Plar Self Assessment Form Page 8
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9STANDARD III - ETHICAL PRACTICE
The RN with additional authorized practice demonstrates competence in professional judgment and practice decisions by applying the principles in the current
CNA Code of Ethics for Registered Nurses. The RN engages in critical inquiry to inform clinical decision-making, establishes therapeutic, caring, and culturally safe
relationships with clients and the health care team.
The RN with additional authorized practice:
Confident
Needs
No
Please describe a situation where this standard was met, if
Developing
Opportunity
applicable
29. Practices in accordance with the values of the current CNA
Code of Ethics for Registered Nurses.
Comments/additional information:
STANDARD IV - SERVICE TO THE PUBLIC
The RN with additional authorized practice protects the public by providing and improving health care services in collaboration with clients, other members of
the health care team, stakeholders, and policy makers.
The RN with additional authorized practice:
Confident
Needs
No
Please describe a situation where this standard was met, if
Developing
Opportunity
applicable
30. Articulates the authority and scope of practice of the RN
Example:
Explains to a patient that they have to call the physician for
with additional authorized practice.
an order for clindamycin as it is not in the CDT – therefore
not in the scope of practice of a RN with AAP.
31. Recognizes socio-economic determinants of health and risk
Example:
Wood stove may exacerbate COPD but this is only means of
factors as it relates to the practice setting.
heating that client has.
Dispense medication from stock pharmacy as client does
not have a vehicle to drive to the pharmacy.
Comments/additional information:
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