Open Forum

Each department does their own competencies for unique procedures. In addition staff attends a Skills Day which is run by nursing education that addresses signing off shared competancies. My area is part of a hospital based ambulatory wound care clinic. Many of the skills day topics are not relevant to our jobs. RNs and techs participate. Skills day is offered twice a year, over a couple of days

It has been a struggle addressing the unique needs of ambulatory staff. We have just gotten nurse educators assigned to each department last year.

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Lauren Leimbach BSN RN CWCA
Centrastate Med Ctr
Morganville NJ
(732)610-4583
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Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

Thank you! This is very helpful.

------------------------------
Sarah Orr
Manager, Ambulatory Education
Cottage Health Systems
Santa Barbara CA
(513)254-7792
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Original Message:
Sent: 06-23-2024 09:21
From: Lauren Leimbach
Subject: Annual Skills Competencies

Each department does their own competencies for unique procedures. In addition staff attends a Skills Day which is run by nursing education that addresses signing off shared competancies. My area is part of a hospital based ambulatory wound care clinic. Many of the skills day topics are not relevant to our jobs. RNs and techs participate. Skills day is offered twice a year, over a couple of days

It has been a struggle addressing the unique needs of ambulatory staff. We have just gotten nurse educators assigned to each department last year.

------------------------------
Lauren Leimbach BSN RN CWCA
Centrastate Med Ctr
Morganville NJ
(732)610-4583

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

Our clinic settings use the Donna Wright model. As a result, we no longer offer skills days. Instead, relevant competencies are chosen by each team and are typically validated as they arise during the employees' regular work.

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467
------------------------------

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

Original Message:
Sent: 6/24/2024 9:41:00 AM
From: Elizabeth Fritz
Subject: RE: Annual Skills Competencies

Our clinic settings use the Donna Wright model. As a result, we no longer offer skills days. Instead, relevant competencies are chosen by each team and are typically validated as they arise during the employees' regular work.

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467
------------------------------

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

We do initial "competency" with new hires and "skills day" annually. If staff has any issue at either of those times (or identifed anytime during their employment), the managers place a training request with the education team. We evaluate the need, and deploy the appropriate trainer to work with the staff member. Feedback is given to supervisor and escalated prn. All is documented within the staff member's e-file that Education keeps. 

------------------------------
Sarah Orr
Manager, Ambulatory Education
Cottage Health Systems
Santa Barbara CA
(513)254-7792
------------------------------

Original Message:
Sent: 06-24-2024 09:42
From: Elizabeth Collins
Subject: Annual Skills Competencies

Does your organization do initial skills competencies?  

Can anyone provide information regarding their process when a currently working employee can not pass a basic skills competency such as vital signs or medication administration? 

Elizabeth Collins, BSN, RN
Manager, Practice Transformation
Baptist Primary Care
443.802.9524

Original Message:
Sent: 6/24/2024 9:41:00 AM
From: Elizabeth Fritz
Subject: RE: Annual Skills Competencies

Our clinic settings use the Donna Wright model. As a result, we no longer offer skills days. Instead, relevant competencies are chosen by each team and are typically validated as they arise during the employees' regular work.

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

OOOooo. This is very interesting and I believe this could be useful to our setting. I will research Donna Wright model, but if you have any suggested literature on the model, please let me know.

Thanks!

------------------------------
Sarah Orr
Manager, Ambulatory Education
Cottage Health Systems
Santa Barbara CA
(513)254-7792
------------------------------

Original Message:
Sent: 06-24-2024 09:40
From: Elizabeth Fritz
Subject: Annual Skills Competencies

Our clinic settings use the Donna Wright model. As a result, we no longer offer skills days. Instead, relevant competencies are chosen by each team and are typically validated as they arise during the employees' regular work.

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

Donna Wright has two books about her competency model, both available here: https://chcm.com/solutions/competency/. I found them extremely helpful in thinking about competency and competency verification. Enjoy!

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467
------------------------------

Original Message:
Sent: 06-29-2024 10:44
From: Sarah Orr
Subject: Annual Skills Competencies

OOOooo. This is very interesting and I believe this could be useful to our setting. I will research Donna Wright model, but if you have any suggested literature on the model, please let me know.

Thanks!

------------------------------
Sarah Orr
Manager, Ambulatory Education
Cottage Health Systems
Santa Barbara CA
(513)254-7792

Original Message:
Sent: 06-24-2024 09:40
From: Elizabeth Fritz
Subject: Annual Skills Competencies

Our clinic settings use the Donna Wright model. As a result, we no longer offer skills days. Instead, relevant competencies are chosen by each team and are typically validated as they arise during the employees' regular work.

------------------------------
Elizabeth Fritz PhD RN NPDA-BC EBP-C
Editor, AAACN ViewPoint

RN Program Manager, Clinical Education
SSM Health
Watertown WI
(608)260-6467

Original Message:
Sent: 06-22-2024 09:54
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

created in error

Original Message:
Sent: 6/22/2024 9:54:00 AM
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.

This is BEYOND helpful! Thank you so much, Toni. Much appreciated.

------------------------------
Sarah Orr
Manager, Ambulatory Education
Cottage Health Systems
Santa Barbara CA
(513)254-7792
------------------------------

Original Message:
Sent: 06-24-2024 11:50
From: Toni Kempner
Subject: Annual Skills Competencies

Yes we currently do a bi monthly skills competencies on a regional basis (two clinics) across our system (8 clinics) using a competency checklist that our Regional Nurse Managers/Nursing Supervisors and Program Supervisors (MA) and Lead MA's have reviewed together and received competencies by our Nurse Development Consultant.

We typically use a powerpoint (google slides) and then a sign off that we use during our group skills check off that is conducted in small group sessions.

The reason we went to this model is that the size of nursing/MA staff ranges from 10-42 and we only have 90 minutes maximum. We have mapped out a years worth of competencies to cover ie. VS, ECG, nebulizer, etc. 

I am attaching an example of a powerpoint and competencies.

We then scan in the completed competencies to the shared drive and the information is entered to the shared employee spreadsheet to keep track of who has completed the training.

Feel free to email me if you have any questions and I would love to hear what other colleagues are doing.

Toni Kempner, MSN, RN

Regional Nurse Manager

East County Health Center 600 NE 8th St, Gresham, OR 97030

Rockwood Health Center 2020 SE 182nd, Portland, OR 97233

Multnomah County Health Department 

Portland, OR 97209

503-969-6989 work cell phone

This email was encrypted for your privacy and security

Original Message:
Sent: 6/22/2024 9:54:00 AM
From: Sarah Orr
Subject: Annual Skills Competencies

Do you all complete Annual Skills Competencies for your clinics (MA and RN)? If yes, what format do you do this in? How much time do you take? How many staff do you have assist with sign off's? Any input is appreciated.