NURSING UNIT COMPETENCIES: CORONARY CARE UNIT (CCU)

Procedure: CARE OF THE TERMINALLY AND END-OF-LIFE PATIENTS

Name: ___________________________________ Employee Number: _______________________

Position: _________________________________ Date of Joining: __________________________
Department: ______________________________ Date Started: _______ Date Completed: ______

Head Nurse/ Preceptor:

Name: ____________________________________ Signature: _____________________________

No. KNOWLEDGE Met Not Met Remarks

1 Identify the nurse’s role in the care of the dying patient.
Identify psychological and spiritual needs of the dying patient
2
and family
Determine the needs and nursing care plan for a terminal ill
3
patient
4 Recognize signs of discomfort of the dying patient
Determine the nurse’s role in ensuring adequate pain
5
management for the dying patient

No. SKILLS Met Not Met Remarks

Assess level of pain and prepare administration of drugs as per
1
doctor’s order to relieve pain
Demonstrate non pharmaceutical interventions to elevate pain
2
and improve comfort
Demonstrate assessment skills, intervention and care of dying
3
patient.
Check for any order or waiver of DNR and ensure
4 accomplishment of forms. Encourage the family to participate in
the health care decision making.
Provide teaching to family members and make necessary
5
referral for grief counseling when appropriate.

No. ATTITUDE Met Not Met Remarks

Respond effectively to a patient and the family’s needs by
1
showing empathy
Maintain and respect dignity, privacy, confidentiality of the
2
patient
Demonstrate support for patient and family psychological, social
3
and spiritual needs.
Show understanding of the importance and impact of non
4
verbal and verbal communication

This competency is age- specific and safe to perform to the following:

□ 0-2 YEARS □ 2-11 YEARS □ 12-19 YEARS □ ADULT □ GERIATIC □ N/A

SNH-NR-COMP-CK: 61 ISSUE NO: 01 ISSUE DATE: 01/08/2018

COMMENTS:

GRADE (Encircle)
Excellent performance in all areas. Demonstrates high level of knowledge. Consistently
A
meets stated performance criteria.
Excellent performance in many areas of performance criteria. Overall performance is above
B
average with no observed weaknesses.
Demonstrates basic level of competency with no striking performance deficits. Satisfactory
C
level of knowledge.
D Unsatisfactory performance with significant deficits. Knowledge level is poor.
Attempt No. 1 2 3

VALIDATED BY:

Head Nurse/ Preceptor’s Name in Print: __________________________________________________

Signature: ______________________________________________ Date: ______________________

Staff Nurse Name in Print: __________________________________________________

Signature: ______________________________________________ Date: ______________________

SNH-NR-COMP-CK: 61 ISSUE NO: 01 ISSUE DATE: 01/08/2018