APN Student Competency Evaluation Instrument LEVEL Advanced Beginner Expectation

APN Student Competency Evaluation Instrument – LEVEL Advanced Beginner expectation

Student Name______ Specialty FNP or AGNP or CNS Number of Clinical Hours Completed ______Semester/Year

Preceptor name and email address:

LEVEL 1 STUDENTS are defined as those with less than 65 successfully completed clinical hours. By the end of 65 clinical hours, students must demonstrate competency at the Advanced Beginner level to successfully complete this clinical course and progress to Level 2. Students: Use this same form for your self-evaluation. Circle or Check the box which applies to your evaluation of the student after completion of 65 hours of clinical experience please sign your name digitally and send signed by email or share with student who can send by snail mail to the faculty member . thank you

Preceptors/Clinical Faculty/Site visitors will document (circle) level at which student demonstrates mastery of each APN practice outcome listed for this clinical level (Outcomes listed below some students may be more advanced based on their prior nursing experience and background).

Outcome / Description / COMPETENCY LEVEL / Not Observed /
Deficient / Advanced Beginner / Competent / Proficient /
Practice Competency A Knowledge / Integration of Skills
Outcome 1 / Knowledge of Anatomy & Pathophysiology
Student applies knowledge of anatomy & pathophysiology Integrates into care. / Does not or inaccurately applies A&P & patho to client-specific data / Begins, with assistance, to accurately apply and integrate A&P & patho to client-specific data / Consistently applies A&P & patho to client-specific data and integrates into client’s care / Integrates A&P & patho into client’s care & pt. education / No opportunity to independently demonstrate competence during evaluation.
Outcome 2 / Physical Exam (PE) Techniques & Skills
Student uses appropriate PE techniques & skills with proper use of diagnostic equipment according to client’s clinical status / Unable to integrate knowledge of history with the necessary focused physical exam / Demonstrates, with minimal assistance,the ability to integrate data obtained from history skills to conduct a focused physical exam / Consistently demonstrates ability to perform advanced techniques of PE appropriate to client’s health status. / Demonstrates ability to individualize advanced PE skills in complex client presentations. / No opportunity to independently demonstrate competence during evaluation.
/ Outcome / Description / COMPETENCY LEVEL / Not Observed /
/ Deficient / Advanced Beginner / Competent / Proficient /
Practice Competency B Communication Skills
Outcome 5 / Interview Skills
Student uses effective interview skills that are comprehensive, problem-focused, respectful, and culturally sensitive to obtain client-specific data in an organized manner. / Does not use respectful communication techniques, fails to ask problem-focused questions, misses pertinent data client offers. Interviewing technique is disorganized. / Uses respectful interview skills to obtain client-specific data. With assistance, asks problem-focused questions and probes pertinent client statements. Interviewing technique improving. Interacts in a sensitive and compassionate manner. / Consistently demonstrates ability to use effective and culturally sensitive interviewing skills to identify & prioritize client needs. Directs interview effectively. Confirms assumptions with client. / Demonstrates ability to use effective interviewing skills with complex clients. / No opportunity to independently demonstrate competence during evaluation.
Outcome 6 / Professional Behaviors
Student interacts professionally with the interdisciplinary healthcare team to promote collaborative interventions related to client’s/agency’s goals / Does not interact effectively or professionally with members of healthcare team. / Demonstrates respect for competencies of members of the healthcare team. / Consistently works collaboratively with interdisciplinary healthcare team to meet client and agency needs / Acts as a leader within healthcare team in matters specific to nursing care. / No opportunity to independently demonstrate competence during evaluation.
Outcome 8 / Written Communication
Student documents client-related data, following legal-ethical guidelines and the agency format, in a timely manner. / Documents incompletely, inaccurately &/or illegibly. Does not document in a timely manner. Does not adhere to legal-ethical guidelines & agency/SOAP format. / Documents client-related data in SOAP format, and adheres to legal-ethical guidelines. / Consistently documents completely, accurately, & legibly in a timely manner. Adheres to legal-ethical guidelines & agency format. / Documents concisely in complex client situations. / No opportunity to independently demonstrate competence during evaluation.
Outcome / Description / COMPETENCY LEVEL / Not Observed
Deficient / Advanced Beginner / Competent / Proficient

Practice Competency C Assessment Skills

Outcome 9 / History Taking
Student obtains an organized, comprehensive health history. / Does not obtain accurate & organized comprehensive health history / With minimal assistance, obtains both focused acute, chronic or comprehensive health history. / Consistently and systematically obtains an organized, comprehensive health history. / Demonstrates ability to obtain appropriate health history in complex client situations. / No opportunity to independently demonstrate competence during evaluation.
Outcome 8 / Physical Exam (PE) Techniques & Skills
Student uses appropriate PE techniques & skills with proper use of diagnostic equipment according to client’s clinical status / Unable to perform or needs excessive assistance/ for appropriate PE techniques & skills &/or use diagnostic equipment properly / Demonstrates, with minimal input from preceptor , systematic physical exam techniques, proper use of equipment related to presenting client problem. / Consistently demonstrates ability to perform advanced techniques of PE appropriate to presenting problem and client’s health status. / Demonstrates ability to individualize advanced PE skills in complex client presentations. / No opportunity to independently demonstrate competence during evaluation.
Outcome 10 / Psychosocial & Developmental Assessment
Student collects and assesses relevant psychosocial & developmental health data / Does not collect psychosocial & developmental data; Does not, without maximal assistance, assess data obtained. / With minimal assistance, collects & assesses psychosocial & developmental data. / Consistently collects and assesses psychosocial & developmental data. / Demonstrates ability to obtain appropriate psychosocial & developmental data of complex clients. / No opportunity to independently demonstrate competence during evaluation.
Practice Competency E Humanistic / Caring / Relationship Skills
Outcome 15 / Views Client as Holistic Being
Student expresses awareness of and respect for social & cultural context of health care. / Does not demonstrate sensitivity to social, cultural, or language differences and needs of clients. / With assistance, identifies and acknowledges client social, cultural, or language backgrounds
& differences. / Consistently & respectfully addresses social, cultural, or language differences & client needs. / Addresses social, cultural, or language differences in complex client situations. / No opportunity to independently demonstrate competence during evaluation.

Practice Competency H Ethics/Leadership Skills

Outcome 23

/ Ethical Practice
Student practices according to the nursing code of ethics, that includes professional behaviors, provision of care regardless of SES, race, culture, language, literacy, gender, sexual orientation, & disability status, and respect for clients. / Fails to practice according to the nursing code of ethics. Regularly fails to obtain informed consent for procedures. / With minimal assistance, practices according to the nursing code of ethics. Consistently respects client confidentiality. / Consistently communicates honestly about all aspects of client’s diagnosis, treatment and prognosis.
Obtains informed consent for procedures
Demonstrates respect for clients who may not share student worldview.
Provides equivalent care regardless of clients’ SES, race, language, culture, literacy, gender, sexual orientation, & disability status. / Recognizes and responds to ethical dilemmas presented in practice.
Shares decision-making with clients. / No opportunity to independently demonstrate competence during evaluation.
Outcome 24 / Self-Awareness
Student works within limits of knowledge & experience / Self-evaluation is significantly different from that of preceptor & faculty. Does not ask for assistance for new or high-risk procedures. Unsafe practice. / Recognizes personal limits & requests help as required. Practice is safe. / Self-evaluation is consistent with that of preceptor & faculty.
Seeks out opportunities for learning. / Recognize the need for life-long learning. Seeks out clinical mentors. / No opportunity to independently demonstrate competence during evaluation.

Preceptor Signature/Date Student Signature/Date Faculty/Site Visitor Signature/Date

______

PRECEPTOR and Student, PLEASE COMPLETE THE FOLLOWING:

Preceptor Name credentials Signature and date for final evaluation submission:

Student Name and signature and date