Colleagues in Caring: Long Term Care/Geriatric Practice Task Force

Long Term Care Competencies

RN Management/Leadership:

Definition: The RN (GN) will understand the concept and initiate the coordinating and directing of the nursing team to provide resident centered care through applying principles of management/leadership as evidenced by:

intra-collaboration – of nursing team

inter-collaboration – interdisciplinary team (MD, PT, OT, Pharmacy, Speech)

exter-collaboration – family, regulatory, outside community agencies

Demonstrates knowledge of the roles of each discipline within the team as well as own role as RN in relationship to the team.

advocacy	mentoring
on-going learning	resource
delegation	controlling environment (aware of big picture/setting tone for)
orientation/training	budget
collaboration	team building intra-facility
career/personal growth	change (seeing need for)
system implementation and monitoring	crisis intervention/stabilizer
negotiation	proactive
CQI/indicators/ performance improvement process	evaluation
conflict management	sensitivity
setting priorities	creating caring environment
time	awareness of chain of command

LPN Management/Leadership:

Definition: The LPN will understand the concept of management/leadership by participating in resident-centered care under the supervision of the RN.

advocacy	time
on-going learning	mentoring
delegation	resource
orientation/training	budget
collaboration	proactive
work assignment	evaluation
negotiation	sensitivity
CQI/indicators/ performance improvement process	creating caring environment
conflict management	inter-unit team building
setting priorities	resident advocacy
awareness of chain of command	career/personal growth

RN Critical Thinking:

Definition: The RN will exercise the ability to use critical thinking skills to coordinate and direct the nursing team to provide resident centered care by applying creative problem solving as evidenced by:

intra-collaboration – of nursing team

inter-collaboration – interdisciplinary team (MD, PT, OT, Pharmacy, Speech)

exter-collaboration – family, regulatory, outside community agencies

Demonstrates knowledge of the roles of each discipline within the team as well as own role as RN in relationship to the team.

prioritize	financial/economic
conflict management	Research/program development
evaluation, plan, analyze, forecasting	resource management
identify/evaluate outcomes	accountability
descriptive ability (written/oral	delegation
manage information	patient rights
community awareness

LPN Critical Thinking:

Definition: The LPN will exercise the ability to use critical thinking skills to provide resident centered care, under the supervision of an RN, by applying creative problem solving.

prioritize	financial/economic
conflict management	resource management
identify/evaluate outcomes	accountability
descriptive ability (written/oral)	delegation
manage information	patient rights

RN Technical:

Definition: The RN will demonstrate the ability to independently perform technical skills as written in the Nurse Practice Act.

Computer skills	Care of the environment
Equipment	Direct care competent clinical skills
Safety

LPN Technical Competence:

Definition: The LPN will demonstrate the ability to perform technical skills as written in the Nurse Practice Act under the supervision of an RN as evidenced by:.

Computer skills	Care of the environment
Equipment	Direct care competent clinical skills
Safety

RN Ethical/Moral/Legal:

Definition: An RN will demonstrate a personal moral code of ethics by being accountable for his/her practice to themselves, the care-giving team, the residents, and society as evidenced by:

a. intra-collaboration – of nursing team

b. inter-collaboration – interdisciplinary team (MD, PT, OT, Pharmacy, Speech)

c. exter-collaboration – family, regulatory, outside community agencies

Demonstrates knowledge of the roles of each discipline within the team as well as own role as RN in relationship to the team.

Accountability	Trust
Empathy	Respect
Delegation	Honesty
Dignity	Ownership
Leadership	Professional Image
Sensitivity	Personal growth
Caring	Care of the environment
Advocacy	Resident/individual rights/confidentiality
Understanding boundaries

LPN Ethical/Moral/Legal:

Definition: An LPN will demonstrate a personal moral code of ethics by being accountable for his/her practice to themselves, the care-giving team, the residents, and society.

Accountability	Understanding boundaries
Empathy	Trust
Delegation	Respect
Dignity	Honesty
Leadership	Ownership
Sensitivity	Personal growth
Caring	Care of the environment
Advocacy	Resident/individual rights/confidentiality

RN Collaboration:

Definition: The RN (GN) will understand the concept and initiate the coordinating and directing of resident-centered care through applying principles of collaboration as evidenced by:

a. intra-collaboration – within nursing team

inter-collaboration – interdisciplinary team (MD, PT, OT, Pharmacy, Speech

exter-collaboration – family, regulatory, outside community agencies

Demonstrates knowledge of the roles of each discipline within the team as well as own role as RN in relationship to the team.

Team members	Value team members, other disciplines
Consulting with physician and ancillary, OT, other disciplines	Coordinate/direct resident-centered care (management strategy)
Initiation	Based on maturity/experience – confidence
Resident-centered	Impacted through preceptorship
With own CNAs	Requires knowledge of system/unit dynamics, roles
With chain of command	Ability to assess environment
Care issues: RN assessment data, disposition, family	*Negotiation
Communication – broader (covers collaboration, RN management)	*Assertiveness
Influence d/m	*Mentoring
Problem solving/conflict management	*Caring
Work with, not over	*Diversity/cultural

LPN Collaboration:

Definition: The LPN will understand the concept of collaboration by participating in resident-centered care under the supervision of the RN.

Team members	Intra-nursing, unit staff
Consulting with physician and ancillary, OT, other disciplines	Inter-team
Initiation	Extra-family, regulatory
Resident-centered	Participation
With own CNAs	Ability to assess environment
With chain of command	*Negotiation
Care issues: RN assessment data, disposition, family	*Assertiveness
Communication – broader (covers collaboration)	*Mentoring
Influence d/m	*Caring
Problem solving/conflict management	*Diversity/cultural
Work with, not over