b. Accesses, reviews and uses electronic data to support decision making, when available, at the clinical site. b. Accesses, reviews and uses electronic data to support decision making, when available, at the clinical site. b. Accesses agency resources/informatics to reference best practices prior to implementing nursing procedures and protocols. a. Identifies, collects, and manages data in the delivery of patient-centered care using available resources in clinical setting: chart, computer. a. Identifies, collects, processes and manages data in the delivery of patientcentered care and in support of nursing practice. b. Accesses resources/informatics to reference best practices prior to implementing nursing procedures and protocols. b. Accesses agency resources/informatics to research or reference current best practices prior to implementing nursing procedures/protocols. c. Utilizes current technology and informatics to enhance communication, support decisions and promote improvement of care. c. Utilizes nursing informatics to manage and collect data in the delivery of care. b. Accesses agency resources/informatics to reference best practices prior to implementing nursing procedures and protocols. c. Utilizes nursing informatics to manage and collect data in c. Utilizes nursing informatics to readily access and evaluate the delivery of care. Level 1 the credibility of sources of information to promote quality care and to reduce risk. 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team Member of the Health Care Team 5. Identifies the delegation process, implemented by the staff nurse, in an effort to promote safe, effective and timely care for individuals with complex medical-surgical health care needs. 5. Delegates to other members of the health care team to promote safe, effective and timely care for individuals with obstetric and pediatric health care needs, and their families. 5. Identifies and analyzes the delegation process, implemented by the charge/staff nurse, in an effort to promote safe, effective and timely care for individuals with psychiatric mental health needs. 5. Delegates to other members of the health care team to promote safe, effective and timely care for individuals with complex health care needs involving multiple body systems, and their families. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Identifies nursing activities that are delegated in compliance with the Nurse Practice Act. a. Delegates nursing activities in compliance with the Nurse Practice Act. a. Observes and evaluates how the nurse uses critical thinking and professional judgment to delegate care based on the Nurse Practice Act; is cognizant of the 5 rights of delegation. a. Delegates nursing activities in compliance with the Nurse Practice Act. b. Participates in the supervision of care delivered by other members of the health care team. b. Participates in the supervision of care delivered by other members of the health care team. c. Applies management skills to assign and/or delegate nursing care to other members of the nursing team, while maintaining safe patient care. d. Demonstrates leadership in achieving care goals. b. Demonstrates leadership role in achieving patient goals. b. Evaluates and participates in the supervision of care delivered by other members of the health care team. c. Applies management skills to assign and/or delegate nursing care to other members of the nursing team, while maintaining safe patient care. d. Demonstrates leadership in achieving care goals. Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession 1. Functions within the nurse’s scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for selected individuals and their families. 1. Functions within the nurse’s scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for individuals with medicalsurgical needs, and their families. 1. Functions within the nurse’s scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for individuals with complex medical-surgical needs, and their families. 1. Functions within the nurse’s scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for individuals with obstetric and pediatric health care needs, and their families. 1. Functions within the nurse’s scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for individuals with mental health care needs. 1. Functions within the nurse’s legal scope of practice, and in accordance with the policies and procedures of the practice setting, while caring for individuals with complex health care needs involving multiple body systems and, their families. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. a. Provides care via therapeutic relationships to advocate for the well-being and preferences of the individual according to ethical and legal guidelines. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. Level 1 1160 Foundations 1161 Clinical 1 Level 2 1360 Clinical 2 Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession 2. Assumes accountability and responsibility for the quality of nursing care provided to selected individuals and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to adult individuals with medical surgical health care needs, and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to adult individuals with complex medical surgical health care needs, and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to adult individuals with obstetric and pediatric health care needs, and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to individuals with mental health care needs. 2. Assumes accountability and responsibility for the quality of nursing care provided to adult individuals with complex health care needs involving multiple body systems, and their families Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Accepts accountability and responsibility for own actions and behavior. a. Accepts accountability and responsibility for own actions and behavior. a. Accepts accountability and responsibility for own actions and behavior. a. Accepts accountability and responsibility for own actions and behavior. b. Completes written and patient care assignments within the designated time frame. b. Completes written and patient care assignments within the designated time frame. b. Completes written and patient care assignments within the designated time frame. b. Completes written and patient care assignments within the designated time frame. c. Models professional behavior and promotes a professional image of nursing. c. Models professional behavior and promotes a professional image of nursing. c. Models professional behavior and promotes a professional image of nursing. c. Models professional behavior and promotes a professional image of nursing. Criteria Behaviors Criteria Behaviors a. Accepts responsibility for own learning: i. is on time. ii. prepares adequately for each clinical. iii. notifies faculty and clinical agency of an absence prior to beginning of shift. iv. submits all learning assignments complete and on time. a. Accepts responsibility for own learning: i. is on time. ii. prepares adequately for each clinical. iii. notifies faculty and clinical agency of an absence prior to beginning of shift. iv. submits all learning assignments complete and on time. b. Models professional behavior and promotes a professional image of nursing by: i. following guidelines for dress and grooming ii. bringing all required equipment to clinical per student handbook (i.e. watch, pen, stethoscope, scissors, penlight, medication resources). b. Models professional behavior and promotes a professional image of nursing by: i. following guidelines for dress and grooming ii. bringing all required equipment to clinical per student handbook (i.e. watch, pen, stethoscope, scissors, penlight, medication resources) Criteria Behaviors Level 3 1262 Mother/Child 2160 Mental Health Level 4 2362 Clinical 4 d. Maintains professional boundaries to allow for safe interactions within a therapeutic relationship (i.e. avoids inappropriate personal disclosure, personal relationships and other boundary violations). 1160 Foundations Level 1 1161 Clinical 1 Level 2 1360 Clinical 2 1262 Mother/Child Level 3 2160 Mental Health Level 4 2362 Clinical 4 Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession Member of the Profession 3. Incorporates activities and behaviors, into own nursing practice, that promotes the development and practice of professional nursing. 3. Incorporates activities and behaviors, into own nursing practice, that promotes the development and practice of professional nursing. 3. Incorporates activities and behaviors, into own nursing practice, that promotes the development and practice of professional nursing. 3. Incorporates activities and behaviors into own nursing practice that promote the development and practice of professional nursing. 3. Incorporates activities and behaviors into own nursing practice that promote the development and practice of professional nursing. 3. Participates in and implements activities and behaviors that promote the development and practice of professional nursing Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Takes initiative to seek out learning opportunities. a. Takes initiative to seek out learning opportunities. a. Takes initiative to seek out learning opportunities. a. Takes initiative to seek out learning opportunities. a. Takes initiative to seek out learning opportunities. a. Takes initiative to seek out learning opportunities. b. Uses evidence-based practice as a basis for providing nursing care. b. Uses evidence-based practice as a basis for providing nursing care. b. Uses evidence-based practice as a basis for providing nursing care. b. Uses evidence-based practice as a basis for providing nursing care. b. Uses evidence-based practice as a basis for providing nursing care. b. Uses evidence-based practice as a basis for providing nursing care. c. Participates in facility specific measures to promote quality nursing care. (i.e. implementing core measures, fall risk assessment, Braden skin assessment). c. Participates in facility specific measures to promote quality nursing care. (i.e. implementing core measures, fall risk assessment, Braden skin assessment). c. Participates in facility specific measures to promote quality nursing care.(i.e. implementing core measures, fall risk assessment, Braden skin assessment) . c. Participates in facility specific measures to promote quality nursing care.(i.e. implementing core measures, fall risk assessment, Braden skin assessment) . c. Dresses professionally per expectations of ACC and clinical setting. c. Participates in facility specific measures to promote quality nursing care :( i.e. implementing core measures, fall risk assessment, Braden skin assessment.) Level 1 1160 1161 Foundations Clinical 1 Member of the Profession Member of the Profession Level 2 1360 Clinical 2 Member of the Profession Level 3 1262 2160 Mother/Child Mental Health Member of the Profession Member of the Profession Level 4 2362 Clinical 4 Member of the Profession 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self -reflection and selfanalysis. 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self -reflection and selfanalysis. 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self -reflection and selfanalysis. 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self -reflection and selfanalysis. 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self-reflection and selfanalysis. 4. Demonstrates responsibility for continued competence in nursing practice and develops insight through self-reflection, selfanalysis and self-care. Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors Criteria Behaviors a. Identifies own strengths and limitations through selfevaluation to improve practice. a. Identifies own strengths and limitations through selfevaluation to improve practice. a. Uses self-evaluation, reflection and feedback to modify and improve practice. a. Uses self-evaluation, reflection and feedback to modify and improve practice. a. Uses self-evaluation, peer, staff and faculty input and feedback to promote selfdevelopment. a. Uses self-evaluation, reflection, peer evaluation, and feedback to modify and improve practice. b. Demonstrates accountability to reassess and establish new competency. b. Demonstrates accountability to reassess and establish new competency, including when changing practice areas. b. Accepts constructive feedback from instructor and modifies behaviors accordingly b. Demonstrates accountability to reassess and establish new competency when changing practice areas. Revised 12/04/2013