Carly LegaultSeptember 12, 2013 Self-Assessment Tool – CCP College of LPNs of Alberta Page 1 2nd Edition - Revised October 2008 Self-Assessment Tool – CCP College of LPNs of Alberta Page 2 2nd Edition - Revised October 2008 TABLE OF CONTENTS SELF-ASSESSMENT TOOL - RATING SCALE..........................................................................4 STEP 1: SELF-ASSESSMENT WITHIN STANDARDS OF PRACTICE.....................................4 A: Nursing Knowledge ...............................................................................................................4 B: Nursing Process..................................................................................................................... 5 C: Safety..................................................................................................................................... 5 D: Communication and Interpersonal Skills................................................................................5 W: Professionalism..................................................................................................................... 6 X: Nursing Practice and Leadership............................................................................................6 Self-Assessment Summary.......................................................................................................... 7 STEP 2: SELF-ASSESSMENT OF SPECIFIC COMPETENCIES..............................................8 STEP 3: LEARNING PLAN......................................................................................................10 RECORD OF PROFESSIONAL ACTIVITIES............................................................................11 Self-Assessment Tool – CCP College of LPNs of Alberta Page 3 2nd Edition - Revised October 2008 SELF-ASSESSMENT TOOL The Self-Assessment Tool is used to assess your professional practice using the LPN Standards of Practice and Competency Profile as a guide. Focus your assessment on your practice as a whole and then those Specific Competencies which are directly related to your role and responsibilities. RATING SCALE Use the following rating scale to complete your Self-Assessment. 1 Excellent 2 Competent 3 Requires Improvement 4 Developmental Demonstrates excellence in the expectations and / or requirements of the competency. Meets the expectations and / or requirements of the competency. Has identified weakness in areas of knowledge, skills, attitudes, or clinical judgment. Requires education and/or orientation to meet the expectations and / or requirements of the competency. 5 Not Applicable Not applicable to current role and responsibility. STEP 1: SELF-ASSESSMENT WITHIN STANDARDS OF PRACTICE Competency Number A: Nursing Knowledge Year 2016_ _ Year 20__ Year 20__ Year 20__ Year 20__ Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) A-1 Applies knowledge of anatomy and physiology of the human body to the assessment of client and delivery of nursing care. 2 A-2 Applies knowledge of microbiology throughout care, disease prevention, and health promotion. 3 A-3 Applies knowledge of pathophysiology to the nursing care of the client. 3 A-4-4 Uses appropriate medical terminology to report and document client care. 3 A-5-9 Adjusts nursing practice to the specific growth and development of the client. 3 A-6 Applies principles of nutrition to the assessment and care of the client. 3 A-7 Applies knowledge of pharmacology throughout client care and teaching. Self-Assessment Tool – CCP College of LPNs of Alberta 3 Page 4 2nd Edition - Revised October 2008 Year 2016_ _ Competency Number A-8-2 Integrates knowledge and skills from the sciences and humanities into the application of the nursing process. B: Nursing Process Rating (1-5) Performs health assessment of client using assessment techniques and a systematic process. 2 B-2-2 Implements the planning process and establishes client priorities involving client in planning. 3 B-2-3 Identify and analyze nursing diagnosis. 2 B-3 Implements nursing interventions to carry out nursing care plan. 3 B-3-2 Reassess, review, and modify plan of care to meet the needs of the client. B-4 Evaluates the clients’ response to care and treatment. Year 20__ Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) 3 C-1 to C-4 Applies critical thinking and clinical judgment when responding to emergency situations. 4 C-5-1 Effectively uses protective devices to protect client, self, and others. 2 C-6-1 Demonstrates the consistent application of standard precautions. 3 C-7-1 Applies principles of medical and surgical asepsis in the delivery of care. 3 C-12 Applies nursing knowledge and clinical judgment to maintain physical safety of client. 3 Rating (1-5) D-1 Uses effective verbal and written communication in the practice setting. 3 D-2 Appropriately establishes, maintains, and closes the nurse-client relationship. 2 D-3 Collaborates with health care team to function as an effective team member. 2 D-3-7 Adheres to the channels of communication within the employing agency. 4 Self-Assessment Tool – CCP College of LPNs of Alberta Year 20__ 3 Rating (1-5) D: Communication and Interpersonal Skills Year 20__ 3 B-1 C: Safety Year 20__ Page 5 2nd Edition - Revised October 2008 Year 2016_ _ Competency Number D-4 Provides client and family teaching. 2 D-5 Reports and documents following legal protocols, agency policy and procedure. 3 D-7 Applies clinical judgment in identifying problems and resolving issues in client care. 3 D-8-1 Effectively manages time and organizes client care to meet priority needs. 3 D-8-2 Demonstrates ability to rank the priority of client needs. 2 W: Professionalism Rating (1-5) W-1-3 Understands the key components of the Health Professions Act-LPN Regulation. 3 W-2-3 Understands the Restricted Activity authorizations in the LPN Regulation. 3 W-3 Understands the CLPNA Standards of Practice. 3 W-4 Adheres to the CLPNA Code of Ethics and Standards of Practice. 3 W-4-5 Acts as an advocate for client and empowers clients and families. 3 W-5-1 Demonstrates accountability for own nursing practice. 2 W-6 Maintains the confidentiality of client information. 1 W-7 Recognizes professional boundaries within the nurse-client therapeutic relationship. 2 W-9 Accepts responsibility for continuing competence and professional development. 2 W-9-4 Participates in continuous quality improvement and evidence based changes to nursing practice. 3 W-11 Keeps informed of current research affecting health care delivery. 4 X: Nursing Practice and Leadership Rating (1-5) X-1-5 Recognizes own strengths and limitations as a leader. 3 X-3-5 Uses appropriate channels of communication to 4 Self-Assessment Tool – CCP College of LPNs of Alberta Year 20__ Year 20__ Year 20__ Year 20__ Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Page 6 2nd Edition - Revised October 2008 Year 2016_ _ Competency Number Year 20__ Year 20__ Year 20__ Year 20__ report risks within setting. X-4 Applies critical thinking and clinical judgment when assessing or managing risk. 3 X-7-1 Shares knowledge, skill, and expertise with colleagues and students. 3 X-7-3 Seeks opportunities to teach and mentor others. 4 X-7-4 Participates in committees, task forces and professional activities to offer the LPN perspective. 5 SELF-ASSESSMENT SUMMARY Year Competency Number 2016 Self-Assessment Tool – CCP College of LPNs of Alberta Describe the competency areas you want to improve or develop. List all items rated 2 (Competent), 3 (Requires Improvement), 4 (Developmental) in Step 1. Category A: Nursing Knowledge A-1, A-2, A-3, A-4-4, A-5-9, A-6, A-7, A-8-2 Category B: Nursing Process B-1, B-2-2, B-2-3, B-3, B-3-2, B-4 Category C: Safety C-1 to C-4, C-5-1, C-6-1, C7-1, C-12 Category D: Communication and Interpersonal skills D-1, D-2, D-3, D-3-7, D-4, D-5, D-7, D-8-1, D-8-2 Category W: Professionalism W-1-3, W-2-3, W-3, W-4, W-4-5, W-5-1, W-7, W-9, W-9-4, W-11 Category X: Nursing Practice and Leadership X-1-5, X-3-5, X-4, X-7-1, X-7-3, X-7-4 Page 7 2nd Edition - Revised October 2008 20___ 20___ Self-Assessment Tool – CCP College of LPNs of Alberta Page 8 2nd Edition - Revised October 2008 STEP 2: SELF-ASSESSMENT OF SPECIFIC COMPETENCIES In this section, describe, assess, and rate the competencies specific to your area of work, specialty, role and responsibility. Review the competency sections in the Competency Profile to guide your assessment of the Specific Competencies. Seek feedback from another health professional. Year Competency Number C-12 Rating (1-5) Describe & Assess Specific Competencies Applies nursing knowledge and clinical judgment to maintain physical safety of client. 3 2016 I feel that this is an important area to work on as safety is key when receiving a patient into care. All my instructors stressed safety, and they have mentioned many times that it should be at the top of our priorities. This is an area that I would like to improve as though I feel like I am safe with the client, I want to critically think ahead of possible dangers, and prevent them. I am currently at a basic level of thinking when it comes to safety, I lower the bed, put up the side rails, but what I want to improve is to predict complications based on assessments, and medication (interactions, or side effects), and to know what to do when an event occurs. D-8-1 Effectively manages time and organizes client care to meet priority needs. 3 Time management and organization is something that I need to work on as I have struggled with getting al my documentation, and tasks done before breaks in clinical. I want to improve this area as it will make my day easier in the future and it will provide me with the time to give quality care to my patients. Although I know that some days will be more challenging and busy, I want to be able to look at the Kardex of clients, plan my day with thinking of possible complications that can happen ahead of time. 20___ 20___ 20___ Self-Assessment Tool – CCP College of LPNs of Alberta Page 9 2nd Edition - Revised October 2008 20___ Self-Assessment Tool – CCP College of LPNs of Alberta Page 10 2nd Edition - Revised October 2008 STEP 3: LEARNING PLAN This page is intended to document your Learning Plan for one year. Photocopy this BLANK page for each additional year. Your Learning Plan must consist of at least TWO objectives for each year. You are required to fill out all FOUR columns for each objective. Transfer your Learning Plan onto your Annual CLPNA Registration Renewal Form. Please refer to the Guidelines at www.clpna.com for more information. YEAR 2016 Learning Objectives Resources & Strategies Target Date Evaluation (What I am going to learn?) (What will I do to meet objectives?) (Realistic time frame for achievement) (How will I know I learned it?) I am going to learn to practice patient safety by focusing on medication administration, and infection control. I will meet this objective by reading articles from Canadian Patient Safety Institute – prevention strategies with medication errors, and infection control. 1 year – February 5, 2017. I will meet this objective by reading an article on time management for nursing, and using daily organizational sheet to manage my time, as well as reflection after my shift. 1 year February 5, 2017. I will learn to manage my time efficiently to allow me to meet priority task of the day. Name: _____________________g Self-Assessment Tool – CCP College of LPNs of Alberta I will know that I have met my objective if and when it reflects on my work, and care of the patients. This will include reflection of any incident that happens on a daily shift. I will know that I have met my objective if I am on time for my breaks, and get off at a reasonable time after my shift ends. As I reflect I will be able to highlight things I can improve, and things that went well throughout my shift. CLPNA Registration #: ____________ Page 11 2nd Edition - Revised October 2008 RECORD OF PROFESSIONAL ACTIVITIES Date 1 Feb, 2016 Professional Activity (include course, seminar, research, hours, details) 2 Hours were spent in labs with review of how to properly It’s Your Move Retransfer a patient. This included transfer belts (1-2 p. assist), certification at NorQuest medi-lift, sit to stand, and the scoop method. College November, 2015 In Service at Royal Alexandra Hospital unit 53: How to Transfer Stroke Patients June, 2015 In Service at Norwood, understanding Dysphasia 14 March, 2015 Summary of Learning CPR Certification Name: _____________________ Self-Assessment Tool – CCP College of LPNs of Alberta Half an hour was spent with a RN that explained the importance of transferring patients, and the proper method to transfer stroke patients. It also explains the frustration that patients feel, and gave a better understanding of why they react certain ways. An hour was spent in a staff room were the Nutritionist presented dysphagia and the risk related to. I tried different consistency of drinks, and food which provided me with a better understanding of their meals. The safest way to feed these client’s were described: HOB 90 degree (pillow behind there head), watch for pocketing, do not rush, do not mix foods. Completed course BLS-HCP (C). The required CPR certification for a license practical nurse. CLPNA Registration #:__________ Page 12 2nd Edition - Revised October 2008