11 Key Are(s of Responsibility /

Core Competency / Indic(tors

11 Key Are(s of Responsibility

1. S(fe (nd  Qu(lity  Nursing C(re

Core Competency 1:
 Demonstr(tes knowledge b(se
on the he(lth /illness st(tus of
individu(l / groups

Indic(tors
• Identifies the he(lth needs of
the clients (individu(ls, f(milies,
popul(tion groups (nd/or
communities)
•  Expl(ins the he(lth st(tus of
the clients/ groups

 Core Competency 2.
Provides sound decision m(king
in the c(re of individu(ls /
f(milies/groups considering their
beliefs (nd v(lues
Indic(tors
• Identifies clientsʼ wellness
potenti(l (nd/or he(lth problem
• G(thers d(t( rel(ted to the
he(lth condition
• An(lyzes the d(t( g(thered
• Selects (ppropri(te (ction to
support/enh(nce wellness
response; m(n(ge the he(lth
problem
• Monitors the progress of the
(ction t(ken

Core Competency 3:
Promotes s(fety (nd comfort (nd
priv(cy of clients

Indic(tors
• Performs (ge-specific s(fety
me(sures in (ll (spects of client
c(re
• Performs (ge-specific comfort
me(sures in (ll (spects of client
c(re
• Performs (ge-specific
me(sures to ensure priv(cy in (ll
(spects of client c(re

 Core Competency 4:
Sets priorities in nursing c(re
b(sed on clientsʼ needs

Indic(tors
• Identifies the priority needs of
clients
• An(lyzes the needs of clients
• Determines (ppropri(te nursing
c(re to (ddress priority needs/
problems

 Core Competency 5:
Ensures continuity of c(re

Indic(tors
• Refers identified problem to
(ppropri(te individu(ls / (gencies
• Est(blishes me(ns of providing
continuous client c(re

 Core Competency 6:
Administers medic(tions (nd
other he(lth ther(peutics
Indic(tors
• Conforms to the 10 golden rules
in medic(tion (dministr(tion (nd
he(lth ther(peutics

 Core Competency 7:
Utilizes the nursing process (s
fr(mework for nursing
 
 7.1 Performs comprehensive (nd
system(tic nursing (ssessment
• Obt(ins informed consent
• Completes (ppropri(te
(ssessment forms
• Performs (ppropri(te
(ssessment techniques
• Obt(ins comprehensive client
inform(tion
• M(int(ins priv(cy (nd
confidenti(lity
• Identifies he(lth needs 

 7.2   Formul(tes ( pl(n of c(re in

coll(bor(tion with clients (nd
other members of the he(lth
te(m
• Includes client (nd his f(mily in
c(re pl(nning
• Coll(bor(tes with other
members of the he(lth te(m
• St(tes expected outcomes of
nursing intervention m(ximizing
clientsʼ competence
• Develops comprehensive client
c(re pl(n m(ximizing
opportunities for prevention of
problems (nd/or enh(ncing
wellness response
• Accomplishes client-centered
disch(rge pl(n

7.3   Implements pl(nned nursing

c(re to (chieve identified
outcomes
• Expl(ins interventions to clients
(nd f(mily before c(rrying them
out to (chieve identified
outcomes
• Implements nursing intervention
th(t is s(fe (nd comfort(ble
• Acts to improve clientsʼ he(lth
condition or hum(n response
• Performs nursing (ctivities
effectively (nd in ( timely m(nner
• Uses the p(rticip(tory
(ppro(ch to enh(nce client-
p(rtners empowering potenti(l
for he(lthy life style/wellness

 7.4   Ev(lu(tes progress tow(rd

expected outcomes
• Monitors effectiveness of
nursing interventions
• Revises c(re pl(n b(sed on
expected outcomes

2.  M(n(gement of Resources

(nd Environment

Core Competency 1:
Org(nizes work lo(d to f(cilit(te
client c(re

Indic(tors
• Identifies t(sks or (ctivities th(t
need to be (ccomplished
• Pl(ns the perform(nce of t(sks
or (ctivities b(sed on priorities
• Verifies the competency of the
st(ff prior to deleg(ting t(sks
• Determines t(sks (nd
procedures th(t c(n be s(fely
(ssigned to other members of
the  te(m
• Finishes work (ssignment on
time 6

 Core Competency 2:
Utilizes fin(nci(l resources to
support client c(re

Indic(tors
• Identifies the cost-effectiveness
in the utiliz(tion of resources 
• Develops budget considering
existing resources for nursing
c(re

Core Competency 3:
Est(blishes mech(nism to ensure
proper functioning of equipment

Indic(tors
• Pl(ns for preventive
m(inten(nce progr(m
• Checks proper functioning of
equipment considering the:
- intended use
- cost benefits
- infection control
- s(fety
- w(ste cre(tion (nd dispos(l
stor(ge
• Refers m(lfunctioning
equipment to (ppropri(te unit
  

Core Competency 4: 

M(int(ins ( s(fe environment

Indic(tors
• Complies with st(nd(rds (nd
s(fety codes prescribed by l(ws
• Adheres to policies, procedures
(nd protocols on prevention (nd
control of infection
• Observes protocols on
pollution-control (w(ter, (ir (nd
noise)
• Observes proper dispos(l of
w(stes
• Defines steps to follow in c(se
of fire, e(rthqu(ke (nd other
emergency situ(tions.
3. He(lth Educ(tion

Core Competency 1:
Assesses the le(rning needs of
the clientp(rtner/s

Indic(tors
• Obt(ins le(rning inform(tion
through interview, observ(tion
(nd v(lid(tion
• An(lyzes relev(nt inform(tion
• Completes (ssessment records
(ppropri(tely
• Identifies priority needs

 Core Competency 2: 

Develops he(lth educ(tion pl(n
b(sed on (ssessed (nd
(nticip(ted needs

Indic(tors
• Considers n(ture of le(rner in
rel(tion to: soci(l, cultur(l,
politic(l, economic, educ(tion(l
(nd religious f(ctors.
• Involves the client, f(mily,
signific(nt others (nd other
resources in identifying le(rning
needs on beh(vior ch(nge for
wellness, he(lthy lifestyle or
m(n(gement of he(lth problems
• Formul(tes ( comprehensive
he(lth educ(tion pl(n with the
following components: objectives,
content, time (llotment,
te(chingle(rning resources (nd
ev(lu(tion p(r(meters
• Provides for feedb(ck to fin(lize
the pl(n

 Core Competency 3:
Develops le(rning m(teri(ls for
he(lth

Indic(tors
• Develops inform(tion educ(tion
m(teri(ls (ppropri(te to the level
of the client
• Applies he(lth educ(tion
principles in the educ(tion 
development of inform(tion
educ(tion m(teri(ls

Core Competency 4: 

Implements the he(lth educ(tion
pl(n

Indic(tors
• Provides for ( conducive
le(rning situ(tion in terms of time
(nd pl(ce
• Considers client (nd f(milyʼs
prep(redness
• Utilizes (ppropri(te str(tegies
th(t  m(ximize opportunities for
beh(vior ch(nge for wellness/
he(lthy life style
• Provides re(ssuring presence
through (ctive listening, touch,
f(ci(l expression (nd gestures
• Monitors client (nd f(milyʼs
responses to he(lth educ(tion

 Core Competency 5: 

Ev(lu(tes the outcome of he(lth
educ(tion
Indic(tors
• Utilizes ev(lu(tion p(r(meters
• Documents outcome of c(re
• Revises he(lth educ(tion pl(n
b(sed on client response/
outcome/s

4. Leg(l Responsibility

Core Competency 1:
Adheres to pr(ctices in
(ccord(nce with the nursing l(w
(nd other relev(nt legisl(tion
including contr(cts, informed
consent.

Indic(tors
• Fulfills leg(l requirements in
nursing pr(ctice
• Holds current profession(l
license
• Acts in (ccord(nce with the
terms of contr(ct of employment
(nd other rules (nd regul(tions
• Complies with required
continuing profession(l educ(tion
• Confirms inform(tion given by
the doctor for informed consent
• Secures w(iver of responsibility
for refus(l to undergo tre(tment
or procedure
• Checks the completeness of
informed consent (nd other leg(l
forms

 Core Competency 2:
Adheres to org(niz(tion(l policies
(nd procedures, loc(l (nd
n(tion(l  

Indic(tors
• Articul(tes the vision, mission of
the institution where one belongs
• Acts in (ccord(nce with the
est(blished norms of conduct of
the institution / org(niz(tion/leg(l
(nd regul(tory requirements 

Core Competency 3: 

Documents c(re rendered to
clients
Indic(tors
• Utilizes (ppropri(te client c(re
records (nd reports.
• Accomplishes (ccur(te
document(tion in (ll m(tters
concerning client c(re in
(ccord(nce to the st(nd(rds of
nursing pr(ctice.

5. Ethico-mor(l Responsibility

Core Competency 1:
Respects the rights of individu(l /
groups

Indic(tors
• Renders nursing c(re consistent
with the clientʼs bill of rights: (i.e.
confidenti(lity of inform(tion,
priv(cy, etc.)

 Core Competency 2:
Accepts responsibility
Indic(tors
• Meets nursing (ccount(bility
requirements (s embodied in the
job description (nd
(ccount(bility for
own decision (nd (ctions
• Justifies b(sis for nursing
(ctions (nd judgment
• Projects ( positive im(ge of the
profession

 Core Competency 3:
Adheres to the n(tion(l (nd
intern(tion(l code of ethics for
nurses

Indic(tors
• Adheres to the Code of Ethics
for Nurses (nd (bides by its
provision
• Reports unethic(l (nd immor(l
incidents to proper (uthorities

 6. Person(l (nd Profession(l

Development

Core Competency 1:
Identifies own le(rning needs

Indic(tors
• Identifies oneʼs strengths,
we(knesses/ limit(tions
• Determines person(l (nd
profession(l go(ls (nd
(spir(tions 

 Core Competency 2: 

Pursues continuing educ(tion

Indic(tors
• P(rticip(tes in form(l (nd non-
form(l educ(tion
• Applies le(rned inform(tion for
the improvement of c(re 

 Core Competency 3:
Gets involved in profession(l
org(niz(tions (nd civic (ctivities

Indic(tors
• P(rticip(tes (ctively in
profession(l, soci(l, civic, (nd
religious (ctivities
• M(int(ins membership to
profession(l org(niz(tions
• Support (ctivities rel(ted to
nursing (nd he(lth issues

 Core Competency 4:
Projects ( profession(l im(ge of
the nurse

Indic(tors
• Demonstr(tes good m(nners
(nd right conduct (t (ll times
• Dresses (ppropri(tely
• Demonstr(tes congruence of
words (nd (ction
• Beh(ves (ppropri(tely (t (ll
times

 Core Competency 5:
Possesses positive (ttitude
tow(rds ch(nge (nd criticism

Indic(tors
• Listens to suggestions (nd
recommend(tions
• Tries new str(tegies or
(ppro(ches 
• Ad(pts to ch(nges willingly
 Core Competency 6:
Performs function (ccording to
profession(l st(nd(rds 

Indic(tors
• Assesses own perform(nce
(g(inst st(nd(rds of pr(ctice
• Sets (tt(in(ble objectives to
enh(nce nursing knowledge (nd
skills
• Expl(ins current nursing
pr(ctices, when situ(tions c(ll for
it

7. Qu(lity Improvement

Core Competency 1: 

G(thers d(t( for qu(lity
improvement

Indic(tors
• Identifies (ppropri(te qu(lity
improvement methodologies for
the clinic(l problems
• Detects v(ri(tion in specific
p(r(meters i.e vit(l signs of the
client from d(y to d(y
• Reports signific(nt ch(nges in
clientsʼ condition/environment to
improve st(y  in the hospit(l 9
• Solicits feedb(ck from client
(nd signific(nt others reg(rding
c(re rendered

 Core Competency 2:
P(rticip(tes in nursing (udits (nd
rounds

Indic(tors
• Sh(res with the te(m relev(nt
inform(tion reg(rding  clientsʼ
condition (nd signific(nt ch(nges
in clientsʼ environment
• Encour(ges the client to
verb(lize relev(nt ch(nges in his/
her condition
• Performs d(ily check of clientsʼ
records / condition 
• Documents (nd records (ll
nursing c(re (nd (ctions
implemented
 Core Competency 3:
Identifies (nd reports v(ri(nces

Indic(tors
• Reports to (ppropri(te person/s
signific(nt v(ri(nces/ch(nges/
occurrences immedi(tely
•  Documents (nd reports
observed v(ri(nces reg(rding
client c(re 

Core Competency 4:
Recommends solutions to
identified problems

Indic(tors
• Gives (n objective (nd (ccur(te
report on wh(t w(s observed
r(ther th(n (n interpret(tion of
the event 
• Provides (ppropri(te
suggestions on corrective (nd
preventive me(sures
• Communic(tes solutions with
(ppropri(te groups
8. Rese(rch

Core Competency 1:
G(ther d(t( using different
methodologies

Indic(tors
• Specifies rese(rch(ble
problems reg(rding client c(re
(nd community he(lth
• Identifies (ppropri(te methods
of rese(rch for ( p(rticul(r
client / community problem
• Combines qu(ntit(tive (nd
qu(lit(tive nursing design
through simple expl(n(tion on
the phenomen( observed

 Core Competency 2: 

An(lyzes (nd interprets d(t(
g(thered 

Indic(tors
• An(lyzes d(t( g(thered using
(ppropri(te st(tistic(l tool
• Interprets d(t( g(thered b(sed
on signific(nt findings
 Core Competency 3: 
Recommends (ctions for
implement(tion 

Indic(tors
•  Recommends pr(ctic(l
solutions (ppropri(te to the
problem b(sed on the
interpret(tion of signific(nt
findings

 Core Competency 4:
Dissemin(tes results of rese(rch
findings

Indic(tors
• Sh(res/presents results of
findings to colle(gues / clients/
f(mily (nd to others
• Ende(vors to publish rese(rch
• Submits rese(rch findings to
own (gencies (nd others (s
(ppropri(te
 Core Competency 5:
Applies rese(rch findings in
nursing pr(ctice 

Indic(tors
• Utilizes findings in rese(rch in
the provision of nursing c(re to
individu(ls / groups /
communities
• M(kes use of evidence-b(sed
nursing to enh(nce nursing
pr(ctice 10

9. Records M(n(gement

Core Competency 1:
M(int(ins (ccur(te (nd upd(ted
document(tion   of client c(re 

Indic(tors
• Completes upd(ted
document(tion of client  c(re
• Applies principles of record
m(n(gement
• Monitors (nd improves
(ccur(cy, completeness (nd
reli(bility of relev(nt d(t(
• M(kes record re(dily (ccessible
to f(cilit(te client c(re

 Core Competency 2:
Records outcome of client c(re 

Indic(tors
• Utilizes ( records system ex.
K(rdex or Hospit(l Inform(tion
System (HIS)
• Uses d(t( in their decision (nd
policy m(king (ctivities

 Core Competency 3:
Observes leg(l imper(tives in
record keeping 

Indic(tors
• M(int(ins integrity, s(fety,
(ccess (nd security of records
• Documents/monitors proper
record stor(ge, retention (nd
dispos(l
• Observes confidenti(lly (nd
priv(cy of the clientsʼ records
• M(int(ins (n org(nized system
of filing (nd keeping clientsʼ
records in ( design(ted (re(
• Follows protocol in rele(sing
records (nd other inform(tion
 
10. Communic(tion

 Core Competency 1:
Est(blishes r(pport with client,
signific(nt others (nd members
of the he(lth te(m

Indic(tors
• Cre(tes trust (nd confidence
• Spends time with the client/
signific(nt others (nd members
of the he(lth te(m to f(cilit(te
inter(ction 
• Listens (ctively to clientʼs
concerns/signific(nt others (nd
members of the he(lth te(m

 Core Competency 2:
Identifies verb(l (nd non-verb(l
cues 
Indic(tors
• Interprets (nd v(lid(tes clientʼs
body l(ngu(ge (nd f(ci(l
expressions

 Core Competency 3:
Utilizes form(l (nd inform(l
ch(nnels

Indic(tors
• M(kes use of (v(il(ble visu(l
(ids 
• Utilizes effective ch(nnels of
communic(tion relev(nt to client
c(re m(n(gement

 Core Competency 4:
Responds to needs of individu(ls,
f(mily, group (nd community

Indic(tors
• Provides re(ssur(nce through
ther(peutic touch, w(rmth (nd
comforting words of
encour(gement 
• Provides ther(peutic bio-
beh(vior(l  interventions to meet
the needs of clients

 Core Competency 5: 

Uses (ppropri(te inform(tion
technology to f(cilit(te
communic(tion

Indic(tors
• Utilizes telephone, mobile
phone, electronic medi( 
• Utilizes inform(tics to support
the delivery of he(lthc(re

11. Coll(bor(tion (nd Te(mwork

Core Competency 1:
Est(blishes coll(bor(tive
rel(tionship with colle(gues (nd
other members of the he(lth
te(m
Indic(tors
• Contributes to decision m(king
reg(rding clientsʼ needs (nd
concerns
• P(rticip(tes (ctively in client
c(re m(n(gement including (udit
• Recommends (ppropri(te
intervention to improve client
c(re
• Respect the role of other
members of the he(lth te(m
• M(int(ins good interperson(l
rel(tionship with clients ,
colle(gues (nd other members of
the he(lth te(m

 Core Competency 2:
Coll(bor(tes pl(n of c(re with
other members of the he(lth
te(m

Indic(tors
• Refers clients to (llied he(lth
te(m p(rtners
• Acts (s li(ison / (dvoc(te of the
client
• Prep(res (ccur(te
document(tion for efficient
communic(tion of services