CIHC Competencies
CHNC practice standards
Pharmacology
Anatomy
Med/Surg
100

This competency focuses on clearly exchanging information among team members to support safe and coordinated care.

What is TEAM COMMUNICATION?

100

This standard focuses on supporting individuals and communities to increase control over their health and improve well-being.


What is HEALTH PROMOTION?

100

This route of medication administration places a drug directly into the bloodstream for rapid effect.

What is IV ADMINISTRATION?

100

This organ produces insulin.

What is the PANCREAS?

100

This condition manifest as swelling in the legs and ankles caused by excess fluid accumulating in the interstitial tissues.

What is EDEMA?

200

This competency involves understanding and respecting the roles, responsibilities, and expertise of different healthcare professionals.

What is ROLE CLARIFICATION AND NEGOTIATION?


200

This standard involves actions to reduce disease, injury, and health risks through strategies like immunization and screening.

What is PREVENTION AND HEALTH PROTECTION?

200

This term describes harmful or unintended effects that occur from a medication.

What are ADVERSE EFFECTS?

200

These tiny air sacs in the lungs are responsible for gas exchange.

What are the ALVEOLI?

200

This condition is more commonly known as heart attack. 

What is MYOCARDIAL INFARCTION (MI)?

300

This competency focuses on working interdependently, where each members contribute their shared perspectives toward shared goals through shared decision-making.

What is TEAM FUNCTIONING?

300

This standard includes providing care that supports people dealing with acute, chronic, or end-of-life health conditions.

What is HEALTH MAINTENANCE, RESTORATION, AND PALLIATION?

300

This medication class works by increasing urine output to reduce fluid volume and blood pressure.

What are DIURETICS?

300

This chamber of the heart receives oxygenated blood from the lungs through the pulmonary veins.

What is the LEFT ATRIUM?

300

This acid–base imbalance commonly occurs in patients with prolonged vomiting due to loss of gastric acid.

What is METABOLIC ALKALOSIS?
400

This competency involves shared responsibility and leadership among team members to improve collaborative practice.

What is COLLABORATIVE LEADERSHIP?

400

This CHNC practice standard is demonstrated in the following scenario: 

A nurse notices newcomer families missing vaccine appointments due to language barriers and arranges translated information and interpreter support.

What is HEALTH EQUITY?

400

A patient taking warfarin develops unusual bleeding and has a very high INR. The provider orders this medication to reverse the anticoagulant effect.

What is VITAMIN K?

400

A patient experiences severe pain in the right lower abdomen, fever, and nausea due to the inflammation of this small organ attached to the large intestine.

What is the APPENDIX?

400

This condition is identified by the 6 P's: pain, pallor, pulselessness, paresthesia, paralysis, and poikilothermia. 

What is COMPARTMENT SYNDROME?

500

This competency emphasizes addressing power differences, resolving conflict, and supporting respectful collaboration.

What is TEAM DIFFERENCES/DISAGREEMENTS PROCESSING?


500

This CHNC standard involves identifying unsafe, unethical, illegal, or socially unacceptable situations and taking action to protect the client.

What is PROFESSIONAL RESPONSIBILITY AND ACCOUNTABILITY?

500

An example of this class of medication is omeprazole. This class of medication works by reducing stomach acid production. 

What are Proton Pump Inhibitors (PPIs)?

500

A patient develops difficulty breathing after injury to this muscle responsible for expanding the lungs during inhalation.

What is the DIAPHRAGM?

500

This condition occurs when a patient with liver disease develops confusion, altered consciousness, and elevated ammonia levels.

What is HEPATIC ENCEPHALOPATHY?