Dual-Training
Pipeline
Competency
Model
for Health Care Services
Occupation: Registered Nurse
Occupation-Specihc Competencies*
•
Medication
administration
• Problem
identification
and solving
• Care
coordination
and
patient
education
• Comprehensive assessment
of
health status
of
patient
• Evidence-based practice
while
using active
listening skills
• Provide health
promotion
and
patient
safety
• Develop nursing
interventions
•
Implementation
of
care plan
•
Quality
improvement
• Resource utilization and
advocating
for
patient
care
•
Accountability
for
the
quality
of
care delivered
• Interdisciplinary
teamwork
and
collaboration
• Patient- and family-centered care
• Nursing task delegation
Industry-Sector Technical Competencies*
Anatomy
and
physiology Diagnostic procedures Nursing interventions
Pharmacology and holistic
care
Nursing process Strong oral and written communications
Nursing approaches to mental health
Scope
of practice Medical ethics
Informatics
Health care delivery
Disease
progression
Industry-Wide Technical Competencies
Health I Health I
Laws
and regulations
information industry ethics
Safety systems
Personal Effectiveness Competencies
Interpersonal
skills
1
,,,e.,.,
I
Professionalism I I . . I Adaptability
I
. . . Dependability d
---
nitiative d
1
•
b.
1
•
an
an
re
1a
1
1ty
. . .
Career passion
flex1b1hty
Ca
re
of
Statistics
chronic
conditions Psychology
Lifelong
learning
Compassion
and
empathy
Cultural
humility
Based on Allied Health Competency
Model
Employment
and Training Administration, United States
Department
of
Labor, December
2011.
* Pipeline recommends
the
Industry-Sector Technical Competencies
as
formal
training
opportunities
(provided
through
related
instruction) and
the
Occupation-Specific Competencies
as
on-the-job
training
opportunities.
il
DUAL-TRAINING
PIPELINE
Competency Model for Registered Nurse
Registered Nurse – An educated nurse who, after completing extensive training and
passing a state examination, is qualified to perform complete nursing services. In
addition, this person will assess patient health problems and needs, develop, and
implement nursing care plans and maintain medicalrecords. The person likely will
administer nursing care to ill, injured, convalescent, or disabled patients. The individual
may advise patients on health maintenance and disease prevention or provide case
management.
Industry-Sector Technical Competencies
Related Instruction for dual training means the organized and systematic form of education resulting
in the enhancement of skills and competencies related to the dual trainee’s current or intended
occupation.
• Strong oral and written communications – Ability to communicate clearly, especially during
periods of intense stress, to provide comprehensive care and positive health outcomes.
• Pharmacology and holistic care – Understand pharmacologic treatment of diseases and threats
to healthfrom a variety of cultural perspectives. Ability to monitor therapeutic responses, side
effects, adverse reactions, and interactions.
• Medical ethics – Understand principles of medical ethics and how they apply in professional
standards.
• Scope of practice – Be able to comprehend that the practice of professional nursing means the
performance of those services that incorporates caring for all patients in all settings through
recognized nursing standards.
• Nursing interventions - Ability to apply evidence-based nursing interventions to patientsacross
the continuum of care and through the lifespan.
• Diagnostic procedures – Knowledge of evidence-based critical analysis and interpretation of
assessments in order to provide the basis for the health care plan.
• Anatomy and physiology – Have a foundation of knowledge in normal physiology,
pathophysiology, histology,integumentary, skeletal, muscular, nervous, and sensory systems.
• Nursing approaches to mental health – Understand culturally sensitive approaches to the
health care needs of individuals, families and groups experiencing alterations in mental health.
• Informatics – Know the science and practice which integrates nursing information with
communication technologies to promote the health of people, families, and communities.
• Nursing process – Understand assessment, diagnosis, planning, implementation, and
evaluation in the nursing field.
Occupation-Specific Competencies
On-the-Job Training (OJT) is hands-on instruction completed at work to learn the core competencies
necessary to succeed in an occupation. Common types of OJT include job shadowing, mentorship,
cohort-based training, assignment-based project evaluation and discussion-based training.
• Comprehensive assessment of health status of patient – Able to collect, prioritize, and
synthesize comprehensive data pertinent to the patient’s health or situation to establish a
health status baseline and plan of care.
• Medication administration – Understand how to personally prepare medications ordered for a
patient and personally administer those medications.
• Problem identification and solving – Ability to identify a problem, weigh alternatives and
decide about how to manage and implement the solution, then evaluate the effectiveness of
the solution.
• Care coordination and patient education – Understand how to deliberately organize patient
care activities and share information among all participants concerned with a patient’s care to
achieve safer and more effective results.
• Evidence based practice – Able to evaluate responses to interventions and the effectiveness of
the care plan.
• Provide health promotion - Understand disease prevention while providing a safe and
therapeutic environment.
• Develop nursing interventions – Ability to integrate with the plan of care to attain desired
outcomes.
• Implementation of care plan - Able to carry out the nursing interventions outlined in the plan
of care.
• Accountability for the quality of care delivered – Ability to perform to the level of education,
knowledge and skill expected.
• Quality improvement – Understand the systematic and continuous actions that lead to
measurableimprovement for health care clients.
• Interdisciplinary teamwork and collaboration – Ability to coordinate with the health care team
to develop an integrated plan of care.
• Patient and family centered care – Able to approach the planning, delivery and evaluation of
health care that is grounded in mutually beneficial partnerships among health care
professionals, patients, and families.
• Nursing task delegation – Able to assign duties to implement the plan of care.
• Resource utilization and advocating for patient care – Understand the factors related to safety,
effectiveness, cost, and impact on practice in planning and delivering patient care.
Updated July 2022
