Please bring your completed CAPE tools with you to the Nursing Orientation sessions.

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The ability to appraise your knowledge, performance and practice is fundamental to any professional.

RNABC, 1999

The purpose of the CAPE tools is to help you identify your clinical practice strengths and learning needs.

For whom are the tools intended?

The tools will serve as a learning needs assessment for:

New nurses to VIHA

New graduate nurses – in VIHA

Experienced nurses transferring from one clinical area to another

It is important that you assess what you need to learn in order to fulfill the required competencies for your new position.

We ask that you complete the CAPE tools during the interview with your Manager/Unit Coordinator/Clinical Nurse Leader or Clinical

Coordinator. Afterwards, you and your Manager/Unit Coordinator/Clinical Nurse Leader or Clinical Coordinator will be able to decide which

parts of orientation you require.

Please turn to the next page for instructions on how to complete the tools.

Please bring your completed CAPE tools with you to the

Nursing Orientation sessions.

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I. Competency Statement will appear here.

Do I have the knowledge/skill to do this?

How often have I applied this knowledge/skill? RNABC Standard Met Criteria Rating2

Yes No Never A few _times Often

Discussed with Manager/Clinical Leader/CRN Recommended Learning Activities Have I done this? (✔) Reviewed with: Please sign & date

This is the recommended Review criteria learning timeline. Certain

items may have spans of time for learning.

This question helps you assess your skill level and your ability to apply your

your knowledge in changing practice situations. You may have a good knowledge base;

however, you may have had limited opportunity to apply that knowledge in clinical This question helps you consider whether practice.

or not you know the concepts and facts

that a nurse needs to perform a particular If you have had several opportunities to successfully apply your knowledge and skill or action safely and effectively. If you and perform a skill in clinical practice, then you would answer “often”.

have acquired this knowledge through prior

education or on-the-job learning, then you If you have had one or two opportunities to perform a particular skill, but need would answer “yes”. Otherwise answer “no”. more opportunities to feel confident, you would answer “a few times”.

If you have had no or limited opportunity to perform a skill in clinical practice, you would answer “never”.

(3)

1= RNs, RPNs

2= Suggested Learning Timeline

1= Immediately

2= By end of one month

3= By end of 3 month probation

CAPE Tool adapted with permission from Children’s and Women’s, Vancouver, B.C. Competencies for All Nurses – Updated September 17, 2004

Assumption:

These competencies are

in addition

to RNABC, CLPNBC, CRPNBC Standards which govern all nurses in VIHA.

I. Demonstrates integration of competencies which are shared by All Nurses in VIHA

How often have I applied this knowledge/skill? RNABC

Standard

Met

Criteria Rating2

1,3,4 1. Contributes towards creating a positive work environment

• pays special attention to resolving issues with others (i.e. avoids gossiping)

• integrates philosophy of care/values

• complies with VIHA policies regarding personal appearance and standards of conduct

1 All Nurses Orientation:

Philosophy of Care VIHA – SI Employee Handbook: • Personal Appearance (CHR Policy #5.5.7) • Workplace Expectations 6 2. Uses variety of tools to plan and track own

learning during probationary period: e.g. CAPE tool, self-learning packages, educational sessions, performance appraisals etc.

• Explanation of CAPE Tools/Self-Learning Modules etc. 3,4 3. Practices safely and ethically by using VIHA

standards (e.g. policies, procedures, guidelines, protocols etc.) in care delivery

• utilizes practice committee/council structures for addressing practice issues, by linking with discipline representative

1 3

All Nurses Orientation: • Explanation of

Standards Framework & Practice Committee Structure

1,2,3,4,5 4. Communicates and documents care in a timely manner

• documents care accurately and completely

• communicates relevant information about patient to the health care team

• documents effectively using appropriate charting system/tools

Integrated into Program and Unit Orientations

(4)

Standard

Met

1,2,3,4 5. Complies with VIHA policies and maintains confidentiality of patient/family

information

1 VIHA Orientation

2,3,5 6. Provides timely and effective teaching with patients/families

• assesses pt.’s/family’s expectations &/or knowledge re: need for care

• plans and provides teaching based on individual pt.’s/family’s needs and diverse cultures

• provides teaching to pt./family during discharges &/or transfers between service/program areas

1 Unit Orientation:

• Handouts

• Procedures/

Treatments – e.g. pre-op teaching,

diagnostics, IV Therapy, treatments etc.

2,3 7. Utilizes knowledge of age-related changes

when caring for older adults 1 All Nurses Orientation: • Age-Related Changes

to Consider When Caring for Older Adults

1,2,3 8. Utilizes knowledge and existing standards to meet needs of patients with high risk factors, which include but are not limited to:

• patient receiving antineoplastics

• patient with infection (e.g. ARO)

• patient with personality disorder

• patient experiencing aggression

1 – 3 All Nurses Orientation:

• Caring for patients receiving

antineoplastics

• Caring for patients with infections

• Caring for patients’ Mental Health VIHA Orientation: • Managing Aggressive

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1= RNs, RPNs

2= Suggested Learning Timeline

1= Immediately

2= By end of one month

3= By end of 3 month probation

CAPE Tool adapted with permission from Children’s and Women’s, Vancouver, B.C. Competencies for All Nurses – Updated September 17, 2004

Standard

Met

2,3,4,5 9. Fulfills expected standards related to discharging and/or transferring patients

• Participates in processes which support effective bed utilization in VIHA(SI)

• Utilizes knowledge in helping patients deal with stress if relocating &/or entering facility care

• Is empathic to pts. & families’ transitions during discharges &/or transfers to facility care

What are the guiding principles in bed utilization between clinical areas and between programs?

2,3,6 10. Utilizes “STABLE” in preventing musculoskeletal injuries

1 VIHA Orientation:

• MSIP/STABLE session 5,6 11. Communicates with appropriate personnel

and resources about factors hindering his/her ability to provide safe care, such as: unit workload, acuity, staffing issues, emergencies, health care team issues and equipment/supply issues.

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Standard

Met

2,3 12. Utilizes knowledge of nursing informatics by optimizing information management & communication throughout provision of care for patients

• Demonstrates basic key boarding, windows navigation and technology

• Utilizes computer assisted communication – including, but not limited to word processing, e-mail, internet, presentation graphics (e.g. power point)

• Appreciates the importance of using nursing data and recognizes its integration with health information

• Recognizes the value of clinicians involvement in designing, selecting, implementing and evaluating applications & systems in health care

• Utilizes on-line clinical decision support resources, including, but not limited to web, databases, intranet

o Discerns when on-line

information supports evidence based professional practice.

• Utilizes informatics applications appropriately (planning, recording & monitoring patient care)

3 Inservices on

informatics will be arranged through nursing units.