NURSING COMPETENCIES FOR LICENSED PRACTICAL NURSES IN MANITOBA 463 St. Anne’s Road Winnipeg, MB R2M 3C9 [email protected] T: 204-663-1212 TF: 1-877-663-1212 Acknowledgment The College of Licensed Practical Nurses of Manitoba would like to acknowledge the dedication, passion, and commitment of all those who contributed their knowledge, insight, and expertise in the development of the Nursing Competencies for Licensed Practical Nurses in Manitoba. Contact Information College of Licensed Practical Nurses of Manitoba 463 St. Anne’s Road Winnipeg, Manitoba R2M 3C9 Telephone: 204-663-1212 Toll Free: 1-877-663-1212 Web: www.clpnm.ca Nursing Competencies for Licensed Practical Nurses in Manitoba 1 Updated: January 2019 Table of Contents Purpose ....................................................................................................................................... 4 How to Interpret this Document ................................................................................................ 4 Background ................................................................................................................................. 5 The Practice Setting ........................................................................................................................ 6 The Client ....................................................................................................................................... 6 The Nurse ....................................................................................................................................... 6 Assumptions ................................................................................................................................... 7 Overview of the Competencies ......................................................................................................... 9 1. People-Centred Care............................................................................................................. 12 1.1 Communication and Relational Skills ........................................................................................ 13 1.2 Respect, Dignity, and Human Rights ......................................................................................... 15 1.3 Information Sharing and Capacity-Building ................................................................................ 17 1.4 Partnership with the Client ....................................................................................................... 19 2. Collaborative Care ................................................................................................................ 21 2.1 Collaboration ........................................................................................................................... 22 3. Reflective Nursing Practice .................................................................................................. 25 3.1 Critical Thinking ....................................................................................................................... 26 3.2 Evidence-Based Practice........................................................................................................... 28 3.3 Nursing Process ....................................................................................................................... 30 4. Knowledge-Based Nursing Practice ..................................................................................... 34 4.1 Pharmacology ......................................................................................................................... 36 4.2 Inflammation and Wound Healing ............................................................................................ 40 4.3 Genetics .................................................................................................................................. 45 4.4 Immune System ...................................................................................................................... 47 4.5 Infection and Communicable Diseases ..................................................................................... 51 4.6 Cancer .................................................................................................................................... 55 4.7 Fluid, Electrolyte, and Acid-Base Imbalances ............................................................................ 60 4.8 Preoperative Care .................................................................................................................... 65 4.9 Intraoperative Care .................................................................................................................. 68 4.10 Postoperative Care ................................................................................................................. 71 4.11 Visual and Auditory System .................................................................................................... 74 4.12 Integumentary System ........................................................................................................... 78 4.13 Respiratory System ................................................................................................................ 83 4.14 Hematological System ............................................................................................................ 90 4.15 Cardiovascular System ........................................................................................................... 94 4.16 Gastrointestinal System .......................................................................................................... 99 4.17 Urinary System .................................................................................................................... 105 4.18 Endocrine System ................................................................................................................ 109 4.19 Female Reproductive System ................................................................................................ 113 4.20 Male Reproductive System ................................................................................................... 117 4.21 Nervous System ................................................................................................................... 121 4.22 Musculoskeletal System ........................................................................................................ 126 Nursing Competencies for Licensed Practical Nurses in Manitoba 2 Updated: January 2019 4.23 End of Life Care ................................................................................................................... 130 4.24 Mental Health Nursing .......................................................................................................... 133 4.25 Community Health Nursing ................................................................................................... 139 4.26 Maternal Health ................................................................................................................... 144 4.27 Neonate Health ................................................................................................................... 150 4.28 Pediatric Health ................................................................................................................... 155 4.29 Emergency Nursing .............................................................................................................. 160 4.30 Nursing Nephrology ............................................................................................................. 164 4.31 Nursing Foot Care ................................................................................................................ 165 5. Safe and Ethical Care .......................................................................................................... 166 5.1 Integration of Professional Standards...................................................................................... 167 5.2 Documentation and Reporting ............................................................................................... 169 5.3 Risk Management .................................................................................................................. 171 5.4 Safety ................................................................................................................................... 173 5.5 Emergency Preparedness and Disaster Planning ...................................................................... 177 6. Leadership .......................................................................................................................... 179 6.1 Management and Organizational Leadership .......................................................................... 180 6.2 Clinical Leadership ................................................................................................................. 182 6.3 Leadership in Education ......................................................................................................... 184 Glossary of Terms ................................................................................................................... 187 References .............................................................................................................................. 193 Nursing Competencies for Licensed Practical Nurses in Manitoba 3 Updated: