IDENTIFY COMPETENCY NUMBER,

LETTER AND SUBCATEGORY

DESCRIBE ONE

SIGNIFICANT
LEARNING EXPERIENCE IN THIS
COURSE RELATED TO THE CLPNA
COMPETENCY.

PROVIDE AN

EXAMPLE.

DESCRIBE WHAT YOU LEARNED AND

HOW IT RELATES TO THE
COMPETENCY. EXPLAIN WHY IT
WAS MEANINGFUL.

USES THE PROFICIENCY

CATEGORIES TO RATE THEIR
PROFICIENCY IN THE CHOSEN
CLPNA COMPETENCY. EXPLAIN
WHAT WAS DONE TO ACHIEVE THE
COMPETENCY.

DESCRIBE HOW YOU WILL APPLY

Major Competency Area: L Pediatrics

Competency: L-1 Knowledge, Assessment, and Care of
Pediatric Client/Family
Subcategory: L-1-5
Demonstrate knowledge and ability to identify suspicion
and/ or signs of physical, sexual, and mental abuse of
child, and report and document as per agency policy.
One significant learning experience in this course was
learning about child abuse and neglect. If there is ever
suspicion or signs of child abuse and neglect, the nurses
first priority is to make sure the child is safely removed
from the situation. I have learned that child abuse and
neglect can have a negative impact on the growth and
development of a child. It is critical that the nurse
completes a head-to-toe assessment of all systems on the
child and accurately document with photographs and
diagrams. It is important that the nurse objectively reports
their findings and not their opinions. In addition, the nurse
should build a trusting relationship with the child, so the
child knows they are safe and free from further abuse.
I have learned that the practical nurse is a mandatory
reporter, which means that the nurse must report suspected
child abuse even though confidentiality of the client may be
breached. It is important to learn the protocols required by
your agency in regards to reporting child abuse and neglect.
I have learned that it is imperative that the nurse documents
are accurate, specific and factual notes rather than
interpretations, because the court later on in the
investigation can potentially subpoena the childs medical
records.
Proficiency rating: Fair
Reading through Pillitteri, various articles, and research
online helped me understand the in good faith immunity,
which protects the health care provider for reporting
suspicion of abuse with children. Unfortunately I have not
had the chance to practice care in the pediatrics area,
therefore I have not been able to observe and apply learned
theory in regards to reporting child abuse.

I will apply this learning to pediatric patients by thoroughly

performing head-to-toe assessments, observing interaction
between child and the parent/caregiver, and keying in on the

THIS LEARNING IN YOUR CURRENT

AND FUTURE NURSING PRACTICE

behavioral responses. This learning will ensure the child is

being taken care of in efforts to provide a safe, holistic
environment and promote healthy physiologically
development of the child.