A New View: Tele-Intensive Care Unit Competencies

Goran, Susan F.
October 2011
Critical Care Nurse;Oct2011, Vol. 31 Issue 5, p17
Academic Journal
BACKGROUND: Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE: To determine whether current tele-ICU programs have a formal competency assessment program and to determine when and how competency of tele- ICU nurses is assessed. METHOD: A 20-question survey was provided to a convenience sample of the 44 known tele-ICU programs nationally. RESULTS: Of the surveys distributed, 75% were completed and returned. A formal competency assessment policy for assessing nurses' competency at the time of hire, during orientation, and ongoing was in place at the workplaces of 85% of respondents. The most common methods for competency validation were performance appraisal and observation, although peer review and self-assessment also were used. Respondents identified the following competencies as the highest priorities for defining tele-ICU nurse practice: effective listening, prioritization, collaboration, and effective use of tele-ICU application tools. CONCLUSION: Although awaiting development of professional practice standards, many tele-ICU programs currently measure the competence of tele-ICU nurses through competency programs.


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