Clinical Competencies for Integrated Community Services

Integrated Community Services Clinical Competency Framework

 

Competency

 

1

Assessment

 

1.1

Domestic Activities of Daily Living

 

1.2

Balance and Gait Assessment

 

1.3

Blood Glucose Monitoring

 

1.4

Physiological Observation (Adult Track and Trigger Tool) and SBARD

Physiological Observations Chart NEWS2 Tool and SBARD

Physiological Observation Chart PEWS and SBAR

 

1.5

Electrocardiograph (ECG)

 

1.6

Falls Prevention (ward based)

Falls Prevention (community based)

 

1.7

Assessment of Patient

 

1.8

Mental Capacity Assessment and DOLS

 

1.9

Mobility Assessment

 

1.10

Pain Assessment

 

1.11

Physical Assessment and Monitoring 

 

1.12

Psychological / Social Assessment

 

1.13

Venous Thromboembolism

 

1.14

Risk Assessment (Mental Health)

 

1.15

Holistic Care Planning Assessment

 

2

Communication

 

2.1

Communication

 

3

Diabetes

 

3.1

General Principles:

Management of Type 1 and 2

and Complications

 

3.10

Dementia awareness

 

4

Medication Administration

 

4.1

Medication Administration topical Band 3 (under review)

 

4.2

Medication Administration Band 4 (under review)

 

4.3

Medication Administration Band 5-7 (under review)

 

4.4

Registered Nurse Intravenous Therapy and Peripheral Cannulation

 

4.5

Non-Medical Prescribing

 

4.6

Patient Group Directions (PGD’s)

 

4.7

Subcutaneous Fluid Therapy (under review)

 

4.8

McKinley T34 Syringe Driver

 

4.9

Insulin Administration

 

5

Elimination

 

5.1

Digital Rectal Examination and Digital Removal of Faeces

 

5.2

Continence Assessment

 

5.3

Stoma Care

 

5.4

Urinary Catheterisation (male, female and suprapubic)

 

5.5

Bladder scanning

 

5.6

Link Advisor Continence

 

5.7

Urinary catheter bladder irrigation

 

6

End of Life Care

 

6.1

End of Life Core Competencies

 

6.1.2

End of Life Competencies for Registered Nurses

 

6.1.3

End of Life Competencies for Community matrons and Clinical Managers

 

6.1.4

End of Life Competencies for Palliative and End of Life Specialists

 

6.1.5

 

 

6.2

Last Offices

 

6.3

Verification of Expected Death (VOED)

 

7

Equipment

 

7.1

Medical Devices

 

7.2

Standard Equipment (personal care)

 

8

Infection Prevention

 

8.1

Aseptic Technique and Clean Technique Procedure

 

8.2

Prevention and Control of Infection

 

8.3

Isolation

 

9

Leadership and management

 

9.1

Mentorship

 

10

Nutritional Support

 

10.1

Enteral Feeding and Naso Gastric Tube insertion and maintenance

 

10.2

Nutrition: Malnutrition and MUST Assessment

 

11

Other

 

11.1

Discharge Planning (under review)

 

11.5

Ear Irrigation

 

12

Physical Care

 

12.1

Personal Hygiene

 

13

Respiratory Therapy

 

13.1

Oxygen Therapy

 

13.2

Tracheostomy Care (including suctioning)

 

13.3

Respiratory Care

 

14

Venesection

 

14.1

Cannulation (see 4.4)

 

14.2

Phlebotomy

 

14.3

Transfusion of Blood and Blood Products

 

15

Wound Management

 

15.1

Pressure Ulcer Prevention Core Competencies 

Pressure Ulcer Prevention Intermediate Competencies

 

15.2

Wound assessment, management and Dressing Selection

 

15.3

Wound Management

 

15.4

Compression Bandaging Band 5-7

 

15.5

Doppler Assessment Band 5-7

 

15.6

Larvae Therapy

 

15.7

Well Leg

 

15.8

Wound Dressing (Patient’s Home)