/depts/,/depts/uwhealth/,/depts/uwhealth/ambulatory-education/,/depts/uwhealth/ambulatory-education/staff-driven-competency-model/,/depts/uwhealth/ambulatory-education/staff-driven-competency-model/resources/,

/depts/uwhealth/ambulatory-education/staff-driven-competency-model/resources/Step-2-Competency.pdf

20180110

page

100

UWHC,UWMF,

Departments & Programs,UW Health,Ambulatory Education,Staff Driven Competency Model,Resources

Step 2: Competency Worksheet

Step 2: Competency Worksheet - Departments & Programs, UW Health, Ambulatory Education, Staff Driven Competency Model, Resources


Updated December 2017


Step 2
2018 Competency Worksheet

***Please complete one worksheet per competency from Step 1 Brainstorming Worksheet

Name of Competency: __________________________________________________________________

Reason(s) for identifying this competency: __________________________________________________

Roles that need to complete competency (RN, MA, TECH, etc): _________________________________

Unit/Department: _____________________________________________________________________

Targeted Patient Population(s) for this competency: __________________________________________

What do staff members need to demonstrate upon completion of this competency (specific skill,
behavior, etc.)?________________________________________________________________________
_____________________________________________________________________________________

Outcome Measurement:
How will you determine the success of your competency completion? ___________________________
_____________________________________________________________________________________


Suggested validation method(s):
Please suggest validation methods for this competency
Validation Method Suggestions

___ Case Study
___ Exemplar
___ Mock Event/Survey
___ Observation of daily work


___ Post Test
___ Presentation
___ QI Monitoring
___ Return Demonstration


Identify a key contact within your unit/dept. for this competency:
Name: _____________________________________ Role: ____________________________________


Return Completed Worksheet to your Nurse Educator/NES by March
30, 2018
• Nursing Education Department (Mail Code 9305)
• Ambulatory Education (Mail Code 1035)