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Differentiated Essential Competencies (DECs)
Formal APA Paper Guidelines and Grading Rubric

This assignment will be a formal three to five page paper (excluding title and reference page) written in APA (6th ed.) format examining the Differentiated Essential Competencies (DECs). The case scenario below will be used to answer the questions on the grading rubric.

CASE SCENARIO: An ADN nurse and a transport tech are having a personal social conversation while transferring an elderly patient from a wheelchair to a hospital bed. Neither are being mindful of the patient�s ability to transfer safely. While normally capable of transferring with minimal assistance, the patient was having difficulty this day due to weakness from episodes of vomiting and diarrhea. The patient falls and as a result suffers a fractured left femur.

The correct reference for the DECS when creating your reference page for this assignment is as follows:

Texas Board of Nursing (2011). Differentiated essential competencies of graduates of Texas nursing programs evidenced by knowledge, clinical judgments, and behaviors: Vocational, diploma/associate degree, baccalaureate degree.

Other resources that may be used to obtain information for writing this paper are a current (less than five years old) Fundamentals of Nursing textbook, current professional literature, and/or ANA�s Code of Ethics.


CRITERIA Points Possible Points Earned Comments
Introduction is inviting to the reader, clearly states the main topic, and previews the structure of the paper. 10

Gives a brief background and description of the DECS and it�s purpose. 20
Application of the DECs

Clearly applies the DECs to the scenario, answering the questions posed, and details the differences in the competencies in terms of the ADN vs the BSN nurse.

1. After the patient fall, what steps should the ADN and BSN nurse initially take?
2. Which competencies would the nurse be expected to demonstrate as a Provider of Care or Member of the Health Care Team?
3. What additional competencies should the BSN nurse demonstrate compared to an ADN after the incident?
Legal and Ethical Application of the DECs

Includes terms, information, and responsibilities of the nurse related to both legal and ethical issues applicable in this scenario. Includes an additional source for legal and ethical issues. 25

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