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LPN-RN Self Assessment
An assessment is the most efficient way of evaluating competence, and ensuring that all professionals are knowledgeable and updated with the latest developments in their field. Consequently, a local practicing nurse (LPN) and a registered nurse (RN) assessment ensures that both these professionals are competent and updated with changes in the nursing profession. In light of this, this paper will evaluate and demonstrate the importance of LPN-RN self assessment in ensuring that the nurse is well acquainted with the necessary skills on code of ethics, standard of practice and competence in nursing.
Code of Ethics
Basically, the standard and professional manner in which a nurse should serve the patient is the code of ethics. Importantly, a nurse should be able to understand and apply these guidelines in his/her career. Further, these guidelines also provide regulations on how nurses should conduct themselves in public when discussing medical information. Essentially, there are nine code of ethics as discussed below:
Practice Nursing With Compassion and Respect for Inherent Dignity, Worth and Unique Attributes of Every Person.
Generally, professionalism in nursing requires that the medics should respect patients and treat them with dignity. In light of this, nurses should not discuss patients’ health in a public gathering since this would violate their confidentiality with the patient (Brown J., Lachman V., & Swanson E., 2015). Additionally, nurses should have an open and sincere discussion with the patient so as to tell her of any risks involved in her/his health care. Nonetheless, nurses should also respect the decision on controversial decisions such as to undergo or fail to go for surgery. Importantly, the nurses have a duty of ensuring that the patient is well informed with accurate and complete  information when making her decisions.
Nurses Should Have a Primary Commitment to the Patient Whether as an Individual, Family or Group
Primarily, nurses should ensure that their services are in the best interest of the patient’s welfare. Consequently, a nurse should ensure that a patient is well informed of the nature of his/her disease, the available treatment methods, and the effects of each method. Additionally, once the patient is well informed, they should give him/her an opportunity to discuss his/her condition with their family. Additionally, nurses must address all possible conflict of interest when serving the patient (Brown J., Lachman V., & Swanson E., 2015).
Generally, the probable conflict of interests is between the nurse and physician, physician and patient, patient and family, and nurses and family members. Consequently, nurses should promote the patient interest by ensuring she fully understands his/her prognosis. Additionally, nurses have a duty of articulating a patient’s interest through a process called collaboration. Basically, collaboration is the situation when a nurse uses a another clinical officer to support his/her argument when they are unable to agree with the physician on the best way to treat the patient.
The Provision to Promote, Advocate for the Protection of the Rights, Health, and Safety of the Patient.
Accordingly, this ethical requirement advocates for the protection and confidentiality when discussing a patient’s health information. Evidently, the violation of this ethical guideline leads to the breach of trust between the patient and the health officer (Brown J., Lachman V., & Swanson E., 2015). Additionally, nurses have a role in the protection of patient’s who are undergoing a health research. In this perspective, the health officers must ensure that the patient is well informed all probable risks before consenting to the study.
Moreover, the nurse has a duty of reporting any errors in the necessary authorities and disclosing this information to patients (Brown J., Lachman V., & Swanson E., 2015). Ostensibly, a nurse also has a duty of protecting his/her patient safety, such as summoning individuals who he/she would hear speaking about a patient’s health in public. Basically, the nurse acts as a whistleblower. Notably, nurses have a duty of on “patient protection and impaired practice.” In practice this refers to the nurse duty of reporting a medical officer with necessary authority who is on duty when  mentally or physically incapacitated due to drugs, illness, fatigue or personal circumstances and may cause harm to patients.
The Nurse has Authority, Accountability, and Responsibility for Nursing Practice.
Generally, this provision requires the nurse to conduct his /her activities in a consistent and professional manner to promote optimal health care for the patient. Basically, provision requires that the nurse provides her services as per the standards provided by the nursing practicing act, regulation and conduct. Specifically, this provision enforces the responsibility of the advanced practicing registered nurse (APRN) who issues a prescription and the nurse who accepts the orders.
Additionally, this provision accepts that technological facilities assist a nurse to conduct his/her duty. Nonetheless, this provision recognizes these facilities as aids and should not substitute the nurse’s skill and judgment. Importantly, this provision also provides avenues through which a nurse may bring difficult issues when handling a patient for discussion and review (Fowler M., 2015). Generally, the reviews and discussion should take place in confidentiality. Importantly, this provision also ensures that a nurse cannot delegate her/his authority. As such, the nurse is fully responsible and accountable to the patient’s welfare.
Nurses Owe Themselves The Duty of Care, Respect, Competence and Personal and Professional Growth
Accordingly, nurses have a duty of ensuring personal growth through continuous practice and training so as to acquire relevant skills and knowledge to their customers. In addition to this, nurses should integrate personal and professional values into their career. Consequently, a nurse who has integrated his/her personal values into the nursing profession may give an honest opinion to a patient (Lachman.V., 2009). Further still, integration of personal values such as integrity may present nurses from coercion to conduct illegal or inappropriate procedures.
Nurses Have a Duty of Contributing in Nursing Practice by Advancement in Education, Administration and Acquisition of New Knowledge.
Importantly, nurses have a duty of acquiring new knowledge through training. In addition to this, nurse educators are responsible for assuring orientation, preceptorship, and continual education of trainees. Additionally, college professors have a duty of ensuring only the competent trainees graduate in the nursing program (Lachman.V., 2009). Consequently, this procedure ensures all trained nurses are competent.
Nurses Have a Duty of Collaborating With Other Health Professionals in Promoting Public Health at the Community, National or International Level.
Basically, nurses have a duty of promoting proper health at community levels. Consequently, nurses are usually invited to assist in broader health concerns such as rescue missions at both local and international levels (Lachman.V., 2009). Moreover, nurses should recognize and respect the diverse cultures that are in the world when offering their services. Generally, some cultures are conservative while others are dynamic and open to new aspects of life.
The Nursing Profession, Through its Associations and Members has the Duty of Articulating the Nursing Values.
Generally, the nursing ethics are maintained through professional training, the code of ethics for nurses, and the continuous assessment of nurses. Consequently, through the competences impacted by these methods, social reforms in nursing are impacted. Additionally, nurses can spearhead issues on nursing through political reforms such as the political action committees (PACs) (Lachman.V., 2009).
Standard of Practice
Standard of practice provides nurses with a professional guide on how they should conduct themselves. Additionally, they also act as a tool for evaluating the patient performance. Generally, all nurses must strictly adhere to the nursing standards. The following are the standards that the nurses should follow:

  1. Responsibility and accountability.
  2. Knowledge-based practice.
  3. Ethical practice.
  4. Service to the public.
  5. Self-regulation.

Responsibility and Accountability
Importantly, these standard ensures that the nurse is personally responsible and accountable for his practice and conduct (CARNA, 2013). Generally, the standard requires the nurse to carry out his activities with professionalism since he undoubtedly bears all risks caused by his/her neglect. Consequently, the nurse is expected to practice competently, and consistently follow the stipulated nursing policies to fully adhere to this standard.
Knowledge-based Practice
Generally, all nurses should use evidence-informed nursing care and service. In light of this, the nurse should support his/her decisions using evidence-based rationale. Consequently, the nurse should use critical inquiry methods to diagnose a patient (CARNA, 2013).  Additionally, the patient should exercise rational judgement in her decision. Moreover, the nurse should have adequate knowledge in the provision of his/her nursing service. Further, nurses should perform only the restricted activities required under the HPA Registered Nurses Profession Regulation.
Ethical Practice
Accordingly, this regulation requires that all nurses should comply with the code of ethics as enshrined in HPA and CARNA bylaws (CARNA, 2013). Notably, the nurse should be professional in the way that he/she handles patients. In light of this, the nurse should be honest, respectful and obedient.
Service to the Public
Notably, a nurse has a duty of providing nursing care in the best interest of the public. In light of this, a nurse has a duty of providing quality service and collaborating with other officers in activities of healthcare planning, implementation and evaluation (CARNA, 2013).  Noteworthy among other duties, the nurse should integrate infection prevention methods when providing health care services to protect other staff members, the patient and the society.
Basically, the nurse has a duty of ensuring that he/she is updated and adheres to the most recent nursing guidelines (CARNA, 2013). Generally, the nurse maintains the current registry, practices within their own level of competence, and follows all the guidelines described in CARNA standards and guidelines.Moreover, nurses should regularly assess their practice and take necessary steps to improve on their competence.
Competence in Nursing
Basically, competencies are the desired skills and attributes that competent nurses should demonstrate in their activities. Importantly, these competencies are used when assessing students studying nursing (CARNA, 2011). Additionally, they are part of the foundational components of the Nursing Education Program Approval Board (NEPAB). Consequently, the nursing competencies are essential in career development. Notably, nursing competencies are categorized into four components as follows:

  1. Professional role, responsibility and accountability.
  2. Health assessment and diagnosis.
  3. Therapeutic management.
  4. Health promotion and prevention of illness and injury.

Professional Role, Responsibility and Accountability
Basically, this competence requires the customer to demonstrate professional knowledge, collaborative participation, consultation, and referral (CARNA, 2011). Additionally, the nurse must demonstrate willingness to engage in medical research and leadership. Importantly, these attributes enable a nurse to offer proper and professional service to a client.
Health Assessment and Diagnosis
Generally,nurses are expected to integrate their knowledge with critical appraisal to diagnose a patient and determine the most appropriate treatment. Further, a nurse has a duty to collaboratively work with the patient and promote for understanding of health issues in addition to  promoting healthy behavior (CARNA, 2011). In addition to this, the nurse has a duty to communicate to the patient his/her diagnosis and ensure that he/she has understood the magnitude of the results.
Therapeutic Management
Importantly, a nurse has a duty of selecting the correct therapeutic management method for the patient by choosing the most appropriate combination of pharmacological and non-pharmacological intervention (CARNA, 2011). Additionally, the nurse should aim at setting overall provision of health care depending on the illness. Further still, the nurse should monitor the progress of the patient and revise it depending on the client’s health progress, career, client’s goal or his/her preference.
Health Promotion and Prevention of Illness
Generally, nurses aim at promoting and improving the health care of both the patient, society and staff. Consequently, the nurse should collaborate with other members of the society to analyze the cause of specific diseases with an aim of promoting health , and reducing the risk of complications, contamination, and injury (CARNA, 2011). Additionally, nurses should also collaborate with other medical practitioners and professionals to determine the most appropriate principles of community development.
Conclusively, a health assessment of the local practicing and registered nurses is important in ensuring that the country always has skillful medical officers. Additionally, the assessment provides the officers with an opportunity to develop their skills and implement new tactics into healthcare. Further still, these assessments act as a guideline to policy makers when developing the nursing profession syllabus. Consequently, this ensures the development of a comprehensive model of training nurses that leads to training of highly skillful nurses.
Brown J., Lachman V., & Swanson E. (2015).The New ‘Code of Ethics for Nurses With Interpretive Statements’ (2015): Practical Clinical Application, Part I. Ethical Law and Policy,24(4), 268-271
CARNA. (2011).Nurse practitioner competencies (NP). 1-23. Retrieved from
CARNA. (2013). Practicing standards for licensed regulated members. 1-82. Retrievd from<>
Lachman, V. (2009). Practical Use of the Nursing Code of Ethics Part II. Ethical Law and Policy,18(3), 191-193.