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                                No. 
                             
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                                Competency  
                             
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                                NO  
                             
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                                YB  
                             
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                                YS  
                             
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                                NA  
                             
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                                D-1  
                             
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                                I provide nursing care that is based on a variety of theories relevant to health and healing.   
                             
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                                D-2 
                             
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                                I incorporate evidence from research, clinical practice, client preference and other available resources to make decisions about client care.   
                             
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                                D-3 
                             
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                                I offer culturally-safe nursing care.  
                             
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                                D-4 
                             
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                            I manage multiple nursing interventions for clients with co-morbidities, complex and rapid changing health status. | 
                        
                             
                                
                                 
                             
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                                D-5 
                             
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                            I have the knowledge and ability to assess and manage clients in states of disorientation, confusion, dementia, mental illness, or impairment. | 
                        
                             
                                
                                 
                             
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                                D-6 
                             
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                            I apply knowledge consistently when providing care for physiological needs to prevent development of complications.  | 
                        
                             
                                
                                 
                             
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                                D-7 
                             
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                            I recognize, seek immediate assistance, and help others, in a rapidly changing situation that could affect client health or safety. | 
                        
                             
                                
                                 
                             
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                                D-8 
                             
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                            I apply principles of population health by collaborating to implement strategies to prevent illness and injury.  | 
                        
                             
                                
                                 
                             
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                                D-9 
                             
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                            In I collaborate with clients to achieve mutually agreed upon health outcomes within the context of care. | 
                        
                             
                                
                                 
                             
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                            D-10 | 
                        
                            I assist and support clients to make informed choices based on life circumstances. | 
                        
                             
                                
                                 
                             
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                            D-11 | 
                        
                            I assist and support clients to draw on their personal strength and resources to
                            modify practices for self-care and wellness.  | 
                        
                             
                                
                                 
                             
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                            D-12 | 
                        
                             
                                I assist clients to understand the link between their lifestyle activities and health outcomes. 
                             
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                            D-13 | 
                        
                            I provide supportive care to clients with chronic and persistent health challenges.  | 
                        
                             
                                
                                 
                             
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                            D-14 | 
                        
                            I implement preventive and therapeutic interventions related to safe management and administration of medications.  | 
                        
                             
                                
                                 
                             
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                            D-15 | 
                        
                            I manage therapeutic interventions safely. | 
                        
                             
                                
                                 
                             
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                            D-16 | 
                        
                            I prepare the client for diagnostic procedures and treatments; perform procedures and interpret findings.  | 
                        
                             
                                
                                 
                             
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                            D-17 | 
                        
                            I apply evidence-based practices of pain prevention and management using pharmacological and non-pharmacological measures. | 
                        
                             
                                
                                 
                             
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                            D-18 | 
                        
                            I provide nursing care to meet hospice, palliative or end-of-life care needs.  | 
                        
                             
                                
                                 
                             
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                                D-19  
                             
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                                I use a critical inquiry process to evaluate client care in a timely manner. 
                             
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                                D-20 
                             
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                                I monitor the effectiveness of client care in collaboration and consultation with individuals, families and other members of the health care team. 
                             
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                                D-21 
                             
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                                I modify and individualize client care based on the emerging priorities of the health situation. 
                             
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                                D-22 
                             
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                            I develop and implement learning plans for clients.  | 
                        
                             
                                
                                 
                             
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                                D-23 
                             
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                            I verify that clients have and understand essential information and self-care skills. | 
                        
                             
                                
                                 
                             
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                                D-24 
                             
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                            I report and document client care and its ongoing evaluation in a clear, concise, accurate and timely manner. | 
                        
                             
                                
                                 
                             
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