ADVENTIST MEDICAL CENTER COLLEGE
Brgy. San Miguel, Iligan City
SCHOOL OF NURSING
CHN COMPETENCY EVALUATION TOOL
Name of Student: __________________________________ Period of Rotation: __________________
Level__________ Rating:______________
Direction: Evaluate the competence of the student by checking the appropriate number.
Criteria: 4- Very Satisfactory 3- Satisfactory 2- Fair 1-Needs Improvement
KEY COMPETENCY AREA
4 3 2 1
1. SAFE QUALITY NURSING CARE
A. Comes to community mentally and physically prepared to provide safe and effective
care.
B. Develops good decision making skills.
C. Uses correct techniques for physical assessment. Assess clients, family and
community members in a timely and efficient manner.
D. Uses appropriate sources for collecting data in the community.
E. Reports abnormal data gathered from clients and families in the community.
F. Provides information on establishing safe community environment.
G. Identifies client, family and community priority problems and plans work to meet
those priorities.
H. Performs tasks with minimal supervision.
I. Performs nursing skills efficiently and competently.
J. Demonstrates caring behaviours towards clients, family and community as a whole.
K. Demonstrates safety in preparing and administering medications using the 12 rights.
Evaluates the effects of medications administered.
2. MANAGEMENT OF RESOURCES AND ENVIRONMENT
A. Completes tasks in the community in an organized and timely manner.
B. Adapts priorities in response to changing needs within the community.
C. Demonstrates flexibility in adapting to challenging situations occurring in the
community.
D. Utilizes community resources and maximizing its use to support community needs.
3. HEALTH EDUCATION
A. Provides relevant, accurate health care information, focusing on prevention and
treatment of diseases.
B. Assess community’s learning needs as well as readiness for and barriers to
learning.
C. Uses appropriate teaching and learning principles when implementing the teaching
plan.
D. Evaluates the community’s attainment of learning outcomes.
4. LEGAL RESPONSIBILITY
A. Complies with Barangay Health Center and school policies, laws and regulations.
B. Practices with the legal and ethical framework of Community Health Nursing.
C. Reports errors promptly and responds appropriately.
D. Demonstrates accountability for actions.
E. Acts as an advocate for clients in the community.
F. Accepts responsibility for assigned task in community care and services.
5. ETHICO-MORAL AND SPIRITUAL RESPONSIBILITY
A. Renders care consistent with the patient’s bill of rights.
B. Treats all individuals with dignity and respect.
C. Protects client’s rights (privacy, autonomy, confidentiality)
D. Respects the religious belief of the patient as well as cultural preferences.
E. Prays with the clients and family when appropriate. (Offers Spiritual Care)
6. PERSONAL AND PROFESSIONAL DEVELOPMENT
A. Identifies own learning needs, acknowledges limitations, and responds positively to
recommendations for personal improvements.
B. Actively participates in community activities with eagerness.
C. Demonstrate appropriate behaviours (attendance, appearance, attitude, accepts
criticisms, honesty, punctuality, etc.)
D. Takes initiative to obtain needed knowledge.
E. Accepts and acts on instructor’s directions.
7. QUALITY IMPROVEMENT
A. Recommends solutions to identified community problems.
B. Recognizes the purpose of utilization review, continuous quality improvement, and
balancing available resources in health care management.
8. RESEARCH
A. Identifies community problems for research purposes.
B. Applies new findings in nursing practice.
C. Updates on the new trends and issues in community health nursing.
9. RECORDS MANAGEMENT
A. Documents complete, accurate, pertinent information in a timely manner.
B. Completes documentation according to agency guidelines.
C. Uses appropriate terminology, spelling and grammar in written communications.
D. Maintains confidentiality pertaining to client’s record and condition.
10. COMMUNICATION
A. Establishes rapport to patients, family, community members and members of the
health team.
B. Provides appropriate information to clients and families in the community.
C. Uses appropriate and respectful words and tone in verbal communications.
D. Shows appropriate communication skills towards people in the community.
E. Evaluates the effectiveness of therapeutic interactions.
11. COLLABORATION AND TEAMWORK
A. Uses appropriate channels of communication.
B. Conveys mutual respect, trust, support and appreciation for other members of the
healthcare team.
C. Anticipate needs of others in meeting community needs.
D. Applies conflict resolution and problem solving skills as appropriate.
E. Facilitates continuity of care within and across health care settings.
Perfect Score: 216
TOTAL SCORE: ________________
