CCT – NR 478 1

REGISUNIVERSITY

Rueckert-HartmanCollege for Health Professions

LorettoHeightsSchool of Nursing

NR478: Community Health Nursing (Online and Campus)

Clinical Competency Tool (CCT)

Student Name and Date: / Course Faculty Email / Preceptor Name

CCT Instructions and Submission Directions:

The CCT documents student success in clinical and is included in the student file for graduation requirements. Below are detailed directions for completion and submission of this important document. PLEASE NOTE: By the end of the community clinical experience, the student must successfully pass the following critical competencies in order to pass the course. Competencies must be performed accurately and safely. If this document is not received by the course faculty at the end of the course, the student will receive an I/F.

Student: Please fill in your name, date, and course faculty name and faculty Regis Net email address before sending this form electronically to your preceptor as an attachment (do not give as hard copy). Review and sign the CCT with your Preceptor (use electronic signature; your signature is not necessary but nice to have on the form). You will then upload to the NR 478R assignment dropbox and send to either for campus based students or to for online students.

Preceptor: Pleasereview this document at the beginning and end of the clinical experience with the student. This document should be completed online and signed electronically by Preceptor (and Student if possible) for ease of sending as attachment by email. At the end of the clinical experience, attach the completed and signed CCT as an email attachment and send to the Course Faculty. (The student will give you the name/email of the course faculty.) IF you are unable to email the document, please contact the course instructor. (For confidentiality reasons, once you have confirmation from the course faculty that the CCT was received, please SHRED/DELETE this document.) . Thank you for being the student’s preceptor. It is greatly appreciated!

Course Faculty Instructions (Not Preceptor): Please,after receipt of the completed and signed CCT from the Preceptor, send to thestudent who will upload into the course assignment dropbox and send to to the appropriate e-mail account as noted above.

1. Core Competency - Promotes safety, and health of the individual, family, community / Fail / Pass / Not Observed / Comments
  1. Identifies own limitations and seeks assistance

  1. Assesses the needs of individuals/families/communities

  1. Designs teaching/learning plans for individuals and/or groups

  1. Implements teaching/learning plans for individuals and/or groups

  1. Teaches relevant health promotion information to groups

  1. Evaluates teaching effectiveness

2. Core Competency - safe, organized clinically competent care / Pass / Fail / Not Observed / Comments
  1. Prepares for clinical experiences

b. Administers immunizations/medications safely and accurately
2. Core Competency - safe, organized clinically competent care (continued) / Pass / Fail / Not Observed / Comments
  1. Organizes time efficiently

  1. Establishes priorities for care

  1. Uses supplies/resources in a safe and cost effective manner

  1. Actively participates in the delivery of care

  1. Uses common equipment and technology proficiently

  1. Identifies own limitations and seeks assistance

  1. Applies infection control precautions in community environment

3. Core Knowledge: Applies nursing process effectively / Pass / Fail / Not Observed / Comments
  1. Synthesizes data from multiple sources

  1. Performs accurate community health assessments

  1. Formulates goals and objectives for care

  1. Applies critical thinking and creative problem solving, consistently

  1. Integrates ethical decision making consistent with client values

  1. Implements plan of care: health promotion/illness management/disease prevention strategies

  1. Implements evidence based plan of care

3. Core Knowledge: Applies nursing process effectively (continued) / Pass / Fail / Not Observed / Comments
  1. Incorporates sociocultural/economic/
environmental/spiritual/developmental
dimensions in Public Health and Epidemiology
  1. Evaluates effectiveness of care

  1. Utilize appropriate community resources & referral

  1. Identifies research questions relevant to nursing process

4. CoreCompetencies: Communicateseffectively / Pass / Fail / Not Observed / Comments
  1. Communicates effectively with clients/ families ands groups

  1. Establishes trust/rapport with others

  1. Demonstrates active listening

  1. Maintains client confidentiality

  1. Demonstrates respect for differences

  1. Documents accurately and concisely according to agency policies

  1. Collaborates with colleagues and peers

  1. Demonstrates use of health care information technologies

5. Complies with standards of professional practice / Pass / Fail / Not Observed / Comments
  1. Demonstrates professional behavior and dress at all times

  1. Demonstrates ethical behavior

  1. Demonstrates initiative for own learning

  1. Applies agency regulations and policies

  1. Provides care without physical or psychological jeopardy to client

  1. Prepares for clinical by being; reliable, dependable and on time for all clinicals

  1. Accepts responsibility for own actions and learning needs

  1. Initiates requests for feedback on performance

  1. Advocates for clients

  1. Completes 45 hours of clinical experience, successfully

Student must have “Pass” each core competency by end of clinical.

FINAL EVALUATION:

Strengths and learning needs identified by student:

Strengths and learning needs identified by preceptor:

Student: ______
Agency: ______
Preceptor: ______
Number of Clinical Hours: ______
Dates of Clinical: ______

CCT-NR 478

Revised 1-11-06

Revised 9-25-13

Approved by Curriculum Committee 11-14-05