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Baseline Competencies
for
Licensed Practical Nurses Professional Practice
February 2009
Table of Contents
Table of Contents .................................................................................................................... 2
Preamble ................................................................................................................................. 3
Introduction to the Competencies ............................................................................................ 5
The Competencies................................................................................................................... 7
1.0 Professional, Ethical, Legal ............................................................................................ 7
2.0 Foundations of Practice .................................................................................................. 9
3.0 Collaborative Practice................................................................................................... 10
4.0 Focused Areas of Specific Knowledge/Judgment/Attitudes .......................................... 12
Conclusion ............................................................................................................................. 15
Appendices ............................................................................................................................ 16
Appendix A:
Appendix B:
Appendix C:
Appendix D:
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Preamble
The College of Licensed Practical Nurses of British Columbia (CLPNBC) licenses and
regulates Licensed Practical Nursing in British Columbia. The Colleges mandate, established
by the Health Professions Act 1996, RSBC, c 183, is to protect the public. The CLPNBC fulfills
its mandate by establishing licensure and professional practice requirements for practical
nurses including standards of practice, continuing competence, academic achievement, and
ethical behaviour. In this way, the College ensures that the public receives safe, competent,
and ethical nursing care.
The CLPNBC Professional Practice Baseline Competency Document (2008) is based upon
the framework of the Canadian Practical Nurse Registration Examination Blueprint (2007-11)
developed by Assessment Strategies Inc. The framework, developed by a national
consortium of educators, regulators, and other stakeholders, sets the licensure examination
standards for practical nurses in Canada. The Blueprint reflects baseline competencies. In
some instances, the CLPNBC has revised the wording to more accurately reflect the
expectations of the new LPN practitioner in B.C. Where appropriate, the CLPNBC Standards
of Practice & Competencies (November 2004) wording has been used.
This document establishes the competencies (knowledge, skill, judgment, and attitude) that
Licensed Practical Nurses (LPNs) in British Columbia are expected to possess as an outcome
of their nursing education. These competencies reflect the minimum standards required to
ensure nurses provide the public with safe, competent, and ethical care. In addition, these
competencies may serve as a guide to employers and other care providers, and inform the
public as to what they may expect from LPNs who are at the point of entry into practice.
Scope of Practice for Licensed Practical Nurses
The scope of practice for nursing provided by LPNs is set out in the Nurses (Licensed
Practical) Regulation under the Health Professions Act.
Purpose of the B.C. Baseline Competency Document
The purpose of this document is to define the foundations of practice for registration with the
College of Licensed Practical Nurses of British Columbia.
Additionally, the document also:
Assists the public by:
o Serving as a guideline that sets the baseline expectation for ensuring that LPNs
provide safe, competent, and ethical care to members of the public in British
Columbia.
o
Assists employers by:
o Serving as a guideline for the development of competency assessment tools and
methods, performance-management systems, and LPN role descriptions.
February 2009
Acknowledgements
The College of Licensed Practical Nurses of British Columbia would like to
acknowledge the many individuals who participated in the development of this
Baseline Competencies Document for LPNs. The process of revision involved
consultation with individuals, groups, and numerous LPN focus groups.
In addition, we would like to thank Assessment Strategies Inc. for allowing us to base
this document on its Canadian Practical Nurse Registration Exam Blueprint (2007-11).
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These categories are further broken down into sub-categories to reflect all of the
competencies required of the Licensed Practical Nurse at entry into practice. These are the
competencies that the new LPN entering into practice must demonstrate knowledge and
understanding of in order to pass the Canadian Practical Nurse Registration Exam. Upon
successful completion of the exam, the Practical Nurse is then eligible to apply for registration
with the College of Licensed Practical Nurses of BC.
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The Competencies
1.0 Professional, Ethical, Legal
1.1 Professional
Competent licensed practical nurses entering practice:
1.1.1
1.1.2
1.1.3
1.1.4
1.2 Ethical
Competent licensed practical nurses entering practice:
1.2.1
1.2.2
1.2.3
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1.3 Legal
Competent licensed practical nurses entering practice:
1.3.1
1.3.2
1.3.3
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Utilize appropriate technology and equipment based on client needs and available
resources.
Explain rationale for nursing intervention.
Facilitate teaching to increase client understanding.
Respond appropriately to changing situations or emergencies that affect clients
health and/or safety.
2.4 Evaluate: Monitor and evaluate the effectiveness of nursing interventions:
Compare actual outcomes of nursing care with anticipated outcomes.
Verify evaluation findings with client and other health-care providers.
Evaluate teaching strategies to facilitate client understanding of care interventions
and facility protocol.
Review and revise the plan of care in collaboration with other health-care
providers.
3.0 Collaborative Practice
Competent licensed practical nurses entering practice:
3.1 Establish and maintain a caring environment to foster partnerships with
clients and family:
Establish therapeutic relationships.
Promote client safety and comfort.
Reinforce information given to clients by other health-care professionals.
Provide client and family with emotional support.
Provide opportunities that encourage clients to interact socially, depending upon
the context of care.
3.2 Collaborate and consult with clients and other health-care providers to ensure
continuity of care:
Establish and maintain a caring environment that fosters a collaborative
partnership with clients.
Identify when collaboration is required and seek assistance from other members of
the health-care team when appropriate.
Integrate evidence-based findings into practical-nursing practice in collaboration
with other members of the interdisciplinary health-care team.
Facilitate and participate in interdisciplinary collaborative problem-solving and
decision-making processes.
Respect unique and shared competencies of members of the interdisciplinary
health-care team.
Use constructive feedback and mediation strategies as necessary.
Demonstrate leadership as appropriate.
Share knowledge with unregulated care providers, novices, and students.
Support colleagues to practise as effective members of the health-care team.
Communicate client status to appropriate team members.
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Conclusion
Through review by a variety of stakeholders, the competencies have been confirmed as the
knowledge, skills, attitude, and clinical judgment of the beginning LPN practitioner. The
competencies form the basis for a better understanding of the LPN role by the public,
employers, other health-care providers, educators, and LPNs themselves. However, these
are only the baseline competencies. LPNs can provide more support in a variety of areas that
require further development. The creation of a document that outlines Advanced
Competencies learned through further education and/or experience will assist in addressing
the critical shortage of nurses. The CLPNBC will begin working on the Advanced
Competencies as the next step in the development of LPN professional practice.
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Appendices
A. A Guide to Decision-Making
B. Expectations of a Quality Practice Environment
C. List of Relevant CLPNBC Documents
D. Glossary
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The following complementary documents are available for download through publications
page of the College of Licensed Practical Nurses of British Columbia (CLPNBC) website:
www.clpnbc.org
College of Licensed Practical Nurses of British Columbia and College of Registered
Nurses of British Columbia joint publication: Registered Nurses & Licensed Practical
Nurses Working Together for Client Safety, (2008)
Standards of Practice and Competencies (2004)
Standards of Practice and Competencies: Companion Guide (2006)
Code of Ethics for LPNs (2006)
Code of Ethics for LPNs: Companion Guide (2006)
CLPNBC Practice Directives:
o Allergy Testing, Administering Desensitizing Medications, and Immunizations
(2007)
o Blood Transfusion Therapy (2007)
o Consent (2007)
o Documentation (2007)
o Duty to Provide Care (2007)
o Duty to Report (2007)
o Medication Administration (2008)
o Nurse-Client Assignment (2007)
o Nurse-Client Relationship (2007)
o Obtaining, Taking and Transcribing Verbal/Telephone/Faxed Medication
Orders (2007)
o Peripheral Infusion Therapy (2007)
o Pronouncement of an Anticipated Death (2007)
o Self-Employment (2007)
Canadian Practical Nurse Registration Examination (CPNRE) Blueprint: 2007 to 2011
Pharmacology and Medication Administration Self-Assessment Tool (2005)
Patient Assessment Self-Assessment Tool (2006)
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