Mirasol M. Villaflores

 COMPETENCY DEFINITION: The applicant has the necessary skill and/or knowledge to perform the task independently without direct supervision. To pass the skill validation, the applicant must demonstrate competence in all elements of the checklist. GUIDELINES: Pre-requisite reading:Review the relevant and current MNGHA-APP and KAH-NDPP. Review the Lippincott text chapters on Pain & its management. Pre-requisites learning/ knowledge test: None Pre-requisite Workshop attendance: Mandatory Pain Management Workshop Number of successful demonstration: One Reviewed by: Director, Nursing Education CANDIDATE INFORMATION NAMEUNITPOSITIONBADGE TITLENUMBER The above candidate has been verified as competent in all key elements of this competency by the following assessor on specified date. ASSESSOR INFORMATION NAMEUNITPOSITIONBADGE TITLENUMBER This competency assessment is relevant to the category ticked below. Adult Child Neonate  COMPETENCY KEY ELEMENTS Performed correct hand hygiene Introduced self to patient and family Correctly verified patient identification using two identifiers Obtain patient’s verbal consent for the assessment Explained the procedure to patient/ sitter using an interpreter as needed Ensured comfort, privacy and safety Knowledge Base: Provides a definition of pain. Identifies the types of pain and how each presents. Discusses the effects of pain on the patient and family Discusses when pain assessment & reassessment should be performed. Discusses the difference between subjective and objective data and its relevance to performing pain assessment. Discusses the tools available for examination and assessment. And when they apply. Discusses methods of managing the type of pain experienced by the patient. Demonstrates knowledge of patient & family education related to management of pain and planning for discharge Clinical Practice: Demonstrates verification of the patients identity Demonstrates psychological and physical preparation of the patient prior to commencing the assessment. Demonstrates how a pain assessment is performed. Demonstrates a collaborative approach in performing the task with the patient’s full understanding and compliance at all times. Demonstrates the ability to allow the proper tool to guide the pain assessment. Describes the rationale for all components of the assessment Demonstrates the ability to discuss the significance of findings Demonstrates appropriate management of the pain based on levels identified (Mild1-3, Moderate4-6, Severe7-10) Discusses the requirement for reporting to the MRP any significant changes in the patient’s condition Attitude: The nurse will ensure that the patient is afforded privacy The nurse will ensure that the patient is comfortable The nurse will ensure the patient is safe Documentation: Verbalizes and meets the documentation requirements LEVEL OF COMPETENCY 1. Level 1 (Novice)  Has been guided throughout the procedure. Cannot perform the procedure unsupervised in the clinical environment. 2. Level 2 (Competent)  Can perform the procedure satisfactory without assistance or supervision. 3. Leve 3 (Expert)  Can perform the procedure at a high level, with more than acceptable speed and quality of work. Frequently displays initiative and adaptability and can lead others in performing this procedure in clinical practice FINAL OUTCOME:  New Staff  Ongoing GRADE OF COMPETENCY ……1……2……3 (please circle one) COMMENTS Date Skill Successfully Demonstrated: DD/MM/YR Assessor’s Signature Applicant’s Signature  New Staff  Ongoing COMPETENCY SUMMARY CANDIDATE INFORMATION NAME UNIT POSITION TITLE BADGE NUMBER LEVEL OF COMPETENCY 1. Level 1 (Novice)  Has been guided throughout the procedure. Cannot perform the procedure unsupervised in the clinical environment. 2. Level 2 (Competent)  Can perform the procedure satisfactory without assistance or supervision. 3. Leve 3 (Expert)  Can perform the procedure at a high level, with more than acceptable speed and quality of work. Frequently displays initiative and adaptability and can lead others in performing this procedure in clinical practice FINAL OUTCOME: GRADE OF COMPETENCY ……1……2……3 (please circle one) COMMENTS Date Skill Successfully Demonstrated: DD/MM/YR Assessor’s Signature Applicant’s Signature