COMPETENCY PROFILE

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COMPETENCYPROFILEFor Licensed Practical NursesFifth Edition - February 2020

Copyright and Terms of UseAll rights reserved. The reproduction of this publication without the prior written permission from theCollege of Licensed Practical Nurses of Alberta is an infringement of copyright law.Copyright 2020 College of Licensed Practical Nurses of AlbertaCollege of Licensed Practical Nurses of Alberta13163 146 Street NWEdmonton, Alberta T5L 4S8 CanadaPhone: 780-484-8886Toll Free: 800-661-5877Fax: his material is provided “as is” without warranties or conditions of any kind, either express or implied.To the fullest extent possible under applicable law, the College of Licensed Practical Nurses of Albertadisclaims all warranties and conditions, expressed or implied, including but not limited to, impliedwarranties or conditions of fitness for a particular purpose, non-infringement or other violation of rights.Under no circumstances shall the College of Licensed Practical Nurses of Alberta be liable for any direct,indirect, special, punitive, incidental or consequential damages arising out of the use or in ability to usethis material.

Table of ContentsA: Nursing Knowledge . 1A-1: Critical Thinking . 2A-2: Clinical Judgment and Decision Making . 3A-3: Time Management . 4A-4: Health Teaching and Coaching . 5A-5: Anatomy and Physiology . 6A-6: Microbiology. 7A-7: Pathophysiology . 8A-8: Medical Language and Terminology . 9A-9: Human Growth and Development . 10A-10: Nutrition and Health . 11A-11: Pharmacology . 12A-12: Social Sciences and Humanities . 13A-13: Research and Best Practices. 15B: Nursing Process. 16B-1: Assessment . 17B-2: Nursing Diagnosis . 18B-3: Planning . 19B-4: Implementation . 20B-5: Evaluation . 21C: Professionalism and Leadership . 22C-1: Legislation and Regulation . 23C-2: Licensed Practical Nurse Scope of Practice . 24C-3: Professional Standards of Practice . 25C-4: Professional Ethics . 26C-5: Accountability and Responsibility . 27C-6: Professional Boundaries . 28C-7: Fitness to Practice. 29C-8: Professional Development . 30C-9: Informal Leadership. 31C-10: Formal Leadership . 32C-11: Case Management . 33C-12: Manager or Administrator. 34C-13: Adult Learning Principles . 35C-14: Education Design and Delivery . 36College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editioni

D: Communication & Technology . 37D-1: Communication and Collaborative Practice . 38D-2: Therapeutic Nurse-Patient Relationship . 39D-3: Legal Protocols, Documenting, and Reporting. 40D-4: Conflict Management. 41E: Nursing Practice . 42E-1: Activities of Daily Living . 43E-2: Nutrition and Hydration . 44E-3: Elimination . 45E-4: Wound Care . 46E-5: Basic Foot Care . 49E-6: Advanced Practice Foot Care . 50E-7: Phlebotomy. 52E-8: Complementary and Alternative Therapies . 53E-9: Ear Syringing . 54E-10: Rehabilitation and Restorative Care . 55E-11: Post-Mortem Care . 56F: Safety. 57F-1: Urgent and Emergent Situations . 58F-2: Infection Prevention and Control . 59F-3: Patient Safety . 60F-4: Workplace Safety . 61G: Respiratory . 62G-1: Respiratory Nursing and Interventions . 63G-2: Chest Tubes & Drainage System . 65H: Orthopedics . 66H-1: Orthopedic Nursing and Interventions . 67H-2: Traction and Immobilizers. 68H-3: Advanced Practice Orthopedic Nursing . 69I: Neurological . 72I-1: Neurological Nursing and Interventions . 73I-2: C-Spine Management . 75J: Cardiovascular . 76J-1: Cardiovascular Nursing and Interventions . 77K: Surgical . 80K-1: Surgical Nursing and Interventions . 81K-2: Endoscopy. 82College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editionii

K-3: Post Anesthetic Recovery . 83K-4: Advanced Practice Perioperative Nursing . 84L: Maternal & Newborn . 88L-1: Maternal Nursing and Interventions. 89L-2: Newborn Nursing and Interventions . 92L-3: Neonatal Resuscitation . 94M: Pediatrics . 95M-1: Pediatric Nursing and Interventions . 96N: Mental Health and Addiction . 97N-1: Mental Health and Addiction Nursing and Interventions . 98N-2: Managing Aggressive Responses . 100O: Emergency . 101O-1: Emergency Nursing and Interventions. 102P: Gerontology . 103P-1: Gerontology Nursing and Interventions . 104P-2: Cognitive Care. 106P-3: Dementia Care . 107P-4: Assessment and Planning in Continuing Care . 108Q: Palliative Care . 109Q-1: Palliative Nursing and Interventions . 110R: Community Health . 112R-1: Community Health Nursing and Interventions. 113R-2: Health Promotion and Services . 114R-3: Public Health and Clinic Nursing . 115S: Oncology . 116S-1: Oncology Nursing and Interventions . 117T: Occupational Health and Safety. 118T-1: Occupational Health and Safety Nursing and Interventions . 119U: Medication Management . 120U-1: Principles of Pharmacology . 121U-2: Medication Preparation and Administration . 123U-3: Immunization and Communicable Disease Control . 125V: Infusion Therapy . 128V-1: Principles and Administration of Infusion Therapy . 129V-2: Central Line Management . 130V-3: Blood and Blood Products . 131V-4: Epidural and Spinal Infusion . 132College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editioniii

V-5: Peritoneal Dialysis . 133V-6: Hemodialysis . 134W: Self Employed Practice . 136W-1: Regulation and Accountability . 137W-2: Nursing Services and Interventions . 138X: Dermatology and Aesthetic Nursing . 139X-1: Dermatology and Aesthetic Nursing and Interventions . 140Y: Ophthalmology . 141Y-1: Ophthalmic Nursing and Interventions . 142Z: Standards of Practice for Performing Restricted Activities and Advanced Practice . 143College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editioniv

Competency Profile OverviewThe College of Licensed Practical Nurses of Alberta (CLPNA) has the legislative authority and responsibility,through the Health Professions Act (2000) and Licensed Practical Nurses Profession Regulation, to regulate thepractice of practical nursing in Alberta in a manner that protects and serves the public interest. CLPNA isresponsible to provide direction to and regulate the Licensed Practical Nurse (LPN) profession by establishing,maintaining, and enforcing standards for education, entry to practice requirements, registration, conduct, andcontinuing competence expectations of its members.The Competency Profile outlines the knowledge, skills, attitudes, behaviors, and judgment required of the LPNprofession in Alberta. The document also guides practical nurse curriculum development and supportsemployers to understand full scope of practice for determining LPN practice in their care settings.Individual LPNs are not expected to possess all competencies outlined within this document and the degree ofproficiency in each competency area may vary. Individual LPN competence can be specific to the area ofpractice, nursing experience, continuing professional development, and role and responsibility within thepractice setting.Upon graduation from an approved practical nurse program, successful completion of the Canadian PracticalNurse Registration Examination (CPNRE), and registration with CLPNA, new graduates are considered entry-levelpractitioners. LPNs further their expertise in practice over the span of their careers.The competencies outlined in this document reflect the current legislated scope of practice for LPNs in Albertaand may be attained through, (1) Entry-level practical nurse education; (2) Post entry-level informal and formaleducation, experience, employer training, and certification; or (3) Advanced authorization, CLPNA approvededucation and training.Shaded areas within this document indicate post entry-level and advanced practice competencies.LPNs have the responsibility to manage their professional practice and are accountable to the public, theiremployer, colleagues, the LPN profession, CLPNA, and themselves.College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editionv

Using the ProfileThe Competency Profile is meant to be a dynamic document that is revised to reflect changes within LPNpractice as they occur. This 5th Edition reflects LPN education and current scope of practice occurring in Alberta.Competency sections are not intended to be standalone; they are cumulative. An example of this would be theMajor Competency A-1: Critical Thinking. Although critical thinking competencies are in Band A, it is expectedthat the LPN would apply these competencies to all areas of practice.The Profile broadly defines the scope of practice of LPNs in Alberta and provides a foundation for the College ofLicensed Practical Nurses of Alberta’s Continuing Competence Program by providing a reference for LPN ongoingassessment of individual competence. The document is framed using Major Competency (subject area ofpractice), Competency (focused area of practice), and Competency Statements (specific competency indicatorswithin the focused area of practice), to provide ease of reference.Please note, a colon [:] appearing at the end of a Competency Statement indicates “such as” examples offulfillment of the competency and is not to be viewed as a conclusive list of indicators of competence.AcknowledgementThe College of Licensed Practical Nurses of Alberta would like to acknowledge individuals across the healthsystem who shared their time, expertise, and commitment, contributing to the 5th Edition of the CompetencyProfile to guide LPN practice in the province.CLPNA Contact InfoFor more information please contact:College of Licensed Practical Nurses of AlbertaSt. Alberta Trail Place13163 – 146 StreetEdmonton, AB T5L 4S8Phone:Fax:Website:Email:780-484-8886 or pna.comCollege of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Editionvi

A: Nursing KnowledgePlease note: Competencies within this section of the Profile are tobe taken in consideration with competencies outlined throughoutthis document and are not intended to be standalone.Important: LPNs are responsible to ensure they have any requirededucation or training and the individual competence prior toperforming these competencies.College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Edition1

Major CompetencyA: Nursing KnowledgeCompetencyA-1: Critical ThinkingCompetency Statement - A Licensed Practical Nurse will:A-1-1Demonstrate knowledge and application of critical thinking supported with evidence-informed inquiryin nursing practice within all settings of healthcare delivery across the continuum of care.A-1-2Demonstrate knowledge of how critical thinking and evidence-informed inquiry influence clinicaljudgment and decision making.A-1-3Demonstrate application of evidence-informed inquiry to expand critical thinking and decisionmaking: actions conclusions assumptions ideas beliefs principlesA-1-4 Demonstrate knowledge and ability to apply critical thinking and evidence-informed inquirythroughout the decision-making process: identify facts clarify and challenge assumptions assess risk identify and analyze the context analyze best available evidence identify anticipated outcomeCollege of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Edition2

Major CompetencyA: Nursing KnowledgeCompetencyA-2: Clinical Judgment and Decision MakingCompetency Statement - A Licensed Practical Nurse will:A-2-1 Demonstrate knowledge of the importance of clinical judgment and decision making in nursingpractice and interpersonal relationships within all settings of healthcare delivery across the continuumof care.A-2-2 Demonstrate knowledge and ability to integrate evidence-informed practice in clinical judgment anddecision making: identify concern evaluate process and outcomes reflect on prior knowledge, experience, incorporate changes if requiredand intuition contribute to policy and procedure development assess potential for inaccuracies assess impact of knowledge gained on professional establish and implement a plan topracticeachieve desired outcomesA-2-3 Demonstrate knowledge and ability to provide evidence-informed, person-centered care in all settingsof healthcare delivery across the continuum of care: patient engagement collaborative partnerships holistic assessment empowering communications informed consent health advocacy, support, and empowerment patient needs, values, and preferences access and autonomyA-2-4 Demonstrate knowledge and understanding of the Calls to Action of the Truth and ReconciliationCommission of Canada, encompassing advocacy and collaboration of Indigenous health knowledgeand healing practices.A-2-5 Demonstrate knowledge and ability to identify the relationship between person-centered care andhealth outcomes: anxiety reduction rights, needs, goals, and preferences satisfaction with health outcomes satisfaction with healthcare system engagement and empowerment self-management and self-efficacyA-2-6 Demonstrate knowledge and ability to communicate and collaborate with inter-professional team asnecessary throughout the decision-making process.College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Edition3

Major CompetencyA: Nursing KnowledgeCompetencyA-3: Time ManagementCompetency Statement - A Licensed Practical Nurse will:A-3-1Demonstrate knowledge and ability to manage time effectively.A-3-2Demonstrate knowledge and ability to prioritize and manage patient care according to: emergent - immediate threat to survival less urgent – care needs requiring non-immediateor safetyinterventions urgent – care needs requiring non-urgent – anticipated future care needimmediate interventionA-3-3 Demonstrate knowledge and ability to seek guidance and assistance from inter-professional team asnecessary.A-3-4Demonstrate ability to respect inter-professional team in decisions of time management: arrive for work on time manage breaks effectively collaborate in care delivery remain until transfer of care is complete to avoidabandonment of care maintain professionalism in practice adapt to unexpected change limit personal activities to personal timeA-3-5 Demonstrate knowledge and ability to perform admission and discharge procedures in a timely andefficient manner: complete patient assessment and health teaching and coachinghistory documenting and reporting medication reconciliation emotional support advance care planning, Goals of Care advocating for patient care needs processing orders coordinating care supports managing transfers and referralsCollege of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 5th Edition4

Major CompetencyA: Nursing KnowledgeCompetencyA-4: Health Teaching and CoachingCompetency Statement - A Licensed Practical Nurse will:A-4-1Demonstrate knowledge of factors that influence teaching and learning: access to resources and technology technology capability determinants of health individual health literacy learning styles and preferencesA-4-2 Demonstrate knowledge and ability to apply health teaching and coaching principles to achieveeffective learning: goal setting positive psychology motivational practices health promotionA-4-3Demonstrate ability to apply nursing knowledge, evidence informed practice, and

Feb 01, 2020 · and may be attained through, (1) Entry-level practical nurse education; (2) Post entry-level informal and formal education, experience, employer training, and certification; or (3) Advanced authorization, CLPNA approved education and training. Shaded areas within this document indicate post entry-

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