Carly Legault

September 12, 2013

Self-Assessment Tool – CCP Page 1College of LPNs of Alberta 2nd Edition - Revised October 2008

Self-Assessment Tool – CCP Page 2College of LPNs of Alberta 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 Page 3College of LPNs of Alberta 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 2 3 4 5

Excellent Competent Requires Improvement

Developmental Not Applicable

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.

Not applicable to current role and responsibility.

STEP 1: SELF-ASSESSMENT WITHIN STANDARDS OF PRACTICE

Competency Number

Year2015_

_

Year20__

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A: Nursing Knowledge

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.

2

A-3 Applies knowledge of pathophysiology to the nursing care of the client.

2

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.

2

A-6 Applies principles of nutrition to the assessment and care of the client.

2

A-7Applies knowledge of pharmacology throughout client care and teaching.

2

Self-Assessment Tool – CCP Page 4College of LPNs of Alberta 2nd Edition - Revised October 2008

Competency Number

Year2015_

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Year20__

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A-8-2Integrates knowledge and skills from the sciences and humanities into the application of the nursing process.

2

B: Nursing Process Rating

(1-5)Rating

(1-5)Rating

(1-5)Rating

(1-5)Rating

(1-5)

B-1 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.

2

B-2-3 Identify and analyze nursing diagnosis. 2

B-3 Implements nursing interventions to carry out nursing care plan.

2

B-3-2 Reassess, review, and modify plan of care to meet the needs of the client.

2

B-4 Evaluates the clients’ response to care and treatment.

2

C: Safety Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

C-1 toC-4

Applies critical thinking and clinical judgment when responding to emergency situations.

2

C-5-1 Effectively uses protective devices to protect client, self, and others.

1

C-6-1 Demonstrates the consistent application of standard precautions.

2

C-7-1 Applies principles of medical and surgical asepsis in the delivery of care.

2

C-12 Applies nursing knowledge and clinical judgment to maintain physical safety of client.

2

D: Communication and Interpersonal Skills Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

D-1 Uses effective verbal and written communication in the practice setting.

2

D-2 Appropriately establishes, maintains, and closes the nurse-client relationship.

1

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.

2

Self-Assessment Tool – CCP Page 5College of LPNs of Alberta 2nd Edition - Revised October 2008

Competency Number

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D-4 Provides client and family teaching. 2

D-5 Reports and documents following legal protocols, agency policy and procedure.

2

D-7 Applies clinical judgment in identifying problems and resolving issues in client care.

2

D-8-1 Effectively manages time and organizes client care to meet priority needs.

2

D-8-2 Demonstrates ability to rank the priority of client needs.

2

W: Professionalism Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

Rating (1-5)

W-1-3 Understands the key components of the Health Professions Act-LPN Regulation.

2

W-2-3 Understands the Restricted Activity authorizations in the LPN Regulation.

2

W-3 Understands the CLPNA Standards of Practice. 2

W-4 Adheres to the CLPNA Code of Ethics and Standards of Practice.

1

W-4-5 Acts as an advocate for client and empowers clients and families.

3

W-5-1 Demonstrates accountability for own nursing practice.

1

W-6 Maintains the confidentiality of client information.

1

W-7 Recognizes professional boundaries within the nurse-client therapeutic relationship.

1

W-9 Accepts responsibility for continuing competence and professional development.

1

W-9-4 Participates in continuous quality improvement and evidence based changes to nursing practice.

2

W-11 Keeps informed of current research affecting health care delivery.

2

X: Nursing Practice and Leadership Rating

(1-5)Rating

(1-5)Rating

(1-5)Rating

(1-5)Rating

(1-5)

X-1-5 Recognizes own strengths and limitations as a leader.

1

X-3-5 Uses appropriate channels of communication to 2

Self-Assessment Tool – CCP Page 6College of LPNs of Alberta 2nd Edition - Revised October 2008

Competency Number

Year2015_

_

Year20__

Year20__

Year20__

Year20__

report risks within setting.

X-4 Applies critical thinking and clinical judgment when assessing or managing risk.

2

X-7-1 Shares knowledge, skill, and expertise with colleagues and students.

5

X-7-3 Seeks opportunities to teach and mentor others. 5

X-7-4 Participates in committees, task forces and professional activities to offer the LPN perspective.

5

SELF-ASSESSMENT SUMMARY

Year Competency Number

Describe the competency areas you want to improve or develop. List all items rated 2 (Competent), 3 (Requires Improvement), 4 (Developmental) in Step 1.

2015 A

BC(all but C-5-1)D(all but D-2)

X-7-4

W-4-5

W-1-3W-2-3W-3

I put competent for all of the competencies under A except for A-4-4. I believe I am competent in all of these except for A-4-4, but I have not yet reached a standard of excellence which should come with practice.Like A, I put competent for all of B. There is still room for improvement to excellence.In C, the only one I put as excellent was C-5-1. I think I have excellent competence in the use of PPE. The rest of C there is room for improvement from competent to excellent.D is all about communication. I think that I am competent in communication but I’m not yet excellent at it. D-2 I think I have achieved excellence in because I appropriately establish, maintain and close the nursing care with all of my clients that I have had in clinical experienceThis competency will always be in development. I have not yet been able to join any committees, or task forces yet because I have not had a job as a nurse yet, I also have not been involved in any professional activities yet as a student. I think there will be lots of opportunity to improve this as I get into the work force and am able to participate in these programs.My advocacy for clients needs some improvement. I think this is one of the competencies that there will always be a chance to improve on as you continue as a nurse. As a student right now I am unsure of how to advocate for my client. I did have a chance to do this in my medicine clinical but this has been my only experience with it so far, so I definitely have room for improvement.W-1-3, W-2-3, W-3, W-9-4, and W-11 I have rated all with competent, these again are fields that I believe I have not yet reached excellence in, but will possibly achieve these as I continue my career as a nurse.

Self-Assessment Tool – CCP Page 7College of LPNs of Alberta 2nd Edition - Revised October 2008

W-9-4W-11X-3-5X-4

X-7-1X-7-3X-7-4

Both X-3-5 and X-4 I have rated competent, again like above I think I will develop excellence in these competencies as I continue learning in my career as a nurse.All of these last three competencies I have rated a 5. Throughout my career, these 3 will always be in development. Right now I don’t feel competent enough to teach another nurse anything but as I get more experience and, this will come in each competency.

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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 Describe & Assess Specific Competencies Rating

(1-5)

In my nursing practice in school I have been using all of the 2Self-Assessment Tool – CCP Page 8College of LPNs of Alberta 2nd Edition - Revised October 2008

2015 A

B

C

D

W

X

competencies under A. I have to use my nursing knowledge every day in clinical and in school for assignments and tests.During clinical I was able to use the competencies under B. The nursing process was used every day and helped me to decide on how to take care of my patients and what was most important to deal with.In clinical practice and labs I used safety every time to ensure that no one was hurt or that I didn’t hurt myself. Safety I think is the most important part of nursing.I use my communications skills in all areas of school, in class, labs and in clinical. My communication skills have definitely been improving since I started but there in a lot of room for more improvement.I have used all of the competencies under W during my clinical experiences in school. Professionalism is another important part of my job as a nursing student and later as a nurse. It helps maintain order in the workplace.X-1-5, X-3-5 and X-4 of the Nursing Practice and leadership competency, I have been able to demonstrate in my clinicals. I know my own strengths and weaknesses and I know the channels of communication. I use critical thinking in everything I do in school, when it comes to assignments, labs , tests and clinical.

2

2

2

2

4

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Self-Assessment Tool – CCP Page 9College of LPNs of Alberta 2nd Edition - Revised October 2008

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Self-Assessment Tool – CCP Page 10College of LPNs of Alberta 2nd Edition - Revised October 2008

STEP 3: LEARNING PLANThis 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 2015 Learning Objectives

(What I am going to learn?)Resources & Strategies

(What will I do to meet objectives?)

Target Date(Realistic time

frame for achievement)

Evaluation(How will I know I learned it?)

I will increase my knowledge in medical terminology.

Acts as an advocate for client and empowers clients and families.

I can complete the medical terminology quizzes on the learningnurse.org website

Take inservice classes at my location on how to advocate for my client. Could also use some online resources.

October, 2015

Within the year

I will know that I have increased my knowledge in medical terminology when I can successfully pass the online quizzes with an 80% mark. This will also show in my nursing skills, explaining things to clients and in my charting.

I will be know I have learned this objective when I am able to successfully advocate for my clients and their families.

Name: ___________________________ CLPNA Registration #: ____________

Self-Assessment Tool – CCP Page 11College of LPNs of Alberta 2nd Edition - Revised October 2008

Self-Assessment Tool – CCP Page 12College of LPNs of Alberta 2nd Edition - Revised October 2008

RECORD OF PROFESSIONAL ACTIVITIES

Date Professional Activity (include course,

seminar, research, hours, details)

Summary of Learning

22FEB2015 CPR-C recertification, 4 hours training on CPR with adults, children and infants

Did CPR-C heart and stroke training with Tami Thompson. Did 4 hours of training of CPR on adults, children and infants, also included the heimlich maneuver. Completed and passed the required test to be recertified for another year.

OCT2014 Hand washing and PPE seminar at Edmonton General during continuing care clinical. 1 hour.

During this seminar that my instructor set up, we learned about the Edmonton Generals policy and procedures with hand washing and PPE. She taught us the importance of washing your hands and when it is appropriate to use the hand sanitizer and when to actually use soap and water. She also taught us about the different PPE to use in precautions(airborne, droplet, etc.).

NOV2014 Chaplain and social services presentation at Edmonton General for continuing care clinical. 1 hour.

During this presentation, the chaplain and social worker at the Edmonton General taught us about what they do with the clients in the general. The lady from social services told us about power of attorney and personal directives and how important they are for patients who end up with dementia or brain injuries that can no longer make their own decisions.

Self-Assessment Tool – CCP Page 13College of LPNs of Alberta 2nd Edition - Revised October 2008

Name: _____________________ CLPNA Registration #:__________

Self-Assessment Tool – CCP Page 14College of LPNs of Alberta 2nd Edition - Revised October 2008