Competency assessment for - The Administration of M



Competency Assessment form for Saturation Monitoring

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|Name : |

| |

|Clinical Assessment Area (s) : |

| |

|Name of Assessor: |

|Competency criteria | Competency level | Comments / |

| | |recommendations |

| | 1 |2 |3 |4 |

|Introduces self and explains procedure to patient/parent | |1 |0.5 |0 |

|Demonstrates a basic respiratory assessment (Colour, respiratory pattern and rate |Colour, respiratory pattern, rate and work of breathing |1 |0.5 |0 |

|and saturations if appropriate) and identifies when a SPO2 monitor is needed | | | | |

|States normal SPO2 range and recognizes the individual child’s range and when and |Usual range 96-98%. Complex children may have a different |1 |Fail |Fail |

|how to intervene (oxygen, suction ? ask for help, refer for medical assessment) |normal range for them | | | |

|Describes the procedure appropriate for the child’s age and level of comprehension. | |1 |0.5 |0 |

|Awareness shown of psychological impact and encourages involvement if appropriate. | | | | |

|States need to wash hands before procedure | |1 |0.5 |0 |

|Identifies and attaches correct probe, appropriately to the age and condition of |This will usually have been assessed and chosen for the child |1 |Fail |Fail |

|child |or YP | | | |

|Sets alarms and limits on the SPO2 monitor |Within the childs normal limits specific to the child |1 |Fail |Fail |

|Discusses trouble shooting areas |movement, faulty probe, poor circulation, nail varnish, |1 |0.5 |0 |

| |sticky/dirty finger/toes | | | |

|Discusses changing the location of the probe, how often and why |This is specific to the child. Some will be 2-4 hourly, others |1 |Fail |Fail |

| |will be OK all night Awareness or skin breakdown (pressure | | | |

| |sore) caused by pressure and burns and impact for infection | | | |

|States need to wash hands at the end of the procedure | |1 |0.5 |0 |

On completion, ask: Give one extra mark for each question

|What would you do if you noticed a red broken down area from the probe? (up to 5 marks) |Consider changing probe location more frequently |

| |check probe hasn’t been double taped (pressure sores) |

| |inform the parent |

| |document |

| |handover to the next carer on shift |

| |ask a nurse to review it |

|If you felt the child was physically well but their saturations and heart rate were alarming, what |Unhappy, uncomfortable, need changing |

|could this be? (up to 5 marks) |Behavioural problems, bored need stimulating, |

| |Anxiety, need reassurance |

| |Could be prior to a seizure etc |

|Pass Mark |Needs further practice comments |Score and signature |

|16/20 | | /20 |

References

Mammone. T., (2014). Effects of Nursing Interventions on Physiologic Monitor Alarm Rates in a Neuroscience Intensive Care Unit, (0-0). Retrieved from: (saturation%20AND%20monitor).ti%2Cab%20%5BLimit%20to%3A%20Publication%20Year%202000-2016%5D&SortBy=srt.unspecified&SimpleSearch=False&Clipboard=False&BackToSearchResultsCount=0&databases=bnj.ebs.cinahl

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Date of Competency Assessment: ________________________ Date for Reassessment: ______________________

(1 Year from Assessment date)

Signed by trainer __________________________________ Name of trainer _____________________________________

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