May 13, 2019

MANCHU N BABY Nedumpillil House Maikave Post Via 673573

CNO Application: 910837616

Dear MANCHU N BABY

Status of your RPN application We have received your information from the National Nursing Assessment Service (NNAS), including your NNAS Advisory Report.

According to the Report, the outcome of the NNAS’ evaluation of your education was Not Comparable. Enclosed is a Competency Assessment Form (CAF) prepared by the College outlining your competency gaps based on the results of the NNAS’ assessment of your nursing education.

What are my next steps? Given that competency gaps were identified in your nursing education, you must decide how you wish to proceed with your application. You can complete one of the following options or you can pursue more than one option at the same time.

1. The College can review your nursing practice information to see if it helps you meet the competency gaps identified in your nursing education. Please note:

 If you have nursing practice since graduation that was not provided to NNAS, then you will need to ensure that documents from those organizations are forwarded directly to the College. Please notify us in writing if you would like your practice reviewed and what we can expect to receive.  Your application will only be placed into our assessment queue after we receive all of the nursing practice information that you would like reviewed.  We are currently reviewing applications placed into the assessment queue in January 2019.  If the assessment of your nursing practice identifies that you have competency gaps remaining, you may still be required to complete further evaluation and/or to complete additional education.

You may wish to consider the options below, along with arranging for your practice to be reviewed, to ensure that you continue to proceed through the application process.

2. You can complete a Competency Assessment Supplement (CAS), which must be typed. The CAS is a document that you write to us and provide examples from your own nursing practice and education that shows us how you demonstrated each of the competencies listed in the enclosed CAF. If you provide examples associated with practice for which we have not received a Verification of Nursing Practice form or job description, you may be asked to provide these documents.

Before you write your CAS, review the information about the Entry-to-Practice Competencies for Ontario RPNs, which can be found on our website at www.cno.org by clicking onto Standards & Learning and then selecting College Documents.

Also, the College checks every CAS for plagiarism, through an online third party plagiarism detection service called Turnitin. Turnitin compares your CAS for similarities to texts from a variety of other sources. If the College finds plagiarism in your CAS, then the College will stop assessing your CAS and advise you in writing of next steps. Please read the information about the CAS and our plagiarism process, on our website at www.cno.org/cas.

If you choose to complete a CAS, you must submit it with a completed Applicant Declaration and Checklist form (form) directly to the College. Also, there is a fee of $254.25 for the CAS, which must be paid by credit card. The College does not collect payment information in writing. Once your form and CAS are received, the College will contact you about making your payment. Please do not contact the College to provide payment until we have notified you that your form has been received.

We will only review your CAS once we receive your completed form and your payment has been processed.

3. You can choose to complete additional nursing education to address the competency gaps. However, you may need to complete the CAS or to have your practice reviewed if you still have competency gaps after completing additional education.

It is your responsibility to select your education and training courses. Using your CAF for guidance, contact a school for information about admission requirements and to identify courses at an appropriate level that could address your competency gaps. Once you have completed the additional education, ask your school to send an official transcript to the College. The College will review the transcript and advise you in writing of required next steps. For further information on completing additional education, visit our website at: http://www.cno.org/en/become-a-nurse/registration- requirements/education/completing-additional-education/.

What practice information have we received? We have received your Nursing Practice/Employment Form and job description from Fatima Hospital and Malabar Hospital.

If you have additional nursing practice information since graduating from your nursing program that you have not declared to NNAS, and that you would like for us to review, please provide the following additional information:  a completed Summary of Nursing Practice form  a completed Verification of Nursing Practice form and job description from each of your additional employers  a Verification of Registration form from each regulatory body verifying your registration during the time of your employment. If we already have this official information, you do not need to re-send it to us.

What are the registration requirements? A complete list of all the registration requirements can be found on our website at www.cno.org/become-a-nurse. You have to meet the requirements for the class of certificate of registration you are applying for.

When sending documents to the College Documents must come to us directly from the following sources, in sealed envelopes showing the official letterhead, seal, stamp, or logo:  Educational institutions  Registration boards  Employers and voluntary organizations  Translation services All documents must be in English or French. To learn how to get documents translated, visit our website at www.cno.org

How long will my application remain open? The College will keep your application open as long as there is evidence of progress toward meeting registration requirements. If there is no progress for two years, we will close your application. You will have to submit a new application, including fees, to re- apply.

Has your contact information changed? Please inform us immediately if there is any change to your name, mailing address, telephone number, or email address. If your name has changed, you must send us a copy of an official name-change document, such as a marriage certificate.

Questions? Go to our website at www.cno.org Or, contact us through the Customer Service Centre: In Toronto: 416-928-0900 Toll-free in Canada: 1-800-387-5526 Email: [email protected]

Sincerely,

Registration Administrator Entry to Practice

Enclosures: 1. Verification of Nursing Practice form 2. Verification of Registration form 3. Summary of Nursing Practice form 4. Competency Assessment Form 5. Applicant Declaration and Checklist

Applicant Declaration and Checklist

I, ______hereby declare that the following statements are true:

1. The information contained in the Competency Assessment Supplement being submitted by me in support of my application for a Certificate of Registration has been prepared by me, is the result of my own work, accurately reflects my education, training and experience and contains no material previously published or written by another person, except where properly and fully acknowledged. 2. I have not allowed any other person to copy any portion of my submission. 3. I will take all reasonable care to ensure that my submission is protected so that no other person will be able to copy or otherwise use my submission for any improper purpose. 4. I understand that: a. my responses will be electronically submitted by the College to a third party called Turnitin (http://www.turnitin.com), which is an online plagiarism detection service that conducts textual similarity reviews of submitted text. b. When text is submitted to Turnitin, the service will retain a copy of the submitted work in the Turnitin database for the sole purpose of detecting plagiarism in future submitted works. c. I retain right to my original CAS work. d. The College’s use of Turnitin is subject to the Terms of Use agreement posted on the Turnitin website.

Please use the following as a checklist in filling-out the Competency Assessment Supplement: Check List  I have reviewed the RPN Entry to Practice Competencies before 1. completing the Competency Assessment Supplement. I have provided specific examples of situations from my practice 2. that demonstrate clear evidence of a nursing based evaluation. I have reviewed my responses to ensure a link to the RPN Entry-to- 3. Practice Competencies is demonstrated. I have included this completed Applicant Declaration and Checklist 4. with the submitted Competency Assessment Supplement.

Signature:______Date:______

SUMMARY OF NURSING PRACTICE SIDE 1

INSTRUCTIONS - PLEASE READ CAREFULLY  Complete all applicable information  Incomplete or missing information may result in the form(s) being returned and/or delay your application

MANCHU N BABY Date of Birth: 1985/09/25

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Previous Name(s)

Have you ever been employed as a NURSE since graduating from your nursing program:

NO (Go to the bottom of side 2 and sign the declaration.)

YES (Please list all nursing employment history below starting with your most recent employer)

If you have additional employers, please make a photocopy of this form and submit it with your application.

Name of Employer/Agency:

Mailing Address: Address

Address (Continued)

City Province/State Postal/ZIP Code Country

Start Date (mm/yy): (____/____/____) End Date: (____/____/____) □ Full-Time □ Part-Time □ Casual

Category:  RN  RPN  Other (specify): ______Position (e.g. staff nurse): ______

Date Verification of Nursing Practice Form sent to employer (dd/mm/yy): (____/____/____)

Name of Employer/Agency:

Mailing Address: Address

Address (Continued)

City Province/State Postal/ZIP Code Country

Start Date (mm/yy): (____/____/____) End Date: (____/____/____) □ Full-Time □ Part-Time □ Casual

Category:  RN  RPN  Other (specify): ______Position (e.g. staff nurse): ______

Date Verification of Nursing Practice Form sent to employer (dd/mm/yy): (____/____/____)

TURN THIS PAGE OVER AND COMPLETE SIDE 2

MANCHU N BABY Date of Birth: 1985/09/25

Name of Employer/Agency:

Mailing Address: Address

Address (Continued)

City Province/State Postal/ZIP Code Country

Start Date (mm/yy): (____/____/____) End Date: (____/____/____) □ Full-Time □ Part-Time □ Casual

Category:  RN  RPN  Other (specify): ______Position (e.g. staff nurse): ______

Date Verification of Nursing Practice Form sent to employer (dd/mm/yy): (____/____/____)

Name of Employer/Agency:

Mailing Address: Address

Address (Continued)

City Province/State Postal/ZIP Code Country

Start Date (mm/yy): (____/____/____) End Date: (____/____/____) □ Full-Time □ Part-Time □ Casual

Category:  RN  RPN  Other (specify): ______Position (e.g. staff nurse): ______

Date Verification of Nursing Practice Form sent to employer (dd/mm/yy): (____/____/____)

Name of Employer/Agency:

Mailing Address: Address

Address (Continued)

City Province/State Postal/ZIP Code Country

Start Date (mm/yy): (____/____/____) End Date: (____/____/____) □ Full-Time □ Part-Time □ Casual

Category:  RN  RPN  Other (specify): ______Position (e.g. staff nurse): ______

Date Verification of Nursing Practice Form sent to employer (dd/mm/yy): (____/____/____)

I, ______, hereby certify that I am the person making an application for a certificate of registration and that all statements are true and complete in every respect. I understand that falsification of information on this application may result in the cancellation of my application for registration or cancellation of any certificate that may be issued.

Signature: ______Date: ______

HAVE YOU COMPLETED SIDE 1?

Verification of Registration

Applicant: Complete Section 1 and send the form directly to the Board of Registration/Licensure.

Section 1: Applicant Information Application Number: 910837616 MANCHU N BABY Previous Name(s): ______

Date of birth:1985/09/25

Gender: Female  Male 

I, ______graduated from ______Please print your name Name of the School of Nursing

Located in ______on the following date ______City Country dd/mmm/yyyy

I authorize ______to provide the information requested in Section 2 and Name of Nursing Board of Registration

any and all information in its possession to the College of Nurses of Ontario regarding my registration/licensure. This shall constitute your legal authority to provide any and all information which the College of Nurses of Ontario shall request which may, in any way, be relevant to my application.

Applicant’s signature:______Date: ______dd/mmm/yyyy

Attention applicant: Do not complete Section 2

Section 2 – Nursing Board of Registration: Please complete section 2 of this form and send it directly to the College of Nurses of Ontario in an envelope bearing the letterhead, seal or stamp of the Nursing Board of Registration.

______

Name of the registrant

______

Name of the School of Nursing

______

Location of the School of Nursing

Date of admission: ______Date of completion: ______

dd/mmm/yyyy dd/mmm/yyyy

1. Type of program completed: Registered Nurse  Registered Practical Nurse  Other: ______

Please specify 2. Was the nursing program recognized or approved in the jurisdiction in which the program was completed as qualifying the applicant to practise in that jurisdiction as a: Registered Nurse No  Yes  Attention applicant: Do not complete this section

3. The program was officially recognized or approved by:

______Name of the Nursing Regulatory Body/Board, Licensing/Recognition/Governmental Authority or Accrediting Organization

4. Registration was obtained by: Examination  Endorsement  Other: ______

Please specify 5. If registration was obtained by examination, please provide the following:

CRNE  CPNRE  NCLEX  Other: ______

Please specify

6. Number of times the registration examination was written:______Date examination passed:______

dd/mmm/yyyy

7. Category of registration: Registered Nurse  Registered Practical Nurse  Other: ______

Please specify

8. Original date of registration:______Expiry date:______

dd/mmm/yyyy dd/mmm/yyyy

9. Registration/license number issued:______

10. Registration/license status: Active/current  Expired  Other:______

Please specify

11. Has the registrant ever been refused registration/licensure to practise as a nurse in your or any other jurisdiction? No  Yes  If yes, please attach explanation.

12. Has the registrant’s registration/license ever been revoked, suspended, surrendered, restricted or subject to individual terms and conditions? No  Yes  If yes, please attach explanation.

13. Has the registrant been the subject of a finding of professional misconduct, incompetence, incapacity, professional negligence, malpractice or any similar finding in relation to the practice of nursing or another profession?

No  Yes  If yes, please attach explanation.

14. Is the registrant currently the subject of an inquiry, investigation or a proceeding for professional misconduct, incompetence or incapacity or any similar investigation or proceeding in relation to the practice of nursing?

No  Yes  If yes, please attach explanation.

If you are a Nursing Regulatory Board in Canada and the applicant holds a current registration/license in your jurisdiction, please confirm that the applicant is in Good Standing by answering the following questions:

15. Is the registrant the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding?

No  Yes  If yes, please attach explanation.

16. Is the registrant in compliance with the continuing competency and quality assurance requirements of your board? No  Yes  If no, please attach explanation.

I, ______the registrar/secretary acting on behalf of the

______do hereby certify that the foregoing statements

Name of the nursing board where applicant/registrant is/was registered are true statements of the registration record for ______. Name of the registrant

Name: ______Title: ______

Please print name

Signature:______Date: ______

dd/mmm/yyyy

Mail to: College of Nurses of Ontario 101 Davenport Road Place Seal Here Toronto, Ontario M5R 3P1 MANCHUCanada N BABY (1985/09/25)

Verification of Nursing Practice

Applicant: Complete Section 1 and send the form directly to the Employer/Agency.

Section 1: Applicant Information Application Number: 910837616

MANCHU N BABY Previous Name(s): ______Nedumpillil House Maikave Post Kozhikode Kerala 673573 India Date of birth:1985/09/25

Gender: Female  Male 

Category of registration: Registered Nurse  Registered Practical Nurse  Other: ______

Please specify

Date of employment: From: ______To: ______(last shift worked)

dd/mmm/yyyy dd/mmm/yyyy

I, ______, am seeking registration in Ontario.

Name of applicant

In order to process my application, the College of Nurses of Ontario is requesting that your institution provides information with respect to my employment status. I hereby give my previous and/or present employer(s) consent to provide any and all information in its possession to the College of Nurses of Ontario regarding my nursing practice. This shall constitute your legal authority to provide the information and any other information which the College of Nurses of Ontario shall request which may, in any way, be relevant to my application.

Applicant’s signature:______Date: ______

dd/mmm/yyyy

Attention applicant: Do not complete Section 2

Section 2 – Employer/Agency: Please complete Section 2 of this form and send directly to the College of Nurses of Ontario in an envelope bearing the letterhead, seal or stamp of the employer/agency. Include a copy of the job description with the Verification of Nursing Practice Form. Information may be shared with the applicant.

______

Name of Employer/Agency

______Address

______City/Town Province/State Postal/Zip Code Country

______Telephone number (include Country Code) Fax number (include Country Code)

Attention applicant: Do not complete this section

1. Date of employment: From: ______To: ______

dd/mmm/yyyy dd/mmm/yyyy

2. Last shift worked: ______

dd/mmm/yyyy

3. Category of employment: Registered Nurse  Registered Practical Nurse  Other: ______

Please specify

4. Position in nursing (e.g. staff nurse, Clinical Instructor): ______

5. Type of practice setting (e.g. Public Health, Chronic Care): ______

6. Type of patient population (e.g. Adults, Paediatric, Mental Health): ______

7. What is the primary language used in the applicant’s practice setting:______

8. What is the primary language of the patient population for which the applicant provided nursing services:______

9. When providing nursing services in this language to these patients, the applicant practised nursing:

Full-time (30 or more hours per week)  Part-time (less than 30 hours per week)  Casually (as needed) 

10. Would you re-employ this person? ______

If no, please explain why (Please attach an explanation if more space is needed):______

______

______

______

______

I hereby certify that the information given is true and complete:

Name: ______Title: ______

Please print

Signature: ______Date: ______dd/mmm/yyyy Verification of Nursing Practice Form must be mailed directly to the College of Nurses of Ontario in an envelope bearing the employer/agency’s letterhead, seal or stamp.

MANCHU N BABY (1985/09/25)

RPN Entry to Practice - Competency Assessment Form

Last Name of Applicant: N BABY First Name of Applicant: MANCHU CNO Application Number: 910837616 Assessed on: 2019-05-13 NNAS Advisory Report (Nursing Education) Initial Nursing Program Additional Education Nursing Practice Competency Assessment Supplement Program approved in original jurisdiction Yes No

ASSESSMENT SUMMARY (2019-05-13) (HIO) After review of NNAS materials, including the Advisory Report, dated 2018-04-28, competency gaps remain. They are related to: Professional Responsibility & Accountability Ethical Practice Service to the Public Self-Regulation

It is the opinion of the assessor that this applicant is not equivalent to a current graduate of an ON practical nursing program.

Page 1 of 9 RPN Competency Gaps

Professional Responsibility and Accountability Assessment (Knowledge) 1 Develops a therapeutic relationship with clients.

2 Identifies clients’ health care needs in a caring environment that facilitates achieving mutually agreed health outcomes. 3 Collaborates with clients across the lifespan to perform a holistic nursing assessment.

4 Demonstrates knowledge in critical thinking and problem-solving skills.

5 Uses a theory-based approach. 6 Demonstrates knowledge in nursing, health and social sciences.

7a Promotes clients’ rights and responsibilities by: obtaining client consent prior to initiating nursing care. 7b Promotes clients’ rights and responsibilities by: protecting clients’ rights by respecting confidentiality, privacy, dignity and self-determination as part of the plan of care. 8 Recognizes the impact of an agency’s organizational culture on nursing practice. 9 Assesses the appropriateness of assigning care to unregulated care providers (UCPs).

10 Reviews literature and collaborates with colleagues and other resources in selecting assessment tools or techniques. 11 Demonstrates knowledge of conflict-resolution skills.

12 Demonstrates knowledge of therapeutic communication. 13 Demonstrates knowledge of leadership skills and styles. 14 In collaboration with the client, identifies appropriate health teaching strategies that will enhance the client’s learning. 15 Demonstrates knowledge of the determinants of health.

Planning 16 Advocates for clients’ rights.

17 Encourages clients to draw upon their strengths and to identify appropriate resources within the community.

Page 2 of 9 18 Develops a plan to incorporate critical thinking and problem-solving skills into all aspects of care. 19 Formulates clinical judgements that are consistent with clients’ needs and priorities by responding to changing situations that affect client’s health and safety. 20 Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care. 21 Organizes workload and develops time-management skills to meet responsibilities.

22 Plans how to incorporate conflict-resolution skills when needed.

23 Selects communication techniques that are appropriate for the client’s circumstances needs.

24 Teaches UCPs based on assessment of learning needs.

25 Selects leadership skill and style that is appropriate to the situation.

26 Identifies potential health problems or issues and their consequences for clients.

27a In collaboration with the interprofessional health care team refines and expands client assessment information by: Using initial assessment findings to focus on additional and more detailed assessments. 27b In collaboration with the interprofessional health care team refines and expands client assessment information by: Analyzing and interpreting data from client assessments.

28a Collaborates with client to develop a plan of care by: Questioning and offering suggestions regarding approaches to care. 28b Collaborates with client to develop a plan of care by: Seeking information from relevant nursing research, expert and the literature. 28c Collaborates with client to develop a plan of care by: Developing a range of possible alternatives and approaches to care. 28d Collaborates with client to develop a plan of care by: Establishing priorities of nursing care.

28e Collaborates with client to develop a plan of care by: Identifying expected outcomes.

28f Collaborates with client to develop a plan of care by: Incorporating health teaching strategies into care. 29 Collaborates with the interprofessional health care team in developing a client’s plan of care.

30 Plans to incorporate the determinants of health into all aspects of care.

Implementation (Knowledge Application)

Page 3 of 9 31a Autonomously performs a wide range of nursing interventions (actions, treatments and techniques) that: Promote health 31b Autonomously performs a wide range of nursing interventions (actions, treatments and techniques) that: Prevent disease and injury 31c Autonomously performs a wide range of nursing interventions (actions, treatments and techniques) that: Maintain and restore health 31d Autonomously performs a wide range of nursing interventions (actions, treatments and techniques) that: Promote rehabilitations 31e Autonomously performs a wide range of nursing interventions (actions, treatments and techniques) that: Provide palliation. 32 Collaborates with client and interprofessional health care team to perform appropriate nursing interventions. 33 Implements appropriate administration and use of medications(s).

34 Using appropriate aseptic/sterile techniques, manages therapeutic nursing interventions (e.g., IV therapy, drainage tubes, and skin and wound care). 35 In collaboration with the client and interprofessional health care team, prepares client for surgical/diagnostic procedures, and provides postsurgical/diagnostic care.

36 Applies critical thinking and problem-solving skills in all aspects of nursing care.

37 Questions, clarifies and challenges unclear or questionable orders, decisions or actions made by other interprofessional health care team members. 38 With the client’s consent, includes family and designated representative(s) in care delivery

39 Uses appropriate technology to perform safe effective and efficient nursing interventions.

40 Encourages and supports healthy lifestyle choices.

41 Provides care that demonstrates an awareness of client diversity.

42 Maintains clear, concise, accurate and timely records of client’s care.

43 Assigns care to UCPs.

44 Delegates controlled acts to UCPS, as appropriate.

45a Accountable for one’s decisions and actions by: practising within one’s role and responsibilities. 45b Accountable for one’s decisions and actions by: verifying and clarifying policies, procedures and orders. 46 Applies conflict-resolution skills when needed.

Page 4 of 9 47 Applies most appropriate therapeutic communication techniques.

48 Applies most appropriate leadership skills and style.

49 Implements identified health teaching strategies into client’s learning.

50 Implements the determinants of health into all aspects of care.

Evaluation 51 Supports professional efforts in nursing to achieve a healthier population (e.g., lobbying, attending health fairs and promoting principles of the Canada Health Act).

52 Evaluates and refines critical thinking and problem-solving skills in all aspects of nursing care.

53 Demonstrates openness to new ideas, which may change, enhance or support nursing practice.

54 Modifies plan of care according to one’s knowledge, skill and judgment.

55 In collaboration with the interprofessional health care team, modifies and evaluates plan of care as needed. 56 Responds appropriately to rapidly changing situations.

57 Evaluates effects of organizational culture on nursing practice (e.g., generational differences). 58 Evaluates outcomes of care provided by the UCP.

59 Evaluates and refines conflict-resolution skills as necessary.

60 Evaluates and refines therapeutic communication techniques as needed.

61 Evaluates and refines leadership skills and style as needed.

62 Evaluates client’s learning and refines health teaching strategies as necessary.

Ethical Practice Assessment (Knowledge) 63 Respects clients’ diversity and decisions.

64 Identifies the effects on one’s values, beliefs and personal experiences on the therapeutic nurse-client relationship. 65 Identifies how one’s values, beliefs and assumptions affect interactions among members of the interprofessional health care team.

Page 5 of 9 66 Understands the ethical framework of the therapeutic nurse-client relationship.

67 Demonstrates knowledge of the distinction between ethical responsibilities and legal rights and their relevance when providing nursing care. 68 Demonstrates knowledge of informed consent as it applies in multiple contexts.

Planning 69 Respects and preserves clients’ rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent and ethical care; informed decision-making; dignity; privacy and confidentiality; and being accountable). 70 Shares appropriate information about clients’ care with the interprofessional health care team while respecting confidentiality. 71 Establishes appropriate professional boundaries with clients including the distinction between social and therapeutic relationships. 72 Establishes and maintains a caring environment that supports clients in achieving optimal health outcomes, goals to manage illness or a peaceful death. Implementation (Knowledge Application) 73 Demonstrates behaviours that contribute to an effective and therapeutic nurse-client relationship. 74 Engages in relational practice through a variety of approaches that demonstrates caring behaviours appropriate for clients. 75 Uses an ethical reasoning and decision-making process to address situations of ethical distress and dilemmas. 76 Provides care for clients while being respectful of diversity.

77 Demonstrates support for clients making informed decisions about their health care and respects those decisions. 78 Advocates for clients or their representatives, especially when they are unable to advocate for themselves. 79 Based on ethical and legal considerations, maintains client confidentiality in all forms of communications. 80 Uses relational knowledge and ethical principles when working with the interprofessional health care team to maximize collaborative client care. 81 Uses self-awareness to support compassionate and culturally safe client care.

Evaluation 82 Evaluates appropriate professional boundaries with clients including the distinction between social and therapeutic relationships. 83 Recognizes and reports situations within the practice environment that are potentially unsafe.

Service to the Public Assessment (Knowledge)

Page 6 of 9 84 Monitors trends in nursing research and the health care environment that may result in changes to nursing knowledge and practice. 85 Identifies the unique role and competencies of each member of the interprofessional health care team. 86a Identifies the organization of the health care system at all levels: Organizational

86b Identifies the organization of the health care system at all levels: Municipal

86c Identifies the organization of the health care system at all levels: Provincial

86d Identifies the organization of the health care system at all levels: National

86e Identifies the organization of the health care system at all levels: International

87 Identifies the needs of the unique community in the practice environment.

Planning 88 Develops a plan to respond to trends in nursing research and the health care environment that result in changes to nursing knowledge and practice. 89 Identifies one’s limitations in nursing practice and consults others when necessary.

90 Develops a plan to incorporate the needs of the unique community in the practice environment. Implementation (Knowledge Application) 91 Responds to trends in nursing research and the health care environment.

92 Responds to the needs of the unique community in the practice environment.

93 Develops and maintains a partnership with the interprofessional health care team based on respect for the unique role and competencies of each member. 94 Enacts the principle that the primary purpose of the nurse is to practise in the best interest of the public and to protect the public from harm. 95 Manages physical resources to provide effective and efficient care.

96 Responds to changes in the health care environment through consultations and collaboration with the interprofessional health care team. 97 Presents nursing knowledge regarding the client in interprofessional health care team interactions. 98 Provides feedback to interprofessional health care team members about client care.

Evaluation 99 Evaluates response to trends in nursing research and the health care environment.

Page 7 of 9 100 Evaluates and refines approaches in providing feedback to the interprofessional health care team. 101 Evaluates self awareness that the primary aims of the nurse are to practise in the best interest of the public and to protect the public from harm. 102 Evaluates the appropriateness of the physical resources to provide effective and efficient care.

Self-Regulation Assessment (Knowledge) 103 Demonstrates professional behaviour with learners and the interprofessional health care team. 104 Demonstrates a professional presence and models professional behaviour.

105 Identifies changes in the health care system that affect one’s own nursing practice.

106a Uses the standards of practice to assess one’s competence to identify gaps in knowledge skill, judgement and attitude by: Evaluating one’s practice. 106b Uses the standards of practice to assess one’s competence to identify gaps in knowledge skill, judgement and attitude by: Taking action to seek assistance when necessary.

106c Uses the standards of practice to assess one’s competence to identify gaps in knowledge skill, judgement and attitude by: assessing one's areas of strength and areas from improvement in accordance with the College's Quality Assurance Program.

107 Understands the purpose of research for evidence-informed practice.

108a Demonstrates knowledge of: CNO and self-regulation

108b Demonstrates knowledge of: Professional organizations [such as the RPNAO and the RNAO]

108c Demonstrates knowledge of: Unions

109 Understands impact and implications of informatics and technologies in health care.

110a Demonstrates knowledge of computer skills to do the following: Document client care.

110b Demonstrates knowledge of computer skills to do the following: Obtain and forward information within the agency. 110c Demonstrates knowledge of computer skills to do the following: Obtain and forward information outside the agency. 110d Demonstrates knowledge of computer skills to do the following: validate evidence-informed practice. Planning

Page 8 of 9 111 Seeks opportunities for professional growth that enhance competence.

Implementation (Knowledge Application) 113a Demonstrates professional conduct by: Adhering to the standards of practice of the profession. 113b Demonstrates professional conduct by: Responding professionally to unacceptable behaviour.

113c Demonstrates professional conduct by: Identifying and responding to incidents of unsafe practice or professional misconduct. 113d Demonstrates professional conduct by: Documenting incidents and actions taken.

113e Demonstrates professional conduct by: Participating in quality assurance activities.

113f Demonstrates professional conduct by: Using informatics and technologies responsibly in the health care setting. 114 Promotes the continuing development of the profession of nursing (e.g., joining or participating in professional associations or committees, or engaging in scholarly activities).

115 Applies practice-setting’s policies and procedures into one’s practice.

116 Responds to changes in the health care system that affect one’s nursing practice.

117a Uses computer skills in a professional manner to do the following: Document client care.

117b Uses computer skills in a professional manner to do the following: Obtain and forward information within the agency. 117c Uses computer skills in a professional manner to do the following: Obtain and forward information outside the agency 117d Uses computer skills in a professional manner to do the following: Validate evidence-informed practice. 118 Responds in a professional manner to the impact and implications of informatics and technologies in health care. Evaluation 120 Evaluates changes in the health care system that affect one’s nursing practice.

121 Evaluates the impact and implication of informatics and technologies in health care.

Page 9 of 9